2024-05-14T09:51:42-04:00 2023-06-30 990 2022-07-01 382640544 MUNSON HEALTHCARE MUNS 2319355000 1105 SIXTH STREET TRAVERSE CITY MI 49684 PAUL KONOPACKI CFO 2319357777 2024-05-10 PAUL KONOPACKI 999009999 false 2022 2023-04-26 12:10:37Z EDWIN A NESS 1105 SIXTH STREET TRAVERSE CITY MI 49684 871994673 false X WWW.MUNSONHEALTHCARE.ORG X 1985 MI MUNSON HEALTHCARE AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH. 21 20 1913 20 58756 1034 1264835 1874141 107519168 166550218 639181 46541603 34738 138102 109457922 215104064 31700 0 0 74913268 96566636 0 214067 54213104 81377882 129158072 177944518 -19700150 37159546 106124577 956335905 184495607 343665994 -78371030 612669911 MUNSON HEALTHCARE AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH. false false 150017562 166560845 PARENT HOLDING COMPANY FOR CORPORATIONS PROVIDING HEALTH CARE AND RELATED SERVICES. 150017562 true true false true false false false false 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ZENNER DIRECTOR 1.00 X 5000 0 0 MATT BULLOCH DIRECTOR 1.00 X 0 0 0 DAVE MENGEBIER DIRECTOR 2.00 X 0 0 0 BEN MULADORE DIRECTOR 1.00 X 0 0 0 SAKURA TAKANO DIRECTOR 1.00 X 0 0 0 7656099 848554 220 false true false CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 AMB SUPPORT 13163479 HURON CONSULTING SERVICES LLC 4795 PAYSHERE CIRCLE CHICAGO IL 60674 REVENUE CYCLE S 6118399 OPTIV SECURITY INC PO BOX 28216 NETWORK PLACE CHICAGO IL 606731282 CYBER SECURITY 1905997 SIEMENS MEDICAL PO BOX 120001 DEPT 0733 DALLAS TX 753120733 EQUIPMENT MAINT 1752545 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 SOFTWARE MAINT 1251668 66 419732 1454409 1874141 CORPORATE SERVICE REVENUE 561000 163289809 163289809 SERVICES TO OTHER ORGANIZATIO 561000 2872069 2872069 PROVIDER INCENTIVE 561000 200321 200321 HEALTH SERVICE REVENUE 561000 129263 129263 CONTRACT REVENUES 561000 58756 58756 166550218 20956675 20956675 682475537 656821890 68719 25653647 -68719 25584928 -68719 25653647 MISCELLANEOUS INCOME 900003 138102 138102 138102 215104064 166560845 58756 46610322 X 6157448 4902032 1041349 214067 78490151 67497213 10992938 2050715 1773536 277179 6086074 5243183 842891 3782248 3249528 532720 1021611 1021611 437550 437550 114389 114389 2377955 2377955 25118056 21084752 4033304 1542503 1419103 123400 3685565 2969404 716161 32754840 30132170 2622670 870618 461798 408820 212334 186959 25375 319049 283123 35926 1407871 1199672 208199 8628591 7352577 1276014 -431409 -431409 DUES AND SUBSCRIPTIONS 1077448 1011458 65990 BANK FEES 608273 608273 SUPPLIES 458507 414944 43563 LICENSES & TAXES 423528 301978 121550 750603 534132 216471 177944518 150017562 27712889 214067 3824177 240639502 1792927 3752440 8406697 9636180 156160009 109643332 33724534 46516677 17587637 615514326 36334533 31985551 4454072 8291229 106124577 956335905 58026429 70140175 118905099 255324220 1774525 7564079 16427074 184495607 343665994 X -78371030 612669911 -78371030 612669911 106124577 956335905 X 37159546 14869165 639012230 X false true X true false X X 7 MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL 381303843 3 true 0 14012379 PAUL OLIVER MEMORIAL HOSPITAL 381415623 3 true 0 3195174 MUNSON HEALTHCARE CHARLEVOIX HOSPITAL 381459366 3 true 0 8732672 MUNSON HEALTHCARE MANISTEE HOSPITAL 380350304 3 true 0 7504300 MUNSON HEALTHCARE GRAYLING 471161992 3 true 0 11472379 MUNSON HEALTHCARE CADILLAC 471156297 3 true 0 15398721 MUNSON MEDICAL CENTER 381362830 3 true 0 90543472 7 150859097 true false false false false false false false false false false false false false false true true false X true true PART I, LINE 11H MUNSON HEALTHCARE CADILLAC 47-1156297 3 X 0 15,398,721 MUNSON MEDICAL CENTER 38-1362830 3 X 0 90,543,472 PART IV, SECTION E, LINE 3A MUNSON HEALTHCARE, AS THE SOLE MEMBER, ELECTS THE TRUSTEES FOR ALL SUBSIDIARY ENTITIES, INCLUDING SUPPORTED ORGANIZATIONS. THE BOARD OF TRUSTEES OF THE SUPPORTED ORGANIZATIONS CONSISTS OF THOSE INDIVIDUALS THAT ARE ELECTED OR APPOINTED TO SERVE AS THE DIRECTORS OF MUNSON HEALTHCARE. NOMINATIONS TO MUNSON HEALTHCARE ARE CONSIDERED AND RECOMMENDED BY THE MUNSON HEALTHCARE GOVERNANCE COMMITTEE. PART IV, SECTION E, LINE 3B CERTAIN DECISIONS OF THE SUPPORTED ORGANIZATIONS' TRUSTEES/DIRECTORS ARE SUBJECT TO APPROVAL BY THE MUNSON HEALTHCARE BOARD OF TRUSTEES INCLUDING THE ADOPTION, AMENDMENT, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF SUPPORTED ORGANIZATIONS; THE ADOPTION, EXECUTION, REVOCATION OR ABANDONMENT OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, OR REORGANIZATION; THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE SUPPORTED ORGANIZATIONS; THE ACQUISITION OF OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF SUPPORTED ORGANIZATIONS; THE ADOPTION OF ALL OPERATING BUDGETS AND CAPITAL EXPENDITURE BUDGETS FOR SUPPORTED ORGANIZATIONS INCURRENCE OF OPERATING OR CAPITAL EXPENDITURES BY SUPPORTED ORGANIZATIONS WHICH CAUSE THE AGGREGATE OPERATING OR CAPITAL EXPENDITURES TO EXCEED BUDGETED AGGREGATES BY MORE THAN FIVE PERCENT (5%) IN ANY FISCAL YEAR; INCURRENCE OF SECURED BORROWINGS OF SUPPORTED ORGANIZATIONS WITH THE EXCEPTION OF EQUIPMENT LEASES AND PURCHASE MONEY SECURITY INTERESTS APPROVED AS PART OF THE BUDGET; THE ADOPTION OR AMENDMENT OF THE MISSION STATEMENT, PURPOSES OR THE STRATEGIC GOALS OF SUPPORTED ORGANIZATIONS; CHANGE IN SCOPE OF CLINICAL SERVICES OR PROGRAMS PROVIDED BY SUPPORTED ORGANIZATIONS; AND APPOINTMENT OR REMOVAL OF THE PRESIDENT. SUPPLEMENTAL INFORMATION SERVICES PROVIDED BY MUNSON HEALTHCARE TO ALL ENTITIES INCLUDE CORPORATE FUNCTIONS SUCH AS FINANCE, LEGAL, HUMAN RESOURCES, PAYROLL, INFORMATION TECHNOLOGY SERVICES, COMMUNICATION, STRATEGY AND PLANNING, BUDGETING, AND ADMINISTRATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 9250 false false true 105139 114389 false SCHEDULE C, PART II-B, LINE 1 GRASSROOTS LOBBYING EXPENSES GRANTED TO ORGANIZATIONS. PAID A CONSULTANT TO COORDINATE, MANAGE CONACTS AND COMMUNICATE WITH LOCAL, STATE AND FEDERAL LEGISLATORS ON HEALTHCARE LEGISLATION AND POLICY MATTERS OF IMPORTANCE TO MUNSON HEALTHCARE AND ITS FACILITIES AND SERVICES. OTHER ACTIVITIES INDICATE THE PORTION OF DUES ALLOCATED TO LOBBYING EXPENSES PAID TO THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION. 105548 105548 2404238 1790273 613965 129283753 107738801 21544952 24366470 114258 24252212 46516677 MINIMUM PENSION LIABILITY 9265201 INSURANCE CLAIMS RESERVE 4417766 LT OPERATING LEASE LIABILITY 2240425 SWAP MARKET VALUE BASIS 286238 ST OPERATING LEASE LIABILITY 137765 DEFERRED POST RETIREMENT BENEFIT 79679 16427074 false CENTRAL AMERICA AND THE CARIBBEAN SELF INSURANCE INSURANCE 1355743 1355743 1355743 true false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 1,355,743 0 SCHEDULE F, PAGE 5, PART V EXPENDITURES ARE REPORTED BASED ON THE ACCRUAL METHOD OF ACCOUNTING. X true true X X X X true true false false false false false true false EDWIN A NESS PRESIDENT & CEO 984135 271268 819521 195058 34013 2303995 776855 LAURA GLENN MHC SYSTEM COO 565550 126428 861 80280 23537 796656 CHRISTINE NEFCY MD CHIEF MEDICAL OFFICE 472587 96807 22146 63919 23498 678957 SUZANNE PETERS VP HUMAN RESOURCES 229569 67931 271929 11478 16195 597102 38847 CHRISTOPHER PODGES CHIEF INFO OFFICER 366422 73838 41371 18321 30753 530705 21707 JOSEPH SANTANGELO CHF QUAL & SFTY OFFI 389131 62835 10910 39531 23174 525581 KIRSTEN KORTH-WHITE PRESIDENT MHC EAST R 337739 89708 13502 47093 25424 513466 RACHEL ROE CHIEF LEGAL OFFICER 341193 79444 12888 36610 24712 494847 ALICIA MAITLAND CFO PT-YR 249058 105150 81420 14698 12936 463262 CASEY KANDOW VP ANCILLARY SERVICE 332447 96453 6130 21801 456831 38923 JOHN BECKETT MD CHIEF MEDICAL INFO O 339224 55275 23029 15280 23422 456230 KATHLEEN MALY INTERIM CFO PT-YR 254344 10326 23720 13974 18200 320564 JODI WICK INTERIM CIO 185428 23723 28789 9271 19246 266457 SCHEDULE J, PAGE 1, PART I, LINE 1A MUNSON HEALTHCARE MAINTAINS A SOCIAL MEMBERSHIP AT THE TRAVERSE CITY COUNTRY CLUB. A REQUIREMENT OF THE COUNTRY CLUB IS THAT A MEMBERSHIP BE IN AN INDIVIDUAL NAME AND NOT A CORPORATE NAME, SO EDWIN NESS IS LISTED AS THE INDIVIDUAL FOR THE MEMBERSHIP. MUNSON HEALTHCARE USES THE SOCIAL MEMBERSHIP TO CONDUCT OFF-SITE MEETINGS AND RETREATS. SCHEDULE J, PAGE 1, PART I, LINE 4 EDWIN A. NESS 0 179,779 0 LAURA GLENN 0 65,000 0 CHRISTINE NEFCY, MD 0 49,960 0 JOSEPH SANTANGELO 0 24,251 0 KIRSTEN KORTH-WHITE 0 34,651 0 RACHEL ROE 0 21,330 0 CASEY KANDOW 12,730 0 0 SCHEDULE J, PAGE 1, PART I, LINE 7 MUNSON HEALTHCARE EXECUTIVES ARE ELIGIBLE FOR AN ANNUAL BONUS BASED ON MEETING ORGANIZATIONAL GOALS, WHICH ARE SET IN ADVANCE AND APPROVED BY THE COMPENSATION COMMITTEE OF THE MUNSON HEALTHCARE BOARD. THE GOALS INCLUDE A COMBINATION OF FINANCIAL TARGETS, STRATEGIC TARGETS AND OPERATIONAL TARGETS INCLUDING QUALITY HEALTHCARE DELIVERY, DISEASE MANAGEMENT, PATIENT SATISFACTION, EMPLOYEE SAFETY, AND EMPLOYEE ENGAGEMENT. AT THE END OF EACH FISCAL YEAR, THE COMPENSATION COMMITTEE OF THE MUNSON HEALTHCARE BOARD IS CHARGED WITH REVIEWING AND APPROVING EXECUTIVE BONUSES BASED ON PROGRESS TOWARD MEETING ORGANIZATIONAL GOALS. SCHEDULE J, PART III PART I, LINE 4A EXECUTIVE SEVERANCE PLAN: SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, A COMPETITIVE BENEFIT PACKAGE IS OFFERED TO THE PRESIDENT AND VICE-PRESIDENTS, WHICH INCLUDES A SEVERANCE PLAN. MUNSON HAS A SEVERANCE PLAN FOR THE PRESIDENT AND VICE-PRESIDENT/EXECUTIVE LEVEL POSITIONS, WHICH PROVIDES FOR THE PRESIDENT UP TO TWO YEARS OF PAY IN THE EVENT EMPLOYMENT ENDS UNDER CERTAIN CONDITIONS AND FOR VICE-PRESIDENTS, UP TO ONE-YEAR OF PAY IN THE EVENT EMPLOYMENT ENDS UNDER CERTAIN CONDITIONS. THE PLAN PROVIDES FOR A 50% OFFSET FOR SUBSEQUENT EMPLOYMENT DURING THE SEVERANCE PERIOD. MEDICAL BENEFITS ARE PROVIDED DURING THE SEVERANCE PERIOD. PART I, LINE 4B SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, INCLUDING THE PRESIDENT AND VICE-PRESIDENTS, A COMPETITIVE BENEFIT PACKAGE IS OFFERED WHICH INCLUDES PARTICIPATION IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. FOR THE PRESIDENT, THE PLAN PROVIDES A TARGETED BENEFIT AT AGE 62. ANNUAL CONTRIBUTIONS, AT MUNSON'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. VICE-PRESIDENTS ARE ELIGIBLE TO PARTICIPATE IN AN AMOUNT NOT TO EXCEED 6% OF BASE COMPENSATION, FUNDED ANNUALLY, AT THE SOLE DISCRETION OF MUNSON. THESE FUNDS ARE AVAILABLE TO VESTED PARTICIPANTS UPON SEPARATION OF EMPLOYMENT FROM MUNSON. A CTY GR TRAVSE HOSP FIN AUTH 2021A 386004852 386523JJ4 2021-07-01 119547860 THE SERIES 2021 BONDS WERE ISSUED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF NEW GENERAL SURGERY A false false false B CTY GR TRAV HOSP FIN AUTH 2011ABC 386004852 386523EE0 2011-08-10 128728067 REFUND PRIOR BONDS CNTY GRD TRAVSE HOSP FIN AUTH 2011 THE SERIES 2011A, 2011B AND 2011C BONDS WERE I false false false C CTY GR TRAV HOSP FIN AUTH 2014ABC 386004852 386523EH3 2014-12-17 60766936 THE 2014ABC BONDS WERE ISSUED TO CONSTRUCT A CANCER CENTER AND PURCHASE HOSPITAL ASSETS IN CADILLAC false false false D CHARLEVOIX TWP HOSP FIN AUTH 2016 383203086 2016-06-23 7000000 RENOVATION & EQUIPMENT THE 2016 BONDS WERE ISSUED TO FUND THE PROJECT COSTS WHICH INCLUDE RENOVATION false false false A 119547860 1005177 46770000 71772683 2022 true false true true B 82485000 128728067 1756787 126971280 true false true true C 60770692 752343 60018349 2016 false false true true D 7006486 64904 6941582 2019 false false true true A false false true false true false 0.02140 0.02140 false false true B false false true false true false 0.02140 0.02140 false false true C false true true false true false 0.00780 0.00780 false false true D false false true false false false false true A false true false false false false false false true B false false false true true false false false true C false false true false false false false false true D false false false true false false false false true A true B true C true D true DIFFERENCES IN ISSUE PRICE EXPLANATION CTY GR TRAV HOSP FIN AUTH 2014ABC INVESTMENT INCOME EARNED DIFFERENCES IN ISSUE PRICE EXPLANATION CHARLEVOIX TWP HOSP FIN AUTH 2016 INVESTMENT INCOME EARNED PURPOSE OF ISSUE DESCRIPTION CTY GR TRAVSE HOSP FIN AUTH 2021A THE SERIES 2021 BONDS WERE ISSUED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF NEW GENERAL SURGERY AND NEUROSURGERY CENTER FACILITIES, TO ACQUIRE AND INSTALL ENERGY EFFICIENT EQUIPMENT, TO REFUND THE OUTSTANDING COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY HOSPITAL REVENUE REFUNDING BONDS (MUNSON HEALTHCARE OBLIGATED GROUP) SERIES 2011A, TO REFUND THE OUTSTANDING COUNTY OF OTSEGO HOSPITAL FINANCE AUTHORITY REVENUE REFUNDING BONDS (OTSEGO MEMORIAL HOSPITAL OBLIGATED GROUP) SERIES 2013A, TO REFUND THE OUTSTANDING GAYLORD HOSPITAL FINANCE AUTHORITY HOSPITAL REVENUE REFUNDING BONDS (OTSEGO MEMORIAL HOSPITAL OBLIGATED GROUP) BONDS SERIES 2014B, AND TO REFUND THE OUTSTANDING GAYLORD HOSPITAL FINANCE AUTHORITY HOSPITAL REVENUE REFUNDING BONDS (OTSEGO MEMORIAL HOSPITAL OBLIGATED GROUP) SERIES 2015C PURPOSE OF ISSUE DESCRIPTION CTY GR TRAV HOSP FIN AUTH 2011ABC REFUND PRIOR BONDS CNTY GRD TRAVSE HOSP FIN AUTH 2011 THE SERIES 2011A, 2011B AND 2011C BONDS WERE ISSUED TO PURCHASE AND CANCEL TENDERED BONDS, TENDERED DURING A TENDER PROGRAM INITIATED BY MUNSON HEALTHCARE. THE TENDERED BONDS INCLUDED COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY (MUNSON HEALTHCARE OBLIGATED GROUP) HOSPITAL REVENUE AND REFUNDING BONDS SERIES 1998A, ISSUED 9/1/98; REVENUE BONDS SERIES 2001A, ISSUED 1/9/01; REVENUE REFUNDING BONDS SERIES 2002A, ISSUED 9/17/02; REVENUE REFUNDING BONDS SERIES 2005A, ISSUED 11/3/05 AND REVENUE BONDS SERIES 2005B, ISSUED 11/3/05. PURPOSE OF ISSUE DESCRIPTION CTY GR TRAV HOSP FIN AUTH 2014ABC THE 2014ABC BONDS WERE ISSUED TO CONSTRUCT A CANCER CENTER AND PURCHASE HOSPITAL ASSETS IN CADILLAC AND GRAYLING MICHIGAN. PURPOSE OF ISSUE DESCRIPTION CHARLEVOIX TWP HOSP FIN AUTH 2016 RENOVATION & EQUIPMENT THE 2016 BONDS WERE ISSUED TO FUND THE PROJECT COSTS WHICH INCLUDE RENOVATION OF THE EMERGENCY ROOM, AN OPERATING ROOM, LAB AND INFUSION AS WELL AS THE PURCHASE OF IMAGING EQUIPMENT AND OTHER CAPITAL EQUIPMENT. DATE REBATE COMPUTATION PERFORMED CTY GR TRAV HOSP FIN AUTH 2011ABC 02/05/14 DATE REBATE COMPUTATION PERFORMED CHARLEVOIX TWP HOSP FIN AUTH 2016 08/16/21 ADDITIONAL INFORMATION CTY GR TRAVSE HOSP FIN AUTH 2021A PART III, QUESTION 3B AND D MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING PROCESS INCLUDES A REVIEW BY THE INTERNAL LEGAL DEPARTMENT. OUTSIDE COUNSEL MAY BE CONSULTED, AS NECESSARY. OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS, DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2021, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. ADDITIONAL INFORMATION CTY GR TRAV HOSP FIN AUTH 2011ABC MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING PROCESS INCLUDES A REVIEW BY THE INTERNAL LEGAL DEPARTMENT. OUTSIDE COUNSEL MAY BE CONSULTED, AS NECESSARY. OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS, DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2021, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. ADDITIONAL INFORMATION CTY GR TRAV HOSP FIN AUTH 2014ABC MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING PROCESS INCLUDES A REVIEW BY THE INTERNAL LEGAL DEPARTMENT. OUTSIDE COUNSEL MAY BE CONSULTED, AS NECESSARY. OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS, DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2021, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. ADDITIONAL INFORMATION CHARLEVOIX TWP HOSP FIN AUTH 2016 MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING PROCESS INCLUDES A REVIEW BY THE INTERNAL LEGAL DEPARTMENT. OUTSIDE COUNSEL MAY BE CONSULTED, AS NECESSARY. OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS, DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2021, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. A CTY GR TRAVSE HOSP FIN AUTH 2019AB 386004852 386523HQ0 2019-01-16 35432001 THE SERIES 2019AB BONDS WERE ISSUED TO REFINANCE DEBT OF THE ACQUIRED HOSPITALS AND FINANCE THE CONS false false false B CNTY GRD TRAV HOSP FIN AUTH 2019C 386004852 386523HR8 2019-01-16 22300000 THE SERIES 2019C BONDS WERE ISSUED TO REFINANCE THE COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY (MUN false false false A 35552890 413194 21239695 13900000 2022 false true true true B 22300000 300000 22000000 true false true true A false true true false false 0.01000 0.01000 false false true B false false true false true false false false true A false true false false false false false false true B false false true false true false false false true A true B true DIFFERENCES IN ISSUE PRICE EXPLANATION CTY GR TRAVSE HOSP FIN AUTH 2019AB INVESTMENT INCOME EARNED PURPOSE OF ISSUE DESCRIPTION CTY GR TRAVSE HOSP FIN AUTH 2019AB THE SERIES 2019AB BONDS WERE ISSUED TO REFINANCE DEBT OF THE ACQUIRED HOSPITALS AND FINANCE THE CONSTRUCTION, RENOVATION, EXPANSION AND EQUIPPING OF HOSPITAL FACILITIES. PURPOSE OF ISSUE DESCRIPTION CNTY GRD TRAV HOSP FIN AUTH 2019C THE SERIES 2019C BONDS WERE ISSUED TO REFINANCE THE COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY (MUNSON HEALTHCARE OBLIGATED GROUP) HOSPITAL REVENUE AND REFUNDING BONDS SERIES 2011C ISSUED 08/10/11. ADDITIONAL INFORMATION CTY GR TRAVSE HOSP FIN AUTH 2019AB MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING PROCESS INCLUDES A REVIEW BY THE INTERNAL LEGAL DEPARTMENT. OUTSIDE COUNSEL MAY BE CONSULTED, AS NECESSARY. OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS, DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2021, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. ADDITIONAL INFORMATION CNTY GRD TRAV HOSP FIN AUTH 2019C MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING PROCESS INCLUDES A REVIEW BY THE INTERNAL LEGAL DEPARTMENT. OUTSIDE COUNSEL MAY BE CONSULTED, AS NECESSARY. OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS, DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2021, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. FORM 990, PAGE 6, PART VI, LINE 11B THE MUNSON HEALTHCARE BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON HEALTHCARE IS THE PARENT COMPANY IN THE MUNSON HEALTHCARE SYSTEM, WHICH UNDERGOES AN AUDIT BY AN EXTERNAL AUDIT FIRM. AT THE CORPORATE LEVEL, THE RESPONSIBLE INDIVIDUALS FROM THE FINANCE, ADMINISTRATION, PATIENT FINANCIAL SERVICES, LEGAL, HUMAN RESOURCES, PUBLIC RELATIONS, AND FUND DEVELOPMENT DEPARTMENTS PREPARE AND REVIEW PORTIONS OF THE FORM 990. THE COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE REVIEWS THE COMPENSATION INFORMATION CONTAINED IN THE CORE FORM AS WELL AS THE SCHEDULE J INFORMATION. THE CONFLICT, VALUATION AND COMPLIANCE COMMITTEE OVERSEES THE CONFLICT OF INTEREST DISCLOSURE PROCESS FOR BOARD MEMBERS AND KEY EMPLOYEES TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE FINANCE AND AUDIT COMMITTEE OVERSEES THE FORM 990 PREPARATION PROCESS BY ENSURING PROPER CONTROLS, POLICIES, PEOPLE AND RESOURCES ARE IN PLACE TO PRODUCE AN ACCURATE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE MUNSON HEALTHCARE BOARD OF DIRECTORS (THE SYSTEM PARENT ORGANIZATION) HAS A STANDING CONFLICT, VALUATION AND COMPLIANCE ("CVC") COMMITTEE. THE CVC COMMITTEE IS COMPOSED OF INDEPENDENT BOARD AND COMMUNITY MEMBERS. THE CVC COMMITTEE IS DELEGATED AUTHORITY BY THE BOARD TO REVIEW AND APPROVE THE REASONABLENESS/FAIR MARKET VALUE OF FINANCIAL TRANSACTIONS/ARRANGEMENTS WITH DISQUALIFIED PERSONS. ANNUALLY, EACH BOARD MEMBER OF MUNSON HEALTHCARE AND ALL OF ITS SUBSIDIARY/CONTROLLED ENTITIES AND ALL MUNSON EXECUTIVES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE/QUESTIONNAIRE. THE RESPONSES TO THE DISCLOSURE/QUESTIONNAIRE ARE REVIEWED BY THE MUNSON LEGAL DEPARTMENT. ANY FINANCIAL ARRANGEMENTS/POTENTIAL CONFLICTS IDENTIFIED THROUGH THE DISCLOSURE/QUESTIONNAIRES ARE PRESENTED TO THE CVC COMMITTEE FOR ITS REVIEW AND DETERMINATION AS TO THE REASONABLENESS/FAIR MARKET VALUE. WHEN AN ACTION ITEM IS CONSIDERED BY A BOARD WHICH INVOLVES A POTENTIAL CONFLICT BY A BOARD MEMBER, THE CONFLICT IS DISCLOSED AND A BOARD MEMBER WILL ABSTAIN FROM A VOTE ON THE ACTION ITEM, AND, IN ADDITION, THE BOARD CHAIR HAS THE DISCRETION/AUTHORITY TO REQUEST THAT THE CONFLICTED BOARD MEMBER BE EXCUSED FROM THE MEETING FOR AN OPPORTUNITY FOR THE BOARD TO DISCUSS THE MATTER WITHOUT THE PRESENCE OF THE CONFLICTED BOARD MEMBER. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED THROUGH THE FOLLOWING PROCESS: FIRST, AN INDEPENDENT FIRM IS ENGAGED TO PROVIDE COMPARABILITY DATA. THEN, THAT DATA IS REVIEWED BY TWO MUNSON HEALTHCARE COMMITTEES, EACH OF WHICH ARE COMPRISED OF INDIVIDUALS WHO ARE NOT EMPLOYEES OR OTHERWISE INSIDERS (DEFINED AS BOARD MEMBERS, PHYSICIANS & EXECUTIVES) OF THE ORGANIZATION. FIRST, THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE EVALUATES THE DATA AND DETERMINES A RECOMMENDED COMPENSATION MODEL BASED ON THE COMPARABILITY DATA. NEXT, THE BOARD CONFLICT, VALUATION AND COMPLIANCE COMMITTEE REVIEWS THE RECOMMENDATIONS AS COMPARED TO THE COMPARABILITY DATA. THIS COMMITTEE'S ROLE IS TO DETERMINE WHETHER THE PROPOSED COMPENSATION IS CONSISTENT WITH FAIR MARKET VALUE. IF PHYSICIANS ARE INCLUDED IN THE DEFINITION OF KEY EMPLOYEE, THE BOARD CONFLICT, VALUATION, AND COMPLIANCE COMMITTEE REVIEWS ALL FINANCIAL RELATIONSHIPS WITH PHYSICIANS AND COMPARES THE PROPOSED FINANCIAL ARRANGEMENT WITH COMPARABILITY DATA PRODUCED BY AN OUTSIDE, INDEPENDENT FIRM. PHYSICIAN COMPENSATION DOES NOT GO TO THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMPARABILITY DATA AS WELL AS THE MINUTES OF EACH OF THESE COMMITTEE MEETINGS ARE MAINTAINED FOR FUTURE REFERENCE. THE MHC BOARD APPROVES THE MHC CEO'S COMPENSATION. THE MHC BOARD HAS DELEGATED TO THE CVC COMMITTEE THE AUTHORITY TO REVIEW AND APPROVE COMPENSATION ARRANGEMENTS WITH INSIDERS. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON HEALTHCARE. FORM 990, PAGE 6, PART VI, LINE 19 THE MUNSON HEALTHCARE ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON HEALTHCARE DOES NOT MAKE THE BYLAWS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANNUALLY, MUNSON HEALTHCARE PREPARES AND DISTRIBUTES AN ANNUAL REPORT TO THE COMMUNITY, WHICH CONTAINS FINANCIAL AS WELL AS PROGRAM DATA. FORM 990, PART IX, LINE 11G PURCHASED SERVICES 16,111,945 2,283,427 0 PROFESSIONAL FEES 4,972,807 1,749,877 0 TOTAL 21,084,752 4,033,304 0 FORM 990, PART XI, LINE 9 NET TRANSFER INVESTMENTS & LTD FROM SUBSIDIARIES 714,687,934 EQUITY TRANSFER FROM SUBSIDIARIES 10,000,000 CHANGE IN SWAP MARKET VALUE 3,904,064 CHANGE IN MINIMUM PENSION LIABILITY 32,389,688 EQUITY TRANSFER TO SUBSIDIARIES -121,000,000 NET PERIODIC PENSION COST -969,456 TOTAL 639,012,230 MUNSON CIN LLC 1105 SIXTH STREET TRAVERSE CITY MI 49684 842427352 IMP HEALTH MI 200321 2106345 MUNSON HC MUNSON DIALYSIS CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 383097861 DIALYSIS MI C3 3 MUNSON HC HEALTHCARE true MUNSON HEALTHCARE FOUNDATIONS 1105 SIXTH ST TRAVERSE CITY MI 49684 382642724 RAISE FUND MI C3 7 MUNSON HC HEALTHCARE true MUNSON HOME CARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382191390 HOME HEALT MI C3 10 MUNSON HC MUNSON HOME HEATLH true MUNSON HOME SERVICES 1105 SIXTH ST TRAVERSE CITY MI 49684 382543463 HOME HEALT MI C3 10 MUNSON HC MUNSON HOME HEALTH true MUNSON MEDICAL CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 381362830 HOSPITAL MI C3 3 MUNSON HC HEALTHCARE true NORTH FLIGHT INC 1105 SIXTH ST TRAVERSE CITY MI 49684 382657917 MED TRANSP MI C3 12B MUNSON HC HEALTHCARE true PAUL OLIVER MEMORIAL HOSPITAL 1105 SIXTH ST TRAVERSE CITY MI 49684 381415623 HEALTHCARE MI C3 3 MUNSON HC HEALTHCARE true MUNSON MEDICAL GROUP 1105 SIXTH ST TRAVERSE CITY MI 49684 273600575 PHYSICIAN MI C3 10 MUNSON MED MUNSON MEDICAL CENTER true MUNSON HEALTHCARE CADILLAC 1105 SIXTH ST TRAVERSE CITY MI 49684 471156297 HEALTHCARE MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE GRAYLING 1105 SIXTH ST TRAVERSE CITY MI 49684 471161992 HEALTHCARE MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE CHARLEVOIX HOSPIT 1105 SIXTH ST TRAVERSE CITY MI 49684 381459366 HOSPITAL MI C3 3 MUNSON HC true MUNSON HEALTHCARE MANISTEE HOSPITAL 1465 E PARKDALE AVE MANISTEE MI 496609709 380350304 HOSPITAL MI C3 3 MUNSON HC true MUNSON HEALTHCARE OTSEGO MEMORIAL H HOSPITAL 825 N CENTER AVE GAYLORD MI 497351592 381303843 HOSPITAL MI C3 3 MUNSON HC MUNSON HEALTHCARE true NORTHERN MICHIGAN SUPPLY ALLIANCE 2651 AERO PARK DR TRAVERSE CITY MI 49686 383453378 SUPPLY PUR MI MUNSON HEA MUNSON HEALTHCARE RELATED 7340569 3334874 false true 0.67750 MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION PO BOX 1188 TRAVERSE CITY MI 496851188 383567278 REAL ESTAT MI N/A true MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY MI 496851188 383144382 PHARMACY MI N/A true SIXTH STREET DRUGS INC PO BOX 1188 TRAVERSE CITY MI 496851188 382298290 PHARMACY MI N/A true MEDICAL OFFICE CONDOMINIUM ASSOCATION PO BOX 1188 TRAVERSE CITY MI 496851188 201902620 REAL ESTAT MI N/A true false true true false false false false false false false false true true false true true true true true MUNSON DIALYSIS CENTER L 637973 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER O 180053 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER P 169487 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER Q 589458 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC L 15398721 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC O 2091880 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC P 982652 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC Q 11112024 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC R 2582553 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT C 10000000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT L 8732672 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT O 966346 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT P 655962 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT Q 6547339 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT S 3862694 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS C 419732 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS P 56559 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS Q 252908 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING L 11472379 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING O 1847108 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING P 996209 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING Q 10163525 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING R 2256776 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL L 7504300 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL O 1020742 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL P 583898 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL Q 6196860 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL S 1125877 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H B 1000000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H L 14012379 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H O 712247 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H P 352432 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H Q 11963115 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H S 25633665 ACTUAL AMOUNT PAID MUNSON HOME CARE L 2237034 ACTUAL AMOUNT PAID MUNSON HOME CARE O 1089677 ACTUAL AMOUNT PAID MUNSON HOME CARE P 328161 ACTUAL AMOUNT PAID MUNSON HOME CARE Q 3876631 ACTUAL AMOUNT PAID MUNSON HOME CARE S 4684865 ACTUAL AMOUNT PAID MUNSON HOME SERVICES L 631185 ACTUAL AMOUNT PAID MUNSON HOME SERVICES O 202095 ACTUAL AMOUNT PAID MUNSON HOME SERVICES P 70795 ACTUAL AMOUNT PAID MUNSON HOME SERVICES Q 646896 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER B 120000000 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER L 90543472 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER O 62127691 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER P 11483847 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER Q 82669077 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER S 678112207 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP L 3183707 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP O 2861940 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP P 1243463 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP Q 1459595 ACTUAL AMOUNT PAID MUNSON SERVICES INC L 1185655 ACTUAL AMOUNT PAID MUNSON SERVICES INC O 186277 ACTUAL AMOUNT PAID MUNSON SERVICES INC P 53606 ACTUAL AMOUNT PAID MUNSON SERVICES INC Q 522823 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE O 555109 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE P 1005784 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE Q 1580347 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL L 3195174 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL O 400353 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL P 248363 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL Q 3027318 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL S 6107956 ACTUAL AMOUNT PAID SIXTH STREET DRUGS L 392672 ACTUAL AMOUNT PAID SIXTH STREET DRUGS O 51705 ACTUAL AMOUNT PAID SIXTH STREET DRUGS Q 143341 ACTUAL AMOUNT PAID SCHEDULE R MUNSON HEALTHCARE USED THE ACCRUAL METHOD OF ACCOUNTING TO VALUE THE TRANSACTIONS WITH RELATED ENTITIES. ALL INTERCOMPANY TRANSACTIONS WITH RELATED ENTITIES WERE REVIEWED, SUMMARIZED, AND RECONCILED TO DETERMINE THE DISCLOSURE AMOUNTS.