FURP.ORG / PUBLIC DATA EXPLORER

MUNSON HOME CARE: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
MUNSON HOME CARE (EIN 38-2191390)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-14
IRS object ID
202521349349306432
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-14T13:40:05-04:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382191390EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MUNSON HOME CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMUNSBusinessNameControlTxt
Phone2319357777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 SIXTH STREETAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49684ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL KONOPACKIPersonNm
Person TitleCFOPersonTitleTxt
Phone2319357777PhoneNum
Signature2025-05-13SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHARI WILSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 SIXTH STREETAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49684ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,642,656GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MUNSONHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionMUNSON HOME CARE DELIVERS EXCELLENT CARE IN THE HOME FOR MUNSON HEALTHCARE PATIENTS AND THE RESIDENTS OF THE COMMUNITIES WE SERVE. MUNSON HOSPICE IS DEDICATED TO A TEAM APPROACH TO MANAGEMENT OF THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF THE TERMINALLY ILL AND THEIR LOVED ONES.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee262TotalEmployeeCnt
Total Volunteers36TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$487,579PYContributionsGrantsAmt
CY Contributions Grants$650,364CYContributionsGrantsAmt
PY Program Service Revenue$24,121,168PYProgramServiceRevenueAmt
CY Program Service Revenue$23,992,216CYProgramServiceRevenueAmt
PY Investment Income-$46,186PYInvestmentIncomeAmt
CY Investment Income$76CYInvestmentIncomeAmt
PY Other Revenue$3,798PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$24,566,359PYTotalRevenueAmt
CY Total Revenue$24,642,656CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,223,509PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,916,272CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$26,096CYTotalFundraisingExpenseAmt
PY Other Expenses$9,346,135PYOtherExpensesAmt
CY Other Expenses$8,467,045CYOtherExpensesAmt
PY Total Expenses$27,569,644PYTotalExpensesAmt
CY Total Expenses$26,383,317CYTotalExpensesAmt
PY Revenues Less Expenses-$3,003,285PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,740,661CYRevenuesLessExpensesAmt
Total Assets BOY$9,048,775TotalAssetsBOYAmt
Total Assets EOY$8,860,861TotalAssetsEOYAmt
Total Liabilities BOY$2,455,389TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,508,136TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,593,386NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,352,725NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMUNSON HOME CARE DELIVERS EXCELLENT CARE IN THE HOME FOR MUNSON HEALTHCARE PATIENTS AND THE RESIDENTS OF THE COMMUNITIES WE SERVE. MUNSON HOSPICE IS DEDICATED TO A TEAM APPROACH TO MANAGEMENT OF THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF THE TERMINALLY ILL AND THEIR LOVED ONES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$14,138,124ExpenseAmt
Revenue$13,903,399RevenueAmt
DescSKILLED HOME CARE - PROVIDE SKILLED NURSING, PHYSICAL THERAPY AND SOCIAL WORK SERVICES TO HOME BOUND PATIENTS. THERE WERE A TOTAL OF 66,730 VISITS IN TAX YEAR 2023.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$7,803,761ExpenseAmt
Revenue$9,371,987RevenueAmt
DescHOSPICE HOUSE - OWN AND OPERATE AN END-OF-LIFE FACILITY TO PROVIDE COMPASSIONATE CARE TO PATIENTS AND THEIR FAMILIES. THERE WERE A TOTAL OF 52,501 DAYS OF CARE IN TAX YEAR 2023.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,461,974ExpenseAmt
Revenue$483,286RevenueAmt
DescPALLIATIVE CARE - MUNSON PALLIATIVE CARE ASSISTS IN CREATING AN ENVIRONMENT OF COMFORT, TRANQUILITY, DIGNITY, AND HEALTHY GRIEVING BASED ON PATIENT AND FAMILY WISHES. ALSO ASSISTS HEALTH CARE PROVIDERS IN TREATING PAIN AND OTHER SYMPTOMS IN THE LAST STAGES OF LIFE AND FACILITATES DIFFIULT CONVERSATIONS BETWEEN FAMILY MEMBERS AND HEALTH PROVIDERS. THERE WERE A TOTAL OF 4,815 VISITS IN TAX YEAR 2023.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$23,403,859TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee262EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNICOLE SULAK MUNSON HEALTHCAREPersonNm
Phone2319357777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14230 COPPER RIDGE DRAddressLine1Txt
Address Line2BUILDING CAddressLine2Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49684ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PAUL KONOPACKI
CFO2.0040.00Yes (X)$0$720,042$86,525
ROMAN BARRAZA MD
MEDICAL DIRE40.00$387,876$0$22,962Yes (X)
KELLY TOMASZEWSKI
DIRECTOR1.0040.00$0$297,671$65,475Yes (X)
SHARI WILSON
PRESIDENT2.0040.00Yes (X)$0$278,346$57,345Yes (X)
KATHLEEN MALY
FORMER INTER$0$222,122$7,314Yes (X)
DAWN HALLECK
SECRETARY/TR2.0040.00Yes (X)$0$175,229$41,632Yes (X)
RENEE BAIRD
PATIENT COOR39.001.00$112,420$2,869$60,657Yes (X)
KARLON ALTON
DIRECTOR OF40.00$124,254$0$29,950Yes (X)
REBECCA WILLIAMS
HOME CARE MA40.00$129,331$0$14,582Yes (X)
BILAL MALEK MD
PHYSICIAN40.00$121,051$0$11,551Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$874,932TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,696,279TotReportableCompRltdOrgAmt
Total Other Compensation$397,993TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HALLMARK HEALTHCARE SOLUTIONS
PO BOX 22937NEW YORKNY100872938STAFFING$910,451
HOMECARE HOMEBASE LLC
PO BOX 678637DALLASTX752678637ELEC HEALTH REC$625,462
AMERICAN HEALTHCARE STAFF ASSOC
PO BOX 670529DALLASTX752670529STAFFING$533,708
AUTUMNWOOD OF MCBAIN
220 S HUGHSTON STMCBAINMI49657PATIENT ROOMS$470,925
SAMARITAS LUTHERAN SOCIAL SERVICES
460 PEARL STCADILLACMI49601PATIENT ROOMS$379,171
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$650,000RelatedOrganizationsAmt
Government Grants$364GovernmentGrantsAmt
Total Contributions$650,364TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE AND MEDICAID PAYMENT621610$12,711,123$12,711,123
PATIENT REVENUE621610$11,280,753$11,280,753
QUALITY INCENTIVE621610$340$340
FieldValueIRS element (for citing)
Total Program Service Revenue$23,992,216TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$76TotalRevenueColumnAmt
Exclusion$76ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,642,656TotalRevenueColumnAmt
Related Or Exempt Func Income$23,992,216RelatedOrExemptFuncIncomeAmt
Exclusion$76ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,684,723TotalAmt
Program Services$14,432,312ProgramServicesAmt
Management And General$252,411ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$648,569TotalAmt
Program Services$637,421ProgramServicesAmt
Management And General$11,148ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,541,390TotalAmt
Program Services$1,514,896ProgramServicesAmt
Management And General$26,494ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,041,590TotalAmt
Program Services$1,023,687ProgramServicesAmt
Management And General$17,903ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,082,550TotalAmt
Program Services$2,818,382ProgramServicesAmt
Management And General$264,168ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$71,995TotalAmt
Program Services$61,420ProgramServicesAmt
Management And General$10,575ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$177,631TotalAmt
Program Services$177,631ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$69,568TotalAmt
Program Services$68,372ProgramServicesAmt
Management And General$1,196ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,019,111TotalAmt
Program Services$1,006,178ProgramServicesAmt
Management And General$12,933ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,041TotalAmt
Program Services$10,681ProgramServicesAmt
Management And General$1,360ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$110,809TotalAmt
Program Services$98,295ProgramServicesAmt
Management And General$12,514ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$124,606TotalAmt
Program Services$94,631ProgramServicesAmt
Management And General$29,975ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmt
SHARED SERVICES$2,338,781$2,312,685$26,096
MEDICAL SUPPLIES$1,137,519$1,137,519
BAD DEBT$253,003$253,003
DUES AND SUBSCRIPTIONS$32,101$32,101

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$37,330TotalAmt
Program Services$37,330ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,383,317TotalAmt
Program Services$23,403,859ProgramServicesAmt
Management And General$2,953,362ManagementAndGeneralAmt
Fundraising$26,096FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,030,799BOYAmt
EOY$1,304,437EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,157,827BOYAmt
EOY$6,948,856EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$133,767BOYAmt
EOY$129,069EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,992,299LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,513,800LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$589,307BOYAmt
EOY$478,499EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$137,075BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,048,775BOYAmt
EOY$8,860,861EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,318,314BOYAmt
EOY$2,508,136EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$137,075BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,455,389BOYAmt
EOY$2,508,136EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,593,386BOYAmt
EOY$6,352,725EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,593,386BOYAmt
EOY$6,352,725EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,048,775BOYAmt
EOY$8,860,861EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,740,661ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,500,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,223,610CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$987,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,029,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$487,579CurrentTaxYearMinus1YearAmt
Current Tax Year$650,364CurrentTaxYearAmt
Total$6,378,304TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,968,808CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,211,160CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,941,426CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,124,966CurrentTaxYearMinus1YearAmt
Current Tax Year$23,992,216CurrentTaxYearAmt
Total$123,238,576TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,192,418CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,198,728CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,970,609CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,612,545CurrentTaxYearMinus1YearAmt
Current Tax Year$24,642,580CurrentTaxYearAmt
Total$129,616,880TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$129,616,880PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$95,596CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$91,492CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$90,009CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$621CurrentTaxYearMinus1YearAmt
Current Tax Year$76CurrentTaxYearAmt
Total$277,794TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$95,596CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$91,492CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$90,009CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$621CurrentTaxYearMinus1YearAmt
Current Tax Year$76CurrentTaxYearAmt
Total$277,794TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,288,014CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,290,220CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,060,618CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,613,166CurrentTaxYearMinus1YearAmt
Current Tax Year$24,642,656CurrentTaxYearAmt
Total$129,894,674TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99790PublicSupportCY509Pct
Public Support PY5090.99730PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,148,706OtherCostOrOtherBasisAmt
Depreciation$1,797,870DepreciationAmt
Book Value$350,836BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$832,790OtherCostOrOtherBasisAmt
Depreciation$705,127DepreciationAmt
Book Value$127,663BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,803OtherCostOrOtherBasisAmt
Depreciation$10,803DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$478,499TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
PAUL KONOPACKI
CFO$582,360$70,000$67,682$65,902$20,623$806,567
ROMAN BARRAZA MD
MEDICAL DIRECTOR HOS$358,447$29,130$299$13,711$9,251$410,838
KELLY TOMASZEWSKI
DIRECTOR$246,534$51,137$42,498$22,977$363,146
SHARI WILSON
PRESIDENT$255,075$23,271$37,927$19,418$335,691
KATHLEEN MALY
FORMER INTERIM CFO$84,251$75,000$62,871$2,947$4,367$229,436
DAWN HALLECK
SECRETARY/TRESURER$169,371$5,858$19,503$22,129$216,861
RENEE BAIRD
PATIENT COORDINATOR$2,869$60$454$3,383$106,490$5,500$430$37,987$22,156$172,563
KARLON ALTON
DIRECTOR OF HOME CAR$122,851$1,000$403$6,406$23,544$154,204

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 3THE PROCESS FOR DETERMINING APPROPRIATE LEVELS OF PAY FOR EXECUTIVE POSITIONS WITHIN MUNSON HEALTHCARE SYSTEM IS CAREFULLY AND THOUGHTFULLY DIRECTED BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS, THROUGH THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMMITTEE UTILIZES "BEST PRACTICES" METHODS OF DETERMINING COMPENSATION AND, AS SUCH, IS COMPOSED OF SEVEN MEMBERS WHOSE VOTING MEMBERS ARE INDEPENDENT. THE COMMITTEE IS CHARGED WITH ENSURING THAT EXECUTIVE COMPENSATION IS DESIGNED TO ATTRACT AND RETAIN HIGH QUALITY, PROFESSIONAL LEADERSHIP WHILE MAINTAINING STRONG STEWARDSHIP FOR THE ORGANIZATION. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE, AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. ANNUALLY, THE COMMITTEE RETAINS A NATIONAL INDEPENDENT CONSULTANT TO ENSURE MUNSON HEALTHCARE'S COMPENSATION PRACTICES AND LEVELS ARE INDEPENDENTLY REVIEWED WHILE BEING COMPETITIVE AND REASONABLE. THE MUNSON HEALTHCARE CONFLICT, VALUATION AND COMPLIANCE ("CVC") COMMITTEE ALSO REVIEWS THE SURVEY INFORMATION TO EVALUATE THE REASONABLENESS OF EXECUTIVE COMPENSATION. THAT ANALYSIS OCCURS EACH NOVEMBER. THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
SCHEDULE J, PAGE 1, PART I, LINE 4PAUL KONOPACKI 0 56,002 0 KELLY TOMASZEWSKI 0 27,498 0 SHARI WILSON 0 26,000 0 DAWN HALLECK 0 10,491 0
SCHEDULE J, PAGE 1, PART I, LINE 7MUNSON 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 IIIPART 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 OF MUNSON HEALTHCARE, A COMPETITIVE BENEFIT PACKAGE IS OFFERED WHICH INCLUDES PARTICIPATION IN A SUPPLEMENTAL RETIREMENT PLAN. ANNUAL CONTRIBUTIONS, AT MUNSON'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. THESE RETIREMENT FUNDS ARE AVAILABLE TO THE PARTICIPANTS UPON THEIR RETIREMENT FROM MUNSON. PART II, COLUMN B(III) IN JULY 2023, MUNSON HEALTHCARE TRANSITIONED EXECUTIVE PTO FROM AN ACCRUAL PLAN TO AN UP FRONT ANNUAL ALLOTMENT PLAN WITH A USE-IT-OR-LOSE-IT BALANCE DISPOSITION. CURRENT EXECUTIVES ON THE PTO ACCRUAL PLAN WERE PAID OUT THEIR EXISTING BALANCES IN JULY 2023. THE FIRST 80 HOURS OF ACCRUED PTO WAS PAID AT 90% OF VALUE AND THE BALANCE WAS PAID AT 80% OF VALUE. THIS PAYOUT IS LESS FAVORABLE THAN EXISTING POLICY, WHICH PAYS OUT ACCRUED PTO AT 100% UPON SEPARATION OF EMPLOYMENT. THIS ONE-TIME PAYOUT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONMUNSON HOME CARE DELIVERS EXCELLENT CARE IN THE HOME FOR MUNSON HEALTHCARE PATIENTS AND THE RESIDENTS OF THE COMMUNITIES WE SERVE. MUNSON HOSPICE IS DEDICATED TO A TEAM APPROACH TO MANAGEMENT OF THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF THE TERMINALLY ILL AND THEIR LOVED ONES.
FORM 990, PAGE 6, PART VI, LINE 6MUNSON HOME CARE HAS THREE CLASSES OF MEMBERS. THE CLASS A MEMBER IS MUNSON HOME HEALTH, A MICHIGAN NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SEC. 501(C)(3), WITH 95% INTEREST IN THE CORPORATION. THE OTHER TWO CLASS MEMBERS EACH HAVE A 2.5% INTEREST IN THE CORPORATION. ONE IS A MICHIGAN HOSPITAL AND ONE IS A MICHIGAN MUNICIPAL HEALTH FACILITY CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 7ATHE CLASS B MEMBER AND THE CLASS C MEMBER EACH SHALL HAVE THE RIGHT TO APPOINT ONE MEMBER OF THE BOARD OF DIRECTORS, AND THE CLASS A MEMBER SHALL HAVE THE RIGHT TO APPOINT THE REMAINING DIRECTORS OF THE CORPORATION. ON ALL OTHER MATTERS SUBMITTED FOR APPROVAL OF THE MEMBERS, EXCEPT AS EXPRESSLY REQUIRED BY THE NONPROFIT CORPORATION ACT, VOTING SHALL NOT BE BY CLASS AND EACH MEMBER SHALL HAVE THE RIGHT TO VOTE BASED ON SUCH MEMBER'S INTEREST IN THE CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 7BTHE FOLLOWING POWERS AND AUTHORITIES SHALL BE EXERCISED BY THE CORPORATION ONLY UPON RATIFICATION OF SUCH ACTION BY THE CLASS A MEMBER: AMENDMENT OF THE ARTICLES OF INCORPORATION; AMENDMENT OF THE MISSION STATEMENT; ADOPTION OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION OR REORGANIZATION; SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL TO THE PROPERTY AND ASSETS; ACQUISITION OF ANY OTHER ENTITY OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; ACCEPTANCE OF THE ANNUAL BUDGET AND ANNUAL FINANCIAL STATEMENTS; INCURRENCE OF EXPENDITURES EXCEEDING BUDGETED AGGREGATES BY MORE THAN FIVE PERCENT; INCURRENCE OF CERTAIN DEBT; GRANTING ANY MORTGAGE, SECURITY, LIEN OR OTHER ENCUMBRANCE ON THE ASSETS OF THE CORPORATION OR ANY SUBSIDIARY, WITH THE EXCEPTION OF ANY MORTGAGE, SECURITY, LIEN OR OTHER ENCUMBRANCE APPROVED AS PART OF A BUDGET; CHANGE IN SCOPE OF SERVICES OR PROGRAMS PROVIDED BY MUNSON HOME CARE; AND APPOINTMENT OF THE PRESIDENT.
FORM 990, PAGE 6, PART VI, LINE 11BTHE MUNSON HOME CARE BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON HOME CARE BELONGS TO THE MUNSON HEALTHCARE SYSTEM. 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 12CTHE 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 15ACOMPENSATION 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 15BCOMPENSATION OF OTHER OFFICERS IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON HOME CARE AND MUNSON HEALTHCARE.
FORM 990, PAGE 6, PART VI, LINE 19THE MUNSON HOME CARE ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON HOME CARE DOES NOT MAKE THE BYLAWS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES 2,695,017 264,168 0 PROFESSIONAL FEES 123,365 0 0 TOTAL 2,818,382 264,168 0
FORM 990, PART XI, LINE 9EQUITY TRASNFER FROM PARENT 1,500,000

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndBusiness Name Line2DirectControllingEntityName/BusinessNameLine2TxtDirect Controlling NADirectControllingNACdBusiness Name Line2DisregardedEntityName/BusinessNameLine2Txt
MUNSON HEALTHCARE MANISTEE HOSPITAL
1465 E PARKDALE AVEMANISTEEMI496609709380350304HOSPITALMIC33MUNSON HCYes (true)
MUNSON DIALYSIS CENTER
1105 SIXTH STTRAVERSE CITYMI49684383097861DIALYSISMIC33MUNSON HCYes (true)HEALTHCARE
MUNSON HEALTHCARE FOUNDATIONS
1105 SIXTH STTRAVERSE CITYMI49684382642724RAISE FUNDMIC37MUNSON HCYes (true)HEALTHCARE
MUNSON HOME SERVICES
1105 SIXTH STTRAVERSE CITYMI49684382543463HOME HEALTMIC310MUNS HOMEYes (true)MUNSON HOME HEALTH
MUNSON MEDICAL CENTER
1105 SIXTH STTRAVERSE CITYMI49684381362830HOSPITALMIC33MUNSON HCYes (true)HEALTHCARE
NORTH FLIGHT INC
1105 SIXTH STTRAVERSE CITYMI49684382657917MED TRANSPMIC312BMUNSON HCYes (true)HEALTHCARE
PAUL OLIVER MEMORIAL HOSPITAL
1105 SIXTH STTRAVERSE CITYMI49684381415623HEALTHCAREMIC33MUNSON HCYes (true)HEALTHCARE
MUNSON HEALTHCARE
1105 SIXTH STTRAVERSE CITYMI49684382640544PARENTMIC312BfalseN/A
MUNSON MEDICAL GROUP
1105 SIXTH STTRAVERSE CITYMI49684273600575PHYSICIANMIC310MUNSON MEDYes (true)MUNSON MEDICAL CENTER
MUNSON HEALTHCARE CADILLAC
1105 SIXTH STTRAVERSE CITYMI49684471156297HOSPITALMIC33MUNSON HCYes (true)MUNSON HEALTHCARE
MUNSON HEALTHCARE GRAYLING
1105 SIXTH STTRAVERSE CITYMI49684471161992HOSPITALMIC33MUNSON HCYes (true)MUNSON HEALTHCARE
MUNSON HEALTHCARE CHARLEVOIX HOSPIT
1105 SIXTH STTRAVERSE CITYMI49684381459366HOSPITALMIC33MUNSON HCYes (true)
MUNSON HEALTHCARE OTSEGO MEMORIAL H
825 N CENTER AVEGAYLORDMI497351592381303843HOSPITALMIC33MUNSON HCYes (true)MUNSON HEALTHCAREHOSPITAL

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN MICHIGAN SUPPLY ALLIANCEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12651 AERO PARK DRAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49686ZIPCd
FieldValueIRS element (for citing)
EIN383453378EIN
Primary ActivitiesPURCHASINGPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line2RelatedOrganizationName/BusinessNameLine2Txt
MUNSON SERVICES INC
PO BOX 1188TRAVERSE CITYMI496851188383144382PHARMACYMIN/AYes (true)
MEDICAL OFFICE BUILDING CONDOMINIUM
PO BOX 1188TRAVERSE CITYMI496851188383567278REAL ESTATMIN/AYes (true)ASSOCIATION
SIXTH STREET DRUGS INC
PO BOX 1188TRAVERSE CITYMI496851188382298290PHARMACYMIN/AYes (true)
MEDICAL OFFICE CONDOMIMIUM
PO BOX 1188TRAVERSE CITYMI496851188201902620REAL ESTATMIN/AYes (true)ASSOCIATION
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MUNSON HEALTHCARE
M$2,136,735ACTUAL AMOUNT PAID
MUNSON HEALTHCARE
O$1,087,079ACTUAL AMOUNT PAID
MUNSON HEALTHCARE
P$3,445,345ACTUAL AMOUNT PAID
MUNSON HEALTHCARE
C$1,500,000ACTUAL AMOUNT PAID
MUNSON HEALTHCARE FOUNDATIONS
C$650,000ACTUAL AMOUNT PAID
MUNSON HEALTHCARE FOUNDATIONS
P$68,322ACTUAL AMOUNT PAID
MUNSON HOME SERVICES
P$335,266ACTUAL AMOUNT PAID
MUNSON MEDICAL CENTER
O$12,762,808ACTUAL AMOUNT PAID
MUNSON MEDICAL CENTER
P$168,677ACTUAL AMOUNT PAID
MUNSON MEDICAL CENTER
Q$275,641ACTUAL AMOUNT PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
M$175,950ACTUAL AMOUNT PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
P$306,560ACTUAL AMOUNT PAID
MUNSON HEALTHCARE CADILLAC
Q$76,146ACTUAL AMOUNT PAID

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
ExplanationMUNSON HOME CARE 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.ExplanationTxt