MUNSON HEALTHCARE CADILLAC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MUNSON HEALTHCARE CADILLAC (EIN 47-1156297)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-15
- IRS object ID
- 201911359349306591
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-15T12:26:11-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471156297 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MUNSON HEALTHCARE CADILLAC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MUNS | BusinessNameControlTxt |
| Phone | 2319355000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1105 SIXTH STREET | AddressLine1Txt |
| City | TRAVERSE CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49684 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK HEPLER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2319355000 | PhoneNum |
| Signature | 2019-05-14 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 204.63.207.116 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-15 | IPDt |
| IP Tm | 12:26:11 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3AD8FE5AAD7F1E7C8842AE1699DABE20D9503696 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3AD8FE5AAD7F1E7C8842AE1699DABE20D9503696 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TONYA SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 HOBART ST | AddressLine1Txt |
| City | CADILLAC | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $98,888,314 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MUNSONHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | MUNSON HEALTHCARE CADILLAC AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 859 | TotalEmployeeCnt |
| Total Volunteers | 156 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $23,929 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,890,208 | PYContributionsGrantsAmt |
| CY Contributions Grants | $731,715 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $85,208,206 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $97,519,510 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$6,448 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,784 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,335,037 | PYOtherRevenueAmt |
| CY Other Revenue | $626,540 | CYOtherRevenueAmt |
| PY Total Revenue | $88,427,003 | PYTotalRevenueAmt |
| CY Total Revenue | $98,875,981 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $153,865 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $128,878 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,377,115 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,586,156 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $106,605 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $44,792,154 | PYOtherExpensesAmt |
| CY Other Expenses | $51,848,455 | CYOtherExpensesAmt |
| PY Total Expenses | $87,323,134 | PYTotalExpensesAmt |
| CY Total Expenses | $97,563,489 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,103,869 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,312,492 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,560,744 | TotalAssetsBOYAmt |
| Total Assets EOY | $50,219,257 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,161,012 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,007,033 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,399,732 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,212,224 | NetAssetsOrFundBalancesEOYAmt |
| Mission | AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON HEALTHCARE CADILLAC EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $82,395,627 | ExpenseAmt |
| Grant | $128,878 | GrantAmt |
| Revenue | $97,512,177 | RevenueAmt |
| Desc | EXPENSES INCURRED WHILE PROVIDING HOSPITAL SERVICES TO THE RESIDENTS OF CADILLAC, MICHIGAN AND THE SURROUNDING AREA WHILE FULFILLING THE HOSPITAL'S MISSION TO PROVIDE HEALTHCARE IN THE COMMUNITY. | Desc |
| Total Program Service Expenses | $82,395,627 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 93 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 859 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICOLE SULAK MUNSON HEALTHCARE | PersonNm |
| Phone | 2319357777 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4230 COPPER RIDGE DR | AddressLine1Txt |
| City | TRAVERSE CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49684 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| EDWIN A NESS | |||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $883,822 | $176,242 | |||
| TONYA SMITH | |||||||||
| PRESIDENT | 40.00 | Yes (X) | $0 | $311,667 | $43,175 | Yes (X) | |||
| DIANNA HAINES | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $5,000 | $0 | $0 | ||||
| MICHAEL HAMNER | |||||||||
| SEC/TREAS | 2.00 | Yes (X) | $5,000 | $0 | $0 | Yes (X) | |||
| CHRIS HUCKLE | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $5,000 | $0 | $0 | ||||
| NATHAN PIWOWARSKI | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $5,000 | $0 | $0 | ||||
| OWEN ROBERTS | |||||||||
| VICE CHAIR | 2.00 | Yes (X) | $5,000 | $0 | $0 | Yes (X) | |||
| SUSAN ROGERS | |||||||||
| CHAIR | 2.00 | Yes (X) | $5,000 | $0 | $0 | Yes (X) | |||
| ELIZABETH RZEPKA-ALTO MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $5,000 | $0 | $0 | ||||
| JERRY SINKEL | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $5,000 | $0 | $0 | |||
| JEREMY WINKLE | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $5,000 | $0 | $0 | ||||
| SHERYL DAVIDE MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $2,500 | $0 | $0 | ||||
| TANIA LEBARON MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $675 | $0 | $0 | ||||
| ALAN J CONRAD MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEAN DEKRYGER | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CRAIG HEWETT | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| VIRGINIA MACKEY | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK HEPLER | |||||||||
| CFO | 2.00 | 40.00 | $0 | $470,545 | $84,671 | Yes (X) | |||
| MIKE ZDRODOWSKI | |||||||||
| CHIEF OPERAT | 40.00 | $184,861 | $0 | $36,656 | Yes (X) | ||||
| KATHRYN BANDFIELD-KEOUGH | |||||||||
| VP PATIENT C | 40.00 | $157,674 | $0 | $34,601 | Yes (X) | ||||
| KENT BOWDEN DO | |||||||||
| PHYSICIAN | 40.00 | $853,409 | $0 | $33,137 | Yes (X) | ||||
| TIMOTHY ISERI MD | |||||||||
| PHYSICIAN | 40.00 | $501,711 | $0 | $22,736 | Yes (X) | ||||
| FRANK ADAMS MD | |||||||||
| PHYSICIAN | 40.00 | $400,931 | $0 | $32,113 | Yes (X) | ||||
| NELSON POU MD | |||||||||
| PHYSICIAN | 40.00 | $361,561 | $0 | $21,211 | Yes (X) | ||||
| LOUIS TEGTMEYER DO | |||||||||
| PHYSICIAN | 40.00 | $360,045 | $0 | $12,546 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,868,367 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,666,034 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $497,088 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DK DESIGN GROUP | |||||
| 1104 S MITCHELL ST | CADILLAC | MI | 49601 | CONSTRUCTION | $2,099,442 |
| INDIGO HOSPITAL MEDICINE CADILLAC PL | |||||
| 10850 E TRAVERSE HWY STE 4400 | TRAVERSE CITY | MI | 49684 | MEDICAL | $2,071,424 |
| AGILITY HEALTH-GRAND RAPIDS | |||||
| PO BOX 5509 | CAROL STREAM | IL | 601975509 | MEDICAL | $1,393,185 |
| SODEXO INC AND AFFILIATES | |||||
| 10 EARHART DRIVE | WILLIAMSVILLE | NY | 14221 | FOOD | $491,097 |
| AHSA LLC | |||||
| PO BOX 945 | TRAVERSE CITY | MI | 49685 | EMPLOYMENT | $490,530 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $615,266 | RelatedOrganizationsAmt |
| Government Grants | $116,449 | GovernmentGrantsAmt |
| Total Contributions | $731,715 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE AND MEDICAID PMTS | 621990 | $54,187,641 | $54,187,641 |
| PATIENT SERVICE REVENUE | 621990 | $40,660,041 | $40,660,041 |
| HEALTH SERVICE REVENUE | 621990 | $1,598,096 | $1,598,096 |
| QUALITY INCENTIVE PAYMENTS | 621990 | $1,073,732 | $1,073,732 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $97,519,510 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,549 | TotalRevenueColumnAmt |
| Exclusion | $5,549 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $63,195 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $63,195 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,195 | TotalRevenueColumnAmt |
| Exclusion | $63,195 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $12,333 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$7,333 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,333 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$7,333 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA SALES | 722210 | $431,757 | $431,757 |
| MISCELLANEOUS INCOME | 621990 | $92,747 | $92,747 |
| GIFT SHOP | 446199 | $38,841 | $38,841 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $563,345 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,875,981 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $97,512,177 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $632,089 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,878 | TotalAmt |
| Program Services | $128,878 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,637 | TotalAmt |
| Program Services | $195,600 | ProgramServicesAmt |
| Management And General | $278,037 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,795,689 | TotalAmt |
| Program Services | $33,577,185 | ProgramServicesAmt |
| Management And General | $3,218,504 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,357,046 | TotalAmt |
| Program Services | $1,242,083 | ProgramServicesAmt |
| Management And General | $114,963 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,531,588 | TotalAmt |
| Program Services | $4,129,607 | ProgramServicesAmt |
| Management And General | $401,981 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,428,196 | TotalAmt |
| Program Services | $2,202,374 | ProgramServicesAmt |
| Management And General | $225,822 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,185 | TotalAmt |
| Management And General | $27,185 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,164 | TotalAmt |
| Management And General | $4,164 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,963,378 | TotalAmt |
| Program Services | $11,048,911 | ProgramServicesAmt |
| Management And General | $9,807,862 | ManagementAndGeneralAmt |
| Fundraising | $106,605 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,934 | TotalAmt |
| Program Services | $710 | ProgramServicesAmt |
| Management And General | $32,224 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $730,969 | TotalAmt |
| Program Services | $554,081 | ProgramServicesAmt |
| Management And General | $176,888 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $888,952 | TotalAmt |
| Program Services | $864,498 | ProgramServicesAmt |
| Management And General | $24,454 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,447,923 | TotalAmt |
| Program Services | $1,445,755 | ProgramServicesAmt |
| Management And General | $2,168 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,771 | TotalAmt |
| Program Services | $62,320 | ProgramServicesAmt |
| Management And General | $10,451 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,399 | TotalAmt |
| Program Services | $157,015 | ProgramServicesAmt |
| Management And General | $25,384 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $659,508 | TotalAmt |
| Program Services | $556,955 | ProgramServicesAmt |
| Management And General | $102,553 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,710,172 | TotalAmt |
| Program Services | $2,288,740 | ProgramServicesAmt |
| Management And General | $421,432 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,798 | TotalAmt |
| Program Services | $314,182 | ProgramServicesAmt |
| Management And General | $88,616 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $21,096,129 | $21,096,129 | |
| BAD DEBT EXPENSE | $3,770,466 | $3,770,466 | |
| REPAIRS & MAINTENANCE | $298,618 | $298,618 | |
| HOSPITAL SUPPORT | $171,387 | $118,265 | $53,122 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$1,611,298 | TotalAmt |
| Program Services | -$1,656,745 | ProgramServicesAmt |
| Management And General | $45,447 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,563,489 | TotalAmt |
| Program Services | $82,395,627 | ProgramServicesAmt |
| Management And General | $15,061,257 | ManagementAndGeneralAmt |
| Fundraising | $106,605 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,218 | BOYAmt |
| EOY | $4,318 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,513,635 | BOYAmt |
| EOY | $1,013,822 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,266,868 | BOYAmt |
| EOY | $15,435,118 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,378,494 | BOYAmt |
| EOY | $1,317,792 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,906,496 | BOYAmt |
| EOY | $1,977,128 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,699 | BOYAmt |
| EOY | $183,759 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $38,676,839 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,525,519 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,107,334 | BOYAmt |
| EOY | $30,151,320 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,000 | BOYAmt |
| EOY | $136,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,560,744 | BOYAmt |
| EOY | $50,219,257 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,549,670 | BOYAmt |
| EOY | $7,379,828 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,622,158 | BOYAmt |
| EOY | $15,303,322 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,352,520 | BOYAmt |
| EOY | $2,263,452 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,636,664 | BOYAmt |
| EOY | $4,060,431 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,161,012 | BOYAmt |
| EOY | $29,007,033 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,399,732 | BOYAmt |
| EOY | $21,212,224 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,399,732 | BOYAmt |
| EOY | $21,212,224 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,560,744 | BOYAmt |
| EOY | $50,219,257 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,312,492 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $4,500,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $4,164 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,164 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | OTHER GRASSROOTS LOBBYING INCLUDES THE PORTION OF DUES ALLOCATED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,040,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,040,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,258,984 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,687,215 | DepreciationAmt |
| Book Value | $13,571,769 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,816 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,863 | DepreciationAmt |
| Book Value | $54,953 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,335,180 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,746,302 | DepreciationAmt |
| Book Value | $8,588,878 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,978,859 | OtherCostOrOtherBasisAmt |
| Depreciation | $83,139 | DepreciationAmt |
| Book Value | $6,895,720 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,151,320 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY SETTLEMENTS | $3,228,814 |
| RESERVE FOR THIRD PARTY SETTLEMENTS | $831,617 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,060,431 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $220,607 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $220,607 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,095,332 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,535,551 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $559,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,315,939 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,535,551 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $780,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00840 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $269,904 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $269,904 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $207,827 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $207,827 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,490,808 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,208,561 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,282,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05630 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $185,709 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $185,709 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,154,248 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,208,561 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,945,687 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,470,187 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,744,112 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,726,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07180 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,185 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,290 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,290 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,706 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,706 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $673,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $670,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $696,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $693,484 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,770,466 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,453,082 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $23,405,728 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $25,202,752 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,797,024 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MUNSON HEALTHCARE CADILLAC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 HOBART ST | AddressLine1Txt |
| City | CADILLAC | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MUNSONHEALTHCARE.ORG | WebsiteAddressTxt |
| State License | 1060000041 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MUNSON HEALTHCARE CADILLAC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.MUNSONHEALTHCARE.ORG/PATIE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 3E | YES THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE CHNA. |
| FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 5 | MUNSON HEALTHCARE CADILLAC HOSPITAL COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN TAX YEAR 2015. THE PROCESS WAS INCLUSIVE AND TRANSPARENT, INVOLVING LEADERSHIP FROM MUNSON HEALTHCARE COMMUNITY HEALTH COMMITTEE OF THE BOARD, DISTRICT HEALTH DEPARTMENT 10, ALONG WITH REPRESENTATION FROM MULTIPLE WEXFORD/MISSAUKEE HUMAN SERVICE ORGANIZATIONS, AND VARIOUS KEY STAKEHOLDER GROUPS LISTED BELOW. NO WRITTEN COMMENTS WERE RECEIVED ON THE CHNA OR IMPLEMENTATION STRATEGY. MUNSON HEALTHCARE CADILLAC HOSPITAL PARTNERED WITH DISTRICT HEALTH DEPARTMENT 10, TO CONDUCT TWO COMMUNITY CONVERSATIONS DESIGNED TO SOLICIT FEEDBACK FROM THE BROAD COMMUNITY. THE TECHNOLOGY OF PARTICIPATION (TOP) CONSENSUS WORKSHOP APPROACH WAS USED TO ALLOW A HIGHLY STRUCTURED YET PARTICIPATORY APPROACH TO COLLECTING, ORGANIZING AND REPORTING INPUT. IT IS BASED ON A FOCUS QUESTION, SUCH AS "WHAT ARE THE BARRIERS TO ACHIEVING THE GOAL OF HEALTHY PEOPLE IN HEALTHY COMMUNITIES HERE IN WEXFORD AND MISSAUKEE COUNTIES?" THE DATES AND LOCATIONS OF THESE CONVERSATIONS ARE: CADILLAC AREA HEALTH COALITION, JANUARY 12, 2016, CADILLAC, MICH., HUMAN SERVICES LEADERSHIP COLLABORATIVE, JANUARY 26, 2016, CADILLAC, MICH. ADDITIONALLY, TWO SEPARATE SURVEYS WERE DISTRIBUTED TO BOTH COMMUNITY MEMBERS "WHAT MATTERS TO YOU?" SURVEY AND HEALTHCARE PROVIDERS "HEALTH CARE PROVIDER" SURVEY TO COLLECT COMMUNITY DATA. WEXFORD AND MISSAUKEE COUNTIES COMPLETED THE "WHAT MATTERS TO YOU?" SURVEY FROM DECEMBER 9, 2015 - JANUARY 22, 2016. PHYSICIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS COMPLETED A "HEALTH CARE PROVIDER" SURVEY FOR WEXFORD AND MISSAUKEE COUNTIES FROM NOVEMBER 5 - NOVEMBER 11, 2015. |
| FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 6B | FACILITY 1, PART V, LINE 6B MUNSON HEALTHCARE CADILLAC HOSPITAL PARTNERED WITH DISTRICT HEALTH DEPARTMENT 10, ALONG WITH REPRESENTATION FROM THE CADILLAC AREA HEALTH COALITION AND HUMAN SERVICES LEADERSHIP COLLABORATIVE COMPRISED OF HOSPITAL LEADERS AND PUBLIC HEALTH OFFICIALS, AS LISTED IN APPENDIX A OF THE CHNA. FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 7A HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA/FILE/2016%20CADILLAC%20HOSPITAL %20CHNA.PDF FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 10A HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA/FILE/2016%20CADILLAC%20HOSPITAL%20- %20CHNA%20IMPLEMENTATION%20STRATEGY.PDF |
| FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 11 | WITH THE SUPPORT OF THE MUNSON HEALTHCARE BOARD'S COMMUNITY HEALTH COMMITTEE, MUNSON HEALTHCARE CADILLAC PARTICIPATES IN THE CONTINUAL EVALUATION OF THE HEALTH PROGRAMS DESIGNED TO MEET THE NEEDS OF THE COMMUNITIES IN CADILLAC HOSPITAL'S SERVICE AREA. AS OUTLINED IN THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY, THE CONTINUATION OF SUCCESSFUL PROGRAMS, COMBINED WITH OPPORTUNITIES TO INITIATE NEW PROGRAMS AT THE HOSPITAL OR AS A PARTNER IN MORE BROAD-BASED EFFORTS, FORM THE STRATEGIC BASIS TO IMPROVE ISSUES SURROUNDING HEALTH AND HEALTHCARE DELIVERY. THE TOP THREE PRIORITIZED HEALTH ISSUES IDENTIFIED AS A FOCUS FOR COMMUNITY HEALTH IMPROVEMENT ARE: ACCESS TO HEALTHCARE, CHRONIC DISEASE, AND MATERNAL, INFANT AND CHILD HEALTH. OTHER SIGNIFICANT NEEDS THAT HAVE BEEN IDENTIFIED IN THE NEEDS ASSESSMENT INCLUDE: HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH, SUBSTANCE ABUSE, TOBACCO USE AND MENTAL HEALTH. ALTHOUGH MUNSON HEALTHCARE CADILLAC HOSPITAL FEELS THESE ARE IMPORTANT HEALTH NEEDS, THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS PART OF THIS IMPLEMENTATION PLAN DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE THREE PRIORITY HEALTH NEEDS IDENTIFIED. MUNSON HEALTHCARE CADILLAC HOSPITAL WILL CONTINUE TO EVALUATE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO COMMIT TO IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. |
| FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 13H | PATIENTS WHOSE FAMILY INCOME EXCEEDS 400% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, AT THE SOLE DISCRETION OF MUNSON HEALTHCARE. FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 16A HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA/FILE/FINANCIAL_ASSISTANCE_%20POLICY %20(10_16_17)8_24_18.PDF FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 16B HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA/FILE/CADILLAC%20HOSPITAL%20- %20FINANCIAL%20ASSISTANCE.PDF FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 16C HTTPS://WWW.MUNSONHEALTHCARE.ORG/PATIENTS-VISITORS/BILL-PAY/ FINANCIAL-ASSISTANCE |
| FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 16J | IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE TO THE PATIENTS AND TO THE PUBLIC THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY. THIS WILL BE ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS: INFORMATION BROCHURES AVAILABLE AT THE REGISTRATION DESKS; BROCHURES DISTRIBUTED TO ALL SELF-PAY PATIENTS; INFORMATION POSTED ON THE WEBSITE; STATEMENT ON BILLS; SIGNS IN THE REGISTRATION AREAS; AND CALLS MADE TO ALL SELF-PAY PATIENTS AFTER SERVICE. |
| FACILITY 1, MUNSON HEALTHCARE CADILLAC - PART V, LINE 20E | MUNSON HEALTHCARE CADILLAC (CADILLAC) REVIEWS LARGE DOLLAR ACCOUNTS TO ENSURE ASSISTANCE HAS BEEN OFFERED TO PATIENTS BEFORE THE ACCOUNTS ARE TRANSFERRED TO A CREDIT AGENCY. ONCE AN ACCOUNT HAS BEEN TRANSFERRED TO A CREDIT AGENCY, THE AGENCY REVIEWS THE ACCOUNT TO SEE IF THE PATIENT WOULD BE A POSSIBLE CANDIDATE FOR FINANCIAL ASSISTANCE BEFORE FILING ANY LAWSUITS OR LIENS. CADILLAC WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER THIS FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS SHALL INCLUDE: 1.VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENTS HAVE BEEN IDENTIFIED AND BILLED BY CADILLAC; 2.DOCUMENTING THAT CADILLAC HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE PURSUANT TO THIS POLICY AND THAT THE PATIENT HAS NOT COMPLIED WITH CADILLAC'S APPLICATION REQUIREMENTS; 3.DOCUMENTING THAT THE PATIENT HAS BEEN OFFERED THE OPPORTUNITY TO ENTER INTO A PAYMENT PLAN BUT HAS NOT DONE SO, OR HAS ENTERED INTO A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN. THE METHOD IN WHICH CADILLAC DOES THIS IS AS FOLLOWS: ALL STATEMENTS INCLUDE A STATEMENT REGARDING THE AVAILABILITY OF PAYMENT PLANS, FINANCIAL ASSISTANCE AND CHARITY CARE. CADILLAC WORKS WITH THE COLLECTION AGENCIES TO IDENTIFY INDIVIDUALS THAT MAY QUALIFY FOR CHARITY. IF THEY FIND AN INDIVIDUAL, THEY MAY REFER THE PATIENT TO PATIENT ACCOUNTS FOR EVALUATION. ALL ACCOUNTS THAT ARE PATIENT-PAY RECEIVE A PHONE CALL TO MAKE THE PATIENT AWARE OF OUR FINANCIAL ASSISTANCE POLICY PRIOR TO THEM GOING TO COLLECTIONS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CADILLAC SURGICAL CARE PC | ||||
| 927 S CARMEL ST | CADILLAC | MI | 49601 | PHYSICIAN PRACTICE - SURGICAL SERVICES |
| MUNSON HEALTHCARE CADILLAC REHABILI | ||||
| 704 OAK ST | CADILLAC | MI | 49601 | REHABILITAITON SERVICE |
| MUNSON HEALTHCARE CADILLAC OBGYN | ||||
| 7985 MACKINAW TRAIL | CADILLAC | MI | 49601 | PHYSICIAN PRACTICE - WOMEN'S HEALTH |
| MHC CADILLAC ORTHOPAEDICS | ||||
| 8872 PROFESSIONAL DRIVE SUITE B | CADILLAC | MI | 49604 | PHYSICIAN PRACTICE - ORTHOPAEDICS |
| WOMEN'S HEALTH SPECIALISTS | ||||
| 7800 US 131 STE C | CADILLAC | MI | 49601 | PHYSICIAN PRACTICE - WOMEN'S HEALTH |
| MUNSON HEALTHCARE URGENT CARE | ||||
| 302 HOBART ST | CADILLAC | MI | 49601 | URGENT CARE |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE | INCOME UP TO 200% OF THE FPG = 100% DISCOUNT ON CHARGES INCOME BETWEEN 201% AND 300% FPG = 75% DISCOUNT ON CHARGES INCOME BETWEEN 301% AND 400% FPG = 65% DISCOUNT ON CHARGES FAMILY INCOME MAY INCLUDE ALL INCOME ATTRIBUTABLE TO ALL MEMBERS OF THE FAMILY IN THE RESIDENCE, OTHER THAN MINIMAL AMOUNTS EARNED BY MINORS. FAMILY INCOME INCLUDES THE FOLLOWING WHEN COMPUTING FPG: EARNINGS, UNEMPLOYMENT COMPENSATION, WORKER'S COMPENSATION, SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, PUBLIC ASSISTANCE, VETERANS' PAYMENTS, SURVIVOR BENEFITS, PENSION OR RETIREMENT INCOME, INTEREST, DIVIDENDS, RENTS, ROYALTIES, INCOME FROM ESTATES, EDUCATIONAL ASSISTANCE, ALIMONY, CHILD SUPPORT, ASSISTANCE FROM OUTSIDE THE HOUSEHOLD, AND OTHER MISCELLANEOUS SOURCES; CASH, CHECKING AND SAVINGS BALANCES, MONEY MARKET ACCOUNTS, CERTIFICATES OF DEPOSIT, IRAS TRUSTS, INHERITANCES, ANNUITIES, SAVINGS BONDS, STOCKS, MUTUAL FUNDS, AND/OR CASH VALUE OF LIFE INSURANCE. |
| PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION | THE COSTS RELATED TO PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES TOTAL 13,366,100. THESE COSTS ARE OFFSET BY RELATED REVENUES IN COMPUTING THE NET COMMUNITY BENEFIT. |
| PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE | TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, ARE 97,563,489. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS 3,770,466. THE NET EXPENSE OF 93,793,023 WAS USED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | COST VALUES FOR LINE 7 ARE BASED ON THE COST TO CHARGE RATIO. |
| PART II - COMMUNITY BUILDING ACTIVITIES | MUNSON HEALTHCARE CADILLAC PROVIDED 693,485 OF COMMUNITY-BUILDING ACTIVITIES DURING THE 2018 FISCAL YEAR. MUNSON HEALTHCARE CADILLAC BELIEVES COMMUNITY-BUILDING ACTIVITIES PROMOTE HEALTH BY SUPPORTING THE UNDERLYING SUPPORT STRUCTURE OF COMMUNITY HEALTH. THE MAJORITY OF COMMUNITY BUILDING FUNDS WERE DESIGNATED FOR WORKFORCE DEVELOPMENT. SPECIFICALLY, WEXFORD AND MISSAUKEE COUNTIES ARE DESIGNATED AS A MEDICALLY UNDERSERVED AREA, CADILLAC HOSPITAL INVESTS DOLLARS INTO THE RECRUITMENT OF CRITICALLY NEEDED PHYSICIANS TO THE AREA TO PROMOTE PATIENT ACCESS TO CARE. A SHORTAGE OF PRIMARY CARE PHYSICIANS IN THE AREA REPRESENTS A BARRIER FOR MANY PEOPLE MANAGING THEIR HEALTH. PHYSICIANS FROM WEXFORD COUNTY SERVE MANY MISSAUKEE, OSCEOLA, AND LAKE COUNTY RESIDENTS DUE TO MINIMAL PROVIDERS IN THESE COUNTIES. INVESTMENT IN PHYSICIAN RECRUITMENT AND DEVELOPMENT ATTRACTS AND RETAINS PHYSICIANS WHO WILL HAVE A DEGREE OF LONGEVITY IN THE SERVICE AREA WHICH BENEFITS THE COMMUNITY FOR THE LONG TERM. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | DIRECT WRITE-OFF FROM UNPAID ACCOUNTS WHICH ARE DEEMED NO LONGER COLLECTIBLE ARE RECORDED AGAINST THE ALLOWANCE FOR BAD DEBT. AN ESTIMATE OF BAD DEBT EXPENSE IS RECORDED BASED ON 1) AN ANALYSIS OF THE DIRECT WRITE- OFFS AND 2) AN ESTIMATE OF THE AMOUNT OF BAD DEBT, NET OF DISCOUNTS, IN THE ACCOUNTS RECEIVABLE BALANCE, CONSIDERING THE PAST EXPERIENCE AND CURRENT TRENDS OF PAYMENTS ON PATIENT ACCOUNTS FOR EACH OF THE MAJOR PAYOR SOURCES OF REVENUE. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | THE METHODOLOGY USED TO DETERMINE THE ESTIMATED AMOUNT OF CHARITY IN BAD DEBT IS AS FOLLOWS. WE DETERMINED THE APPROVAL RATE OF FINANCIAL COUNSELING BY TAKING THE VALUE OF THE ACCOUNTS THAT SUCCESSFULLY QUALIFIED FOR CHARITY (INCLUDING PRESUMPTIVE APPROVALS) AND DIVIDING THAT NUMBER BY THE ACCOUNTS THAT WERE APPROVED FOR CHARITY PLUS THE ACCOUNTS THAT WERE DENIED. THEN WE APPLIED THAT PERCENTAGE TO THE VALUE OF ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT, MULTIPLIED BY THE APPROVAL RATE FOR FINANCIAL COUNSELING. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE ACCOUNTS RECEIVABLE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF MUNSON HEALTHCARE AND SUBSIDIARIES OF THE ATTACHED STATEMENTS STATES: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING AND HISTORICAL WRITE- OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER AMOUNTS DUE FROM THIRD-PARTY PAYORS ARE SATISFIED AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE ORGANIZATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. |
| PART III, LINE 8 - MEDICARE EXPLANATION | MUNSON HEALTHCARE CADILLAC CONSIDERS THE ENTIRE MEDICARE SHORTFALL TO BE A BENEFIT TO THE COMMUNITY. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | MUNSON HEALTHCARE'S INTERNAL AND EXTERNAL COLLECTION PRACTICES REFERENCED IN THE CREDIT AND COLLECTION POLICY (INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NON-PAYMENT, INCLUDING COLLECTION ACTIONS AND REPORTING TO COLLECTION AGENCIES) SHALL TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MUNSON HEALTHCARE (MHC), AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS/HER PAYMENT AGREEMENTS WITH MHC. FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, MHC MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS ON ANY UNPAID BALANCES ON ACCOUNTS THAT WERE OPENED WITHIN ONE YEAR OF THE DATE THAT THE PATIENT QUALIFIED FOR CHARITY UNDER THIS POLICY. MHC WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER THIS FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS SHALL INCLUDE: 1)VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENTS HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL; 2)DOCUMENTING THAT MHC HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE PURSUANT TO THIS POLICY AND THAT THE PATIENT HAS NOT COMPLIED WITH THE HOSPITAL'S APPLICATION REQUIREMENTS; 3)DOCUMENTING THAT THE PATIENT HAS BEEN OFFERED THE OPPORTUNITY TO ENTER INTO A PAYMENT PLAN BUT HAS NOT DONE SO, OR HAS ENTERED INTO A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN. PATIENTS WILL BE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR A PERIOD OF AT LEAST 120 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. PATIENT BALANCES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE CONSIDERATION FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. MEMBERS OF THE PUBLIC MAY OBTAIN THE CURRENT CREDIT AND COLLECTION POLICY FOR ANY MUNSON HEALTHCARE HOSPITAL ON THE WEBSITE, IN WRITING, AND FREE OF CHARGE BY CONTACTING MUNSON HEALTHCARE PATIENT FINANCIAL SERVICES DEPARTMENT AT 4230 COPPER RIDGE DR., TRAVERSE CITY, MI 49684. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | THE MUNSON HEALTHCARE BOARD OF DIRECTORS MAINTAINS A STANDING COMMUNITY HEALTH COMMITTEE (CHC) TO SERVE THE MUNSON HEALTHCARE SYSTEM. THE CHC CONSISTS OF MUNSON HEALTHCARE BOARD MEMBERS FROM MUNSON HEALTHCARE HOSPITALS AND OTHER INTERESTED AREA PHYSICIANS AND COMMUNITY MEMBERS APPOINTED BY THE MUNSON HEALTHCARE BOARD CHAIRPERSON. THE CHC MEETS AT LEAST QUARTERLY TO REVIEW EXISTING PROGRAMS AND SERVICES RELATED TO CURRENT COMMUNITY HEALTH NEEDS, CONSIDER THE MHC RESPONSE TO ANY EMERGING HEALTH TRENDS AS IDENTIFIED BY COMMUNITY HEALTH NEEDS ASSESSMENT, AND REVIEW ANY NEW COMMUNITY HEALTH BASED COLLABORATION OR PROGRAM. THE CHC IS RESPONSIBLE FOR COMMUNICATING INTERNALLY AND EXTERNALLY THE SIGNIFICANCE OF MHC COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS COMMITTEE IS SUPPORTED BY A COMMUNITY HEALTH DEPARTMENT EMPLOYEES OF THE HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM. MUNSON HEALTHCARE SYSTEM ASSESS THE HEALTH STATUS OF THE TOTAL POPULATION WITHIN MUNSON HEALTHCARE'S EXTENSIVE GEOGRAPHICAL AREA. COMMUNITY HEALTH ASSESSMENT IS AN IMPORTANT COMPONENT OF A COMMUNITY HEALTH IMPROVEMENT STRATEGY AS IT PROVIDES GUIDANCE AS TO WHERE EFFORTS SHOULD BE CONCENTRATED, AS WELL AS WHERE PROGRESS HAS BEEN MADE. THE DATA DOCUMENTED THROUGH AN ASSESSMENT SERVES AS A USEFUL REFERENCE FOR PROGRAM AND RESOURCE DEVELOPMENT EFFORTS COMMUNITY-WIDE. THE HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM PARTICIPATE IN A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO MEET THE REQUIREMENTS OF IRC SEC 501(R) IN ACCORDANCE WITH THE PLANS OF THE COMMUNITY HEALTH COMMITTEE OF THE BOARD. THE ASSESSMENT IS ACCOMPLISHED THROUGH COLLABORATION WITH MANY OF THE HUMAN SERVICE ORGANIZATIONS IN THE COMMUNITY. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE AND EDUCATE PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS: INFORMATION BROCHURES AVAILABLE AT THE REGISTRATION DESKS: BROCHURES THAT DESCRIBE MUNSON HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL REGISTRATION SITES. THE BROCHURE HAS CLEAR INFORMATION ON HOW TO CONTACT A FINANCIAL COUNSELOR. STATEMENT ON BILLS: STATEMENTS INCLUDE VERBIAGE THAT INSTRUCTS THE PATIENT TO CALL PATIENT FINANCIAL ASSISTANCE IF THEY NEED HELP WITH THEIR BILL. SIGNS IN THE ER REGISTRATION AREA: ADVISES THE PATIENTS THAT THEIR CARE IS NOT WITHHELD IF THEY HAVE NO INSURANCE OR MEANS TO PAY. THE MUNSON HEALTHCARE INTERNET HAS THE FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION, THE PLAIN LANGUAGE SUMMARY AND THE BILLING AND COLLECTIONS POLICY AVAILABLE TO REVIEW AND PRINT. REFERRAL BY REGISTRATION STAFF: AT THE TIME OF REGISTRATION, SELF-PAY PATIENTS OR ANY PATIENT THAT MAY HAVE CONCERNS REGARDING THEIR UPCOMING ADMISSION IS REFERRED TO THE FINANCIAL COUNSELING STAFF. MUNSON HEALTHCARE FINANCIAL COUNSELORS ARE AVAILABLE TO TALK WITH PATIENTS ABOUT THEIR FINANCIAL CONCERNS. THE COUNSELOR VISIT ALL INPATIENTS THAT ARE DEEMED SELF-PAY, TO SEE IF THEY HAVE CONCERNS AND TO DETERMINE IF THEY WOULD LIKE HELP. IF THE PATIENT WOULD LIKE HELP, THE COUNSELORS GATHER INCOME INFORMATION AND SCREEN THE PATIENT FOR MEDICAID. GENERALLY, THESE TWO ACTIONS WILL DETERMINE WHAT PROGRAM THE PATIENT MIGHT QUALIFY FOR. ONCE THE COUNSELOR DETERMINES WHAT THE PATIENT MAY QUALIFY FOR, THE COUNSELOR EDUCATES THE PATIENT ON THE AVAILABLE PROGRAMS AND ASSISTS THEM WITH COMPLETING THE APPROPRIATE APPLICATIONS. THE COUNSELORS ALSO IDENTIFY ALL SELF-PAY OUTPATIENTS AND GO THROUGH THE SAME PROCESS, ONLY BY PHONE. THE GOAL IS TO TALK WITH PATIENTS PRIOR TO ADMISSION, BUT WHEN THAT IS NOT POSSIBLE, THE CALL IS MADE SOON AFTER DISCHARGE. AVAILABLE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO: MEDICAID (AND ALL OF ITS SUBSETS), SOCIAL SECURITY DISABILITY, TRAVERSE HEALTH CLINIC, MUNSON HEALTHCARE FINANCIAL ASSISTANCE, AND MUNSON MEDICAL CENTER MEDS PROGRAM. MUNSON HEALTHCARE MAKES A PHONE CALL TO ALL PRIVATE-PAY PATIENTS PRIOR TO TRANSFERRING THEIR ACCOUNT TO A COLLECTION AGENCY TO INFORM THEM OF OUR FINANCIAL ASSISTANCE POLICY. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | DESCRIPTION CADILLAC HOSPITAL IS RECOGNIZED AS ONE OF THE BEST RURAL HOSPITALS IN MICHIGAN FOR EXCELLENT PATIENT OUTCOMES. THIS 49-BED HOSPITAL OFFERS A WIDE RANGE OF SERVICES INCLUDING DIAGNOSTIC, EMERGENCY, SURGICAL, HEART, CANCER, MATERNITY, SLEEP, PHYSICAL THERAPY, AND MORE. IT HAS SERVED THE GREATER WEXFORD COUNTY REGION SINCE 1908, WITH 3,151 INPATIENT ADMISSIONS IN FISCAL YEAR 2018 AND AN ADDITIONAL 71,721 OUTPATIENT VISITS. THE HOSPITAL SERVED MORE THAN 4,779 SURGICAL CASES, 352 OBSTETRICAL BIRTHS, AND OVER 25,664 EMERGENCY ROOM VISITS IN FISCAL YEAR 2018. THE HOSPITAL HAS AN ACTIVE MEDICAL STAFF OF 225 PROVIDERS AND 156 VOLUNTEERS. WITH APPROXIMATELY 850 EMPLOYEES, CADILLAC HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE SURROUNDING AREA. THE HOSPITAL SERVES FOUR COUNTIES AND HAS A LONG HISTORY AND HERITAGE OF KEEPING PATIENTS AT THE CENTER OF ALL THEY DO. HOSPITAL SERVICES CADILLAC HOSPITAL PROVIDES SERVICES IN MORE THAN 30 DIFFERENT MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICE. A BROAD SPECTRUM OF DIAGNOSTIC AND THERAPEUTIC SERVICES SUPPORT CADILLAC HOSPITALS PROGRAMS, INCLUDING: COMPREHENSIVE RADIOLOGY SERVICES WITH CT, MRI (TRADITIONAL, OPEN BORE, AND BREAST), PET/CT, ULTRASOUND, NUCLEAR MEDICINE, DIGITAL MAMMOGRAPHY, AND X-RAY COMPREHENSIVE CANCER TREATMENT COMPUTERIZED INPATIENT AND OUTPATIENT LABORATORY SERVICES COMPREHENSIVE REHABILITATION SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL, SPEECH AND HEARING, AND WOUND THERAPY PROGRAMS CARDIAC DIAGNOSTIC SERVICES USING THE LATEST IN ECHOCARDIOGRAPHY AND A DEDICATED CARDIAC REHABILITATION AND PREVENTION PROGRAM OBSTETRIC CLINIC 24-HOUR EMERGENCY CARE URGENT CARE CLINIC, LOCATED ACROSS THE STREET FROM CADILLAC HOSPITALS EMERGENCY ROOM. THIS CLINIC PROVIDES EXPERIENCED CARE BY TRUSTED EXPERTS SEVEN DAYS A WEEK, EXCLUDING MAJOR HOLIDAYS, ON A WALK-IN BASIS; PROVIDING THE COMMUNITY ADDITIONAL ACCESS TO HEALTH CARE SERVICES POPULATION SERVED MUNSON HEALTHCARE CADILLAC HOSPITAL IS LOCATED IN CADILLAC, MICHIGAN AND SITUATED IN WEXFORD COUNTY. THE HOSPITAL SERVES MORE THAN 63,000 PEOPLE IN WEXFORD AND MISSAUKEE COUNTIES, AS WELL AS PORTIONS OF NORTHERN OSCEOLA AND LAKE COUNTIES. WEXFORD AND MISSAUKEE COUNTIES ARE CONSIDERED OUR COMMUNITY BECAUSE A MAJORITY OF THE MUNSON HEALTHCARE CADILLAC HOSPITAL INPATIENT POPULATION RESIDES WITHIN THIS AREA. WEXFORD COUNTY POPULATION FOR WEXFORD COUNTY IS 33,163 (2016 CENSUS POPULATION ESTIMATES) 18.3% OF THE POPULATION IN WEXFORD COUNTY IS 65 YEARS OR OLDER (2016 CENSUS POPULATION ESTIMATES) UNEMPLOYMENT RATE (AS OF NOVEMBER 2018) IS 3.8% WEXFORD COUNTY (SOURCE: MICHIGAN BUREAU OF LABOR MARKET INFORMATION AND STRATEGIC INITIATIVES) 7.0 PERCENT OF ADULTS 18-64 YEARS OF AGE LACK HEALTH INSURANCE IN WEXFORD COUNTY, IN-LINE WITH THE STATE AVERAGE OF 7.0 PERCENT. (SOURCE: US CENSUS BUREAU, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), 2015) 56% PERCENT OF CHILDREN IN WEXFORD COUNTY ARE ELIGIBLE FOR FREE OR REDUCED LUNCH COMPARED TO 46% FOR THE STATE OF MICHIGAN (SOURCE: NATIONAL CENTER FOR EDUCATION STATISTICS (NCES) 2015-2016) MISSAUKEE COUNTY POPULATION FOR MISSAUKEE COUNTY IS 15,102 (2016 CENSUS POPULATION ESTIMATES) 20% OF THE POPULATION IN MISSAUKEE COUNTY IS 65 YEARS OR OLDER (2016 CENSUS POPULATION ESTIMATES) UNEMPLOYMENT RATE (AS OF NOVEMBER 2018) IS 3.7% MISSAUKEE COUNTY (SOURCE: MICHIGAN BUREAU OF LABOR MARKET INFORMATION AND STRATEGIC INITIATIVES) 9.0 PERCENT OF ADULTS 18-64 YEARS OF AGE LACK HEALTH INSURANCE IN MISSAUKEE COUNTY, COMPARED TO A STATE AVERAGE OF 7.0 PERCENT. (SOURCE: US CENSUS BUREAU, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), 2015) 55% PERCENT OF CHILDREN IN MISSAUKEE COUNTY ARE ELIGIBLE FOR FREE OR REDUCED LUNCH COMPARED TO 46% FOR THE STATE OF MICHIGAN (SOURCE: NATIONAL CENTER FOR EDUCATION STATISTICS (NCES) 2015-2016) QUALITY RECOGNIZED THREE TIMES AS ONE OF THE NATION'S 100 TOP HOSPITALS BY TRUVEN HEALTH ANALYTICS IN 2008, 2011, AND 2012 RECOGNIZED FOUR TIMES AS ONE OF HEALTH CARE'S MOST WIRED HOSPITALS BY THE AMERICAN HOSPITAL ASSOCIATION HOSPITALS & HEALTH NETWORKS MAGAZINE IN 2010, 2011, 2014, 2015 AND 2017 RECEIVED THE MICHIGAN GOVERNOR'S AWARD OF EXCELLENCE FOR IMPROVING PATIENT SAFETY AND QUALITY OF CARE IN THE HOSPITAL SETTING IN 2003, 2004, 2005, 2006, AND 2007. TWO-TIME WINNER OF THE MHA LUDWIG COMMUNITY BENEFIT AWARD FROM THE MICHIGAN HOSPITAL ASSOCIATION FOR THE CADILLAC COMMUNITY HEALTH CLINIC IN 2003 AND THE PARISH NURSE PROGRAM IN 1996 HOSPITAL SERVICES. HONORED FOR QUALITY BY THE NATIONAL ORGANIZATION OF STATE OFFICES OF RURAL HEALTH AND IVANTAGE HEALTH ANALYTICS 2016 RECEIVED FIVE-STAR QUALITY RATING FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) 2017" RECEIVED THIRD CONSECUTIVE A RATING FROM LEAPFROG HOSPITAL SAFETY GRADES (2017-18) EARNED BLUE DISTINCTION CENTER+ DESIGNATION FOR QUALITY AND COST- EFFICIENCY IN KNEE AND HIP REPLACEMENT SURGERIES ALONG WITH MATERNITY CARE (2016) |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | THE CADILLAC HOSPITAL BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, THE MAJORITY OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE NUMEROUS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, FUNDRAISING, AND GENERAL STEWARDSHIP. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY SUBJECT TO CREDENTIALING REVIEW AND REQUIREMENTS OF THE MEDICAL STAFF AND THE BOARD OF DIRECTORS. CADILLAC HOSPITAL UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND IMPROVE CARE TO PATIENTS THROUGHOUT ITS SERVICE AREA. EXAMPLES OF HOW CADILLAC HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PROGRAMS INCLUDE: HEALTHY FUTURES- A PARTNERSHIP OF AREA HEALTH CARE PROVIDERS, HEALTH DEPARTMENTS AND MUNSON HEALTHCARE CREATED TO IMPROVE THE HEALTH OF PREGNANT WOMEN AND CHILDREN UNDER AGE 2. THE HEALTHY FUTURES MODEL OF RN CARE COORDINATION CONSISTS OF AN OUTCOMES-BASED APPROACH TO INTERVENTION IN THE AREAS OF BREASTFEEDING LONGEVITY, ACCESS TO HEALTH CARE AND IMMUNIZATIONS. SUPPORT GROUPS SUCH AS: BARIATRIC, CANCER, NORTHERNER'S BLIND SUPPORT AND DEPRESSION SUPPORT. NORTHERN MICHIGAN DIABETES INITIATIVE (NMDI)- NORTHERN MICHIGAN DIABETES INITIATIVE (NMDI)- A GROUP OF STAKEHOLDERS AND STEERING COMMITTEE MEMBERS THAT REPRESENT THE 11 COUNTY SERVICE AREA, WITH A VISION TO IMPROVE THE CHRONIC CARE MANAGEMENT OF DIABETES. NMDI IS COMMITTED TO PROVIDING LOCAL, REGIONAL, AND NATIONAL RESOURCES FOR THE PREVENTION AND MANAGEMENT OF DIABETES. WHILE MOST DIABETES COLLABORATIVES FOCUS ON PROVIDING OPTIMAL EVIDENCE BASED CARE MANAGEMENT TO THE PERSON ALREADY DIAGNOSED WITH DIABETES, NMDI FOCUSES ON CONCURRENT UPSTREAM TARGETED EDUCATION OF THREE SPECIFIC POPULATIONS: THE GENERAL COMMUNITY; THE SOCIOECONOMICALLY CHALLENGED HIGH RISK POPULATION; AND RURAL PRIMARY CARE PROVIDERS (PCP) CARING FOR DIABETIC PATIENTS. SENIOR FIT - IN COLLABORATION WITH THE CADILLAC AREA YMCA, IS AN EVIDENCE-BASED MODEL IS DESIGNED TO IMPROVE THE OVERALL HEALTH OF SENIORS WHILE PROVIDING AN UNDERSTANDING OF HOW TO EXERCISE IN A SAFE AND EFFECTIVE MANNER. THIS PROGRAM HAS HAD POSITIVE CLINICAL OUTCOMES AND CONTINUES TO ENJOY MUCH SUCCESS WITH THE AVERAGE CLASS SIZE OF SEVENTY SENIORS PARTICIPATING TWICE A WEEK. COMMUNITY HEALTH PRACTITIONER - MUNSON HEALTHCARE CADILLAC HOSPITAL CONTINUES TO PARTNER WITH CATHOLIC HUMAN SERVICES TO SUBSIDIZE A COMMUNITY HEALTH PRACTITIONER (CHP) TO DELIVER CASE MANAGEMENT SERVICES FOR THOSE PRESENTING TO MUNSON HEALTHCARE CADILLAC HOSPITAL HAVING A SUBSTANCE ABUSE AND/OR MENTAL HEALTH CONDITION. THE PRACTITIONER INVITES THE PATIENT INTO A CARE COORDINATION RELATIONSHIP, TO PROVIDE ANSWERS TO QUESTIONS, ADDRESS CONTINUING NEEDS, GOALS AND PRIORITIES. ASSISTANCE IS PROVIDED WITH ACCESS TO RESOURCES, INCLUDING MEDICATION, TRANSPORTATION, PRIMARY CARE, MENTAL HEALTH AND SUBSTANCE ABUSE SUPPORT. UNITED WAY 2-1-1 - MUNSON HEALTHCARE CADILLAC HOSPITAL CONTINUES TO PROVIDE A VOICE OF SUPPORT FOR THE 2-1-1- INITIATIVE AND RECEIVES RECOGNITION AS A LEADER COMMITTED TO THE HEALTH AND WELFARE ACROSS OUR TWO COUNTIES. STEHOUWER FREE CLINIC - MUNSON CADILLAC HOSPITAL IS AN IMPORTANT FUNDING SOURCE FOR THE CLINIC AND IS COMMITTED TO SERVING THOSE IN THE COMMUNITY THAT HAVE LIMITED OR NO ACCESS TO CARE OTHERWISE. IN ADDITION TO AN ANNUAL DONATION, THE HOSPITAL PROVIDES IN-KIND SUPPORT TO THE CLINIC IN THE WAY OF IMAGING AND LAB SERVICES AND SELECT MEDICATIONS AT NO CHARGE. MUNSON CADILLAC HOSPITAL PARTNERS WITH THE MEDICATION ACCESS PROGRAM (MAP) PROVIDING PRESCRIPTION MEDICATIONS TO THOSE WHO ARE UNINSURED OR UNDERINSURED. MUNSON HEALTHCARE CADILLAC HOSPITAL PARTNERS WITH DISTRICT HEALTH DEPARTMENT 10 TO REDUCE THE RATE OF TOBACCO USE IN THE COMMUNITY WITH REFERRALS TO THE STATE OF MICHIGAN QUIT LINE ALONG WITH PROVIDING SMOKING CESSATION RESOURCES TO PREGNANT WOMEN. MUNSON HEALTHCARE CADILLAC HOSPITAL PARTNERS WITH MSU EXTENSION TO OFFER COOKING MATTERS FOR FAMILIES ONSITE. A NUTRITION PROGRAM WHERE PARTICIPANTS LEARN HOW TO EAT HEALTHY, COOK AND GROCERY SHOP ON A LIMITED BUDGET. THROUGH VARIOUS FUNDRAISING EVENTS AND ACTIVITIES, MUNSON HEALTHCARE CADILLAC HOSPITAL OFFERS REDUCED-COST MAMMOGRAPHY AND OTHER BREAST CANCER DIAGNOSTIC SERVICES TO PATIENTS THROUGHOUT THE COMMUNITY WHO ARE UNDERINSURED. WEXFORD-MISSAUKEE ISD TIME SHARE - MUNSON HEALTHCARE CADILLAC HOSPITAL HAS PARTNERED WITH THE WEXFORD-MISSAUKEE CAREER & TECHNICAL CENTER TO OFFER REAL WORLD MEDICAL EXPERIENCES TO OUR SECOND YEAR HEALTH SCIENCE CAREERS STUDENTS. TODAY, STUDENTS HAVE A STATE OF THE ART FACILITY TO PRACTICE THEIR SKILLS, LEARN FIRSTHAND WHAT GOES ON IN A HOSPITAL, FIGURE OUT WHAT AREA OF MEDICINE/HEALTH CARE THEY ARE MOST INTERESTED IN, ALL WHILE GAINING VALUABLE EXPERIENCE WORKING DIRECTLY ON THE FLOOR WITH THE CADILLAC HOSPITAL STAFF EVERY DAY. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | MUNSON HEALTHCARE CADILLAC'S SOLE CORPORATE MEMBER IS MUNSON HEALTHCARE, A 501(C)(3) CORPORATION. THE MUNSON HEALTHCARE SYSTEM CONSISTS OF A MAJOR TERTIARY REFERRAL HOSPITAL, SEVERAL RURAL-BASED MEDICAL CENTERS, EXTENSIVE OUTPATIENT TREATMENT AND REHABILITATION FACILITIES, AND ANCILLARY EMERGENCY, TRANSPORTATION AND HOME-BASED MEDICAL SERVICES THAT COVER 24 COUNTIES IN MICHIGANS NORTHERN LOWER PENINSULA AND THE EASTERN PORTION OF THE UPPER PENINSULA. THE MOST SIGNIFICANT OF THE MUNSON HEALTHCARE SUBSIDIARIES IS MUNSON MEDICAL CENTER (MMC). MMC IS ONE OF NINE NOT-FOR-PROFIT HOSPITALS WHICH ARE AFFILIATED WITH EACH OTHER AND SERVE AS THE ONLY HOSPITALS IN THEIR COMMUNITIES. EACH OF THE AFFILIATED HOSPITALS HAS INDIVIDUAL COMMUNITY HEALTH INITIATIVES AND/OR PROMOTION ACTIVITIES, AS WELL AS SHARED INITIATIVES. THE OWNED HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM WHICH INCLUDE MUNSON MEDICAL CENTER, PAUL OLIVER MEMORIAL HOSPITAL, MUNSON HEALTHCARE CADILLAC, MUNSON HEALTHCARE GRAYLING, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL, MUNSON HEALTHCARE MANISTEE HOSPITAL AND MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL PROVIDED 55.5 MILLION OF COMMUNITY BENEFIT IN THE 2017 TAX YEAR. ADDITIONALLY, MMC WORKS IN COOPERATION WITH OTHER ENTITIES IN THE MUNSON HEALTHCARE SYSTEM TO PROVIDE A FULL RANGE OF HEALTH SERVICES TO THE COMMUNITIES IN ITS SERVICE AREA. THE HOME HEALTH DIVISION OF MUNSON HEALTHCARE PROVIDES HOME NURSE AND AIDE SERVICES IN ADDITION TO DURABLE MEDICAL EQUIPMENT AND A PALLIATIVE CARE AND HOSPICE PROGRAM ON THE MUNSON CAMPUS. COMMUNITY BENEFIT, IN THE FORM OF CHARITY CARE AND UNREIMBURSED MEDICAID ARE PROVIDED THROUGH THIS DIVISION EACH YEAR. NORTH FLIGHT, INC. IS THE CHARITABLE TRANSPORTATION ENTITY IN THE SYSTEM. THE GROUND AMBULANCE PROGRAM SERVICES THE MUNSON HEALTHCARE PRIMARY SERVICE AREA. THE AIR AMBULANCE PROGRAM IS CONDUCTED THROUGH A JOINT VENTURE VIA BOTH FIXED WING AND ROTOR WING SERVICES. COMBINED, BOTH PROGRAMS ENSURE SYSTEM PATIENTS ARE ABLE TO ACCESS APPROPRIATE CARE. NORTH FLIGHT, INC. PROVIDED 590,000 IN CHARITY CARE AND UNREIMBURSED MEDICAID IN THE PAST FISCAL YEAR. MUNSON MEDICAL GROUP, THE EMPLOYED PHYSICIAN ORGANIZATION IN THE SYSTEM, PROVIDED APPROXIMATELY 858,000 IN CHARITY CARE AND COMMUNITY BENEFIT IN TAX YEAR 2017. MMC PERFORMS THE NEEDS ASSESSMENTS FOR MUNSON HEALTHCARE. UTILIZING THIS NEEDS ASSESSMENT, MUNSON HEALTHCARE COORDINATES COMMUNITY BENEFIT PROGRAMS THROUGH PLANNING, DEVELOPING, IMPLEMENTING, EVALUATING AND FUNDING PROGRAMS THAT ADDRESS COMMUNITY NEEDS. IN TOTAL, THE MUNSON HEALTHCARE SYSTEM PROVIDED 65.6 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS, INCLUDING NUMEROUS UNCOMPENSATED COMMUNITY HEALTH IMPROVEMENT SERVICES AND PROGRAMS, OUTREACH PROGRAMS, BAD DEBT, AND UNREIMBURSED MEDICARE AND MEDICAID SERVICES TO NORTHERN MICHIGAN. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| STEHOUWER FREE CLINIC | |||||||
| 201 N MITCHELL ST STE L-1 | CADILLAC | MI | 49601 | 611401888 | 501(C) | $50,000 | MEDICALLY UNDERSERVE |
| CADILLAC AREA YMCA | |||||||
| 9845 CAMPUS DRIVE | CADILLAC | MI | 49601 | 300013507 | 501(C) | $35,625 | SENIOR/YOUTH FIT PRO |
| CATHOLIC HUMAN SERVICES INC | |||||||
| 1000 HASTINGS STREET | TRAVERSE CITY | MI | 49686 | 383198322 | 501(C) | $30,000 | COMMUNITY HEALTH |
| UNITED WAY OF WEXFORD-MISSAUKEE | |||||||
| 421 S MITCHELL ST SUITE 1 | CADILLAC | MI | 49601 | 237112549 | 501(C) | $5,253 | COMMUNITY HEALTH |
| DISTRICT HEALTH DEAPRTMENT 10 | |||||||
| 521 COBBS STREET | CADILLAC | MI | 49601 | 383372828 | $8,000 | PRESCRIP DRUG ABUSE | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | MUNSON HEALTHCARE CADILLAC MAY AWARD A GRANT OR CONTRIBUTION TO ANOTHER TAX EXEMPT ORGANIZATION BASED ON AN EVALUATION OF THE USE OF THE FUNDS FOR THE PROMOTION OF HEALTH IN THE COMMUNITY. THE ONGOING RELATIONSHIP OF MUNSON HEALTHCARE CADILLAC WITH ITS PARTNERS IN THE COMMUNITY FOR THE PROMOTION OF HEALTH ALLOWS FOR THE MONITORING OF THE GRANT AWARD. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWIN A NESS | |||||||||||||
| DIRECTOR | $682,931 | $196,867 | $4,024 | $149,728 | $26,514 | $1,060,064 | |||||||
| TONYA SMITH | |||||||||||||
| PRESIDENT | $261,720 | $49,175 | $772 | $21,682 | $21,493 | $354,842 | |||||||
| MARK HEPLER | |||||||||||||
| CFO | $340,821 | $68,700 | $61,024 | $57,891 | $26,780 | $555,216 | $11,542 | ||||||
| MIKE ZDRODOWSKI | |||||||||||||
| CHIEF OPERATING OFFI | $158,566 | $25,970 | $325 | $13,506 | $23,150 | $221,517 | |||||||
| KATHRYN BANDFIELD-KEOUGH | |||||||||||||
| VP PATIENT CARE SERV | $133,930 | $23,268 | $476 | $11,456 | $23,145 | $192,275 | |||||||
| KENT BOWDEN DO | |||||||||||||
| PHYSICIAN | $834,491 | $18,918 | $5,427 | $27,710 | $886,546 | ||||||||
| TIMOTHY ISERI MD | |||||||||||||
| PHYSICIAN | $500,246 | $1,465 | $364 | $22,372 | $524,447 | ||||||||
| FRANK ADAMS MD | |||||||||||||
| PHYSICIAN | $381,703 | $19,228 | $3,118 | $28,995 | $433,044 | ||||||||
| NELSON POU MD | |||||||||||||
| PHYSICIAN | $360,395 | $1,166 | $4,024 | $17,187 | $382,772 | ||||||||
| LOUIS TEGTMEYER DO | |||||||||||||
| PHYSICIAN | $321,314 | $20,000 | $18,731 | $5,427 | $7,119 | $372,591 | |||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 3 | THE 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 4 | EDWIN A. NESS 0 136,951 0 TONYA SMITH 0 16,310 0 MARK HEPLER 0 37,442 0 MIKE ZDRODOWSKI 0 10,150 0 KATHRYN BANDFIELD-KEOUGH 0 8,610 0 |
| SCHEDULE J, PART III | EXECUTIVE SUPPLEMENTAL 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. ANNUAL CONTRIBUTIONS, AT MUNSON HEALTHCARE'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. THESE FUNDS ARE AVAILABLE TO VESTED PARTICIPANTS UPON SEPARATION OF EMPLOYMENT FROM MUNSON HEALTHCARE. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CNTY GRD TRAV HOSP FIN AUTH 2014C | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 386004832 | BondIssuerEIN |
| CUSIP | 386523EH3 | CUSIPNum |
| Bond Issued | 2014-12-17 | BondIssuedDt |
| Issue Price | $16,210,267 | IssuePriceAmt |
| Purpose | PURCHASE THE ASSETS OF CADILLAC HOSPITAL | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $16,210,333 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $208,029 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $16,002,304 | CapitalExpendituresAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (true) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION | CNTY GRD TRAV HOSP FIN AUTH 2014C INVESTMENT INCOME EARNED |
| SCHEDULE K - ADDITIONAL INFORMATION | CNTY GRD TRAV HOSP FIN AUTH 2014C MUNSON HEALTHCARE CADILLAC 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 CORPORATE 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 CONTACTS. SINCE NEW BONDS WERE ISSUED IN 2014, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. OBLIGATED GROUP ISSUE RECORDED ON RELATED ORGANIZATIONS ON DECEMBER 17, 2014, THE MUNSON HEALTHCARE OBLIGATED GROUP ISSUED COUNTY OF GRAND TRAVERSE HOSPITAL FINANCE AUTHORITY REVENUE BONDS (MUNSON HEALTHCARE OBLIGATED GROUP) SERIES 2014A, 2014B AND 2014C, AT A PREMIUM. THE 2014 SERIES A BONDS ARE RECORDED ON MUNSON MEDICAL CENTER'S BOOKS AND RECORDS AT A PAR VALUE OF 27,620,000. THE 2014 SERIES B BONDS ARE RECORDED ON MUNSON HEALTHCARE GRAYLING'S BOOKS AND RECORDS AT A PAR VALUE OF 13,805,000. THE 2014 SERIES C BONDS ARE RECORDED ON MUNSON HEALTHCARE CADILLAC'S BOOKS AND RECORDS AT A PAR VALUE OF 15,870,000. THE RELATED BOND PREMIUM WAS RECORDED ON THE RESPECTIVE ENTITIES' BOOKS AND RECORDS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JENNIFER PIWOWARSKI | |||
| FAMILY OF TRUST | $227,879 | RELATED FAMILY COMP | false |
| DEAN DEKRYGER | |||
| OWNER IS TRUSTE | $2,739,216 | CONTRACT SERVICES | false |
| SHANNON HAMNER | |||
| FAMILY OF TRUST | $68,285 | RELATED FAMILY COMP | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | DEAN DEKRYGER IS A TRUSTEE OF MUNSON HEALTHCARE CADILLAC AND OWNS MORE THAN 35% OF THE DK DESIGN GROUP, WHICH PROVIDED CONTRACT SERVICES TO MUNSON HEALTHCARE CADILLAC IN TAX YEAR 2017. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 6 | MUNSON HEALTHCARE CADILLAC IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS. THE SOLE MEMBER IS MUNSON HEALTHCARE, AN IRS SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 7A | MUNSON HEALTHCARE, AS THE SOLE MEMBER, ELECTS THE DIRECTORS FOR SUBSIDIARY ENTITIES. NOMINATIONS TO MUNSON HEALTHCARE FOR SUBSIDIARY DIRECTORS ARE CONSIDERED AND RECOMMENDED BY THE MUNSON HEALTHCARE GOVERNANCE COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 7B | CERTAIN DECISIONS OF THE MUNSON HEALTHCARE CADILLAC (CAD) TRUSTEES 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 CAD; 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 CAD; THE ACQUISITION OF OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF CAD; THE ADOPTION OF ALL OPERATING BUDGETS AND CAPITAL EXPENDITURE BUDGETS FOR CAD; INCURRENCE OF OPERATING OR CAPITAL EXPENDITURES BY CAD 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 CAD 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 CAD; CHANGE IN SCOPE OF CLINICAL SERVICES OR PROGRAMS PROVIDED BY CAD; AND APPOINTMENT OR REMOVAL OF THE PRESIDENT. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE MUNSON HEALTHCARE CADILLAC HOSPITAL BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON HEALTHCARE CADILLAC HOSPITAL 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 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 EXECUTIVE COMPENSATION AND 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 | THE 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. ANNUALLY, THE COMMITTEE RETAINS A NATIONAL INDEPENDENT CONSULTANT TO ENSURE THAT 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. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE, AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. ANNUAL COMPENSATION FOR MUNSON HEALTHCARE SYSTEM EXECUTIVES IS DETERMINED, IN PART, BY MEASURABLE PROGRESS TOWARD THE ORGANIZATION'S GOALS INCLUDING CONTINUED IMPROVEMENT IN CLINICAL QUALITY, COMMUNITY HEALTH, AND OPERATIONAL EFFICIENCIES. MUNSON HEALTHCARE'S INTENT FOR EXECUTIVE BASE COMPENSATION IS TO BE AT THE MEDIAN WHEN COMPARED TO LIKE-SIZE NON-PROFIT HOSPITALS AND HEALTHCARE SYSTEMS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES OF MUNSON HEALTHCARE CADILLAC AND MUNSON HEALTHCARE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE MUNSON HEALTHCARE CADILLAC ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON HEALTHCARE CADILLAC DOES NOT MAKE THE BYLAWS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ANNUALLY, MUNSON HEALTHCARE, PARENT CORPORATION, SUBMITS ITS ANNUAL CONSOLIDATED FINANCIAL STATEMENTS TO THE MSRB IN COMPLIANCE WITH BOND DISCLOSURE REQUIREMENTS. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES 7,377,373 9,421,501 106,605 PROFESSIONAL FEES 3,671,538 386,361 0 TOTAL 11,048,911 9,807,862 106,605 |
| FORM 990, PART XI, LINE 9 | EQUITY TRANSFER FROM MHC 4,500,000 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MUNSON DIALYSIS CENTER | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 383097861 | DIALYSIS | MI | C3 | 3 | MUNSON HC | MUNSON HEALTHCARE | Yes (true) | ||
| MUSNON HEALTHCARE | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 382640544 | HEALTHCARE | MI | C3 | 12B | false | N/A | |||
| MUNSON HEALTHCARE FOUNDATIONS | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 382642724 | RAISE FUND | MI | C3 | 7 | MUNSON HC | MUNSON HEALTHCARE | Yes (true) | ||
| MUNSON HOME CARE | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 382191390 | HOME HEALT | MI | C3 | 10 | MUN HOME H | MUNSON HOME HEALTH | Yes (true) | ||
| MUNSON HOME HEALTH | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 383335362 | HOME HEALT | MI | C3 | 12B | MUNSON HC | MUNSON HEALTHCARE | Yes (true) | ||
| MUNSON HOME SERVICES | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 382543463 | HOME HEALT | MI | C3 | 10 | MUN HOME H | MUNSON HOME HEALTH | Yes (true) | ||
| NORTH FLIGHT INC | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 382657917 | MED TRANSP | MI | C3 | 12B | MUNSON HC | MUNSON HEALTHCARE | Yes (true) | ||
| PAUL OLIVER MEMORIAL HOSPITAL | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 381415623 | HEALTHCARE | MI | C3 | 3 | MUNSON HC | MUNSON HEALTHCARE | Yes (true) | ||
| MUNSON MEDICAL GROUP | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 273600575 | PHYSICIAN | MI | C3 | 10 | MUNSON MED | MUNSON MEDICAL CENTER | Yes (true) | ||
| MUNSON HEALTHCARE GRAYLING | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 471161992 | HOSPITAL | MI | C3 | 3 | MUNSON HC | MUNSON HEALTHCARE | Yes (true) | ||
| MUNSON HEALTHCARE CADILLAC FOUNDATI | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 472857600 | RAISE FUND | MI | C3 | 7 | MHC CADILL | MUNSON HEALTHCARE CADILLAC | Yes (true) | ||
| MUNSON MEDICAL CENTER | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 381362830 | HOSPITAL | MI | C3 | 3 | MUNSON HC | MUNSON HEALTHCARE | Yes (true) | ||
| MUNSON HEALTHCARE CHARLEVOIX HOSPIT | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 381459366 | HOSPITAL | MI | C3 | 3 | MUNSON HC | Yes (true) | |||
| MUNSON HEALTHCARE CHARLEVOIX | |||||||||||||
| 1105 SIXTH ST | TRAVERSE CITY | MI | 49684 | 753078034 | RAISE FUND | MI | C3 | 12A | MHC CHARLE | HOSPITAL | Yes (true) | HOSPITAL FOUNDATION | |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | |||||||||||||
| 1465 E PARKDALE AVE | MANISTEE | MI | 496609709 | 380350304 | HOSPITAL | MI | C3 | 3 | MUNSON HC | Yes (true) | |||
| MUNSON HEALTHCARE MANISTEE | |||||||||||||
| 1465 E PARKDALE AVE | MANISTEE | MI | 496609709 | 383565083 | RAISE FUND | MI | C3 | 12A | MHC MANIST | HOSPITAL | Yes (true) | HOSPITAL FOUNDATION | |
| MUNSON HEALTHCARE OTSEGO MEMORIAL H | |||||||||||||
| 825 N CENTER AVE | GAYLORD | MI | 497351592 | 381303843 | HOSPITAL | MI | C3 | 3 | MUNSON HC | MUNSON HEALTHCARE | Yes (true) | ||
| MUNSON HEALTHCARE OTSEGO MEMORIAL | |||||||||||||
| 825 N CENTER AVE | GAYLORD | MI | 497351592 | 382135473 | RAISE FUND | MI | C3 | 12A | MHC OTSEGO | HOSPITAL | Yes (true) | HOSPITAL FOUNDATION | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| NORTHERN MICHIGAN SUPPLY ALLIANCE | |||||||||
| 2651 AERO PARK DR | TRAVERSE CITY | MI | 49686 | 383453378 | PURCHASING | MI | N/A | false | false |
| MUNSON MEDICAL BUILDING PARTNERS | |||||||||
| PO BOX 1188 | TRAVERSE CITY | MI | 496851188 | 382830005 | REAL ESTAT | MI | N/A | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| MEDICAL OFFICE BUILDING CONDOMINIUM | |||||||||
| PO BOX 1188 | TRAVERSE CITY | MI | 496851188 | 383567278 | REAL ESTAT | MI | N/A | Yes (true) | |
| MUNSON SERVICES INC | |||||||||
| PO BOX 1188 | TRAVERSE CITY | MI | 496851188 | 383144382 | PHARMACY | MI | N/A | Yes (true) | |
| MUNSON SUPPORT SERVICES INC | |||||||||
| PO BOX 1188 | TRAVERSE CITY | MI | 496851188 | 382872821 | LAUNDRY | MI | N/A | Yes (true) | |
| SIXTH STREET DRUGS INC | |||||||||
| PO BOX 1188 | TRAVERSE CITY | MI | 496851188 | 382298290 | PHARMACY | MI | N/A | Yes (true) | |
| MEDICAL OFFICE CONDOMINIUM | |||||||||
| PO BOX 1188 | TRAVERSE CITY | MI | 496851188 | 201902620 | REAL ESTAT | MI | N/A | Yes (true) | ASSOCIATION |
| MUNSON MOBILE IMAGING | |||||||||
| PO BOX 1188 | TRAVERSE CITY | MI | 496851188 | 382704069 | IMAGING | MI | N/A | Yes (true) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (21 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MUNSON HEALTHCARE | ||
| M | $8,371,148 | ACTUAL AMOUNTS PAID |
| MUNSON HEALTHCARE | ||
| Q | $5,171,634 | ACTUAL AMOUNTS PAID |
| MUNSON HEALTHCARE | ||
| P | $7,607,168 | ACTUAL AMOUNTS PAID |
| MUNSON HEALTHCARE | ||
| C | $4,500,000 | ACTUAL AMOUNTS PAID |
| MUNSON HEALTHCARE GRAYLING | ||
| O | $332,843 | ACTUAL AMOUNTS PAID |
| MUNSON HEALTHCARE GRAYLING | ||
| P | $146,649 | ACTUAL AMOUNTS PAID |
| MUNSON HEALTHCARE GRAYLING | ||
| Q | $320,459 | ACTUAL AMOUNTS PAID |
| MUNSON MEDICAL CENTER | ||
| L | $117,763 | ACTUAL AMOUNTS PAID |
| MUNSON MEDICAL CENTER | ||
| M | $773,312 | ACTUAL AMOUNTS PAID |
| MUNSON MEDICAL CENTER | ||
| O | $125,181 | ACTUAL AMOUNTS PAID |
| MUNSON MEDICAL CENTER | ||
| P | $36,034,655 | ACTUAL AMOUNTS PAID |
| MUNSON MEDICAL CENTER | ||
| Q | $1,440,181 | ACTUAL AMOUNTS PAID |
| MUNSON MEDICAL GROUP | ||
| P | $468,572 | ACTUAL AMOUNTS PAID |
| MUNSON MEDICAL GROUP | ||
| M | $302,747 | ACTUAL AMOUNTS PAID |
| MUNSON SUPPORT SERVICES | ||
| M | $281,867 | ACTUAL AMOUNTS PAID |
| NORTHERN MICHIGAN SUPPLY ALLIANCE | ||
| M | $780,755 | ACTUAL AMOUNTS PAID |
| NORTHERN MICHIGAN SUPPLY ALLIANCE | ||
| Q | $352,653 | ACTUAL AMOUNTS PAID |
| NORTHERN MICHIGAN SUPPLY ALLIANCE | ||
| G | $108,487 | ACTUAL AMOUNTS PAID |
| NORTHERN MICHIGAN SUPPLY ALLIANCE | ||
| H | $81,432 | ACTUAL AMOUNTS PAID |
| NORTHERN MICHIGAN SUPPLY ALLIANCE | ||
| P | $2,871,285 | ACTUAL AMOUNTS PAID |
| MUNSON HEALTHCARE CADILLAC FOUNDATI | ||
| C | $615,266 | ACTUAL AMOUNT PAID |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | MUNSON HEALTHCARE CADILLAC 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 |
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