MUNSON MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MUNSON MEDICAL CENTER (EIN 38-1362830)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-14
IRS object ID: 201211359349303916
Schema version: 2010v3.7
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)
Timestamp	2012-05-14T13:11:15-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	381362830	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MUNSON MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MUNS	NameControl
Phone	2319355000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1188	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	496851188	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARK A HEPLER	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	2319355000	Phone
Date Signed	2012-05-11	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	EDWIN A NESS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1105 SIXTH ST	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49684	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	463304755	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MUNSONHEALTHCARE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1947	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	4161	TotalNbrEmployees
Total Nbr Volunteers	408	TotalNbrVolunteers
Total Gross UBI	2240	TotalGrossUBI
Net Unrelated Business Txbl Income	453	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2339335	ContributionsGrantsPriorYear
Contributions Grants Current Year	1661786	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	431377303	ProgramServiceRevenuePriorYear
Program Service Revenue CY	445989729	ProgramServiceRevenueCY
Investment Income Prior Year	14957443	InvestmentIncomePriorYear
Investment Income Current Year	10773131	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4391805	OtherRevenuePriorYear
Other Revenue Current Year	4820790	OtherRevenueCurrentYear
Total Revenue Prior Year	453065886	TotalRevenuePriorYear
Total Revenue Current Year	463245436	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	50778	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	50294	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	213178649	SalariesEtcPriorYear
Salaries Etc Current Year	220681498	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	573220	TotalFundrsngExpCurrentYear
Other Expense Prior Year	198083904	OtherExpensePriorYear
Other Expenses Current Year	205231661	OtherExpensesCurrentYear
Total Expenses Prior Year	411313331	TotalExpensesPriorYear
Total Expenses Current Year	425963453	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	41752555	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	37281983	RevenuesLessExpensesCY
Total Assets BOY	527853976	TotalAssetsBOY
Total Assets EOY	572910970	TotalAssetsEOY
Total Liabilities BOY	296258478	TotalLiabilitiesBOY
Total Liabilities EOY	266902186	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	231595498	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	306008784	NetAssetsOrFundBalancesEOY
Mission Description	AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	385683927	Expense
Grants	50294	Grants
Revenue	447967013	Revenue
Description	EXPENSES INCURRED WHILE PROVIDING HOSPITAL SERVICES TO THE RESIDENTS OF TRAVERSE CITY, MICHIGAN AND THE SURROUNDING AREA WHILE FULFILLING THE HOSPITAL'S MISSION TO PROVIDE HEALTHCARE IN THE COMMUNITY.	Description
Total Program Service Expense	385683927	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	true	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	382	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4161	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MUNSON HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2319357777	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3668 N US 31 S	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49684	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
EDWIN A NESS
PRESIDENT	12.00	X	X	637756	0	139446
DAVID WRIGHT MD
PRES MED STA	8.00	X		25000	0	0
THOMAS G MCINTYRE
TRUSTEE	4.00	X		0	24500	0
ROBERT W SPRUNK
FORMER CHAIR	8.00	X	X	24500	0	0
CARL G BENNER MD
TRUSTEE	4.00	X		12500	0	0
DANIEL T WOLF
TRUSTEE	4.00	X		0	12500	0
DAVID FRIAR MD
TRUSTEE	4.00	X		12500	0	0
GORDON H WINSTANLEY
TRUSTEE	4.00	X		12500	0	0
JOHN ERB
CHAIR	8.00	X	X	12500	0	0
JOSEPH KOSTRZEWA
TRUSTEE	4.00	X		12500	0	0
MICHAEL D SIMPSON
TRUSTEE	4.00	X		12500	0	0
NANCY FISHER
TRUSTEE	4.00	X		12500	0	0
PATRICK E HEINTZ
TREASURER	6.00	X	X	12500	0	0
SHIRLANNA CORREIA
TRUSTEE	4.00	X		12500	0	0
GEORGE BEARUP
SECRETARY	6.00	X	X	12500	0	0
REX ANTINOZZI MD
VICE CHAIR	6.00	X	X	12500	0	0
EDWARD J RUTKOWSKI MD
TRUSTEE	4.00	X		12500	0	0
DANIEL NAVIN MD
DIRECTOR	4.00	X		0	12500	0
JOHN E PELIZZARI
TRUSTEE	4.00	X		0	0	0
MARK A HEPLER
CFO	28.00		X	0	249099	45753
PAUL M SHIRILLA
ASST SEC/VP	6.00			0	322529	46557	X
DAVID MCGREAHAM MD
VP MEDICAL	40.00			312469	0	48755	X
CHRISTOPHER PODGES
VP INFO SYST	40.00			289065	0	50564	X
KATHLEEN MCMANUS
EXECUTIVE VP	36.00			275200	0	43909	X
SUZANNE K PETERS
VP HR	40.00			249669	0	33010	X
MARK R ANTHONY
SR VICE PRES	40.00			247554	0	32433	X
JAMES P FISCHER
VP PATIENT C	40.00			202643	0	40006	X
THOMAS SCHERMERHORN MD
NEUROSURGEON	40.00			727932	0	31782		X
AHMET SEVIMLI MD
NEPHROLOGIST	40.00			322046	0	37837		X
DAVID B MARTIN MD
INFECTIOUS D	40.00			254816	0	28248		X
JOHN D FAICHNEY MD
ENDOCRINOLOG	40.00			244820	0	31959		X
DANIEL M WEBSTER MD
PHYSICIAN-FA	40.00			236417	0	28597		X
EDWARD CARLSON
FORMER CFO	0.00			214490	9506	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4414377	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	630634	TotalReportableCompFrmRltdOrgs
Total Other Compensation	638856	TotalOtherCompensation
Number Individuals GT100 K	124	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HOSPITALISTS OF NORTHWEST MICHIGAN
1105 SIXTH ST	TRAVERSE CITY	MI	49684	MEDICAL SERVICE	4853078
SODEXO INC AND AFFILIATES
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	DIETARY	1409009
PULMONARY AND CRITICAL CARE PHYSICI
5087 N ROYAL DR	TRAVERSE CITY	MI	49684	MEDICAL SERVICE	1329682
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	55480	LABORATORY SRV	1251055
CARDIOTHORACIC SURGEONS GT PC
107 S CASS ST	TRAVERSE CITY	MI	49684	MEDICAL SERVICE	1124879

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	55	NumberOfContractorsGT100K
Related Organizations	885750	RelatedOrganizations
Government Grants	625748	GovernmentGrants
All Other Contributions	150288	AllOtherContributions
Total Contributions	1661786	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE AND MEDICAID PMTS	621990	239865000	239865000
PATIENT SERVICE REVENUE	621990	200416188	200416188
HEALTH SERVICE REVENUE	621990	2891429	2891429
SERVICES TO OTHER ORGANIZATIO	621990	2377970	2377970
RENT FROM RELATED ORGS	531120	439142	439142

Field	Value	IRS element (for citing)
Total Program Service Revenue	445989729	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5228819	TotalRevenueColumn
Related Or Exempt Function Income	1975044	RelatedOrExemptFunctionIncome
Exclusion	$3,253,775	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	248062	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	248062	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	248062	TotalRevenueColumn
Exclusion	$248,062	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	5502373	Securities
Other	57438	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	15499	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5502373	Securities
Other	41939	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5544312	TotalRevenueColumn
Exclusion	$5,544,312	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	46060	GrossSalesOfInventory
Cost Of Goods Sold	43820	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2240	TotalRevenueColumn
Unrelated Business Revenue	2240	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	722210	3572151	$3,572,151
MISCELLANEOUS	621990	613614	$613,614
AUXILIARY GIFT SHOP	446199	384723	$384,723

Field	Value	IRS element (for citing)
Total Other Revenue	4570488	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	463245436	TotalRevenueColumn
Related Or Exempt Function Income	447964773	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2240	UnrelatedBusinessRevenue
Exclusion	$13,616,637	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	50294	Total
Program Services	50294	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2798979	Total
Management And General	2760119	ManagementAndGeneral
Fundraising	38860	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	214490	Total
Management And General	214490	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	162924810	Total
Program Services	145629853	ProgramServices
Management And General	17294957	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	17000272	Total
Program Services	15197453	ProgramServices
Management And General	1802819	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25860616	Total
Program Services	22853565	ProgramServices
Management And General	3007051	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11882331	Total
Program Services	10454223	ProgramServices
Management And General	1425819	ManagementAndGeneral
Fundraising	2289	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	591142	Total
Management And General	591142	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	207123	Total
Management And General	207123	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	8122	Total
Management And General	8122	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	37762818	Total
Program Services	32064906	ProgramServices
Management And General	5165841	ManagementAndGeneral
Fundraising	532071	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	386990	Total
Program Services	94996	ProgramServices
Management And General	291994	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	105779547	Total
Program Services	104083832	ProgramServices
Management And General	1695715	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8835579	Total
Program Services	2757375	ProgramServices
Management And General	6078204	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7854825	Total
Program Services	7003533	ProgramServices
Management And General	851292	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	832994	Total
Program Services	762395	ProgramServices
Management And General	70599	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	688682	Total
Program Services	446479	ProgramServices
Management And General	242203	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2351805	Total
Program Services	2129324	ProgramServices
Management And General	222481	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	26519278	Total
Program Services	24016414	ProgramServices
Management And General	2502864	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3999605	Total
Program Services	3576098	ProgramServices
Management And General	423507	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	14518191	14518191
REPAIRS AND MAINTENANCE	5143024	4642868	500156
MISCELLANEOUS	1698339	1218192	480147
REALIZED SWAP EXPENSE	1575086		1575086
DUES AND SUBSCRIPTIONS	515803	291111	224692

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	-14037292	Total
Program Services	-6107175	ProgramServices
Management And General	-7930117	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	425963453	Total
Program Services	385683927	ProgramServices
Management And General	39706306	ManagementAndGeneral
Fundraising	573220	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	73924	BOY
EOY	437164	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	67875851	BOY
EOY	76860787	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	44991	BOY
EOY	34866	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	50218599	BOY
EOY	59782632	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10855157	BOY
EOY	12007491	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8111013	BOY
EOY	8348302	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	473646541	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	235863400	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	236491601	BOY
EOY	237783141	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	141154640	BOY
EOY	163883298	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	7390786	BOY
EOY	8607757	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	557485	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5637414	BOY
EOY	4608047	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	527853976	BOY
EOY	572910970	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	40083572	BOY
EOY	39228366	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	127580	BOY
EOY	63076	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	132699291	BOY
EOY	129001841	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	123348035	BOY
EOY	98608903	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	296258478	BOY
EOY	266902186	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	229338073	BOY
EOY	302895376	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2257425	BOY
EOY	3113408	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	231595498	BOY
EOY	306008784	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	527853976	BOY
EOY	572910970	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	37281983	ReconcilationRevenueExpenses
Reconcilation Other Changes	37131303	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Form1120 Pol Filed	false	Form1120PolFiled
Form4720 Filed	false	Form4720Filed
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$8,100	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$22	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	8122	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax
Substantially All Dues Nondeduct	false	SubstantiallyAllDuesNondeduct
Only In House Lobbying	false	OnlyInHouseLobbying
Agree To Carryover Prior Year	false	AgreeToCarryoverPriorYear

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	143412065	BeginningOfYearBalance
Contributions	996567	Contributions
Investment Earnings Or Losses	23516814	InvestmentEarningsOrLosses
Other Expenditures	141430	OtherExpenditures
Administrative Expenses	787311	AdministrativeExpenses
End Of Year Balance	166996705	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	128015726	BeginningOfYearBalance
Contributions	2073910	Contributions
Investment Earnings Or Losses	14807677	InvestmentEarningsOrLosses
Other Expenditures	1054734	OtherExpenditures
Administrative Expenses	430514	AdministrativeExpenses
End Of Year Balance	143412065	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	151976653	BeginningOfYearBalance
Contributions	815757	Contributions
Investment Earnings Or Losses	-19831956	InvestmentEarningsOrLosses
Other Expenditures	4238065	OtherExpenditures
Administrative Expenses	706662	AdministrativeExpenses
End Of Year Balance	128015726	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.98140	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.01860	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12502880	OtherCostOrOtherBasis
Book Value	12502880	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	277651118	OtherCostOrOtherBasis
Depreciation	117464160	Depreciation
Book Value	160186958	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	265646	OtherCostOrOtherBasis
Depreciation	65088	Depreciation
Book Value	200558	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	166290036	OtherCostOrOtherBasis
Depreciation	116873517	Depreciation
Book Value	49416519	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16936861	OtherCostOrOtherBasis
Depreciation	1460635	Depreciation
Book Value	15476226	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	237783141	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
MINIMUM PENSION LIABILITY	$64,285,054
DEFERRED POST RETIREMENT BENEFITS	$11,955,316
RESERVE FOR THIRD PARTY SETTLEMENTS	$11,000,000
SWAP MARKET VALUE BASIS	$5,146,157
CAREPAYMENT LIABILITY	$3,772,000
ESTIMATED THIRD PARTY SETTLEMENTS	$2,450,376

Field	Value	IRS element (for citing)
Total Of Amounts	98608903	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	INTENDED USES FOR ENDOWMENT FUNDS	Identifier
Return Reference	SCHEDULE D, PAGE 2, PART V, LINE 4	ReturnReference
Explanation	THE BOARD OF TRUSTEES DESIGNATES SUBSTANTIAL INVESTMENTS FOR THE REPLACEMENT, IMPROVEMENT, AND THE EXPANSION OF TANGIBLE FACILITIES OWNED BY MUNSON MEDICAL CENTER TO ENSURE FUNDS ARE AVAILABLE TO MAINTAIN THE HOSPITAL ASSETS TO CARRY OUT ITS MISSION. A PORTION OF THE TERM ENDOWMENT ASSETS ARE THOSE HELD FOR SPECIFIC MEDICAL PURPOSES, AS DEFINED BY DONORS. THOSE ASSETS ARE BEING HELD FOR A VARIETY OF DONOR INTERESTS INCLUDING ADAPTIVE SPORTS, PEDIATRIC THERAPY, OTHER PEDIATRIC MEDICAL NEEDS, RESEARCH, AND PATIENT ASSISTANCE.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7070420	TotalCommunityBenefitExpense
Net Community Benefit Expense	7070420	NetCommunityBenefitExpense
Percent Of Total Expense	0.01690	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39614580	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30682601	DirectOffsettingRevenue
Net Community Benefit Expense	8931979	NetCommunityBenefitExpense
Percent Of Total Expense	0.02140	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	985362	TotalCommunityBenefitExpense
Direct Offsetting Revenue	541140	DirectOffsettingRevenue
Net Community Benefit Expense	444222	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47670362	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31223741	DirectOffsettingRevenue
Net Community Benefit Expense	16446621	NetCommunityBenefitExpense
Percent Of Total Expense	0.03940	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3338362	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23365	DirectOffsettingRevenue
Net Community Benefit Expense	3314997	NetCommunityBenefitExpense
Percent Of Total Expense	0.00790	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4332800	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1334519	DirectOffsettingRevenue
Net Community Benefit Expense	2998281	NetCommunityBenefitExpense
Percent Of Total Expense	0.00720	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	468131	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4655	DirectOffsettingRevenue
Net Community Benefit Expense	463476	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	764577	TotalCommunityBenefitExpense
Net Community Benefit Expense	764577	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	327560	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1400	DirectOffsettingRevenue
Net Community Benefit Expense	326160	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9231430	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1363939	DirectOffsettingRevenue
Net Community Benefit Expense	7867491	NetCommunityBenefitExpense
Percent Of Total Expense	0.01880	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	56901792	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32587680	DirectOffsettingRevenue
Net Community Benefit Expense	24314112	NetCommunityBenefitExpense
Percent Of Total Expense	0.05820	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	3665	TotalCommunityBuildingExpense
Net Community Building Expense	3665	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	17868	TotalCommunityBuildingExpense
Net Community Building Expense	17868	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	43061	TotalCommunityBuildingExpense
Net Community Building Expense	43061	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	153051	TotalCommunityBuildingExpense
Net Community Building Expense	153051	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	6648	TotalCommunityBuildingExpense
Net Community Building Expense	6648	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	10144	TotalCommunityBuildingExpense
Net Community Building Expense	10144	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	407278	TotalCommunityBuildingExpense
Net Community Building Expense	407278	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	641715	TotalCommunityBuildingExpense
Net Community Building Expense	641715	NetCommunityBuildingExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$5,280,469	BadDebtExpenseAmount
Amount Attributable To	895567	AmountAttributableTo
Amount Reimbursed By Medicare	179592155	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	175118665	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	4473490	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	NW MI SURGERY CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	AMBULATORY SURGERY CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.49000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.51000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	Business Name Line2Name/BusinessNameLine2	OtherOther
MUNSON MEDICAL CENTER
1	1105 SIXTH ST	TRAVERSE CITY	MI	49684	X	X	X	X	X
MUNSON MEDICAL CENTER
2	1105 SIXTH ST	TRAVERSE CITY	MI	49684	X					ACUTE INPATIENT PSYCHIATRIC PROGRAM	INPATIENT PSYCHIATRIC PROGRAM
MUNSON MEDICAL CENTER
3	1105 SIXTH ST	TRAVERSE CITY	MI	49684	X					OUTPATIENT PSYCHIATRIC PROGRAM	OUTPATIENT PSYCHIATRIC PROGRAM

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber
MUNSON MEDICAL CENTER
1
MUNSON MEDICAL CENTER
2
MUNSON MEDICAL CENTER
3

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	10	NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MUNSON COMMUNITY HEALTH CENTER
550 MUNSON AVENUE	TRAVERSE CITY	MI	49686	OUTPATIENT
BIEDERMAN CANCER CENTER
1120 SIXTH ST	TRAVERSE CITY	MI	49684	RADIATION THERAPY
MRI CENTER
217 S MADISON	TRAVERSE CITY	MI	49684	MRI
SMITH FAMILY BREAST HEALTH CENTER
COPPER RIDGE	TRAVERSE CITY	MI	49684	MAMMOGRAPHY AND WOMEN'S HEALTH
IV THERAPY
1200 SIXTH ST	TRAVERSE CITY	MI	49684	IV THERAPY
CHEMICAL DEPENDENCY CENTER
420 BROOK ST	TRAVERSE CITY	MI	49684	REHABILITATION
PHYSICAL THERAPY
3643 WEST FRONT ST	TRAVERSE CITY	MI	49684	PHYSICAL THERAPY
MUNSON MANOR
1220 MEDICAL CAMPUS DR	TRAVERSE CITY	MI	49684	HOSPITALITY HOUSE
PHYSICAL THERAPY
211 S HIGH ST	NORTHPORT	MI	49670	PHYSICAL THERAPY
ADVANCED WOUND CENTER
5085 ANNA DR	TRAVERSE CITY	MI	49684	PATIENT WOUND CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE	PART I LINE 3C	100 FINANCIAL ASSISTANCE IS PROVIDED FOR THOSE INDIVIDUALS OR FAMILIES WHOSE INCOME IS 200 OR LESS THAN THE FPG AND TOTAL ASSETS ARE WITHIN THE PROTECTED LEVELS THE APPROVAL IS VALID FOR 1 YEAR WITH A VERIFICATION OF FINANCIAL STATUS AT 6 MONTHS CATASTROPHIC ASSISTANCE IS AVAILABLE FOR THOSE INDIVIDUALS OR FAMILIES WHO DO NOT MEET THE GUIDELINES FOR FULL CHARITY CARE BUT WHOSE HOSPITAL EXPENSES WILL POSE AN EXTREME FINANCIAL HARDSHIP THE APPLICANT MUST MEET THE FOLLOWING GUIDELINES APPLICANTS CUMULATIVE BALANCE MUST BE GREATER THAN 10000 APPLICANT MUST COMPLETE FINANCIAL ASSISTANCE APPLICATION IF CATASTROPHIC ASSISTANCE IS GRANTED THE APPLICANT WILL BE RESPONSIBLE TO PAY 20 OF THE APPLICANTS ANNUAL HOUSEHOLD INCOME TO THE GRANTING INSTITUTION CATASTROPHIC ASSISTANCE APPROVAL WILL BE VALID FOR 12 MONTHS FROM THE DATE OF APPROVAL
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	THERE ARE NO PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	TOTAL EXPENSES FROM FORM 990 PART IX LINE 25 ARE XXX-XX-XXXX AND THE PROPORTIONATE SHARE OF TOTAL EXPENSES OF THE AMBULATORY SURGERY CENTER IS 6978333 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS 14702161 THE NET EXPENSE OF XXX-XX-XXXX WAS USED FOR PURPOSES OF CALCULATING LINE 7 COLUMN F
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	COST VALUES FOR LINE 7 ARE BASED ON THE COST TO CHARGE RATIO COMPUTATION
COMMUNITY BUILDING ACTIVITIES	PART II	MUNSON MEDICAL CENTER MMC PROVIDED 641716 IN COMMUNITYBUILDING ACTIVITIES DURING THE 2011 FISCAL YEAR THESE ACTIVITIES INCLUDED A CASH DONATION FOR COALITION BUILDING ACTIVITIES IN GRAND TRAVERSE COUNTY ADMINISTRATIVE SUPPORT ON MANY BOARDS SUPPORTING CHANGES IN SOCIAL DETERMINATES OF HEALTH ADDRESSING ADEQUATE COMMUNITYWIDE HOUSING POVERTY REDUCTION AND WORKFORCE DEVELOPMENT ENVIRONMENTAL IMPROVEMENTS INCLUDING WASTE REDUCTION AND RECYCLING AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY ESPECIALLY IN THE AREAS OF IMPROVED SCHOOL NUTRITION AND COMMUNITY GARDENS MMC CONTINUES AS A GUIDING FORCE IN MICHIGANS REGION 7 BIOTERRORISMDISASTER PREPAREDNESS AS PART OF CRITICAL WORKFORCE DEVELOPMENT MUNSON STAFF ATTENDS MANY REGIONAL CAREER DAYS PROVIDING STUDENTS WITH INFORMATION ON WHY THEY MIGHT WANT TO BE EMPLOYED IN THE OFTENCRITICAL AREA OF HEALTH CARE ALSO DESIGNATED AS A MEDICALLY UNDERSERVED AREA MUNSON INVESTS DOLLARS INTO THE RECRUITMENT OF CRITICALLY NEEDED PHYSICIANS TO THE AREA TO PROMOTE PATIENT ACCESS TO CARE
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	TO DETERMINE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS WHO WOULD PROBABLY QUALIFY UNDER MUNSON MEDICAL CENTERS CHARITY CARE POLICY MUNSON DIRECTED AN INTERNAL STUDY FROM A 3MONTH SAMPLE OF CURRENT BAD DEBT ACCOUNTS FIRST THE STUDY IDENTIFIED THE SELFPAY PORTION OF THE BAD DEBT EXPENSE THEN THE SELFPAY ACCOUNTS WERE ANALYZED USING REVENUE CYCLE ANALYTIC SOFTWARE TO IDENTIFY POTENTIAL CHARITY CARE CANDIDATES USING THE SOFTWARE ESTIMATIONS A PORTION OF THE SELFPAY ACCOUNTS WERE DEEMED CHARITY CARE ELIGIBLE THAT ESTIMATED PORTION WAS APPLIED TO THE SELFPAY BAD DEBT DOLLAR AMOUNT TO DETERMINE THE AMOUNT OF BAD DEBT THAT WOULD BE CONSIDERED CHARITY IF THE PROPER APPLICATIONS AND DOCUMENTATION WERE AVAILABLE FROM THE PATIENTS THE ACCOUNTS RECEIVABLE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF MUNSON HEALTHCARE AND SUBSIDIARIES STATES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITEOFF 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 THE ORGANIZATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PASTDUE PATIENT BALANCES WITH COLLECTION AGENCIES
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	MUNSON HEALTHCARES INTERNAL AND EXTERNAL COLLECTION PRACTICES INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NONPAYMENT INCLUDING COLLECTIONS ACTIONS AND REPORTING TO COLLECTION AGENCIES SHALL TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY A PATIENTS GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MUNSON HEALTHCARE AND A PATIENTS GOOD FAITH EFFORT TO COMPLY WITH HISHER PAYMENT AGREEMENTS WITH MUNSON HEALTHCARE FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS MUNSON HEALTHCARE 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
NEEDS ASSESSMENT	PART VI	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 OF MUNSON MEDICAL CENTER MUNSON MEDICAL CENTER MMC IS A SIGNIFICANT CONTRIBUTOR TO REGIONAL EFFORTS THAT ASSESS THE HEALTH STATUS OF THE TOTAL POPULATION WITHIN OUR 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 COMMUNITYWIDE MUNSON IS PREPARING A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO MEET THE REQUIREMENTS OF IRC SEC 501R WHICH WILL BE CONDUCTED IN FISCAL 2013 IN ACCORDANCE WITH THE PLANS OF THE COMMUNITY HEALTH COMMITTEE OF THE BOARD ADDITIONALLY MUNSON WORKS IN CONJUNCTION WITH COMMUNITY COLLABORATIVES IN FIVE COUNTIES ANTRIM BENZIE GRAND TRAVERSE LEELANAU AND KALKASKA THE TRAVERSE CITY CHAMBER OF COMMERCE THE LOCAL UNITED WAY THE POVERTY REDUCTION INITIATIVE AND OTHER REGIONAL ASSOCIATIONS TO MAINTAIN CURRENT UNDERSTANDING OF COMMUNITY NEED
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	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 HEALTHCARES 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 REFERRAL BY REGISTRATION STAFF AT THE TIME OF REGISTRATION SELFPAY PATIENTS OR ANY PATIENT THAT MAY HAVE CONCERNS REGARDING THEIR UPCOMING ADMISSION IS REFERRED TO THE FINANCIAL COUNSELING STAFF MUNSON MEDICAL CENTER FINANCIAL COUNSELORS ARE AVAILABLE TO TALK WITH PATIENTS ABOUT THEIR FINANCIAL CONCERNS THE COUNSELORS VISIT ALL INPATIENTS THAT ARE DEEMED SELFPAY 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 SELFPAY 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 CHARITY CARE MUNSON MEDICAL CENTER CATASTROPHIC CARE AND MUNSON MEDICAL CENTER MEDS PROGRAM
COMMUNITY INFORMATION	PART VI	MUNSON MEDICAL CENTER DESCRIPTION MUNSON MEDICAL CENTER MMC IS THE LARGEST HOSPITAL IN NORTHERN LOWER MICHIGAN WITH 391 LICENSED ACUTE CARE BEDS ONE OF SEVEN HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM MMC PROVIDES MORE THAN 300000 ANNUAL PATIENT VISITS MMC SERVES APPROXIMATELY 23800 INPATIENTS HAS 2000 OBSTETRICAL BIRTHS AND 48000 EMERGENCY ROOM PATIENTS EVERY YEAR MMC IS ALSO THE LARGEST EMPLOYER IN NORTHERN MICHIGAN DUE TO ITS GEOGRAPHIC LOCATION AND COMPREHENSIVE ARRAY OF SERVICES OFFERED MMC HAS BEEN NAMED A RURAL REFERRAL CENTER BY THE CENTERS FOR MEDICARE AND MEDICAID MMC IS ALSO RECOGNIZED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES CMS AS A SOLE COMMUNITY HOSPITAL BECAUSE OF THIS STATUS IT IS EQUIPPED TO PROVIDE CRITICAL CARE FOR PATIENTS IN 24 COUNTIES HOSPITAL SERVICES MUNSON MEDICAL CENTER PROVIDES SERVICES IN 33 DIFFERENT MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING CARDIAC SURGERY CARDIAC CATHETERIZATION RADIATION ONCOLOGY NEONATAL INTENSIVE CARE AND COMPREHENSIVE EMERGENCY SERVICES MUNSON MEDICAL CENTER IS A LEVEL II TRAUMA CENTER AND IS THE ONLY RECOGNIZED TRAUMA CENTER IN MICHIGANS REGION 7 WHICH COVERS 17 COUNTIES SPECIALIZED INPATIENT UNITS AVAILABLE AT MMC INCLUDE MEDICALSURGICAL INTENSIVE CARE CARDIAC INTENSIVE CARE NEONATAL INTENSIVE CARE ONCOLOGY MENTAL HEALTH AND PHYSICAL MEDICINE AND REHABILITATION A BROAD SPECTRUM OF DIAGNOSTIC AND THERAPEUTIC SERVICES SUPPORTS MMCS PROGRAMS THE SERVICES AVAILABLE TO INPATIENTS AND OUTPATIENTS CONSIST OF RADIOLOGY INCLUDING MRI CT SCAN PET SCAN ULTRASOUND NUCLEAR MEDICINE AND RADIATION THERAPY COMPUTERIZED LABORATORY REHABILITATION SERVICES INCLUDING PHYSICAL OCCUPATIONAL AND SPEECH AND HEARING THERAPY CARDIAC CATHETERIZATION COMPREHENSIVE CANCER TREATMENT OBSTETRIC CLINIC FOR INDIGENT PATIENTS MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES HOME HEALTH DME AND DIALYSIS SERVICES AND COMPLEX SURGERY SUCH AS VASCULAR AND NEUROSURGERY AS WELL AS LESS COMPLEX SAMEDAY SURGERY POPULATION SERVED BY MUNSON MEDICAL CENTER MMC SERVES PATIENTS FROM 24 COUNTIES IN NORTHERN LOWER MICHIGAN AND THE EASTERN PORTION OF THE UPPER PENINSULA A POPULATION BASE OF APPROXIMATELY 580000 IN THE 11 COUNTY REGION IMMEDIATELY SURROUNDING MMC 184 OF THE POPULATION ARE 65 YEARS OR OLDER UNEMPLOYMENT IS 12 OR HIGHER ALMOST 23 OF ADULTS AGED 1864 YEARS OF AGE LACK HEALTH INSURANCE 58 OF BIRTHS ARE COVERED BY MEDICAID ABOUT 70 OF MMC INPATIENT DISCHARGES ORIGINATE FROM THE 5 COUNTIES IN CLOSEST PROXIMITY TO MMC ANTRIM BENZIE GRAND TRAVERSE LEELANAU AND KALKASKA QUALITY MUNSON MEDICAL CENTER HAS WON NUMEROUS AWARDS FOR OUTSTANDING CLINICAL QUALITY CARE HEALTH GRADES 5 STAR RATING FOR CARDIAC STROKE ORTHOPEDIC PULMONARY CARE AMERICAS 50 BEST HOSPITALS OUTSTANDING PATIENT EXPERIENCE HOSPITAL TOP 100 HOSPITAL 12 TIMES ONLY 2 OTHER HOSPITALS NATIONWIDE HAVE BEEN SO RECOGNIZED AMONG 23 NATIONALLY NAMED AS AN EVEREST AWARD FOR NATIONAL BENCHMARKS WINNER FOR THE SECOND YEAR IN A ROW THIS AWARD RECOGNIZES A HOSPITALS RATE OF LONGTERM IMPROVEMENT AND ESTABLISHES MUNSON MEDICAL CENTER AS A NATIONAL BENCHMARK AGAINST WHICH OTHER HOSPITALS WILL BE COMPARED 2008 AMERICAN HOSPITAL ASSOCIATION MCKESSON QUEST FOR QUALITY PRIZE RUNNER UP WAS UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS AMERICAN NURSES CREDENTIALING CENTER MAGNET HOSPITAL 3 OF HOSPITALS NATIONWIDE QUALIFY
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	THE MUNSON MEDICAL CENTER BOARD OF TRUSTEES IS MADE UP OF COMMUNITY MEMBERS ALL OF WHOM RESIDE IN THE HOSPITALS PRIMARY SERVICE AREA THESE INDIVIDUALS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE 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 TRUSTEES MUNSON MEDICAL CENTER UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND IMPROVE CARE TO PATIENTS THROUGHOUT ITS SERVICE AREA EXAMPLES OF HOW MUNSON MEDICAL CENTER 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 UP TO AGE TWO THE PROGRAM INCLUDES CENTRAL ACCESSDATA MANAGEMENT REGISTERED NURSE RN CARE COORDINATION EDUCATIONAL MAILINGS TO AGE 5 AND HEALTH CARERELATED FINANCIAL ASSISTANCE THEHEALTHY FUTURES MODEL OF RN CARE COORDINATION CONSISTS OF AN OUTCOMESBASED APPROACH TO INTERVENTION IN THE AREAS OF BREASTFEEDING LONGEVITY ACCESS TO HEALTH CARE AND IMMUNIZATIONS MEDS PROGRAM A PROGRAM THAT PROVIDES TO PATIENTS WITHOUT RESOURCES BEING DISCHARGED FROM THE HOSPITAL NEEDED MEDICATIONS AS WELL AS ENROLLING THOSE PATIENTS INTO PHARMACEUTICAL COMPANY SPONSORED ASSISTANCE PROGRAMS SO THEY MAY CONTINUE TO GET THE NEEDED PHARMACEUTICALS POVERTY REDUCTION INITIATIVE PRI A COLLABORATIVE GROUP OF ORGANIZATIONS AND INDIVIDUALS WORKING TO ADDRESS ISSUES OF POVERTY IN THE FIVE COUNTY SERVICE AREA OF MUNSON MEDICAL CENTER PROJECTS SUPPORTED BY THE PRI WORK GROUPS INCLUDE EFFORTS TO EXPAND ACCESS TO MEDICAL AND DENTAL CARE JOB TRAINING OPPORTUNITIES JOB RETENTION COMMUNITY RESOURCE MOBILIZATION AND DATA COLLECTION MUNSONS INVOLVEMENT IN PRI INCLUDES MEMBERSHIP ON THE ADVISORY COUNCIL STEERING COMMITTEE AND NAVIGATING WORKGROUP 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 COLLABORATION WITH THE TRAVERSE HEALTH CLINIC THE TRAVERSE HEALTH CLINIC THC OPERATING UNDER AN INDIGENT CARE AGREEMENT UTILIZING MUNSON MEDICAL CENTERS DSH CAPACITY PROVIDES ACCESS TO HEALTH SERVICES THROUGH COMMUNITY COLLABORATION TO PEOPLE IN NEED IN BENZIE LEELANAU AND GRAND TRAVERSE COUNTIES THC SERVES AS A PRIMARY CARE PROVIDER FOR THOSE WITH MEDICAID AND RUNS THE COALITION HEALTH ACCESS PROGRAM CHAP FOR THOSE ADULTS WITH NO INSURANCE WHO QUALIFY INCOMES 200 OF FPG MUNSON DONATES TO THC THROUGH INKIND DONATIONS OF MEDICATIONS AND STAFFING GRANTS ETC WHILE NOT COUNTABLE AS MUNSON COMMUNITY BENEFIT MANY MUNSON EMPLOYEES ALSO VOLUNTEER THEIR TIME PROVIDING CARE AT THE THC MEDICAL EDUCATIONTHE MUNSON FAMILY PRACTICE RESIDENCY PROGRAM INTEGRATES OSTEOPATHIC AND ALLOPATHIC MEDICINE TOGETHER WITH THE RESOURCES OF MUNSON MEDICAL CENTER THIS DUALLY ACCREDITED 555 PROGRAM ACCEPTS BOTH DO AND MD TRAINEES THE PROGRAM IS AFFILIATED WITH THE MICHIGAN STATE UNIVERSITY MMC ALSO PARTNERS WITH SEVERAL SCHOOLS OF NURSING TO PROVIDE INTERNSHIPS AND CLINICAL EXPERIENCES FOR REGISTERED NURSES RESPIRATORY THERAPISTS PHARMACISTS AND OTHER HEALTH PROFESSIONALS
AFFILIATED HEALTH CARE INFORMATION	PART VI	MUNSON MEDICAL CENTERS SOLE CORPORATE MEMBER IS MUNSON HEALTHCARE A 501C3 CORPORATION THE MUNSON HEALTHCARE SYSTEM CONSISTS OF A MAJOR TERTIARY REFERRAL HOSPITAL SEVERAL RURALBASED MEDICAL CENTERS EXTENSIVE OUTPATIENT TREATMENT AND REHABILITATION FACILITIES AND ANCILLARY EMERGENCY TRANSPORTATION AND HOMEBASED 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 SEVEN NOTFORPROFIT 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 ANDOR PROMOTION ACTIVITIES AS WELL AS SHARED INITIATIVES 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 OVER A HALF MILLION DOLLARS IN 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 WITH ITS FIXED WING AND HELICOPTER AIR SERVICES IN COMBINATION WITH GROUND TRANSPORT PATIENTS IN THE SYSTEM ARE ABLE TO ACCESS APPROPRIATE CARE NORTH FLIGHT INC PROVIDED OVER 12 MILLION IN CHARITY CARE AND UNREIMBURSED MEDICAID IN THE PAST FISCAL YEAR 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
MEDICAL INSURANCE PAYMENT	11	12714
EQUIP RENTAL AND SUPPLIES	13	7972
CLIENT TRANSPORT & FOOD	13	2720
MEDICAL, TRANSPORT & DRUG	129	26888

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
EDWIN A NESS
515678	120976	1102	119320	20126	777202
MARK A HEPLER
						208875	38795	1429	26375	19378	294852
PAUL M SHIRILLA
						259556	60698	2275	31769	14788	369086
DAVID MCGREAHAM MD
246483	46908	19078	31257	17498	361224
CHRISTOPHER PODGES
236237	51366	1462	28808	21756	339629
KATHLEEN MCMANUS
232504	41769	927	29602	14307	319109
SUZANNE K PETERS
152851	34434	62384	19503	13507	282679							45835
MARK R ANTHONY
192948	37485	17121	24357	8076	279987
JAMES P FISCHER
166625	33467	2551	20395	19611	242649
THOMAS SCHERMERHORN MD
727250		682	12144	19638	759714
AHMET SEVIMLI MD
321100		946	19266	18571	359883
DAVID B MARTIN MD
235020	3698	16098	14101	14147	283064
JOHN D FAICHNEY MD
216403	24730	3687	11348	20611	276779
DANIEL M WEBSTER MD
217537	14464	4416	13052	15545	265014
EDWARD CARLSON
		214490			214490			9506			9506		14872

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	EDWIN A. NESS 0 107,176 0 MARK A. HEPLER 0 13,842 0 PAUL M. SHIRILLA 0 16,196 0 DAVID MCGREAHAM, MD 0 16,468 0 CHRISTOPHER PODGES 0 14,634 0 KATHLEEN MCMANUS 0 15,652 0 SUZANNE K. PETERS 0 10,332 0 MARK R. ANTHONY 0 12,780 0 JAMES P. FISCHER 0 10,398 0 EDWARD CARLSON 209,123 0 0
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	EXECUTIVE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, INCLUDING THE PRESIDENT AND VICE-PRESIDENTS, A COMPETITIVE BENEFIT PACKAGE IS OFFERED WHICH INCLUDES PARTICIPATION IN A SUPPLEMENTAL RETIREMENT PLAN. FOR THE PRESIDENT, THE PLAN PROVIDES A TARGETED BENEFIT AT AGE 62. ANNUAL CONTRIBUTIONS, AT MUNSON'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. FOR VICE-PRESIDENTS, AFTER WORKING FOR MUNSON FOR 3 YEARS, A VICE-PRESIDENT IS ELIGIBLE TO PARTICIPATE IN A NON-QUALIFIED RETIREMENT PLAN, WHICH IS FUNDED ANNUALLY AT THE SOLE DISCRETION OF MUNSON IN AN AMOUNT NOT TO EXCEED 6% OF BASE COMPENSATION. THE PARTICIPANT BECOMES ELIGIBLE FOR THIS BENEFIT UPON THEIR RETIREMENT FROM MUNSON. EXECUTIVE SEVERANCE PLAN: SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, A COMPETITIVE BENEFIT PACKAGE IS OFFERED TO THE PRESIDENT AND VICE-PRESIDENTS WHICH INCLUDES A SEVERANCE PLAN. MUNSON HAS A SEVERANCE PLAN FOR THE PRESIDENT AND THE VICE-PRESIDENT/EXECUTIVE LEVEL POSITIONS WHICH PROVIDES FOR THE PRESIDENT UP TO TWO YEARS OF PAY IN THE EVENT EMPLOYMENT ENDS UNDER CERTAIN CONDITIONS AND ONE-YEAR OF PAY IN THE EVENT EMPLOYMENT ENDS UNDER CERTAIN CONDITIONS. THE PLAN PROVIDES FOR A 50% OFFSET FOR SUBSEQUENT EMPLOYMENT DURING THE SEVERANCE PERIOD. MEDICAL BENEFITS ARE PROVIDED DURING THE SEVERANCE PERIOD.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF GRAND TRAVERSE HOSPITAL F
386004832	386523DK7	2005-11-03	25000000	ADVANCE REFUND 1998	false	false	false
COUNTY OF GRAND TRAVERSE HOSPITAL F
386004832	386523DL5	2005-11-03	30000000	NEW CONSTRUCTION	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Other Spent ProceedsOtherSpentProceeds	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion
27259026	270982	528444	26459600	false	true	true	true
30474818	323467	713293		false	false	true	true	29437958	2007

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	false
false	false	true	true	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
JP MORGAN CHASE
false	true	true	BANK	22.7	false	false	false	true	false
MERRILL LYNCH
false	true	true	CAPITAL SERVICES INC	29.7	false	false	false	true	true

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DIFFERENCES IN ISSUE PRICE EXPLANATION	SCHEDULE K	COUNTY OF GRAND TRAVERSE HOSPITAL F INVESMENT EARNINGS TOTALED 2259026 DURING THE PERIOD BETWEEN THE BOND ISSUE AND THE DATE OF OF THE REFUNDING
ADDITIONAL INFORMATION	SCHEDULE K	COUNTY OF GRAND TRAVERSE HOSPITAL F PART I DESCRIPTION OF PURPOSE THE 2005A ISSUE WAS USED TO ADVANCE REFUND 39 OF THE CALLABLE ORIGINAL PRINCIPAL AMOUNT OF THE COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY HOSPITAL REVENUE AND REFUNDING BONDS MUNSON HEALTHCARE OBLIGATED GROUP SERIES 1998A ISSUED 9198 COUNTY OF GRAND TRAVERSE HOSPITAL F THE 2005B ISSUE FUNDED A PROJECT FOR THE CONSTRUCTION AND EQUIPPING OF A 4STORY ADDITION TO THE HOSPITAL THAT INCLUDED A NEW EMERGENCY ROOM A 60BED ACUTE CARE NURSING UNIT SPACE FOR FUTURE CLINICAL NEEDS AND AN ENERGY CENTER PART III QUESTION 3C MUNSON MEDICAL CENTER MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS THE REVIEW PROCESS INCLUDES A REVIEW BY THE INTERNAL LEGAL DEPARTMENT OUTSIDE COUNSEL MAY BE CONSULTED AS NECESSARY OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTACTS

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MAUREEN CARLSON
FAMILY OF FORME	51839	RELATED FAMILY COMP	false
MEGAN COX
FAMILY OF TRUST	53689	RELATED FAMILY COMP	false
GLORIA WOLF
FAMILY OF TRUST	74634	RELATED FAMILY COMP	false
GRAND TRAVERSE CHILDRENS CLINIC
OWNER ISTRUSTEE	179414	GROUP PRACTICE PHYSI	false
HOSPITALISTS OF NORTHWEST MI
OWNER ISTRUSTEE	4948832	GROUP PRACTICE PHYSI	false
MUNSON SUPPORT SERVICES
E NESS TRUSTEE	2068778	LAUNDRY SERVICES	false
MUNSON SERVICES INC
C PODGESTRUSTEE	2021387	CONTRACT EMPLOYEES	false
PULMONARY AND CRITICAL CARE PHYSICI
OWNER ISTRUSTEE	1361885	GROUP PRACTICE PHYSI	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
RELATED PARTY INFORMATION AMONG OFFICERS	FORM 990, PAGE 6, PART VI, LINE 2	EDWIN A. NESS CHRISTOPHER PODGES PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER EDWIN A. NESS MARK R. ANTHONY PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER EDWIN A. NESS SUZANNE K. PETERS PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER EDWIN A. NESS JAMES P. FISCHER PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER EDWIN A. NESS KATHLEEN MCMANUS PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER EDWIN A. NESS DAVID MCGREAHAM PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER MARK A. HEPLER PAUL M. SHIRILLA CFO KEY EMPLOYEE MUNSON HEALTHCARE EMPLOYER
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	MUNSON MEDICAL CENTER IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS. THE SOLE MEMBER IS MUNSON HEALTHCARE, AN IRS SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. IN THE EVENT OF DISSOLUTION, MUNSON MEDICAL CENTER'S NET ASSETS WOULD BE DISTRIBUTED TO MUNSON HEALTHCARE.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	FOUR TRUSTEES OF MUNSON MEDICAL CENTER ARE DIRECTORS OF MUNSON HEALTHCARE. OTHER TRUSTEES ARE CHOSEN FROM AMONG THOSE NOMINATED BY THE GOVERNANCE COMMITTEE.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	CERTAIN DECISIONS OF THE MUNSON MEDICAL CENTER TRUSTEES ARE APPROVED BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS INCLUDING THE ACCEPTANCE OF THE ANNUAL BUDGET, AND ANNUAL FINANCIAL STATEMENTS, INCURRENCE OF CERTAIN DEBT, AND APPOINTMENT OF THE PRESIDENT.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE MUNSON MEDICAL CENTER BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON MEDICAL CENTER BELONGS TO THE MUNSON HEALTHCARE SYSTEM. AT THE CORPORATE LEVEL, THE RESPONSIBLE INDIVIDUALS FROM THE FINANCE, ADMINISTRATION, BUSINESS, LEGAL, HUMAN RESOURCES, PUBLIC RELATIONS, AND FUND DEVELOPMENT DEPARTMENTS PREPARE AND REVIEW PORTIONS OF THE FORM 990. BOARD COMMITTEES THEN FURTHER REVIEW SPECIFIC DISCLOSURES. THE COMPENSATION 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 REVIEWS MUNSON HEALTHCARE, MUNSON MEDICAL CENTER, MUNSON HEALTHCARE REGIONAL FOUNDATION, AND SELECTED OTHER SYSTEM ENTITY FORMS 990 ON AN ANNUAL BASIS.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE MUNSON MEDICAL CENTER BOARD HAS A STANDING CONFLICT, VALUATION, AND COMPLIANCE ("CVC") COMMITTEE. ANY TRANSACTIONS WITH DISQUALIFIED PERSONS ARE SUBJECT TO PRIOR APPROVAL OF FAIR MARKET VALUE BY THE CVC COMMITTEE. ANNUALLY, THE CVC COMMITTEE DIRECTS THE PROCESS FOR EACH TRUSTEE AND KEY EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THE RESPONSES ARE REVIEWED AND SUMMARIZED BY MUNSON MEDICAL CENTER'S LEGAL DEPARTMENT. A REPORT OF IDENTIFIED CONFLICTS IS PRESENTED TO THE CVC COMMITTEE FOR ITS REVIEW AND APPROVAL. THE CVC COMMITTEE UTILIZES THE QUESTIONNAIRE RESPONSES TO EVALUATE ANY TRANSACTION WITH A POTENTIAL CONFLICT.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE PROCESS FOR DETERMINING APPROPRIATE LEVELS OF PAY FOR EXECUTIVE POSITIONS WITHIN MUNSON HEALTHCARE IS CAREFULLY AND THOUGHTFULLY DIRECTED BY THE 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 MHC'S COMPENSATION PRACTICES AND LEVELS ARE INDEPENDENTLY REVIEWED WHILE BEING COMPETITIVE AND REASONABLE. 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 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.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	COMPENSATION OF OTHER KEY EMPLOYEES IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON MEDICAL CENTER.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE MUNSON MEDICAL CENTER ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON MEDICAL CENTER 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. ADDITIONALLY, MUNSON MEDICAL CENTER PREPARES AND DISTRIBUTES AN ANNUAL REPORT TO THE COMMUNITY, WHICH CONTAINS FINANCIAL AS WELL AS PROGRAM DATA.
GROUP RETURN METHOD	FORM 990, PAGE 7, PART VII	PARENT ORGANIZATION HAS FILED A SEPARATE RETURN
RELATED ORGANIZATIONS	FORM 990, PAGE 7, PART VII	EDWIN A. NESS WAS PRESIDENT OF MUNSON HEALTHCARE AND ALLOCATED 95% OF HIS TIME TO MUNSON HEALTHCARE SYSTEM MATTERS AND 5% OF HIS TIME TO THE MUNSON HEALTHCARE REGIONAL FOUNDATION. MARK HEPLER, CFO, ALLOCATES 30% OF HIS TIME TO MUNSON HEALTHCARE, SYSTEM PARENT ORGANIZATION; 70% TO MUNSON MEDICAL CENTER; AND LESS THAN AN HOUR A WEEK TO THE REMAINING ORGANIZATIONS IN THE MUNSON HEALTHCARE SYSTEM IN HIS CAPACITY AS CFO FOR ALL MUNSON SYSTEM ORGANIZATIONS. PAUL M. SHIRILLA, VICE PRESIDENT OF GENERAL COUNSEL FOR THE MUNSON HEALTHCARE SYSTEM, ALLOCATES 85% OF HIS TIME TO SYSTEM MATTERS AND 15% TO MUNSON MEDICAL CENTER. KATHLEEN MCMANUS, SENIOR VICE PRESIDENT OF MUNSON MEDICAL CENTER, ALLOCATES 90% OF HER TIME TO MUNSON MEDICAL CENTER AND THE REMAINDER TO SYSTEM ENTITIES. MARK ANTHONY IS A VICE PRESIDENT FOR MUNSON MEDICAL CENTER AND ALLOCATES 95% OF THIS TIME TO THAT COMPANY. HE DEVOTES APPROXIMATELY 2-3 HOURS A WEEK TO MUNSON MOBILE IMAGING AND GREAT LAKES MOBILE PET AS PRESIDENT OF BOTH ENTITIES.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	THE OTHER CHANGES IN NET ASSETS INCLUDE THE FOLLOWING ITEMS: CHANGE IN MINIMUM PENSION LIABILITY 26,582,239 UNREALIZED GAINS ON POOLED INVESTMENT ACCOUNTS 14,254,237 CHANGE IN VALUE OF INTEREST RATE SWAPS 1,763,406 CHANGE IN INVESTMENT VALUE OF ASSETS HELD AT THE FOUNDATION 855,878 TRANSFERS TO AFFILIATES (6,324,457) TOTAL 37,131,303

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Business Name Line2DirectControllingEntityName/BusinessNameLine2	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
MUNSON DIALYSIS CENTER
1105 SIXTH ST	TRAVERSE CITY	MI	49684	383097861	DIALYSIS	MI	(C)(3)	3	MUNSON HC	MUNSON HEALTHCARE	false
MUNSON HEALTHCARE
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382640544	HEALTHCARE	MI	(C)(3)	11B			false	N/A
MUNSON HEALTHCARE REGIONAL FOUNDATI
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382642724	RAISE FUND	MI	(C)(3)	7	MUNSON HC	MUNSON HEALTHCARE	false
MUNSON HOME CARE
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382191390	HOME HEALT	MI	(C)(3)	9	MUN HOME H	MUNSON HOME HEALTH	false
MUNSON HOME HEALTH
1105 SIXTH ST	TRAVERSE CITY	MI	49684	383335362	HOME HEALT	MI	(C)(3)	11B	MUNSON HC	MUNSON HEALTHCARE	false
MUNSON HOME SERVICES
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382543463	HOME HEALT	MI	(C)(3)	9	MUN HOME H	MUNSON HOME HEALTH	false
MUNSON MOBILE IMAGING INC
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382704069	HEALTHCARE	MI	(C)(4)		MUNSON HC	MUNSON HEALTHCARE	false
NORTH FLIGHT INC
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382657917	MED TRANSP	MI	(C)(3)	11B	MUNSON HC	MUNSON HEALTHCARE	false
PAUL OLIVER MEMORIAL HOSPITAL
1105 SIXTH ST	TRAVERSE CITY	MI	49684	381415623	HEALTHCARE	MI	(C)(3)	3	MUNSON HC	MUNSON HEALTHCARE	false
PAUL OLIVER MEMORIAL HOSPITAL FOUND
1105 SIXTH ST	TRAVERSE CITY	MI	49684	237201619	RAISE FUND	MI	(C)(3)	7	PAUL OLV H	PAUL OLIVER MEMORIAL HOSPITAL	false
MUNSON MEDICAL GROUP
1105 SIXTH ST	TRAVERSE CITY	MI	49684	273600575	PHYSICIAN	MI	(C)(3)	9	MUNSON MED	MUNSON MEDICAL CENTER	true

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Business Name Line2DirectControllingEntityName/BusinessNameLine2	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
MUNSON MEDICAL BUILDING PARTNERS
PO BOX 1188	TRAVERSE CITY	MI	496851188	382830005	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	RELATED	217973	1809871	false	true	0.56540
NORTHERN MICHIGAN SUPPLY ALLIANCE
2651 AERO PARK DR	TRAVERSE CITY	MI	49686	383453378	PURCHASING	MI						false	false		N/A
MUNSON MEDICAL BUILDING PARTNERS
PO BOX 1188	TRAVERSE CITY	MI	496851188	382830005	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	RELATED	217973	1809871	false	true	0.56540
NORTHERN MICHIGAN SUPPLY ALLIANCE
2651 AERO PARK DR	TRAVERSE CITY	MI	49686	383453378	PURCHASING	MI						false	false		N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Business Name Line2NameOfRelatedOrg/BusinessNameLine2	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Business Name Line2DirectControllingEntityName/BusinessNameLine2	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
MEDICAL OFFICE CONDOMINIUM
MEDICAL OFFICE CONDOMINIUM	PO BOX 1188	TRAVERSE CITY	MI	496851188	201902620	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	C CORP	171696	33579	0.74000
SIXTH STREET DRUGS
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382298290	PHARMACY	MI							N/A
MUNSON SUPPORT SERVICES
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382872821	LAUNDRY	MI	MUNSON MED	MUNSON MEDICAL CENTER	C CORP	4262322	4697275	1.00000
MUNSON SERVICES INC
	PO BOX 1188	TRAVERSE CITY	MI	496851188	383144382	PHARMACY	MI							N/A
MEDICAL OFFICE BUILDING CONDOMINIUM
MEDICAL OFFICE BUILDING CONDOMINIUM	PO BOX 1188	TRAVERSE CITY	MI	496851188	383567278	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	C CORP	49382	50486	1.00000
MEDICAL OFFICE CONDOMINIUM
MEDICAL OFFICE CONDOMINIUM	PO BOX 1188	TRAVERSE CITY	MI	496851188	201902620	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	C CORP	171696	33579	0.74000
SIXTH STREET DRUGS
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382298290	PHARMACY	MI							N/A
MUNSON SUPPORT SERVICES
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382872821	LAUNDRY	MI	MUNSON MED	MUNSON MEDICAL CENTER	C CORP	4262322	4697275	1.00000
MUNSON SERVICES INC
	PO BOX 1188	TRAVERSE CITY	MI	496851188	383144382	PHARMACY	MI							N/A
MEDICAL OFFICE BUILDING CONDOMINIUM
MEDICAL OFFICE BUILDING CONDOMINIUM	PO BOX 1188	TRAVERSE CITY	MI	496851188	383567278	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	C CORP	49382	50486	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (468 entries)

Business Name Line2NameOfOtherOrganization/BusinessNameLine2	Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	219689	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	177622	FMV
MUNSON DIALYSIS CENTER
	K	117888	FMV
MUNSON DIALYSIS CENTER
	P	968479	FMV
MUNSON DIALYSIS CENTER
	N	1769724	FMV
MUNSON HEALTHCARE
	B	3000000	FMV
MUNSON HEALTHCARE
	D	175000	FMV
MUNSON HEALTHCARE
	L	1296936	FMV
MUNSON HEALTHCARE
	N	537361	FMV
MUNSON HEALTHCARE
	O	3801201	FMV
MUNSON HEALTHCARE
	P	6803977	FMV
MUNSON HEALTHCARE
	R	2017267	FMV
MUNSON HEALTHCARE
	E	175000	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	885750	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	541361	FMV
MUNSON HOME CARE
	I	131462	FMV
MUNSON HOME CARE
	K	171983	FMV
MUNSON HOME CARE
	P	13958889	FMV
MUNSON HOME CARE
	R	418000	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	P	1907512	FMV
MUNSON HOME SERVICES
	K	147425	FMV
MUNSON HOME SERVICES
	P	3563145	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	634584	FMV
MUNSON MEDICAL BUILDING PARTNERS
	Q	634584	FMV
MUNSON MEDICAL GROUP
	B	3324457	FMV
MUNSON MEDICAL GROUP
	D	900000	FMV
MUNSON MEDICAL GROUP
	O	230660	FMV
MUNSON MEDICAL GROUP
	P	2625033	FMV
MUNSON MEDICAL GROUP
	N	1173909	FMV
MUNSON MOBILE IMAGING
	O	54837	FMV
MUNSON MOBILE IMAGING
	P	1214143	FMV
MUNSON SERVICES INC
	K	93329	FMV
MUNSON SERVICES INC
	N	2021387	FMV
MUNSON SERVICES INC
	P	55870	FMV
MUNSON SERVICES INC
	O	64212	FMV
MUNSON SUPPORT SERVICES
	L	2086049	FMV
MUNSON SUPPORT SERVICES
	P	2165095	FMV
NORTH FLIGHT INC
	L	55783	FMV
NORTH FLIGHT INC
	P	6400955	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	10306000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	17315778	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	R	10181000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	473916	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	2753851	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	1688687	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	939935	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	O	182903	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	5629919	FMV
SIXTH STREET CONDO ASSOCIATION
	J	130178	FMV
SIXTH STREET CONDO ASSOCIATION
	P	240132	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	219689	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	177622	FMV
MUNSON DIALYSIS CENTER
	K	117888	FMV
MUNSON DIALYSIS CENTER
	P	968479	FMV
MUNSON DIALYSIS CENTER
	N	1769724	FMV
MUNSON HEALTHCARE
	B	3000000	FMV
MUNSON HEALTHCARE
	D	175000	FMV
MUNSON HEALTHCARE
	L	1296936	FMV
MUNSON HEALTHCARE
	N	537361	FMV
MUNSON HEALTHCARE
	O	3801201	FMV
MUNSON HEALTHCARE
	P	6803977	FMV
MUNSON HEALTHCARE
	R	2017267	FMV
MUNSON HEALTHCARE
	E	175000	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	885750	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	541361	FMV
MUNSON HOME CARE
	I	131462	FMV
MUNSON HOME CARE
	K	171983	FMV
MUNSON HOME CARE
	P	13958889	FMV
MUNSON HOME CARE
	R	418000	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	P	1907512	FMV
MUNSON HOME SERVICES
	K	147425	FMV
MUNSON HOME SERVICES
	P	3563145	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	634584	FMV
MUNSON MEDICAL BUILDING PARTNERS
	Q	634584	FMV
MUNSON MEDICAL GROUP
	B	3324457	FMV
MUNSON MEDICAL GROUP
	D	900000	FMV
MUNSON MEDICAL GROUP
	O	230660	FMV
MUNSON MEDICAL GROUP
	P	2625033	FMV
MUNSON MEDICAL GROUP
	N	1173909	FMV
MUNSON MOBILE IMAGING
	O	54837	FMV
MUNSON MOBILE IMAGING
	P	1214143	FMV
MUNSON SERVICES INC
	K	93329	FMV
MUNSON SERVICES INC
	N	2021387	FMV
MUNSON SERVICES INC
	P	55870	FMV
MUNSON SERVICES INC
	O	64212	FMV
MUNSON SUPPORT SERVICES
	L	2086049	FMV
MUNSON SUPPORT SERVICES
	P	2165095	FMV
NORTH FLIGHT INC
	L	55783	FMV
NORTH FLIGHT INC
	P	6400955	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	10306000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	17315778	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	R	10181000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	473916	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	2753851	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	1688687	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	939935	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	O	182903	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	5629919	FMV
SIXTH STREET CONDO ASSOCIATION
	J	130178	FMV
SIXTH STREET CONDO ASSOCIATION
	P	240132	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	219689	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	177622	FMV
MUNSON DIALYSIS CENTER
	K	117888	FMV
MUNSON DIALYSIS CENTER
	P	968479	FMV
MUNSON DIALYSIS CENTER
	N	1769724	FMV
MUNSON HEALTHCARE
	B	3000000	FMV
MUNSON HEALTHCARE
	D	175000	FMV
MUNSON HEALTHCARE
	L	1296936	FMV
MUNSON HEALTHCARE
	N	537361	FMV
MUNSON HEALTHCARE
	O	3801201	FMV
MUNSON HEALTHCARE
	P	6803977	FMV
MUNSON HEALTHCARE
	R	2017267	FMV
MUNSON HEALTHCARE
	E	175000	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	885750	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	541361	FMV
MUNSON HOME CARE
	I	131462	FMV
MUNSON HOME CARE
	K	171983	FMV
MUNSON HOME CARE
	P	13958889	FMV
MUNSON HOME CARE
	R	418000	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	P	1907512	FMV
MUNSON HOME SERVICES
	K	147425	FMV
MUNSON HOME SERVICES
	P	3563145	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	634584	FMV
MUNSON MEDICAL BUILDING PARTNERS
	Q	634584	FMV
MUNSON MEDICAL GROUP
	B	3324457	FMV
MUNSON MEDICAL GROUP
	D	900000	FMV
MUNSON MEDICAL GROUP
	O	230660	FMV
MUNSON MEDICAL GROUP
	P	2625033	FMV
MUNSON MEDICAL GROUP
	N	1173909	FMV
MUNSON MOBILE IMAGING
	O	54837	FMV
MUNSON MOBILE IMAGING
	P	1214143	FMV
MUNSON SERVICES INC
	K	93329	FMV
MUNSON SERVICES INC
	N	2021387	FMV
MUNSON SERVICES INC
	P	55870	FMV
MUNSON SERVICES INC
	O	64212	FMV
MUNSON SUPPORT SERVICES
	L	2086049	FMV
MUNSON SUPPORT SERVICES
	P	2165095	FMV
NORTH FLIGHT INC
	L	55783	FMV
NORTH FLIGHT INC
	P	6400955	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	10306000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	17315778	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	R	10181000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	473916	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	2753851	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	1688687	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	939935	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	O	182903	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	5629919	FMV
SIXTH STREET CONDO ASSOCIATION
	J	130178	FMV
SIXTH STREET CONDO ASSOCIATION
	P	240132	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	219689	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	177622	FMV
MUNSON DIALYSIS CENTER
	K	117888	FMV
MUNSON DIALYSIS CENTER
	P	968479	FMV
MUNSON DIALYSIS CENTER
	N	1769724	FMV
MUNSON HEALTHCARE
	B	3000000	FMV
MUNSON HEALTHCARE
	D	175000	FMV
MUNSON HEALTHCARE
	L	1296936	FMV
MUNSON HEALTHCARE
	N	537361	FMV
MUNSON HEALTHCARE
	O	3801201	FMV
MUNSON HEALTHCARE
	P	6803977	FMV
MUNSON HEALTHCARE
	R	2017267	FMV
MUNSON HEALTHCARE
	E	175000	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	885750	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	541361	FMV
MUNSON HOME CARE
	I	131462	FMV
MUNSON HOME CARE
	K	171983	FMV
MUNSON HOME CARE
	P	13958889	FMV
MUNSON HOME CARE
	R	418000	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	P	1907512	FMV
MUNSON HOME SERVICES
	K	147425	FMV
MUNSON HOME SERVICES
	P	3563145	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	634584	FMV
MUNSON MEDICAL BUILDING PARTNERS
	Q	634584	FMV
MUNSON MEDICAL GROUP
	B	3324457	FMV
MUNSON MEDICAL GROUP
	D	900000	FMV
MUNSON MEDICAL GROUP
	O	230660	FMV
MUNSON MEDICAL GROUP
	P	2625033	FMV
MUNSON MEDICAL GROUP
	N	1173909	FMV
MUNSON MOBILE IMAGING
	O	54837	FMV
MUNSON MOBILE IMAGING
	P	1214143	FMV
MUNSON SERVICES INC
	K	93329	FMV
MUNSON SERVICES INC
	N	2021387	FMV
MUNSON SERVICES INC
	P	55870	FMV
MUNSON SERVICES INC
	O	64212	FMV
MUNSON SUPPORT SERVICES
	L	2086049	FMV
MUNSON SUPPORT SERVICES
	P	2165095	FMV
NORTH FLIGHT INC
	L	55783	FMV
NORTH FLIGHT INC
	P	6400955	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	10306000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	17315778	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	R	10181000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	473916	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	2753851	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	1688687	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	939935	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	O	182903	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	5629919	FMV
SIXTH STREET CONDO ASSOCIATION
	J	130178	FMV
SIXTH STREET CONDO ASSOCIATION
	P	240132	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	219689	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	177622	FMV
MUNSON DIALYSIS CENTER
	K	117888	FMV
MUNSON DIALYSIS CENTER
	P	968479	FMV
MUNSON DIALYSIS CENTER
	N	1769724	FMV
MUNSON HEALTHCARE
	B	3000000	FMV
MUNSON HEALTHCARE
	D	175000	FMV
MUNSON HEALTHCARE
	L	1296936	FMV
MUNSON HEALTHCARE
	N	537361	FMV
MUNSON HEALTHCARE
	O	3801201	FMV
MUNSON HEALTHCARE
	P	6803977	FMV
MUNSON HEALTHCARE
	R	2017267	FMV
MUNSON HEALTHCARE
	E	175000	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	885750	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	541361	FMV
MUNSON HOME CARE
	I	131462	FMV
MUNSON HOME CARE
	K	171983	FMV
MUNSON HOME CARE
	P	13958889	FMV
MUNSON HOME CARE
	R	418000	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	P	1907512	FMV
MUNSON HOME SERVICES
	K	147425	FMV
MUNSON HOME SERVICES
	P	3563145	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	634584	FMV
MUNSON MEDICAL BUILDING PARTNERS
	Q	634584	FMV
MUNSON MEDICAL GROUP
	B	3324457	FMV
MUNSON MEDICAL GROUP
	D	900000	FMV
MUNSON MEDICAL GROUP
	O	230660	FMV
MUNSON MEDICAL GROUP
	P	2625033	FMV
MUNSON MEDICAL GROUP
	N	1173909	FMV
MUNSON MOBILE IMAGING
	O	54837	FMV
MUNSON MOBILE IMAGING
	P	1214143	FMV
MUNSON SERVICES INC
	K	93329	FMV
MUNSON SERVICES INC
	N	2021387	FMV
MUNSON SERVICES INC
	P	55870	FMV
MUNSON SERVICES INC
	O	64212	FMV
MUNSON SUPPORT SERVICES
	L	2086049	FMV
MUNSON SUPPORT SERVICES
	P	2165095	FMV
NORTH FLIGHT INC
	L	55783	FMV
NORTH FLIGHT INC
	P	6400955	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	10306000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	17315778	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	R	10181000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	473916	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	2753851	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	1688687	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	939935	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	O	182903	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	5629919	FMV
SIXTH STREET CONDO ASSOCIATION
	J	130178	FMV
SIXTH STREET CONDO ASSOCIATION
	P	240132	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	219689	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	177622	FMV
MUNSON DIALYSIS CENTER
	K	117888	FMV
MUNSON DIALYSIS CENTER
	P	968479	FMV
MUNSON DIALYSIS CENTER
	N	1769724	FMV
MUNSON HEALTHCARE
	B	3000000	FMV
MUNSON HEALTHCARE
	D	175000	FMV
MUNSON HEALTHCARE
	L	1296936	FMV
MUNSON HEALTHCARE
	N	537361	FMV
MUNSON HEALTHCARE
	O	3801201	FMV
MUNSON HEALTHCARE
	P	6803977	FMV
MUNSON HEALTHCARE
	R	2017267	FMV
MUNSON HEALTHCARE
	E	175000	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	885750	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	541361	FMV
MUNSON HOME CARE
	I	131462	FMV
MUNSON HOME CARE
	K	171983	FMV
MUNSON HOME CARE
	P	13958889	FMV
MUNSON HOME CARE
	R	418000	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	P	1907512	FMV
MUNSON HOME SERVICES
	K	147425	FMV
MUNSON HOME SERVICES
	P	3563145	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	634584	FMV
MUNSON MEDICAL BUILDING PARTNERS
	Q	634584	FMV
MUNSON MEDICAL GROUP
	B	3324457	FMV
MUNSON MEDICAL GROUP
	D	900000	FMV
MUNSON MEDICAL GROUP
	O	230660	FMV
MUNSON MEDICAL GROUP
	P	2625033	FMV
MUNSON MEDICAL GROUP
	N	1173909	FMV
MUNSON MOBILE IMAGING
	O	54837	FMV
MUNSON MOBILE IMAGING
	P	1214143	FMV
MUNSON SERVICES INC
	K	93329	FMV
MUNSON SERVICES INC
	N	2021387	FMV
MUNSON SERVICES INC
	P	55870	FMV
MUNSON SERVICES INC
	O	64212	FMV
MUNSON SUPPORT SERVICES
	L	2086049	FMV
MUNSON SUPPORT SERVICES
	P	2165095	FMV
NORTH FLIGHT INC
	L	55783	FMV
NORTH FLIGHT INC
	P	6400955	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	10306000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	17315778	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	R	10181000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	473916	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	2753851	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	1688687	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	939935	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	O	182903	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	5629919	FMV
SIXTH STREET CONDO ASSOCIATION
	J	130178	FMV
SIXTH STREET CONDO ASSOCIATION
	P	240132	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	219689	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	177622	FMV
MUNSON DIALYSIS CENTER
	K	117888	FMV
MUNSON DIALYSIS CENTER
	P	968479	FMV
MUNSON DIALYSIS CENTER
	N	1769724	FMV
MUNSON HEALTHCARE
	B	3000000	FMV
MUNSON HEALTHCARE
	D	175000	FMV
MUNSON HEALTHCARE
	L	1296936	FMV
MUNSON HEALTHCARE
	N	537361	FMV
MUNSON HEALTHCARE
	O	3801201	FMV
MUNSON HEALTHCARE
	P	6803977	FMV
MUNSON HEALTHCARE
	R	2017267	FMV
MUNSON HEALTHCARE
	E	175000	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	885750	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	541361	FMV
MUNSON HOME CARE
	I	131462	FMV
MUNSON HOME CARE
	K	171983	FMV
MUNSON HOME CARE
	P	13958889	FMV
MUNSON HOME CARE
	R	418000	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	P	1907512	FMV
MUNSON HOME SERVICES
	K	147425	FMV
MUNSON HOME SERVICES
	P	3563145	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	634584	FMV
MUNSON MEDICAL BUILDING PARTNERS
	Q	634584	FMV
MUNSON MEDICAL GROUP
	B	3324457	FMV
MUNSON MEDICAL GROUP
	D	900000	FMV
MUNSON MEDICAL GROUP
	O	230660	FMV
MUNSON MEDICAL GROUP
	P	2625033	FMV
MUNSON MEDICAL GROUP
	N	1173909	FMV
MUNSON MOBILE IMAGING
	O	54837	FMV
MUNSON MOBILE IMAGING
	P	1214143	FMV
MUNSON SERVICES INC
	K	93329	FMV
MUNSON SERVICES INC
	N	2021387	FMV
MUNSON SERVICES INC
	P	55870	FMV
MUNSON SERVICES INC
	O	64212	FMV
MUNSON SUPPORT SERVICES
	L	2086049	FMV
MUNSON SUPPORT SERVICES
	P	2165095	FMV
NORTH FLIGHT INC
	L	55783	FMV
NORTH FLIGHT INC
	P	6400955	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	10306000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	17315778	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	R	10181000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	473916	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	2753851	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	1688687	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	939935	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	O	182903	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	5629919	FMV
SIXTH STREET CONDO ASSOCIATION
	J	130178	FMV
SIXTH STREET CONDO ASSOCIATION
	P	240132	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	219689	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	177622	FMV
MUNSON DIALYSIS CENTER
	K	117888	FMV
MUNSON DIALYSIS CENTER
	P	968479	FMV
MUNSON DIALYSIS CENTER
	N	1769724	FMV
MUNSON HEALTHCARE
	B	3000000	FMV
MUNSON HEALTHCARE
	D	175000	FMV
MUNSON HEALTHCARE
	L	1296936	FMV
MUNSON HEALTHCARE
	N	537361	FMV
MUNSON HEALTHCARE
	O	3801201	FMV
MUNSON HEALTHCARE
	P	6803977	FMV
MUNSON HEALTHCARE
	R	2017267	FMV
MUNSON HEALTHCARE
	E	175000	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	885750	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	541361	FMV
MUNSON HOME CARE
	I	131462	FMV
MUNSON HOME CARE
	K	171983	FMV
MUNSON HOME CARE
	P	13958889	FMV
MUNSON HOME CARE
	R	418000	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	P	1907512	FMV
MUNSON HOME SERVICES
	K	147425	FMV
MUNSON HOME SERVICES
	P	3563145	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	634584	FMV
MUNSON MEDICAL BUILDING PARTNERS
	Q	634584	FMV
MUNSON MEDICAL GROUP
	B	3324457	FMV
MUNSON MEDICAL GROUP
	D	900000	FMV
MUNSON MEDICAL GROUP
	O	230660	FMV
MUNSON MEDICAL GROUP
	P	2625033	FMV
MUNSON MEDICAL GROUP
	N	1173909	FMV
MUNSON MOBILE IMAGING
	O	54837	FMV
MUNSON MOBILE IMAGING
	P	1214143	FMV
MUNSON SERVICES INC
	K	93329	FMV
MUNSON SERVICES INC
	N	2021387	FMV
MUNSON SERVICES INC
	P	55870	FMV
MUNSON SERVICES INC
	O	64212	FMV
MUNSON SUPPORT SERVICES
	L	2086049	FMV
MUNSON SUPPORT SERVICES
	P	2165095	FMV
NORTH FLIGHT INC
	L	55783	FMV
NORTH FLIGHT INC
	P	6400955	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	10306000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	17315778	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	R	10181000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	473916	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	2753851	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	1688687	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	939935	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	O	182903	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	5629919	FMV
SIXTH STREET CONDO ASSOCIATION
	J	130178	FMV
SIXTH STREET CONDO ASSOCIATION
	P	240132	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	219689	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	177622	FMV
MUNSON DIALYSIS CENTER
	K	117888	FMV
MUNSON DIALYSIS CENTER
	P	968479	FMV
MUNSON DIALYSIS CENTER
	N	1769724	FMV
MUNSON HEALTHCARE
	B	3000000	FMV
MUNSON HEALTHCARE
	D	175000	FMV
MUNSON HEALTHCARE
	L	1296936	FMV
MUNSON HEALTHCARE
	N	537361	FMV
MUNSON HEALTHCARE
	O	3801201	FMV
MUNSON HEALTHCARE
	P	6803977	FMV
MUNSON HEALTHCARE
	R	2017267	FMV
MUNSON HEALTHCARE
	E	175000	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	885750	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	541361	FMV
MUNSON HOME CARE
	I	131462	FMV
MUNSON HOME CARE
	K	171983	FMV
MUNSON HOME CARE
	P	13958889	FMV
MUNSON HOME CARE
	R	418000	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	P	1907512	FMV
MUNSON HOME SERVICES
	K	147425	FMV
MUNSON HOME SERVICES
	P	3563145	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	634584	FMV
MUNSON MEDICAL BUILDING PARTNERS
	Q	634584	FMV
MUNSON MEDICAL GROUP
	B	3324457	FMV
MUNSON MEDICAL GROUP
	D	900000	FMV
MUNSON MEDICAL GROUP
	O	230660	FMV
MUNSON MEDICAL GROUP
	P	2625033	FMV
MUNSON MEDICAL GROUP
	N	1173909	FMV
MUNSON MOBILE IMAGING
	O	54837	FMV
MUNSON MOBILE IMAGING
	P	1214143	FMV
MUNSON SERVICES INC
	K	93329	FMV
MUNSON SERVICES INC
	N	2021387	FMV
MUNSON SERVICES INC
	P	55870	FMV
MUNSON SERVICES INC
	O	64212	FMV
MUNSON SUPPORT SERVICES
	L	2086049	FMV
MUNSON SUPPORT SERVICES
	P	2165095	FMV
NORTH FLIGHT INC
	L	55783	FMV
NORTH FLIGHT INC
	P	6400955	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	10306000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	17315778	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	R	10181000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	473916	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	2753851	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	1688687	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	939935	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	O	182903	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	5629919	FMV
SIXTH STREET CONDO ASSOCIATION
	J	130178	FMV
SIXTH STREET CONDO ASSOCIATION
	P	240132	FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE R	ReturnReference
Explanation	MUNSON MEDICAL CENTER 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	Explanation