2011-05-13T12:35:01-05:00 2010-06-30 990 2009-07-01 381362830 MUNSON MEDICAL CENTER MUNS 2319355000 PO BOX 1188 TRAVERSE CITY MI 496851188 MARK A HEPLER 2319355000 2011-05-11 2009 2016-02-24 21:20:13Z EDWIN A NESS 1105 SIXTH ST TRAVERSE CITY MI 49684 456525531 false X WWW.MUNSONHEALTHCARE.ORG X 1947 MI AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS. 20 13 4169 450 3227 1904 2523134 2339335 398371561 431377303 -10124012 14957443 4492234 4391805 395262917 453065886 17493 50778 0 201611452 213178649 0 510695 181991545 198083904 383620490 411313331 11642427 41752555 484188280 527853976 280955090 296258478 203233190 231595498 AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS. false false 371742755 50778 433125003 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. 371742755 true true false true false false false false true true false true false false false false false false false false true false true true true true false false false false false false false true true false false false false false true true true false true 357 0 true 4169 true true true false false false false false false false false 20 13 true false false false true true true true true false false true true true true true true true true true false X MUNSON HEALTHCARE 2319357777 3668 N US 31 S TRAVERSE CITY MI 49684 K DOUGLAS DECK X 0 723328 199097 EDWIN A NESS 36.00 X X 494002 0 130229 WARD R GILLETT MD 8.00 X 27500 0 0 THOMAS G MCINTYRE 4.00 X 0 24500 0 ROBERT W SPRUNK 8.00 X X 21500 0 0 EDWARD J RUTKOWSKI MD 8.00 X X 15500 0 0 CARL G BENNER MD 4.00 X 12500 0 0 DANIEL T WOLF 4.00 X 0 12500 0 DAVID FRIAR MD 4.00 X 12500 0 0 GORDON H WINSTANLEY 4.00 X 12500 0 0 JOHN ERB 4.00 X X 12500 0 0 JOSEPH KOSTRZEWA 4.00 X 12500 0 0 MICHAEL D SIMPSON 4.00 X 12500 0 0 NANCY FISHER 4.00 X 12500 0 0 SHIRLANNA CORREIA 4.00 X 12500 0 0 GEORGE BEARUP 6.00 X X 12500 0 0 REX ANTINOZZI MD 6.00 X X 12500 0 0 PATRICK E HEINTZ 4.00 X 9375 0 0 JOHN E PELIZZARI 4.00 X 0 0 0 THOMAS H FOX 4.00 X 0 0 0 MARK A HEPLER 28.00 X 0 218496 38148 DAVID MCGREAHAM MD 40.00 X 307622 0 42502 PAUL M SHIRILLA 6.00 X 0 302573 39057 CHRISTOPHER PODGES 40.00 X 271174 0 44223 MARK R ANTHONY 40.00 X 244843 0 25501 KATHLEEN MCMANUS 36.00 X 0 240130 33897 SUZANNE K PETERS 40.00 X 196697 0 29141 JAMES P FISCHER 40.00 X 194717 0 36577 THOMAS SCHERMERHORN MD 40.00 X 757774 0 37367 AHMET SEVIMLI MD 40.00 X 334456 0 27367 DAVID B MARTIN MD 40.00 X 303645 0 23434 KAREN M SPEIRS DO 40.00 X 299182 0 18641 STEVEN YOUNG MD 40.00 X 247917 0 28116 EDWARD CARLSON 40.00 X 133078 168586 22771 3983982 1690113 776068 116 true true false HOSPITALISTS OF NORTHWEST MICHIGAN PO BOX 107 TRAVERSE CITY MI 496850107 MEDICAL SERVICE 3749354 D W MECHANICAL 1266 INDUSTRY DR TRAVERSE CITY MI 49686 CONSTRUCTION 1945727 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 LABORATORY SRV 1718763 SODEXO INC AND AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 DIETARY 1436617 CARDIOTHORACIC SURGEONS GT PC 107 S CASS ST TRAVERSE CITY MI 49684 MEDICAL SERVICE 1129661 59 943292 1264996 131047 2339335 MEDICARE AND MEDICAID PMTS 621990 233581629 233581629 PATIENT SERVICE REVENUE 621990 193743409 193743409 SERVICES TO OTHER ORGANIZATIO 621990 2114877 2114877 HEALTH SERVICE REVENUE 621990 1545883 1545883 RENT FROM RELATED ORGS 531120 391505 391505 431377303 5570900 1744473 3826427 91484 91484 91484 91484 12776268 7275 3397000 9379268 7275 9386543 9386543 65872 62645 3227 3227 CAFETERIA SALES 722210 3374432 3374432 MISCELLANEOUS 621990 571452 571452 AUXILIARY GIFT SHOP 446199 351210 351210 4297094 453065886 433121776 3227 17601548 50778 50778 2216104 2184892 31212 245958 112880 133078 156611030 139770850 16840180 16545244 14766730 1778514 25901503 22910580 2990923 11658810 10274200 1382796 1814 371217 371217 248160 248160 30294946 25530531 4286746 477669 456174 94785 361389 109553604 107191266 2362338 9325062 3545323 5779739 7074135 6364130 710005 450617 360188 90429 1026960 821456 205504 2508269 2266974 241295 24498398 22141652 2356746 3436781 2974819 461962 BAD DEBT 13490465 13490465 REPAIRS AND MAINTENANCE 3737477 3496734 240743 MISCELLANEOUS 2884509 1025748 1858761 REALIZED SWAP EXPENSE 1458347 1458347 GRANT EXPENSES 544343 544343 -13275560 -5991677 -7283883 411313331 371742755 39059881 510695 236448 73924 34428561 67875851 155787 44991 51913211 50218599 10510572 10855157 6847544 8111013 451673283 215181682 236722641 236491601 126777781 141154640 9564265 7390786 7031470 5637414 484188280 527853976 38848147 40083572 390235 127580 136225691 132699291 105491017 123348035 280955090 296258478 X 201995246 229338073 1237944 2257425 203233190 231595498 484188280 527853976 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false true true false false false true 6900 true 572 false false 7472 false false false false false false false false false false false false 128015726 2073910 14807677 1054734 430514 143412065 151976653 815757 -20538618 4238065 128015726 0.98430 0.01570 false true true 10968830 10968830 266345560 107198837 159146723 43933 43933 166437250 106598652 59838598 7877710 1340260 6537450 236491601 MINIMUM PENSION LIABILITY 90384257 DEFERRED POST RETIREMENT BENEFITS 11656912 RESERVE FOR THIRD PARTY SETTLEMENTS 11000000 SWAP MARKET VALUE BASIS 6909564 ESTIMATED THIRD PARTY SETTLEMENTS 3397302 123348035 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE BOARD OF TRUSTEES DESIGNATES SUBSTANTIAL ASSETS 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 OUTSTANDING PLEDGES ON THE EMERGENCY DEPARTMENT CONSTRUCTION PROJECT. THE REMAINING 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. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X MUNSON MEDICAL CENTER HAS NO FIN 48 LIABILITIES; AND THEREFORE, NO FOOTNOTE DISCLOSURE ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. true true true X false true true true false true true 7535570 7535570 0.01860 44609045 34923555 9685490 0.02400 774914 429970 344944 0.00090 52919529 35353525 17566004 0.04350 3269606 302835 2966771 0.00730 3565207 1056037 2509170 0.00620 358266 1650 356616 0.00090 739763 739763 0.00180 327102 3400 323702 0.00080 8259944 1363922 6896022 0.01700 61179473 36717447 24462026 0.06050 12451 12451 775230 775230 0.00190 41348 41348 0.00010 750 750 709 709 2307 2307 832795 832795 0.00200 true 5049813 1075610 204581260 199970598 4610662 X true true NW MI SURGERY CENTER AMBULATORY SURGERY CENTER 0.49000 0.51000 MUNSON MEDICAL CENTER

1105 SIXTH ST TRAVERSE CITY MI 49684

X X X NORTHWEST MICHIGAN SURGERY CENTER

4100 PARK FOREST DR TRAVERSE CITY MI 49684

MUNSON MEDICAL CENTER ACUTE INPATIENT PSYCHIATRIC PROGRAM

1105 SIXTH ST TRAVERSE CITY MI 49684

MUNSON MEDICAL CENTER

1105 SIXTH ST TRAVERSE CITY MI 49684

100% FINANCIAL ASSISTANCE IS PROVIDED FOR THOSE INDIVIDUALS OR FAMILIES WHOSE INCOME IS 200% OR LESS THAN THE FPIG 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: APPLICANT'S CUMULATIVE BALANCE MUST BE GREATER THAN 10,000 APPLICANT MUST COMPLETE FINANCIAL ASSISTANCE APPLICATION IF CATASTROPHIC ASSISTANCE IS GRANTED, THE APPLICANT WILL BE RESPONSIBLE TO PAY 20% OF THE APPLICANT'S ANNUAL HOUSEHOLD INCOME TO THE GRANTING INSTITUTION. CATASTROPHIC ASSISTANCE APPROVAL WILL BE VALID FOR 12 MONTHS FROM THE DATE OF APPROVAL. COST VALUES FOR LINE 7 ARE BASED ON THE COST TO CHARGE RATIO COMPUTATION. THERE ARE NO PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES. TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN ARE 411,313,350 AND THE PROPORTIONATE SHARE OF TOTAL EXPENSES OF THE AMBULATORY SURGERY CENTER ARE 6,665,347. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS 13,633,491. THE NET EXPENSE OF 404,345,206 WAS USED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). TO DETERMINE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS WHO WOULD PROBABLY QUALIFY UNDER MUNSON MEDICAL CENTER'S CHARITY CARE POLICY, MUNSON DIRECTED AN INTERNAL STUDY FROM A 6-MONTH SAMPLE OF CURRENT BAD DEBT ACCOUNTS. FIRST, THE STUDY IDENTIFIED THE SELF-PAY PORTION OF THE BAD DEBT EXPENSE. THEN, THE SELF-PAY ACCOUNTS WERE ANALYZED USING REVENUE CYCLE ANALYTIC SOFTWARE, TO IDENTIFY POTENTIAL CHARITY CARE CANDIDATES. USING THE SOFTWARE ESTIMATIONS, A PORTION OF THE SELF-PAY ACCOUNTS WERE DEEMED CHARITY CARE ELIGIBLE. THAT ESTIMATED PORTION WAS APPLIED TO THE SELF-PAY 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 MANAGEMENT'S 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 WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AT ANY TIME, IF A PATIENT STATES THEY ARE HAVING TROUBLE PAYING THEIR BILLS, THE CREDIT INTERVIEWERS OR FINANCIAL COUNSELORS SCREEN THE PATIENT FOR FINANCIAL ASSISTANCE. ONCE QUALIFIED FOR CHARITY CARE, THE PATIENT IS DEEMED QUALIFIED FOR ONE YEAR AND NO COLLECTION IS PURSUED DURING THAT TIME. THE COLLECTIONS POLICIES ARE THE SAME FOR ALL PATIENTS. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE THE ACCOUNT IS REFERRED BACK TO PATIENT FINANCIAL SERVICES FOR REVIEW. 1 PHYSICAL THERAPY 1 BREAST IMAGING CENTER 1 LABORATORY 1 OUTPATIENT HEALTH CENTER THE MUNSON HEALTHCARE BOARD OF DIRECTORS MAINTAINS A STANDING COMMUNITY HEALTH COMMITTEE TO SERVE THE MUNSON SYSTEM BY REVIEWING INFORMATION ON COMMUNITY HEALTH NEEDS, PRIORITIZING PROGRAMS AND SERVICES TO BE FUNDED, REVIEWING PERFORMANCE INFORMATION REGARDING THE IMPACT AND COST EFFECTIVENESS OF PROGRAMS TARGETED TO IMPROVE THE HEALTH OF THE COMMUNITY IN GENERAL OR A TARGETED POPULATION INCLUDING THE UNDERSERVED AND UNDERINSURED, AND TAKING RESPONSIBILITY FOR COMMUNICATING INTERNALLY AND EXTERNALLY THE SIGNIFICANCE OF MUNSON HEALTHCARE'S COMMUNITY BENEFIT PROGRAMS AND EXPENDITURES. 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 COMMUNITY-WIDE. IN 2007, MUNSON MEDICAL CENTER (MMC) BEGAN AN ASSESSMENT USING SECONDARY DATA ANALYSIS AS A PRIMARY METHODOLOGY. QUANTITATIVE AND QUALITATIVE RESEARCH, ALONG WITH QUALITATIVE ANALYSIS, WAS COMPLETED IN MAY 2008 AND UPDATED IN 2009 TO IDENTIFY ANY EMERGING COMMUNITY HEALTH TRENDS. A WIDE VARIETY OF INDICATORS ARE INCLUDED IN THIS REPORT AND ARE ORGANIZED INTO THE FOLLOWING CATEGORIES: DEMOGRAPHICS, GENERAL HEALTH STATUS, ACCESS TO CARE, MATERNAL AND CHILD HEALTH, BEHAVIORAL RISK FACTORS, CHRONIC DISEASE AND CONDITIONS, AND EMERGENT HEALTH TRENDS REPORTED BY KEY INFORMANTS. THE RESULTS HAVE BEEN MADE AVAILABLE TO THE COMMUNITY THRU PRESENTATIONS AND WEBSITE, WWW.MUNSONHEALTHCARE.ORG.. ADDITIONALLY, MUNSON WORKS IN CONJUNCTION WITH EFFORTS BY THE FIVE-COUNTY COLLABORATIVES OF ANTRIM, BENZIE, GRAND TRAVERSE, LEELANAU, AND KALKASKA COUNTIES; THE TRAVERSE CITY CHAMBER OF COMMERCE; THE LOCAL UNITED WAY; AND OTHER REGIONAL ASSOCIATIONS TO MAINTAIN CURRENT UNDERSTANDING OF COMMUNITY NEED. IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE AND EDUCATE PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS: INFORMATION BROCHURES AVAILABLE AT THE REGISTRATION DESKS: BROCHURES THAT DESCRIBE MUNSON HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL REGISTRATION SITES. THE BROCHURE HAS CLEAR INFORMATION ON HOW TO CONTACT A FINANCIAL COUNSELOR. STATEMENT ON BILLS: STATEMENTS INCLUDE VERBIAGE THAT INSTRUCTS THE PATIENT TO CALL PATIENT FINANCIAL ASSISTANCE IF THEY NEED HELP WITH THEIR BILL. SIGNS IN THE ER REGISTRATION AREA: ADVISES THE PATIENTS THAT THEIR CARE IS NOT WITHHELD IF THEY HAVE NO INSURANCE OR MEANS TO PAY. REFERRAL BY REGISTRATION STAFF: AT THE TIME OF REGISTRATION, SELF-PAY PATIENTS OR ANY PATIENT THAT MAY HAVE CONCERNS REGARDING THEIR UPCOMING ADMISSION IS REFERRED TO THE FINANCIAL COUNSELING STAFF. MUNSON MEDICAL CENTER FINANCIAL COUNSELORS ARE AVAILABLE TO TALK WITH PATIENTS ABOUT THEIR FINANCIAL CONCERNS. THE COUNSELORS VISIT ALL INPATIENTS THAT ARE DEEMED SELF-PAY, TO SEE IF THEY HAVE CONCERNS AND TO DETERMINE IF THEY WOULD LIKE HELP. IF THE PATIENT WOULD LIKE HELP, THE COUNSELORS GATHER INCOME INFORMATION AND SCREEN THE PATIENT FOR MEDICAID. GENERALLY, THESE TWO ACTIONS WILL DETERMINE WHAT PROGRAM THE PATIENT MIGHT QUALIFY FOR. ONCE THE COUNSELOR DETERMINES WHAT THE PATIENT MAY QUALIFY FOR, THE COUNSELOR EDUCATES THE PATIENT ON THE AVAILABLE PROGRAMS AND ASSISTS THEM WITH COMPLETING THE APPROPRIATE APPLICATIONS. THE COUNSELORS ALSO IDENTIFY ALL SELF-PAY OUTPATIENTS AND GO THROUGH THE SAME PROCESS, ONLY BY PHONE. THE GOAL IS TO TALK WITH PATIENTS PRIOR TO ADMISSION, BUT WHEN THAT IS NOT POSSIBLE, THE CALL IS MADE SOON AFTER DISCHARGE. AVAILABLE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO: MEDICAID (AND ALL OF ITS SUBSETS), SOCIAL SECURITY DISABILITY, TRAVERSE HEALTH CLINIC, MUNSON HEALTHCARE CHARITY CARE, MUNSON MEDICAL CENTER CATASTROPHIC CARE, AND MUNSON MEDICAL CENTER MEDS PROGRAM. 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 300,000 ANNUAL PATIENT VISITS. MMC SERVES APPROXIMATELY 23,800 INPATIENTS, HAS 2,000 OBSTETRICAL BIRTHS, AND 48,000 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 MICHIGAN'S REGION 7 WHICH COVERS 17 COUNTIES. SPECIALIZED INPATIENT UNITS AVAILABLE AT MMC INCLUDE MEDICAL/SURGICAL 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 MMC'S 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 SAME-DAY 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 580,000). IN THE 11 COUNTY REGION IMMEDIATELY SURROUNDING MMC: 18.4%% OF THE POPULATION ARE 65 YEARS OR OLDER UNEMPLOYMENT IS 12% OR HIGHER ALMOST 23% OF ADULTS AGED 18-64 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 AMERICA'S 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 HOSPITAL'S RATE OF LONG-TERM 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) MUNSON MEDICAL CENTER (MMC) PROVIDED 832,794 TO COMMUNITY-BUILDING ACTIVITIES DURING THE 2010 FISCAL YEAR. THESE ACTIVITIES INCLUDED: A CASH DONATION FOR COALITION BUILDING ACTIVITIES IN GRAND TRAVERSE COUNTY, ADMINISTRATIVE SUPPORT FOR THE UNITED WAY FUND DRIVE, LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS, AND CRITICAL HEALTH WORKFORCE DEVELOPMENT. IN THE AREA OF LEADERSHIP DEVELOPMENT/TRAINING, MMC HAS BEEN A GUIDING FORCE IN MICHIGAN'S REGION 7 BIO-TERRORISM/DISASTER PREPAREDNESS, AS WELL AS PLAYING A LARGE ROLE IN THE COMMUNITY'S SUICIDE PREVENTION COALITION. AS PART OF WORKFORCE DEVELOPMENT, MUNSON STAFF ATTENDS MANY REGIONAL CAREER DAYS PROVIDING STUDENTS WITH INFORMATION ON WHY THEY MIGHT WANT TO BE EMPLOYED IN THE OFTEN-CRITICAL AREA OF HEALTH CARE. THE MUNSON MEDICAL CENTER BOARD OF TRUSTEES IS MADE UP OF COMMUNITY MEMBERS ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS 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 MEDICAL CENTER, CREATED TO IMPROVE THE HEALTH OF PREGNANT WOMEN AND CHILDREN UNDER AGE TWO. THE PROGRAM INCLUDES CENTRAL ACCESS/DATA MANAGEMENT, REGISTERED NURSE (RN) CARE COORDINATION, EDUCATIONAL MAILINGS, AND HEALTH CARE-RELATED FINANCIAL ASSISTANCE. THE HEALTHY FUTURES MODEL OF RN CARE COORDINATION CONSISTS OF AN OUTCOMES-BASED APPROACH TO INTERVENTION IN THE AREAS OF BREASTFEEDING LONGEVITY, ACCESS TO HEALTH CARE AND IMMUNIZATIONS. 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. MUNSON'S INVOLVEMENT IN PRI INCLUDES MEMBERSHIP ON THE ADVISORY COUNCIL, STEERING COMMITTEE, NAVIGATING WORKGROUP, & AD HOC GROUPS. 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. THE PROJECT ALSO SEEKS TO PREVENT THE DEVELOPMENT OF DIABETES AMONG PEOPLE WITH PRE-DIABETES AND THE GENERAL POPULATION THRU EDUCATION, AND THE DEVELOPMENT OF TREATMENT PROTOCOLS. THE GROUP ALSO SUPPORTS A SHIFT IN THE REGIONAL RESPONSE TO DIABETES FROM ITS CURRENT FOCUS ON TREATING ACUTE MEDICAL COMPLICATIONS TO A SYSTEM WHICH IS ALSO ABLE TO SUPPORT CHRONIC HEALTH CONDITIONS THROUGH EFFECTIVE SELF-MANAGEMENT AND PREVENTION OF COMPLICATIONS. COLLABORATION WITH THE TRAVERSE HEALTH CLINIC- THE TRAVERSE HEALTH CLINIC (THC) PROVIDES ACCESS TO AFFORDABLE HEALTH SERVICES THROUGH COMMUNITY COLLABORATION TO PEOPLE IN NEED IN BENZIE, LEELANAU, AND GRAND TRAVERSE COUNTIES. THC USES THE SAME CRITERIA AS THE MUNSON UNCOMPENSATED CARE PROGRAM FOR ENROLLEES INTO THEIR COALITION HEALTH ACCESS PROGRAM (CHAP). MUNSON DONATED 3,299,425 TO THE TRAVERSE HEALTH CLINIC IN 2009, THROUGH IN-KIND DONATIONS OF MEDICATIONS AND STAFFING, GRANTS, ETC. MEDICAL EDUCATION-THE MUNSON FAMILY PRACTICE RESIDENCY PROGRAM INTEGRATES OSTEOPATHIC AND ALLOPATHIC MEDICINE TOGETHER, WITH THE RESOURCES OF MUNSON MEDICAL CENTER. THIS DUALLY ACCREDITED 5/5/5 PROGRAM ACCEPTS BOTH DO AND MD TRAINEES. THE PROGRAM IS AFFILIATED WITH THE MICHIGAN STATE UNIVERSITY. MMC ALSO PARTNERS WITH SEVERAL COLLEGES AND UNIVERSITIES TO PROVIDE INTERNSHIPS AND CLINICAL EXPERIENCES FOR REGISTERED NURSES, RESPIRATORY THERAPISTS, PHARMACISTS, AND OTHER HEALTH PROFESSIONALS. MUNSON MEDICAL CENTER'S SOLE CORPORATE MEMBER IS MUNSON HEALTHCARE, A 501(C)(3) CORPORATION. THE MUNSON HEALTHCARE SYSTEM CONSISTS OF A MAJOR TERTIARY REFERRAL HOSPITAL, SEVERAL RURAL-BASED MEDICAL CENTERS, EXTENSIVE OUTPATIENT TREATMENT AND REHABILITATION FACILITIES, AND ANCILLARY EMERGENCY, TRANSPORTATION AND HOME-BASED MEDICAL SERVICES THAT COVER 24 COUNTIES IN MICHIGAN'S 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 NOT-FOR-PROFIT HOSPITALS WHICH ARE AFFILIATED WITH EACH OTHER AND SERVE AS THE ONLY HOSPITALS IN THEIR COMMUNITIES. EACH OF THE AFFILIATED HOSPITALS HAS INDIVIDUAL COMMUNITY HEALTH INITIATIVES AND/OR PROMOTION ACTIVITIES, AS WELL AS SHARED INITIATIVES. 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 1 MILLION IN CHARITY CARE AND UNREIMBURSED MEDICAID IN THE PAST FISCAL YEAR. MUNSON HEALTHCARE SUBSIDIZES FUNDING FOR THE SEVEN COUNTY TRANSPORTATION AUTHORITIES WHICH PROVIDES ACCESS TO HEALTHCARE SERVICES FOR DISADVANTAGED PERSONS SUCH AS THE ELDERLY, PERSONS WITH DISABILITIES AND PERSONS OF LOW INCOME, WHO HAVE DIFFICULTY PROVIDING THEIR OWN TRANSPORTATION. MMC PERFORMS THE NEEDS ASSESSMENTS FOR THE MUNSON HEALTHCARE SYSTEM. UTILIZING THIS NEEDS ASSESSMENT, MUNSON HEALTHCARE COORDINATES COMMUNITY BENEFIT PROGRAMS THROUGH PLANNING, DEVELOPING, IMPLEMENTING AND FUNDING PROGRAMS THAT ADDRESS COMMUNITY NEEDS. true MEDICAL INSURANCE PAYMENT 16 6390 MEDICAL, DRUG, DENTAL 53 10174 CLIENT TRANSPORTATION 66 5490 NUTRITION SUPPORT 26 400 FOOD ASSISTANCE 33 2923 RENT AND UTILITIES 135 25401 X X X X true true false false false false false false false K DOUGLAS DECK 587830 125100 10398 185041 14056 922425 EDWIN A NESS 421592 58771 13639 111215 19014 624231 12847 MARK A HEPLER 191747 17206 9543 19120 19028 256644 8118 DAVID MCGREAHAM MD 257681 25978 23963 25075 17427 350124 12506 PAUL M SHIRILLA 263957 29314 9302 24691 14366 341630 6912 CHRISTOPHER PODGES 241090 28842 1242 23111 21112 315397 MARK R ANTHONY 204703 20477 19663 20007 5494 270344 9628 KATHLEEN MCMANUS 211587 21518 7025 20064 13833 274027 6296 SUZANNE K PETERS 159697 20412 16588 15764 13377 225838 7683 JAMES P FISCHER 169248 18271 7198 16363 20214 231294 5175 THOMAS SCHERMERHORN MD 757188 586 19652 17715 795141 AHMET SEVIMLI MD 333870 586 9476 17891 361823 DAVID B MARTIN MD 281993 12870 8782 9395 14039 327079 KAREN M SPEIRS DO 287398 10615 1169 15470 3171 317823 STEVEN YOUNG MD 243280 4637 13587 14529 276033 EDWARD CARLSON 94265 133078 74321 18651 4120 133078 191357 6501 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 K. DOUGLAS DECK 0 164,724 0 EDWIN A. NESS 0 93,544 0 MARK A. HEPLER 0 12,180 0 DAVID MCGREAHAM, MD 0 16,046 0 PAUL M. SHIRILLA 0 15,780 0 CHRISTOPHER PODGES 0 14,346 0 MARK R. ANTHONY 0 12,527 0 KATHLEEN MCMANUS 0 12,393 0 SUZANNE K. PETERS 0 9,914 0 JAMES P. FISCHER 0 10,196 0 EDWARD CARLSON 161,595 14,872 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 PARTICIPANT 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. THESE RETIREMENTS ARE AVAILABLE TO THE PARTICIPANTS 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. COUNTY OF GRAND TRAVERSE HOSPITAL F 386004832 386523DK7 2005-11-03 25000000 ADVANCE REFUND 1998 false false COUNTY OF GRAND TRAVERSE HOSPITAL F 386004832 386523DL5 2005-11-03 30000000 ER CONSTRUCTION AND false false 25000000 799426 false true true true 30474818 1036860 29437958 2007 false false true true false false true false false true true false true false true true JP MORGAN CHASE BANK 22.7 false true false false true true MERRILL LYNCH CAPITAL SERVICES INC 29.7 false true true MAUREEN CARLSON FAMILY OF FORME 42674 RELATED FAMILY COMP false KATHRYN FISCHER FAMILY OF KEY E 10945 RELATED FAMILY COMP false GLORIA WOLF FAMILY OF TRUST 59261 RELATED FAMILY COMP false GRAND TRAVERSE CHILDRENS CLINIC OWNER ISTRUSTEE 112352 GROUP PRACTICE PHYSI false HOSPITALISTS OF NORTHWEST MI OWNER ISTRUSTEE 4788638 GROUP PRACTICE PHYSI false MUNSON SUPPORT SERVICES M ANTHONY DIREC 1984412 LAUNDRY SERVICES false MUNSON SUPPORT SERVICES E NESS TRUSTEE 1984412 LAUNDRY SERVICES false MUNSON SERVICES INC C PODGESTRUSTEE 2171856 CONTRACT EMPLOYEES false MUNSON SERVICES INC P SHIRILLATRUST 2171856 CONTRACT EMPLOYEES false RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 EDWIN A. NESS DAVID MCGREAHAM PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER 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 K. DOUGLAS DECK MARK A. HEPLER TRUSTEE CFO MUNSON HEALTHCARE EMPLOYER K. DOUGLAS DECK PAUL M. SHIRILLA TRUSTEE 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 A 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 11 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. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII K. DOUGLAS DECK, PRESIDENT OF MUNSON HEALTHCARE SYSTEM, PARENT CORPORATION, ALLOCATES ALL HIS TIME TO THAT COMPANY. EDWIN A. NESS IS PRESIDENT OF MUNSON MEDICAL CENTER AND ALLOCATES 90% OF HIS TIME TO THAT COMPANY AND 10% TO MUNSON HEALTHCARE SYSTEM MATTERS. 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 HEALTHCARE, 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 AS PRESIDENT. ADDITIONAL INFORMATION SCHEDULE R 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. ADDITIONAL INFORMATION SCHEDULE O AUDITED FINANCIAL STATEMENTS MUNSON MEDICAL CENTER'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS AS PART OF THE AUDIT OF MUNSON HEALTHCARE AND SUBSIDIARIES. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS WERE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND RECEIVED AN UNQUALIFIED OPINION FROM ERNST & YOUNG. MUNSON HEALTHCARE, SYSTEM PARENT ORGANIZATION, MAINTAINS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS, THE SELECTION OF THE INDEPENDENT AUDITORS, AND THE PROCESS FOR PREPARING THE FORM 990. THAT PROCESS INCLUDES THE REVIEW OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER, MUNSON HEALTHCARE REGIONAL FOUNDATION, AND SELECTED OTHER SYSTEM ENTITY FORMS 990 ON AN ANNUAL BASIS. SCHEDULE K - SUPPLEMENTAL INFORMATION ON TAX-EXEMPT BONDS 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 9/1/98. THE 2005B ISSUE FUNDED A PROJECT FOR THE CONSTRUCTION AND EQUIPPING OF A 4-STORY ADDITION TO THE HOSPITAL THAT INCLUDED A NEW EMERGENCY ROOM, A 60-BED ACUTE CARE NURSING UNIT, SPACE FOR FUTURE CLINICAL NEEDS AND AN ENERGY CENTER. PART II, QUESTION 5 -BOND INSURANCE PREMIUMS OF 528,444 AND 713,393 WERE PAID ON THE SERIES 2005A AND SERIES 2005B ISSUES, RESPECTIVELY, TO ENHANCE THE BOND CREDIT. 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. MUNSON DIALYSIS CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 383097861 DIALYSIS MI (C) 3 MUNSON HC HEALTHCARE MUNSON HEALTHCARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382640544 HEALTHCARE MI (C) 11B N/A MUNSON HEALTHCARE REGIONAL FOUNDATI 1105 SIXTH ST TRAVERSE CITY MI 49684 382642724 RAISE FUND MI (C) 7 MUNSON HC HEALTHCARE MUNSON HOME CARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382191390 HOME HEALT MI (C) 9 MUN HOME H HEALTHCARE MUNSON HOME HEALTH 1105 SIXTH ST TRAVERSE CITY MI 49684 383335362 HOME HEALT MI (C) 11B MUN HOME H HEALTHCARE MUNSON HOME SERVICES 1105 SIXTH ST TRAVERSE CITY MI 49684 382543463 HOME HEALT MI (C) 9 MUNSON HC HEALTHCARE MUNSON MOBILE IMAGING INC 1105 SIXTH ST TRAVERSE CITY MI 49684 382704069 HEALTHCARE MI (C) MUNSON HC HEALTHCARE NORTH FLIGHT INC 1105 SIXTH ST TRAVERSE CITY MI 49684 382657917 MED TRANSP MI (C) 11B MUNSON HC HEALTHCARE PAUL OLIVER MEMORIAL HOSPITAL 1105 SIXTH ST TRAVERSE CITY MI 49684 381415623 HEALTHCARE MI (C) 3 MUNSON HC HEALTHCARE PAUL OLIVER MEMORIAL HOSPITAL FOUND 1105 SIXTH ST TRAVERSE CITY MI 49684 237201619 RAISE FUND MI (C) 7 PAUL OLV H HEALTHCARE MUNSON MEDICAL BUILDING PARTNERS PO BOX 1188 TRAVERSE CITY MI 496851188 382830005 REAL ESTAT MI NA RELATED 159185 1668694 false true NORTHERN MICHIGAN SUPPLY ALLIANCE 2651 AERO PARK DR TRAVERSE CITY MI 49686 383453378 PURCHASING MI N/A false false MUNSON SUPPORT SERVICES PO BOX 1188 TRAVERSE CITY MI 496851188 382872821 LAUNDRY MI NA C CORP 4130963 4558034 1.00000 MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY MI 496851188 383144382 PHARMACY MI N/A MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION PO BOX 1188 TRAVERSE CITY MI 496851188 383567278 REAL ESTAT MI NA C CORP 165827 41592 0.77820 false false true true false false false false true true true true true true true true true true MEDICAL OFFICE CONDOMINIUM ASSOCIAT J 62328 MEDICAL OFFICE CONDOMINIUM ASSOCIAT P 171654 MUNSON DIALYSIS CENTER K 146403 MUNSON DIALYSIS CENTER N 1671101 MUNSON DIALYSIS CENTER P 817767 MUNSON HEALTHCARE REGIONAL FOUNDATI C 647856 MUNSON HEALTHCARE REGIONAL FOUNDATI O 81134 MUNSON HEALTHCARE REGIONAL FOUNDATI B 125000 MUNSON HEALTHCARE REGIONAL FOUNDATI L 494425 MUNSON HEALTHCARE REGIONAL FOUNDATI P 65403 MUNSON HOME CARE I 94119 MUNSON HOME CARE P 12696240 MUNSON HOME CARE K 227074 MUNSON HOME HEALTH I 73776 MUNSON HOME HEALTH P 1927378 MUNSON HOME SERVICES K 162714 MUNSON HOME SERVICES P 3995522 MUNSON MEDICAL BUILDING PARTNERS J 636349 MUNSON MEDICAL BUILDING PARTNERS P 216407 MUNSON MOBILE IMAGING P 1440692 MUNSON SERVICES INC O 68999 MUNSON SERVICES INC K 83364 MUNSON SERVICES INC N 1928070 MUNSON SERVICES INC P 112132 MUNSON SUPPORT SERVICES L 1883697 MUNSON SUPPORT SERVICES Q 116430 MUNSON SUPPORT SERVICES P 2052604 NORTH FLIGHT INC K 53514 NORTH FLIGHT INC P 6258639 NORTHERN MICHIGAN SUPPLY ALLIANCE D 12205000 NORTHERN MICHIGAN SUPPLY ALLIANCE I 126000 NORTHERN MICHIGAN SUPPLY ALLIANCE L 2867028 NORTHERN MICHIGAN SUPPLY ALLIANCE N 324533 NORTHERN MICHIGAN SUPPLY ALLIANCE O 20634122 NORTHERN MICHIGAN SUPPLY ALLIANCE P 2315624 NORTHERN MICHIGAN SUPPLY ALLIANCE R 12612658 PAUL OLIVER MEMORIAL HOSPITAL K 638464 PAUL OLIVER MEMORIAL HOSPITAL N 941569 PAUL OLIVER MEMORIAL HOSPITAL O 137880 PAUL OLIVER MEMORIAL HOSPITAL P 6113756