MUNSON HOME CARE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MUNSON HOME CARE (EIN 38-2191390)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-14
IRS object ID
201111349349300611
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-14T12:41:45-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382191390EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MUNSON HOME CAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMUNSNameControl
Phone2319357777Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1188AddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code496851188ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK A HEPLERName
TitleCHIEF FINANCIAL OFFICETitle
Phone2319357777Phone
Date Signed2011-05-12DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSHARI MCLENNANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11105 SIXTH STAddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code49684ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18848524GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.MUNSONHEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionMUNSON HOME CARE DELIVERS EXCELLENT CARE IN THE HOME FOR MUNSON HEALTHCARE PATIENTS AND THE RESIDENTS OF THE COMMUNITIES WE SERVE. MUNSON HOSPICE IS DEDICATED TO A TEAM APPROACH TO MANAGEMENT OF THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF THE TERMINALLY ILL AND THEIR LOVED ONES. AS PART OF THE MUNSON HEALTHCARE SYSTEM, MUNSON HOME CARE PROVIDES SERVICES WITH THE OVERALL MISSION OF IMPROVING AND PROMOTING THE HEALTH OF THE CITIZENS OF NORTHERN MICHIGAN. THE HOME CARE SERVICE LINE PROVIDES SKILLED NURSING, PHYSICAL THERAPY AND SOCIAL WORK SERVICES TO HOME-BOUND PATIENTS IN MUNSON HEALTHCARE'S PRIMARY, SECONDARY AND TERTIARY SERVICE AREAS. MUNSON HOME CARE ALSO PROVIDES HOSPICE SERVICES IN THE COMMUNITY AND AT THE EIGHT BED HOSPICE RESIDENCE LOCATED ON THE MUNSON MEDICAL CENTER CAMPUS. THE EMPHASIS OF THE PROGRAM IS TO FACILITATE COMPASSIONATE CARE IN A COMFORTABLE, PEACEFUL SETTING FOR THE PATIENT AND THEIR FAMILY. THROUGH ITS HOSPITALS AND OTHER AFFILIATES, THE MUNSON HEALTHCActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees336TotalNbrEmployees
Total Nbr Volunteers180TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year382570ContributionsGrantsPriorYear
Contributions Grants Current Year223872ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17483851ProgramServiceRevenuePriorYear
Program Service Revenue CY18576602ProgramServiceRevenueCY
Investment Income Prior Year-22596InvestmentIncomePriorYear
Investment Income Current Year31746InvestmentIncomeCurrentYear
Other Revenue Prior Year2255OtherRevenuePriorYear
Other Revenue Current Year16304OtherRevenueCurrentYear
Total Revenue Prior Year17846080TotalRevenuePriorYear
Total Revenue Current Year18848524TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11227656SalariesEtcPriorYear
Salaries Etc Current Year12010902SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year21448TotalFundrsngExpCurrentYear
Other Expense Prior Year5872318OtherExpensePriorYear
Other Expenses Current Year6789002OtherExpensesCurrentYear
Total Expenses Prior Year17099974TotalExpensesPriorYear
Total Expenses Current Year18799904TotalExpensesCurrentYear
Revenues Less Expenses Prior Year746106RevenuesLessExpensesPriorYear
Revenues Less Expenses CY48620RevenuesLessExpensesCY
Total Assets BOY10129198TotalAssetsBOY
Total Assets EOY11022159TotalAssetsEOY
Total Liabilities BOY1107866TotalLiabilitiesBOY
Total Liabilities EOY1920160TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9021332NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9101999NetAssetsOrFundBalancesEOY
Mission DescriptionMUNSON HOME CARE DELIVERS EXCELLENT CARE IN THE HOME FOR MUNSON HEALTHCARE PATIENTS AND THE RESIDENTS OF THE COMMUNITIES WE SERVE. MUNSON HOSPICE IS DEDICATED TO A TEAM APPROACH TO MANAGEMENT OF THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF THE TERMINALLY ILL AND THEIR LOVED ONES. AS PART OF THE MUNSON HEALTHCARE SYSTEM, MUNSON HOME CARE PROVIDES SERVICES WITH THE OVERALL MISSION OF IMPROVING AND PROMOTING THE HEALTH OF THE CITIZENS OF NORTHERN MICHIGAN. THE HOME CARE SERVICE LINE PROVIDES SKILLED NURSING, PHYSICAL THERAPY AND SOCIAL WORK SERVICES TO HOME-BOUND PATIENTS IN MUNSON HEALTHCARE'S PRIMARY, SECONDARY AND TERTIARY SERVICE AREAS. MUNSON HOME CARE ALSO PROVIDES HOSPICE SERVICES IN THE COMMUNITY AND AT THE EIGHT BED HOSPICE RESIDENCE LOCATED ON THE MUNSON MEDICAL CENTER CAMPUS. THE EMPHASIS OF THE PROGRAM IS TO FACILITATE COMPASSIONATE CARE IN A COMFORTABLE, PEACEFUL SETTING FOR THE PATIENT AND THEIR FAMILY. THROUGH ITS HOSPITALS AND OTHER AFFILIATES, THE MUNSON HEALTHCMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10767317Expense
Revenue13008227Revenue
DescriptionSKILLED HOME CARE - PROVIDE SKILLED NURSING, PHYSICAL THERAPY AND SOCIAL WORK SERVICES TO HOME BOUND PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4722326Expense
Revenue5616425Revenue
DescriptionHOSPICE HOUSE - OWN AND OPERATE AN END-OF-LIFE FACILITY TO PROVIDE COMPASSIONATE CARE TO PATIENTS AND THEIR FAMILIES.Description
FieldValueIRS element (for citing)
Total Program Service Expense15489643TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees336NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MUNSON HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2319357777TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13668 N US 31 SOUTHAddressLine1
Address Line2BUILDING CAddressLine2
CityTRAVERSE CITYCity
StateMIState
ZIP Code49684ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
K DOUGLAS DECK
DIRECTOR1.00X0723328199097
EDWIN NESS
DIRECTOR1.00X0494002130229
MARK ANTHONY
DIRECTOR1.00X024484325501
MARK HEPLER
SEC/TRES/CFO1.00X021849638148X
MARY BETH MORRISON
DIRECTOR1.00X019634133184
KATHRINE GARTHE
DIRECTOR1.00X014827929651
SHARI MCLENNAN
PRESIDENT24.00X0707325932X
DIANE FISHER
DIRECTOR1.00X000
DOUGLAS PATTULLO
DIRECTOR1.00X000
SONJA GANGER
DIRECTOR1.00X000
DONALD L FRASER
MEDICAL DIRE40.00102397018807X
FieldValueIRS element (for citing)
Total Reportable Comp From Org102397TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2096021TotalReportableCompFrmRltdOrgs
Total Other Compensation480549TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AHSA LLC
PO BOX 945TRAVERSE CITYMI49685STAFFING364506
TENDERCARE HEALTH CENTER BIRCHWOOD
2950 LAFRANIER RDTRAVERSE CITYMI49686PATIENT ROOMS216188
PRIME HEALTHCARE STAFFING
24240 HAGGERTY RDFARMINGTON HILLSMI48331STAFFING138338
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants1936GovernmentGrants
All Other Contributions221936AllOtherContributions
Total Contributions223872TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE AND MEDICAID PAYMENT6216101654250616542506
NET PATIENT REVENUE62161020340962034096
FieldValueIRS element (for citing)
Total Program Service Revenue18576602TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column17698TotalRevenueColumn
Exclusion$17,698ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities14048Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities14048Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column14048TotalRevenueColumn
Exclusion$14,048ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code621610BusinessCode
Total Revenue Column16304TotalRevenueColumn
Related Or Exempt Function Income16304RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue16304TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18848524TotalRevenueColumn
Related Or Exempt Function Income18592906RelatedOrExemptFunctionIncome
Exclusion$31,746ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9308939Total
Program Services7972487ProgramServices
Management And General1336452ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total899248Total
Program Services770146ProgramServices
Management And General129102ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1097439Total
Program Services939883ProgramServices
Management And General157556ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total705276Total
Program Services604022ProgramServices
Management And General101254ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total186Total
Management And General186ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4150779Total
Program Services3004304ProgramServices
Management And General1125280ManagementAndGeneral
Fundraising21195Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total3620Total
Program Services2734ProgramServices
Management And General886ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1060898Total
Program Services860850ProgramServices
Management And General199795ManagementAndGeneral
Fundraising253Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total191486Total
Program Services29602ProgramServices
Management And General161884ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total233805Total
Program Services201363ProgramServices
Management And General32442ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total863220Total
Program Services846481ProgramServices
Management And General16739ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total714Total
Program Services714ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total138895Total
Program Services114380ProgramServices
Management And General24515ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total60631Total
Program Services60631ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS5269752697
EQUIPMENT MAINTENANCE16701139792722
BAD DEBT1625016250
SHARED SERVICE-880-880

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18799904Total
Program Services15489643ProgramServices
Management And General3288813ManagementAndGeneral
Fundraising21448Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2244504BOY
EOY945005EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3812577BOY
EOY6152498EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY4331EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2546785LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1056783LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1623395BOY
EOY1490002EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2352761BOY
EOY2409163EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY95961BOY
EOY21160EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10129198BOY
EOY11022159EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1107866BOY
EOY1502160EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY418000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1107866BOY
EOY1920160EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9021332BOY
EOY9101999EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9021332BOY
EOY9101999EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10129198BOY
EOY11022159EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years333930CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years364605CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years423369CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year382570CurrentTaxYearMinus1Year
Current Tax Year223872CurrentTaxYear
Total1728346Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14614401CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15741074CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16211874CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17483851CurrentTaxYearMinus1Year
Current Tax Year18592906CurrentTaxYear
Total82644106Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14948331CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16105679CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16635243CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17866421CurrentTaxYearMinus1Year
Current Tax Year18816778CurrentTaxYear
Total84372452Total
FieldValueIRS element (for citing)
Public Support Total50984372452PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119434CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years136088CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years129969CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40450CurrentTaxYearMinus1Year
Current Tax Year17698CurrentTaxYear
Total443639Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119434CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years136088CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years129969CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40450CurrentTaxYearMinus1Year
Current Tax Year17698CurrentTaxYear
Total443639Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2320CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1688CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2255CurrentTaxYearMinus1Year
Total13258Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15070085CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16243455CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16772207CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17909126CurrentTaxYearMinus1Year
Current Tax Year18834476CurrentTaxYear
Total84829349Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99460PublicSupportPercentage509
Prior Year Support Percentage0.99350PriorYearSupportPercentage
Investment Income Percentage0.01000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2352761BeginningOfYearBalance
Investment Earnings Or Losses59234InvestmentEarningsOrLosses
Administrative Expenses-2832AdministrativeExpenses
End Of Year Balance2409163EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2420567BeginningOfYearBalance
Investment Earnings Or Losses-63773InvestmentEarningsOrLosses
Administrative Expenses-4033AdministrativeExpenses
End Of Year Balance2352761EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1978551OtherCostOrOtherBasis
Depreciation592854Depreciation
Book Value1385697BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis18322OtherCostOrOtherBasis
Depreciation12825Depreciation
Book Value5497BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis527830OtherCostOrOtherBasis
Depreciation437207Depreciation
Book Value90623BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22082OtherCostOrOtherBasis
Depreciation13897Depreciation
Book Value8185BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1490002TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAFFILIATE PAYABLEDescription
Amount$418,000Amount
FieldValueIRS element (for citing)
Total Of Amounts418000TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDSSCHEDULE D, PAGE 2, PART V, LINE 4THE BOARD-DESIGNATED FUNDS ARE INTENDED FOR THE ON-GOING OPERATIONS OF THE HOME CARE AND HOSPICE PROGRAMS AS WELL AS SUSTAINING THE HOSPICE HOUSE.
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XMUNSON HOME CARE HAS NO FIN 48 LIABILITIES; AND THEREFORE, NO FOOTNOTE DISCLOSURE ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
K DOUGLAS DECK
5878301251001039818504114056922425
EDWIN NESS
42159258771136391112151901462423112847
MARK ANTHONY
20470320477196632000754942703449628
MARK HEPLER
19174717206954319120190282566448118
MARY BETH MORRISON
17228617705635016562166222295254919
KATHRINE GARTHE
133515140736911556914082177930

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4K. DOUGLAS DECK 0 164,724 0 EDWIN NESS 0 93,544 0 MARK ANTHONY 0 12,527 0 MARK HEPLER 0 12,180 0 MARY BETH MORRISON 0 10,294 0 KATHRINE GARTHE 0 7,956 0
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIISUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, INCLUDING THE PRESIDENT AND VICE-PRESIDENTS OF MUNSON HEALTHCARE, A COMPETITIVE BENEFIT PACKAGE IS OFFERED WHICH INCLUDES PARTICIPATION IN A SUPPLEMENTAL RETIREMENT PLAN. ANNUAL CONTRIBUTIONS, AT MUNSON'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. THESE RETIREMENTS ARE AVAILABLE TO THE PARTICIPANTS UPON THEIR RETIREMENT FROM MUNSON.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONMUNSON HOME CARE DELIVERS EXCELLENT CARE IN THE HOME FOR MUNSON HEALTHCARE PATIENTS AND THE RESIDENTS OF THE COMMUNITIES WE SERVE. MUNSON HOSPICE IS DEDICATED TO A TEAM APPROACH TO MANAGEMENT OF THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF THE TERMINALLY ILL AND THEIR LOVED ONES. AS PART OF THE MUNSON HEALTHCARE SYSTEM, MUNSON HOME CARE PROVIDES SERVICES WITH THE OVERALL MISSION OF IMPROVING AND PROMOTING THE HEALTH OF THE CITIZENS OF NORTHERN MICHIGAN. THE HOME CARE SERVICE LINE PROVIDES SKILLED NURSING, PHYSICAL THERAPY AND SOCIAL WORK SERVICES TO HOME-BOUND PATIENTS IN MUNSON HEALTHCARE'S PRIMARY, SECONDARY AND TERTIARY SERVICE AREAS. MUNSON HOME CARE ALSO PROVIDES HOSPICE SERVICES IN THE COMMUNITY AND AT THE EIGHT BED HOSPICE RESIDENCE LOCATED ON THE MUNSON MEDICAL CENTER CAMPUS. THE EMPHASIS OF THE PROGRAM IS TO FACILITATE COMPASSIONATE CARE IN A COMFORTABLE, PEACEFUL SETTING FOR THE PATIENT AND THEIR FAMILY. THROUGH ITS HOSPITALS AND OTHER AFFILIATES, THE MUNSON HEALTHCARE SYSTEM DELIVERS A BROAD ARRAY OF HEALTH CARE SERVICES TO 24 COUNTIES IN MICHIGAN'S NORTHERN LOWER PENINSULA AND THE EASTERN PORTION OF THE UPPER PENINSULA. CONSISTENT WITH ITS MISSION, THE MUNSON HEALTHCARE SYSTEM PROVIDED 31 MILLION IN CHARITY AND UNCOMPENSATED CARE FOR RESIDENTS OF NORTHERN MICHIGAN IN THE 2009 TAX YEAR.
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2MARK A. HEPLER K. DOUGLAS DECK CFO DIRECTOR MUNSON HEALTHCARE EMPLOYER EDWIN NESS MARK ANTHONY PRES MUN MED DIRECTOR MUNSON MEDICAL CENTER EMPLOYER MARK A. HEPLER MARY BETH MORRISON CFO DIRECTOR MUNSON HEALTHCARE EMPLOYER MARK A. HEPLER SHARI MCLENNAN CFO PRES HOME CA MUNSON HEALTHCARE EMPLOYER EDWIN NESS KATHRINE GARTHE PRES MUN MED DIRECTOR MUNSON MEDICAL CENTER EMPLOYER
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6MUNSON HOME CARE HAS FOUR CLASSES OF MEMBERS. THE CLASS A MEMBER IS MUNSON HOME HEALTH, A MICHIGAN NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SEC. 501(C)(3), WITH 92.5% INTEREST IN THE CORPORATION. THE OTHER THREE CLASS MEMBERS EACH HAVE A 2.5% INTEREST IN THE CORPORATION. TWO ARE MICHIGAN HOSPITALS AND ONE IS A MICHIGAN MUNICIPAL HEALTH FACILITY CORPORATION.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AEACH OF THE CLASS B MEMBER, THE CLASS C MEMBER AND THE CLASS D MEMBER SHALL HAVE THE RIGHT TO APPOINT ONE MEMBER OF THE BOARD OF DIRECTORS, AND THE CLASS A MEMBER SHALL HAVE THE RIGHT TO APPOINT THE REMAINING DIRECTORS OF THE CORPORATION.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE FOLLOWING POWERS AND AUTHORITIES SHALL BE EXERCISED BY THE CORPORATION ONLY UPON RATIFICATION OF SUCH ACTION BY THE CLASS A MEMBER: AMENDMENT OF THE ARTICLES OF INCORPORATION; AMENDMENT OF THE MISSION STATEMENT; ADOPTION OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION OR REORGANIZATION; SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL TO THE PROPERTY AND ASSETS; ACQUISITION OF ANY OTHER ENTITY OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; ACCEPTANCE OF THE ANNUAL BUDGET AND ANNUAL FINANCIAL STATEMENTS; INCURRENCE OF EXPENDITURES EXCEEDING BUDGETED AGGREGATES BY MORE THAN FIVE PERCENT; INCURRENCE OF CERTAIN DEBT; GRANTING ANY MORTGAGE, SECURITY, LIEN OR OTHER ENCUMBRANCE ON THE ASSETS OF THE CORPORATION OR ANY SUBSIDIARY, WITH THE EXCEPTION OF ANY MORTGAGE, SECURITY, LIEN OR OTHER ENCUMBRANCE APPROVED AS PART OF A BUDGET; CHANGE IN SCOPE OF SERVICES OR PROGRAMS PROVIDED BY MUNSON HOME CARE; AND APPOINTMENT OF THE PRESIDENT.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11THE MUNSON HOME CARE BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON HOME CARE BELONGS TO THE MUNSON HEALTHCARE SYSTEM. MUNSON HEALTHCARE IS THE PARENT COMPANY IN THE MUNSON HEALTHCARE SYSTEM, WHICH UNDERGOES AN AUDIT BY AN EXTERNAL AUDIT FIRM. AT THE CORPORATE LEVEL, THE RESPONSIBLE INDIVIDUALS FROM THE FINANCE, ADMINISTRATION, 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 POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE MUNSON HEALTHCARE BOARD HAS A STANDING CONFLICT, VALUATION, AND COMPLIANCE ("CVC") COMMITTEE. MUNSON HEALTHCARE IS THE SYSTEM PARENT ORGANIZATION. 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 BOARD DIRECTOR AND KEY EMPLOYEE OF MUNSON HOME CARE TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THE RESPONSES ARE REVIEWED AND SUMMARIZED BY MUNSON HEALTHCARE'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 OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE PROCESS FOR DETERMINING APPROPRIATE LEVELS OF PAY FOR EXECUTIVE POSITIONS WITHIN MUNSON HEALTHCARE SYSTEM IS CAREFULLY AND THOUGHTFULLY DIRECTED BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS, THROUGH THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMMITTEE UTILIZES "BEST PRACTICES" METHODS OF DETERMINING COMPENSATION AND, AS SUCH, IS COMPOSED OF SEVEN MEMBERS WHOSE VOTING MEMBERS ARE INDEPENDENT. THE COMMITTEE IS CHARGED WITH ENSURING THAT EXECUTIVE COMPENSATION IS DESIGNED TO ATTRACT AND RETAIN HIGH QUALITY, PROFESSIONAL LEADERSHIP WHILE MAINTAINING STRONG STEWARDSHIP FOR THE ORGANIZATION. ANNUALLY, THE COMMITTEE RETAINS A NATIONAL INDEPENDENT CONSULTANT TO ENSURE THAT MUNSON HEALTHCARE'S COMPENSATION PRACTICES AND LEVELS ARE INDEPENDENTLY REVIEWED WHILE BEING COMPETITIVE AND REASONABLE. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE, AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. ANNUAL COMPENSATION FOR MUNSON HEALTHCARE SYSTEM EXECUTIVES IS DETERMINED, IN PART, BY MEASURABLE PROGRESS TOWARD THE ORGANIZATION'S GOALS INCLUDING CONTINUED IMPROVEMENT IN CLINICAL QUALITY, COMMUNITY HEALTH, AND OPERATIONAL EFFICIENCIES. MUNSON HEALTHCARE'S INTENT FOR EXECUTIVE BASE COMPENSATION IS TO BE AT THE MEDIAN WHEN COMPARED TO LIKE-SIZE NON-PROFIT HOSPITALS AND HEALTHCARE SYSTEMS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION OF OTHER OFFICERS IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON HOME CARE AND MUNSON HEALTHCARE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE MUNSON HOME CARE ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON HOME CARE DOES NOT MAKE THE BYLAWS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
RELATED ORGANIZATIONSFORM 990, PAGE 7, PART VIIMARK 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. 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 DIALYSIS CENTER AS PRESIDENT. EDWIN A. NESS WAS PRESIDENT OF MUNSON MEDICAL CENTER AND ALLOCATED 90% OF HIS TIME TO THAT COMPANY AND 10% TO MUNSON HEALTHCARE SYSTEM MATTERS. KATHRINE GARTHE IS AN EMPLOYEE OF MUNSON MEDICAL CENTER AND DEVOTES 100% OF HER TIME TO THAT ORGANIZATION. MARY BETH MORRISON ALLOCATES 100% OF HER TIME TO MUNSON MEDICAL CENTER. SHARI MCLENNAN IS AN EMPLOYEE OF MUNSON HEALTHCARE. SHE DEVOTES 10% OF HER TIME TO MUNSON HEALTHCARE AND 90% OF HER TIME TO MUNSON HOME HEALTH WHERE SHE IS PRESIDENT OF THAT ENTITY. K. DOUGLAS DECK, FORMER PRESIDENT OF MUNSON HEALTHCARE SYSTEM, PARENT CORPORATION, ALLOCATED ALL HIS TIME TO THAT COMPANY.
ADDITIONAL INFORMATIONSCHEDULE RMUNSON HOME CARE USED THE ACCRUAL METHOD OF ACCOUNTING TO VALUE THE TRANSACTIONS WITH RELATED ENTITIES. ALL INTERCOMPANY TRANSACTIONS WITH RELATED ENTITIES WERE REVIEWED, SUMMARIZED, AND RECONCILED TO DETERMINE THE DISCLOSURE AMOUNTS.
ADDITIONAL INFORMATIONSCHEDULE OAUDITED FINANCIAL STATEMENTS MUNSON HOME CARE'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 AUDIT COMMITTEE'S REVIEW OF SELECT FORMS 990 ON AN ANNUAL BASIS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Direct Controlling Entity NADirectControllingEntityNA
MUNSON DIALYSIS CENTER
1105 SIXTH STTRAVERSE CITYMI49684383097861DIALYSISMI(C)3MUNSON HCHEALTHCARE
MUNSON HEALTHCARE REGIONAL FOUNDATI
1105 SIXTH STTRAVERSE CITYMI49684382642724RAISE FUNDMI(C)7MUNSON HCHEALTHCARE
MUNSON HOME HEALTH
1105 SIXTH STTRAVERSE CITYMI49684383335362HOME HEALTMI(C)11BMUNSON HCHEALTHCARE
MUNSON HOME SERVICES
1105 SIXTH STTRAVERSE CITYMI49684382543463HOME HEALTMI(C)9MUNSON HCHEALTHCARE
MUNSON MEDICAL CENTER
1105 SIXTH STTRAVERSE CITYMI49684381362830HOSPITALMI(C)3MUNSON HCHEALTHCARE
MUNSON MOBILE IMAGING INC
1105 SIXTH STTRAVERSE CITYMI49684382704069HEALTHCAREMI(C)MUNSON HCHEALTHCARE
NORTH FLIGHT INC
1105 SIXTH STTRAVERSE CITYMI49684382657917MED TRANSPMI(C)11BMUNSON HCHEALTHCARE
PAUL OLIVER MEMORIAL HOSPITAL
1105 SIXTH STTRAVERSE CITYMI49684381415623HEALTHCAREMI(C)3MUNSON HCHEALTHCARE
PAUL OLIVER MEMORIAL HOSPITAL FOUND
1105 SIXTH STTRAVERSE CITYMI49684237201619RAISE FUNDMI(C)7MUNSON HCHEALTHCARE
MUNSON HEALTHCARE
1105 SIXTH STTRAVERSE CITYMI49684382640544PARENTMI(C)11BN/A

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
MUNSON MEDICAL BUILDING PARTNERS
PO BOX 1188TRAVERSE CITYMI496851188382830005REAL ESTATMIN/Afalsefalse
NORTHERN MICHIGAN SUPPLY ALLIANCE
2651 AERO PARK DRTRAVERSE CITYMI49686383453378PURCHASINGMIN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNABusiness Name Line2NameOfRelatedOrg/BusinessNameLine2
MUNSON SUPPORT SERVICES
PO BOX 1188TRAVERSE CITYMI496851188382872821LAUNDRYMIN/A
MUNSON SERVICES INC
PO BOX 1188TRAVERSE CITYMI496851188383144382PHARMACYMIN/A
MEDICAL OFFICE BUILDING CONDOMINIUM
PO BOX 1188TRAVERSE CITYMI496851188383567278REAL ESTATMIN/AASSOCIATION
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MUNSON HEALTHCARE
O64045
MUNSON HEATLHCARE REGIONAL FOUNDAIT
C221936
MUNSON HOME HEALTH
L2041030
MUNSON HOME HEALTH
O67356
MUNSON MEDICAL CENTER
J94119
MUNSON MEDICAL CENTER
L227074
MUNSON MEDICAL CENTER
O12696240
NORTHERN MICHIGAN SUPPLY ALLIANCE
O121493

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