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        <State>MI</State>
        <ZIPCode>496851188</ZIPCode>
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        <State>MI</State>
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        <ProgramServices>15489643</ProgramServices>
        <ManagementAndGeneral>3288813</ManagementAndGeneral>
        <Fundraising>21448</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>2244504</BOY>
        <EOY>945005</EOY>
      </SavingsAndTempCashInvestments>
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        <BOY>3812577</BOY>
        <EOY>6152498</EOY>
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      <PrepaidExpensesDeferredCharges>
        <EOY>4331</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>2546785</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1056783</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1623395</BOY>
        <EOY>1490002</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>2352761</BOY>
        <EOY>2409163</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>95961</BOY>
        <EOY>21160</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>10129198</BOY>
        <EOY>11022159</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1107866</BOY>
        <EOY>1502160</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <EOY>418000</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1107866</BOY>
        <EOY>1920160</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>9021332</BOY>
        <EOY>9101999</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>9021332</BOY>
        <EOY>9101999</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>10129198</BOY>
        <EOY>11022159</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc3">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>333930</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>364605</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>423369</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>382570</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>223872</CurrentTaxYear>
        <Total>1728346</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>14614401</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>15741074</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>16211874</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17483851</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18592906</CurrentTaxYear>
        <Total>82644106</Total>
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      <Total509>
        <CurrentTaxYearMinus4Years>14948331</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>16105679</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>16635243</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17866421</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18816778</CurrentTaxYear>
        <Total>84372452</Total>
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      <PublicSupportTotal509>84372452</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>119434</CurrentTaxYearMinus4Years>
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        <CurrentTaxYearMinus2Years>129969</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>40450</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17698</CurrentTaxYear>
        <Total>443639</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>119434</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>136088</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>40450</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17698</CurrentTaxYear>
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      <OtherIncome509>
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        <CurrentTaxYearMinus1Year>2255</CurrentTaxYearMinus1Year>
        <Total>13258</Total>
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        <CurrentTaxYearMinus3Years>16243455</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>17909126</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18834476</CurrentTaxYear>
        <Total>84829349</Total>
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      <PublicSupportPercentage509>0.99460</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99350</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01000</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01000</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
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      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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    <IRS990ScheduleD documentId="RetDoc4">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>2352761</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>59234</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>-2832</AdministrativeExpenses>
        <EndOfYearBalance>2409163</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>2420567</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>-63773</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>-4033</AdministrativeExpenses>
        <EndOfYearBalance>2352761</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>1.00000</BoardDesignatedEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Buildings>
        <OtherCostOrOtherBasis>1978551</OtherCostOrOtherBasis>
        <Depreciation>592854</Depreciation>
        <BookValue>1385697</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>18322</OtherCostOrOtherBasis>
        <Depreciation>12825</Depreciation>
        <BookValue>5497</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>527830</OtherCostOrOtherBasis>
        <Depreciation>437207</Depreciation>
        <BookValue>90623</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>22082</OtherCostOrOtherBasis>
        <Depreciation>13897</Depreciation>
        <BookValue>8185</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1490002</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>AFFILIATE PAYABLE</Description>
        <Amount>418000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>418000</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>INTENDED USES FOR ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 2, PART V, LINE 4</ReturnReference>
        <Explanation>THE BOARD-DESIGNATED FUNDS ARE INTENDED FOR THE ON-GOING OPERATIONS OF THE HOME CARE AND HOSPICE PROGRAMS AS WELL AS SUSTAINING THE HOSPICE HOUSE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>MUNSON HOME CARE HAS NO FIN 48 LIABILITIES; AND THEREFORE, NO FOOTNOTE DISCLOSURE ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc6">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>K DOUGLAS DECK</NamePerson>
        <CompBasedOnRelatedOrgs>587830</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>125100</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>10398</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>185041</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>14056</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>922425</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>EDWIN NESS</NamePerson>
        <CompBasedOnRelatedOrgs>421592</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>58771</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>13639</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>111215</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>19014</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>624231</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>12847</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARK ANTHONY</NamePerson>
        <CompBasedOnRelatedOrgs>204703</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>20477</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>19663</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>20007</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>5494</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>270344</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>9628</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARK HEPLER</NamePerson>
        <CompBasedOnRelatedOrgs>191747</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>17206</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>9543</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>19120</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>19028</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>256644</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>8118</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARY BETH MORRISON</NamePerson>
        <CompBasedOnRelatedOrgs>172286</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>17705</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>6350</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>16562</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>16622</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>229525</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>4919</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATHRINE GARTHE</NamePerson>
        <CompBasedOnRelatedOrgs>133515</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>14073</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>691</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>15569</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>14082</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>177930</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 4</ReturnReference>
        <Explanation>K. 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</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>OTHER ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART III</ReturnReference>
        <Explanation>SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, INCLUDING THE PRESIDENT AND VICE-PRESIDENTS OF MUNSON HEALTHCARE, A COMPETITIVE BENEFIT PACKAGE IS OFFERED WHICH INCLUDES PARTICIPATION IN A SUPPLEMENTAL RETIREMENT PLAN. ANNUAL CONTRIBUTIONS, AT MUNSON'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. THESE RETIREMENTS ARE AVAILABLE TO THE PARTICIPANTS UPON THEIR RETIREMENT FROM MUNSON.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>MUNSON 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RELATED PARTY INFORMATION AMONG OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 2</ReturnReference>
        <Explanation>MARK 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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 6</ReturnReference>
        <Explanation>MUNSON 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>EACH 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7B</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE PROCESS FOR DETERMINING APPROPRIATE LEVELS OF PAY FOR EXECUTIVE POSITIONS WITHIN MUNSON HEALTHCARE SYSTEM IS CAREFULLY AND THOUGHTFULLY DIRECTED BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS, THROUGH THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMMITTEE UTILIZES "BEST PRACTICES" METHODS OF DETERMINING COMPENSATION AND, AS SUCH, IS COMPOSED OF SEVEN MEMBERS WHOSE VOTING MEMBERS ARE INDEPENDENT. THE COMMITTEE IS CHARGED WITH ENSURING THAT EXECUTIVE COMPENSATION IS DESIGNED TO ATTRACT AND RETAIN HIGH QUALITY, PROFESSIONAL LEADERSHIP WHILE MAINTAINING STRONG STEWARDSHIP FOR THE ORGANIZATION. ANNUALLY, THE COMMITTEE RETAINS A NATIONAL INDEPENDENT CONSULTANT TO ENSURE THAT MUNSON HEALTHCARE'S COMPENSATION PRACTICES AND LEVELS ARE INDEPENDENTLY REVIEWED WHILE BEING COMPETITIVE AND REASONABLE. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>COMPENSATION OF OTHER OFFICERS IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON HOME CARE AND MUNSON HEALTHCARE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PAGE 7, PART VII</ReturnReference>
        <Explanation>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. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE R</ReturnReference>
        <Explanation>MUNSON 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE O</ReturnReference>
        <Explanation>AUDITED 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 &amp; 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.</Explanation>
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          <State>MI</State>
          <ZIPCode>49684</ZIPCode>
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        <ExemptCodeSection>(C)</ExemptCodeSection>
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          <City>TRAVERSE CITY</City>
          <State>MI</State>
          <ZIPCode>496851188</ZIPCode>
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          <City>TRAVERSE CITY</City>
          <State>MI</State>
          <ZIPCode>49686</ZIPCode>
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        <EIN>383453378</EIN>
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          <State>MI</State>
          <ZIPCode>496851188</ZIPCode>
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        <EIN>382872821</EIN>
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          <AddressLine1>PO BOX 1188</AddressLine1>
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