2023-05-15T09:58:34-04:00 2022-06-30 990 2021-07-01 382640544 MUNSON HEALTHCARE MUNS 2319355000 1105 SIXTH STREET TRAVERSE CITY MI 49684 PAUL KONOPACKI CFO 2319357777 2023-05-15 PAUL KONOPACKI 999009999 2021 2023-04-26 12:10:37Z EDWIN A NESS 1105 SIXTH STREET TRAVERSE CITY MI 49684 115310382 false X WWW.MUNSONHEALTHCARE.ORG X 1985 MI MUNSON HEALTHCARE AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH. 23 22 1350 22 37640 304 1058986 1264835 92107402 107519168 3149079 639181 418268 34738 96733735 109457922 5000 31700 0 63579886 74913268 0 123186 43327086 54213104 106911972 129158072 -10178237 -19700150 122228046 106124577 65944952 184495607 56283094 -78371030 MUNSON HEALTHCARE AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH. false false 103613530 31700 107516266 PARENT HOLDING COMPANY FOR CORPORATIONS PROVIDING HEALTH CARE AND RELATED SERVICES. 103613530 true false false true false false false false 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0 0 0 KRISTINE THOMAS DIRECTOR 2.00 X 0 0 0 JOSEPH WILL DIRECTOR 1.00 X 0 0 0 ELAINE WOOD V CHR PT-YR/ 2.00 X X 0 0 0 BRUCE ZENNER DIRECTOR 1.00 X 0 0 0 5940223 871553 176 true true false CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 AMB SUPPORT 11207904 CORDEA CONSULTING LLC 1131 W 9TH ST SUITE 100 EDMOND OK 73034 CONSULTING 1711383 SIEMENS MEDICAL PO BOX 120001 DEPT 0733 DALLAS TX 753120733 EQUIPMENT MAINT 1359424 OPTIV SECURITY INC PO BOX 28216 NETWORK PLACE CHICAGO IL 606731282 CYBER SECURITY 1262297 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 SOFTWARE MAINT 1238322 56 1264835 1264835 CONTRACT REVENUES 561000 104737386 104737386 SERVICES TO OTHER ORGANIZATIO 561000 2271343 2271343 PROVIDER INCENTIVE 561000 405242 405242 HEALTH SERVICE REVENUE 561000 67557 67557 CONTRACT REVENUES 561000 37640 37640 107519168 -29223 -29223 6520864 5852460 668404 668404 668404 MISCELLANEOUS INCOME 900003 34738 34738 34738 109457922 107516266 37640 639181 X 31700 31700 3483889 1847761 1512942 123186 57742018 40656602 17085416 2410467 2047174 363293 7255273 5929516 1325757 4021621 3264331 757290 940861 940861 487650 487650 125118 125118 81293 81293 13221753 10262346 2959407 1468183 1228443 239740 3276319 3227296 49023 24056544 23892646 163898 783921 613783 170138 246467 228354 18113 386890 330229 56661 8471400 8374987 96413 -51992 -51992 DUES AND SUBSCRIPTIONS 704296 555289 149007 SUPPLIES 266247 93761 172486 LICENSES & TAXES 234752 667111 -432359 COMMUNITY SUPPORT 191687 163884 27803 -678285 198317 -876602 129158072 103613530 25421356 123186 3577748 3824177 4035078 1792927 13749241 8406697 134019395 100294861 34678551 33724534 20407376 17587637 39503703 36334533 6276349 4454072 122228046 106124577 57054590 58026429 118905099 8890362 7564079 65944952 184495607 X 56283094 -78371030 56283094 -78371030 122228046 106124577 X -19700150 -3742617 -111211357 X false true X true false X X 7 MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL 381303843 3 true 0 6958524 PAUL OLIVER MEMORIAL HOSPITAL 381415623 3 true 0 1421328 MUNSON HEALTHCARE CHARLEVOIX HOSPITAL 381459366 3 true 0 3627348 MUNSON HEALTHCARE MANISTEE HOSPITAL 380350304 3 true 0 5075604 MUNSON HEALTHCARE GRAYLING 471161992 3 true 0 9260976 MUNSON HEALTHCARE CADILLAC 471156297 3 true 0 10818012 MUNSON MEDICAL CENTER 381362830 3 true 0 66566388 7 103728180 true false false false false false false false false false false false false false false true true false X true true PART I, LINE 11H MUNSON HEALTHCARE CADILLAC 47-1156297 3 X 0 10,818,012 MUNSON MEDICAL CENTER 38-1362830 3 X 0 66,566,388 PART IV, SECTION E, LINE 3A MUNSON HEALTHCARE, AS THE SOLE MEMBER, ELECTS THE TRUSTEES FOR ALL SUBSIDIARY ENTITIES, INCLUDING SUPPORTED ORGANIZATIONS. EFFECTIVE 1/1/2022, THE BOARD OF TRUSTEES OF THE SUPPORTED ORGANIZATIONS CONSISTS OF THOSE INDIVIDUALS THAT ARE ELECTED OR APPOINTED TO SERVE AS THE DIRECTORS OF MUNSON HEALTHCARE. NOMINATIONS TO MUNSON HEALTHCARE ARE CONSIDERED AND RECOMMENDED BY THE MUNSON HEALTHCARE GOVERNANCE COMMITTEE. PART IV, SECTION E, LINE 3B CERTAIN DECISIONS OF THE SUPPORTED ORGANIZATIONS' TRUSTEES/DIRECTORS ARE SUBJECT TO APPROVAL BY THE MUNSON HEALTHCARE BOARD OF TRUSTEES INCLUDING THE ADOPTION, AMENDMENT, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF SUPPORTED ORGANIZATIONS; THE ADOPTION, EXECUTION, REVOCATION OR ABANDONMENT OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, OR REORGANIZATION; THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE SUPPORTED ORGANIZATIONS; THE ACQUISITION OF OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF SUPPORTED ORGANIZATIONS; THE ADOPTION OF ALL OPERATING BUDGETS AND CAPITAL EXPENDITURE BUDGETS FOR SUPPORTED ORGANIZATIONS INCURRENCE OF OPERATING OR CAPITAL EXPENDITURES BY SUPPORTED ORGANIZATIONS WHICH CAUSE THE AGGREGATE OPERATING OR CAPITAL EXPENDITURES TO EXCEED BUDGETED AGGREGATES BY MORE THAN FIVE PERCENT (5%) IN ANY FISCAL YEAR; INCURRENCE OF SECURED BORROWINGS OF SUPPORTED ORGANIZATIONS WITH THE EXCEPTION OF EQUIPMENT LEASES AND PURCHASE MONEY SECURITY INTERESTS APPROVED AS PART OF THE BUDGET; THE ADOPTION OR AMENDMENT OF THE MISSION STATEMENT, PURPOSES OR THE STRATEGIC GOALS OF SUPPORTED ORGANIZATIONS; CHANGE IN SCOPE OF CLINICAL SERVICES OR PROGRAMS PROVIDED BY SUPPORTED ORGANIZATIONS; AND APPOINTMENT OR REMOVAL OF THE PRESIDENT. SUPPLEMENTAL INFORMATION SERVICES PROVIDED BY MUNSON HEALTHCARE TO ALL ENTITIES INCLUDE CORPORATE FUNCTIONS SUCH AS FINANCE, LEGAL, HUMAN RESOURCES, PAYROLL, INFORMATION TECHNOLOGY SERVICES, COMMUNICATION, STRATEGY AND PLANNING, BUDGETING, AND ADMINISTRATION. false false false false false true 9250 false false true 115868 125118 false SCHEDULE C, PART II-B, LINE 1 GRASSROOTS LOBBYING EXPENSES GRANTED TO ORGANIZATIONS. PAID A CONSULTANT TO COORDINATE, MANAGE CONACTS AND COMMUNICATE WITH LOCAL, STATE AND FEDERAL LEGISLATORS ON HEALTHCARE LEGISLATION AND POLICY MATTERS OF IMPORTANCE TO MUNSON HEALTHCARE AND ITS FACILITIES AND SERVICES. OTHER ACTIVITIES INDICATE THE PORTION OF DUES ALLOCATED TO LOBBYING EXPENSES PAID TO THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION. 105548 105548 2371511 1641315 730196 120726288 98573697 22152591 10816048 79849 10736199 33724534 INVESTMENTS HELD IN TRUST 22118869 F INSURANCE INVESTMENTS 10720784 F INVESTMENT IN MMR 2124850 F INVESTMENT IN SUPPLY ALLIANCE 811747 F INVESTMENT IN PRIORITY HEALTH 558283 F 36334533 INSURANCE CLAIMS RESERVE 4973641 LT OPERATING LEASE LIABILITY 2377997 ST OPERATING LEASE LIABILITY 131826 DEFERRED POST RETIREMENT BENEFIT 80615 7564079 false CENTRAL AMERICA AND THE CARIBBEAN SELF INSURANCE INSURANCE 1843438 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENT INSURANCE INVESTMENT 7103934 8947372 8947372 true false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 1,843,438 0 CENTRAL AMERICA AND THE CARIBBEAN 0 7,103,934 SCHEDULE F, PAGE 5, PART V EXPENDITURES ARE REPORTED BASED ON THE ACCRUAL METHOD OF ACCOUNTING. true UNITED WAY OF NORTHWEST MICHIGAN 200 EAST GRANDVIEW PARKWAY TRAVERSE CITY MI 49684 381679060 501C3 25000 COMMUNITY SUPPORT 1 SCHEDULE I, PAGE 1, PART I, LINE 2 MUNSON HEALTHCARE MAY AWARD A GRANT OR CONTRIBUTION TO ANOTHER TAX-EXEMPT ORGANIZATION BASED ON A REQUEST FOR REIMBURSEMENT FOR PRE-APPROVED SERVICES OR PURCHASES. THE AWARD IS BASED ON AN EVALUATION OF THE USE OF THE FUNDS FOR THE PROMOTION OF HEALTH IN THE COMMUNITY. THE ONGOING RELATIONSHIP OF MUNSON HEALTHCARE WITH ITS PARTNERS IN THE COMMUNITY FOR THE PROMOTION OF HEALTH ALLOWS FOR THE MONITORING OF THE GRANT AWARD. X true true X X X X false true false false false false false true false EDWIN A NESS PRESIDENT & CEO 883584 280959 28690 190789 32369 1416391 LAURA GLENN PRES AMBULATORY SERV 462670 124952 20066 63530 21739 692957 CHRISTINE NEFCY MD CHIEF MEDICAL OFFICE 450396 103360 21148 60740 22546 658190 TONYA SMITH PRES MHC COMM HOSP 409775 118506 1520 56121 26373 612295 MARK A HEPLER CFO 227786 109926 191072 11390 6919 547093 85313 CHRISTOPHER PODGES CHIEF INFO OFFICER 348864 77074 36434 39151 29642 531165 6725 JOSEPH SANTANGELO CHF QUAL & SFTY OFFI 371824 69377 590 34846 22193 498830 JAMES BARKER PRES MANISTEE/PAUL O 309262 88421 25695 48258 25237 496873 RACHEL ROE CHIEF LEGAL OFFICER 301631 83194 26158 34257 24100 469340 SUZANNE PETERS VP HUMAN RESOURCES 285606 71018 41843 33000 20402 451869 5800 ALICIA MAITLAND CFO 311916 46733 10173 46343 21608 436773 SCHEDULE J, PAGE 1, PART I, LINE 1A MUNSON HEALTHCARE MAINTAINS A SOCIAL MEMBERSHIP AT THE TRAVERSE CITY COUNTRY CLUB. A REQUIREMENT OF THE COUNTRY CLUB IS THAT A MEMBERSHIP BE IN AN INDIVIDUAL NAME AND NOT A CORPORATE NAME, SO EDWIN NESS IS LISTED AS THE INDIVIDUAL FOR THE MEMBERSHIP. MUNSON HEALTHCARE USES THE SOCIAL MEMBERSHIP TO CONDUCT OFF-SITE MEETINGS AND RETREATS. SCHEDULE J, PAGE 1, PART I, LINE 4 EDWIN A. NESS 0 176,260 0 LAURA GLENN 0 49,001 0 CHRISTINE NEFCY, MD 0 47,580 0 TONYA SMITH 0 41,999 0 CHRISTOPHER PODGES 0 21,708 0 JOSEPH SANTANGELO 0 22,644 0 JAMES BARKER 0 33,729 0 RACHEL ROE 0 19,728 0 SUZANNE PETERS 0 18,720 0 ALICIA MAITLAND 0 32,080 0 SCHEDULE J, PAGE 1, PART I, LINE 7 MUNSON HEALTHCARE EXECUTIVES ARE ELIGIBLE FOR AN ANNUAL BONUS BASED ON MEETING ORGANIZATIONAL GOALS, WHICH ARE SET IN ADVANCE AND APPROVED BY THE COMPENSATION COMMITTEE OF THE MUNSON HEALTHCARE BOARD. THE GOALS INCLUDE A COMBINATION OF FINANCIAL TARGETS, STRATEGIC TARGETS AND OPERATIONAL TARGETS INCLUDING QUALITY HEALTHCARE DELIVERY, DISEASE MANAGEMENT, PATIENT SATISFACTION, EMPLOYEE SAFETY, AND EMPLOYEE ENGAGEMENT. AT THE END OF EACH FISCAL YEAR, THE COMPENSATION COMMITTEE OF THE MUNSON HEALTHCARE BOARD IS CHARGED WITH REVIEWING AND APPROVING EXECUTIVE BONUSES BASED ON PROGRESS TOWARD MEETING ORGANIZATIONAL GOALS. SCHEDULE J, PART III 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 NON-QUALIFIED 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. VICE-PRESIDENTS ARE ELIGIBLE TO PARTICIPATE IN AN AMOUNT NOT TO EXCEED 6% OF BASE COMPENSATION, FUNDED ANNUALLY, AT THE SOLE DISCRETION OF MUNSON. THESE FUNDS ARE AVAILABLE TO VESTED PARTICIPANTS UPON SEPARATION OF EMPLOYMENT FROM MUNSON. A CNTY GRD TRAVSE HOSP FIN AUTH 2021A 386004852 386523JJ4 2021-07-01 119547860 THE SERIES 2021 BONDS WERE ISSUED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF NEW GENERAL SURGERY A false false false A 119547860 1005177 44482506 71772683 2287494 true false false true A false true true false true false 0.02140 0.02140 false false true A false false false false false false false false true A true PURPOSE OF ISSUE DESCRIPTION CNTY GRD TRAVSE HOSP FIN AUTH 2021A THE SERIES 2021 BONDS WERE ISSUED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF NEW GENERAL SURGERY AND NEUROSURGERY CENTER FACILITIES, TO ACQUIRE AND INSTALL ENERGY EFFICIENT EQUIPMENT, TO REFUND THE OUTSTANDING COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY HOSPITAL REVENUE REFUNDING BONDS (MUNSON HEALTHCARE OBLIGATED GROUP) SERIES 2011A, TO REFUND THE OUTSTANDING COUNTY OF OTSEGO HOSPITAL FINANCE AUTHORITY REVENUE REFUNDING BONDS (OTSEGO MEMORIAL HOSPITAL OBLIGATED GROUP) SERIES 2013A, TO REFUND THE OUTSTANDING GAYLORD HOSPITAL FINANCE AUTHORITY HOSPITAL REVENUE REFUNDING BONDS (OTSEGO MEMORIAL HOSPITAL OBLIGATED GROUP) BONDS SERIES 2014B, AND TO REFUND THE OUTSTANDING GAYLORD HOSPITAL FINANCE AUTHORITY HOSPITAL REVENUE REFUNDING BONDS (OTSEGO MEMORIAL HOSPITAL OBLIGATED GROUP) SERIES 2015C ADDITIONAL INFORMATION CNTY GRD TRAVSE HOSP FIN AUTH 2021A PART III, QUESTION 3B AND D MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING PROCESS INCLUDES A REVIEW BY THE 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 CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2021, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. JEFF BERRY SEE PART V 149306 COMPENSATION PAID false DILLON BROWN SEE PART V 72705 COMPENSATION PAID false SCHEDULE L, PART V PART IV, LINE 1 JEFF BERRY IS A FAMILY MEMBER OF BOARD MEMBER JAY HOOK. PART IV, LINE DILLON BROWN IS A FAMILY MEMBER OF BOARD MEMBER JAY HOOK. FORM 990, PAGE 6, PART VI, LINE 4 IN DECEMBER 2021, MUNSON HEALTHCARES CORPORATE MEMBERS VOTED TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS TO CONVERT THE ORGANIZATION FROM A MEMBERSHIP ORGANIZATION (IN WHICH CORPORATE MEMBERS HAD THE POWER TO ELECT THE BOARD OF DIRECTORS AND AMEND, REPEAL AND ADOPT NEW BYLAWS TO THE EXTENT THE CHANGES AFFECT THE RIGHTS AND POWER OF THE MEMBERS) TO A DIRECTORSHIP ORGANIZATION (IN WHICH THOSE POWERS PREVIOUSLY HELD BY THE MEMBERS IS NOW VESTED IN THE DIRECTORS). THE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THE BYLAWS WERE EFFECTIVE JANUARY 1, 2022. FORM 990, PAGE 6, PART VI, LINE 11B THE MUNSON HEALTHCARE BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON HEALTHCARE IS THE PARENT COMPANY IN THE MUNSON HEALTHCARE SYSTEM, WHICH UNDERGOES AN AUDIT BY AN EXTERNAL AUDIT FIRM. AT THE CORPORATE LEVEL, THE RESPONSIBLE INDIVIDUALS FROM THE FINANCE, ADMINISTRATION, PATIENT FINANCIAL SERVICES, LEGAL, HUMAN RESOURCES, PUBLIC RELATIONS, AND FUND DEVELOPMENT DEPARTMENTS PREPARE AND REVIEW PORTIONS OF THE FORM 990. THE COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE REVIEWS THE COMPENSATION INFORMATION CONTAINED IN THE CORE FORM AS WELL AS THE SCHEDULE J INFORMATION. THE CONFLICT, VALUATION AND COMPLIANCE COMMITTEE OVERSEES THE CONFLICT OF INTEREST DISCLOSURE PROCESS FOR BOARD MEMBERS AND KEY EMPLOYEES TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE FINANCE AND AUDIT COMMITTEE OVERSEES THE FORM 990 PREPARATION PROCESS BY ENSURING PROPER CONTROLS, POLICIES, PEOPLE AND RESOURCES ARE IN PLACE TO PRODUCE AN ACCURATE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE MUNSON HEALTHCARE BOARD OF DIRECTORS (THE SYSTEM PARENT ORGANIZATION) HAS A STANDING CONFLICT, VALUATION AND COMPLIANCE ("CVC") COMMITTEE. THE CVC COMMITTEE IS COMPOSED OF INDEPENDENT BOARD AND COMMUNITY MEMBERS. THE CVC COMMITTEE IS DELEGATED AUTHORITY BY THE BOARD TO REVIEW AND APPROVE THE REASONABLENESS/FAIR MARKET VALUE OF FINANCIAL TRANSACTIONS/ARRANGEMENTS WITH DISQUALIFIED PERSONS. ANNUALLY, EACH BOARD MEMBER OF MUNSON HEALTHCARE AND ALL OF ITS SUBSIDIARY/CONTROLLED ENTITIES AND ALL MUNSON EXECUTIVES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE/QUESTIONNAIRE. THE RESPONSES TO THE DISCLOSURE/QUESTIONNAIRE ARE REVIEWED BY THE MUNSON LEGAL DEPARTMENT. ANY FINANCIAL ARRANGEMENTS/POTENTIAL CONFLICTS IDENTIFIED THROUGH THE DISCLOSURE/QUESTIONNAIRES ARE PRESENTED TO THE CVC COMMITTEE FOR ITS REVIEW AND DETERMINATION AS TO THE REASONABLENESS/FAIR MARKET VALUE. WHEN AN ACTION ITEM IS CONSIDERED BY A BOARD WHICH INVOLVES A POTENTIAL CONFLICT BY A BOARD MEMBER, THE CONFLICT IS DISCLOSED AND A BOARD MEMBER WILL ABSTAIN FROM A VOTE ON THE ACTION ITEM, AND, IN ADDITION, THE BOARD CHAIR HAS THE DISCRETION/AUTHORITY TO REQUEST THAT THE CONFLICTED BOARD MEMBER BE EXCUSED FROM THE MEETING FOR AN OPPORTUNITY FOR THE BOARD TO DISCUSS THE MATTER WITHOUT THE PRESENCE OF THE CONFLICTED BOARD MEMBER. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED THROUGH THE FOLLOWING PROCESS: FIRST, AN INDEPENDENT FIRM IS ENGAGED TO PROVIDE COMPARABILITY DATA. THEN, THAT DATA IS REVIEWED BY TWO MUNSON HEALTHCARE COMMITTEES, EACH OF WHICH ARE COMPRISED OF INDIVIDUALS WHO ARE NOT EMPLOYEES OR OTHERWISE INSIDERS (DEFINED AS BOARD MEMBERS, PHYSICIANS & EXECUTIVES) OF THE ORGANIZATION. FIRST, THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE EVALUATES THE DATA AND DETERMINES A RECOMMENDED COMPENSATION MODEL BASED ON THE COMPARABILITY DATA. NEXT, THE BOARD CONFLICT, VALUATION AND COMPLIANCE COMMITTEE REVIEWS THE RECOMMENDATIONS AS COMPARED TO THE COMPARABILITY DATA. THIS COMMITTEE'S ROLE IS TO DETERMINE WHETHER THE PROPOSED COMPENSATION IS CONSISTENT WITH FAIR MARKET VALUE. IF PHYSICIANS ARE INCLUDED IN THE DEFINITION OF KEY EMPLOYEE, THE BOARD CONFLICT, VALUATION, AND COMPLIANCE COMMITTEE REVIEWS ALL FINANCIAL RELATIONSHIPS WITH PHYSICIANS AND COMPARES THE PROPOSED FINANCIAL ARRANGEMENT WITH COMPARABILITY DATA PRODUCED BY AN OUTSIDE, INDEPENDENT FIRM. PHYSICIAN COMPENSATION DOES NOT GO TO THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMPARABILITY DATA AS WELL AS THE MINUTES OF EACH OF THESE COMMITTEE MEETINGS ARE MAINTAINED FOR FUTURE REFERENCE. THE MHC BOARD APPROVES THE MHC CEO'S COMPENSATION. THE MHC BOARD HAS DELEGATED TO THE CVC COMMITTEE THE AUTHORITY TO REVIEW AND APPROVE COMPENSATION ARRANGEMENTS WITH INSIDERS. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON HEALTHCARE. FORM 990, PAGE 6, PART VI, LINE 19 THE MUNSON HEALTHCARE ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON HEALTHCARE DOES NOT MAKE THE BYLAWS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANNUALLY, MUNSON HEALTHCARE PREPARES AND DISTRIBUTES AN ANNUAL REPORT TO THE COMMUNITY, WHICH CONTAINS FINANCIAL AS WELL AS PROGRAM DATA. FORM 990, PART IX, LINE 11G PURCHASED SERVICES 9,398,446 2,774,889 0 PROFESSIONAL FEES 863,900 184,518 0 TOTAL 10,262,346 2,959,407 0 FORM 990, PART XI, LINE 9 TRANSFER FROM SUBSIDIARIES 74,702,317 TRANSFER TO SUBSIDIARIES -180,455,000 NET PERIODIC PENSION COST -5,458,674 TOTAL -111,211,357 MUNSON CIN LLC 1105 SIXTH STREET TRAVERSE CITY MI 49684 842427352 IMP HEALTH MI 139219 3820878 MUNSON HC MUNSON DIALYSIS CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 383097861 DIALYSIS MI C3 3 MUNSON HC HEALTHCARE true MUNSON HEALTHCARE FOUNDATIONS 1105 SIXTH ST TRAVERSE CITY MI 49684 382642724 RAISE FUND MI C3 7 MUNSON HC HEALTHCARE true MUNSON HOME CARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382191390 HOME HEALT MI C3 10 MUNSON HC MUNSON HOME HEATLH true MUNSON HOME SERVICES 1105 SIXTH ST TRAVERSE CITY MI 49684 382543463 HOME HEALT MI C3 10 MUNSON HC MUNSON HOME HEALTH true MUNSON MEDICAL CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 381362830 HOSPITAL MI C3 3 MUNSON HC HEALTHCARE true NORTH FLIGHT INC 1105 SIXTH ST TRAVERSE CITY MI 49684 382657917 MED TRANSP MI C3 12B MUNSON HC HEALTHCARE true PAUL OLIVER MEMORIAL HOSPITAL 1105 SIXTH ST TRAVERSE CITY MI 49684 381415623 HEALTHCARE MI C3 3 MUNSON HC HEALTHCARE true MUNSON MEDICAL GROUP 1105 SIXTH ST TRAVERSE CITY MI 49684 273600575 PHYSICIAN MI C3 10 MUNSON MED MUNSON MEDICAL CENTER true MUNSON HEALTHCARE CADILLAC 1105 SIXTH ST TRAVERSE CITY MI 49684 471156297 HEALTHCARE MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE GRAYLING 1105 SIXTH ST TRAVERSE CITY MI 49684 471161992 HEALTHCARE MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE CHARLEVOIX HOSPIT 1105 SIXTH ST TRAVERSE CITY MI 49684 381459366 HOSPITAL MI C3 3 MUNSON HC true MUNSON HEALTHCARE MANISTEE HOSPITAL 1465 E PARKDALE AVE MANISTEE MI 496609709 380350304 HOSPITAL MI C3 3 MUNSON HC true MUNSON HEALTHCARE OTSEGO MEMORIAL H HOSPITAL 825 N CENTER AVE GAYLORD MI 497351592 381303843 HOSPITAL MI C3 3 MUNSON HC MUNSON HEALTHCARE true NORTHERN MICHIGAN SUPPLY ALLIANCE 2651 AERO PARK DR TRAVERSE CITY MI 49686 383453378 SUPPLY PUR MI MUNSON HEA MUNSON HEALTHCARE RELATED 7715624 4502277 false true 0.67750 MUNSON SUPPORT SERVICES PO BOX 1188 TRAVERSE CITY MI 496851188 382872821 LAUNDRY MI N/A true MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION PO BOX 1188 TRAVERSE CITY MI 496851188 383567278 REAL ESTAT MI N/A true MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY MI 496851188 383144382 PHARMACY MI N/A true SIXTH STREET DRUGS INC PO BOX 1188 TRAVERSE CITY MI 496851188 382298290 PHARMACY MI N/A true MEDICAL OFFICE CONDOMINIUM ASSOCATION PO BOX 1188 TRAVERSE CITY MI 496851188 201902620 REAL ESTAT MI N/A true true true true false false false false false false false false true true false true true true true true MUNSON DIALYSIS CENTER Q 434650 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER O 185170 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER L 259812 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC C 36000000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC P 965934 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC Q 9079808 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC O 2176667 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC L 10818012 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT P 333331 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT C 23000000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT Q 5404757 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT O 1516664 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT L 3627348 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS Q 220086 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS O 84846 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING P 302788 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING Q 7784829 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING O 2239252 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING L 9260976 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL C 6000000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL P 309364 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL Q 4918242 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL O 1428032 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL L 5075604 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H C 9702317 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H P 622027 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H Q 10313687 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H O 1751511 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H L 6958524 ACTUAL AMOUNT PAID MUNSON HOME CARE P 91411 ACTUAL AMOUNT PAID MUNSON HOME CARE Q 2788178 ACTUAL AMOUNT PAID MUNSON HOME CARE O 1118325 ACTUAL AMOUNT PAID MUNSON HOME CARE L 1167828 ACTUAL AMOUNT PAID MUNSON HOME SERVICES Q 682520 ACTUAL AMOUNT PAID MUNSON HOME SERVICES O 276887 ACTUAL AMOUNT PAID MUNSON HOME SERVICES B 1000000 ACTUAL AMOUNT PAID MUNSON HOME SERVICES L 388224 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER B 178309403 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER R 61729 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER P 9584049 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER Q 84781839 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER O 45788929 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER L 66566388 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP R 56423 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP Q 1968451 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP O 2200772 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP L 1130004 ACTUAL AMOUNT PAID MUNSON SERVICES INC Q 383715 ACTUAL AMOUNT PAID MUNSON SERVICES INC O 179931 ACTUAL AMOUNT PAID MUNSON SERVICES INC L 536196 ACTUAL AMOUNT PAID MUNSON SERVICES INC B 1145597 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE P 1120899 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE Q 1181350 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE O 512811 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL P 85360 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL Q 2235264 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL O 636495 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL L 1421328 ACTUAL AMOUNT PAID SIXTH STREET DRUGS Q 122187 ACTUAL AMOUNT PAID SIXTH STREET DRUGS O 57378 ACTUAL AMOUNT PAID SIXTH STREET DRUGS L 265452 ACTUAL AMOUNT PAID SCHEDULE R MUNSON HEALTHCARE 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.