2022-05-16T11:36:51-05:00 2021-06-30 990 2020-07-01 382640544 MUNSON HEALTHCARE MUNS 2319355000 1105 SIXTH STREET TRAVERSE CITY MI 49684 ALICIA M MAITLAND CFO 2319357777 2022-05-13 ALICIA M MAITLAND 999009999 2020 2022-09-23 18:48:47Z EDWIN A NESS 1105 SIXTH STREET TRAVERSE CITY MI 49684 104256619 false X WWW.MUNSONHEALTHCARE.ORG X 1985 MI MUNSON HEALTHCARE AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH. 18 16 865 16 30985 160 313178 1058986 92577446 92107402 683024 3149079 116810 418268 93690458 96733735 25000 5000 0 56512578 63579886 0 90555 45380084 43327086 101917662 106911972 -8227204 -10178237 101129254 122228046 56821039 65944952 44308215 56283094 MUNSON HEALTHCARE AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH. false false 81415911 5000 92475768 PARENT HOLDING COMPANY FOR CORPORATIONS PROVIDING HEALTH CARE AND RELATED SERVICES. 81415911 true true false true false false false false false 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8549590 89016 -67915 -67915 LICENSES, TAXES, PENALTIE 1105623 479766 625857 DUES AND SUBSCRIPTIONS 532010 348052 183958 SUPPLIES 444193 199117 245076 REPAIRS & MAINTENANCE 147711 120525 27186 157429 66721 90708 106911972 81415911 25405506 90555 2533942 3577748 3727131 4035078 12421025 13749241 126498226 91819675 33145385 34678551 16572983 20407376 30197271 39503703 2531517 6276349 101129254 122228046 47712014 57054590 9109025 8890362 56821039 65944952 X 44308215 56283094 44308215 56283094 101129254 122228046 X -10178237 2173337 19979779 X false true X true false X X 7 MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL 381303843 3 true 0 2655747 PAUL OLIVER MEMORIAL HOSPITAL 381415623 3 true 0 1630353 MUNSON HEALTHCARE CHARLEVOIX HOSPITAL 381459366 3 true 0 2313333 MUNSON HEALTHCARE MANISTEE HOSPITAL 380350304 3 true 0 3638740 MUNSON HEALTHCARE GRAYLING 471161992 3 true 0 8552743 MUNSON HEALTHCARE CADILLAC 471156297 3 true 0 9166340 MUNSON MEDICAL CENTER 381362830 3 true 0 52371743 7 80328999 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 9,166,340 MUNSON MEDICAL CENTER 38-1362830 3 X 0 52,371,743 PART IV, SECTION E, LINE 3A MUNSON HEALTHCARE, AS THE SOLE MEMBER, ELECTS THE DIRECTORS/TRUSTEES FOR SUBSIDIARY ENTITIES, INCLUDING SUPPORTED ORGANIZATIONS. NOMINATIONS TO MUNSON HEALTHCARE FOR SUBSIDIARY DIRECTORS/TRUSTEES 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 8250 false false true 114331 122581 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 REGIONAL OR NATIONAL ORGANIZATIONS. 105548 105548 2371511 1523432 848079 113883893 90250804 23633089 10137274 45439 10091835 34678551 INVESTMENTS HELD IN TRUST 24802451 F INSURANCE INVESTMENTS 11206372 F INVESTMENT IN MMR 2124850 F INVESTMENT IN SUPPLY ALLIANCE 811747 F INVESTMENT IN PRIORITY HEALTH 558283 F 39503703 AFFILIATE RECEIVABLE 3864795 OPERATING LEASE RIGHT-OF-USE ASSET 2411554 6276349 INSURANCE CLAIMS RESERVE 5481466 LT OPERATING LEASE LIABILITY 2356190 LT DEFERRED TAX LIABILITY 877489 DEFERRED POST RETIREMENT BENEFIT 89363 ST OPERATING LEASE LIABILITY 85854 8890362 false CENTRAL AMERICA AND THE CARIBBEAN SELF INSURANCE INSURANCE 2406223 CENTRAL AMERICA AND THE CARIBBEAN SELF INSURANCE INCREASE INVESTMENT 400000 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENT INSURANCE INVESTMENT 7713972 10520195 10520195 true false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 2,406,223 0 CENTRAL AMERICA AND THE CARIBBEAN 0 400,000 CENTRAL AMERICA AND THE CARIBBEAN 0 7,713,972 SCHEDULE F, PAGE 5, PART V EXPENDITURES ARE REPORTED BASED ON THE ACCRUAL METHOD OF ACCOUNTING. X true true X X X X false true false false false false false false false EDWIN A NESS PRESIDENT & CEO 877571 700 37698 177479 32259 1125707 MARK A HEPLER CFO 451179 700 71108 69989 14110 607086 14141 CHRISTINE NEFCY MD CHIEF MEDICAL OFFICE 446316 700 20842 59210 22402 549470 THOMAS LEMON CEO OTSEGO HOSPITAL 396963 700 45357 57659 22985 523664 LAURA GLENN PRES AMBULATORY SERV 423775 700 15208 56998 22503 519184 TONYA SMITH PRES MHC COMM HOSP 352563 23393 1501 54279 26483 458219 CHRISTOPHER J PODGES VP & CHIEF INFO OFFI 342593 700 38705 38412 30200 450610 6274 MARK DEPONIO VP SYSTEM SERVICES 304070 700 50850 34056 8830 398506 5783 SUZANNE K PETERS VP HUMAN RESOURCES 282718 700 51047 32490 20559 387514 5371 RACHEL ROE VP LEGAL 287023 700 31368 33065 24223 376379 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 0 163,201 0 MARK A. HEPLER 0 47,430 0 CHRISTINE NEFCY, MD 0 46,650 0 THOMAS LEMON 0 43,380 0 LAURA GLENN 0 42,800 0 TONYA SMITH 0 40,000 0 CHRISTOPHER J. PODGES 0 21,282 0 MARK DEPONIO 0 18,852 0 SUZANNE K. PETERS 0 18,354 0 RACHEL ROE 0 18,786 0 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. JEFF BERRY SEE PART V 141066 COMPENSATION PAID false DILLON BROWN SEE PART V 22097 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 6 MUNSON HEALTHCARE IS A MEMBERSHIP ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 7A THERE ARE TWO CLASSES OF MEMBERS OF MUNSON HEALTHCARE: (1) ELECTED MEMBERS; AND (2) EX-OFFICIO MEMBERS. THERE IS NO SEPARATE VOTING BY CLASS ON MATTERS BROUGHT TO VOTE BY THE MEMBERS. EACH ELECTED MEMBER AND EACH EX-OFFICIO MEMBER SHALL HAVE ONE (1) VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS. THE ELECTED MEMBERS OF THE CORPORATION SHALL CONSIST OF NOT MORE THAN TWO HUNDRED (200) PERSONS, AT LEAST TWO-THIRDS OF WHOM SHALL BE RESIDENTS OF GRAND TRAVERSE, LEELANAU, BENZIE, KALKASKA AND ANTRIM COUNTIES OF THE STATE OF MICHIGAN AT THE TIME OF THEIR ELECTION TO MEMBERSHIP. NO PERSON SHALL BE ELIGIBLE AS AN ELECTED MEMBER AFTER ATTAINING THE AGE OF EIGHTY-FIVE. EACH ELECTED MEMBER SHALL BE NOMINATED BY THE BOARD OF DIRECTORS PURSUANT TO RECOMMENDATION BY THE GOVERNANCE COMMITTEE AND ELECTED BY THE MEMBERS TO SERVE A FIVE (5) YEAR TERM. AN ELECTED MEMBER'S TERM SHALL AUTOMATICALLY CEASE IN THE EVENT THE INDIVIDUAL BECOMES AN EX-OFFICIO MEMBER. THE ELECTED MEMBERS SHALL BE DIVIDED INTO STAGGERED TERMS SO THAT NEARLY EQUAL NUMBERS SHALL BE ELECTED EACH YEAR. THE EX-OFFICIO MEMBERS OF THE CORPORATION SHALL CONSIST OF EACH DIRECTOR OR TRUSTEE SERVING ON THE BOARDS OF DIRECTORS OR BOARD OF TRUSTEES OF CERTAIN SUBSIDIARY AND AFFILIATE ORGANIZATIONS. FORM 990, PAGE 6, PART VI, LINE 7B THE MEMBERS VOTE TO ELECT THE ELECTED MEMBERS AND THE ELECTED DIRECTORS OF THE CORPORATION. ADDITIONALLY, ANY AMENDMENT, REPEAL OR ADOPTION OF NEW BYLAWS, TO THE EXTENT IT AFFECTS THE RIGHTS AND POWERS OF THE MEMBERS OF THE CORPORATION, SHALL BE EFFECTIVE ONLY UPON RATIFICATION BY THE MEMBERS. CERTAIN ACTIONS UNDER THE MICHIGAN NONPROFIT CORPORATIONS ACT ALSO REQUIRE THE APPROVAL OF THE MEMBERSHIP INCLUDING A MERGER, CONSOLIDATION, CORPORATE REORGANIZATION, SALE OF SUBSTANTIALLY ALL THE ASSETS, AMENDMENT OF THE ARTICLES OF INCORPORATION AND DISSOLUTION. 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 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 THE PROCESS FOR DETERMINING APPROPRIATE LEVELS OF PAY FOR EXECUTIVE POSITIONS WITHIN MUNSON HEALTHCARE IS CAREFULLY AND THOUGHTFULLY DIRECTED BY THE BOARD OF DIRECTORS, THROUGH THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMMITTEE UTILIZES "BEST PRACTICES" METHODS OF DETERMINING COMPENSATION AND, AS SUCH, IS COMPOSED OF SEVEN MEMBERS WHOSE VOTING MEMBERS ARE INDEPENDENT. MINUTES ARE PREPARED FOR MEETINGS OF THE COMMITTEE. 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. THE MUNSON HEALTHCARE CONFLICT, VALUATION AND COMPLIANCE ("CVC") COMMITTEE ALSO REVIEWS THE SURVEY INFORMATION TO EVALUATE THE REASONABLENESS OF EXECUTIVE COMPENSATION. THAT ANALYSIS OCCURS EACH NOVEMBER. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE, AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. ANNUAL COMPENSATION FOR MUNSON EXECUTIVES IS DETERMINED IN PART BY MEASURABLE PROGRESS TOWARD THE ORGANIZATION'S GOALS INCLUDING CONTINUED IMPROVEMENT IN CLINICAL QUALITY, COMMUNITY HEALTH, AND OPERATIONAL EFFICIENCIES. MUNSON HEALTHCARE'S INTENT FOR EXECUTIVE BASE COMPENSATION IS TO BE AT THE MEDIAN WHEN COMPARED TO LIKE-SIZE NON-PROFIT HOSPITALS AND HEALTHCARE SYSTEMS. 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 XI, LINE 9 TRANSFER FROM MUNSON MEDICAL CENTER 25,860,000 TRANSFER TO MUNSON HOME SERVICES -1,000,000 NET PERIODIC PENSION COST -4,880,221 TOTAL 19,979,779 MUNSON CIN LLC 1105 SIXTH STREET TRAVERSE CITY MI 49684 842427352 IMP HEALTH MI 1298528 4158581 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 HEALTH 1105 SIXTH ST TRAVERSE CITY MI 49684 383335362 HOME HEALT MI C3 12B MUNSON HC HEALTHCARE 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 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AMOUNT PAID MUNSON HEALTHCARE CADILLAC O 2475778 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC L 9166340 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT P 2624120 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT Q 6269066 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT O 1699619 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT L 2313333 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS C 357667 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS O 84286 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS L 848208 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING P 941677 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING Q 7908362 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING O 2241317 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING L 8552743 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL P 3441311 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL Q 5747387 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL O 1440411 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL L 3638740 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H P 465383 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H Q 1890376 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H O 170594 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H L 2655747 ACTUAL AMOUNT PAID MUNSON HOME CARE P 285882 ACTUAL AMOUNT PAID MUNSON HOME CARE Q 4146917 ACTUAL AMOUNT PAID MUNSON HOME CARE O 1286973 ACTUAL AMOUNT PAID MUNSON HOME CARE L 1168755 ACTUAL AMOUNT PAID MUNSON HOME SERVICES P 78449 ACTUAL AMOUNT PAID MUNSON HOME SERVICES Q 839946 ACTUAL AMOUNT PAID MUNSON HOME SERVICES O 299535 ACTUAL AMOUNT PAID MUNSON HOME SERVICES B 1000000 ACTUAL AMOUNT PAID MUNSON HOME SERVICES L 395546 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER C 25860000 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER S 161451 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER P 6846506 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER Q 86029858 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER O 34689617 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER L 52371743 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP P 607556 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP Q 4377770 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP O 1735037 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP L 643909 ACTUAL AMOUNT PAID MUNSON SERVICES INC Q 412056 ACTUAL AMOUNT PAID MUNSON SERVICES INC O 170651 ACTUAL AMOUNT PAID MUNSON SERVICES INC L 346506 ACTUAL AMOUNT PAID MUNSON SUPPORT SERVICES P 132621 ACTUAL AMOUNT PAID MUNSON SUPPORT SERVICES Q 351233 ACTUAL AMOUNT PAID MUNSON SUPPORT SERVICES O 31617 ACTUAL AMOUNT PAID MUNSON SUPPORT SERVICES L 229243 ACTUAL AMOUNT PAID NORTH FLIGHT INC P 65475 ACTUAL AMOUNT PAID NORTH FLIGHT INC Q 619227 ACTUAL AMOUNT PAID NORTH FLIGHT INC O 195380 ACTUAL AMOUNT PAID NORTH FLIGHT INC L 193773 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE R 57985 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE P 596030 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE Q 1348216 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE O 379130 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE L 537679 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL P 251874 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL Q 2506555 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL O 648190 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL L 1630353 ACTUAL AMOUNT PAID SIXTH STREET DRUGS Q 141853 ACTUAL AMOUNT PAID SIXTH STREET DRUGS O 71572 ACTUAL AMOUNT PAID SIXTH STREET DRUGS L 127152 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.