MUNSON HEALTHCARE CHARLEVOIX HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (EIN 38-1459366)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-16
IRS object ID: 202241369349305959
Schema version: 2020v4.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-16T11:03:04-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381459366	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MUNSON HEALTHCARE CHARLEVOIX	BusinessNameLine1Txt
Business Name Line2	HOSPITAL	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	MUNS	BusinessNameControlTxt
Phone	2315474024	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14700 LAKE SHORE DRIVE	AddressLine1Txt
City	CHARLEVOIX	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49720	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALICIA M MAITLAND	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2315474024	PhoneNum
Signature	2022-05-13	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ALICIA M	PersonFirstNm
Person Last	MAITLAND	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOANNE SCHROEDER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14700 LAKE SHORE DRIVE	AddressLine1Txt
City	CHARLEVOIX	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49720	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$71,895,648	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MUNSONHEALTHCARE.ORG/CHARLEVOIX	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	MUNSON HEALTHCARE CHARLEVOIX HOSPITAL AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	449	TotalEmployeeCnt
Total Volunteers	7	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$6,563,265	PYContributionsGrantsAmt
CY Contributions Grants	$876,588	CYContributionsGrantsAmt
PY Program Service Revenue	$58,858,771	PYProgramServiceRevenueAmt
CY Program Service Revenue	$66,280,640	CYProgramServiceRevenueAmt
PY Investment Income	$486,976	PYInvestmentIncomeAmt
CY Investment Income	$857,707	CYInvestmentIncomeAmt
PY Other Revenue	$163,436	PYOtherRevenueAmt
CY Other Revenue	$152,691	CYOtherRevenueAmt
PY Total Revenue	$66,072,448	PYTotalRevenueAmt
CY Total Revenue	$68,167,626	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$29,062,286	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$28,400,302	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$211,441	CYTotalFundraisingExpenseAmt
PY Other Expenses	$31,128,070	PYOtherExpensesAmt
CY Other Expenses	$30,557,328	CYOtherExpensesAmt
PY Total Expenses	$60,190,356	PYTotalExpensesAmt
CY Total Expenses	$58,957,630	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,882,092	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,209,996	CYRevenuesLessExpensesAmt
Total Assets BOY	$59,920,165	TotalAssetsBOYAmt
Total Assets EOY	$70,162,827	TotalAssetsEOYAmt
Total Liabilities BOY	$16,238,442	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$16,243,685	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$43,681,723	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$53,919,142	NetAssetsOrFundBalancesEOYAmt
Mission	AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$51,904,554	ExpenseAmt
Revenue	$66,281,367	RevenueAmt
Desc	EXPENSES INCURRED WHILE PROVIDING HOSPITAL SERVICES TO THE RESIDENTS OF CHARLEVOIX, MICHIGAN AND THE SURROUNDING AREA WHILE FULFILLING THE HOSPITAL'S MISSION TO PROVIDE HEALTHCARE IN THE COMMUNITY. MUNSON HEALTHCARE CHARLEVOIX HOSPITAL HAD 918 INPATIENT ADMISSIONS IN FISCAL YEAR 2021 AND OVER 84,600 OUTPATIENT VISITS. THE HOSPITAL SERVED MORE THAN 2,500 SURGICAL CASES, 185 OBSTETRICAL BIRTHS, AND OVER 7,600 EMERGENCY ROOM VISITS. MUNSON HEALTHCARE CHARLEVOIX HOSPITAL ACCEPTS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL HAS APPROXIMATELY 40 ACTIVE MEDICAL STAFF. INCLUDED IN PROGRAM SERVICE EXPENSES ARE 308,000 OF EXPENSES RELATED TO THE COMPREHENSIVE CARE OF COVID-19 PATIENTS.	Desc
Total Program Service Expenses	$51,904,554	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	34	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	449	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	NICOLE SULAK MUNSON HEALTHCARE	PersonNm
Phone	2319357777	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4230 COPPER RIDGE DR	AddressLine1Txt
City	TRAVERSE CITY	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49684	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EDWIN NESS
DIRECTOR	1.00	40.00	Yes (X)	$0	$915,969	$209,738
JAMES JEAKLE MD
PHYSICIAN	40.00			$578,840	$0	$40,241	Yes (X)
MARK HEPLER
CFO	2.00	40.00		$0	$522,987	$84,099		Yes (X)
LAURA GLENN
PRESIDENT AM	2.00	40.00		$0	$439,683	$79,501			Yes (X)
GREGORY MCBRIDE DO
PHYSICIAN	40.00			$440,623	$0	$37,165	Yes (X)
TONYA SMITH
DIRECTOR	1.00	40.00	Yes (X)	$0	$377,457	$80,762
BARRETT KIELHORN DO
PHYSICIAN	40.00			$393,073	$0	$40,702	Yes (X)
MARK LAME MD
SURGEON	40.00			$380,172	$0	$34,519	Yes (X)
CATHERINE WONSKI MD
DIRECTOR	40.00		Yes (X)	$366,808	$0	$28,947
RACHEL MASON MD
PHYSICIAN	40.00			$335,628	$0	$22,089	Yes (X)
RODERICK TINNEY MD
DIRECTOR	40.00		Yes (X)	$305,394	$0	$31,503
JOANNE SCHROEDER
PRESIDENT	40.00		Yes (X)	$0	$267,669	$63,201		Yes (X)
ANNA YOUNG MD
DIRECTOR	40.00		Yes (X)	$219,312	$0	$29,476
CHRISTOPHER SQUIRE
VP ANCILLARY	2.00	40.00		$0	$198,669	$44,946			Yes (X)
BERNADETTE COLE RN
CHIEF NURSIN	40.00			$147,587	$0	$41,130				Yes (X)
SCOTT BEATTY
DIRECTOR	1.00		Yes (X)	$0	$0	$0
MARK GREYERBIEHL
DIRECTOR	1.00		Yes (X)	$0	$0	$0
MICHAEL HINKLE
CHAIR	2.00		Yes (X)	$0	$0	$0		Yes (X)
KATHLEEN LAUWERS
DIRECTOR	1.00		Yes (X)	$0	$0	$0
ALAN MCBRIDE
DIRECTOR	1.00		Yes (X)	$0	$0	$0
RUTH B HOPPE MD
DIRECTOR	1.00		Yes (X)	$0	$0	$0
BENJAMEN MULADORE
DIRECTOR	1.00		Yes (X)	$0	$0	$0
MICHAEL ORTWINE
DIRECTOR	1.00		Yes (X)	$0	$0	$0
CLIFF PORTER
DIRECTOR	1.00		Yes (X)	$0	$0	$0
NANCY SHERMAN
SECRETARY/TR	2.00		Yes (X)	$0	$0	$0		Yes (X)
THOMAS VERYSER
VICE CHAIR	2.00		Yes (X)	$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,167,437	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,722,434	TotReportableCompRltdOrgAmt
Total Other Compensation	$868,019	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	46	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
NORTHWESTERN MICHIGAN EMERGENCY PHY
4624 N SPIDER LAKE ROAD	TRAVERSE CITY	MI	49696	ER PHYSICIAN	$937,795
CERNER CORP
PO BOX 959156	ST LOUIS	MO	631959156	SUPPORT SERV	$934,556
GRAND TRAVERSE RADIOLOGISTS PC
10850 E TRAVERSE HWY SUITE 60	TRAVERSE CITY	MI	49684	MEDICAL	$605,931
ALLIANCE-HNI LLC
PO BOX 772550	DETROIT	MI	482772550	MOBILE MRI SERV	$380,929
STT SECURITY SERVICES
1600 N MISSION STREET	MOUNT PLEASANT	MI	48858	SECURITY	$229,235

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	8	CntrctRcvdGreaterThan100KCnt
Related Organizations	$193,522	RelatedOrganizationsAmt
Government Grants	$683,066	GovernmentGrantsAmt
Total Contributions	$876,588	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621990	$34,279,323	$34,279,323
MEDICARE/MEDICAID PAYMENTS	621990	$28,781,766	$28,781,766
340B PRESCRIPTION REVENUE	621990	$2,574,250	$2,574,250
MISC HEALTHCARE REVENUE	531120	$407,557	$407,557
QUALITY INCENTIVE PAYMENTS	621990	$228,128	$228,128

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,616	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,616	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$66,280,640	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$348,251	TotalRevenueColumnAmt
Exclusion	$348,251	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$38,256	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$38,256	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,256	TotalRevenueColumnAmt
Exclusion	$38,256	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,226,262	SecuritiesAmt
Other	$11,216	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,719,744	SecuritiesAmt
Other	$8,278	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$506,518	SecuritiesAmt
Other	$2,938	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$509,456	TotalRevenueColumnAmt
Related Or Exempt Func Income	$727	RelatedOrExemptFuncIncomeAmt
Exclusion	$508,729	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	722210	$91,525	$91,525
MISCELLANEOUS	621110	$22,910	$22,910

Field	Value	IRS element (for citing)
Other Revenue Total	$114,435	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$68,167,626	TotalRevenueColumnAmt
Related Or Exempt Func Income	$66,281,367	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,009,671	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$861,342	TotalAmt
Program Services	$861,342	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$22,863,770	TotalAmt
Program Services	$20,942,198	ProgramServicesAmt
Management And General	$1,921,572	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$844,775	TotalAmt
Program Services	$773,050	ProgramServicesAmt
Management And General	$71,725	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,751,875	TotalAmt
Program Services	$2,524,196	ProgramServicesAmt
Management And General	$227,679	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,078,540	TotalAmt
Program Services	$990,866	ProgramServicesAmt
Management And General	$87,674	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,490	TotalAmt
Management And General	$3,490	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$12,677	TotalAmt
Management And General	$12,677	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,454	TotalAmt
Management And General	$3,454	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$28,258	TotalAmt
Management And General	$28,258	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,550,530	TotalAmt
Program Services	$5,234,048	ProgramServicesAmt
Management And General	$3,105,041	ManagementAndGeneralAmt
Fundraising	$211,441	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$238	TotalAmt
Program Services	$238	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$569,408	TotalAmt
Program Services	$402,003	ProgramServicesAmt
Management And General	$167,405	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,499,750	TotalAmt
Program Services	$795,829	ProgramServicesAmt
Management And General	$703,921	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$835,923	TotalAmt
Program Services	$835,923	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$20,007	TotalAmt
Program Services	$19,374	ProgramServicesAmt
Management And General	$633	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$36,951	TotalAmt
Program Services	$32,640	ProgramServicesAmt
Management And General	$4,311	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$121,042	TotalAmt
Program Services	$106,562	ProgramServicesAmt
Management And General	$14,480	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,805,402	TotalAmt
Program Services	$2,469,793	ProgramServicesAmt
Management And General	$335,609	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$313,885	TotalAmt
Program Services	$269,459	ProgramServicesAmt
Management And General	$44,426	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$12,588,988	$12,588,988
QAAP TAXES	$1,544,685	$1,544,685
PROVISION FOR BAD DEBTS	$1,225,644	$1,225,644
REPAIRS AND MAINTENANCE	$195,830	$183,121	$12,709

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$201,166	TotalAmt
Program Services	$104,595	ProgramServicesAmt
Management And General	$96,571	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$58,957,630	TotalAmt
Program Services	$51,904,554	ProgramServicesAmt
Management And General	$6,841,635	ManagementAndGeneralAmt
Fundraising	$211,441	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$18,537,721	BOYAmt
EOY	$14,106,719	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,122,700	BOYAmt
EOY	$16,962,949	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,415,383	BOYAmt
EOY	$6,984,933	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,114,399	BOYAmt
EOY	$768,118	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$126,313	BOYAmt
EOY	$336,214	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$28,084,545	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$10,051,190	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$20,125,557	BOYAmt
EOY	$18,033,355	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$6,036,426	BOYAmt
EOY	$7,433,038	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,952,252	BOYAmt
EOY	$3,320,722	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$489,414	BOYAmt
EOY	$2,216,779	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$59,920,165	BOYAmt
EOY	$70,162,827	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,889,381	BOYAmt
EOY	$5,194,127	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$49,461	BOYAmt
EOY	$100,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,600,000	BOYAmt
EOY	$5,133,333	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,699,600	BOYAmt
EOY	$5,816,225	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,238,442	BOYAmt
EOY	$16,243,685	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$42,422,540	BOYAmt
EOY	$52,474,319	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,259,183	BOYAmt
EOY	$1,444,823	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$43,681,723	BOYAmt
EOY	$53,919,142	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$59,920,165	BOYAmt
EOY	$70,162,827	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,209,996	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$760,480	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$266,943	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,454	OtherActivitiesAmt
Total Lobbying Expenditures	$3,454	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	PORTION OF ANNUAL DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION THAT ARE USED TOWARDS LOBBYING ACTIVITIES. DIRECT PAYMENTS WERE MADE TO HEALTH ASSOCIATIONS FOR SPECIFIC ISSUES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,490,000	OtherCostOrOtherBasisAmt
Book Value	$2,490,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,764,604	OtherCostOrOtherBasisAmt
Depreciation	$5,443,732	DepreciationAmt
Book Value	$10,320,872	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,150	OtherCostOrOtherBasisAmt
Depreciation	$2,080	DepreciationAmt
Book Value	$3,070	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,132,037	OtherCostOrOtherBasisAmt
Depreciation	$4,299,484	DepreciationAmt
Book Value	$4,832,553	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$692,754	OtherCostOrOtherBasisAmt
Depreciation	$305,894	DepreciationAmt
Book Value	$386,860	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,033,355	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
THIRD PARTY SETTLEMENTS AND RESERVES	$5,263,706
LONG TERM DEFERRED PAYROLL TAX LIABI	$372,095
LONG TERM OPERATING LEASE LIABILITY	$104,091
SHORT TERM OPERATING LEASE LIABILITY	$43,421
CAPITAL LEASE	$32,912

Field	Value	IRS element (for citing)
Total Liability	$5,816,225	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$152,034	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$152,034	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,469,139	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,899,934	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,569,205	NetCommunityBenefitExpnsAmt
Total Expense	0.02720	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,621,173	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,899,934	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,721,239	NetCommunityBenefitExpnsAmt
Total Expense	0.02980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,101	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,501	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$292	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$292	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,793	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,625,566	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,900,534	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,725,032	NetCommunityBenefitExpnsAmt
Total Expense	0.02990	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,225,644	BadDebtExpenseAmt
Bad Debt Expense Attributable	$430,675	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,192,117	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,880,283	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$311,834	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MUNSON HEALTHCARE CHARLEVOIX HOSPIT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14700 LAKE SHORE DRIVE	AddressLine1Txt
City	CHARLEVOIX	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49720	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MUNSONHEALTHCARE.ORG/CHARLEVOIX	WebsiteAddressTxt
State License	1060000154	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MUNSON HEALTHCARE CHARLEVOIX HOSPIT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://TINYURL.COM/YAUD54T5	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://TINYURL.COM/YABQ4ZFC	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://TINYURL.COM/4HVNZX67	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://TINYURL.COM/Y9REDD4G	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://TINYURL.COM/49JBJKMU	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPIT - PART V, LINE 3E	STRATEGIC ISSUES AND HOW PRIORITIES WERE ESTABLISHED STRATEGIC ISSUES ARE BROADER THAN INDIVIDUAL HEALTH CONDITIONS, AND REPRESENT UNDERLYING CHALLENGES THAT NEED TO BE ADDRESSED, WHICH WOULD LEAD TO IMPROVEMENT IN HEALTH CONDITIONS. EACH STRATEGIC ISSUE SHOULD IMPACT MORE THAN ONE HEALTH CONDITION. WE NEEDED TO PRIORITIZE THESE ISSUES TO DECIDE WHICH STRATEGIC ISSUES WE WERE GOING TO FOCUS ON FOR OUR COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT STRATEGY. FIRST, WE HELD A MEETING TO LOOK AT NEEDS AND CONDITIONS ACROSS THE ENTIRE 31-COUNTY NORTHERN MICHIGAN REGION, AND THROUGH A FACILITATED PROCESS, IDENTIFIED A TOP ISSUE TO APPROACH COLLECTIVELY ON A LARGE REGIONAL SCALE. NEXT, WE HELD MEETINGS AROUND NORTHERN MICHIGAN TO IDENTIFY ADDITIONAL PRIORITIES FOR SMALLER GROUPS OF COUNTIES, BASED ON LOCAL DATA, CONDITIONS, AND EXPERIENCE. A STANDARDIZED PROCESS WAS USED AT EACH MEETING. EACH STRATEGIC ISSUE WAS PRIORITIZED USING THE FOLLOWING CRITERIA: 1. MAGNITUDE: HOW MANY PEOPLE ARE IMPACTED BY THIS ISSUE? 2. SEVERITY: HOW URGENT IS THIS ISSUE AND WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING IT NOW? 3. VALUES: DOES THE COMMUNITY CARE ABOUT THIS ISSUE? WHICH ISSUE IS MOST IMPORTANT TO THE COMMUNITY? 4. IMPACT: HOW MUCH IMPACT WOULD IMPROVING OR FOCUSING ON THIS ISSUE HAVE ON HEALTH, HEALTH EQUITY, AND QUALITY OF LIFE? 5. SUSTAINABILITY AND ACHIEVABILITY: IS THE ISSUE WITHIN OUR SPHERE OF CONTROL? WILL WE HAVE THE EXPERTISE NECESSARY TO ADDRESS IT? ORGANIZATIONS INVITED TO PARTICIPATE IN EACH MEETING INCLUDED THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH.
FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPIT - PART V, LINE 5	THROUGH A FACILITATED PROCESS SUPPORTED BY THE MICHIGAN PUBLIC HEALTH INSTITUTE, MITHRIVE PARTNERS REVIEWED ALL THE KEY FINDINGS FROM THE FOUR ASSESSMENTS, WHICH INCLUDED COMPILING EXISTING STATISTICS, HEARING FROM RESIDENTS, LEARNING FROM GROUPS OF COMMUNITY ORGANIZATIONS, AND SURVEYING HEALTH CARE PROVIDERS AND COMMUNITY MEMBERS, AND LOOKED FOR THE UNDERLYING CHALLENGES THAT ARE PREVENTING US FROM ACHIEVING OUR SHARED VISION. REGULAR ATTENDEES OF MITHRIVE STEERING COMMITTEE MEETINGS ATTENDED, AS WELL AS ADDITIONAL INTERESTED MITHRIVE PARTNERS. THROUGH COMBINING THE DATA FROM THE FOUR ASSESSMENTS AND LOOKING AT THE COMMUNITY FROM A HOLISTIC PERSPECTIVE, WE IDENTIFIED THE SEVEN STRATEGIC ISSUES, TWO OF WHICH WERE CATEGORIZED TO BE USED IN OUR IMPLEMENTATION STRATEGY ACTION PLANNING, LEAVING FIVE UNCATEGORIZED STRATEGIC ISSUES.
FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPIT - PART V, LINE 6A	MUNSON MEDICAL CENTER, MUNSON HEALTHCARE CADILLAC, MUNSON HEALTHCARE GRAYLING, PAUL OLIVER MEMORIAL HOSPITAL, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL, MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL, MUNSON HEALTHCARE MANISTEE HOSPITAL, AND KALKASKA MEMORIAL HEALTH CENTER ALL WORKED TOGETHER ON REGIONAL CHNA EFFORTS AS PART OF THE MITHRIVE REGIONAL CHNA INITIATIVE.
FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPIT - PART V, LINE 6B	OUR CONTINUED COMMITMENT TO OUR MISSION OF WORKING TOGETHER WITH OUR PARTNERS TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH IS REFLECTED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS WELL AS IN THE WORK WE DO EACH DAY TO BETTER UNDERSTAND AND ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY. FOR THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, THIS COMMITMENT IS EVIDENT IN OUR PARTICIPATION IN MITHRIVE, A REGIONAL, COLLABORATIVE PROJECT DESIGNED TO BRING TOGETHER DOZENS OF ORGANIZATIONS ACROSS 31 COUNTIES OF NORTHERN MICHIGAN TO IDENTIFY LOCAL NEEDS AND WORK TOGETHER TO IMPROVE OUR COMMUNITIES. WHERE WE LIVE, LEARN, WORK, AND PLAY POWERFULLY INFLUENCES OUR HEALTH. IMPROVING COMMUNITY HEALTH REQUIRES A BROAD FOCUS AND COORDINATION AMONG DIVERSE AGENCIES AND STAKEHOLDERS. THE GOAL IS TO CONTINUE TO BUILD NEW PARTNERSHIPS AND GATHER INPUT FROM MORE ORGANIZATIONS AND RESIDENTS. OUR CHNA REPRESENTS A COLLABORATIVE, COMMUNITY-BASED APPROACH TO IDENTIFY, ASSESS, AND PRIORITIZE THE MOST IMPORTANT HEALTH ISSUES AFFECTING OUR COMMUNITY, GIVING SPECIAL ATTENTION TO THE POOR AND UNDERSERVED IN OUR SERVICE AREA. THE PROCESS IS ALSO THE FOUNDATION THAT WE WILL USE TO COLLABORATIVELY PLAN, DEVELOP, AND FOSTER PROGRAMS TO EFFECTIVELY ADDRESS THOSE NEEDS IN OUR COMMUNITY. FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL - PART V, LINE 7A HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA/FILE/4988%20CHARLEVOIX%20CHNA %20REPORT%202019.PDF FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL - PART V, LINE 10A HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA/FILE/4988%20CHARLEVOIX%20CHNA %20IMPLEMENTATION%20STRATEGY%202019.PDF
FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPIT - PART V, LINE 11	THROUGH A FACILITATED PROCESS SUPPORTED BY THE MICHIGAN PUBLIC HEALTH INSTITUTE, MITHRIVE PARTNERS REVIEWED ALL THE KEY FINDINGS FROM THE FOUR ASSESSMENTS, WHICH INCLUDED COMPILING EXISTING STATISTICS, HEARING FROM RESIDENTS, LEARNING FROM GROUPS OF COMMUNITY ORGANIZATIONS, AND SURVEYING HEALTHCARE PROVIDERS AND COMMUNITY MEMBERS AND LOOKED FOR THE UNDERLYING CHALLENGES THAT ARE PREVENTING US FROM ACHIEVING OUR SHARED VISION. REGULAR ATTENDEES OF MITHRIVE STEERING COMMITTEE MEETINGS ATTENDED, AS WELL AS ADDITIONAL INTERESTED MITHRIVE PARTNERS. THROUGH COMBINING THE DATA FROM THE FOUR ASSESSMENTS AND LOOKING AT THE COMMUNITY FROM A HOLISTIC PERSPECTIVE, WE IDENTIFIED THE SEVEN STRATEGIC ISSUES, TWO OF WHICH WERE CATEGORIZED TO BE USED IN OUR IMPLEMENTATION STRATEGY ACTION PLANNING, LEAVING FIVE STRATEGIC ISSUES. NEXT, WE NEEDED TO PRIORITIZE THESE ISSUES TO DECIDE WHICH STRATEGIC ISSUES WE WERE GOING TO FOCUS ON FOR OUR COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT STRATEGY. FIRST, WE HELD A MEETING TO LOOK AT NEEDS AND CONDITIONS ACROSS THE ENTIRE 31-COUNTY NORTHERN MICHIGAN REGION, AND THROUGH A FACILITATED PROCESS, IDENTIFIED A TOP ISSUE TO APPROACH COLLECTIVELY ON A LARGE REGIONAL SCALE. NEXT, WE HELD MEETINGS AROUND NORTHERN MICHIGAN TO IDENTIFY ADDITIONAL PRIORITIES FOR SMALLER GROUPS OF COUNTIES, BASED ON LOCAL DATA, CONDITIONS, AND EXPERIENCE. A STANDARDIZED PROCESS WAS USED AT EACH MEETING. EACH STRATEGIC ISSUE WAS PRIORITIZED USING THE FOLLOWING CRITERIA: 1. MAGNITUDE: HOW MANY PEOPLE ARE IMPACTED BY THIS ISSUE? 2. SEVERITY: HOW URGENT IS THIS ISSUE AND WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING IT NOW? 3. VALUES: DOES THE COMMUNITY CARE ABOUT THIS ISSUE? WHICH ISSUE IS MOST IMPORTANT TO THE COMMUNITY? 4. IMPACT: HOW MUCH IMPACT WOULD IMPROVING OR FOCUSING ON THIS ISSUE HAVE ON HEALTH, HEALTH EQUITY, AND QUALITY OF LIFE? 5. SUSTAINABILITY AND ACHIEVABILITY: IS THE ISSUE WITHIN OUR SPHERE OF CONTROL? WILL WE HAVE EXPERTISE NECESSARY TO ADDRESS IT? ORGANIZATIONS INVITED TO PARTICIPATE IN EACH MEETING INCLUDED THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH, LOCAL PUBLIC HEALTH DEPARTMENTS, AND ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY GROUPS. THROUGH THIS PROCESS THESE PRIORITY ISSUES WERE IDENTIFIED: THE TWO TOP PRIORITY ISSUES TO BE ADDRESSED: HOW DO WE ENSURE A COMMUNITY THAT PROVIDES PREVENTIVE & ACCESSIBLE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES? - ACTION PLAN ON PAGE HOW DO WE ADDRESS BASIC NEEDS OF LIVING TO CREATE RESILIENCY AND PROMOTE EQUITY? - ACTION PLAN ON PAGE ADDITIONAL STRATEGIC ISSUES IDENTIFIED: HOW DO WE IMPROVE ACCESS TO COMPREHENSIVE HEALTH CARE FOR ALL? HOW DO WE FOSTER A SENSE OF COMMUNITY THAT PROMOTES TRUST, SOCIAL SUPPORT, AND INCLUSIVENESS? HOW DO WE IMPROVE PREVENTION AND REDUCE HEALTH RISKS FOR LEADING CAUSES OF DEATH? IMPROVING THE PLANNING PROCESS IN ADDITION TO THE STRATEGIC ISSUES, WE IDENTIFIED TWO MAJOR AREAS FOR IMPROVEMENT IN HOW WE GO ABOUT ADDRESSING THESE ISSUES AND PLANNING INTERVENTIONS: 1) IMPROVE CROSS-SECTOR COLLABORATION AND THE COMMUNITY HEALTH IMPROVEMENT PLANNING PROCESS. 2) IMPROVE COMMUNITY VOICE AND PARTICIPATION IN PLANNING. STRATEGIC ISSUES THAT WILL NOT BE TARGETED AND THE REASON MUNSON HEALTHCARE CHARLEVOIX HOSPITAL ACKNOWLEDGES THE WIDE RANGE OF ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT WITH THE BROAD NATURE OF THE STRATEGIC ISSUES WE COULD EFFECTIVELY FOCUS ON ONLY THOSE ISSUES THAT WERE PRIORITIZED THE HIGHEST BY OUR COMMUNITY. DUE TO THE LOWER PRIORITIZATION, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL WILL NOT TARGET THE FOLLOWING IDENTIFIED STRATEGIC ISSUES: HOW DO WE IMPROVE ACCESS TO COMPREHENSIVE HEALTH CARE FOR ALL? HOW DO WE FOSTER A SENSE OF COMMUNITY THAT PROMOTES TRUST, SOCIAL SUPPORT, AND INCLUSIVENESS? HOW DO WE IMPROVE PREVENTION AND REDUCE HEALTH RISKS FOR LEADING CAUSES OF DEATH? WHILE WE ARE NOT TARGETING THESE STRATEGIC ISSUES IN THIS IMPLEMENTATION STRATEGIC WE STILL COMMIT TO CONTINUE TO WORK ON EFFORTS TO ACTIVELY WORK TO IMPROVE THESE ISSUES AS WELL.
FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPIT - PART V, LINE 13H	PATIENTS WHOSE FAMILY INCOME EXCEEDS 400% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, AT THE SOLE DISCRETION OF MUNSON HEALTHCARE. FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL - PART V, LINE 16A HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA/FILE/FINANCIAL_ASSISTANCE_POLICY.PDF FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL - PART V, LINE 16B HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA/FILE/CHARLEVOIX%20HOSPITAL%20- %20FINANCIAL%20ASSISTANCE.PDF FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL - PART V, LINE 16C HTTPS://WWW.MUNSONHEALTHCARE.ORG/MEDIA/FILE/PLAIN%20LANGUAGE%20SUMMARY.PDF
FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPIT - PART V, LINE 16J	IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE TO THE PATIENTS AND TO THE PUBLIC THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY. THIS WILL BE ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS: INFORMATION BROCHURES AVAILABLE AT THE REGISTRATION DESKS; BROCHURES DISTRIBUTED TO ALL SELF-PAY PATIENTS; INFORMATION POSTED ON THE WEBSITE; STATEMENT ON BILLS; SIGNS IN THE REGISTRATION AREAS; AND CALLS MADE TO ALL SELF-PAY PATIENTS AFTER SERVICE.
FACILITY 1, MUNSON HEALTHCARE CHARLEVOIX HOSPIT - PART V, LINE 20E	MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (CHARLEVOIX) REVIEWS LARGE DOLLAR ACCOUNTS TO ENSURE ASSISTANCE HAS BEEN OFFERED TO PATIENTS BEFORE THE ACCOUNTS ARE TRANSFERRED TO A CREDIT AGENCY. ONCE AN ACCOUNT HAS BEEN TRANSFERRED TO A CREDIT AGENCY, THE AGENCY REVIEWS THE ACCOUNT TO SEE IF THE PATIENT WOULD BE A POSSIBLE CANDIDATE FOR FINANCIAL ASSISTANCE BEFORE FILING ANY LAWSUITS OR LIENS. CHARLEVOIX WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER THIS FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS SHALL INCLUDE: 1.VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENTS HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL; 2.DOCUMENTING THAT CHARLEVOIX HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE PURSUANT TO THIS POLICY AND THAT THE PATIENT HAS NOT COMPLIED WITH THE HOSPITAL'S APPLICATION REQUIREMENTS; 3.DOCUMENTING THAT THE PATIENT HAS BEEN OFFERED THE OPPORTUNITY TO ENTER INTO A PAYMENT PLAN BUT HAS NOT DONE SO, OR HAS ENTERED INTO A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN. THE METHOD IN WHICH CHARLEVOIX DOES THIS IS AS FOLLOWS: ALL STATEMENTS INCLUDE A STATEMENT REGARDING THE AVAILABILITY OF PAYMENT PLANS, FINANCIAL ASSISTANCE AND CHARITY CARE. CHARLEVOIX WORKS WITH THE COLLECTION AGENCIES TO IDENTIFY INDIVIDUALS THAT MAY QUALIFY FOR CHARITY. IF THEY FIND AN INDIVIDUAL, THEY MAY REFER THE PATIENT TO PATIENT ACCOUNTS FOR EVALUATION. ALL ACCOUNTS THAT ARE PATIENT-PAY RECEIVE A PHONE CALL TO MAKE THE PATIENT AWARE OF OUR FINANCIAL ASSISTANCE POLICY PRIOR TO THEM GOING TO COLLECTIONS.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
MHC BOYNE AREA HEALTH CENTER
223 N PARK	BOYNE CITY	MI	49712	RURAL HEALTH CLINIC
MHC CHARLEVOIX SURGEONS
14695 PARK AVENUE	CHARLEVOIX	MI	49720	SURGICAL SERVICES	SUITE A
MHC BOYNE REHAB CENTER
197 STATE STREET	BOYNE CITY	MI	49712	REHABILITATION SERVICES
MHC JORDAN VALLEY REHAB CENTER
100 MAIN STREET 9	EAST JORDAN	MI	49727	REHABILITATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	INCOME UP TO 200% OF THE FPG = 100% DISCOUNT ON CHARGES INCOME BETWEEN 201% AND 300% FPG = 75% DISCOUNT ON CHARGES INCOME BETWEEN 301% AND 400% FPG = 65% DISCOUNT ON CHARGES FAMILY INCOME MAY INCLUDE ALL INCOME ATTRIBUTABLE TO ALL MEMBERS OF THE FAMILY IN THE RESIDENCE, OTHER THAN MINIMAL AMOUNTS EARNED BY MINORS. FAMILY INCOME INCLUDES THE FOLLOWING WHEN COMPUTING FPG: EARNINGS, UNEMPLOYMENT COMPENSATION, WORKER'S COMPENSATION, SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, PUBLIC ASSISTANCE, VETERANS' PAYMENTS, SURVIVOR BENEFITS, PENSION OR RETIREMENT INCOME, INTEREST, DIVIDENDS, RENTS, ROYALTIES, INCOME FROM ESTATES, EDUCATIONAL ASSISTANCE, ALIMONY, CHILD SUPPORT, ASSISTANCE FROM OUTSIDE THE HOUSEHOLD, AND OTHER MISCELLANEOUS SOURCES; CASH, CHECKING AND SAVINGS BALANCES, MONEY MARKET ACCOUNTS, CERTIFICATES OF DEPOSIT, IRAS TRUSTS, INHERITANCES, ANNUITIES, SAVINGS BONDS, STOCKS, MUTUAL FUNDS, AND/OR CASH VALUE OF LIFE INSURANCE.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, ARE 58,957,630. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS 1,225,644. THE NET EXPENSE OF 57,731,986 WAS USED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
SCHEDULE H, PART I, LINE 7	COST VALUES FOR LINE 7 ARE BASED ON THE COST TO CHARGE RATIO.
SCHEDULE H, PART III, LINE 2	DIRECT WRITE-OFF FROM UNPAID ACCOUNTS WHICH ARE DEEMED NO LONGER COLLECTIBLE ARE RECORDED AGAINST THE ALLOWANCE FOR BAD DEBT. AN ESTIMATE OF BAD DEBT EXPENSE IS RECORDED BASED ON 1) AN ANALYSIS OF THE DIRECT WRITE- OFFS AND 2) AN ESTIMATE OF THE AMOUNT OF BAD DEBT, NET OF DISCOUNTS, IN THE ACCOUNTS RECEIVABLE BALANCE, CONSIDERING THE PAST EXPERIENCE AND CURRENT TRENDS OF PAYMENTS ON PATIENT ACCOUNTS FOR EACH OF THE MAJOR PAYOR SOURCES OF REVENUE.
SCHEDULE H, PART III, LINE 3	THE METHODOLOGY USED TO DETERMINE THE ESTIMATED AMOUNT OF CHARITY IN BAD DEBT IS AS FOLLOWS. WE DETERMINED THE APPROVAL RATE OF FINANCIAL COUNSELING BY TAKING THE VALUE OF THE ACCOUNTS THAT SUCCESSFULLY QUALIFIED FOR CHARITY (INCLUDING PRESUMPTIVE APPROVALS) AND DIVIDING THAT NUMBER BY THE ACCOUNTS THAT WERE APPROVED FOR CHARITY PLUS THE ACCOUNTS THAT WERE DENIED. THEN WE APPLIED THAT PERCENTAGE TO THE VALUE OF ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT, MULTIPLIED BY THE APPROVAL RATE FOR FINANCIAL COUNSELING.
SCHEDULE H, PART III, LINE 4	SEE NOTE 2 ON PAGE 8 OF ATTACHED AUDITED FINANCIAL STATEMENTS UNDER ACCOUNTS RECEIVABLE.
SCHEDULE H, PART III, LINE 9B	MUNSON HEALTHCARES INTERNAL AND EXTERNAL COLLECTION PRACTICES REFERENCED IN THE CREDIT AND COLLECTION POLICY (INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NON-PAYMENT, INCLUDING COLLECTION ACTIONS AND REPORTING TO COLLECTION AGENCIES) SHALL TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENTS GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MUNSON HEALTHCARE (MHC), AND A PATIENTS GOOD FAITH EFFORT TO COMPLY WITH HIS/HER PAYMENT AGREEMENTS WITH MHC. FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, MHC MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS ON ANY UNPAID BALANCES ON ACCOUNTS THAT WERE OPENED WITHIN ONE YEAR OF THE DATE THAT THE PATIENT QUALIFIED FOR CHARITY UNDER THIS POLICY. MHC WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER THIS FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS SHALL INCLUDE: 1) VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENTS HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL; 2) DOCUMENTING THAT MHC HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE PURSUANT TO THIS POLICY AND THAT THE PATIENT HAS NOT COMPLIED WITH THE HOSPITALS APPLICATION REQUIREMENTS; 3) DOCUMENTING THAT THE PATIENT HAS BEEN OFFERED THE OPPORTUNITY TO ENTER INTO A PAYMENT PLAN BUT HAS NOT DONE SO, OR HAS ENTERED INTO A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN. PATIENTS WILL BE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR A PERIOD OF AT LEAST 120 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. PATIENT BALANCES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE CONSIDERATION FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. MEMBERS OF THE PUBLIC MAY OBTAIN THE CURRENT CREDIT AND COLLECTION POLICY FOR ANY MUNSON HEALTHCARE HOSPITAL ON THE WEBSITE, IN WRITING, AND FREE OF CHARGE BY CONTACTING MUNSON HEALTHCARE PATIENT FINANCIAL SERVICES DEPARTMENT AT 4230 COPPER RIDGE DR., TRAVERSE CITY, MI 49684
SCHEDULE H, PART VI, LINE 2	THE MUNSON HEALTHCARE BOARD OF DIRECTORS MAINTAINS A STANDING COMMUNITY HEALTH COMMITTEE (CHC) TO SERVE THE MUNSON HEALTHCARE SYSTEM. THE CHC CONSISTS OF MUNSON HEALTHCARE BOARD MEMBERS FROM MUNSON HEALTHCARE HOSPITALS AND OTHER INTERESTED AREA PHYSICIANS AND COMMUNITY MEMBERS APPOINTED BY THE MUNSON HEALTHCARE BOARD CHAIRPERSON. THE CHC MEETS AT LEAST QUARTERLY TO REVIEW EXISTING PROGRAMS AND SERVICES RELATED TO CURRENT COMMUNITY HEALTH NEEDS, CONSIDER THE MHC RESPONSE TO ANY EMERGING HEALTH TRENDS AS IDENTIFIED BY COMMUNITY HEALTH NEEDS ASSESSMENT, AND REVIEW ANY NEW COMMUNITY HEALTH BASED COLLABORATION OR PROGRAM. THE CHC IS RESPONSIBLE FOR COMMUNICATING INTERNALLY AND EXTERNALLY THE SIGNIFICANCE OF MHC COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS COMMITTEE IS SUPPORTED BY A COMMUNITY HEALTH DEPARTMENT EMPLOYEES OF THE HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM. MUNSON HEALTHCARE SYSTEM ASSESS THE HEALTH STATUS OF THE TOTAL POPULATION WITHIN MUNSON HEALTHCARE'S EXTENSIVE GEOGRAPHICAL AREA. COMMUNITY HEALTH ASSESSMENT IS AN IMPORTANT COMPONENT OF A COMMUNITY HEALTH IMPROVEMENT STRATEGY AS IT PROVIDES GUIDANCE AS TO WHERE EFFORTS SHOULD BE CONCENTRATED, AS WELL AS WHERE PROGRESS HAS BEEN MADE. THE DATA DOCUMENTED THROUGH AN ASSESSMENT SERVES AS A USEFUL REFERENCE FOR PROGRAM AND RESOURCE DEVELOPMENT EFFORTS COMMUNITY-WIDE. THE HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM PARTICIPATE IN A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO MEET THE REQUIREMENTS OF IRC SEC 501(R) IN ACCORDANCE WITH THE PLANS OF THE COMMUNITY HEALTH COMMITTEE OF THE BOARD. THE ASSESSMENT IS ACCOMPLISHED THROUGH COLLABORATION WITH MANY OF THE HUMAN SERVICE ORGANIZATIONS IN THE LOCAL COMMUNITIES.
SCHEDULE H, PART VI, LINE 3	IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE AND EDUCATE PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS: INFORMATION BROCHURES AVAILABLE AT THE REGISTRATION DESKS: BROCHURES THAT DESCRIBE MUNSON HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL REGISTRATION SITES. THE BROCHURE HAS CLEAR INFORMATION ON HOW TO CONTACT A FINANCIAL COUNSELOR. STATEMENT ON BILLS: STATEMENTS INCLUDE VERBIAGE THAT INSTRUCTS THE PATIENT TO CALL PATIENT FINANCIAL ASSISTANCE IF THEY NEED HELP WITH THEIR BILL. SIGNS IN THE ER REGISTRATION AREA: ADVISES THE PATIENTS THAT THEIR CARE IS NOT WITHHELD IF THEY HAVE NO INSURANCE OR MEANS TO PAY. THE MUNSON HEALTHCARE INTERNET HAS THE FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION, THE PLAIN LANGUAGE SUMMARY AND THE BILLING AND COLLECTIONS POLICY AVAILABLE TO REVIEW AND PRINT. REFERRAL BY REGISTRATION STAFF: AT THE TIME OF REGISTRATION, SELF-PAY PATIENTS OR ANY PATIENT THAT MAY HAVE CONCERNS REGARDING THEIR UPCOMING ADMISSION IS REFERRED TO THE FINANCIAL COUNSELING STAFF. MUNSON HEALTHCARE FINANCIAL COUNSELORS ARE AVAILABLE TO TALK WITH PATIENTS ABOUT THEIR FINANCIAL CONCERNS. THE COUNSELOR VISIT ALL INPATIENTS THAT ARE DEEMED SELF-PAY, TO SEE IF THEY HAVE CONCERNS AND TO DETERMINE IF THEY WOULD LIKE HELP. IF THE PATIENT WOULD LIKE HELP, THE COUNSELORS GATHER INCOME INFORMATION AND SCREEN THE PATIENT FOR MEDICAID. GENERALLY, THESE TWO ACTIONS WILL DETERMINE WHAT PROGRAM THE PATIENT MIGHT QUALIFY FOR. ONCE THE COUNSELOR DETERMINES WHAT THE PATIENT MAY QUALIFY FOR, THE COUNSELOR EDUCATES THE PATIENT ON THE AVAILABLE PROGRAMS AND ASSISTS THEM WITH COMPLETING THE APPROPRIATE APPLICATIONS. THE COUNSELORS ALSO IDENTIFY ALL SELF-PAY OUTPATIENTS AND GO THROUGH THE SAME PROCESS, ONLY BY PHONE. THE GOAL IS TO TALK WITH PATIENTS PRIOR TO ADMISSION, BUT WHEN THAT IS NOT POSSIBLE, THE CALL IS MADE SOON AFTER DISCHARGE. AVAILABLE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO: MEDICAID (AND ALL OF ITS SUBSETS), SOCIAL SECURITY DISABILITY, TRAVERSE HEALTH CLINIC, MUNSON HEALTHCARE FINANCIAL ASSISTANCE, AND MUNSON MEDICAL CENTER MEDS PROGRAM. MUNSON HEALTHCARE MAKES A PHONE CALL TO ALL PRIVATE-PAY PATIENTS PRIOR TO TRANSFERRING THEIR ACCOUNT TO A COLLECTION AGENCY TO INFORM THEM OF OUR FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART VI, LINE 4	DESCRIPTION LOCATED IN CHARLEVOIX, MICHIGAN, ABOUT 50 MILES NORTH OF TRAVERSE CITY, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (CHARLEVOIX HOSPITAL) IS ONE OF NINE HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM. THE 25-BED CRITICAL ACCESS HOSPITAL, AS DEFINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, EMPLOYS IN EXCESS OF 400 INDIVIDUALS, AND IS ONE OF THE LARGEST EMPLOYERS IN THE AREA. HOSPITAL SERVICES NOT UNLIKE MANY RURAL COMMUNITY HOSPITALS, CHARLEVOIX HOSPITAL OFFERS A FULL SPECTRUM OF HEALTHCARE SERVICES, INCLUDING EMERGENCY, OBSTETRIC, AND INPATIENT CARE. IN 2016, IT ADDED A THIRD OPERATING ROOM, ALLOWING FOR A WIDE ARRAY OF SURGICAL SERVICES, INCLUDING ORTHOPEDIC, NEUROSURGICAL SPINE, EYE, AND GENERAL SURGERY PROCEDURES. IN ADDITION TO TRADITIONAL DIAGNOSTIC AND SCREENING XRAYS, MAMMOGRAMS, AND CT, CHARLEVOIX HOSPITAL MAKES AVAILABLE THROUGH MOBILE PROVIDERS, BOTH PET AND MRI SERVICES. THE INFUSION SUITE, OVERLOOKING BEAUTIFUL LAKE MICHIGAN, OFFERS A SERENE AND TRANQUIL ENVIRONMENT FOR THOSE FACING THE CHALLENGES OF A CANCER DIAGNOSIS. CHARLEVOIX HOSPITAL OWNS SEVERAL SATELLITE FACILITIES, INCLUDING A RURAL HEALTH CLINIC IN BOYNE CITY AND PHYSICAL THERAPY LOCATIONS IN BOYNE CITY AND EAST JORDAN. ROUGHLY 40 PHYSICIANS COMPRISE THE ACTIVE MEDICAL STAFF, PROVIDING PRIMARY AND SPECIALTY CARE PHYSICIAN SERVICES TO THE SURROUNDING COMMUNITIES. POPULATION SERVED CHARLEVOIX HOSPITAL SERVES THE RESIDENTS OF CHARLEVOIX AND NORTHERN ANTRIM COUNTIES, AS WELL AS THE SEASONAL RESIDENTS THAT FLOOD THE AREA DURING THE SUMMER MONTHS. THE SMALL, RURAL COMMUNITY IS HOME TO APPROXIMATELY 26,086 RESIDENTS IN CHARLEVOIX COUNTY, WITH A MEDIAN HOUSEHOLD INCOME OF 60,433. BASED ON ESTIMATES, 8.7% OF THE POPULATION HAD INCOMES BELOW THE POVERTY LEVEL. IN ADDITION, PATIENTS REFERRED FROM NEIGHBORING EAST JORDAN FAMILY HEALTH CENTER, A FEDERALLY QUALIFIED RURAL HEALTH CLINIC, WERE AMONG THOSE SERVED BY THE HOSPITAL. QUALITY 2020 LUDWIG COMMUNITY BENEFIT AWARD FOR COMMUNITY OUTREACH AND WELLNESS INITIATIVE AT THE MUNSON CHARLEVOIX WELLNESS WORKSHOP TOP 100 CRITICAL ACCESS HOSPITAL - CHARLEVOIX HOSPITAL WAS NAMED ONE OF IVANTAGE HEALTH ANALYTICS' TOP 100 CRITICAL ACCESS HOSPITALS (CAHS) IN THE UNITED STATES IN 2016. TOP 100 CRITICAL ACCESS HOSPITALS ARE CHARACTERIZED BY EXCELLENCE IN MANAGING RISK, ACHIEVING HIGHER QUALITY, SECURING BETTER OUTCOMES, INCREASING PATIENT SATISFACTION, AND OPERATING AT A LOWER COST THAN THEIR PEERS. NATIONAL HOSPITAL CHARITABLE SERVICES AWARD - CHARLEVOIX HOSPITAL SCHOOL NURSES PROGRAM WAS AMONG ONLY 10 PROGRAMS IN THE NATION NAMED A PROGRAM OF EXCELLENCE BY THE HOSPITAL CHARITABLE SERVICES AWARDS, A NATIONAL PROGRAM SPONSORED BY JACKSON HEALTHCARE. THIS MULTIFACETED SCHOOL NURSES PROGRAM WAS CREATED AND FULLY FUNDED BY CHARLEVOIX HOSPITAL AND SERVES COMMUNITY RESIDENTS WHO EXPERIENCE THE GREATEST DISPARITIES IN HEALTH STATUS AND ACCESS BY PROVIDING REGISTERED NURSES IN LOCAL AREA SCHOOL SYSTEMS - WHERE PREVIOUSLY THERE WERE NONE- AT NO COST TO THE SCHOOLS. 2015 LUDWIG COMMUNITY BENEFIT AWARD - THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION NAMED CHARLEVOIX HOSPITAL AS ONE OF FOUR WINNERS OF ITS 2015 LUDWIG COMMUNITY BENEFIT AWARD. THE AWARD IS PRESENTED TO MEMBER ORGANIZATIONS INTEGRALLY INVOLVED IN COLLABORATIVE PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF AREA RESIDENTS. THE HOSPITAL WAS HONORED FOR IMPLEMENTING A SCHOOL NURSES PROGRAM WHICH, AMONG OTHER BENEFITS, REDUCED CHRONIC SCHOOL ABSENTEEISM BY 6 PERCENT IN THE FIRST THREE YEARS. FULLY ACCREDITED - MUNSON HEALTHCARE CHARLEVOIX HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION IN THE CRITICAL ACCESS HOSPITAL AND LABORATORY ACCREDITATION PROGRAM CATEGORIES.
SCHEDULE H, PART VI, LINE 5	THE BOARD OF DIRECTORS IS COMPRISED OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THIS VOLUNTARY BOARD PROVIDES COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, IN FUNDRAISING, AND IN GENERAL STEWARDSHIP. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY SUBJECT TO CREDENTIALING REVIEW AND REQUIREMENTS OF THE MEDICAL STAFF AND THE BOARD OF DIRECTORS. MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (MHCH) UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND IMPROVE CARE TO PATIENTS THROUGHOUT ITS SERVICE AREA. EXAMPLES OF HOW MHCH PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PROGRAMS INCLUDE: AMERICAN RED CROSS BLOOD DRIVES AREA BUSINESS HEALTH SCREENINGS FREEDOM FROM SMOKING CLINIC SUPPORT GROUPS DIABETES MANAGEMENT EDUCATION PINK RIBBON RIDE HOSPITAL AND CAREER EXPLORATION TOURS SCHOOL NURSE PROGRAM THANKSGIVING TURKEY TROT 5K RUN/WALK YOGA CLASSES HEALTHY COOKING CLASSES LOW COST HEALTH SCREENINGS
SCHEDULE H, PART VI, LINE 6	MUNSON HEALTHCARE CHARLEVOIX HOSPITAL'S SOLE CORPORATE MEMBER IS MUNSON HEALTHCARE, A 501(C)(3) CORPORATION. THE MUNSON HEALTHCARE SYSTEM CONSISTS OF A MAJOR TERTIARY REFERRAL HOSPITAL, SEVERAL RURAL-BASED MEDICAL CENTERS, EXTENSIVE OUTPATIENT TREATMENT AND REHABILITATION FACILITIES, AND ANCILLARY EMERGENCY, TRANSPORTATION AND HOME-BASED MEDICAL SERVICES THAT COVER 24 COUNTIES IN MICHIGANS NORTHERN LOWER PENINSULA AND THE EASTERN PORTION OF THE UPPER PENINSULA. THE MOST SIGNIFICANT OF THE MUNSON HEALTHCARE SUBSIDIARIES IS MUNSON MEDICAL CENTER (MMC). MMC IS ONE OF NINE NOT-FOR-PROFIT HOSPITALS WHICH ARE AFFILIATED WITH EACH OTHER AND SERVE AS THE ONLY HOSPITALS IN THEIR COMMUNITIES. EACH OF THE AFFILIATED HOSPITALS HAS INDIVIDUAL COMMUNITY HEALTH INITIATIVES AND/OR PROMOTION ACTIVITIES, AS WELL AS SHARED INITIATIVES. THE OWNED HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM WHICH INCLUDE MUNSON MEDICAL CENTER, PAUL OLIVER MEMORIAL HOSPITAL, MUNSON HEALTHCARE CADILLAC, MUNSON HEALTHCARE GRAYLING, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL, MUNSON HEALTHCARE MANISTEE HOSPITAL AND MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL PROVIDED 72.7 MILLION OF COMMUNITY BENEFIT IN THE 2020 TAX YEAR. ADDITIONALLY, MMC WORKS IN COOPERATION WITH OTHER ENTITIES IN THE MUNSON HEALTHCARE SYSTEM TO PROVIDE A FULL RANGE OF HEALTH SERVICES TO THE COMMUNITIES IN ITS SERVICE AREA. THE HOME HEALTH DIVISION OF MUNSON HEALTHCARE PROVIDES HOME NURSE AND AIDE SERVICES IN ADDITION TO DURABLE MEDICAL EQUIPMENT AND A PALLIATIVE CARE AND HOSPICE PROGRAM ON THE MUNSON CAMPUS. COMMUNITY BENEFIT, IN THE FORM OF CHARITY CARE AND UNREIMBURSED MEDICAID ARE PROVIDED THROUGH THIS DIVISION EACH YEAR. NORTH FLIGHT, INC. IS THE CHARITABLE TRANSPORTATION ENTITY IN THE SYSTEM. WITH ITS GROUND MEDICAL TRANSPORTATION SERVICES, PATIENTS IN THE SYSTEM ARE ABLE TO ACCESS APPROPRIATE CARE. NORTH FLIGHT, INC. PROVIDED 208,000 IN CHARITY CARE AND UNREIMBURSED MEDICAID IN THE PAST FISCAL YEAR. MUNSON MEDICAL GROUP, THE EMPLOYED PHYSICIAN ORGANIZATION IN THE SYSTEM, PROVIDED 1.4 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN TAX YEAR 2020. MMC PERFORMS THE NEEDS ASSESSMENTS FOR MUNSON HEALTHCARE. UTILIZING THIS NEEDS ASSESSMENT, MUNSON HEALTHCARE COORDINATES COMMUNITY BENEFIT PROGRAMS THROUGH PLANNING, DEVELOPING, IMPLEMENTING, EVALUATING AND FUNDING PROGRAMS THAT ADDRESS COMMUNITY NEEDS. IN TOTAL, THE MUNSON HEALTHCARE SYSTEM PROVIDED 80.9 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS, INCLUDING NUMEROUS UNCOMPENSATED COMMUNITY HEALTH IMPROVEMENT SERVICES AND PROGRAMS, OUTREACH PROGRAMS, BAD DEBT, AND UNREIMBURSED MEDICARE AND MEDICAID SERVICES TO NORTHERN MICHIGAN.
SCHEDULE H, PART VI, LINE 7	MICHIGAN

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EDWIN NESS
DIRECTOR	$877,571	$700	$37,698	$177,479	$32,259	$1,125,707
JAMES JEAKLE MD
PHYSICIAN							$574,037	$700	$4,103	$14,279	$25,962	$619,081
MARK HEPLER
CFO	$451,179	$700	$71,108	$69,989	$14,110	$607,086							$14,141
LAURA GLENN
PRESIDENT AMB SERVIC	$423,775	$700	$15,208	$56,998	$22,503	$519,184
GREGORY MCBRIDE DO
PHYSICIAN							$392,031	$48,247	$345	$14,279	$22,886	$477,788
TONYA SMITH
DIRECTOR	$352,563	$23,393	$1,501	$54,279	$26,483	$458,219
BARRETT KIELHORN DO
PHYSICIAN							$363,774	$24,034	$5,265	$14,279	$26,423	$433,775
MARK LAME MD
SURGEON							$354,987	$700	$24,485	$14,279	$20,240	$414,691
CATHERINE WONSKI MD
DIRECTOR							$319,979	$2,792	$44,037	$14,279	$14,668	$395,755
RACHEL MASON MD
PHYSICIAN							$314,714	$20,700	$214	$12,624	$9,465	$357,717
RODERICK TINNEY MD
DIRECTOR							$262,976	$2,752	$39,666	$13,951	$17,552	$336,897
JOANNE SCHROEDER
PRESIDENT	$244,890	$700	$22,079	$40,730	$22,471	$330,870
ANNA YOUNG MD
DIRECTOR							$210,314	$1,483	$7,515	$10,822	$18,654	$248,788
CHRISTOPHER SQUIRE
VP ANCILLARY SERVICE	$191,084	$2,292	$5,293	$3,617	$41,329	$243,615
BERNADETTE COLE RN
CHIEF NURSING OFFICE							$142,934	$756	$3,897	$16,781	$24,349	$188,717

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 3	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. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE, AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. ANNUALLY, THE COMMITTEE RETAINS A NATIONAL INDEPENDENT CONSULTANT TO ENSURE 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. THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
SCHEDULE J, PAGE 1, PART I, LINE 4	EDWIN NESS 0 163,201 0 MARK HEPLER 0 47,430 0 LAURA GLENN 0 42,800 0 TONYA SMITH 0 40,000 0 JOANNE SCHROEDER 0 27,050 0 BERNADETTE COLE, RN 0 9,240 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. ANNUAL CONTRIBUTIONS, AT MUNSON HEALTHCARE'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. THESE FUNDS ARE AVAILABLE TO VESTED PARTICIPANTS UPON SEPARATION OF EMPLOYMENT FROM MUNSON HEALTHCARE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CHARLEVOIX TWP HOSP FIN AUTH 2016	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	383203086	BondIssuerEIN
Bond Issued	2016-06-23	BondIssuedDt
Issue Price	$7,000,000	IssuePriceAmt
Purpose	RENOVATION & EQUIPMENT THE 2016 BONDS WERE ISSUED TO FUND THE PROJECT COSTS WHICH INCLUDE RENOVATION	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$7,006,486	TotalProceedsAmt
Issuance Costs From Proceeds	$64,904	IssuanceCostsFromProceedsAmt
Capital Expenditures	$6,941,582	CapitalExpendituresAmt
Substantial Completion	2019	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DIFFERENCES IN ISSUE PRICE EXPLANATION	CHARLEVOIX TWP HOSP FIN AUTH 2016 INVESTMENT EARNINGS
PURPOSE OF ISSUE DESCRIPTION	CHARLEVOIX TWP HOSP FIN AUTH 2016 RENOVATION & EQUIPMENT THE 2016 BONDS WERE ISSUED TO FUND THE PROJECT COSTS WHICH INCLUDE RENOVATION OF THE EMERGENCY ROOM, AN OPERATING ROOM, LAB AND INFUSION AS WELL AS THE PURCHASE OF IMAGING EQUIPMENT AND OTHER CAPITAL EQUIPMENT.
DATE REBATE COMPUTATION PERFORMED	CHARLEVOIX TWP HOSP FIN AUTH 2016 08/16/21
ADDITIONAL INFORMATION	CHARLEVOIX TWP HOSP FIN AUTH 2016 MUNSON HEALTHCARE CHARLEVOIX HOSPITAL 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 CORPORATE INTERNAL LEGAL DEPARTMENT. OUTSIDE COUNSEL MAY BE CONSULTED, AS NECESSARY. OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS, DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTACTS. SINCE NEW BONDS WERE ISSUED IN THE MUNSON HEALTHCARE SYSTEM IN 2019, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
TRACEY SHERMAN
SEE PART V	$21,723	COMPENSATION PAID	false
CAITLYN MONKS
SEE PART V	$152,787	COMPENSATION PAID	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	PART IV, LINE 1 TRACEY SHERMAN IS A FAMILY MEMBER OF BOARD MEMBER MICHAEL ORTWINE AND BOARD MEMBER NANCY SHERMAN. PART IV, LINE 2 CAITLYN MONKS IS A FAMILY MEMBER OF BOARD MEMBER CATHERINE WONKSI.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 6	MUNSON HEALTHCARE CHARLEVOIX HOSPITAL IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS. THE SOLE MEMBER IS MUNSON HEALTHCARE, AN IRS SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7A	MUNSON HEALTHCARE, AS THE SOLE MEMBER, ELECTS THE TRUSTEES FOR SUBSIDIARY ENTITIES. NOMINATIONS TO MUNSON HEALTHCARE FOR SUBSIDIARY DIRECTORS ARE CONSIDERED AND RECOMMENDED BY THE MUNSON HEALTHCARE GOVERNANCE COMMITTEE.
FORM 990, PAGE 6, PART VI, LINE 7B	CERTAIN DECISIONS OF THE MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (CHARLEVOIX HOSPITAL) TRUSTEES 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 CHARLEVOIX HOSPITAL; 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 CHARLEVOIX HOSPITAL; THE ACQUISITION OF OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF CHARLEVOIX HOSPITAL; THE ADOPTION OF ALL OPERATING BUDGETS AND CAPITAL EXPENDITURE BUDGETS FOR CHARLEVOIX HOSPITAL INCURRENCE OF OPERATING OR CAPITAL EXPENDITURES BY CADILLAC FOUNDATION 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 CHARLEVOIX HOSPITAL 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 CHARLEVOIX HOSPITAL; CHANGE IN SCOPE OF CLINICAL SERVICES OR PROGRAMS PROVIDED BY CHARLEVOIX HOSPITAL; AND APPOINTMENT OR REMOVAL OF THE PRESIDENT.
FORM 990, PAGE 6, PART VI, LINE 11B	THE MUNSON HEALTHCARE CHARLEVOIX HOSPITAL BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON HEALTHCARE CHARLEVOIX HOSPITAL 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, 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 IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES OF MUNSON HEALTHCARE CHARLEVOIX HOSPITAL AND MUNSON HEALTHCARE.
FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES 3,721,014 3,105,041 211,441 PROFESSIONAL FEES 1,513,034 0 0 TOTAL 5,234,048 3,105,041 211,441
FORM 990, PART XI, LINE 9	CHANGE IN INVESTMENT IN MUNSON HEALTHCARE FOUNDATI 185,640 DEPRECIATION INHERENT CONTRIBUTION 81,303 TOTAL 266,943

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt	Controlled OrganizationControlledOrganizationInd
MUNSON DIALYSIS CENTER
1105 SIXTH ST	TRAVERSE CITY	MI	49684	383097861	DIALYSIS	MI	C3	3	MUNSON HC	MUNSON HEALTHCARE	Yes (true)
MUNSON HEALTHCARE
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382640544	PARENT	MI	C3	12B	NA		false
MUNSON HEALTHCARE CADILLAC
1105 SIXTH ST	TRAVERSE CITY	MI	49684	471156297	HOSPITAL	MI	C3	3	MUNSON HC	MUNSON HEALTHCARE	Yes (true)
MUNSON HEALTHCARE GRAYLING
1105 SIXTH ST	TRAVERSE CITY	MI	49684	471161992	HOSPITAL	MI	C3	3	MUNSON HC	MUNSON HEALTHCARE	Yes (true)
MUNSON HEALTHCARE FOUNDATIONS
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382642724	RAISE FUND	MI	C3	7	MUNSON HC	MUNSON HEALTHCARE	Yes (true)
MUNSON HOME CARE
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382191390	HOME HEALT	MI	C3	10	MUN HOME H	MUNSON HOME HEALTH	Yes (true)
MUNSON HOME HEALTH
1105 SIXTH ST	TRAVERSE CITY	MI	49684	383335362	HOME HEALT	MI	C3	12B	MUNSON HC	HEALTHCARE	Yes (true)
MUNSON HOME SERVICES
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382543463	HOME HEALT	MI	C3	10	MUN HOME H	MUNSON HOME HEALTH	Yes (true)
MUNSON MEDICAL CENTER
1105 SIXTH ST	TRAVERSE CITY	MI	49684	381362830	HOSPITAL	MI	C3	3	MUNSON HC	MUNSON HEALTHCARE	Yes (true)
MUNSON MEDICAL GROUP
1105 SIXTH ST	TRAVERSE CITY	MI	49684	273600575	HEALTHCARE	MI	C3	10	MUNSON MED	MUNSON MEDICAL CENTER	Yes (true)
NORTH FLIGHT INC
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382657917	MED TRANSP	MI	C3	12B	MUNSON HC	MUNSON HEALTHCARE	Yes (true)
PAUL OLIVER MEMORIAL HOSPITAL
1105 SIXTH ST	TRAVERSE CITY	MI	49684	381415623	HEALTHCARE	MI	C3	3	MUNSON HC	MUNSON HEALTHCARE	Yes (true)
MUNSON HEALTHCARE MANISTEE HOSPITAL
1465 E PARKDALE AVE	MANISTEE	MI	496609709	380350304	HOSPITAL	MI	C3	3	MUNSON HC		Yes (true)
MUNSON HEALTHCARE OTSEGO MEMORIAL H
825 N CENTER AVE	GAYLORD	MI	497351592	381303843	HOSPITAL	MI	C3	3	MUNSON HC	MUNSON HEALTHCARE	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHERN MICHIGAN SUPPLY ALLIANCE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2651 AERO PARK DR	AddressLine1Txt
City	TRAVERSE CITY	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49686	ZIPCd

Field	Value	IRS element (for citing)
EIN	383453378	EIN
Primary Activities	PURCHASING	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
MEDICAL OFFICE CONDOMINIUM
ASSOCIATION	PO BOX 1188	TRAVERSE CITY	MI	496851188	201902620	REAL ESTAT	MI	N/A	Yes (true)
SIXTH STREET DRUGS
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382298290	PHARMACY	MI	N/A	Yes (true)
MUNSON SUPPORT SERVICES
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382872821	LAUNDRY	MI	N/A	Yes (true)
MUNSON SERVICES INC
	PO BOX 1188	TRAVERSE CITY	MI	496851188	383144382	PHARMACY	MI	N/A	Yes (true)
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	PO BOX 1188	TRAVERSE CITY	MI	496851188	383567278	REAL ESTAT	MI	N/A	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MUNSON HEALTHCARE
Q	$2,624,120	ACTUAL AMOUNTS PAID
MUNSON HEALTHCARE
M	$2,313,333	ACTUAL AMOUNTS PAID
MUNSON HEALTHCARE
P	$6,269,066	ACTUAL AMOUNTS PAID
MUNSON HEALTHCARE
O	$1,699,619	ACTUAL AMOUNTS PAID
MUNSON MEDICAL CENTER
M	$436,906	ACTUAL AMOUNTS PAID
MUNSON MEDICAL CENTER
P	$3,743,728	ACTUAL AMOUNTS PAID
MUNSON MEDICAL CENTER
O	$18,291,189	ACTUAL AMOUNTS PAID
MUNSON MEDICAL CENTER
R	$68,344	ACTUAL AMOUNTS PAID
MUNSON MEDICAL CENTER
S	$74,273	ACTUAL AMOUNTS PAID
MUNSON MEDICAL CENTER
Q	$1,091,707	ACTUAL AMOUNTS PAID
MUNSON SUPPORT SERVICES
M	$94,563	ACTUAL AMOUNTS PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
M	$83,116	ACTUAL AMOUNTS PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
P	$947,359	ACTUAL AMOUNTS PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
S	$163,367	ACTUAL AMOUNTS PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
R	$101,752	ACTUAL AMOUNTS PAID
MUNSON HEALTHCARE FOUNDATIONS
C	$193,522	ACTUAL AMOUNTS PAID
MUNSON HEALTHCARE FOUNDATIONS
M	$211,441	ACTUAL AMOUNTS PAID
MUNSON MEDICAL GROUP
M	$81,293	ACTUAL AMOUNTS PAID
MUNSON HEALTHCARE OTSEGO MEEMORIAL
O	$103,340	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE MANISTEE HOSPITAL
Q	$1,245,795	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE MANISTEE HOSPITAL
P	$427,178	ACTUAL AMOUNT PAID

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	MUNSON HEALTHCARE CHARLEVOIX HOSPITAL 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.	ExplanationTxt