MUNSON MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MUNSON MEDICAL CENTER (EIN 38-1362830)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201731359349310083
Schema version: 2015v3.0
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 I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T16:00:24-04:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381362830	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MUNSON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MUNS	BusinessNameControlTxt
Phone	2319355000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1105 SIXTH STREET	AddressLine1Txt
City	TRAVERSE CITY	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49684	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK A HEPLER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2319355000	PhoneNum
Signature	2017-05-15	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	ALFRED PILONG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1105 SIXTH STREET	AddressLine1Txt
City	TRAVERSE CITY	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49684	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$580,101,581	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MUNSONHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1947	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	4526	TotalEmployeeCnt
Total Volunteers	345	TotalVolunteersCnt
Total Gross UBI	$51,590	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,425	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,769,742	PYContributionsGrantsAmt
CY Contributions Grants	$16,429,379	CYContributionsGrantsAmt
PY Program Service Revenue	$523,882,558	PYProgramServiceRevenueAmt
CY Program Service Revenue	$548,596,391	CYProgramServiceRevenueAmt
PY Investment Income	$20,128,470	PYInvestmentIncomeAmt
CY Investment Income	$9,094,191	CYInvestmentIncomeAmt
PY Other Revenue	$5,210,833	PYOtherRevenueAmt
CY Other Revenue	$5,695,810	CYOtherRevenueAmt
PY Total Revenue	$558,991,603	PYTotalRevenueAmt
CY Total Revenue	$579,815,771	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,002,833	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$679,934	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$233,160,108	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$240,827,155	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$619,622	CYTotalFundraisingExpenseAmt
PY Other Expenses	$252,187,473	PYOtherExpensesAmt
CY Other Expenses	$277,534,413	CYOtherExpensesAmt
PY Total Expenses	$486,350,414	PYTotalExpensesAmt
CY Total Expenses	$519,041,502	CYTotalExpensesAmt
PY Revenues Less Expenses	$72,641,189	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$60,774,269	CYRevenuesLessExpensesAmt
Total Assets BOY	$773,218,609	TotalAssetsBOYAmt
Total Assets EOY	$806,302,270	TotalAssetsEOYAmt
Total Liabilities BOY	$334,763,750	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$369,062,986	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$438,454,859	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$437,239,284	NetAssetsOrFundBalancesEOYAmt
Mission	AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$469,083,594	ExpenseAmt
Grant	$679,934	GrantAmt
Revenue	$552,391,851	RevenueAmt
Desc	EXPENSES INCURRED WHILE PROVIDING HOSPITAL SERVICES TO THE RESIDENTS OF TRAVERSE CITY, MI AND THE SURROUNDING AREA WHILE FULFILLING THE HOSPITAL'S MISSION TO PROVIDE HEALTHCARE IN THE COMMUNITY. MUNSON MEDICAL CENTER SERVES AS A RURAL REFERRAL CENTER FOR THE SURROUNDING 24-COUNTY AREA, WITH 22,025 INPATIENT ADMISSIONS IN FISCAL YEAR 2016 AND OVER 450,000 OUTPATIENT VISITS. THE HOSPITAL SERVED MORE THAN 15,000 SURGICAL CASES, 1,922 OBSTETRICAL BIRTHS, AND OVER 54,000 EMERGENCY ROOM VISITS. MUNSON MEDICAL CENTER ACCEPTS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL HAS OVER 470 ACTIVE MEDICAL STAFF AND 345 VOLUNTEERS.	Desc
Total Program Service Expenses	$469,083,594	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	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 With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	396	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4526	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
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 (30 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	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
EDWIN A NESS
TRUSTEE	4.00	36.00	Yes (X)	$0	$946,289	$158,407
ALFRED PILONG
CEO & PRESID	38.00	2.00	Yes (X)	$611,483	$0	$104,866	Yes (X)
KAREN SPEIRS DO
TRUSTEE, PAR	40.00		Yes (X)	$317,561	$0	$17,057
JILL E VOLLEBECHT MD
TRUSTEE	40.00		Yes (X)	$222,816	$0	$33,382
WALTER NOBLE MD
TRUSTEE	4.00		Yes (X)	$31,702	$0	$0
BRIAN KIESSLING
TRUSTEE	4.00		Yes (X)	$22,500	$0	$0
GEORGE BEARUP
CHAIR	6.00	4.00	Yes (X)	$21,500	$0	$0	Yes (X)
DAVID FRIAR MD
TRUSTEE	4.00		Yes (X)	$12,500	$0	$0
SUSAN J UNGER
TRUSTEE	4.00		Yes (X)	$12,500	$0	$0
JOHN ERB
TRUSTEE	4.00		Yes (X)	$12,500	$0	$0
PATRICK E HEINTZ
VICE CHAIR	6.00		Yes (X)	$12,500	$0	$0	Yes (X)
EDWARD J RUTKOWSKI MD
TRUSTEE, PAR	4.00		Yes (X)	$12,500	$0	$0
JAMES W HOOK
TRUSTEE	6.00		Yes (X)	$12,500	$0	$0
DANIEL NAVIN MD
SECRETARY	6.00		Yes (X)	$12,500	$0	$0	Yes (X)
ROBERT P SCHAFER
TREASURER	6.00		Yes (X)	$12,500	$0	$0	Yes (X)
DOUGLAS LUCIANI
TRUSTEE	4.00		Yes (X)	$12,500	$0	$0
CHARLES HAVILL
TRUSTEE	4.00		Yes (X)	$9,375	$0	$0
DANIEL C EDSON
TRUSTEE	4.00		Yes (X)	$0	$0	$0
TIMOTHY NELSON
TRUSTEE	4.00		Yes (X)	$0	$0	$0
JOHN PELEZZARI
TRUSTEE	4.00	6.00	Yes (X)	$0	$0	$0
CATHERINE COLLINS
TRUSTEE	4.00		Yes (X)	$0	$0	$0
MARK A HEPLER
CFO	20.00	20.00		$0	$468,212	$78,339	Yes (X)
DAVID MCGREAHAM MD
VP MEDICAL	40.00			$380,282	$0	$57,004		Yes (X)
DERK PRONGER
VP OPERATION	40.00			$312,747	$0	$51,006		Yes (X)
JAMES P FISCHER
VP PATIENT C	40.00			$245,985	$0	$45,146		Yes (X)
THOMAS SCHERMERHORN MD
NEUROSURGEON	40.00			$930,852	$0	$35,857			Yes (X)
AHMET SEVIMLI MD
NEPHROLOGIST	40.00			$406,267	$0	$46,627			Yes (X)
ANDREW RIDDLE
PHYSICIAN	40.00			$375,998	$0	$32,487			Yes (X)
ZACHARY HECTOR-WORD
PHYSICIAN	40.00			$375,899	$0	$31,302			Yes (X)
JOSHUA RUCH
PHYSICIAN	40.00			$374,820	$0	$45,897			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,752,287	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,414,501	TotReportableCompRltdOrgAmt
Total Other Compensation	$737,377	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	154	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
INDIGO HOSPITAL MEDICINE TRAVERSE C
10850 E TRAVERSE HWY	TRAVERSE CITY	MI	49684	MEDICAL SERVICE	$7,841,422
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	55480	LABORATORY SRV	$2,783,418
SURGEONS NORTH PLLC
107 S CASS ST STE A	TRAVERSE CITY	MI	49684	MEDICAL SERIVCE	$2,687,231
BAY AREA UROLOGY ASSOCIATES PC
3922 CEDAR RUN ROAD	TRAVERSE CITY	MI	49684	MEDICAL SERIVCE	$2,428,535
CERNER CORPORATION
PO BOX 412702	KANSAS CITY	MO	64151	INFO TECHNOLOGY	$2,392,789

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	84	CntrctRcvdGreaterThan100KCnt
Related Organizations	$11,446,359	RelatedOrganizationsAmt
Government Grants	$4,461,389	GovernmentGrantsAmt
All Other Contributions	$521,631	AllOtherContributionsAmt
Total Contributions	$16,429,379	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE AND MEDICAID PMTS	621990	$306,269,410	$306,269,410
PATIENT SERVICE REVENUE	621990	$238,288,956	$238,288,956
HEALTH SERVICE REVENUE	621990	$2,126,139	$2,126,139
SERVICES TO OTHER ORGANIZATIO	621990	$1,383,793	$1,383,793
RENT FROM RELATED ORGS	531120	$482,589	$482,589

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,504	TotalRevenueColumnAmt
Unrelated Business Revenue	$45,504	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$548,596,391	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,033,356	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,022,749	RelatedOrExemptFuncIncomeAmt
Exclusion	$4,010,607	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$213,552	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$213,552	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$213,552	TotalRevenueColumnAmt
Exclusion	$213,552	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,242,620	SecuritiesAmt
Other	$1,068,394	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$250,179	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,242,620	SecuritiesAmt
Other	$818,215	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,060,835	TotalRevenueColumnAmt
Related Or Exempt Func Income	$818,215	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,242,620	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$37,458	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$35,631	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,827	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,827	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	722210	$4,234,002	$4,234,002
MISCELLANEOUS	621990	$878,309	$878,309
AUXILIARY GIFT SHOP	446199	$363,861	$363,861

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,259	TotalRevenueColumnAmt
Unrelated Business Revenue	$4,259	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,480,431	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$579,815,771	TotalRevenueColumnAmt
Related Or Exempt Func Income	$552,391,851	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$51,590	UnrelatedBusinessRevenueAmt
Exclusion	$10,942,951	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$25,000	TotalAmt
Program Services	$25,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$654,934	TotalAmt
Program Services	$654,934	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,596,912	TotalAmt
Program Services	$622,087	ProgramServicesAmt
Management And General	$1,974,825	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$181,040,731	TotalAmt
Program Services	$162,338,443	ProgramServicesAmt
Management And General	$18,702,288	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,294,892	TotalAmt
Program Services	$14,638,304	ProgramServicesAmt
Management And General	$1,656,588	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$28,378,561	TotalAmt
Program Services	$25,283,222	ProgramServicesAmt
Management And General	$3,095,339	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,516,059	TotalAmt
Program Services	$11,122,058	ProgramServicesAmt
Management And General	$1,394,001	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$234,509	TotalAmt
Management And General	$234,509	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$118,119	TotalAmt
Management And General	$118,119	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,500	TotalAmt
Management And General	$6,500	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$74,102,748	TotalAmt
Program Services	$58,031,736	ProgramServicesAmt
Management And General	$15,451,390	ManagementAndGeneralAmt
Fundraising	$619,622	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$783,758	TotalAmt
Program Services	$491,121	ProgramServicesAmt
Management And General	$292,637	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,295,726	TotalAmt
Program Services	$3,678,892	ProgramServicesAmt
Management And General	$2,616,834	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,445,244	TotalAmt
Program Services	$5,150,716	ProgramServicesAmt
Management And General	$8,294,528	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,081,828	TotalAmt
Program Services	$7,661,574	ProgramServicesAmt
Management And General	$420,254	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$585,124	TotalAmt
Program Services	$443,673	ProgramServicesAmt
Management And General	$141,451	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$974,862	TotalAmt
Program Services	$735,904	ProgramServicesAmt
Management And General	$238,958	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,693,324	TotalAmt
Program Services	$5,145,340	ProgramServicesAmt
Management And General	$547,984	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,875,331	TotalAmt
Program Services	$26,098,211	ProgramServicesAmt
Management And General	$2,777,120	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,728,383	TotalAmt
Program Services	$1,122,466	ProgramServicesAmt
Management And General	$605,917	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$131,494,114	$131,519,820	-$25,706
BAD DEBT	$11,419,502	$11,419,502
REPAIRS AND MAINTENANCE	$6,744,589	$6,521,480	$223,109
DIETARY	$705,174	$554,269	$150,905

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$13,754,422	TotalAmt
Program Services	-$4,175,158	ProgramServicesAmt
Management And General	-$9,579,264	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$519,041,502	TotalAmt
Program Services	$469,083,594	ProgramServicesAmt
Management And General	$49,338,286	ManagementAndGeneralAmt
Fundraising	$619,622	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$33,163	BOYAmt
EOY	$26,812	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$151,876,982	BOYAmt
EOY	$189,838,925	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,000,725	BOYAmt
EOY	$927,154	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$65,277,494	BOYAmt
EOY	$74,662,538	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$319,268	BOYAmt
EOY	$670,728	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,046,242	BOYAmt
EOY	$15,711,452	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,863,697	BOYAmt
EOY	$7,680,766	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$569,352,826	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$300,511,367	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$253,665,312	BOYAmt
EOY	$268,841,459	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$224,090,524	BOYAmt
EOY	$227,518,969	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$22,975,191	BOYAmt
EOY	$19,784,072	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$313,943	BOYAmt
EOY	$280,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,756,068	BOYAmt
EOY	$359,395	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$773,218,609	BOYAmt
EOY	$806,302,270	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$49,898,500	BOYAmt
EOY	$46,465,706	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$463,102	BOYAmt
EOY	$818,388	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$153,207,707	BOYAmt
EOY	$150,916,387	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$131,194,441	BOYAmt
EOY	$170,862,505	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$334,763,750	BOYAmt
EOY	$369,062,986	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$418,396,087	BOYAmt
EOY	$421,489,016	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,058,772	BOYAmt
EOY	$15,750,268	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$438,454,859	BOYAmt
EOY	$437,239,284	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$773,218,609	BOYAmt
EOY	$806,302,270	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$60,774,269	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,030,485	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$60,959,359	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$6,500	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$15,455	OtherActivitiesAmt
Total Lobbying Expenditures	$21,955	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	GRASSROOTS LOBBYING EXPENSES GRANTED TO ORGANIZATIONS. OTHER ACTIVITIES INDICATE THE PORTION OF DUES ALLOCATED TO LOBBYING EXPENSES PAID TO REGIONAL OR NATIONAL ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$244,152,852	BeginningYearBalanceAmt
Contributions	$6,254,359	ContributionsAmt
Investment Earnings Or Losses	$4,518,422	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$548,791	GrantsOrScholarshipsAmt
Other Expenditures	$10,014,072	OtherExpendituresAmt
Administrative Expenses	$1,089,977	AdministrativeExpensesAmt
End Year Balance	$243,272,793	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$233,458,837	BeginningYearBalanceAmt
Contributions	$5,839,692	ContributionsAmt
Investment Earnings Or Losses	$10,191,121	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$277,824	GrantsOrScholarshipsAmt
Other Expenditures	$3,960,064	OtherExpendituresAmt
Administrative Expenses	$1,098,910	AdministrativeExpensesAmt
End Year Balance	$244,152,852	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$209,694,426	BeginningYearBalanceAmt
Contributions	$4,386,641	ContributionsAmt
Investment Earnings Or Losses	$28,104,434	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$662,105	GrantsOrScholarshipsAmt
Other Expenditures	$6,934,457	OtherExpendituresAmt
Administrative Expenses	$1,130,102	AdministrativeExpensesAmt
End Year Balance	$233,458,837	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$180,234,157	BeginningYearBalanceAmt
Contributions	$12,760,078	ContributionsAmt
Investment Earnings Or Losses	$18,163,160	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$589,921	GrantsOrScholarshipsAmt
Other Expenditures	$80,507	OtherExpendituresAmt
Administrative Expenses	$792,541	AdministrativeExpensesAmt
End Year Balance	$209,694,426	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$166,996,705	BeginningYearBalanceAmt
Contributions	$9,477,532	ContributionsAmt
Investment Earnings Or Losses	$4,724,667	InvestmentEarningsOrLossesAmt
Other Expenditures	$87,150	OtherExpendituresAmt
Administrative Expenses	$877,667	AdministrativeExpensesAmt
End Year Balance	$180,234,157	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.93530	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.06470	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,948,525	OtherCostOrOtherBasisAmt
Book Value	$14,948,525	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$326,177,106	OtherCostOrOtherBasisAmt
Depreciation	$148,977,817	DepreciationAmt
Book Value	$177,199,289	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,790,313	OtherCostOrOtherBasisAmt
Depreciation	$568,691	DepreciationAmt
Book Value	$1,221,622	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$211,146,809	OtherCostOrOtherBasisAmt
Depreciation	$149,612,087	DepreciationAmt
Book Value	$61,534,722	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,290,073	OtherCostOrOtherBasisAmt
Depreciation	$1,352,772	DepreciationAmt
Book Value	$13,937,301	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$268,841,459	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
MINIMUM PENSION LIABILITY	$147,709,697
RESERVE FOR THIRD PARTY SETTLEMENTS	$9,799,999
ESTIMATED THIRD PARTY SETTLEMENTS	$7,734,505
SWAP MARKET VALUE BASIS	$5,524,062
OTHER	$94,242

Field	Value	IRS element (for citing)
Total Liability	$170,862,505	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 2, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	THE BOARD OF TRUSTEES DESIGNATES SUBSTANTIAL INVESTMENTS FOR THE REPLACEMENT, IMPROVEMENT, AND THE EXPANSION OF TANGIBLE FACILITIES OWNED BY MUNSON MEDICAL CENTER TO ENSURE FUNDS ARE AVAILABLE TO MAINTAIN THE HOSPITAL ASSETS TO CARRY OUT ITS MISSION. A PORTION OF THE TERM ENDOWMENT ASSETS ARE THOSE HELD FOR SPECIFIC MEDICAL PURPOSES, AS DEFINED BY DONORS. THOSE ASSETS ARE BEING HELD FOR A VARIETY OF DONOR INTERESTS INCLUDING ADAPTIVE SPORTS, PEDIATRIC THERAPY, OTHER PEDIATRIC MEDICAL NEEDS, RESEARCH, AND PATIENT ASSISTANCE.	ExplanationTxt

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	$1,154,326	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,154,326	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,080,317	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,040,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,039,507	NetCommunityBenefitExpnsAmt
Total Expense	0.04660	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,234,643	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,040,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,193,833	NetCommunityBenefitExpnsAmt
Total Expense	0.04880	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,753,615	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$724,571	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,029,044	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,487,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,706,097	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,781,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$920,450	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$234,984	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$685,466	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$241,938	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$241,938	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,403,800	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,665,652	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,738,148	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,638,443	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,706,462	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,931,981	NetCommunityBenefitExpnsAmt
Total Expense	0.05990	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,846	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,846	NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,864	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$77,864	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$867	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$867	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,954	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,954	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$58,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$153,181	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$153,181	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,584,915	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,312,004	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$191,495,155	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$189,333,343	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,161,812	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	NW MI SURGERY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.49000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.51000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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 MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1105 SIXTH ST	AddressLine1Txt
City	TRAVERSE CITY	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49684	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://MUNSONHEALTHCARE.ORG	WebsiteAddressTxt
State License	1060000048	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
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 MEDICAL CENTER	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
CHNA Conducted	15	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	HTTP://MUNSONHEALTHCARE.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.MUNSONHEALTHCARE.ORG/CHNA	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	HTTPWWWMUNSONHEALTHCAREORGFINANC	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPWWWMUNSONHEALTHCAREORGFINANC	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPWWWMUNSONHEALTHCAREORGFINANC	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 5	A COLLABORATIVE 21-MEMBER STEERING COMMITTEE GUIDED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THIS STEERING COMMITTEE WAS COMPRISED OF HOSPITAL LEADERS AND PUBLIC HEALTH OFFICIALS. AS THE CHNA PROCESS PROGRESSED, 5 COMMUNITY CONVERSATIONS WERE HELD WITH REPRESENTATION RANGING FROM 12 TO 30 AREA GROUPS AND ORGANIZATIONS AT EACH, TO ENSURE INPUT FROM THOSE WHO HAVE A BROAD KNOWLEDGE OF THE COMMUNITY. THESE COMMUNITY CONVERSATION SESSIONS WERE CONDUCTED AT THE FIVE AREA COUNTY COLLABORATIVES, WITH ORGANIZATIONS REPRESENTING, OR MEMBERS OF, MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY GROUPS. INDIVIDUALS POSSESSING BROAD KNOWLEDGE OF ALL SEGMENTS OF THE FIVE-COUNTY AREA PARTICIPATED AS TO HELP ASSESS HEALTH CARE NEEDS. THESE GROUPS INCLUDED INDIVIDUALS WITH KNOWLEDGE OF PEOPLE AND AREAS MOST IMPACTED BY HEALTH DISPARITIES. FURTHER, A "WHAT MATTERS TO YOU?" SURVEY WAS DISTRIBUTED TO THE MUNSON MEDICAL CENTER (MMC) MAIN SERVICE AREA TO GATHER INPUT FROM THE BROAD COMMUNITY. A HEALTH CARE PROVIDER SURVEY ALSO WAS DISTRIBUTED TO GAIN TARGETED PHYSICIAN INPUT AS WELL. IN ADDITION TO SECONDARY DATA FROM OUR COMMUNITY DASHBOARD, THE PRIMARY DATA DISCUSSED ABOVE WAS USED TO COMPILE A COMPREHENSIVE LIST OF HEALTH NEEDS; THEN PRIORITIZED ITS TOP SEVEN HEALTH NEEDS.
FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 6A	PAUL OLIVER MEMORIAL HOSPITAL KALKASKA MEMORIAL HOSPITAL ALSO PARTICIPATED; HOWEVER THEY ARE NOT REQUIRED TO REPORT ON 501(R) COMPLIANCE DUE TO THEIR EXEMPTION AS A GOVERNMENTAL ENTITY.
FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 6B	A COLLABORATIVE 21-MEMBER STEERING COMMITTEE GUIDED THE CHNA PROCESS. THIS STEERING COMMITTEE WAS COMPRISED OF HOSPITAL LEADERS AND PUBLIC HEALTH OFFICIALS, AS LISTED IN APPENDIX A OF THE CHNA. AS THE CHNA PROCESS PROGRESSED, 5 COMMUNITY CONVERSATIONS WERE HELD WITH REPRESENTATION RANGING FROM 12 TO 30 AREA GROUPS AND ORGANIZATIONS AT EACH, TO ENSURE INPUT FROM THOSE WHO HAVE A BROAD KNOWLEDGE OF THE COMMUNITY. SEE APPENDIX B OF THE CHNA FOR A LIST OF GROUPS AND AGENCIES THAT PARTICIPATED IN COMMUNITY CONVERSATIONS.
FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 11	WITH THE SUPPORT OF THE MUNSON MEDICAL CENTER BOARD'S COMMUNITY HEALTH COMMITTEE, MUNSON MEDICAL CENTER THOUGHTFULLY PARTICIPATES IN THE CONTINUAL EVALUATION OF THE HEALTH PROGRAMS DESIGNED TO MEET THE NEEDS OF THE COMMUNITIES IN MUNSON'S SERVICE AREA. AS OUTLINED IN THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY, THE CONTINUATION OF SUCCESSFUL PROGRAMS, COMBINED WITH OPPORTUNITIES TO INITIATE NEW PROGRAMS AT THE HOSPITAL OR AS A PARTNER IN MORE BROAD-BASED EFFORTS, FORM THE STRATEGIC BASIS TO IMPROVE ISSUES SURROUNDING HEALTH AND HEALTHCARE DELIVERY. SEVEN TOP SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED. DUE TO THE CLEAR INTERCONNECTIVITY AMONG THE ISSUES, ALL WERE CONSIDERED IN THE BUILDING THE IMPLEMENTATION STRATEGY. TECHNIQUES THAT CROSS OVER BETWEEN HEALTH ISSUES WERE USED AS TO ENHANCE COLLECTIVE IMPACT ON IMPROVING COMMUNITY HEALTH. MMC'S ROLE IN ADDRESSING EACH VARIES AS FOR SOME MMC IS THE CONVENER WHILE FOR OTHER STRATEGIES OUR ROLE IS BEST SUITED TO BE A PARTICIPANT IN ACTIVELY ADDRESSING THE NEED.
FACILITY 1, MUNSON MEDICAL CENTER - 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 MEDICAL CENTER - PART V, LINE 16I	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 MEDICAL CENTER - PART V, LINE 20E	MUNSON MEDICAL CENTER (MUNSON) 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. MUNSON 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 MUNSON 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 MHC DOES THIS IS AS FOLLOWS: ALL STATEMENTS INCLUDE A STATEMENT REGARDING THE AVAILABILITY OF PAYMENT PLANS, FINANCIAL ASSISTANCE AND CHARITY CARE. MUNSON 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.
FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 22D	MUNSON HEALTHCARE USES THE LOOK-BACK METHOD - NO PATIENT COVERED UNDER THE FAP WILL BE CHARGED MORE THAN THE AGB. THE PERCENTAGE IS BASED ON ALL CLAIMS ALLOWED BY MEDICARE AND PRIVATE HEALTH INSURERS OVER A 12-MONTH PERIOD, DIVIDED BY THE ASSOCIATED CHARGES FOR THOSE CLAIMS.

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MUNSON COMMUNITY HEALTH CENTER
550 MUNSON AVENUE	TRAVERSE CITY	MI	49686	OUTPATIENT
BIEDERMAN CANCER CENTER
1120 SIXTH ST	TRAVERSE CITY	MI	49684	RADIATION THERAPY
MRI CENTER
217 S MADISON	TRAVERSE CITY	MI	49684	MRI
SMITH FAMILY BREAST HEALTH CENTER
4100 PARK FOREST DR	TRAVERSE CITY	MI	49684	MAMMOGRAPHY AND WOMEN'S HEALTH
IV THERAPY
1200 SIXTH ST	TRAVERSE CITY	MI	49684	IV THERAPY
CHEMICAL DEPENDENCY CENTER
420 BROOK ST	TRAVERSE CITY	MI	49684	REHABILITATION
MUNSON MANOR
1220 MEDICAL CAMPUS DR	TRAVERSE CITY	MI	49684	HOSPITALITY HOUSE
ADVANCED WOUND CENTER
5085 ANNA DR	TRAVERSE CITY	MI	49684	PATIENT WOUND CARE
MUNSON HOSPICE HOUSE
450 BROOK ST	TRAVERSE CITY	MI	49684	HOSPICE CARE HOUSE
MUNSON RENAL DIALYSIS
4062 WEST ROYAL DRIVE	TRAVERSE CITY	MI	49684	RENAL DIALYSIS UNIT

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	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.
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	THERE ARE NO PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, ARE 519,041,502 AND THE PROPORTIONATE SHARE OF TOTAL EXPENSES OF THE AMBULATORY SURGERY CENTER IS 8,709,011. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS 11,584,915. THE NET EXPENSE OF 516,165,598 WAS USED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	COST VALUES FOR LINE 7 ARE BASED ON THE COST TO CHARGE RATIO COMPUTATION OR ACTUAL CASH PAID.
PART II - COMMUNITY BUILDING ACTIVITIES	MUNSON MEDICAL CENTER (MMC) PROVIDED 153,181.67 IN COMMUNITY-BUILDING ACTIVITIES DURING THE 2015 TAX YEAR. THE MOST SIGNIFICANT PORTION OF THIS INVESTMENT WAS IN ENVIRONMENTAL IMPROVEMENTS RELATING TO THE RECYCLING OF ELECTRONIC EQUIPMENT. ANOTHER SIGNIFICANT PORTION WAS DEDICATED TO RECRUITMENT OF PHYSICIANS IN NEEDED SPECIALTIES FOR UNDERSERVED AREAS. ADDITIONAL ACTIVITIES INCLUDED ADMINISTRATIVE SUPPORT ON MANY BOARDS, WORKFORCE DEVELOPMENT, ADVISORY COMMITTEES, AND COLLABORATIVE EFFORTS.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	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.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	TO DETERMINE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS WHO WOULD PROBABLY QUALIFY UNDER MUNSON MEDICAL CENTER'S CHARITY CARE POLICY, MUNSON DIRECTED AN INTERNAL STUDY FROM A 3-MONTH SAMPLE OF CURRENT BAD DEBT ACCOUNTS. FIRST, THE STUDY IDENTIFIED THE SELF-PAY PORTION OF THE BAD DEBT EXPENSE. THEN, THE SELF-PAY ACCOUNTS WERE ANALYZED USING REVENUE CYCLE ANALYTIC SOFTWARE, TO IDENTIFY POTENTIAL CHARITY CARE CANDIDATES. USING THE SOFTWARE ESTIMATIONS, A PORTION OF THE SELF-PAY ACCOUNTS WERE DEEMED CHARITY CARE ELIGIBLE. THAT ESTIMATED PORTION WAS APPLIED TO THE SELF-PAY BAD DEBT DOLLAR AMOUNT TO DETERMINE THE AMOUNT OF BAD DEBT THAT WOULD BE CONSIDERED CHARITY IF THE PROPER APPLICATIONS AND DOCUMENTATION WERE AVAILABLE FROM THE PATIENTS.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	THE ACCOUNTS RECEIVABLE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF MUNSON HEALTHCARE AND SUBSIDIARIES STATES: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING AND HISTORICAL WRITE- OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER AMOUNTS DUE FROM THIRD-PARTY PAYORS ARE SATISFIED AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE ORGANIZATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	MUNSON HEALTHCARE'S (MHC) 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 PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MHC, AND A PATIENT'S 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 HOSPITAL'S APPLICATION REQUIREMENTS; 3)DOCUMENTATING 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.
PART VI, LINE 2 - NEEDS ASSESSMENT	THE MUNSON MEDICAL CENTER BOARD OF DIRECTORS MAINTAINS A STANDING COMMUNITY HEALTH COMMITTEE (CHC) TO SERVE MUNSON MEDICAL CENTER. THE CHC CONSISTS OF MUNSON MEDICAL CENTER BOARD MEMBERS AND OTHER INTERESTED AREA PHYSICIANS AND COMMUNITY MEMBERS APPOINTED BY THE MUNSON MEDICAL CENTER BOARD CHAIRPERSON. THE CHC MEETS AT LEAST QUARTERLY TO REVIEW EXISTING PROGRAMS AND SERVICES RELATED TO CURRENT COMMUNITY HEALTH NEEDS, CONSIDER THE MMC 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 MMC COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS COMMITTEE IS SUPPORTED BY A COMMUNITY HEALTH DEPARTMENT OF MUNSON MEDICAL CENTER. MUNSON MEDICAL CENTER (MMC) IS A SIGNIFICANT CONTRIBUTOR TO REGIONAL EFFORTS THAT ASSESS THE HEALTH STATUS OF THE TOTAL POPULATION WITHIN OUR 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. MUNSON PREPARED A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO MEET THE REQUIREMENTS OF IRC SEC 501(R) DURING FISCAL 2016 IN ACCORDANCE WITH THE PLANS OF THE COMMUNITY HEALTH COMMITTEE OF THE BOARD. ADDITIONALLY, MUNSON WORKS IN CONJUNCTION WITH COMMUNITY COLLABORATIVES IN FIVE COUNTIES ANTRIM, BENZIE, GRAND TRAVERSE, LEELANAU, AND KALKASKA; AREA HEALTH DEPARTMENTS, AND OTHER REGIONAL ASSOCIATIONS TO MAINTAIN CURRENT UNDERSTANDING OF COMMUNITY NEED.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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.
PART VI, LINE 4 - COMMUNITY INFORMATION	MUNSON MEDICAL CENTER DESCRIPTION MUNSON MEDICAL CENTER (MMC) IS THE LARGEST HOSPITAL IN NORTHERN LOWER PENINSULA OF MICHIGAN, WITH 391 LICENSED ACUTE CARE BEDS AND FACILITIES ON TWO MAJOR CAMPUSES. ONE OF NINE HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM, MMC SERVES AS A RURAL REFERRAL CENTER FOR THE SURROUNDING 24-COUNTY AREA, WITH 22,025 INPATIENT ADMISSIONS IN FISCAL YEAR 2016 AND AN ADDITIONAL 467,643 OUTPATIENT VISITS. THE HOSPITAL SERVED MORE THAN 15,248 SURGICAL CASES, 1,922 OBSTETRICAL BIRTHS, AND OVER 54,700 EMERGENCY ROOM VISITS IN FISCAL YEAR 2016. THE HOSPITAL HAS AN ACTIVE MEDICAL STAFF OF 470 PROVIDERS AND 345 VOLUNTEERS. WITH MORE THAN 4,500 EMPLOYEES, MMC IS THE LARGEST EMPLOYER IN NORTHERN MICHIGAN. DUE TO ITS GEOGRAPHIC LOCATION AND COMPREHENSIVE ARRAY OF SERVICES OFFERED, MMC IS DESIGNATED A RURAL REFERRAL CENTER BY THE CENTERS FOR MEDICARE AND MEDICAID. MMC IS ALSO RECOGNIZED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AS A SOLE COMMUNITY HOSPITAL. BECAUSE OF THIS STATUS, IT IS EQUIPPED TO PROVIDE CRITICAL CARE FOR PATIENTS ACROSS THE 24-COUNTY REGION. HOSPITAL SERVICES MMC PROVIDES SERVICES IN MORE THAN 70 DIFFERENT MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICE. MMC HAS AN AWARD- WINNING OPEN-HEART SURGERY AND INTERVENTIONAL CARDIOLOGY PROGRAM, PLUS THE ONLY LEVEL II TRAUMA CENTER IN MICHIGAN'S REGION 7, WHICH COVERS 17 COUNTIES, AND THE ONLY NEONATAL INTENSIVE CARE UNIT IN NORTHERN LOWER MICHIGAN. MMC IS ALSO DESIGNATED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION AND ACCREDITED AS A COMPREHENSIVE COMMUNITY CANCER CENTER BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. SPECIALIZED INPATIENT UNITS AVAILABLE AT MMC INCLUDE MEDICAL/SURGICAL INTENSIVE CARE, CARDIAC INTENSIVE CARE, NEONATAL INTENSIVE CARE, ONCOLOGY, ORTHOPEDICS, INPATIENT MENTAL HEALTH, AND PHYSICAL MEDICINE AND REHABILITATION. COMPLEX SURGERIES INCLUDING CARDIOTHORACIC, HAND, NEURO, AND VASCULAR SURGERIES ARE AVAILABLE, AS WELL AS LESS COMPLEX SAME-DAY SURGERY. A BROAD SPECTRUM OF DIAGNOSTIC AND THERAPEUTIC SERVICES SUPPORT MMC'S PROGRAMS, INCLUDING: COMPREHENSIVE RADIOLOGY SERVICES WITH CT, MRI (TRADITIONAL, OPEN BORE, AND BREAST), PET/CT, ULTRASOUND, NUCLEAR MEDICINE, DIGITAL MAMMOGRAPHY, AND X-RAY COMPREHENSIVE CANCER TREATMENT INCLUDING RADIATION ONCOLOGY DELIVERED VIA BRACHYTHERAPY, IGRT AND IMRT RADIATION THERAPY, AND THE LATEST IN STEREOTACTIC RADIOSURGERY COMPUTERIZED INPATIENT AND OUTPATIENT LABORATORY SERVICES INCLUDING THE REGIONS' ONLY MALDI-TOF SYSTEM FOR RAPID IDENTIFICATION OF MICROORGANISMS COMPREHENSIVE REHABILITATION SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL, SPEECH AND HEARING, AND WOUND THERAPY PROGRAMS A DEDICATED CARDIAC DIAGNOSTIC SUITE USING THE LATEST IS ECHOCARDIOGRAPHY, AN ADJACENT LAB FOR DIAGNOSTIC CATHETERIZATION AND ELECTROPHYSIOLOGY STUDIES, AND A DEDICATED CARDIAC REHABILITATION AND PREVENTION PROGRAM OBSTETRIC CLINIC FOR INDIGENT PATIENTS MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES; HOME HEALTH, DME AND DIALYSIS SERVICES POPULATION SERVED BY MUNSON MEDICAL CENTER MMC SERVES PATIENTS FROM 24 COUNTIES IN NORTHERN LOWER MICHIGAN AND THE EASTERN PORTION OF THE UPPER PENINSULA - A POPULATION BASE OF APPROXIMATELY 540,000. IN THE 12-COUNTY REGION IMMEDIATELY SURROUNDING MMC: 22% OF THE POPULATION ARE 65 YEARS OR OLDER "UNEMPLOYMENT RATE (AS OF FEBRUARY 2017) IS ABOVE THE MICHIGAN RATE OF 5.7% IN 11 OF THE 12 COUNTIES SERVED, AVERAGING 8.4% WITH RATES RANGING FROM 5.3 PERCENT TO 12 PERCENT. (SOURCE: MICHIGAN BUREAU OF LABOR MARKET INFORMATION AND STRATEGIC INITIATIVES) ABOUT 68% OF MMC INPATIENT DISCHARGES ORIGINATE FROM THE FIVE COUNTIES IN CLOSEST PROXIMITY TO MMC - ANTRIM, BENZIE, GRAND TRAVERSE, LEELANAU AND KALKASKA. 39% OF BIRTHS ARE COVERED BY MEDICAID IN THE SIX COUNTIES IMMEDIATELY SURROUNDING MMC: 14.1 PERCENT OF ADULTS 18-64 YEARS OF AGE LACK HEALTH INSURANCE, COMPARED TO A STATE AVERAGE OF 12.4 PERCENT. (SOURCE: US CENSUS BUREAU, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), 2014) QUALITY MMC'S REPUTATION FOR THE HIGHEST QUALITY CARE IS REPRESENTED BY REPEATED NATIONAL RECOGNITION RECEIVED. US NEWS & WORLD REPORT HAS RANKED MMC 48TH IN THE NATION FOR CARDIOLOGY & HEART SURGERY AND AMONG THE TOP FIVE HOSPITALS IN MICHIGAN FOR 2016-2017. MUNSON MEDICAL CENTER RANKED 62ND NATIONALLY AMONG 4,667 HOSPITALS AND WAS NATIONALLY RATED AS "HIGH PERFORMING" IN FOUR SPECIALTY AREAS, INCLUDING DIABETES & ENDOCRINOLOGY, GASTROENTEROLOGY & GI SURGERY, GERIATRICS AND PULMONOLOGY. THE MEDICAL CENTER WAS ALSO AMONG ONLY 63 HOSPITALS NATIONALLY TO SCORE AS "HIGH PERFORMING" IN EACH OF NINE DIFFERENT ADULT PROCEDURES AND CONDITIONS, INCLUDING: ABDOMINAL AORTIC ANEURYSM REPAIR, AORTIC VALVE SURGERY, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, COLON CANCER SURGERY, HEART BYPASS SURGERY, HEART FAILURE, HIP REPLACEMENT, KNEE REPLACEMENT, AND LUNG CANCER SURGERY. MUNSON MEDICAL CENTER WAS RANKED RIGHT ALONGSIDE THE NATION'S TOP HOSPITALS AND ACADEMIC MEDICAL CENTERS. THE AMERICAN NURSES CREDENTIALING CENTER HAS RE-DESIGNATED MMC AS A MAGNET HOSPITAL FOR THE THIRD CONSECUTIVE TIME. MMC WAS FIRST DESIGNATED IN 2006. MMC IS ONE OF JUST TWO PERCENT OF HOSPITALS IN THE WORLD AND ONE OF TWO HOSPITALS IN MICHIGAN THAT HAS BEEN RE-DESIGNATED FOR A THIRD TIME. MAGNET DESIGNATION RECOGNIZES EXCELLENCE IN PATIENT CARE STANDARDS, RESPECT OF CULTURAL AND ETHNIC DIVERSITY, AND LEADERSHIP OF THE NURSE ADMINISTRATOR IN SUPPORTING PROFESSIONAL NURSING PRACTICE, AND THE MANAGEMENT AND PHILOSOPHY OF NURSING SERVICES. MAGNET HOSPITALS ARE KNOWN TO HAVE THE HIGHEST QUALITY OF PATIENT CARE, HIGH LEVELS OF PATIENT SATISFACTION, LOWER VACANCY AND TURNOVER RATES FOR REGISTERED NURSE POSITIONS, AND HIGHER RATES OF JOB SATISFACTION. MMC IS FULLY ACCREDITED BY THE JOINT COMMISSION AND HAS EARNED THE GOLD SEAL OF APPROVAL, AN INTERNATIONALLY-RECOGNIZED SYMBOL OF HEALTH CARE QUALITY. THE ACCREDITATION PROCESS DRIVES QUALITY CARE AND PATIENT SAFETY IMPROVEMENTS THROUGH NATIONALLY RECOGNIZED EVIDENCE-BASED STANDARDS WHICH ADDRESS CRITICAL PATIENT SAFETY AND QUALITY ISSUES, NATIONAL PATIENT SAFETY GOALS, AND PERFORMANCE MEASURES WHICH PROVIDE A FOUNDATION FOR QUALITY. THE JOINT COMMISSION, ALONG WITH THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION HAS ALSO CERTIFIED MMC AS A PRIMARY STROKE CENTER SINCE 2012 FOR MEETING ALL CRITICAL ELEMENTS OF PERFORMANCE TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES FOR STROKE PATIENTS. CERTIFICATION RECOGNIZES HOSPITALS THAT HAVE A DEDICATED STROKE-FOCUSED PROGRAM, ARE STAFFED BY QUALIFIED MEDICAL PROFESSIONALS TRAINED IN STROKE CARE, INVOLVE THE PATIENT IN THEIR HOSPITAL CARE, AND WHO USE DATA TO ASSESS AND CONTINUALLY IMPROVE QUALITY OF CARE FOR STROKE PATIENTS. MMC IS RATED FOUR STARS BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE RATING SUMMARIZES UP TO 64 QUALITY MEASURES ON THE HOSPITAL COMPARE WEB SITE REFLECTING COMMON CONDITIONS THAT HOSPITALS TREAT, SUCH AS HEART ATTACKS OR PNEUMONIA. HOSPITALS MAY PERFORM MORE COMPLEX SERVICES OR PROCEDURES NOT REFLECTED IN THE MEASURES ON HOSPITAL COMPARE. THE OVERALL RATING SHOWS HOW WELL EACH HOSPITAL PERFORMED, ON AVERAGE, COMPARED TO OTHER HOSPITALS IN THE U.S. MMC IS RECOGNIZED AS A BLUE DISTINCTION CENTER+ IN THREE AREAS - CARDIAC CARE, MATERNITY CARE AND KNEE AND HIP REPLACEMENT - BY BLUE CROSS BLUE SHIELD OF MICHIGAN FOR DEMONSTRATING ITS EXPERTISE IN DELIVERING SAFE AND EFFECTIVE CARE, MEETING OUTLINED QUALITY MEASURES AND DEMONSTRATING EXPERTISE IN THESE AREAS. "MMC'S STROKE PROGRAM IS REPEATEDLY RECOGNIZED BY THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION FOR HIGH QUALITY CARE. IN 2016, THE HOSPITAL WAS ONE OF FOUR IN MICHIGAN TO RECEIVE BOTH GOLD PLUS ACHIEVEMENT AND ELITE HONOR ROLL RECOGNITION IN THE NATIONAL ASSOCIATION'S GET WITH THE GUIDELINES QUALITY IMPROVEMENT PROGRAM. IN 2016, THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES CONFERRED A SILVER-LEVEL BEACON AWARD FOR EXCELLENCE ON MMC'S A2 CARDIOTHORACIC NURSING UNIT IN THE WEBBER HEART CENTER. THE NURSING STAFF OF A4 WEBBER HEART CENTER WON THE SAME AWARD IN 2014. THE BEACON AWARD FOR EXCELLENCE RECOGNIZES UNIT CAREGIVERS WHO SUCCESSFULLY IMPROVE PATIENT OUTCOMES AND ALIGN PRACTICES WITH AACN'S SIX STANDARDS FOR A HEALTHY WORK ENVIRONMENT. UNITS THAT ACHIEVE THIS THREE-YEAR, THREE-LEVEL AWARD WITH GOLD, SILVER, AND BRONZE DESIGNATIONS MEET NATIONAL CRITERIA CONSISTENT WITH MAGNET RECOGNITION, THE MALCOLM BALDRIDGE NATIONAL QUALITY AWARD, AND THE NATIONAL QUALITY HEALTHCARE AWARD. SEVEN MUNSON HEALTHCARE SYSTEM HOSPITALS WERE NAMED MOST WIRED FOR 2016 BY THE AMERICAN HOSPITAL ASSOCIATION'S JOURNAL HOSPITALS AND HEALTH NETWORKS. MMC HAS BEEN NAMED A MOST WIRED HOSPITAL IN SIX OUT OF THE SEVEN YEARS THE LIST HAS BEEN PUBLISHED, INCLUDING, 2011 (SMALL & RURAL), 2012 (MOST IMPROVED) AND 2013 - 2016. THE AMERICAN COLLEGE OF SURGEONS REVERIFIED MUNSON MEDICAL CENTER AS A LEVEL II TRAUMA CENTER IN 2015. IT IS THE ON
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	THE MUNSON MEDICAL CENTER BOARD OF TRUSTEES IS MADE UP OF COMMUNITY MEMBERS ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE. ADDITIONALLY, 100% OF MUNSON MEDICAL CENTER TRUSTEES SUPPORT MUNSON FINANCIALLY. 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 TRUSTEES. MUNSON MEDICAL CENTER UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND IMPROVE CARE TO PATIENTS THROUGHOUT ITS SERVICE AREA. EXAMPLES OF HOW MUNSON MEDICAL CENTER PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PROGRAMS INCLUDE: HEALTHY FUTURES- A PARTNERSHIP OF AREA HEALTH CARE PROVIDERS, HEALTH DEPARTMENTS AND MUNSON HEALTHCARE, CREATED TO IMPROVE THE HEALTH OF PREGNANT WOMEN AND CHILDREN UP TO AGE FIVE. THE PROGRAM INCLUDES CENTRAL ACCESS/DATA MANAGEMENT, REGISTERED NURSE (RN) CARE COORDINATION, EDUCATIONAL MAILINGS, AND HEALTH CARE-RELATED FINANCIAL ASSISTANCE. THE HEALTHY FUTURES MODEL OF RN CARE COORDINATION CONSISTS OF AN OUTCOMES-BASED APPROACH TO INTERVENTION IN THE AREAS OF BREASTFEEDING LONGEVITY, ACCESS TO HEALTH CARE AND IMMUNIZATIONS. MEDS PROGRAM- A PROGRAM THAT PROVIDES TO PATIENTS WITHOUT RESOURCES BEING DISCHARGED FROM THE HOSPITAL NEEDED MEDICATIONS, AS WELL AS ENROLLING THOSE PATIENTS INTO PHARMACEUTICAL COMPANY SPONSORED ASSISTANCE PROGRAMS SO THEY MAY CONTINUE TO GET THE NEEDED PHARMACEUTICALS. NORTHERN MICHIGAN DIABETES INITIATIVE (NMDI)- A GROUP OF STAKEHOLDERS AND STEERING COMMITTEE MEMBERS THAT REPRESENT THE 14 COUNTY SERVICE AREA, WITH A VISION TO IMPROVE THE CHRONIC CARE MANAGEMENT OF DIABETES. NMDI IS COMMITTED TO PROVIDING LOCAL, REGIONAL, AND NATIONAL RESOURCES FOR THE PREVENTION AND MANAGEMENT OF DIABETES. WHILE MOST DIABETES COLLABORATIVES FOCUS ON PROVIDING OPTIMAL EVIDENCE BASED CARE MANAGEMENT TO THE PERSON ALREADY DIAGNOSED WITH DIABETES, NMDI FOCUSES ON CONCURRENT UPSTREAM TARGETED EDUCATION OF THREE SPECIFIC POPULATIONS: THE GENERAL COMMUNITY; THE SOCIOECONOMICALLY CHALLENGED HIGH RISK POPULATION; AND RURAL PRIMARY CARE PROVIDERS (PCP) CARING FOR DIABETIC PATIENTS. NORTHERN MICHIGAN VACCINE PREVENTABLE DISEASE TASK FORCE - A GROUP COORDINATED AND LED BY MUNSON HEALTHCARE, IS WORKING TO INFORM, EDUCATE, AND SUPPORT POLICY CHANGE THAT REVERSES THE REGION'S ONGOING TREND OF VERY LOW VACCINATION RATES AND SUPPORTS HEALTHY COMMUNITIES. MEDICAL EDUCATION-THE MUNSON FAMILY PRACTICE RESIDENCY PROGRAM INTEGRATES OSTEOPATHIC AND ALLOPATHIC MEDICINE TOGETHER, WITH THE RESOURCES OF MUNSON MEDICAL CENTER. THIS DUALLY ACCREDITED 5/5/5 PROGRAM ACCEPTS BOTH DO AND MD TRAINEES. THE PROGRAM IS AFFILIATED WITH THE MICHIGAN STATE UNIVERSITY. MMC ALSO PARTNERS WITH SEVERAL COLLEGES AND SCHOOLS OF NURSING TO PROVIDE INTERNSHIPS AND CLINICAL EXPERIENCES FOR REGISTERED NURSES, RESPIRATORY THERAPISTS, PHARMACISTS, AND OTHER HEALTH PROFESSIONALS. SHAPE UP NORTH- A COLLABORATIVE EFFORT LED BY MUNSON MEDICAL CENTER WITH OVER TWENTY COMMITTED COMMUNITY PARTNERS. FOUR FOCUS AREA STRATEGIES WERE SELECTED FOR GREATEST COMMUNITY IMPACT: PROVIDERS, SCHOOLS, BUSINESSES AND COMMUNITY AWARENESS. THIS COLLABORATION ALLOWS PARTNERS TO WORK TOGETHER TO ADOPT CONSISTENT, CLEAR, AND UNIFIED MESSAGES AND DEVELOP COMMON INTERVENTION STRATEGIES IN AN EFFORT TO CREATE COLLECTIVE IMPACT.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	MUNSON MEDICAL CENTER'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 MICHIGAN'S 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 AND MUNSON HEALTHCARE CHARLEVOIX HOSPITAL PROVIDED 48 MILLION OF COMMUNITY BENEFIT IN THE 2015 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 FIXED WING AND HELICOPTER AIR SERVICES, IN COMBINATION WITH GROUND TRANSPORT, PATIENTS IN THE SYSTEM ARE ABLE TO ACCESS APPROPRIATE CARE. NORTH FLIGHT, INC. PROVIDED 1.7 MILLION IN CHARITY CARE AND UNREIMBURSED MEDICAID IN THE PAST FISCAL YEAR. MUNSON MEDICAL GROUP, THE EMPLOYED PHYSICIAN ORGANIZATION IN THE SYSTEM, PROVIDED APPROXIMATELY 789,000 IN CHARITY CARE AND COMMUNITY BENEFIT IN TAX YEAR 2015. 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 68.7 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.
ADDITIONAL INFORMATION	PART V QUESTION 16: THE FULL URL FOR THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: HTTP://WWW.MUNSONHEALTHCARE.ORG/FINANCIALHELP

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNITED WAY OF NORTHWEST MICHIGAN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	521 SOUTH UNION STREET	AddressLine1Txt
City	TRAVERSE CITY	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49684	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	381679060	RecipientEIN
IRC Section	501(C)	IRCSectionDesc
Cash Grant	$25,000	CashGrantAmt
Purpose Of Grant	COMMUNITY SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
MEDICAL INSURANCE PAYMENT	70	$27,201
TRANSPORT, HOUSING, WIGS	2466	$232,070
TRANSPORT, HOUSING, FOOD	2446	$295,148
MAMMOGRAPHY ASSISTANCE	237	$27,687
MEALS FOR PATIENT FAMILY	829		$11,766	FMV	MEALS
MEDICAL, TRANSPORT & DRUG	131	$61,062

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	MUNSON MEDICAL CENTER AWARDS MOST GRANTS BASED ON AN APPLICATION PROCESS FOR PRE-APPROVED SERVICES AND PURCHASES IN ACCORDANCE WITH PROTOCOLS ESTABLISHED WITH CASE MANAGERS WORKING FOR THE DEPARTMENTS WHICH APPLY FOR ASSISTANCE. THE ASSISTANCE CAN EITHER BE REQUESTED FOR THE DEPARTMENT OR ON BEHALF OF PATIENTS WHO INDICATE AN UNMET NEED THAT POSES A BARRIER TO THE RECEIPT OF HEALTH CARE SERVICES. CASE MANAGERS MONITOR THE USE OF THE FUNDS IN LINE WITH THE PROTOCOLS. MUNSON MEDICAL CENTER MAINTAINS RECORDS OF SUPPORT FOR EXPENSES USED FOR FUNDED REQUESTS. MUNSON MEDICAL CENTER MAY AWARD A GRANT OR CONTRIBUTION TO ANOTHER TAX- EXEMPT ORGANIZATION BASED ON A REQUEST FOR REIMBURSEMENT FOR PRE-APPROVED SERVICES OR PURCHASES. THE AWARD IS BASED ON AN EVALUATION OF THE USE OF THE FUNDS FOR THE PROMOTION OF HEALTH IN THE COMMUNITY. THE ONGOING RELATIONSHIP OF MUNSON MEDICAL CENTER WITH ITS PARTNERS IN THE COMMUNITY FOR THE PROMOTION OF HEALTH ALLOWS FOR THE MONITORING OF THE GRANT AWARD.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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 (13 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 A NESS
TRUSTEE	$661,413	$281,714	$3,162	$134,735	$23,672	$1,104,696
ALFRED PILONG
CEO & PRESIDENT							$453,057	$139,263	$19,163	$84,767	$20,099	$716,349
KAREN SPEIRS DO
TRUSTEE, PART YEAR							$260,352	$55,500	$1,709	$12,677	$4,380	$334,618
JILL E VOLLEBECHT MD
TRUSTEE							$198,597	$7,500	$16,719	$9,977	$23,405	$256,198
MARK A HEPLER
CFO	$333,352	$103,661	$31,199	$54,461	$23,878	$546,551							$8,670
DAVID MCGREAHAM MD
VP MEDICAL AFFAIRS							$286,896	$70,926	$22,460	$35,922	$21,082	$437,286
DERK PRONGER
VP OPERATIONS							$224,248	$69,363	$19,136	$36,482	$14,524	$363,753
JAMES P FISCHER
VP PATIENT CARE							$194,285	$47,322	$4,378	$23,795	$21,351	$291,131
THOMAS SCHERMERHORN MD
NEUROSURGEON							$912,014		$18,838	$12,677	$23,180	$966,709
AHMET SEVIMLI MD
NEPHROLOGIST							$386,180		$20,087	$23,171	$23,456	$452,894
ANDREW RIDDLE
PHYSICIAN							$331,339	$20,000	$24,659	$12,677	$19,810	$408,485
ZACHARY HECTOR-WORD
PHYSICIAN							$355,156	$20,000	$743	$12,677	$18,625	$407,201
JOSHUA RUCH
PHYSICIAN							$354,145	$20,000	$675	$26,575	$19,322	$420,717

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PAGE 1, PART I, LINE 4

EDWIN A. NESS 0 122,059 0 ALFRED PILONG 0 72,090 0 MARK A. HEPLER 0 34,460 0 DAVID MCGREAHAM, MD 0 18,708 0 DERK PRONGER 0 24,780 0 JAMES P. FISCHER 0 12,138 0

SCHEDULE J, PART III

EXECUTIVE 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CNTY GRD TRAVSE HOSP FIN AUTH 2011
A	386004832	386523EE0	2011-08-10	$128,728,067	REFUND PRIOR BONDS	false	false	false
CNTY GRAD TRAV HOSP FIN AUTH 2014 A
B	386004832	386523EH3	2014-12-17	$30,370,807	CANCER CENTER CONSTUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr
A	$128,728,067	$1,756,786	$126,971,281	Yes (true)	false	Yes (true)	Yes (true)
B	$30,370,807	$370,807		false	false	false	Yes (true)	$30,003,766	2016

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	false	Yes (true)	false	0.00120	0.00120	false	false	Yes (true)
B	false	false	false		false				false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION	CNTY GRAD TRAV HOSP FIN AUTH 2014 A INVESTMENT INCOME EARNED
SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION	CNTY GRD TRAVSE HOSP FIN AUTH 2011 THE SERIES 2011A, 2011B AND 2011C BONDS WERE ISSUED TO PURCHASE AND CANCEL TENDERED BONDS, TENDERED DURING A TENDER PROGRAM INITIATED BY MUNSON HEALTHCARE. THE TENDERED BONDS INCLUDED COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY (MUNSON HEALTHCARE OBLIGATED GROUP) HOSPITAL REVENUE AND REFUNDING BONDS SERIES 1998A, ISSUED 9/1/98; REVENUE BONDS SERIES 2001A, ISSUED 1/9/01; REVENUE REFUNDING BONDS SERIES 2002A, ISSUED 9/17/02; REVENUE REFUNDING BONDS SERIES 2005A, ISSUED 11/3/05 AND REVENUE BONDS SERIES 2005B, ISSUED 11/3/05.
SCHEDULE K - DATE REBATE COMPUTATION PERFORMED	CNTY GRD TRAVSE HOSP FIN AUTH 2011 02/05/14
SCHEDULE K - ADDITIONAL INFORMATION	CNTY GRAD TRAV HOSP FIN AUTH 2014 A OBLIGATED GROUP ISSUE RECORDED ON RELATED ORGANIZATIONS ON DECEMBER 17, 2014, THE MUNSON HEALTHCARE OBLIGATED GROUP ISSUED COUNTY OF GRAND TRAVERSE HOSPITAL FINANCE AUTHORITY REVENUE BONDS (MUNSON HEALTHCARE OBLIGATED GROUP) SERIES 2014A, 2014B AND 2014C, AT A PREMIUM. THE 2014 SERIES A BONDS ARE RECORDED ON MUNSON MEDICAL CENTER'S BOOKS AND RECORDS AT A PAR VALUE OF 27,620,000. THE 2014 SERIES B BONDS ARE RECORDED ON MUNSON HEALTHCARE GRAYLING'S BOOKS AND RECORDS AT A PAR VALUE OF 13,805,000. THE 2014 SERIES C BONDS ARE RECORDED ON MUNSON HEALTHCARE CADILLAC'S BOOKS AND RECORDS AT A PAR VALUE OF 15,870,000. THE RELATED BOND PREMIUM WAS RECORDED ON THE RESPECTIVE ENTITIES' BOOKS AND RECORDS. PART III, QUESTION 3B AND D MUNSON MEDICAL CENTER MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS, INCLUDING LEASES, MANAGEMENT, SERVICE AND RESEARCH CONTRACTS. THE MONITORING PROCESS INCLUDES A REVIEW BY THE INTERNAL LEGAL DEPARTMENT. OUTSIDE COUNSEL MAY BE CONSULTED, AS NECESSARY. OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS, DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTACTS. SINCE NEW BONDS WERE ISSUED IN 2014, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JEFF BERRY
FAMILY OF TRUST	$122,385	RELATED FAMILY COMP	false
KRISTINE NAVIN
FAMILY OF TRUST	$18,282	RELATED FAMILY COMP	false
CHARLES HAVILL
OWNER ISTRUSTEE	$220,401	CONTRACT SERVICES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	LINE 3 CHARLES HAVILL IS A TRUSTEE OF MUNSON MEDICAL CENTER AND OWNS MORE THAN 35% OF CORE RECOVERY, WHICH PROVIDED CONTRACT SERVICES TO MUNSON MEDICAL CENTER IN 2015.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 6	MUNSON MEDICAL CENTER IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS. THE SOLE MEMBER IS MUNSON HEALTHCARE, AN IRS SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. IN THE EVENT OF DISSOLUTION, MUNSON MEDICAL CENTER'S NET ASSETS WOULD BE DISTRIBUTED TO MUNSON HEALTHCARE.
FORM 990, PAGE 6, PART VI, LINE 7A	MUNSON HEALTHCARE, AS THE SOLE MEMBER, ELECTS THE TRUSTEES FOR ALL SUBSIDIARY ENTITIES, INCLUDING MUNSON MEDICAL CENTER. NOMINATIONS TO MUNSON HEALTHCARE FOR SUBSIDIARY TRUSTEES ARE CONSIDERED AND RECOMMENDED BY THE MUNSON HEALTHCARE GOVERNANCE COMMITTEE. FOUR TRUSTEES OF MUNSON MEDICAL CENTER ALSO ARE DIRECTORS OF MUNSON HEALTHCARE.
FORM 990, PAGE 6, PART VI, LINE 7B	CERTAIN DECISIONS OF THE MUNSON MEDICAL CENTER (MMC) TRUSTEES ARE APPROVED BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS INCLUDING: ADOPTION, AMENDMENT, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF MMC; ADOPTION, EXECUTION, REVOCATION OR ABANDONMENT OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, OR REORGANIZATION INVOLVING MMC; SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF MMC; ACQUISITION OF OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF MMC; ADOPTION OF ALL OPERATING BUDGETS AND CAPITAL EXPENDITURE BUDGETS FOR MMC; INCURRENCE OF OPERATING OR CAPITAL EXPENDITURES BY MMC 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 MMC, WITH THE EXCEPTION OF EQUIPMENT LEASES AND PURCHASE MONEY SECURITY INTERESTS APPROVED AS PART OF MMC'S BUDGET; ADOPTION OR CHANGE IN THE MISSION STATEMENT, PURPOSES OR THE STRATEGIC GOALS OF MMC; CHANGING SUBSTANTIALLY THE SCOPE OF MMC'S CLINICAL SERVICES AND PROGRAMS OFFERED BY MMC; AND APPOINTMENT OR REMOVAL THE PRESIDENT OF MMC.
FORM 990, PAGE 6, PART VI, LINE 11B	THE MUNSON MEDICAL CENTER BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON MEDICAL CENTER 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. 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 KEY EMPLOYEES IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON MEDICAL CENTER.
FORM 990, PAGE 6, PART VI, LINE 19	THE MUNSON MEDICAL CENTER ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON MEDICAL CENTER DOES NOT MAKE THE BYLAWS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ANNUALLY, MUNSON HEALTHCARE, PARENT CORPORATION, SUBMITS ITS ANNUAL CONSOLIDATED FINANCIAL STATEMENTS TO THE MSRB IN COMPLIANCE WITH BOND DISCLOSURE REQUIREMENTS. ADDITIONALLY, MUNSON MEDICAL CENTER PREPARES AND DISTRIBUTES AN ANNUAL REPORT TO THE COMMUNITY, WHICH CONTAINS FINANCIAL AS WELL AS PROGRAM DATA.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES 38,243,281 14,984,958 619,622 PROFESSIONAL FEES 19,788,455 466,432 0
FORM 990, PART XI, LINE 9	INVEST IN MUNSON HEALTHCARE FOUNDATION CONTRIBUTIO 6,217,287 GAIN ON TERM OF RETIREE BENEFIT 20,315,663 TEMPORARILY RESTRICTED ACTIVITY -10,525,791 PENSION AND POST RETIREMENT CHANGES -60,930,545 SWAP MARKET VALUE CHANGE -1,980,339 TRANSFERS TO AFFILIATES -14,055,634 TOTAL -60,959,359

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 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	Direct Controlling NADirectControllingNACd	Business Name Line2DisregardedEntityName/BusinessNameLine2Txt
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	HEALTHCARE	MI	C3	11B			false	N/A
MUNSON HEALTHCARE REGIONAL FOUNDATI
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	9	MUN HOME H	MUNSON HOME HEALTH	Yes (true)
MUNSON HOME HEALTH
1105 SIXTH ST	TRAVERSE CITY	MI	49684	383335362	HOME HEALT	MI	C3	11B	MUNSON HC	MUNSON HEALTHCARE	Yes (true)
MUNSON HOME SERVICES
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382543463	HOME HEALT	MI	C3	9	MUN HOME H	MUNSON HOME HEALTH	Yes (true)
NORTH FLIGHT INC
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382657917	MED TRANSP	MI	C3	11B	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)
PAUL OLIVER MEMORIAL HOSPITAL FOUND
1105 SIXTH ST	TRAVERSE CITY	MI	49684	237201619	RAISE FUND	MI	C3	7	PAUL OLV H	PAUL OLIVER MEMORIAL HOSPITAL	Yes (true)
MUNSON MEDICAL GROUP
1105 SIXTH ST	TRAVERSE CITY	MI	49684	273600575	PHYSICIAN	MI	C3	9	MUNSON MED	MUNSON MEDICAL CENTER	Yes (true)
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 CADILLAC FOUNDATI
1105 SIXTH ST	TRAVERSE CITY	MI	49684	472857600	RAISE FUND	MI	C3	7	MHC CADILL	MUNSON HEALTHCARE CADILLAC	Yes (true)		FOUNDATION
MUNSON HEALTHCARE CHARLEVOIX HOSPIT
1105 SIXTH ST	TRAVERSE CITY	MI	49684	381459366	HOSPITAL	MI	C3	3	MUNSON HC		Yes (true)
MUNSON HEALTHCARE CHARLEVOIX
1105 SIXTH ST	TRAVERSE CITY	MI	49684	753078034	RAISE FUND	MI	C3	11A	MHC CHARLE	HOSPITAL	Yes (true)		HOSPITAL FOUNDATION

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
MUNSON MEDICAL BUILDING PARTNERS
PO BOX 1188	TRAVERSE CITY	MI	496851188	382830005	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	RELATED	$443,686	$2,976,766	false	Yes (true)	0.00760
NORTHERN MICHIGAN SUPPLY ALLIANCE
2651 AERO PARK DR	TRAVERSE CITY	MI	49686	383453378	PURCHASING	MI						false	false		N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 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)
MUNSON MOBILE IMAGING
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382704069	IMAGING	MI	N/A	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	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 (71 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MUNSON DIALYSIS CENTER
P	$691,277	ACTUAL AMOUNT PAID
MUNSON DIALYSIS CENTER
S	$100,700	ACTUAL AMOUNT PAID
MUNSON DIALYSIS CENTER
R	$170,675	ACTUAL AMOUNT PAID
MUNSON DIALYSIS CENTER
Q	$3,053,294	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE
B	$7,100,000	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE
L	$872,661	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE
M	$9,310,504	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE
O	$2,136,714	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE
P	$218,394,114	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE
Q	$182,898,790	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE CADILLAC
M	$253,214	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE CADILLAC
O	$294,192	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE CADILLAC
P	$556,463	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE CADILLAC
L	$3,740,213	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE CADILLAC
Q	$25,160,942	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE CADILLAC
S	$763,182	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE CADILLAC
R	$192,079	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE GRAYLING
M	$289,322	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE GRAYLING
P	$400,748	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE GRAYLING
L	$3,736,622	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE GRAYLING
O	$106,411	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE GRAYLING
Q	$25,219,708	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE GRAYLING
S	$640,606	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE GRAYLING
R	$207,271	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE REGIONAL FOUNDATI
C	$11,446,359	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE REGIONAL FOUNDATI
P	$71,944	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE REGIONAL FOUNDATI
Q	$686,555	ACTUAL AMOUNT PAID
MUNSON HOME CARE
J	$169,320	LEASE CONTRACT AMOUNT
MUNSON HOME CARE
L	$92,794	ACTUAL AMOUNT PAID
MUNSON HOME CARE
P	$92,772	ACTUAL AMOUNT PAID
MUNSON HOME CARE
Q	$13,984,397	ACTUAL AMOUNT PAID
MUNSON HOME HEALTH
Q	$2,963,577	ACTUAL AMOUNT PAID
MUNSON MEDICAL BUILDING PARTNERS
L	$51,626	ACTUAL AMOUNT PAID
MUNSON MEDICAL BUILDING PARTNERS
S	$142,887	ACTUAL AMOUNT PAID
MUNSON MEDICAL BUILDING PARTNERS
R	$205,871	ACTUAL AMOUNT PAID
MUNSON MEDICAL GROUP
B	$6,700,000	ACTUAL AMOUNT PAID
MUNSON MEDICAL GROUP
M	$1,480,195	ACTUAL AMOUNT PAID
MUNSON MEDICAL GROUP
L	$187,012	ACTUAL AMOUNT PAID
MUNSON MEDICAL GROUP
O	$124,858	ACTUAL AMOUNT PAID
MUNSON MEDICAL GROUP
Q	$16,560,002	ACTUAL AMOUNT PAID
MUNSON MEDICAL GROUP
S	$462,939	ACTUAL AMOUNT PAID
MUNSON MEDICAL GROUP
R	$278,095	ACTUAL AMOUNT PAID
MUNSON MEDICAL GROUP
P	$7,023,774	ACTUAL AMOUNT PAID
MUNSON SERVICES INC
J	$72,048	LEASE CONTRACT AMOUNT
MUNSON SERVICES INC
R	$232,989	ACTUAL AMOUNT PAID
MUNSON SERVICES INC
Q	$12,299,843	ACTUAL AMOUNT PAID
MUNSON SERVICES INC
P	$997,729	ACTUAL AMOUNT PAID
MUNSON SERVICES INC
L	$62,387	ACTUAL AMOUNT PAID
MUNSON SERVICES INC
S	$99,300	ACTUAL AMOUNT PAID
MUNSON SUPPORT SERVICES
Q	$1,598,264	ACTUAL AMOUNT PAID
MUNSON SUPPORT SERVICES
P	$76,132	ACTUAL AMOUNT PAID
MUNSON SUPPORT SERVICES
R	$242,487	ACTUAL AMOUNT PAID
MUNSON SUPPORT SERVICES
M	$1,846,250	ACTUAL AMOUNT PAID
NORTH FLIGHT INC
P	$80,926	ACTUAL AMOUNT PAID
NORTH FLIGHT INC
Q	$4,047,060	ACTUAL AMOUNT PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
J	$227,400	LEASE CONTRACT AMOUNT
NORTHERN MICHIGAN SUPPLY ALLIANCE
L	$172,214	ACTUAL AMOUNT PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
O	$405,815	ACTUAL AMOUNT PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
P	$19,908,180	ACTUAL AMOUNT PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
M	$1,954,644	ACTUAL AMOUNT PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
R	$788,258	ACTUAL AMOUNT PAID
NORTHERN MICHIGAN SUPPLY ALLIANCE
S	$2,347,591	ACTUAL AMOUNT PAID
PAUL OLIVER MEMORIAL HOSPITAL
O	$350,674	ACTUAL AMOUNT PAID
PAUL OLIVER MEMORIAL HOSPITAL
P	$575,569	ACTUAL AMOUNT PAID
PAUL OLIVER MEMORIAL HOSPITAL
Q	$6,726,662	ACTUAL AMOUNT PAID
PAUL OLIVER MEMORIAL HOSPITAL
L	$824,820	ACTUAL AMOUNT PAID
PAUL OLIVER MEMORIAL HOSPITAL
S	$350,619	ACTUAL AMOUNT PAID
PAUL OLIVER MEMORIAL HOSPITAL
R	$565,359	ACTUAL AMOUNT PAID
SIXTH STREET DRUGS
Q	$574,483	ACTUAL AMOUNT PAID
SIXTH STREET DRUGS
P	$216,760	ACTUAL AMOUNT PAID
MUNSON HEALTHCARE CHARLEVOIX HOSPIT
S	$94,483	ACTUAL AMOUNT PAID

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	MUNSON MEDICAL CENTER 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