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40.00 X 304310 0 16773 ANDREW RIDDLE PHYSICIAN 40.00 X 280504 0 29798 4905490 1490904 825369 174 false true false CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64151 INFO TECHNOLOGY 5787661 HOSPITALISTS OF NORTHWEST MICHIGAN 1105 SIXTH ST TRAVERSE CITY MI 49684 MEDICAL SERVICE 5767802 HURON CONSULTING 3005 MOMENTUM PLACE CHICAGO IL 60689 CONSULTING 3011317 AHEAD LLC 4999 NETWORK PLACE CHICAGO IL 606731499 INFO TECHNOLOGY 2115981 CARDIOTHORACIC SURGEONS GT PC 107 S CASS ST TRAVERSE CITY MI 49684 MEDICAL SERVICE 2001752 133 8414805 6715891 436225 15566921 MEDICARE AND MEDICAID PMTS 621990 248938334 248938334 PATIENT SERVICE REVENUE 621990 237040930 237040930 HEALTH SERVICE REVENUE 621990 2521618 2521618 SERVICES TO OTHER ORGANIZATIO 621990 2290691 2290691 RENT FROM RELATED ORGS 531120 412644 412644 95004 95004 491299221 6715606 2814163 3901443 215037 215037 215037 215037 5878768 352391 70677 5878768 281714 6160482 265240 5895242 39010 37120 1890 1890 CAFETERIA SALES 722210 3780599 3780599 MISCELLANEOUS 621990 608744 608744 AUXILIARY GIFT SHOP 446199 440465 440465 7041 7041 4836849 524796006 494283620 103935 14841530 X 175000 175000 592089 592089 2533810 2533810 171877358 152745713 19131645 14269613 12696120 1573493 29233776 25732835 3500941 12986461 11392953 1593508 92334 92334 143398 143398 8500 8500 50071954 43205629 6322489 543836 713777 156487 557290 5189819 3419798 1770021 11635788 4087260 7548528 9345602 7881293 1464309 467671 384046 83625 768834 629653 139181 5470219 4971473 498746 27168438 24693462 2474976 2941502 2371253 570249 MEDICAL SUPPLIES 119191677 119191677 BAD DEBT 15361994 15361994 REPAIRS AND MAINTENANCE 6441666 6064674 376992 DIETARY 819329 645132 174197 -16244116 -8095661 -8148455 471256493 428302880 42409777 543836 50193 32299 100334093 129440060 624449 803505 67536302 66090879 555403 11882176 14168873 6845339 7166708 527610733 291153615 236480866 236457118 188024381 214998313 28032624 26528710 449717 381830 4367544 2486117 644627684 699109815 39555331 40857895 117929 203185 127037476 125011515 108976012 106652473 275686748 272725068 X 347274449 407924224 21666487 18460523 368940936 426384747 644627684 699109815 53539513 20211019 -16306721 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false true 8500 false false true 14913 23413 false SCHEDULE C, PART II-B, LINE 1 GRASSROOTS LOBBYING EXPENSES GRANTED TO ORGANIZATIONS. OTHER ACTIVITIES INDICATE THE PORTION OF DUES ALLOCATED TO LOBBYING EXPENSES PAID TO REGIONAL OR NATIONAL ORGANIZATIONS. 209694426 4386641 28104434 662105 6934457 1130102 233458837 180234157 12760078 18163160 589921 80507 792541 209694426 166996705 9477532 4724667 87150 877667 180234157 143412065 996567 23516814 141430 787311 166996705 128015726 2073910 14807677 1054734 430514 143412065 0.92090 0.07910 false true true 15186700 15186700 294794906 139422942 155371964 1386196 181871 1204325 201479794 150571352 50908442 14763137 977450 13785687 236457118 MINIMUM PENSION LIABILITY 78847653 DEFERRED POST RETIREMENT BENEFITS 14538311 RESERVE FOR THIRD PARTY SETTLEMENTS 6392622 SWAP MARKET VALUE BASIS 3840435 ESTIMATED THIRD PARTY SETTLEMENTS 2343905 CAREPAYMENT LIABILITY 671437 CAPITAL LEASE 18110 106652473 X SCHEDULE D, PAGE 3, PART X ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF JUNE 30, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2010. SCHEDULE D, PAGE 4, PART XIII 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. true true X true X true X true true false false 4987784 4987784 0.01080 43192518 30893677 12298841 0.02650 642318 309740 332578 0.00070 48822620 31203417 17619203 0.03800 3356824 1215241 2141583 0.00460 4660087 2442704 2217383 0.00480 316665 26619 290046 0.00060 1124713 280530 844183 0.00180 499043 41189 457854 0.00100 9957332 4006283 5951049 0.01280 58779952 35209700 23570252 0.05080 5943 5943 8815 8815 30658 30658 0.00010 865 865 427 427 306 306 25229 25229 0.00010 72243 72243 0.00020 true 15614425 5896007 236991998 236907400 84598 X true true NW MI SURGERY CENTER AMBULATORY SURGERY CENTER 0.49000 0.51000 1 1 MUNSON MEDICAL CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 WWW.MUNSONHEALTHCARE.ORG MI 280010 X X X X X MUNSON MEDICAL CENTER 1 true X X X X X X X X X X 12 true true true X WWW.MUNSONHEALTHCARE.ORG X WWW.MUNSONHEALTHCARE.ORG/CHNA X X X X X X X X X false false true true 200.000000000000 true 400.000000000000 true X X X X true true X X X X X X true false X X X X true X false false FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 3 A COLLABORATIVE 12-MEMBER STEERING COMMITTEE GUIDED THE CHNA PROCESS. THIS STEERING COMMITTEE WAS COMPRISED OF HOSPITAL LEADERS AND PUBLIC HEALTH OFFICIALS. AS THE CHNA PROCESS PROGRESSED, 129 INDIVIDUALS FROM MULTIPLE AREA ORGANIZATIONS WERE INVOLVED TO ENSURE INPUT FROM THOSE WHO HAVE A BROAD KNOWLEDGE OF THE COMMUNITY. FURTHER, A GROUP OF KEY PHYSICIAN LEADERS FROM THE REGION ALSO WAS CONSULTED FOR INPUT. INDIVIDUALS POSSESSING BROAD KNOWLEDGE OF ALL SEGMENTS OF THE FIVE-COUNTY AREA PARTICIPATED IN 10 FOCUS GROUPS TO HELP ASSESS HEALTH CARE NEEDS. SESSIONS WERE CONDUCTED WITH FIVE AREA COUNTY COLLABORATIVES, AS WELL AS PEOPLE LIVING IN POVERTY, YOUTH, THOSE WHO PROVIDE SERVICES TO SENIORS, AND BEHAVIORAL HEALTH PROVIDERS. THESE GROUPS WERE SELECTED BECAUSE OF THEIR KNOWLEDGE OF PEOPLE AND AREAS MOST IMPACTED BY HEALTH DISPARITIES. BEHAVIORAL HEALTH PROVIDERS WERE AN IMPORTANT INITIAL FOCUS GROUP BECAUSE THERE IS ALMOST NO SECONDARY MENTAL HEALTH DATA AVAILABLE. FOCUS GROUPS SERVING A SPECIFIC POPULATION (I.E. SENIORS, BEHAVIORAL HEALTH) WERE ASKED ABOUT HEALTH NEEDS SPECIFIC TO THE GROUP'S AREA OF EXPERTISE. EACH FOCUS GROUP DETERMINED A COMPREHENSIVE LIST OF HEALTH NEEDS; THEN PRIORITIZED ITS TOP FOUR TO SIX HEALTH NEEDS. IN ADDITION, SIXTEEN KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN JANUARY 2012 TO JULY 2012 WITH INDIVIDUALS FROM THE COURTS, AREA FOUNDATIONS, FREE AND FEDERALLY QUALIFIED HEALTH CENTER CLINICS, THE MIGRANT CLINIC, THE TRIBAL CLINIC, ORGANIZATIONS WHO SERVE SENIORS, AND ADOLESCENT HEALTH CLINIC PROVIDERS TO ASSESS THE GREATEST HEALTH NEEDS THEY OBSERVE. KEY INFORMANTS WERE ASKED THE SAME FOUR QUESTIONS AS THE FOCUS GROUPS, FOCUSING ON THEIR SPECIFIC POPULATION AREA OF EXPERTISE. KEY INFORMANTS WERE CHOSEN BECAUSE OF THEIR KNOWLEDGE OF PEOPLE AND AREAS MOST IMPACTED BY HEALTH DISPARITIES. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 4 PAUL OLIVER MEMORIAL HOSPITAL FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 7 WHILE MMC ASSESSES AND SUPPORTS SMOKING CESSATION EFFORTS FOR THEIR EMPLOYEES THROUGH THE HEALTH BY CHOICE PROGRAM, ENCOURAGES ALL PATIENTS TO QUIT, AND MAINTAINS A TOBACCO FREE CAMPUS, IT DOES NOT CURRENTLY OFFER ANY SMOKING CESSATION/COUNSELING PROGRAMS BECAUSE IT SEEKS TO AVOID DUPLICATION OF SERVICES. CURRENTLY, COMMUNITY PROGRAMS ARE OFFERED BY THE TRAVERSE BAY AREA TOBACCO COALITION AND THE ADOLESCENT HEALTH CLINICS, WHICH OFFER INDIVIDUALIZED QUIT PLANS FOR THE POPULATION THEY SERVE. MMC DOES OFFER PRINTED AND ELECTRONIC RESOURCES TO PATIENTS AND EMPLOYEES WHO EXPRESS THE DESIRE TO QUIT USING TOBACCO AND REFERS THEM TO THE STATE OF MICHIGAN WEBSITE WHICH OFFERS RESOURCES AND TIPS FOR QUITTING, AS WELL AS THE ABILITY TO CREATE A PERSONALIZED PLAN. MMC DOES NOT DIRECTLY ADDRESS HOUSING ISSUES (AFFORDABILITY, FORECLOSURE, VACANCIES). THIS PRIORITY DID NOT MEET THE DEFINED EVALUATION CRITERIA AND IT WAS DETERMINED INTERNALLY THAT MMC DOES NOT HAVE THE ABILITY TO DIRECTLY AFFECT CHANGE WITHIN THIS NEED, NOR ARE THERE SYSTEM RESOURCES AVAILABLE TO INFLUENCE CHANGE. IT WAS ALSO DETERMINED THERE ARE OTHER COMMUNITY ORGANIZATIONS BETTER ALIGNED TO ADDRESS THIS PRIORITY. MMC IS, HOWEVER, A MEMBER OF THE FIVE AREA COUNTY COLLABORATIVES WHICH INCLUDE REPRESENTATION FROM AGENCIES THAT ADDRESS HOUSING ISSUES SUCH AS NORTHWEST COMMUNITY ACTION AGENCY, THE MICHIGAN STATE HOUSING DEVELOPMENT AUTHORITY, AND THE GRAND VISION. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 12I 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 (I.E. HIGH DEBT-TO-INCOME RATIO), AT THE SOLE DISCRETION OF MUNSON HEALTHCARE. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 14G 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, INFORMATION POSTED ON THE WEBSITE, STATEMENT ON BILLS, AND/OR SIGNS IN THE REGISTRATION AREAS. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 18E MUNSON MEDICAL CENTER 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 HEALTHCARE 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)DOCUMENTATION THAT MUNSON HEALTHCARE 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)DOCUMENTATION 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. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 20D SELF-PAY/NO INSURANCE PATIENTS ARE GIVEN A DISCOUNT EQUAL TO 15% OFF THEIR TOTAL BILL FOR ALL MEDICALLY NECESSARY AND EMERGENCY SERVICES. THIS RATE WAS DETERMINED BY TAKING THE AVERAGE OF COMMERCIAL RATES, NOT INCLUDING BLUE CROSS. 10 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 COPPER RIDGE 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 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 = 50% 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: INCLUDES 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 471,256,493 AND THE PROPORTIONATE SHARE OF TOTAL EXPENSES OF THE AMBULATORY SURGERY CENTER IS 8,057,553. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS 15,614,425. THE NET EXPENSE OF 463,699,621 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 72,243 IN COMMUNITY-BUILDING ACTIVITIES DURING THE 2013 TAX YEAR. THE MOST SIGNIFICANT PORTION OF THIS INVESTMENT WAS IN ENVIRONMENTAL IMPROVEMENTS RELATING TO THE RECYCLING OF ELECTRONIC EQUIPMENT. ADDITIONAL ACTIVITIES INCLUDED ADMINISTRATIVE SUPPORT ON MANY BOARDS, WORKFORCE DEVELOPMENT, ADVISORY COMMITTEES, AND COLLABORATIVE EFFORTS. MMC CONTINUES AS A GUIDING FORCE IN MICHIGAN'S REGION 7 BIO-TERRORISM/DISASTER PREPAREDNESS. MUNSON ALSO WORKS ON GRANT WRITING IN AN EFFORT TO SECURE FUNDS TO SUPPORT THE COMMUNITY. 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 MANAGEMENTS 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 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 INTERNAL AND EXTERNAL COLLECTION PRACTICES (INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NON-PAYMENT, INCLUDING COLLECTIONS ACTIONS AND REPORTING TO COLLECTION AGENCIES) SHALL TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MUNSON HEALTHCARE, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS/HER PAYMENT AGREEMENTS WITH MUNSON HEALTHCARE. FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, MUNSON HEALTHCARE 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. PART VI, LINE 2 - NEEDS ASSESSMENT THE MUNSON HEALTHCARE BOARD OF DIRECTORS MAINTAINS A STANDING COMMUNITY HEALTH COMMITTEE (CHC) TO SERVE THE MUNSON HEALTHCARE SYSTEM. THE CHC CONSISTS OF MUNSON HEALTHCARE BOARD MEMBERS FROM MUNSON HEALTHCARE HOSPITALS AND OTHER INTERESTED AREA PHYSICIANS AND COMMUNITY MEMBERS APPOINTED BY THE MUNSON HEALTHCARE BOARD CHAIRPERSON. THE CHC MEETS AT LEAST QUARTERLY TO REVIEW EXISTING PROGRAMS AND SERVICES RELATED TO CURRENT COMMUNITY HEALTH NEEDS, CONSIDER THE MHC RESPONSE TO ANY EMERGING HEALTH TRENDS AS IDENTIFIED BY COMMUNITY HEALTH NEEDS ASSESSMENT, AND REVIEW ANY NEW COMMUNITY HEALTH BASED COLLABORATION OR PROGRAM. THE CHC IS RESPONSIBLE FOR COMMUNICATING INTERNALLY AND EXTERNALLY THE SIGNIFICANCE OF MHC COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS COMMITTEE IS SUPPORTED BY A COMMUNITY HEALTH DEPARTMENT 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 2013 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; THE TRAVERSE CITY CHAMBER OF COMMERCE; THE LOCAL UNITED WAY; THE POVERTY REDUCTION INITIATIVE, 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. 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 MEDICAL CENTER FINANCIAL COUNSELORS ARE AVAILABLE TO TALK WITH PATIENTS ABOUT THEIR FINANCIAL CONCERNS. THE COUNSELORS 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 ASSITANCE, AND MUNSON MEDICAL CENTER MEDS PROGRAM. 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 EIGHT HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM, MMC SERVES AS A RURAL REFERRAL CENTER FOR THE SURROUNDING 24-COUNTY AREA, WITH 20,815 INPATIENT ADMISSIONS IN FISCAL YEAR 2014 AND AN ADDITIONAL 490,000 PLUS OUTPATIENT VISITS. THE HOSPITAL SERVED MORE THAN 14,000 SURGICAL CASES, OVER 1,900 OBSTETRICAL BIRTHS, AND OVER 50,000 EMERGENCY ROOM VISITS LAST YEAR. THE HOSPITAL HAS AN ACTIVE MEDICAL STAFF OF 510 AND MORE THAN 350 VOLUNTEERS. WITH NEARLY 3,700 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 50 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 520,000. IN THE 12-COUNTY REGION IMMEDIATELY SURROUNDING MMC: "20% OF THE POPULATION ARE 65 YEARS OR OLDER "UNEMPLOYMENT RATE IS ABOVE THE MICHIGAN AVERAGE OF 6.1% IN 11 OF THE 12 COUNTIES SERVED, AVERAGING 8.4% "19.1% OF ADULTS AGED 18-64 YEARS OF AGE LACK HEALTH INSURANCE "40% OF BIRTHS ARE COVERED BY MEDICAID ABOUT 68% OF MMC INPATIENT DISCHARGES ORIGINATE FROM THE FIVE COUNTIES IN CLOSEST PROXIMITY TO MMC - ANTRIM, BENZIE, GRAND TRAVERSE, LEELANAU AND KALKASKA. QUALITY MMC'S REPUTATION FOR THE HIGHEST QUALITY CARE IS REPRESENTED BY REPEATED NATIONAL RECOGNITION RECEIVED. "NAMED AMONG THE 100 TOP HOSPITAL 14 TIMES BY THOMSON REUTERS (NOW TRUVEN HEALTH ANALYTICS); ONLY FOUR OTHER HOSPITALS NATIONWIDE RECOGNIZED THIS MANY TIMES OR MORE "NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS IN 2010 FOR SUPERIOR CLINICAL AND OPERATIONAL PERFORMANCE AND AMONG THE 100 TOP CARDIOVASCULAR HOSPITALS IN 2009, 2008, 2006, 2001, 2000, AND 1999. "RECOGNIZED WITH THE EVEREST AWARD FOR NATIONAL BENCHMARKS BY THOMSON REUTERS (NOW TRUVEN HEALTH ANALYTICS) TWICE FOR THE HOSPITAL'S RATE OF LONG-TERM IMPROVEMENT. THIS RECOGNITION HELPED ESTABLISH MMC AS A NATIONAL BENCHMARK AGAINST WHICH OTHER HOSPITALS ARE COMPARED "RECOGNIZED WITH THE 2008 AMERICAN HOSPITAL ASSOCIATION-MCKESSON QUEST FOR QUALITY PRIZE (RUNNER UP WAS UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS) "MMC RECEIVED THE MAGNET RECOGNITION AWARD FROM THE AMERICAN NURSES CREDENTIALING CENTER IN 2006 AND WAS REDESIGNATED IN 2011. 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. ONLY 6.5 PERCENT OF HOSPITALS NATIONALLY HAVE ACHIEVED MAGNET STATUS. 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 INDIVIDUALS 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. THE MEDS PROGRAM ALSO PROVIDES ASSISTANCE TO THOSE NEEDING MEDICATIONS FROM THE OUTPATIENT INFUSION CLINIC. POVERTY REDUCTION INITIATIVE (PRI)- A COLLABORATIVE GROUP OF ORGANIZATIONS AND INDIVIDUALS WORKING TO ADDRESS ISSUES OF POVERTY IN THE FIVE COUNTY SERVICE AREA OF MUNSON MEDICAL CENTER. PROJECTS SUPPORTED BY THE PRI WORK GROUPS INCLUDE EFFORTS TO EXPAND ACCESS TO MEDICAL AND DENTAL CARE, JOB TRAINING OPPORTUNITIES, JOB RETENTION, COMMUNITY RESOURCE MOBILIZATION, AND DATA COLLECTION. MUNSON'S INVOLVEMENT IN PRI INCLUDES MEMBERSHIP ON THE ADVISORY COUNCIL, STEERING COMMITTEE, AND NAVIGATORS. NORTHERN MICHIGAN DIABETES INITIATIVE (NMDI)- A GROUP OF STAKEHOLDERS AND STEERING COMMITTEE MEMBERS THAT REPRESENT THE 12 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. COLLABORATION WITH THE TRAVERSE HEALTH CLINIC - TRAVERSE HEALTH CLINIC (THC) SERVES AS A MAJOR PRIMARY CARE SAFETY NET PROVIDER FOR LOW INCOME, UNINSURED PERSONS IN THE REGION. THC OPERATES A LARGE VOLUNTEER ACCESS PROGRAM (COALITION HEALTH ACCESS PROGRAM/CHAP) FOR THE UNINSURED IN COLLABORATION WITH COMMUNITY PROVIDERS IN THE REGION. MUNSON PROVIDES DIRECT FUNDS TO THC THROUGH A FORMAL SERVICE AGREEMENT AND A COMMUNITY BENEFIT SUBSIDY TO HELP SUPPORT OPERATIONS. MUNSON DONATES MILLIONS OF DOLLARS WORTH OF DIRECT SERVICES TO UNINSURED THC CHAP PATIENTS EACH YEAR, AND ALSO DONATES MEDICATIONS, PHARMACIST STAFF TIME AND OTHER IN-KIND SERVICES TO THC. THC HAS JUST TRANSITIONED IN 2013 FROM A "FREE CLINIC" MODEL TO BECOME AN FQHC COMMUNITY HEALTH CENTER. 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. MATERNAL SMOKING - A COLLABORATIVE GROUP OF 20 PLUS PARTNERS COVERING 21 COUNTIES WHOSE FOCUS IS TO REDUCE THE MATERNAL SMOKING RATE IN THIS AREA. RECENT SURVEYS HAVE BEEN COMPLETED TO FURTHER UNDERSTAND WHY MOTHERS SMOKE DURING PREGNANCY. WORKING TOGETHER THIS TEAM IS CREATING A COMPREHENSIVE COMMUNICATION PLAN TO HELP EDUCATE MOTHERS ON THE DANGERS OF MATERNAL SMOKING. THIS TEAM WILL BE WORKING WITH HEALTHCARE PROVIDERS TO ENSURE THIS INFORMATION IS COMMUNICATED TO THEIR PATIENTS. TRAINING ON MOTIVATIONAL INTERVIEWING WILL ALSO BE PROVIDED TO HEALTH CARE PROFESSIONALS. 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 SEVEN 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. 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. CLOSE TO 160,000 DOLLARS IN 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 1.3 MILLION IN CHARITY CARE AND UNREIMBURSED MEDICAID IN THE PAST FISCAL YEAR. MUNSON MEDICAL GROUP, THE EMPLOYED PHYSICIAN ORGANIZATION IN THE SYSTEM, PROVIDED APPROXIMATELY 575,000 IN CHARITY CARE AND COMMUNITY BENEFIT IN TAX YEAR 2013. 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 38.5 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. true TRAVERSE HEALTH CLINIC 3155 LOGAN VALLEY TRAVERSE CITY MI 49684 300224028 501(C) 175000 MEDICALLY UNDERSERVE 1 MEDICAL INSURANCE PAYMENT 80 38371 TRANSPORT, HOUSING, WIGS 61 112423 MEDICAL, TRANSPORT & DRUG 154 224763 MAMMOGRAPHY ASSISTANCE 361 26178 TRANSPORT, HOUSING, FOOD 597 169754 SCHOLARSHIPS FOR BABY SWI 42 6867 MEALS FOR PATIENT FAMILY 884 13733 FMV MEALS SCHEDULE I, PAGE 1, PART I, LINE 2 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. X X X X false true false false false false false false false EDWIN A NESS TRUSTEE 593257 191801 2366 223417 20203 1031044 ALFRED PILONG CEO & PRESIDENT 301404 31696 5452 59725 12214 410491 KAREN SPEIRS DO PHYSICIAN 273605 26000 16825 12476 3359 332265 MARK A HEPLER CFO 255473 72580 27960 41711 22164 419888 7891 KATHLEEN MCMANUS FORMER EXEC VP & COO 252235 56207 126592 15134 15687 465855 39785 DAVID MCGREAHAM MD VP MEDICAL AFFAIRS 255224 50100 20134 31985 19403 376846 PAUL M SHIRILLA ASST SEC/VP 270552 46350 2940 32694 15179 367715 CHRISTOPHER PODGES VP INFO SYST 252718 43005 1608 30688 21105 349124 DERK PRONGER VP OPERATIONS 201565 30442 842 22383 7941 263173 SUZANNE K PETERS VP HUMAN RESOURCES 163963 31981 29133 20962 15734 261773 3458 JAMES P FISCHER VP PATIENT CARE 176821 28188 2561 21429 6171 235170 THOMAS SCHERMERHORN MD NEUROSURGEON 791934 101349 12476 20963 926722 AHMET SEVIMLI MD NEPHROLOGIST 461823 24375 63172 27709 21009 598088 DANIEL FLEWELLING PHYSICIAN 300574 10000 17773 23160 1717 353224 PHILOMENA COLUCCI PHYSICIAN - ONCOLOGY 271539 32771 12476 4297 321083 ANDREW RIDDLE PHYSICIAN 262496 18008 10098 19700 310302 SCHEDULE J, PAGE 1, PART I, LINE 4 EDWIN A. NESS 0 210,942 0 ALFRED PILONG 0 47,249 0 MARK A. HEPLER 0 26,383 0 DAVID MCGREAHAM, MD 0 16,672 0 PAUL M. SHIRILLA 0 16,461 0 CHRISTOPHER PODGES 0 15,525 0 DERK PRONGER 0 12,239 0 SUZANNE K. PETERS 0 11,125 0 JAMES P. FISCHER 0 10,820 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. A CTY GRD TRAVSE HOSP FIN AUTH 2011 386004832 386523EE0 2011-08-10 128728067 REFUND PRIOR BONDS false false false A 128728067 1756786 126971281 true false true true A false true true false true false 0.00120 0.00120 false false true A false false false true true false false false true SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION CTY 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 CTY GRD TRAVSE HOSP FIN AUTH 2011 08/10/13 MEGAN COX FAMILY OF TRUST 38311 RELATED FAMILY COMP false HOSPITALISTS OF NORTHWEST MI OWNER ISTRUSTEE 5906110 GROUP PRACTICE PHYSI false MUNSON SERVICES INC E NESS TRUSTEE 2220700 CONTRACT EMPLOYEES false PULMONARY AND CRITICAL CARE PHYSICI OWNER ISTRUSTEE 1994857 GROUP PRACTICE PHYSI false GLORIA WOLF FAMILY OF TRUST 62454 RELATED FAMILY COMP false JEFF BERRY FAMILY OF TRUST 102397 RELATED FAMILY COMP false MUNSON SUPPORT SERVIVES FISCHER TRUSTEE 2031673 LAUNDRY SERVICES false 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 22,591,249 6,163,096 543,836 PROFESSIONAL FEES 20,614,380 159,393 0 FORM 990, PART XI, LINE 9 INVEST IN MUNSON HEALTHCARE FOUNDATION CONTRIBUTIO 4,385,396 TRANSFERS FROM AFFILIATE 362,400 TEMPORARILY RESTRICTED ACTIVITY 7,591,360 PENSION AND POST RETIREMENT CHANGES 4,129,714 SWAP MARKET VALUE CHANGE 359,429 TRANSFERS TO AFFILIATES 8,974,014 MUNSON DIALYSIS CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 383097861 DIALYSIS MI C3 3 MUNSON HC MUNSON HEALTHCARE false MUNSON HEALTHCARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382640544 HEALTHCARE MI C3 11B N/A false MUNSON HEALTHCARE REGIONAL FOUNDATI 1105 SIXTH ST TRAVERSE CITY MI 49684 382642724 RAISE FUND MI C3 7 MUNSON HC MUNSON HEALTHCARE false MUNSON HOME CARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382191390 HOME HEALT MI C3 9 MUN HOME H MUNSON HOME HEALTH false MUNSON HOME HEALTH 1105 SIXTH ST TRAVERSE CITY MI 49684 383335362 HOME HEALT MI C3 11B MUNSON HC MUNSON HEALTHCARE false MUNSON HOME SERVICES 1105 SIXTH ST TRAVERSE CITY MI 49684 382543463 HOME HEALT MI C3 9 MUN HOME H MUNSON HOME HEALTH false NORTH FLIGHT INC 1105 SIXTH ST TRAVERSE CITY MI 49684 382657917 MED TRANSP MI C3 11B MUNSON HC MUNSON HEALTHCARE false PAUL OLIVER MEMORIAL HOSPITAL 1105 SIXTH ST TRAVERSE CITY MI 49684 381415623 HEALTHCARE MI C3 3 MUNSON HC MUNSON HEALTHCARE false 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 false MUNSON MEDICAL GROUP 1105 SIXTH ST TRAVERSE CITY MI 49684 273600575 PHYSICIAN MI C3 9 MUNSON MED MUNSON MEDICAL CENTER true MUNSON MEDICAL BUILDING PARTNERS PO BOX 1188 TRAVERSE CITY MI 496851188 382830005 REAL ESTAT MI MUNSON MED MUNSON MEDICAL CENTER RELATED 2407046 794029 false true 0.72480 NORTHERN MICHIGAN SUPPLY ALLIANCE 2651 AERO PARK DR TRAVERSE CITY MI 49686 383453378 PURCHASING MI N/A false false MEDICAL OFFICE CONDOMINIUM MEDICAL OFFICE CONDOMINIUM PO BOX 1188 TRAVERSE CITY MI 496851188 201902620 REAL ESTAT MI MUNSON MED MUNSON MEDICAL CENTER C CORP 126096 24668 0.74000 false SIXTH STREET DRUGS PO BOX 1188 TRAVERSE CITY MI 496851188 382298290 PHARMACY MI N/A false MUNSON SUPPORT SERVICES PO BOX 1188 TRAVERSE CITY MI 496851188 382872821 LAUNDRY MI N/A true MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY MI 496851188 383144382 PHARMACY MI N/A false MEDICAL OFFICE BUILDING CONDOMINIUM MEDICAL OFFICE BUILDING CONDOMINIUM PO BOX 1188 TRAVERSE CITY MI 496851188 383567278 REAL ESTAT MI MUNSON MED MUNSON MEDICAL CENTER C CORP 58180 18328 0.78000 false MUNSON MOBILE IMAGING PO BOX 1188 TRAVERSE CITY MI 496851188 382704069 IMAGING MI N/A false true true true true true false false false false true true true true false true true true true false MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION K 137187 ACTUAL AMOUNT PAID MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION Q 181549 ACTUAL AMOUNT PAID MEDICAL OFFICE CONDO ASSOCIATION K 247072 ACTUAL AMOUNT PAID MEDICAL OFFICE CONDO ASSOCIATION Q 189355 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER L 137433 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER O 2243967 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER Q 866339 ACTUAL AMOUNT PAID MUNSON HEALTHCARE B 3450000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE M 1638324 ACTUAL AMOUNT PAID MUNSON HEALTHCARE O 1482828 ACTUAL AMOUNT PAID MUNSON HEALTHCARE P 751552 ACTUAL AMOUNT PAID MUNSON HEALTHCARE Q 6763317 ACTUAL AMOUNT PAID MUNSON HEALTHCARE REGIONAL FOUNDATI C 8414805 ACTUAL AMOUNT PAID MUNSON HEALTHCARE REGIONAL FOUNDATI L 56956 ACTUAL AMOUNT PAID MUNSON HEALTHCARE REGIONAL FOUNDATI M 543836 ACTUAL AMOUNT PAID MUNSON HEALTHCARE REGIONAL FOUNDATI Q 60077 ACTUAL AMOUNT PAID MUNSON HOME CARE J 124122 ACTUAL AMOUNT PAID MUNSON HOME CARE L 55590 ACTUAL AMOUNT PAID MUNSON HOME CARE Q 9755998 ACTUAL AMOUNT PAID MUNSON HOME HEALTH J 55590 ACTUAL AMOUNT PAID MUNSON HOME HEALTH O 74772 ACTUAL AMOUNT PAID MUNSON HOME HEALTH Q 1462381 ACTUAL AMOUNT PAID MUNSON HOME SERVICES O 88324 ACTUAL AMOUNT PAID MUNSON HOME SERVICES Q 3317360 ACTUAL AMOUNT PAID MUNSON MEDICAL BUILDING PARTNERS C 362400 ACTUAL AMOUNT PAID MUNSON MEDICAL BUILDING PARTNERS K 803474 ACTUAL AMOUNT PAID MUNSON MEDICAL BUILDING PARTNERS Q 125677 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP B 5400000 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP L 568357 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP M 489492 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP O 6081402 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP Q 14636549 ACTUAL AMOUNT PAID MUNSON SERVICES INC Q 10024420 ACTUAL AMOUNT PAID MUNSON SERVICES INC L 67638 ACTUAL AMOUNT PAID MUNSON SERVICES INC O 2220700 ACTUAL AMOUNT PAID MUNSON SERVICES INC P 91862 ACTUAL AMOUNT PAID MUNSON SUPPORT SERVICES M 2031673 ACTUAL AMOUNT PAID MUNSON SUPPORT SERVICES Q 1808923 ACTUAL AMOUNT PAID NORTH FLIGHT INC M 54274 ACTUAL AMOUNT PAID NORTH FLIGHT INC Q 4731676 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE E 735000 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE J 227400 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE M 2005118 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE O 1120624 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE P 17833887 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE Q 5139835 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL B 124014 AGREEMENT ALLOCATION PAUL OLIVER MEMORIAL HOSPITAL L 825403 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL O 1077473 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL Q 5045361 ACTUAL AMOUNT PAID SIXTH STREET DRUGS O 380554 ACTUAL AMOUNT PAID SCHEDULE R 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.