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MUNSON HEALTHCARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MUNSON HEALTHCARE (EIN 38-2640544)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201301349349302055
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T09:31:21-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382640544EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MUNSON HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMUNSNameControl
Phone2319357777Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1188AddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code496851188ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK A HEPLERName
TitleCHIEF FINANCIAL OFFICERTitle
Phone2319357777Phone
Date Signed2013-05-13DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEDWIN A NESSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11105 SIXTH STAddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code49684ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6083077GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MUNSONHEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionMUNSON HEALTHCARE AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees57TotalNbrEmployees
Total Gross UBI67433TotalGrossUBI
Net Unrelated Business Txbl Income1803NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year22500ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4624478ProgramServiceRevenuePriorYear
Program Service Revenue CY5259293ProgramServiceRevenueCY
Investment Income Prior Year513832InvestmentIncomePriorYear
Investment Income Current Year776336InvestmentIncomeCurrentYear
Other Revenue Prior Year1027OtherRevenuePriorYear
Other Revenue Current Year24948OtherRevenueCurrentYear
Total Revenue Prior Year5139337TotalRevenuePriorYear
Total Revenue Current Year6083077TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6090691SalariesEtcPriorYear
Salaries Etc Current Year7588147SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year583291TotalFundrsngExpCurrentYear
Other Expense Prior Year2341645OtherExpensePriorYear
Other Expenses Current Year2293950OtherExpensesCurrentYear
Total Expenses Prior Year8432336TotalExpensesPriorYear
Total Expenses Current Year9882097TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3292999RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3799020RevenuesLessExpensesCY
Total Assets BOY21806913TotalAssetsBOY
Total Assets EOY22186013TotalAssetsEOY
Total Liabilities BOY4791967TotalLiabilitiesBOY
Total Liabilities EOY3068439TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17014946NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19117574NetAssetsOrFundBalancesEOY
Mission DescriptionMUNSON HEALTHCARE AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5309223Expense
Revenue5597867Revenue
DescriptionPARENT HOLDING COMPANY FOR CORPORATIONS PROVIDING HEALTH CARE AND RELATED SERVICES.Description
Total Program Service Expense5309223TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109652NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees57NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCORPORATE FINANCENamePerson
Telephone Number2319357777TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14230 COPPER RIDGE DRAddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code49684ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
EDWIN A NESS
PRESIDENT &40.00XX69981521991240584
WARD R GILLETT MD
DIRECTOR4.00X9375261450
DAVID WRIGHT MD
DIRECTOR4.00X0275420
DANIEL WOLF
CHAIR6.00XX2150000
RAYMOND BOHRER MD
DIRECTOR4.00X1250064000
ROBERT SPRUNK
SECRETARY6.00XX937561250
THOMAS MCINTYRE
FORMER CHAIR4.00X1550000
BARBARA BENSON
DIRECTOR4.00X1250000
CHRISTINA MACINNES
DIRECTOR4.00X1250000
CONSTANCE DENEWETH
TREASURER6.00XX1250000
DANIEL NAVIN MD
DIRECTOR4.00X312593750
DAVID RIPPER MD
DIRECTOR4.00X1250000
EMORY D JOHNSON
DIRECTOR4.00X1250000
JEAN HOWARD
DIRECTOR4.00X1250000
JERRY CARLSON
DIRECTOR4.00X1250000
ROBERT FOSTER
DIRECTOR4.00X1250000
TERRY ROGERS
DIRECTOR4.00X1250000
THOMAS GARTLAND
DIRECTOR4.00X1250000
JOHN C ERB
DIRECTOR4.00X0125000
THEODORE N BATZER MD
DIRECTOR4.00X937500
CHARLES HAVILL
DIRECTOR4.00X937500
ELAINE WOOD
DIRECTOR4.00X937500
DEBORAH FELLOWS
DIRECTOR4.00X000
ROGER W SPOELMAN
DIRECTOR4.00X000
JOHN PELIZZARI
VICE CHAIR6.00XX000
CARMEL ROBERTS
DIRECTOR4.00X000
MARK A HEPLER
CFO40.00X322835048469
PAUL SHIRILLA
VP LEGAL40.00293209047142X
JAMES D AUSTIN
AFFILIATE AD40.00256356040601X
MARY BETH MORRISON
VP PLANNING40.00198905037882X
MARK S DEPONIO
VP SUPPLY CH40.00197853043454X
DESIREE A WORTHINGTON
MHC FOUNDATI40.00186644037675X
SHARI L WILSON
VP HOME HEAL40.00151204025349X
K DOUGLAS DECK
FORMER CEO58916009984X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3120481TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs110078TotalReportableCompFrmRltdOrgs
Total Other Compensation531140TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELOITTE CONSULTING LLP
PO BOX 7247-6447PHILADELPHIAPA19170CONSULTING296535
KAUFMAN HALL
5202 OLD ORCHARD RD STE N700SKOKIEIL60077CONSULTING186806
HURON CONSULTING
3005 MOMENTUM PLACECHICAGOIL60689CONSULTING175334
ERNST YOUNG
PO BOX 96550CHICAGOIL60693AUDIT SERVICES154199
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations22500RelatedOrganizations
Total Contributions22500TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CONTRACT REVENUES56100051925255192525
CONTRACT REVENUES5610006676866768
FieldValueIRS element (for citing)
Total Program Service Revenue5259293TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column555641TotalRevenueColumn
Related Or Exempt Function Income311626RelatedOrExemptFunctionIncome
Exclusion$244,015ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities220695Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities220695Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column220695TotalRevenueColumn
Exclusion$220,695ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MISCELLANEOUS5610002428324283
PASS THROUGH UBI FOR JV900003665665
FieldValueIRS element (for citing)
Total Other Revenue24948TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6083077TotalRevenueColumn
Related Or Exempt Function Income5528434RelatedOrExemptFunctionIncome
Unrelated Business Revenue67433UnrelatedBusinessRevenue
Exclusion$464,710ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1874718Total
Program Services824937ProgramServices
Management And General979799ManagementAndGeneral
Fundraising69982Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total599144Total
Management And General599144ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3644186Total
Program Services2777267ProgramServices
Management And General866919ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total700594Total
Program Services583123ProgramServices
Management And General117471ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total443458Total
Program Services349872ProgramServices
Management And General93586ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total326047Total
Program Services242618ProgramServices
Management And General83429ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16265Total
Management And General16265ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total74927Total
Management And General74927ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1499326Total
Program Services49012ProgramServices
Management And General937005ManagementAndGeneral
Fundraising513309Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2730Total
Program Services2082ProgramServices
Management And General648ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total39641Total
Program Services31839ProgramServices
Management And General7802ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total138241Total
Program Services126107ProgramServices
Management And General12134ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total30000Total
Program Services30000ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total71317Total
Program Services45193ProgramServices
Management And General26124ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2472Total
Program Services2472ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total58521Total
Program Services44905ProgramServices
Management And General13616ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5134Total
Program Services3820ProgramServices
Management And General1314ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DUES AND SUBSCRIPTIONS324218175386148832
MISCELLANEOUS28742199138829
BANK FEES1256656600
INCOME TAXES11191119

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total41Total
Program Services21ProgramServices
Management And General20ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9882097Total
Program Services5309223ProgramServices
Management And General3989583ManagementAndGeneral
Fundraising583291Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY449869BOY
EOY260196EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY37027BOY
EOY56374EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY818204BOY
EOY491998EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis499617LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec320489LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14262BOY
EOY179128EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9246188BOY
EOY9461060EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY11037207BOY
EOY11737257EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY204156BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21806913BOY
EOY22186013EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1728552BOY
EOY1366516EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3063415BOY
EOY1701923EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4791967BOY
EOY3068439EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17014946BOY
EOY19117574EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17014946BOY
EOY19117574EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21806913BOY
EOY22186013EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3799020ReconcilationRevenueExpenses
Reconcilation Other Changes5901648ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MUNSON MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN381362830EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$2,127,079Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts2127079SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$21,311OtherActivitiesAmount
Total Lobbying Expenditures IIB21311TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1ReturnReference
ExplanationPORTION OF DUES TO REGIONAL AND NATIONAL ORGANIZATIONS THAT RELATE TO LOBBYING ACTIVITY.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance9246188BeginningOfYearBalance
Investment Earnings Or Losses263504InvestmentEarningsOrLosses
Administrative Expenses48632AdministrativeExpenses
End Of Year Balance9461060EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7963804BeginningOfYearBalance
Investment Earnings Or Losses1326802InvestmentEarningsOrLosses
Administrative Expenses44418AdministrativeExpenses
End Of Year Balance9246188EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7152653BeginningOfYearBalance
Investment Earnings Or Losses835431InvestmentEarningsOrLosses
Administrative Expenses24280AdministrativeExpenses
End Of Year Balance7963804EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8311745BeginningOfYearBalance
Investment Earnings Or Losses-1119240InvestmentEarningsOrLosses
Administrative Expenses39852AdministrativeExpenses
End Of Year Balance7152653EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis499617OtherCostOrOtherBasis
Depreciation320489Depreciation
Book Value179128BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings179128TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value5021759BookValue
Method Of ValuationFMethodOfValuation

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INSURANCE INVESTMENTS2799031F
INVEST. HOUGHTON LAKE AMBULATORY SUR1491430F
INVESTMENT IN MEDICAL ARTS GROUP1055007F
INVESTMENT IN SUPPLY ALLIANCE811747F
INVESTMENT IN PRIORITY HEALTH558283F
FieldValueIRS element (for citing)
Total Of Book Value Securities11737257TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INSURANCE CLAIMS RESERVE$1,648,009
AFFILIATE PAYABLE$53,914
FieldValueIRS element (for citing)
Total Of Amounts1701923TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierINTENDED USES FOR ENDOWMENT FUNDSIdentifier
Return ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4ReturnReference
ExplanationTHE BOARD-DESIGNATED FUNDS ARE MAINTAINED FOR THE FUTURE USE OF THE MUNSON HEALTHCARE SYSTEM. EARNINGS FROM THE INVESTMENTS ARE USED CURRENTLY, FOR THE OPERATIONS OF MUNSON HEALTHCARE AS PARENT ORGANIZATION IN THE SYSTEM. MUNSON HEALTHCARE HAS NO FIN 48 LIABILITIES; AND THEREFORE, NO FOOTNOTE DISCLOSURE ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. SEE AUDITED FINANCIAL STATEMENTS.Explanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
CENTRAL AMERICA AND THE CARIBBEANSELF INSURANCEINSURANCE430656
CENTRAL AMERICA AND THE CARIBBEANSELF INSURANCEINCREASE INVESTMENT
FieldValueIRS element (for citing)
Subtotal Amount Spent2469656SubtotalAmountSpent
Total Amount Spent2469656TotalAmountSpent

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
CENTRAL AMERICA AND THE CARIBBEAN 430,656 0 CENTRAL AMERICA AND THE CARIBBEAN 0 2,039,000
EXPENDITURES ARE REPORTED BASED ON THE ACCRUAL METHOD OF ACCOUNTING.ADDITIONAL INFORMATIONSCHEDULE F, PAGE 5, PART V

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
EDWIN A NESS
5481652192015024114097121865510832007277493854223848
MARK A HEPLER
2283932577968663278222064737130420253
PAUL SHIRILLA
2596202977838113177315369340351
JAMES D AUSTIN
176495458653399622596180052969573698
MARY BETH MORRISON
160178181252060220111177712367873234
MARK S DEPONIO
1806661541117762212621328241307
DESIREE A WORTHINGTON
159123272892321794919726224319
SHARI L WILSON
1431747701329159349415176553
K DOUGLAS DECK
5891609984599144

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4EDWIN A. NESS 0 206,806 0 MARK A. HEPLER 0 14,118 0 PAUL SHIRILLA 0 16,196 0 JAMES D. AUSTIN 0 12,006 0 MARY BETH MORRISON 0 10,500 0 MARK S. DEPONIO 0 11,286 0 DESIREE A. WORTHINGTON 0 9,870 0 SHARI L. WILSON 0 8,718 0 K. DOUGLAS DECK 589,160 0 0
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIIEXECUTIVE 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. EXECUTIVE SEVERANCE PLAN: SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, A COMPETITIVE BENEFIT PACKAGE IS OFFERED TO THE PRESIDENT AND VICE-PRESIDENTS, WHICH INCLUDES A SEVERANCE PLAN. MUNSON HAS A SEVERANCE PLAN FOR PRESIDENT AND VICE-PRESIDENT/EXECUTIVE LEVEL POSITIONS, WHICH PROVIDES FOR THE PRESIDENT UP TO TWO YEARS OF PAY IN THE EVENT EMPLOYMENT ENDS UNDER CERTAIN CONDITIONS, AND FOR THE VICE-PRESIDENTS, UP TO ONE-YEAR OF PAY IN THE EVENT EMPLOYMENT ENDS UNDER CERTAIN CONDITIONS. THE PLAN PROVIDES FOR A 50% OFFSET FOR SUBSEQUENT EMPLOYMENT DURING THE SEVERANCE PERIOD. MEDICAL BENEFITS ARE PROVIDED DURING THE SEVERANCE PERIOD.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6MUNSON HEALTHCARE IS A MEMBERSHIP ORGANIZATION.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHERE ARE TWO CLASSES OF MEMBERS OF MUNSON HEALTHCARE: (1) ELECTED MEMBERS; AND (2) EX-OFFICIO MEMBERS. THERE IS NO SEPARATE VOTING BY CLASS ON MATTERS BROUGHT TO VOTE BY THE MEMBERS. EACH ELECTED MEMBER AND EACH EX-OFFICIO MEMBER SHALL HAVE ONE (1) VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS. THE ELECTED MEMBERS OF THE CORPORATION SHALL CONSIST OF NOT MORE THAN TWO HUNDRED (200) PERSONS, AT LEAST TWO-THIRDS OF WHOM SHALL BE RESIDENTS OF GRAND TRAVERSE, LEELANAU, BENZIE, KALKASKA AND ANTRIM COUNTIES OF THE STATE OF MICHIGAN AT THE TIME OF THEIR ELECTION TO MEMBERSHIP. NO PERSON SHALL BE ELIGIBLE AS AN ELECTED MEMBER AFTER ATTAINING THE AGE OF EIGHTY-FIVE. EACH ELECTED MEMBER SHALL BE NOMINATED BY THE BOARD OF DIRECTORS PURSUANT TO RECOMMENDATION BY THE GOVERNANCE COMMITTEE AND ELECTED BY THE MEMBERS TO SERVE A FIVE (5) YEAR TERM. AN ELECTED MEMBER'S TERM SHALL AUTOMATICALLY CEASE IN THE EVENT THE INDIVIDUAL BECOMES AN EX-OFFICIO MEMBER. THE ELECTED MEMBERS SHALL BE DIVIDED INTO STAGGERED TERMS SO THAT NEARLY EQUAL NUMBERS SHALL BE ELECTED EACH YEAR. THE EX-OFFICIO MEMBERS OF THE CORPORATION SHALL CONSIST OF EACH DIRECTOR OR TRUSTEE SERVING ON THE BOARDS OF DIRECTORS OR BOARD OF TRUSTEES OF CERTAIN SUBSIDIARY AND AFFILIATE ORGANIZATIONS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE MEMBERS VOTE TO ELECT THE ELECTED MEMBERS AND THE ELECTED DIRECTORS OF THE CORPORATION. ADDITIONALLY, ANY AMENDMENT, REPEAL OR ADOPTION OF NEW BYLAWS, TO THE EXTENT IT AFFECTS THE RIGHTS AND POWERS OF THE MEMBERS OF THE CORPORATION, SHALL BE EFFECTIVE ONLY UPON RATIFICATION BY THE MEMBERS. CERTAIN ACTIONS UNDER THE MICHIGAN NONPROFIT CORPORATIONS ACT ALSO REQUIRE THE APPROVAL OF THE MEMBERSHIP INCLUDING A MERGER, CONSOLIDATION, CORPORATE REORGANIZATION, SALE OF SUBSTANTIALLY ALL THE ASSETS, AMENDMENT OF THE ARTICLES OF INCORPORATION AND DISSOLUTION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE MUNSON HEALTHCARE BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON HEALTHCARE IS THE PARENT COMPANY IN THE MUNSON HEALTHCARE SYSTEM, WHICH UNDERGOES AN AUDIT BY AN EXTERNAL AUDIT FIRM. AT THE CORPORATE LEVEL, THE RESPONSIBLE INDIVIDUALS FROM THE FINANCE, ADMINISTRATION, PATIENT FINANCIAL SERVICES, LEGAL, HUMAN RESOURCES, PUBLIC RELATIONS, AND FUND DEVELOPMENT DEPARTMENTS PREPARE AND REVIEW PORTIONS OF THE FORM 990. THE COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE REVIEWS THE COMPENSATION INFORMATION CONTAINED IN THE CORE FORM AS WELL AS THE SCHEDULE J INFORMATION. THE CONFLICT, VALUATION AND COMPLIANCE COMMITTEE OVERSEES THE CONFLICT OF INTEREST DISCLOSURE PROCESS FOR BOARD MEMBERS AND KEY EMPLOYEES TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE AUDIT COMMITTEE OVERSEES THE FORM 990 PREPARATION PROCESS BY ENSURING PROPER CONTROLS, POLICIES, PEOPLE AND RESOURCES ARE IN PLACE TO PRODUCE AN ACCURATE RETURN.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE 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.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE 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 EIGHT 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 MHC'S COMPENSATION PRACTICES AND LEVELS ARE INDEPENDENTLY REVIEWED WHILE BEING COMPETITIVE AND REASONABLE. 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.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON HEALTHCARE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE MUNSON HEALTHCARE ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON HEALTHCARE DOES NOT MAKE THE BYLAWS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANNUALLY, MUNSON HEALTHCARE PREPARES AND DISTRIBUTES AN ANNUAL REPORT TO THE COMMUNITY, WHICH CONTAINS FINANCIAL AS WELL AS PROGRAM DATA.
GROUP RETURN METHODFORM 990, PAGE 7, PART VIIPARENT ORGANIZATION HAS FILED A CONSOLIDATED RETURN
RELATED ORGANIZATIONSFORM 990, PAGE 7, PART VIIEDWIN A. NESS WAS PRESIDENT OF MUNSON HEALTHCARE AND ALLOCATED 90% OF HIS TIME TO MUNSON HEALTHCARE SYSTEM MATTERS AND 10% OF HIS TIME TO THE MUNSON HEALTHCARE REGIONAL FOUNDATION. MARK HEPLER, CFO, ALLOCATES 40% OF HIS TIME TO MUNSON HEALTHCARE, SYSTEM PARENT ORGANIZATION; 60% TO MUNSON MEDICAL CENTER; AND LESS THAN AN HOUR A WEEK TO THE REMAINING ORGANIZATIONS IN THE MUNSON HEALTHCARE SYSTEM IN HIS CAPACITY AS CFO FOR ALL MUNSON SYSTEM ORGANIZATIONS. PAUL M. SHIRILLA, VICE PRESIDENT OF GENERAL COUNSEL FOR THE MUNSON HEALTHCARE SYSTEM, ALLOCATES 85% OF HIS TIME TO SYSTEM MATTERS AND 15% TO MUNSON MEDICAL CENTER. DESIREE WORTHINGTON ALLOCATES 85% OF HER TIME TO MUNSON HEALTHCARE REGIONAL FOUNDATION AS ITS PRESIDENT AND 15% OF HER TIME TO PAUL OLIVER MEMORIAL HOSPITAL FOUNDATION AS ITS PRESIDENT. JAMES D. AUSTIN ALLOCATES 16 HOURS TO PAUL OLIVER MEMORIAL HOSPITAL AND THE REMAINDER OF HIS TIME TO OTHER MUNSON HEALTHCARE SYSTEM RESPONSIBILITIES. MARK S. DEPONIO ALLOCATES 55% OF HIS TIME TO NORTHERN MICHIGAN SUPPLY ALLIANCE, APPROXIMATELY 20% OF HIS TIME TO MUNSON DIALYSIS AND THE REMAINING TIME TO MUNSON SUPPORT SERVICES AND MUNSON MOBILE IMAGING.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5THE OTHER CHANGES IN NET ASSETS INCLUDE THE FOLLOWING ITEMS: TRANSFERS FROM AFFILIATES 6,100,000 UNREALIZED GAINS ON POOLED INVESTMENT ACCOUNTS -198,352 TOTAL 5,901,648

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Controlled OrgControlledOrg
MUNSON DIALYSIS CENTER
1105 SIXTH STTRAVERSE CITYMI49684383097861DIALYSISMI(C)(3)3MUNSON HCHEALTHCAREtrue
MUNSON HEALTHCARE REGIONAL FOUNDATI
1105 SIXTH STTRAVERSE CITYMI49684382642724RAISE FUNDMI(C)(3)7MUNSON HCHEALTHCAREtrue
MUNSON HOME CARE
1105 SIXTH STTRAVERSE CITYMI49684382191390HOME HEALTMI(C)(3)9MUNSON HCMUNSON HOME HEATLHtrue
MUNSON HOME HEALTH
1105 SIXTH STTRAVERSE CITYMI49684383335362HOME HEALTMI(C)(3)11BMUNSON HCHEALTHCAREtrue
MUNSON HOME SERVICES
1105 SIXTH STTRAVERSE CITYMI49684382543463HOME HEALTMI(C)(3)9MUNSON HCMUNSON HOME HEALTHtrue
MUNSON MEDICAL CENTER
1105 SIXTH STTRAVERSE CITYMI49684381362830HOSPITALMI(C)(3)3MUNSON HCHEALTHCAREtrue
NORTH FLIGHT INC
1105 SIXTH STTRAVERSE CITYMI49684382657917MED TRANSPMI(C)(3)11BMUNSON HCHEALTHCAREtrue
PAUL OLIVER MEMORIAL HOSPITAL
1105 SIXTH STTRAVERSE CITYMI49684381415623HEALTHCAREMI(C)(3)3MUNSON HCHEALTHCAREtrue
PAUL OLIVER MEMORIAL HOSPITAL FOUND
1105 SIXTH STTRAVERSE CITYMI49684237201619RAISE FUNDMI(C)(3)7MUNSON HCHEALTHCAREtrue
MUNSON MEDICAL GROUP
1105 SIXTH STTRAVERSE CITYMI49684273600575PHYSICIANMI(C)(3)9MUNSON MEDMUNSON MEDICAL CENTERfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsCode VCodeVAmountPercentage OwnershipPercentageOwnership
MUNSON MEDICAL BUILDING PARTNERS
PO BOX 1188TRAVERSE CITYMI496851188382830005REAL ESTATMIN/Afalsefalse
NORTHERN MICHIGAN SUPPLY ALLIANCE
2651 AERO PARK DRTRAVERSE CITYMI49686383453378SUPPLY PURMIfalsetrueMUNSON HEAMUNSON HEALTHCARERELATED54641382214308$6650.67750
MUNSON MEDICAL BUILDING PARTNERS
PO BOX 1188TRAVERSE CITYMI496851188382830005REAL ESTATMIN/Afalsefalse
NORTHERN MICHIGAN SUPPLY ALLIANCE
2651 AERO PARK DRTRAVERSE CITYMI49686383453378SUPPLY PURMIfalsetrueMUNSON HEAMUNSON HEALTHCARERELATED54641382214308$6650.67750

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNABusiness Name Line2NameOfRelatedOrg/BusinessNameLine2Business Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
MUNSON SUPPORT SERVICES
PO BOX 1188TRAVERSE CITYMI496851188382872821LAUNDRYMIN/A
MEDICAL OFFICE BUILDING CONDOMINIUM
PO BOX 1188TRAVERSE CITYMI496851188383567278REAL ESTATMIN/AMEDICAL OFFICE BUILDING CONDOMINIUM
MUNSON SERVICES INC
PO BOX 1188TRAVERSE CITYMI496851188383144382PHARMACYMIMUNSON HEAMUNSON HEALTHCAREC CORP321957354620401.00000
SIXTH STREET DRUGS INC
PO BOX 1188TRAVERSE CITYMI496851188382298290PHARMACYMIMUNSON SERMUNSON SERVICES INCC CORP15107742531182
MEDICAL OFFICE CONDOMINIUM
PO BOX 1188TRAVERSE CITYMI496851188201902620REAL ESTATMIN/AMEDICAL OFFICE CONDOMINIUM
MUNSON MOBILE IMAGING
PO BOX 1188TRAVERSE CITYMI496851188382704069IMAGINGMIMUNSON HEAMUNSON HEALTHCAREC CORP230019713747861.00000
MUNSON SUPPORT SERVICES
PO BOX 1188TRAVERSE CITYMI496851188382872821LAUNDRYMIN/A
MEDICAL OFFICE BUILDING CONDOMINIUM
PO BOX 1188TRAVERSE CITYMI496851188383567278REAL ESTATMIN/AMEDICAL OFFICE BUILDING CONDOMINIUM
MUNSON SERVICES INC
PO BOX 1188TRAVERSE CITYMI496851188383144382PHARMACYMIMUNSON HEAMUNSON HEALTHCAREC CORP321957354620401.00000
SIXTH STREET DRUGS INC
PO BOX 1188TRAVERSE CITYMI496851188382298290PHARMACYMIMUNSON SERMUNSON SERVICES INCC CORP15107742531182
MEDICAL OFFICE CONDOMINIUM
PO BOX 1188TRAVERSE CITYMI496851188201902620REAL ESTATMIN/AMEDICAL OFFICE CONDOMINIUM
MUNSON MOBILE IMAGING
PO BOX 1188TRAVERSE CITYMI496851188382704069IMAGINGMIMUNSON HEAMUNSON HEALTHCAREC CORP230019713747861.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (145 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDeterminationBusiness Name Line2NameOfOtherOrganization/BusinessNameLine2
MUNSON DIALYSIS CENTER
C500000FMV
MUNSON DIALYSIS CENTER
K65712FMV
MUNSON DIALYSIS CENTER
P52385FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
L513309FMVFOUNDATION
MUNSON HEALTHCARE REGIONAL FOUNDATI
N830765FMVFOUNDATION
MUNSON HOME CARE
P59904FMV
MUNSON HOME HEALTH
K134784FMV
MUNSON HOME HEALTH
N222990FMV
MUNSON MEDICAL BUILDING PARTNERS
P54825FMV
MUNSON MEDICAL CENTER
C4100000FMV
MUNSON MEDICAL CENTER
K1428288FMV
MUNSON MEDICAL CENTER
N698791FMV
MUNSON MEDICAL CENTER
O6592892FMV
MUNSON MEDICAL CENTER
P2503239FMV
MUNSON MEDICAL GROUP
K80772FMV
MUNSON MEDICAL GROUP
N142140FMV
MUNSON MEDICAL GROUP
P111505FMV
MUNSON MOBILE IMAGING
C700000FMV
MUNSON SERVICES INC
K85644FMV
MUNSON SUPPORT SERVICES
N129882FMV
NORTH FLIGHT INC
B200000FMV
NORTH FLIGHT INC
K85644FMV
NORTH FLIGHT INC
P50334FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
K120144FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
N129882FMV
PAUL OLIVER MEMORIAL HOSPITAL
C1000000FMV
PAUL OLIVER MEMORIAL HOSPITAL
K135948FMV
PAUL OLIVER MEMORIAL HOSPITAL
N124936FMV
PAUL OLIVER MEMORIAL HOSPITAL
P120366FMV
MUNSON DIALYSIS CENTER
C500000FMV
MUNSON DIALYSIS CENTER
K65712FMV
MUNSON DIALYSIS CENTER
P52385FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
L513309FMVFOUNDATION
MUNSON HEALTHCARE REGIONAL FOUNDATI
N830765FMVFOUNDATION
MUNSON HOME CARE
P59904FMV
MUNSON HOME HEALTH
K134784FMV
MUNSON HOME HEALTH
N222990FMV
MUNSON MEDICAL BUILDING PARTNERS
P54825FMV
MUNSON MEDICAL CENTER
C4100000FMV
MUNSON MEDICAL CENTER
K1428288FMV
MUNSON MEDICAL CENTER
N698791FMV
MUNSON MEDICAL CENTER
O6592892FMV
MUNSON MEDICAL CENTER
P2503239FMV
MUNSON MEDICAL GROUP
K80772FMV
MUNSON MEDICAL GROUP
N142140FMV
MUNSON MEDICAL GROUP
P111505FMV
MUNSON MOBILE IMAGING
C700000FMV
MUNSON SERVICES INC
K85644FMV
MUNSON SUPPORT SERVICES
N129882FMV
NORTH FLIGHT INC
B200000FMV
NORTH FLIGHT INC
K85644FMV
NORTH FLIGHT INC
P50334FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
K120144FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
N129882FMV
PAUL OLIVER MEMORIAL HOSPITAL
C1000000FMV
PAUL OLIVER MEMORIAL HOSPITAL
K135948FMV
PAUL OLIVER MEMORIAL HOSPITAL
N124936FMV
PAUL OLIVER MEMORIAL HOSPITAL
P120366FMV
MUNSON DIALYSIS CENTER
C500000FMV
MUNSON DIALYSIS CENTER
K65712FMV
MUNSON DIALYSIS CENTER
P52385FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
L513309FMVFOUNDATION
MUNSON HEALTHCARE REGIONAL FOUNDATI
N830765FMVFOUNDATION
MUNSON HOME CARE
P59904FMV
MUNSON HOME HEALTH
K134784FMV
MUNSON HOME HEALTH
N222990FMV
MUNSON MEDICAL BUILDING PARTNERS
P54825FMV
MUNSON MEDICAL CENTER
C4100000FMV
MUNSON MEDICAL CENTER
K1428288FMV
MUNSON MEDICAL CENTER
N698791FMV
MUNSON MEDICAL CENTER
O6592892FMV
MUNSON MEDICAL CENTER
P2503239FMV
MUNSON MEDICAL GROUP
K80772FMV
MUNSON MEDICAL GROUP
N142140FMV
MUNSON MEDICAL GROUP
P111505FMV
MUNSON MOBILE IMAGING
C700000FMV
MUNSON SERVICES INC
K85644FMV
MUNSON SUPPORT SERVICES
N129882FMV
NORTH FLIGHT INC
B200000FMV
NORTH FLIGHT INC
K85644FMV
NORTH FLIGHT INC
P50334FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
K120144FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
N129882FMV
PAUL OLIVER MEMORIAL HOSPITAL
C1000000FMV
PAUL OLIVER MEMORIAL HOSPITAL
K135948FMV
PAUL OLIVER MEMORIAL HOSPITAL
N124936FMV
PAUL OLIVER MEMORIAL HOSPITAL
P120366FMV
MUNSON DIALYSIS CENTER
C500000FMV
MUNSON DIALYSIS CENTER
K65712FMV
MUNSON DIALYSIS CENTER
P52385FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
L513309FMVFOUNDATION
MUNSON HEALTHCARE REGIONAL FOUNDATI
N830765FMVFOUNDATION
MUNSON HOME CARE
P59904FMV
MUNSON HOME HEALTH
K134784FMV
MUNSON HOME HEALTH
N222990FMV
MUNSON MEDICAL BUILDING PARTNERS
P54825FMV
MUNSON MEDICAL CENTER
C4100000FMV
MUNSON MEDICAL CENTER
K1428288FMV
MUNSON MEDICAL CENTER
N698791FMV
MUNSON MEDICAL CENTER
O6592892FMV
MUNSON MEDICAL CENTER
P2503239FMV
MUNSON MEDICAL GROUP
K80772FMV
MUNSON MEDICAL GROUP
N142140FMV
MUNSON MEDICAL GROUP
P111505FMV
MUNSON MOBILE IMAGING
C700000FMV
MUNSON SERVICES INC
K85644FMV
MUNSON SUPPORT SERVICES
N129882FMV
NORTH FLIGHT INC
B200000FMV
NORTH FLIGHT INC
K85644FMV
NORTH FLIGHT INC
P50334FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
K120144FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
N129882FMV
PAUL OLIVER MEMORIAL HOSPITAL
C1000000FMV
PAUL OLIVER MEMORIAL HOSPITAL
K135948FMV
PAUL OLIVER MEMORIAL HOSPITAL
N124936FMV
PAUL OLIVER MEMORIAL HOSPITAL
P120366FMV
MUNSON DIALYSIS CENTER
C500000FMV
MUNSON DIALYSIS CENTER
K65712FMV
MUNSON DIALYSIS CENTER
P52385FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
L513309FMVFOUNDATION
MUNSON HEALTHCARE REGIONAL FOUNDATI
N830765FMVFOUNDATION
MUNSON HOME CARE
P59904FMV
MUNSON HOME HEALTH
K134784FMV
MUNSON HOME HEALTH
N222990FMV
MUNSON MEDICAL BUILDING PARTNERS
P54825FMV
MUNSON MEDICAL CENTER
C4100000FMV
MUNSON MEDICAL CENTER
K1428288FMV
MUNSON MEDICAL CENTER
N698791FMV
MUNSON MEDICAL CENTER
O6592892FMV
MUNSON MEDICAL CENTER
P2503239FMV
MUNSON MEDICAL GROUP
K80772FMV
MUNSON MEDICAL GROUP
N142140FMV
MUNSON MEDICAL GROUP
P111505FMV
MUNSON MOBILE IMAGING
C700000FMV
MUNSON SERVICES INC
K85644FMV
MUNSON SUPPORT SERVICES
N129882FMV
NORTH FLIGHT INC
B200000FMV
NORTH FLIGHT INC
K85644FMV
NORTH FLIGHT INC
P50334FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
K120144FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
N129882FMV
PAUL OLIVER MEMORIAL HOSPITAL
C1000000FMV
PAUL OLIVER MEMORIAL HOSPITAL
K135948FMV
PAUL OLIVER MEMORIAL HOSPITAL
N124936FMV
PAUL OLIVER MEMORIAL HOSPITAL
P120366FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE RReturnReference
ExplanationMUNSON HEALTHCARE USED THE ACCRUAL METHOD OF ACCOUNTING TO VALUE THE TRANSACTIONS WITH RELATED ENTITIES ALL INTERCOMPANY TRANSACTIONS WITH RELATED ENTITIES WERE REVIEWED SUMMARIZED AND RECONCILED TO DETERMINE THE DISCLOSURE AMOUNTSExplanation