MUNSON MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MUNSON MEDICAL CENTER (EIN 38-1362830)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201301349349301315
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T08:46:12-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	381362830	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MUNSON MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MUNS	NameControl
Phone	2319355000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1188	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	496851188	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARK A HEPLER	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	2319355000	Phone
Date Signed	2013-05-06	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	EDWIN A NESS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1105 SIXTH ST	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49684	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	473734862	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MUNSONHEALTHCARE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1947	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	4174	TotalNbrEmployees
Total Nbr Volunteers	359	TotalNbrVolunteers
Total Gross UBI	2999	TotalGrossUBI
Net Unrelated Business Txbl Income	1195	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1661786	ContributionsGrantsPriorYear
Contributions Grants Current Year	2890667	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	445989729	ProgramServiceRevenuePriorYear
Program Service Revenue CY	455632762	ProgramServiceRevenueCY
Investment Income Prior Year	10773131	InvestmentIncomePriorYear
Investment Income Current Year	10157619	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4820790	OtherRevenuePriorYear
Other Revenue Current Year	4847918	OtherRevenueCurrentYear
Total Revenue Prior Year	463245436	TotalRevenuePriorYear
Total Revenue Current Year	473528966	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	50294	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	273071	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	220681498	SalariesEtcPriorYear
Salaries Etc Current Year	220279573	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	500274	TotalFundrsngExpCurrentYear
Other Expense Prior Year	205231661	OtherExpensePriorYear
Other Expenses Current Year	215244905	OtherExpensesCurrentYear
Total Expenses Prior Year	425963453	TotalExpensesPriorYear
Total Expenses Current Year	435797549	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	37281983	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	37731417	RevenuesLessExpensesCY
Total Assets BOY	572910970	TotalAssetsBOY
Total Assets EOY	587352193	TotalAssetsEOY
Total Liabilities BOY	266902186	TotalLiabilitiesBOY
Total Liabilities EOY	312256159	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	306008784	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	275096034	NetAssetsOrFundBalancesEOY
Mission Description	AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	395921168	Expense
Grants	273071	Grants
Revenue	458012179	Revenue
Description	EXPENSES INCURRED WHILE PROVIDING HOSPITAL SERVICES TO THE RESIDENTS OF TRAVERSE CITY, MICHIGAN AND THE SURROUNDING AREA WHILE FULFILLING THE HOSPITAL'S MISSION TO PROVIDE HEALTHCARE IN THE COMMUNITY.	Description
Total Program Service Expense	395921168	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	369	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	4174	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	2319357777	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4230 COPPER RIDGE DR	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49684	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
EDWIN A NESS
PRESIDENT	12.00	X	X	21991	699815	240584
DAVID WRIGHT MD
PRES MED STA	4.00	X		27542	0	0
DANIEL T WOLF
TRUSTEE	4.00	X		0	21500	0
JOHN ERB
CHAIR	8.00	X	X	21500	0	0
CARL G BENNER MD
TRUSTEE	4.00	X		12500	0	0
DAVID FRIAR MD
TRUSTEE	4.00	X		12500	0	0
GORDON H WINSTANLEY
TRUSTEE	4.00	X		12500	0	0
JOSEPH KOSTRZEWA
TRUSTEE	4.00	X		12500	0	0
MICHAEL D SIMPSON
TRUSTEE	4.00	X		12500	0	0
NANCY FISHER
TRUSTEE	4.00	X		12500	0	0
PATRICK E HEINTZ
TREASURER	6.00	X	X	12500	0	0
SHIRLANNA CORREIA
TRUSTEE	4.00	X		12500	0	0
GEORGE BEARUP
SECRETARY	6.00	X	X	12500	0	0
REX ANTINOZZI MD
VICE CHAIR	6.00	X	X	12500	0	0
EDWARD J RUTKOWSKI MD
TRUSTEE	4.00	X		12500	0	0
DANIEL NAVIN MD
TRUSTEE	4.00	X		9375	3125	0
JOHN E PELIZZARI
TRUSTEE	4.00	X		0	0	0
DANIEL C EDSON
TRUSTEE	4.00	X		0	0	0
CARL B ANDERS MD
TRUSTEE	4.00	X		0	0	0
DOUGLAS LUCIANI
TRUSTEE	4.00	X		0	0	0
MARK A HEPLER
CFO	28.00		X	0	322835	48469
PAUL M SHIRILLA
ASST SEC/VP	6.00			0	293209	47142	X
KATHLEEN MCMANUS
EXECUTIVE VP	40.00			292567	0	45904	X
DAVID MCGREAHAM MD
VP MEDICAL	40.00			292319	0	49285	X
CHRISTOPHER PODGES
VP INFO SYST	40.00			260878	0	50919	X
MARK R ANTHONY
SR VICE PRES	40.00			230482	0	21095	X
SUZANNE K PETERS
VP HUMAN RES	40.00			200341	0	34268	X
JAMES P FISCHER
VP PATIENT C	40.00			191510	0	26412	X
THOMAS SCHERMERHORN MD
NEUROSURGEON	40.00			842056	0	32346		X
AHMET SEVIMLI MD
NEPHROLOGIST	40.00			348444	0	39522		X
PHILOMENA COLUCCI
PHYSICIAN -	40.00			307203	0	18110		X
DAVID B MARTIN MD
INFECTIOUS D	40.00			261770	0	28727		X
KAREN SPEIRS DO
PHYSICIAN	40.00			251623	0	15102		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3697101	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1340484	TotalReportableCompFrmRltdOrgs
Total Other Compensation	697885	TotalOtherCompensation
Number Individuals GT100 K	126	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HOSPITALISTS OF NORTHWEST MICHIGAN
1105 SIXTH ST	TRAVERSE CITY	MI	49684	MEDICAL SERVICE	5346097
CERNER CORPORATION
PO BOX 412702	KANSAS CITY	MO	64151	INFO TECHNOLOGY	2829705
MCKESSON CORPORATION
PO BOX 98347	CHICAGO	IL	60693	INFO TECHNOLOGY	2129701
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	55480	LABORATORY SRV	1661398
SODEXO INC AND AFFILIATES
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	DIETARY	1459044

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	104	NumberOfContractorsGT100K
Related Organizations	870379	RelatedOrganizations
Government Grants	1787269	GovernmentGrants
All Other Contributions	233019	AllOtherContributions
Total Contributions	2890667	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE AND MEDICAID PMTS	621990	242214383	242214383
PATIENT SERVICE REVENUE	621990	207769174	207769174
HEALTH SERVICE REVENUE	621990	3041798	3041798
SERVICES TO OTHER ORGANIZATIO	621990	2195423	2195423
RENT FROM RELATED ORGS	531120	411984	411984

Field	Value	IRS element (for citing)
Total Program Service Revenue	455632762	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6186385	TotalRevenueColumn
Related Or Exempt Function Income	2387757	RelatedOrExemptFunctionIncome
Exclusion	$3,798,628	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	291925	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	291925	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	291925	TotalRevenueColumn
Exclusion	$291,925	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3982573	Securities
Other	136300	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	147639	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3982573	Securities
Other	-11339	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3971234	TotalRevenueColumn
Related Or Exempt Function Income	-11339	RelatedOrExemptFunctionIncome
Exclusion	$3,982,573	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	61256	GrossSalesOfInventory
Cost Of Goods Sold	58257	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2999	TotalRevenueColumn
Unrelated Business Revenue	2999	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	722210	3685235	$3,685,235
MISCELLANEOUS	621990	509284	$509,284
AUXILIARY GIFT SHOP	446199	358475	$358,475

Field	Value	IRS element (for citing)
Total Other Revenue	4552994	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	473528966	TotalRevenueColumn
Related Or Exempt Function Income	458009180	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2999	UnrelatedBusinessRevenue
Exclusion	$12,626,120	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	20000	Total
Program Services	20000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	253071	Total
Program Services	253071	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1919331	Total
Management And General	1918231	ManagementAndGeneral
Fundraising	1100	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	166783640	Total
Program Services	148655211	ProgramServices
Management And General	18128429	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11793642	Total
Program Services	10534282	ProgramServices
Management And General	1259360	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	27627282	Total
Program Services	24457758	ProgramServices
Management And General	3169524	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12155678	Total
Program Services	10727486	ProgramServices
Management And General	1428113	ManagementAndGeneral
Fundraising	79	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	404021	Total
Management And General	404021	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	251231	Total
Management And General	251231	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	8411	Total
Management And General	8411	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	39503062	Total
Program Services	34401034	ProgramServices
Management And General	4602933	ManagementAndGeneral
Fundraising	499095	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	774623	Total
Program Services	129501	ProgramServices
Management And General	645122	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5321677	Total
Program Services	3114169	ProgramServices
Management And General	2207508	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9892657	Total
Program Services	3061574	ProgramServices
Management And General	6831083	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8097145	Total
Program Services	7262896	ProgramServices
Management And General	834249	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	965517	Total
Program Services	750445	ProgramServices
Management And General	215072	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	523925	Total
Program Services	388302	ProgramServices
Management And General	135623	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5466493	Total
Program Services	4966309	ProgramServices
Management And General	500184	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	26713692	Total
Program Services	24273038	ProgramServices
Management And General	2440654	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2627161	Total
Program Services	2178394	ProgramServices
Management And General	448767	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	101207305	101207305
BAD DEBT	20171176	20168687	2489
REPAIRS AND MAINTENANCE	5784576	5446647	337929
MISCELLANEOUS	2400379	1039795	1360584

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	-14868146	Total
Program Services	-7114736	ProgramServices
Management And General	-7753410	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	435797549	Total
Program Services	395921168	ProgramServices
Management And General	39376107	ManagementAndGeneral
Fundraising	500274	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	437164	BOY
EOY	1084341	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	76860787	BOY
EOY	78438418	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	417007	BOY
EOY	669040	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	59400491	BOY
EOY	58804499	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	12007491	BOY
EOY	10929153	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8348302	BOY
EOY	6234932	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	500320640	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	259684546	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	237783141	BOY
EOY	240636094	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	163883298	BOY
EOY	170730714	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	8607757	BOY
EOY	14935549	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	557485	BOY
EOY	517604	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4608047	BOY
EOY	4371849	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	572910970	BOY
EOY	587352193	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	39228366	BOY
EOY	34324376	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	63076	BOY
EOY	64860	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	129001841	BOY
EOY	128713437	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	98608903	BOY
EOY	149153486	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	266902186	BOY
EOY	312256159	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	302895376	BOY
EOY	265592590	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3113408	BOY
EOY	9503444	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	306008784	BOY
EOY	275096034	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	572910970	BOY
EOY	587352193	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	37731417	ReconcilationRevenueExpenses
Reconcilation Other Changes	-68644167	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Form1120 Pol Filed	false	Form1120PolFiled
Form4720 Filed	false	Form4720Filed
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$8,400	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$11	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$10,516	OtherActivitiesAmount
Total Lobbying Expenditures IIB	18927	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax
Substantially All Dues Nondeduct	false	SubstantiallyAllDuesNondeduct
Only In House Lobbying	false	OnlyInHouseLobbying
Agree To Carryover Prior Year	false	AgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE C, PART II-B, LINE 1	ReturnReference
Explanation	GRASSROOTS LOBBYING EXPENSES GRANTED TO ORGANIZATIONS. OTHER ACTIVITIES INDICATE THE PORTION OF DUES ALLOCATED TO LOBBYING EXPENSES PAID TO REGIONAL OR NATIONAL ORGANIZATIONS.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	166996705	BeginningOfYearBalance
Contributions	9477532	Contributions
Investment Earnings Or Losses	4724667	InvestmentEarningsOrLosses
Other Expenditures	87150	OtherExpenditures
Administrative Expenses	877667	AdministrativeExpenses
End Of Year Balance	180234157	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	143412065	BeginningOfYearBalance
Contributions	996567	Contributions
Investment Earnings Or Losses	23516814	InvestmentEarningsOrLosses
Other Expenditures	141430	OtherExpenditures
Administrative Expenses	787311	AdministrativeExpenses
End Of Year Balance	166996705	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	128015726	BeginningOfYearBalance
Contributions	2073910	Contributions
Investment Earnings Or Losses	14807677	InvestmentEarningsOrLosses
Other Expenditures	1054734	OtherExpenditures
Administrative Expenses	430514	AdministrativeExpenses
End Of Year Balance	143412065	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	151976653	BeginningOfYearBalance
Contributions	815757	Contributions
Investment Earnings Or Losses	-20538618	InvestmentEarningsOrLosses
Other Expenditures	4238065	OtherExpenditures
End Of Year Balance	128015726	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.94730	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.05270	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13276090	OtherCostOrOtherBasis
Book Value	13276090	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	283936438	OtherCostOrOtherBasis
Depreciation	127624171	Depreciation
Book Value	156312267	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	265646	OtherCostOrOtherBasis
Depreciation	76174	Depreciation
Book Value	189472	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	176060259	OtherCostOrOtherBasis
Depreciation	130404138	Depreciation
Book Value	45656121	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26782207	OtherCostOrOtherBasis
Depreciation	1580063	Depreciation
Book Value	25202144	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	240636094	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
MINIMUM PENSION LIABILITY	$119,095,923
DEFERRED POST RETIREMENT BENEFITS	$13,681,607
RESERVE FOR THIRD PARTY SETTLEMENTS	$6,200,000
SWAP MARKET VALUE BASIS	$4,615,210
CAREPAYMENT LIABILITY	$3,642,685
ESTIMATED THIRD PARTY SETTLEMENTS	$1,918,061

Field	Value	IRS element (for citing)
Total Of Amounts	149153486	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	INTENDED USES FOR ENDOWMENT FUNDS	Identifier
Return Reference	SCHEDULE D, PAGE 2, PART V, LINE 4	ReturnReference
Explanation	THE BOARD OF TRUSTEES DESIGNATES SUBSTANTIAL INVESTMENTS FOR THE REPLACEMENT, IMPROVEMENT, AND THE EXPANSION OF TANGIBLE FACILITIES OWNED BY MUNSON MEDICAL CENTER TO ENSURE FUNDS ARE AVAILABLE TO MAINTAIN THE HOSPITAL ASSETS TO CARRY OUT ITS MISSION. A PORTION OF THE TERM ENDOWMENT ASSETS ARE THOSE HELD FOR SPECIFIC MEDICAL PURPOSES, AS DEFINED BY DONORS. THOSE ASSETS ARE BEING HELD FOR A VARIETY OF DONOR INTERESTS INCLUDING ADAPTIVE SPORTS, PEDIATRIC THERAPY, OTHER PEDIATRIC MEDICAL NEEDS, RESEARCH, AND PATIENT ASSISTANCE. MUNSON MEDICAL CENTER HAS NO FIN 48 LIABILITIES; AND THEREFORE, NO FOOTNOTE DISCLOSURE ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. SEE AUDITED FINANCIAL STATEMENTS.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5211725	TotalCommunityBenefitExpense
Net Community Benefit Expense	5211725	NetCommunityBenefitExpense
Percent Of Total Expense	0.01230	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	40203113	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31355392	DirectOffsettingRevenue
Net Community Benefit Expense	8847721	NetCommunityBenefitExpense
Percent Of Total Expense	0.02090	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	686877	TotalCommunityBenefitExpense
Direct Offsetting Revenue	353020	DirectOffsettingRevenue
Net Community Benefit Expense	333857	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46101715	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31708412	DirectOffsettingRevenue
Net Community Benefit Expense	14393303	NetCommunityBenefitExpense
Percent Of Total Expense	0.03400	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3747580	TotalCommunityBenefitExpense
Direct Offsetting Revenue	46937	DirectOffsettingRevenue
Net Community Benefit Expense	3700643	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4348621	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1259473	DirectOffsettingRevenue
Net Community Benefit Expense	3089148	NetCommunityBenefitExpense
Percent Of Total Expense	0.00730	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	442168	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2038	DirectOffsettingRevenue
Net Community Benefit Expense	440130	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	792428	TotalCommunityBenefitExpense
Net Community Benefit Expense	792428	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	378978	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1400	DirectOffsettingRevenue
Net Community Benefit Expense	377578	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9709775	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1309848	DirectOffsettingRevenue
Net Community Benefit Expense	8399927	NetCommunityBenefitExpense
Percent Of Total Expense	0.01980	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	55811490	TotalCommunityBenefitExpense
Direct Offsetting Revenue	33018260	DirectOffsettingRevenue
Net Community Benefit Expense	22793230	NetCommunityBenefitExpense
Percent Of Total Expense	0.05380	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	100321	TotalCommunityBuildingExpense
Net Community Building Expense	100321	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	6919	TotalCommunityBuildingExpense
Net Community Building Expense	6919	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	30456	TotalCommunityBuildingExpense
Net Community Building Expense	30456	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	25801	TotalCommunityBuildingExpense
Net Community Building Expense	25801	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	1200	TotalCommunityBuildingExpense
Net Community Building Expense	1200	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	1197	TotalCommunityBuildingExpense
Net Community Building Expense	1197	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	38941	TotalCommunityBuildingExpense
Net Community Building Expense	38941	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	204835	TotalCommunityBuildingExpense
Net Community Building Expense	204835	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,063,032	BadDebtExpenseAmount
Amount Attributable To	1062280	AmountAttributableTo
Amount Reimbursed By Medicare	213993217	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	207324910	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	6668307	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	NW MI SURGERY CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	AMBULATORY SURGERY CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.49000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.51000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MUNSON MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1105 SIXTH ST	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49684	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Critical Access Hospital	X	CriticalAccessHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MUNSON MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Insurance Status	X	InsuranceStatus
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	13	NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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
PHYSICAL THERAPY
3643 WEST FRONT ST	TRAVERSE CITY	MI	49684	PHYSICAL THERAPY
MUNSON MANOR
1220 MEDICAL CAMPUS DR	TRAVERSE CITY	MI	49684	HOSPITALITY HOUSE
PHYSICAL THERAPY
211 S HIGH ST	NORTHPORT	MI	49670	PHYSICAL THERAPY
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
REHAB POOL FACILITY
1202 GARFIELD	TRAVERSE CITY	MI	49684	POOL FOR REHAB

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE	PART I LINE 3C	INCOME UP TO 200 OF THE FPG 100 DISCOUNT ON CHARGES INCOME BETWEEN 201 AND 300 FPG 75 DISCOUNT ON CHARGES INCOME BETWEEN 301 AND 400 FPG 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 WORKERS 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 ANDOR CASH VALUE OF LIFE INSURANCE
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	THERE ARE NO PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	TOTAL EXPENSES FROM FORM 990 PART IX LINE 25 ARE XXX-XX-XXXX AND THE PROPORTIONATE SHARE OF TOTAL EXPENSES OF THE AMBULATORY SURGERY CENTER IS 7389042 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS 20168687 THE NET EXPENSE OF XXX-XX-XXXX WAS USED FOR PURPOSES OF CALCULATING LINE 7 COLUMN F
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	COST VALUES FOR LINE 7 ARE BASED ON THE COST TO CHARGE RATIO COMPUTATION
COMMUNITY BUILDING ACTIVITIES	PART II	MUNSON MEDICAL CENTER MMC PROVIDED 204835 IN COMMUNITYBUILDING ACTIVITIES DURING THE 2011 TAX YEAR THESE ACTIVITIES INCLUDED A CASH DONATION FOR COALITION BUILDING ACTIVITIES IN GRAND TRAVERSE COUNTY ADMINISTRATIVE SUPPORT ON MANY BOARDS SUPPORTING CHANGES IN SOCIAL DETERMINATES OF HEALTH ADDRESSING ADEQUATE COMMUNITYWIDE HOUSING POVERTY REDUCTION AND WORKFORCE DEVELOPMENT ENVIRONMENTAL IMPROVEMENTS INCLUDING WASTE REDUCTION AND RECYCLING MMC CONTINUES AS A GUIDING FORCE IN MICHIGANS REGION 7 BIOTERRORISMDISASTER PREPAREDNESS AS PART OF CRITICAL WORKFORCE DEVELOPMENT MUNSON STAFF ATTENDS MANY REGIONAL CAREER DAYS PROVIDING STUDENTS WITH INFORMATION ON WHY THEY MIGHT WANT TO BE EMPLOYED IN THE OFTENCRITICAL AREA OF HEALTH CARE
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	TO DETERMINE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS WHO WOULD PROBABLY QUALIFY UNDER MUNSON MEDICAL CENTERS CHARITY CARE POLICY MUNSON DIRECTED AN INTERNAL STUDY FROM A 3MONTH SAMPLE OF CURRENT BAD DEBT ACCOUNTS FIRST THE STUDY IDENTIFIED THE SELFPAY PORTION OF THE BAD DEBT EXPENSE THEN THE SELFPAY ACCOUNTS WERE ANALYZED USING REVENUE CYCLE ANALYTIC SOFTWARE TO IDENTIFY POTENTIAL CHARITY CARE CANDIDATES USING THE SOFTWARE ESTIMATIONS A PORTION OF THE SELFPAY ACCOUNTS WERE DEEMED CHARITY CARE ELIGIBLE THAT ESTIMATED PORTION WAS APPLIED TO THE SELFPAY 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 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 CONDITION IN ITS SERVICE AREA TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITEOFF 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 THE ORGANIZATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PASTDUE PATIENT BALANCES WITH COLLECTION AGENCIES
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	MUNSON HEALTHCARES INTERNAL AND EXTERNAL COLLECTION PRACTICES INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NONPAYMENT INCLUDING COLLECTIONS ACTIONS AND REPORTING TO COLLECTION AGENCIES SHALL TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY A PATIENTS GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MUNSON HEALTHCARE AND A PATIENTS GOOD FAITH EFFORT TO COMPLY WITH HISHER 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
NEEDS ASSESSMENT	PART VI	THE MUNSON HEALTHCARE BOARD OF DIRECTORS MAINTAINS A STANDING COMMUNITY HEALTH COMMITTEE CHC TO SERVE THE MUNSON HEALTHCARE MHC 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 COMMUNITYWIDE MUNSON IS PREPARING A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO MEET THE REQUIREMENTS OF IRC SEC 501R WHICH WILL BE CONDUCTED IN 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 FOUR LOCAL PUBLIC HEALTH DEPARTMENTS AND OTHER REGIONAL ASSOCIATIONS TO MAINTAIN CURRENT UNDERSTANDING OF COMMUNITY NEED
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	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 HEALTHCARES 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 SELFPAY 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 SELFPAY 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 SELFPAY 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
COMMUNITY INFORMATION	PART VI	MUNSON MEDICAL CENTER DESCRIPTION MUNSON MEDICAL CENTER MMC IS THE LARGEST HOSPITAL IN NORTHERN LOWER MICHIGAN WITH 391 LICENSED ACUTE CARE BEDS ONE OF SEVEN HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM MMC PROVIDES MORE THAN 300000 ANNUAL PATIENT VISITS MMC SERVES APPROXIMATELY 23800 INPATIENTS HAS 2000 OBSTETRICAL BIRTHS AND 48000 EMERGENCY ROOM PATIENTS EVERY YEAR MMC IS ALSO THE LARGEST EMPLOYER IN NORTHERN MICHIGAN DUE TO ITS GEOGRAPHIC LOCATION AND COMPREHENSIVE ARRAY OF SERVICES OFFERED MMC HAS BEEN NAMED 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 IN 24 COUNTIES HOSPITAL SERVICES MUNSON MEDICAL CENTER PROVIDES SERVICES IN 33 DIFFERENT MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING CARDIAC SURGERY CARDIAC CATHETERIZATION RADIATION ONCOLOGY NEONATAL INTENSIVE CARE AND COMPREHENSIVE EMERGENCY SERVICES MUNSON MEDICAL CENTER IS A LEVEL II TRAUMA CENTER AND IS THE ONLY RECOGNIZED TRAUMA CENTER IN MICHIGANS REGION 7 WHICH COVERS 17 COUNTIES SPECIALIZED INPATIENT UNITS AVAILABLE AT MMC INCLUDE MEDICALSURGICAL INTENSIVE CARE CARDIAC INTENSIVE CARE NEONATAL INTENSIVE CARE ONCOLOGY MENTAL HEALTH AND PHYSICAL MEDICINE AND REHABILITATION A BROAD SPECTRUM OF DIAGNOSTIC AND THERAPEUTIC SERVICES SUPPORTS MMCS PROGRAMS THE SERVICES AVAILABLE TO INPATIENTS AND OUTPATIENTS CONSIST OF RADIOLOGY INCLUDING MRI CT SCAN PET SCAN ULTRASOUND NUCLEAR MEDICINE AND RADIATION THERAPY COMPUTERIZED LABORATORY REHABILITATION SERVICES INCLUDING PHYSICAL OCCUPATIONAL AND SPEECH AND HEARING THERAPY CARDIAC CATHETERIZATION COMPREHENSIVE CANCER TREATMENT OBSTETRIC CLINIC FOR INDIGENT PATIENTS MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES HOME HEALTH DME AND DIALYSIS SERVICES AND COMPLEX SURGERY SUCH AS VASCULAR AND NEUROSURGERY AS WELL AS LESS COMPLEX SAMEDAY SURGERY 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 580000 IN THE 11 COUNTY REGION IMMEDIATELY SURROUNDING MMC 184 OF THE POPULATION ARE 65 YEARS OR OLDER UNEMPLOYMENT IS 12 OR HIGHER ALMOST 23 OF ADULTS AGED 1864 YEARS OF AGE LACK HEALTH INSURANCE 58 OF BIRTHS ARE COVERED BY MEDICAID ABOUT 70 OF MMC INPATIENT DISCHARGES ORIGINATE FROM THE 5 COUNTIES IN CLOSEST PROXIMITY TO MMC ANTRIM BENZIE GRAND TRAVERSE LEELANAU AND KALKASKA QUALITY MUNSON MEDICAL CENTER HAS WON NUMEROUS AWARDS FOR OUTSTANDING CLINICAL QUALITY CARE HEALTH GRADES 5 STAR RATING FOR CARDIAC STROKE ORTHOPEDIC PULMONARY CARE AMERICAS 50 BEST HOSPITALS OUTSTANDING PATIENT EXPERIENCE HOSPITAL TOP 100 HOSPITAL 12 TIMES ONLY 2 OTHER HOSPITALS NATIONWIDE HAVE BEEN SO RECOGNIZED 2008 AMERICAN HOSPITAL ASSOCIATION MCKESSON QUEST FOR QUALITY PRIZE AMERICAN NURSES CREDENTIALING CENTER MAGNET HOSPITAL 3 OF HOSPITALS NATIONWIDE QUALIFY
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	THE MUNSON MEDICAL CENTER BOARD OF TRUSTEES IS MADE UP OF COMMUNITY MEMBERS ALL OF WHOM RESIDE IN THE HOSPITALS PRIMARY SERVICE AREA THESE INDIVIDUALS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE 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 ACCESSDATA MANAGEMENT REGISTERED NURSE RN CARE COORDINATION EDUCATIONAL MAILINGS AND HEALTH CARERELATED FINANCIAL ASSISTANCE THE HEALTHY FUTURES MODEL OF RN CARE COORDINATION CONSISTS OF AN OUTCOMESBASED 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 MUNSONS INVOLVEMENT IN PRI INCLUDES MEMBERSHIP ON THE ADVISORY COUNCIL STEERING COMMITTEE AND NAVIGATING WORKGROUP 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 THE TRAVERSE HEALTH CLINIC THC OPERATING UNDER AN INDIGENT CARE AGREEMENT UTILIZING MUNSON MEDICAL CENTERS DSH CAPACITY PROVIDES ACCESS TO HEALTH SERVICES THROUGH COMMUNITY COLLABORATION TO PEOPLE IN NEED IN BENZIE LEELANAU AND GRAND TRAVERSE COUNTIES THC SERVES AS A PRIMARY CARE PROVIDER FOR THOSE WITH MEDICAID AND RUNS THE COALITION HEALTH ACCESS PROGRAM CHAP FOR THOSE ADULTS WITH NO INSURANCE WHO QUALIFY MUNSON DONATES TO THC THROUGH INKIND DONATIONS OF MEDICATIONS AND STAFFING GRANTS ETC WHILE NOT COUNTABLE AS MUNSON COMMUNITY BENEFIT MANY MUNSON EMPLOYEES ALSO VOLUNTEER THEIR TIME PROVIDING CARE AT THE THC MEDICAL EDUCATION THE MUNSON FAMILY PRACTICE RESIDENCY PROGRAM INTEGRATES OSTEOPATHIC AND ALLOPATHIC MEDICINE TOGETHER WITH THE RESOURCES OF MUNSON MEDICAL CENTER THIS DUALLY ACCREDITED 555 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
AFFILIATED HEALTH CARE INFORMATION	PART VI	MUNSON MEDICAL CENTERS SOLE CORPORATE MEMBER IS MUNSON HEALTHCARE A 501C3 CORPORATION THE MUNSON HEALTHCARE SYSTEM CONSISTS OF A MAJOR TERTIARY REFERRAL HOSPITAL SEVERAL RURALBASED MEDICAL CENTERS EXTENSIVE OUTPATIENT TREATMENT AND REHABILITATION FACILITIES AND ANCILLARY EMERGENCY TRANSPORTATION AND HOMEBASED MEDICAL SERVICES THAT COVER 24 COUNTIES IN MICHIGANS NORTHERN LOWER PENINSULA AND THE EASTERN PORTION OF THE UPPER PENINSULA THE MOST SIGNIFICANT OF THE MUNSON HEALTHCARE SUBSIDIARIES IS MUNSON MEDICAL CENTER MMC MMC IS ONE OF SEVEN NOTFORPROFIT 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 ANDOR 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 300000 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 12 MILLION IN CHARITY CARE AND UNREIMBURSED MEDICAID IN THE PAST FISCAL YEAR MUNSON MEDICAL GROUP THE EMPLOYED PHYSICIAN ORGANIZATION IN THE SYSTEM PROVIDED OVER A HALF MILLION DOLLARS IN CHARITY CARE AND COMMUNITY BENEFIT IN TAX YEAR 2011 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 399 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
MUNSON MEDICAL CENTER LINE NUMBER 1 PART V LINE 11H	PART V LINE 11H	PATIENTS WHOSE FAMILY INCOME EXCEEDS 400 OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASEBYCASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES IE HIGH DEBTTOINCOME RATIO AT THE SOLE DISCRETION OF MUNSON HEALTHCARE
MUNSON MEDICAL CENTER LINE NUMBER 1 PART V LINE 13G	PART V LINE 13G	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 ANDOR SIGNS IN THE REGISTRATION AREAS
MUNSON MEDICAL CENTER LINE NUMBER 1 PART V LINE 19D	PART V LINE 19D	SELFPAYNO 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF TRAVERSE CITY	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 BOARDMAN	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49684	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	386004740	EINOfRecipient
IRC Section	GOV	IRCSection
Amount Of Cash Grant	20000	AmountOfCashGrant
Purpose Of Grant	ROAD CONSTRUCTION	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (7 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
MEDICAL INSURANCE PAYMENT	74	15861
TRANSPORT, HOUSING, WIGS	114	68497
MEDICAL, TRANSPORT & DRUG	78	12766
MAMMOGRAPHY ASSISTANCE	384	20441
TRANSPORT, HOUSING, FOOD	655	44884
CAR SEAT INSPECT & HELMET	9424		55692	FMV	SERVICE & SUPPL
HOUSING ASSISTANCE	48	34930

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Bonus Filing OrgBonusFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
EDWIN A NESS
21920	548165	150241	71	1409	1083	218655	774	20072	23848	938542
MARK A HEPLER
	228393	25779		68663		27822		20647		371304	20253
PAUL M SHIRILLA
	259620	29778		3811		31773		15369		340351
KATHLEEN MCMANUS
253836			1093		30882		15022		338471			37638
DAVID MCGREAHAM MD
246704			19017		31270		18015		341604			26598
CHRISTOPHER PODGES
236655			1543		28833		22086		311797			22680
MARK R ANTHONY
174837			34517		10490		10605		251577			21128
SUZANNE K PETERS
155995			26995		19896		14372		234609			17351	3182
JAMES P FISCHER
170964			3045		20656		5756		217922			17501
THOMAS SCHERMERHORN MD
787299			805		11029		21317		874402			53952
AHMET SEVIMLI MD
325183			16696		19511		20011		387966			6565
PHILOMENA COLUCCI
258687			8516		11902		6208		325313			40000
DAVID B MARTIN MD
235596			16103		14136		14591		290497			10071
KAREN SPEIRS DO
241487			1348		12291		2811		266725			8788

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	EDWIN A. NESS 0 206,806 0 MARK A. HEPLER 0 14,118 0 PAUL M. SHIRILLA 0 16,196 0 KATHLEEN MCMANUS 0 15,652 0 DAVID MCGREAHAM, MD 0 16,468 0 CHRISTOPHER PODGES 0 14,634 0 SUZANNE K. PETERS 0 10,536 0 JAMES P. FISCHER 0 10,398 0
OTHER ADDITIONAL INFORMATION	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. 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 THE PRESIDENT AND THE 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 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CTY GRD TRAVSE HOSP FIN AUTH 2011	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	386004832	IssuerEIN
CUSIP Number	386523EE0	CUSIPNumber
Date Issued	2011-08-10	DateIssued
Issue Price	128728067	IssuePrice
Description Of Purpose	REFUND PRIOR BONDS	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	128728067	TotalProceeds
Issuance Costs From Proceeds	1756787	IssuanceCostsFromProceeds
Other Spent Proceeds	126970633	OtherSpentProceeds
Amount Unspent	648	AmountUnspent
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	false	EngageBondCounselContracts
Any Research Agreements	true	AnyResearchAgreements
Engage Bond Counsel Research	false	EngageBondCounselResearch
Post Issuance Compliance Procdrs	false	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	true	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PURPOSE OF ISSUE DESCRIPTION	SCHEDULE K	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 9198 REVENUE BONDS SERIES 2001A ISSUED 1901 REVENUE REFUNDING BONDS SERIES 2002A ISSUED 91702 REVENUE REFUNDING BONDS SERIES 2005A ISSUED 11305 AND REVENUE BONDS SERIES 2005B ISSUED 11305
ADDITIONAL INFORMATION	SCHEDULE K	CTY GRD TRAVSE HOSP FIN AUTH 2011 ISSUE COUNTY OF GRAND TRAVERSE HOSPITAL FINANCE AUTHORITY REVENUE REFUNDING BONDS MUNSON HEALTHCARE OBLIGATED GROUP SERIES 2011 PART III QUESTION 3C AND D MUNSON MEDICAL CENTER MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES AND RESEARCH CONTRACTS THE REVIEW PROCESS INCLUDES A REVIEW BY THE INTERNAL LEGAL DEPARTMENT OUTSIDE COUNSEL MAY BE CONSULTED AS NECESSARY OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTACTS SINCE NEW BONDS WERE ISSUED IN 2011 OUTSIDE COUNSEL WAS ENGAGED PART III QUESTION 7 AND PART V MUNSON MEDICAL CENTER MAINTAINS POLICIES AND PROCEDURES TO ENSURE THE POSTISSUANCE COMPLIANCE OF ITS TAXEXEMPT BOND LIABILITIES SUBSEQUENT TO 2011 YEAREND MUNSON MEDICAL CENTER FORMALLY ADOPTED POLICIES TO INCLUDE REMEDIAL ACTION AVAILABLE TO CORRECT NONCOMPLIANCE IN ACCORDANCE WITH TREASURY REGULATION 114112 AND 11452

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MEGAN COX
FAMILY OF TRUST	53284	RELATED FAMILY COMP	false
HOSPITALISTS OF NORTHWEST MI
OWNER ISTRUSTEE	4636881	GROUP PRACTICE PHYSI	false
MUNSON SUPPORT SERVICES
E NESS TRUSTEE	2111287	LAUNDRY SERVICES	false
MUNSON SERVICES INC
C PODGESTRUSTEE	2206069	CONTRACT EMPLOYEES	false
PULMONARY AND CRITICAL CARE PHYSICI
OWNER ISTRUSTEE	1388475	GROUP PRACTICE PHYSI	false
GLORIA WOLF
FAMILY OF TRUST	73841	RELATED FAMILY COMP	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERS	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.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	FOUR TRUSTEES OF MUNSON MEDICAL CENTER ARE DIRECTORS OF MUNSON HEALTHCARE. OTHER TRUSTEES ARE CHOSEN FROM AMONG THOSE NOMINATED BY THE GOVERNANCE COMMITTEE.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	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.
ENFORCEMENT OF CONFLICTS POLICY	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 THRU 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 OFFICIAL	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 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 OFFICERS	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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	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.
GROUP RETURN METHOD	FORM 990, PAGE 7, PART VII	PARENT ORGANIZATION HAS FILED A SEPARATE RETURN
RELATED ORGANIZATIONS	FORM 990, PAGE 7, PART VII	EDWIN 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. KATHLEEN MCMANUS, SENIOR VICE PRESIDENT OF MUNSON MEDICAL CENTER, ALLOCATES 90% OF HER TIME TO MUNSON MEDICAL CENTER AND THE REMAINDER TO SYSTEM ENTITIES. MARK ANTHONY IS A VICE PRESIDENT FOR MUNSON MEDICAL CENTER AND ALLOCATES 95% OF THIS TIME TO THAT COMPANY. HE DEVOTES APPROXIMATELY 2-3 HOURS A WEEK TO MUNSON MOBILE IMAGING AND GREAT LAKES MOBILE PET AS PRESIDENT OF BOTH ENTITIES.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	THE OTHER CHANGES IN NET ASSETS INCLUDE THE FOLLOWING ITEMS: CHANGE IN MINIMUM PENSION LIABILITY (61,493,753) UNREALIZED LOSSES ON POOLED INVESTMENT ACCOUNTS (3,836,248) CHANGE IN VALUE OF INTEREST RATE SWAPS (4,060,853) CHANGE IN INVESTMENT VALUE OF ASSETS HELD AT THE FOUNDATION 6,388,898 LOSS ON EXTINGUISHMENT OF DEBT (491,045) TRANSFERS TO AFFILIATES (5,151,166) TOTAL (68,644,167)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Business Name Line2DirectControllingEntityName/BusinessNameLine2	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
MUNSON DIALYSIS CENTER
1105 SIXTH ST	TRAVERSE CITY	MI	49684	383097861	DIALYSIS	MI	(C)(3)	3	MUNSON HC	MUNSON HEALTHCARE	false
MUNSON HEALTHCARE
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382640544	HEALTHCARE	MI	(C)(3)	11B			false	N/A
MUNSON HEALTHCARE REGIONAL FOUNDATI
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382642724	RAISE FUND	MI	(C)(3)	7	MUNSON HC	MUNSON HEALTHCARE	false
MUNSON HOME CARE
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382191390	HOME HEALT	MI	(C)(3)	9	MUN HOME H	MUNSON HOME HEALTH	false
MUNSON HOME HEALTH
1105 SIXTH ST	TRAVERSE CITY	MI	49684	383335362	HOME HEALT	MI	(C)(3)	11B	MUNSON HC	MUNSON HEALTHCARE	false
MUNSON HOME SERVICES
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382543463	HOME HEALT	MI	(C)(3)	9	MUN HOME H	MUNSON HOME HEALTH	false
NORTH FLIGHT INC
1105 SIXTH ST	TRAVERSE CITY	MI	49684	382657917	MED TRANSP	MI	(C)(3)	11B	MUNSON HC	MUNSON HEALTHCARE	false
PAUL OLIVER MEMORIAL HOSPITAL
1105 SIXTH ST	TRAVERSE CITY	MI	49684	381415623	HEALTHCARE	MI	(C)(3)	3	MUNSON HC	MUNSON HEALTHCARE	false
PAUL OLIVER MEMORIAL HOSPITAL FOUND
1105 SIXTH ST	TRAVERSE CITY	MI	49684	237201619	RAISE FUND	MI	(C)(3)	7	PAUL OLV H	PAUL OLIVER MEMORIAL HOSPITAL	false
MUNSON MEDICAL GROUP
1105 SIXTH ST	TRAVERSE CITY	MI	49684	273600575	PHYSICIAN	MI	(C)(3)	9	MUNSON MED	MUNSON MEDICAL CENTER	true

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Business Name Line2DirectControllingEntityName/BusinessNameLine2	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
MUNSON MEDICAL BUILDING PARTNERS
PO BOX 1188	TRAVERSE CITY	MI	496851188	382830005	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	RELATED	264979	1809871	false	true	0.56540
NORTHERN MICHIGAN SUPPLY ALLIANCE
2651 AERO PARK DR	TRAVERSE CITY	MI	49686	383453378	PURCHASING	MI						false	false		N/A
MUNSON MEDICAL BUILDING PARTNERS
PO BOX 1188	TRAVERSE CITY	MI	496851188	382830005	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	RELATED	264979	1809871	false	true	0.56540
NORTHERN MICHIGAN SUPPLY ALLIANCE
2651 AERO PARK DR	TRAVERSE CITY	MI	49686	383453378	PURCHASING	MI						false	false		N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Business Name Line2NameOfRelatedOrg/BusinessNameLine2	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Business Name Line2DirectControllingEntityName/BusinessNameLine2	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
MEDICAL OFFICE CONDOMINIUM
MEDICAL OFFICE CONDOMINIUM	PO BOX 1188	TRAVERSE CITY	MI	496851188	201902620	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	C CORP	172004	53491	0.74000
SIXTH STREET DRUGS
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382298290	PHARMACY	MI							N/A
MUNSON SUPPORT SERVICES
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382872821	LAUNDRY	MI	MUNSON MED	MUNSON MEDICAL CENTER	C CORP	4366734	4886413	1.00000
MUNSON SERVICES INC
	PO BOX 1188	TRAVERSE CITY	MI	496851188	383144382	PHARMACY	MI							N/A
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	62275	19117	0.78000
MUNSON MOBILE IMAGING
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382704069	IMAGING	MI							N/A
MEDICAL OFFICE CONDOMINIUM
MEDICAL OFFICE CONDOMINIUM	PO BOX 1188	TRAVERSE CITY	MI	496851188	201902620	REAL ESTAT	MI	MUNSON MED	MUNSON MEDICAL CENTER	C CORP	172004	53491	0.74000
SIXTH STREET DRUGS
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382298290	PHARMACY	MI							N/A
MUNSON SUPPORT SERVICES
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382872821	LAUNDRY	MI	MUNSON MED	MUNSON MEDICAL CENTER	C CORP	4366734	4886413	1.00000
MUNSON SERVICES INC
	PO BOX 1188	TRAVERSE CITY	MI	496851188	383144382	PHARMACY	MI							N/A
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	62275	19117	0.78000
MUNSON MOBILE IMAGING
	PO BOX 1188	TRAVERSE CITY	MI	496851188	382704069	IMAGING	MI							N/A

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (368 entries)

Business Name Line2NameOfOtherOrganization/BusinessNameLine2	Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	197936	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	195821	FMV
MUNSON DIALYSIS CENTER
	K	129926	FMV
MUNSON DIALYSIS CENTER
	P	851100	FMV
MUNSON DIALYSIS CENTER
	N	2000580	FMV
MUNSON HEALTHCARE
	B	4100000	FMV
MUNSON HEALTHCARE
	L	1428288	FMV
MUNSON HEALTHCARE
	N	698791	FMV
MUNSON HEALTHCARE
	O	2503939	FMV
MUNSON HEALTHCARE
	P	6592892	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	870379	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	499095	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	O	98395	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	P	511744	FMV
MUNSON HOME CARE
	I	131304	FMV
MUNSON HOME CARE
	K	65871	FMV
MUNSON HOME CARE
	P	12438424	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	O	70955	FMV
MUNSON HOME HEALTH
	P	1996655	FMV
MUNSON HOME SERVICES
	K	73890	FMV
MUNSON HOME SERVICES
	P	3345698	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	636349	FMV
MUNSON MEDICAL BUILDING PARTNERS
	P	85762	FMV
MUNSON MEDICAL GROUP
	B	3855000	FMV
MUNSON MEDICAL GROUP
	O	61703	FMV
MUNSON MEDICAL GROUP
	P	15342355	FMV
MUNSON MEDICAL GROUP
	N	2420780	FMV
MUNSON MEDICAL GROUP
	L	516707	FMV
MUNSON MOBILE IMAGING
	H	3162523	FMV
MUNSON SERVICES INC
	K	107388	FMV
MUNSON SERVICES INC
	N	2206069	FMV
MUNSON SERVICES INC
	O	74750	FMV
MUNSON SUPPORT SERVICES
	L	2111288	FMV
MUNSON SUPPORT SERVICES
	P	2000815	FMV
NORTH FLIGHT INC
	L	52749	FMV
NORTH FLIGHT INC
	P	6406734	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	7200000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	15791785	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	939525	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	1879697	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	920273	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	1024071	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	6375983	FMV
SIXTH STREET CONDO ASSOCIATION
	I	60000	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	197936	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	195821	FMV
MUNSON DIALYSIS CENTER
	K	129926	FMV
MUNSON DIALYSIS CENTER
	P	851100	FMV
MUNSON DIALYSIS CENTER
	N	2000580	FMV
MUNSON HEALTHCARE
	B	4100000	FMV
MUNSON HEALTHCARE
	L	1428288	FMV
MUNSON HEALTHCARE
	N	698791	FMV
MUNSON HEALTHCARE
	O	2503939	FMV
MUNSON HEALTHCARE
	P	6592892	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	870379	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	499095	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	O	98395	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	P	511744	FMV
MUNSON HOME CARE
	I	131304	FMV
MUNSON HOME CARE
	K	65871	FMV
MUNSON HOME CARE
	P	12438424	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	O	70955	FMV
MUNSON HOME HEALTH
	P	1996655	FMV
MUNSON HOME SERVICES
	K	73890	FMV
MUNSON HOME SERVICES
	P	3345698	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	636349	FMV
MUNSON MEDICAL BUILDING PARTNERS
	P	85762	FMV
MUNSON MEDICAL GROUP
	B	3855000	FMV
MUNSON MEDICAL GROUP
	O	61703	FMV
MUNSON MEDICAL GROUP
	P	15342355	FMV
MUNSON MEDICAL GROUP
	N	2420780	FMV
MUNSON MEDICAL GROUP
	L	516707	FMV
MUNSON MOBILE IMAGING
	H	3162523	FMV
MUNSON SERVICES INC
	K	107388	FMV
MUNSON SERVICES INC
	N	2206069	FMV
MUNSON SERVICES INC
	O	74750	FMV
MUNSON SUPPORT SERVICES
	L	2111288	FMV
MUNSON SUPPORT SERVICES
	P	2000815	FMV
NORTH FLIGHT INC
	L	52749	FMV
NORTH FLIGHT INC
	P	6406734	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	7200000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	15791785	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	939525	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	1879697	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	920273	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	1024071	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	6375983	FMV
SIXTH STREET CONDO ASSOCIATION
	I	60000	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	197936	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	195821	FMV
MUNSON DIALYSIS CENTER
	K	129926	FMV
MUNSON DIALYSIS CENTER
	P	851100	FMV
MUNSON DIALYSIS CENTER
	N	2000580	FMV
MUNSON HEALTHCARE
	B	4100000	FMV
MUNSON HEALTHCARE
	L	1428288	FMV
MUNSON HEALTHCARE
	N	698791	FMV
MUNSON HEALTHCARE
	O	2503939	FMV
MUNSON HEALTHCARE
	P	6592892	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	870379	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	499095	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	O	98395	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	P	511744	FMV
MUNSON HOME CARE
	I	131304	FMV
MUNSON HOME CARE
	K	65871	FMV
MUNSON HOME CARE
	P	12438424	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	O	70955	FMV
MUNSON HOME HEALTH
	P	1996655	FMV
MUNSON HOME SERVICES
	K	73890	FMV
MUNSON HOME SERVICES
	P	3345698	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	636349	FMV
MUNSON MEDICAL BUILDING PARTNERS
	P	85762	FMV
MUNSON MEDICAL GROUP
	B	3855000	FMV
MUNSON MEDICAL GROUP
	O	61703	FMV
MUNSON MEDICAL GROUP
	P	15342355	FMV
MUNSON MEDICAL GROUP
	N	2420780	FMV
MUNSON MEDICAL GROUP
	L	516707	FMV
MUNSON MOBILE IMAGING
	H	3162523	FMV
MUNSON SERVICES INC
	K	107388	FMV
MUNSON SERVICES INC
	N	2206069	FMV
MUNSON SERVICES INC
	O	74750	FMV
MUNSON SUPPORT SERVICES
	L	2111288	FMV
MUNSON SUPPORT SERVICES
	P	2000815	FMV
NORTH FLIGHT INC
	L	52749	FMV
NORTH FLIGHT INC
	P	6406734	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	7200000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	15791785	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	939525	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	1879697	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	920273	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	1024071	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	6375983	FMV
SIXTH STREET CONDO ASSOCIATION
	I	60000	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	197936	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	195821	FMV
MUNSON DIALYSIS CENTER
	K	129926	FMV
MUNSON DIALYSIS CENTER
	P	851100	FMV
MUNSON DIALYSIS CENTER
	N	2000580	FMV
MUNSON HEALTHCARE
	B	4100000	FMV
MUNSON HEALTHCARE
	L	1428288	FMV
MUNSON HEALTHCARE
	N	698791	FMV
MUNSON HEALTHCARE
	O	2503939	FMV
MUNSON HEALTHCARE
	P	6592892	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	870379	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	499095	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	O	98395	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	P	511744	FMV
MUNSON HOME CARE
	I	131304	FMV
MUNSON HOME CARE
	K	65871	FMV
MUNSON HOME CARE
	P	12438424	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	O	70955	FMV
MUNSON HOME HEALTH
	P	1996655	FMV
MUNSON HOME SERVICES
	K	73890	FMV
MUNSON HOME SERVICES
	P	3345698	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	636349	FMV
MUNSON MEDICAL BUILDING PARTNERS
	P	85762	FMV
MUNSON MEDICAL GROUP
	B	3855000	FMV
MUNSON MEDICAL GROUP
	O	61703	FMV
MUNSON MEDICAL GROUP
	P	15342355	FMV
MUNSON MEDICAL GROUP
	N	2420780	FMV
MUNSON MEDICAL GROUP
	L	516707	FMV
MUNSON MOBILE IMAGING
	H	3162523	FMV
MUNSON SERVICES INC
	K	107388	FMV
MUNSON SERVICES INC
	N	2206069	FMV
MUNSON SERVICES INC
	O	74750	FMV
MUNSON SUPPORT SERVICES
	L	2111288	FMV
MUNSON SUPPORT SERVICES
	P	2000815	FMV
NORTH FLIGHT INC
	L	52749	FMV
NORTH FLIGHT INC
	P	6406734	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	7200000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	15791785	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	939525	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	1879697	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	920273	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	1024071	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	6375983	FMV
SIXTH STREET CONDO ASSOCIATION
	I	60000	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	197936	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	195821	FMV
MUNSON DIALYSIS CENTER
	K	129926	FMV
MUNSON DIALYSIS CENTER
	P	851100	FMV
MUNSON DIALYSIS CENTER
	N	2000580	FMV
MUNSON HEALTHCARE
	B	4100000	FMV
MUNSON HEALTHCARE
	L	1428288	FMV
MUNSON HEALTHCARE
	N	698791	FMV
MUNSON HEALTHCARE
	O	2503939	FMV
MUNSON HEALTHCARE
	P	6592892	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	870379	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	499095	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	O	98395	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	P	511744	FMV
MUNSON HOME CARE
	I	131304	FMV
MUNSON HOME CARE
	K	65871	FMV
MUNSON HOME CARE
	P	12438424	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	O	70955	FMV
MUNSON HOME HEALTH
	P	1996655	FMV
MUNSON HOME SERVICES
	K	73890	FMV
MUNSON HOME SERVICES
	P	3345698	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	636349	FMV
MUNSON MEDICAL BUILDING PARTNERS
	P	85762	FMV
MUNSON MEDICAL GROUP
	B	3855000	FMV
MUNSON MEDICAL GROUP
	O	61703	FMV
MUNSON MEDICAL GROUP
	P	15342355	FMV
MUNSON MEDICAL GROUP
	N	2420780	FMV
MUNSON MEDICAL GROUP
	L	516707	FMV
MUNSON MOBILE IMAGING
	H	3162523	FMV
MUNSON SERVICES INC
	K	107388	FMV
MUNSON SERVICES INC
	N	2206069	FMV
MUNSON SERVICES INC
	O	74750	FMV
MUNSON SUPPORT SERVICES
	L	2111288	FMV
MUNSON SUPPORT SERVICES
	P	2000815	FMV
NORTH FLIGHT INC
	L	52749	FMV
NORTH FLIGHT INC
	P	6406734	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	7200000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	15791785	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	939525	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	1879697	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	920273	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	1024071	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	6375983	FMV
SIXTH STREET CONDO ASSOCIATION
	I	60000	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	197936	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	195821	FMV
MUNSON DIALYSIS CENTER
	K	129926	FMV
MUNSON DIALYSIS CENTER
	P	851100	FMV
MUNSON DIALYSIS CENTER
	N	2000580	FMV
MUNSON HEALTHCARE
	B	4100000	FMV
MUNSON HEALTHCARE
	L	1428288	FMV
MUNSON HEALTHCARE
	N	698791	FMV
MUNSON HEALTHCARE
	O	2503939	FMV
MUNSON HEALTHCARE
	P	6592892	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	870379	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	499095	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	O	98395	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	P	511744	FMV
MUNSON HOME CARE
	I	131304	FMV
MUNSON HOME CARE
	K	65871	FMV
MUNSON HOME CARE
	P	12438424	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	O	70955	FMV
MUNSON HOME HEALTH
	P	1996655	FMV
MUNSON HOME SERVICES
	K	73890	FMV
MUNSON HOME SERVICES
	P	3345698	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	636349	FMV
MUNSON MEDICAL BUILDING PARTNERS
	P	85762	FMV
MUNSON MEDICAL GROUP
	B	3855000	FMV
MUNSON MEDICAL GROUP
	O	61703	FMV
MUNSON MEDICAL GROUP
	P	15342355	FMV
MUNSON MEDICAL GROUP
	N	2420780	FMV
MUNSON MEDICAL GROUP
	L	516707	FMV
MUNSON MOBILE IMAGING
	H	3162523	FMV
MUNSON SERVICES INC
	K	107388	FMV
MUNSON SERVICES INC
	N	2206069	FMV
MUNSON SERVICES INC
	O	74750	FMV
MUNSON SUPPORT SERVICES
	L	2111288	FMV
MUNSON SUPPORT SERVICES
	P	2000815	FMV
NORTH FLIGHT INC
	L	52749	FMV
NORTH FLIGHT INC
	P	6406734	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	7200000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	15791785	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	939525	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	1879697	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	920273	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	1024071	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	6375983	FMV
SIXTH STREET CONDO ASSOCIATION
	I	60000	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	197936	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	195821	FMV
MUNSON DIALYSIS CENTER
	K	129926	FMV
MUNSON DIALYSIS CENTER
	P	851100	FMV
MUNSON DIALYSIS CENTER
	N	2000580	FMV
MUNSON HEALTHCARE
	B	4100000	FMV
MUNSON HEALTHCARE
	L	1428288	FMV
MUNSON HEALTHCARE
	N	698791	FMV
MUNSON HEALTHCARE
	O	2503939	FMV
MUNSON HEALTHCARE
	P	6592892	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	870379	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	499095	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	O	98395	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	P	511744	FMV
MUNSON HOME CARE
	I	131304	FMV
MUNSON HOME CARE
	K	65871	FMV
MUNSON HOME CARE
	P	12438424	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	O	70955	FMV
MUNSON HOME HEALTH
	P	1996655	FMV
MUNSON HOME SERVICES
	K	73890	FMV
MUNSON HOME SERVICES
	P	3345698	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	636349	FMV
MUNSON MEDICAL BUILDING PARTNERS
	P	85762	FMV
MUNSON MEDICAL GROUP
	B	3855000	FMV
MUNSON MEDICAL GROUP
	O	61703	FMV
MUNSON MEDICAL GROUP
	P	15342355	FMV
MUNSON MEDICAL GROUP
	N	2420780	FMV
MUNSON MEDICAL GROUP
	L	516707	FMV
MUNSON MOBILE IMAGING
	H	3162523	FMV
MUNSON SERVICES INC
	K	107388	FMV
MUNSON SERVICES INC
	N	2206069	FMV
MUNSON SERVICES INC
	O	74750	FMV
MUNSON SUPPORT SERVICES
	L	2111288	FMV
MUNSON SUPPORT SERVICES
	P	2000815	FMV
NORTH FLIGHT INC
	L	52749	FMV
NORTH FLIGHT INC
	P	6406734	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	7200000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	15791785	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	939525	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	1879697	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	920273	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	1024071	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	6375983	FMV
SIXTH STREET CONDO ASSOCIATION
	I	60000	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	P	197936	FMV
MEDICAL OFFICE BUILDING CONDOMINIUM
ASSOCIATION	J	195821	FMV
MUNSON DIALYSIS CENTER
	K	129926	FMV
MUNSON DIALYSIS CENTER
	P	851100	FMV
MUNSON DIALYSIS CENTER
	N	2000580	FMV
MUNSON HEALTHCARE
	B	4100000	FMV
MUNSON HEALTHCARE
	L	1428288	FMV
MUNSON HEALTHCARE
	N	698791	FMV
MUNSON HEALTHCARE
	O	2503939	FMV
MUNSON HEALTHCARE
	P	6592892	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	C	870379	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	L	499095	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	O	98395	FMV
MUNSON HEALTHCARE REGIONAL FOUNDATI
	P	511744	FMV
MUNSON HOME CARE
	I	131304	FMV
MUNSON HOME CARE
	K	65871	FMV
MUNSON HOME CARE
	P	12438424	FMV
MUNSON HOME HEALTH
	I	58800	FMV
MUNSON HOME HEALTH
	O	70955	FMV
MUNSON HOME HEALTH
	P	1996655	FMV
MUNSON HOME SERVICES
	K	73890	FMV
MUNSON HOME SERVICES
	P	3345698	FMV
MUNSON MEDICAL BUILDING PARTNERS
	J	636349	FMV
MUNSON MEDICAL BUILDING PARTNERS
	P	85762	FMV
MUNSON MEDICAL GROUP
	B	3855000	FMV
MUNSON MEDICAL GROUP
	O	61703	FMV
MUNSON MEDICAL GROUP
	P	15342355	FMV
MUNSON MEDICAL GROUP
	N	2420780	FMV
MUNSON MEDICAL GROUP
	L	516707	FMV
MUNSON MOBILE IMAGING
	H	3162523	FMV
MUNSON SERVICES INC
	K	107388	FMV
MUNSON SERVICES INC
	N	2206069	FMV
MUNSON SERVICES INC
	O	74750	FMV
MUNSON SUPPORT SERVICES
	L	2111288	FMV
MUNSON SUPPORT SERVICES
	P	2000815	FMV
NORTH FLIGHT INC
	L	52749	FMV
NORTH FLIGHT INC
	P	6406734	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	D	7200000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	I	126000	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	O	15791785	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	N	939525	FMV
NORTHERN MICHIGAN SUPPLY ALLIANCE
	L	1879697	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	K	920273	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	N	1024071	FMV
PAUL OLIVER MEMORIAL HOSPITAL
	P	6375983	FMV
SIXTH STREET CONDO ASSOCIATION
	I	60000	FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE R	ReturnReference
Explanation	MUNSON MEDICAL CENTER USED THE ACCRUAL METHOD OF ACCOUNTING TO VALUE THE TRANSACTIONS WITH RELATED ENTITIES ALL INTERCOMPANY TRANSACTIONS WITH RELATED ENTITIES WERE REVIEWED SUMMARIZED AND RECONCILED TO DETERMINE THE DISCLOSURE AMOUNTS	Explanation