2024-05-14T08:39:48-04:00 2023-06-30 MUNSON HEALTHCARE 1105 SIXTH ST TRAVERSE CITY MI 49684 990 2022-07-01 381362830 MUNSON MEDICAL CENTER MUNS 2319355000 1105 SIXTH STREET TRAVERSE CITY MI 49684 PAUL KONOPACKI CFO 2319355000 2024-05-10 true PAUL KONOPACKI 999009999 false DAVID LOWENTHAL P00378651 2319357785 2024-05-14 2022 2023-04-26 12:10:37Z JOE HURSHE 1105 SIXTH STREET TRAVERSE CITY MI 49684 746626105 false X WWW.MUNSONHEALTHCARE.ORG X 1947 MI MUNSON MEDICAL CENTER AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH. X 22 19 5115 137 46098 36532569 12682501 710383483 726986182 27783555 2390415 3368183 4494565 778067790 746553663 349030 444572 0 314976227 315406155 0 812992 409294235 450743228 724619492 766593955 53448298 -20040292 1237623415 436005915 273062805 94995820 964560610 341010095 AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS. false false 646584379 444572 728819559 EXPENSES INCURRED WHILE PROVIDING HOSPITAL SERVICES TO THE RESIDENTS OF TRAVERSE CITY, MI AND THE SURROUNDING AREA WHILE FULFILLING THE HOSPITAL'S MISSION TO PROVIDE HEALTHCARE IN THE COMMUNITY. MUNSON MEDICAL CENTER SERVES AS A RURAL REFERRAL CENTER FOR THE SURROUNDING 24-COUNTY AREA, WITH 18,512 INPATIENT ADMISSIONS IN FISCAL YEAR 2023 AND OVER 495,000 OUTPATIENT VISITS. THE HOSPITAL SERVED MORE THAN 15,000 SURGICAL CASES, 1,724 OBSTETRICAL BIRTHS, AND OVER 50,000 EMERGENCY ROOM VISITS. MUNSON MEDICAL CENTER ACCEPTS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL HAS 939 ACTIVE MEDICAL STAFF. 646584379 true true false true false false false false false false true false false false true false false true false false true false false false false false true true true true true false false false false false false true false false false false true false true true true false false true 234 0 true 5115 true true true false false false false false false false false false false false X 22 19 false false false false true true true true true false false true true true true true true true true true true X NICOLE SULAK MUNSON HEALTHCARE 2319357777 4230 COPPER RIDGE DR TRAVERSE CITY MI 49684 EDWIN A NESS DIRECTOR 1.00 40.00 X 0 2074924 229071 GARY RAJAH JR MD NEUROSURGEON 40.00 X 1331509 0 24720 THOMAS SCHERMERHORN MD NEUROSURGEON 40.00 X 935523 0 38482 JOHN CAMPBELL MD NEUROSURGEON 40.00 X 879548 0 44727 JOEL STREHL DO SURGEON 40.00 X 832485 0 25197 JUSTINE PEARL MD NEUROSURGEON 40.00 X 781328 0 24580 LAURA GLENN PRESIDENT AM 2.00 40.00 X 0 692839 103817 MATTHEW WILLE CEO & PRESID 40.00 X X 612462 0 93772 ALICIA MAITLAND CFO PART-YR 2.00 40.00 X 0 435628 27634 CASEY KANDOW VP ANCILLARY 2.00 40.00 X 0 428900 27931 ELLEN SMITH COO PHYSICIA 2.00 40.00 X 0 380194 57688 TONYA SMITH DIRECTOR 1.00 40.00 X 0 412863 22637 TAMARA PUTNEY CNO, VP PATI 40.00 X 286287 0 39663 KATHLEEN MALY INTERIM CFO 2.00 40.00 X 0 288390 32174 KATHLEEN LARAIA VP ONCOLOGY 31.00 9.00 X 170906 47975 32198 THEODORE BATZER DIRECTOR 1.00 X 0 5000 0 KENNETH BLOEM VICE CHAIR 2.00 X X 0 5000 0 NICK CEGLAREK DIRECTOR 1.00 X 0 5000 0 ALAN CONRAD DIRECTOR 1.00 X 0 5000 0 CASEY COWELL DIRECTOR 1.00 X 0 5000 0 KATHY DIXON DIRECTOR 1.00 X 0 5000 0 MARLENE HULTEEN DIRECTOR 1.00 X 0 5000 0 DOUGLAS LUCIANI DIRECTOR 1.00 X 0 5000 0 DAVID MCCURDY DIRECTOR 3.00 X 0 5000 0 RUTH HOPPE MD SECRETARY 3.00 X X 0 5000 0 KIM MORLEY DIRECTOR 1.00 X 0 5000 0 TIMOTHY NELSON TREASURER 3.00 X X 0 5000 0 BRIAN POSTMA DIRECTOR 2.00 X 0 5000 0 OWEN ROBERTS DIRECTOR 2.00 X 0 5000 0 MICHELLE RUSSELL DIRECTOR 1.00 X 0 5000 0 MARY SANDERS DIRECTOR 2.00 X 0 5000 0 KRISTINE THOMAS DIRECTOR 2.00 X 0 5000 0 TOM VERYSER DIRECTOR 1.00 X 0 5000 0 ELAINE WOOD CHAIR 3.00 X X 0 5000 0 BRUCE ZENNER DIRECTOR 1.00 X 0 5000 0 MATT BULLOCH DIRECTOR 1.00 X 0 0 0 DAVE MENGEBIER DIRECTOR 2.00 X 0 0 0 BEN MULADORE DIRECTOR 1.00 X 0 0 0 SAKURA TAKANO DIRECTOR 1.00 X 0 0 0 5830048 4861713 824291 443 false true false HALLMARK HEALTHCARE SOLUTIONS PO BOX 22937 NEW YORK NY 100872938 STAFFING 20188220 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 900742936 MEDICAL 7225967 CARDIOTHORACIC SURGEONS GT PC 107 S CASS ST SUITE A TRAVERSE CITY MI 49684 MEDICAL 6965500 MAYO CLINIC LABORATORIES PO BOX 9146 MINNEAPOLIS MN 554809146 LABORATORY 4380084 GRAND TRAVERSE ONCOLOGY HEMATOL 13056 S WEST BAY SHORE DR TRAVERSE CITY MI 49684 MEDICAL 4342109 101 8499298 3913345 269858 12682501 MEDICARE AND MEDICAID PMTS 621990 427042215 427042215 PATIENT SERVICE REVENUE 621990 288138009 288138009 340B PRESCRIPTION REVENUE 621990 8783029 8783029 MISC HEALTHCARE REVENUE 621990 2397835 2397835 RENT FROM RELATED ORGS 531120 365879 365879 259215 213711 45504 726986182 2096716 1585182 511534 682962 682962 682962 682962 354300 60601 293699 293699 293699 12435 11841 594 594 CAFETERIA SALES 722210 3262840 3262840 MISCELLANEOUS 621990 548169 548169 3811009 746553663 728819559 46098 5005505 X 10193 10193 434379 434379 1163532 429639 733893 250396912 243451584 6945328 12429799 12119091 310708 34512687 33498066 1014621 16903225 16393327 509898 2395 2395 45145 45145 24196 24196 100893488 94065546 6014950 812992 750 750 3896465 3286466 609999 8261408 8126719 134689 10121228 9415740 705488 347785 328974 18811 1073043 1043256 29787 4846079 4087408 758671 25561691 21563396 3998295 3445508 2217843 1227665 MEDICAL SUPPLIES 180374221 180374221 SHARED SERVICES 83165993 -12572214 95738207 QAAP TAXES 17546947 17546947 REPAIRS AND MAINTENANCE 4772115 4598653 173462 6364771 6164395 200376 766593955 646584379 119196584 812992 97993 98429 316459728 8794013 6009933 2422619 101658205 109214949 3650 256944 18522482 18502546 4330431 5582798 597385496 327570766 274787209 269814730 472351836 24619100 3964481 280000 280000 18502848 17074406 1237623415 436005915 85806212 69655586 3786869 4586004 77108946 106360778 20754230 273062805 94995820 X 944108411 341054681 20452199 -44586 964560610 341010095 1237623415 436005915 X -20040292 -603510223 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false false false true 24196 24196 false SCHEDULE C, PART II-B, LINE 1 OTHER ACTIVITIES INDICATE THE PORTION OF DUES ALLOCATED TO LOBBYING EXPENSES PAID TO REGIONAL OR NATIONAL ORGANIZATIONS INCLUDING THE AMERICAN HOSPITAL ASSOCIATION, THE SOCIETY OF THORACIC SURGEONS, THE NEURODIAGNOSTIC SOCIETY, THE MICHIGAN SOCIETY OF HEMATOLOGY AND ONCOLOGY, THE AMERICAN CASE MANAGEMENT ASSOCIATION, THE AMERICAN OSTEOPATHIC ASSOCIATION, AND THE MICHIGAN OSTEOPATHIC ASSOCIATION. 14914656 14914656 378425904 198711848 179714056 2383474 1759442 624032 168166663 122071774 46094889 33494799 5027702 28467097 269814730 ESTIMATED THIRD PARTY SETTLEMENTS 9854813 RESERVE FOR THIRD PARTY SETTLEMENTS 4905822 LONG TERM OPERATING LEASE LIAB 4192057 SHORT TERM OPERATING LEASE LIAB 1038963 CAPITAL LEASE 762575 20754230 false CENTRAL AMERICA AND THE CARIBBEAN SELF INSURANCE INVESTMENT 228027 CENTRAL AMERICA AND THE CARIBBEAN SELF INSURANCE INSURANCE 26434 254461 254461 false false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 228,027 CENTRAL AMERICA AND THE CARIBBEAN 26,434 0 true true X true X true X true true false true true 1937004 1937004 0.00250 97139372 77043802 20095570 0.02590 99076376 77043802 22032574 0.02840 1936808 871631 1065177 0.00140 2756545 874040 1882505 0.00240 339817864 303052573 36765291 0.04750 1170263 156784 1013479 0.00130 42227 42227 0.00010 345723707 304955028 40768679 0.05270 444800083 381998830 62801253 0.08110 7683 7683 3298 3298 2263 2263 13244 13244 true 4793165 2658698 93622156 105388528 -11766372 X true true CR SURGERY CENTER AMBULATORY SURGERY CENTER 0.49000 0.51000 1 1 MUNSON MEDICAL CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 HTTP://WWW.MUNSONHEALTHCARE.ORG 1060000048 X X X X X MUNSON MEDICAL CENTER 1 false false true X X X X X X X X X X 21 true true true true X HTTPS://TINYURL.COM/YSZBXMYS X true 22 true HTTPS://TINYURL.COM/YSZBXMYS false true X 200.000000000000 400.000000000000 X X X X X true true X X X true X HTTPS://TINYURL.COM/2TNSZ8PS X HTTPS://TINYURL.COM/2TNSZ8PS X HTTPS://TINYURL.COM/2TNSZ8PS X X X X X X X true X false X X X X X true X false false FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 3E YES, THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND WERE IDENTIFIED THROUGH THE CHNA. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 5 WE ARE FOLLOWING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP FRAMEWORK TO GUIDE OUR PROCESS WHICH INCLUDES FOUR ASSESSMENTS TO GATHER INPUT. 1.COMMUNITY THEMES AND STRENGTHS ASSESSMENT: THIS ASSESSMENT PROVIDES A DEEP UNDERSTANDING OF THE ISSUES THAT RESIDENTS FEEL ARE SIGNIFICANT BY ANSWERING THE FOLLOWING QUESTIONS: WHAT IS IMPORTANT TO OUR COMMUNITY?; HOW IS QUALITY PERCEIVED IN OUR COMMUNITY?; WHAT ASSETS DO WE HAVE THAT CAN BE USED TO IMPROVE WELLBEING? IT CONSISTED OF THREE SURVEYS: COMMUNITY SURVEY, HEALTHCARE PROVIDER SURVEY, AND PULSE SURVEY. RESULTS FROM EACH WERE ANALYZED BY COUNTY, HOSPITAL SERVICE AREA, AND THE THREE MITHRIVE REGIONS. 2.COMMUNITY HEALTH STATUS ASSESSMENT: THE COMMUNITY HEALTH STATUS ASSESSMENT IDENTIFIES PRIORITY COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES. IT ANSWERS THE QUESTIONS, HOW HEALTHY ARE OUR RESIDENTS? AND WHAT DOES THE HEALTH STATUS OF OUR COMMUNITY LOOK LIKE? ITS PURPOSE IS TO COLLECT QUANTITATIVE SECONDARY DATA ABOUT THE HEALTH AND WELL-BEING OF RESIDENTS AND COMMUNITIES. WE COLLECTED APPROXIMATELY 100 STATISTICS, BY COUNTY, FOR THE 31-COUNTY REGION FROM RELIABLE SOURCES SUCH AS THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND US CENSUS BUREAU. 3.COMMUNITY SYSTEM ASSESSMENT: THE COMMUNITY SYSTEM ASSESSMENT FOCUSES ON ORGANIZATIONS THAT CONTRIBUTE TO WELL-BEING. IT ANSWERS THE QUESTIONS, WHAT ARE THE COMPONENTS, ACTIVITIES, COMPETENCIES, AND CAPACITIES IN THE REGIONAL SYSTEM? AND HOW ARE SERVICES BEING PROVIDED TO OUR RESIDENTS? FIRST, COMMUNITY-WIDE VIRTUAL MEETINGS WERE CONVENED IN THE NORTHWEST, NORTHEAST, AND NORTH CENTRAL MITHRIVE REGIONS WHERE PARTICIPANTS DISCUSSED VARIOUS ATTRIBUTES OF THE COMMUNITY SYSTEM. THESE WERE FOLLOWED BY RELATED DISCUSSIONS AT LOCAL COMMUNITY COLLABORATIVE MEETINGS. 4.FORCES OF CHANGE ASSESSMENT: THE FORCES OF CHANGE ASSESSMENT IDENTIFIES FORCES SUCH AS LEGISLATION, TECHNOLOGY, AND OTHER FACTORS THAT AFFECT THE COMMUNITY CONTEXT. IT ANSWERS THE QUESTIONS, WHAT IS OCCURRING OR MIGHT OCCUR THAT AFFECTS THE HEALTH OF OUR COMMUNITY OR THE LOCAL SYSTEM? AND WHAT SPECIFIC THREATS OR OPPORTUNITIES ARE GENERATED BY THESE OCCURRENCES? LIKE THE COMMUNITY SYSTEM ASSESSMENT, THE FORCES OF CHANGE ASSESSMENT WAS COMPOSED OF COMMUNITY MEETINGS CONVENED VIRTUALLY IN THE NORTHWEST, NORTHEAST, AND NORTH CENTRAL REGIONS. AS ONE OF THE FIRST STEPS OF ACHIEVING HEALTH EQUITY IS TO UNDERSTAND CURRENT HEALTH DISPARITIES, WE INVITED DIVERSE COMMUNITY PARTNERS TO JOIN THE MITHRIVE STEERING COMMITTEE, DESIGN TEAM, AND WORKGROUPS, AND WE GATHERED PRIMARY AND SECONDARY DATA FROM MEDICALLY UNDERSERVED, MINORITY, AND LOW-INCOME POPULATIONS IN EACH OF THE FOUR MITHRIVE ASSESSMENTS, BY THE FOLLOWING METHODS: CROSS-TABULATING DEMOGRAPHIC INDICATORS SUCH AS AGE, RACE, AND SEX FOR THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT ENGAGING RESIDENTS EXPERIENCING BARRIERS TO SOCIAL DETERMINANTS OF HEALTH AND ORGANIZATIONS THAT SERVE THEM IN THE COMMUNITY SYSTEM ASSESSMENT, COMMUNITY THEMES AND STRENGTHS ASSESSMENT, AND FORCES OF CHANGE ASSESSMENT REACHING OUT TO MEDICALLY UNDERSERVED AND LOW-INCOME POPULATIONS THROUGH PULSE SURVEYS ADMINISTERED BY ORGANIZATIONS THAT SERVE THEM INCREASING INCLUSION OF PEOPLE WITH DISABILITIES IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH PARTNERSHIP WITH THE DISABILITY NETWORK OF NORTHERN MICHIGAN SURVEYING PROVIDERS WHO CARE FOR PATIENTS/CLIENTS ENROLLED IN MEDICAID HEALTH PLANS RECRUITING 1) RESIDENTS EXPERIENCING BARRIERS TO SAFE, AFFORDABLE, AND ACCESSIBLE HOUSING; HEALTHY FOOD; TRANSPORTATION OPTIONS; AND OTHER SOCIAL DETERMINANTS OF HEALTH AND 2) REPRESENTATIVES FROM THE DIVERSE ORGANIZATIONS THAT SERVE THEM TO MITHRIVE DATA WALKS AND PRIORITY-SETTING EVENTS FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 6A MITHRIVE WAS IMPLEMENTED ACROSS A 31-COUNTY REGION THROUGH A PARTNERSHIP OF HOSPITAL SYSTEMS, LOCAL HEALTH DEPARTMENTS, AND OTHER COMMUNITY PARTNERS. OUR AIM IS TO LEVERAGE RESOURCES AND REDUCE DUPLICATION WHILE STILL ADDRESSING UNIQUE LOCAL NEEDS FOR HIGH QUALITY, COMPARABLE, COUNTY-LEVEL DATA. THE 2021 MITHRIVE COMMUNITY HEALTH NEEDS ASSESSMENT UTILIZED THREE REGIONS: NORTHWEST, NORTHEAST, AND NORTH CENTRAL. ALL OF THE MUNSON HEALTHCARE HOSPITALS WORKED TOGETHER ON REGIONAL CHNA EFFORTS AS PART OF THE MITHRIVE REGIONAL CHNA INITIATIVE. THESE INCLUDE: MUNSON MEDICAL CENTER, MUNSON HEALTHCARE CADILLAC, MUNSON HEALTHCARE GRAYLING, PAUL OLIVER MEMORIAL HOSPITAL, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL, MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL, MUNSON HEALTHCARE MANISTEE HOSPITAL, AND KALKASKA MEMORIAL HEALTH CENTER. IN ADDITION, HOSPITALS FORM THE MCLAREN AND SPECTRUM HEALTH SYSTEMS COLLABORATED ON THIS EFFORT. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 6B IN ADDITION TO DOZENS OF LOCAL AND REGIONAL ORGANIZATIONS, ALL HEALTH DEPARTMENTS IN THE REGION SERVED PARTICIPATED, INCLUDING: GRAND TRAVERSE HEALTH DEPARTMENT, DISTRICT HEALTH DEPARTMENT 10, HEALTH DEPARTMENT OF NORTHWEST MICHIGAN, BENZIE LEELANAU DISTRICT HEALTH DEPARTMENT, CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT, DISTRICT HEALTH DEPARTMENT 2, DISTRICT HEALTH DEPARTMENT 4. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 7A HTTPS://WWW.MUNSONHEALTHCARE.ORG/SERVICES/COMMUNITY-HEALTH/COMMUNITY- HEALTH-NEEDS-ASSESSMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 10A HTTPS://WWW.MUNSONHEALTHCARE.ORG/SERVICES/COMMUNITY-HEALTH/COMMUNITY- HEALTH-NEEDS-ASSESSMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 11 WE IDENTIFIED STRATEGIC ISSUES AS PART OF THE MITHRIVE COLLABORATIVE. STRATEGIC ISSUES ARE BROADER THAN INDIVIDUAL HEALTH CONDITIONS, AND REPRESENT UNDERLYING CHALLENGES THAT NEED TO BE ADDRESSED, WHICH WOULD LEAD TO IMPROVEMENT IN HEALTH CONDITIONS. EACH STRATEGIC ISSUE SHOULD IMPACT MORE THAN ONE HEALTH CONDITION. THE TOP PRIORITY ISSUES TO BE ADDRESSED: MENTAL HEALTH AND SUBSTANCE USE DISORDERS SAFE, AFFORDABLE AND ACCESSIBLE HOUSING ACCESS TO HEALTHCARE CHRONIC DISEASE A COMPLETE LIST OF STRATEGIES PLANNED TO ADDRESS THE PRIORITIZED NEEDS MAY BE VIEWED WITHIN THE CHNA IMPLEMENTATION PLAN. GENERALLY, THE HOSPITAL SYSTEM IS COMMITTED TO PROVIDING RESOURCES TO SUPPORT PROGRAMMING, PARTICIPATION IN COLLABORATIVE PROJECTS, BOARDS, AND SUPPORT FOR OTHER COMMUNITY IMPROVEMENT PROJECTS RELATED TO OUR PRIORITY STRATEGIC ISSUES. IN ADDITION TO THE STRATEGIC ISSUES LISTED ABOVE, THE FOLLOWING CHALLENGES WERE ALSO UNCOVERED IN THE DATA: BROADBAND ACCESS COVID-19 ECONOMIC SECURITY EQUITY HEALTHY FOOD HEALTHY WEIGHT INFRASTRUCTURE FOR HEALTHY LIVES SAFETY AND WELL-BEING TRANSPORTATION MUNSON HEALTHCARE ACKNOWLEDGES THE WIDE RANGE OF ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT WITH THE BROAD NATURE OF THE STRATEGIC ISSUES WE COULD EFFECTIVELY FOCUS ON ONLY THOSE ISSUES THAT WERE PRIORITIZED THE HIGHEST BY OUR COMMUNITY. HOWEVER, SOME OF THESE ISSUES INCLUDING EQUITYARE FOUNDATIONAL COMPONENTS OF ALL THE WORK OF THE ORGANIZATION AND WILL BE INDIRECTLY TARGETED THROUGH MANY OF THE STRATEGIES LISTED IN THIS PLAN. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 13H PATIENTS WHOSE FAMILY INCOME EXCEEDS 400% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, AT THE SOLE DISCRETION OF MUNSON HEALTHCARE. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 16A HTTPS://WWW.MUNSONHEALTHCARE.ORG/PATIENTS-VISITORS/BILL-PAY/ FINANCIAL-ASSISTANCE FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 16B HTTPS://WWW.MUNSONHEALTHCARE.ORG/PATIENTS-VISITORS/BILL-PAY/ FINANCIAL-ASSISTANCE FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 16C HTTPS://WWW.MUNSONHEALTHCARE.ORG/PATIENTS-VISITORS/BILL-PAY/ FINANCIAL-ASSISTANCE FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 16J IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE TO THE PATIENTS AND TO THE PUBLIC THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY. THIS WILL BE ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS: INFORMATION BROCHURES AVAILABLE AT THE REGISTRATION DESKS; BROCHURES DISTRIBUTED TO ALL SELF-PAY PATIENTS; INFORMATION POSTED ON THE WEBSITE; STATEMENT ON BILLS; SIGNS IN THE REGISTRATION AREAS; AND CALLS MADE TO ALL SELF-PAY PATIENTS AFTER SERVICE. FACILITY 1, MUNSON MEDICAL CENTER - PART V, LINE 20E MUNSON MEDICAL CENTER (MUNSON) REVIEWS LARGE DOLLAR ACCOUNTS TO ENSURE ASSISTANCE HAS BEEN OFFERED TO PATIENTS BEFORE THE ACCOUNTS ARE TRANSFERRED TO A CREDIT AGENCY. ONCE AN ACCOUNT HAS BEEN TRANSFERRED TO A CREDIT AGENCY, THE AGENCY REVIEWS THE ACCOUNT TO SEE IF THE PATIENT WOULD BE A POSSIBLE CANDIDATE FOR FINANCIAL ASSISTANCE BEFORE FILING ANY LAWSUITS OR LIENS. MUNSON WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER THIS FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS SHALL INCLUDE: 1.VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENTS HAVE BEEN IDENTIFIED AND BILLED BY MUNSON; 2.DOCUMENTING THAT MUNSON HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE PURSUANT TO THIS POLICY AND THAT THE PATIENT HAS NOT COMPLIED WITH MUNSON'S APPLICATION REQUIREMENTS; 3.DOCUMENTING THAT THE PATIENT HAS BEEN OFFERED THE OPPORTUNITY TO ENTER INTO A PAYMENT PLAN BUT HAS NOT DONE SO, OR HAS ENTERED INTO A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN. THE METHOD IN WHICH MUNSON DOES THIS IS AS FOLLOWS: ALL STATEMENTS INCLUDE A STATEMENT REGARDING THE AVAILABILITY OF PAYMENT PLANS, FINANCIAL ASSISTANCE AND CHARITY CARE. MUNSON WORKS WITH THE COLLECTION AGENCIES TO IDENTIFY INDIVIDUALS THAT MAY QUALIFY FOR CHARITY. IF THEY FIND AN INDIVIDUAL, THEY MAY REFER THE PATIENT TO PATIENT ACCOUNTS FOR EVALUATION. ALL ACCOUNTS THAT ARE PATIENT-PAY RECEIVE A PHONE CALL TO MAKE THE PATIENT AWARE OF OUR FINANCIAL ASSISTANCE POLICY PRIOR TO THEM GOING TO COLLECTIONS. 16 FOSTER FAMILY COMMUNITY HEALTH CENT 550 MUNSON AVENUE TRAVERSE CITY MI 49686 OUTPATIENT COWELL FAMILY CANCER CENTER 217 S MADISON ST TRAVERSE CITY MI 49684 RADIATION THERAPY AND MRI WEST FRONT STREET BUILDING 3537 WEST FRONT STREET TRAVERSE CITY MI 49684 ORTHOPEDIC INST, RHEUMATOLOGY, HYPERTENS SMITH FAMILY BREAST HEALTH CENTER 4100 PARK FOREST DR SUITE 203 TRAVERSE CITY MI 49684 MAMMOGRAPHY AND WOMEN'S HEALTH INFUSION CLINIC 217 S MADISON ST TRAVERSE CITY MI 49684 IV THERAPY CHEMICAL DEPENDENCY CENTER 420 BROOK ST TRAVERSE CITY MI 49684 REHABILITATION MUNSON MANOR 1220 MEDICAL CAMPUS DR TRAVERSE CITY MI 49684 HOSPITALITY HOUSE ADVANCED WOUND CENTER 5085 ANNA DR TRAVERSE CITY MI 49684 PATIENT WOUND CARE MUNSON HOSPICE HOUSE 450 BROOK ST TRAVERSE CITY MI 49684 HOSPICE CARE HOUSE MUNSON RENAL DIALYSIS 4062 WEST ROYAL DRIVE TRAVERSE CITY MI 49684 RENAL DIALYSIS UNIT MMC SPECIALTY CLINIC 106 S MADISON STREET TRAVERSE CITY MI 49684 PEDIATRIC CARDIOLOGY THOMAS JUDD CARE CENTER 5041 NORTH ROYAL DRIVE TRAVERSE CITY MI 49684 HIV PREVENTION HARBOR SPINGS SPECIALTY CARE CLINIC 8881 M-119 HARBOR SPRINGS MI 49740 SPECIALTY CARE MUNSON HC GREAT LAKES PLASTIC SURGE 5085 ANNA DRIVE SUITE 2 TRAVERSE CITY MI 49684 PLASTIC SURGERY MUNSON HEALTHCARE NEUROLOGY 3922 CEDAR RUN ROAD TRAVERSE CITY MI 49684 NEUROLOGY MUNSON HC PULMONARY & CRITICAL CARE 5087 NORTH ROYAL DRIVE SUITE 1 TRAVERSE CITY MI 49684 PULMONARY SCHEDULE H, PART I, LINE 3C INCOME UP TO 200% OF THE FPG = 100% DISCOUNT ON CHARGES INCOME BETWEEN 201% AND 300% FPG = 75% DISCOUNT ON CHARGES INCOME BETWEEN 301% AND 400% FPG = 65% DISCOUNT ON CHARGES FAMILY INCOME MAY INCLUDE ALL INCOME ATTRIBUTABLE TO ALL MEMBERS OF THE FAMILY IN THE RESIDENCE, OTHER THAN MINIMAL AMOUNTS EARNED BY MINORS. FAMILY INCOME INCLUDES THE FOLLOWING WHEN COMPUTING FPG: EARNINGS, UNEMPLOYMENT COMPENSATION, WORKER'S COMPENSATION, SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, PUBLIC ASSISTANCE, VETERANS' PAYMENTS, SURVIVOR BENEFITS, PENSION OR RETIREMENT INCOME, INTEREST, DIVIDENDS, RENTS, ROYALTIES, INCOME FROM ESTATES, EDUCATIONAL ASSISTANCE, ALIMONY, CHILD SUPPORT, ASSISTANCE FROM OUTSIDE THE HOUSEHOLD, AND OTHER MISCELLANEOUS SOURCES; CASH, CHECKING AND SAVINGS BALANCES, MONEY MARKET ACCOUNTS, CERTIFICATES OF DEPOSIT, IRAS TRUSTS, INHERITANCES, ANNUITIES, SAVINGS BONDS, STOCKS, MUTUAL FUNDS, AND/OR CASH VALUE OF LIFE INSURANCE. SCHEDULE H, PART I, LINE 7G THE COSTS RELATED TO PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES TOTAL 78,056,271. THESE COSTS ARE OFFSET BY RELATED REVENUES IN COMPUTING THE NET COMMUNITY BENEFIT. SCHEDULE H, PART I, LINE 7, COLUMN (F) TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, ARE 766,593,955 AND THE PROPORTIONATE SHARE OF TOTAL EXPENSES OF THE AMBULATORY SURGERY CENTER IS 12,900,657. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS 4,793,165. THE NET EXPENSE OF 744,701,447 WAS USED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). SCHEDULE H, PART I, LINE 7 COST VALUES FOR LINE 7 ARE BASED ON THE COST TO CHARGE RATIO COMPUTATION OR ACTUAL CASH PAID. SCHEDULE H, PART II MUNSON MEDICAL CENTER BELIEVES COMMUNITY BUILDING ACTIVITIES PROMOTE HEALTH BY ADDRESSING UNDERLYING COMMUNITY HEALTH CHALLENGES. COMMUNITY BUILDING WORK IS DONE AT THE CORPORATE LEVEL ON BEHALF OF THE HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM. MUNSON HEALTHCARE HAS SHIFTED SIGNIFICANT RESOURCES TO THE DEVELOPMENT AND CONTINUATION OF REGION-WIDE COLLABORATIVES THAT ADDRESS ROOT CAUSES. CURRENT COMMUNITY BUILDING ACTIVITIES INCLUDE: THE NORTHERN MICHIGAN COMMUNITY HEALTH INNOVATION REGION (CHIR). THIS GROUP BRINGS TOGETHER CROSS-SECTOR PARTNERS, INCLUDING HEALTH DEPARTMENTS, BUSINESSES, RESIDENTS, AND HUMAN SERVICES TO ALIGN SYSTEMS AND PRIORITIES, DEVELOP A SHARED AGENDA, AND CO-LEAD STRATEGIES THAT TRANSFORM HEALTH AND WELLNESS IN NORTHERN MICHIGAN. THIS INTERDISCIPLINARY GROUP CONDUCTS A COLLABORATIVE, REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, WITH CONTINUED COORDINATION AS IMPLEMENTATION PLANS ARE DEVELOPED AND IMPLEMENTED. THIS WORK ENSURES STRATEGIES ADDRESS ROOT CAUSES, REDUCE DUPLICATION OF EFFORTS, AND IMPROVE IMPACT. TOGETHER, THIS GROUP ALSO DEVELOPED AND CONTINUES TO SUPPORT THE COMMUNITY CONNECTIONS MODEL WHERE CLIENTS ARE UNIVERSALLY SCREENED IN A HEALTHCARE SETTING AND CONNECTED TO COMMUNITY HEALTH WORKERS FOR SUPPORT WITH BASIC NEEDS. THE BEHAVIORAL HEALTH INSTITUTE (BHI) WAS FORMED IN RESPONSE TO THE BEHAVIORAL HEALTH CRISIS IN OUR REGION. THIS GROUP DEVELOPED A SHARED ROADMAP, INCLUDING TWELVE ACTION TEAMS, EACH OF WHICH MUNSON CONTRIBUTES TO. RECENT ACCOMPLISHMENTS INCLUDE: LAUNCH OF FIRST EVER BEHAVIORAL HEALTH INTERNSHIP WEBSITE WITH SEARCHABLE OPPORTUNITIES AND RESOURCES TO HELP STUDENTS RELOCATE TO RURAL, NORTHERN MICHIGAN. STIGMA REDUCTION EFFORTS, INCLUDING SURVEYS TO BETTER UNDERSTAND COMMUNITY PERCEPTIONS AROUND MENTAL ILLNESS AND SUBSTANCE USE DISORDER, VIDEO-BASED STORIES HIGHLIGHTING PEOPLE WITH LIVED EXPERIENCES, AND A YOUTH PHOTOVOICE PROJECT TO EDUCATE AUDIENCES AND ENCOURAGE FURTHER LEARNING. THE DEVELOPMENT OF A HEALTHY WORKPLACES = THRIVING EMPLOYEES TOOLKIT AND A LUNCH AND LEARN WEBINAR SERIES FOCUSED ON ACTIONABLE STRATEGIES TO HELP EMPLOYERS BETTER SUPPORT AND RETAIN THEIR BEHAVIORAL HEALTH PROVIDERS. DEVELOPMENT OF A COLLABORATIVE MODEL AND SUCCESSFUL GRANT APPLICATION TO FUND THE GRAND TRAVERSE CENTER FOR MENTAL WELLNESS CENTER, WHICH WILL PLAY AN IMPORTANT ROLE IN PEDIATRIC MENTAL HEALTH AND CRISIS STABILIZATION SERVICES. COMMUNITY HEALTH WORKER PILOT PROGRAMS IN MULTIPLE AREA SCHOOLS AND THE DEVELOPMENT OF A CHW NAVIGATOR TRAINING TO BETTER COORDINATE THE EXISTING, DISPARATE CHW SERVICES IN THE AREA. MUNSON HEALTHCARE ALSO LEADS THE REGION 2 AND 3 REGIONAL PERINATAL QUALITY COLLABORATIVE (RPQC). THE RPQC ADDRESSES ROOT CAUSES OF COMPLEX HEALTH ISSUES USING BOTH COMMUNITY AND CLINICAL APPROACHES BY BRINGING TOGETHER HEALTH CARE PROFESSIONALS, COMMUNITY PARTNERS, FAMILIES, FAITH-BASED ORGANIZATIONS, GREAT START COLLABORATIVES, HOME VISITING AGENCIES, AND OTHERS IN A UNIFIED, COLLABORATIVE EFFORT. THE GROUP CONVENES PERINATAL STAKEHOLDERS AND PARTNERS IN REGULAR MONTHLY MEETINGS TO ADDRESS THE REGIONS LARGEST CONCERNS WITH INDIVIDUALIZED ATTENTION. EFFORTS OF THIS GROUP AIM TO IMPROVE BIRTH OUTCOMES FOR BIRTHING PEOPLE, INFANTS AND FAMILIES THROUGH DATA-DRIVEN QUALITY IMPROVEMENT EFFORTS THAT ARE TAILORED TO THE STRENGTHS AND CHALLENGES OF THE REGION. FINALLY, THE MUNSON HEALTHCARE SYSTEM ACTIVELY ADVOCATES AT THE LOCAL, STATE, AND FEDERAL LEVEL ON ISSUES IMPACTING HEALTHCARE ACCESS IN RURAL AREAS. RECENT WORK INCLUDES SERVING IN BOTH A LEADERSHIP AND SUPPORTIVE ROLE IN PROJECTS TO INFLUENCE POLICIES THAT WOULD PROVIDE SUPPORT FOR TELEHEALTH SERVICES, BEHAVIORAL HEALTHCARE CRISIS SERVICES, WELLNESS PROGRAMMING AND EDUCATION, AFFORDABLE HOUSING, AND AIR AMBULANCE SERVICES. SCHEDULE H, PART III, LINE 2 DIRECT WRITE-OFF FROM UNPAID ACCOUNTS WHICH ARE DEEMED NO LONGER COLLECTIBLE ARE RECORDED AGAINST THE ALLOWANCE FOR BAD DEBT. AN ESTIMATE OF BAD DEBT EXPENSE IS RECORDED BASED ON 1) AN ANALYSIS OF THE DIRECT WRITE- OFFS AND 2) AN ESTIMATE OF THE AMOUNT OF BAD DEBT, NET OF DISCOUNTS, IN THE ACCOUNTS RECEIVABLE BALANCE, CONSIDERING THE PAST EXPERIENCE AND CURRENT TRENDS OF PAYMENTS ON PATIENT ACCOUNTS FOR EACH OF THE MAJOR PAYOR SOURCES OF REVENUE. SCHEDULE H, PART III, LINE 3 THE METHODOLOGY USED TO DETERMINE THE ESTIMATED AMOUNT OF CHARITY IN BAD DEBT IS AS FOLLOWS. WE DETERMINED THE APPROVAL RATE OF FINANCIAL COUNSELING BY TAKING THE VALUE OF THE ACCOUNTS THAT SUCCESSFULLY QUALIFIED FOR CHARITY (INCLUDING PRESUMPTIVE APPROVALS) AND DIVIDING THAT NUMBER BY THE ACCOUNTS THAT WERE APPROVED FOR CHARITY PLUS THE ACCOUNTS THAT WERE DENIED. THEN WE APPLIED THAT PERCENTAGE TO THE VALUE OF ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT, MULTIPLIED BY THE APPROVAL RATE FOR FINANCIAL COUNSELING. SCHEDULE H, PART III, LINE 4 SEE NOTE 2 ON PAGE 10 OF ATTACHED AUDITED FINANCIAL STATEMENTS UNDER ACCOUNTS RECEIVABLE. SCHEDULE H, PART III, LINE 8 MUNSON MEDICAL CENTER CONSIDERS THE ENTIRE MEDICARE SHORTFALL TO BE A BENEFIT TO THE COMMUNITY. THAT AMOUNT IS 11,766,372. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. SCHEDULE H, PART III, LINE 9B MUNSON HEALTHCARE'S (MHC) INTERNAL AND EXTERNAL COLLECTION PRACTICES REFERENCED IN THE CREDIT AND COLLECTION POLICY (INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NON-PAYMENT, INCLUDING COLLECTION ACTIONS AND REPORTING TO COLLECTION AGENCIES) SHALL TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MHC, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS/HER PAYMENT AGREEMENTS WITH MHC. FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, MHC MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS ON ANY UNPAID BALANCES ON ACCOUNTS THAT WERE OPENED WITHIN ONE YEAR OF THE DATE THAT THE PATIENT QUALIFIED FOR CHARITY UNDER THIS POLICY. MHC WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER THIS FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS SHALL INCLUDE: 1)VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT ALL SOURCES OF THIRD-PARTY PAYMENTS HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL; 2)DOCUMENTING THAT MHC HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE PURSUANT TO THIS POLICY AND THAT THE PATIENT HAS NOT COMPLIED WITH THE HOSPITAL'S APPLICATION REQUIREMENTS; 3)DOCUMENTATING THAT THE PATIENT HAS BEEN OFFERED THE OPPORTUNITY TO ENTER INTO A PAYMENT PLAN BUT HAS NOT DONE SO, OR HAS ENTERED INTO A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN. PATIENTS WILL BE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR A PERIOD OF AT LEAST 120 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. PATIENT BALANCES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE CONSIDERATION FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. MEMBERS OF THE PUBLIC MAY OBTAIN THE CURRENT CREDIT AND COLLECTION POLICY FOR ANY MUNSON HEALTHCARE HOSPITAL ON THE WEBSITE, IN WRITING, AND FREE OF CHARGE BY CONTACTING MUNSON HEALTHCARE PATIENT FINANCIAL SERVICES DEPARTMENT AT 4230 COPPER RIDGE DR., TRAVERSE CITY, MI 49684. SCHEDULE H, PART VI, LINE 2 THE HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM PARTICIPATE IN A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO MEET THE REQUIREMENTS OF IRC SEC 501(R) IN ACCORDANCE WITH THE PLANS OF THE COMMUNITY HEALTH COMMITTEE OF THE BOARD. IN ADDITION, THE HOSPITAL IS A MEMBER OF THE MUNSON HEALTHCARE SYSTEM, WHICH WORKS TO UNDERSTAND THE NEEDS OF THE SERVICE AREA THROUGH VARIOUS SERVICE LINE AND DEPARTMENT-BASED ASSESSMENT AND BUSINESS PLANNING STRATEGIES. THE HOSPITAL ALSO REGULARLY SEEKS INFORMATION FROM AND PARTICIPATES IN THE COUNTY COLLABORATIVE, MITHRIVE WORKGROUPS, AND OTHER REGIONAL COLLABORATIVES TO MAINTAIN CURRENT UNDERSTANDING OF COMMUNITY HEALTH NEEDS. THE HOSPITAL MAINTAINS A COMMUNITY HEALTHCARE COUNCIL MADE UP OF LOCAL LEADERS AND AREA ORGANIZATIONS WHICH PROVIDE INPUT INTO EMERGING TRENDS AND ISSUES SPECIFIC TO THEIR COMMUNITIES. FINALLY, THE HEALTHCARE SYSTEM MAINTAINS A STANDING COMMUNITY AND POPULATION HEALTH COMMITTEE (CHC) WHICH CONSISTS OF MUNSON HEALTHCARE BOARD MEMBERS FROM REGIONAL HOSPITALS AND OTHER INTERESTED AREA PHYSICIANS AND COMMUNITY MEMBERS. THE CHC MEETS AT LEAST QUARTERLY TO REVIEW EXISTING PROGRAMS AND SERVICES RELATED TO CURRENT COMMUNITY HEALTH NEEDS, CONSIDER THE MUNSON HEALTHCARE RESPONSE TO EMERGING HEALTH TRENDS, AND REVIEW NEW COMMUNITY HEALTH-BASED COLLABORATION OR PROGRAMS. SCHEDULE H, PART VI, LINE 3 IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE AND EDUCATE PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS: INFORMATION BROCHURES AVAILABLE AT THE REGISTRATION DESKS: BROCHURES THAT DESCRIBE MUNSON HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL REGISTRATION SITES. THE BROCHURE HAS CLEAR INFORMATION ON HOW TO CONTACT A FINANCIAL COUNSELOR. STATEMENT ON BILLS: STATEMENTS INCLUDE VERBIAGE THAT INSTRUCTS THE PATIENT TO CALL PATIENT FINANCIAL ASSISTANCE IF THEY NEED HELP WITH THEIR BILL. SIGNS IN THE ER REGISTRATION AREA: ADVISES THE PATIENTS THAT THEIR CARE IS NOT WITHHELD IF THEY HAVE NO INSURANCE OR MEANS TO PAY. THE MUNSON HEALTHCARE INTERNET HAS THE FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION, THE PLAIN LANGUAGE SUMMARY AND THE BILLING AND COLLECTIONS POLICY AVAILABLE TO REVIEW AND PRINT. REFERRAL BY REGISTRATION STAFF: AT THE TIME OF REGISTRATION, SELF-PAY PATIENTS OR ANY PATIENT THAT MAY HAVE CONCERNS REGARDING THEIR UPCOMING ADMISSION IS REFERRED TO THE FINANCIAL COUNSELING STAFF. MUNSON HEALTHCARE FINANCIAL COUNSELORS ARE AVAILABLE TO TALK WITH PATIENTS ABOUT THEIR FINANCIAL CONCERNS. THE COUNSELORS VISIT ALL INPATIENTS THAT ARE DEEMED SELF-PAY, TO SEE IF THEY HAVE CONCERNS AND TO DETERMINE IF THEY WOULD LIKE HELP. IF THE PATIENT WOULD LIKE HELP, THE COUNSELORS GATHER INCOME INFORMATION AND SCREEN THE PATIENT FOR MEDICAID. GENERALLY, THESE TWO ACTIONS WILL DETERMINE WHAT PROGRAM THE PATIENT MIGHT QUALIFY FOR. ONCE THE COUNSELOR DETERMINES WHAT THE PATIENT MAY QUALIFY FOR, THE COUNSELOR EDUCATES THE PATIENT ON THE AVAILABLE PROGRAMS AND ASSISTS THEM WITH COMPLETING THE APPROPRIATE APPLICATIONS. THE COUNSELORS ALSO IDENTIFY ALL SELF-PAY OUTPATIENTS AND GO THROUGH THE SAME PROCESS, ONLY BY PHONE. THE GOAL IS TO TALK WITH PATIENTS PRIOR TO ADMISSION, BUT WHEN THAT IS NOT POSSIBLE, THE CALL IS MADE SOON AFTER DISCHARGE. AVAILABLE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO: MEDICAID (AND ALL OF ITS SUBSETS), SOCIAL SECURITY DISABILITY, TRAVERSE HEALTH CLINIC, MUNSON HEALTHCARE FINANCIAL ASSISTANCE, AND MUNSON MEDICAL CENTER MEDS PROGRAM. MUNSON HEALTHCARE MAKES A PHONE CALL TO ALL PRIVATE-PAY PATIENTS PRIOR TO TRANSFERRING THEIR ACCOUNT TO A COLLECTION AGENCY TO INFORM THEM OF OUR FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART VI, LINE 4 DESCRIPTION MUNSON MEDICAL CENTER (MMC) IS THE LARGEST HOSPITAL IN NORTHERN LOWER PENINSULA OF MICHIGAN, WITH 442 LICENSED ACUTE CARE BEDS AND FACILITIES ON TWO MAJOR CAMPUSES. ONE OF NINE HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM, MMC SERVES AS A RURAL REFERRAL CENTER FOR THE SURROUNDING 24-COUNTY AREA. THE HOSPITAL HAS 939 ACTIVE MEDICAL STAFF (PRIMARY FACILITY). WITH MORE THAN 5,000 EMPLOYEES, MMC IS ONE OF THE LARGEST EMPLOYERS IN NORTHERN MICHIGAN. THE HOSPITAL SERVED 18,512 INPATIENT ADMISSIONS, MORE THAN 15,000 SURGICAL CASES, 1,724 BIRTHS, AND OVER 50,000 EMERGENCY ROOM VISITS IN FISCAL YEAR 2023. DUE TO ITS GEOGRAPHIC LOCATION AND COMPREHENSIVE ARRAY OF SERVICES OFFERED, MMC IS DESIGNATED A RURAL REFERRAL CENTER BY THE CENTERS FOR MEDICARE AND MEDICAID. MMC IS ALSO RECOGNIZED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AS A SOLE COMMUNITY HOSPITAL. BECAUSE OF THIS STATUS, IT IS EQUIPPED TO PROVIDE CRITICAL CARE FOR PATIENTS ACROSS THE 24-COUNTY REGION. HOSPITAL SERVICES MUNSON MEDICAL CENTER IS THE REGIONAL REFERRAL CENTER FOR ALL OF NORTHERN MICHIGAN. THE 442 BED HOSPITAL HAS EARNED A NATIONAL REPUTATION FOR TOP QUALITY CARE. MUNSON MEDICAL CENTER SERVES AS A ROBUST TEACHING HOSPITAL FOR RESIDENTS, INTERNS, MEDICAL STUDENTS, AND NURSING STUDENTS. WE PARTNER WITH MICHIGAN STATE UNIVERSITY, NORTHWESTERN MICHIGAN COLLEGE, AND OTHER ACADEMIC CENTERS TO EXPERTLY TRAIN THE NEXT GENERATION OF HEALTH CARE PROVIDERS. HEART AND CANCER RESEARCH PROGRAMS AT MUNSON MEDICAL CENTER GIVE NORTHERN MICHIGAN PATIENTS ACCESS TO NATIONALLY-FUNDED CLINICAL TRIALS AND THE MOST PROMISING TREATMENTS BEFORE THEY BECOME WIDELY AVAILABLE. A BROAD SPECTRUM OF DIAGNOSTIC AND THERAPEUTIC SERVICES SUPPORT MMC'S PROGRAMS, INCLUDING: COMPREHENSIVE RADIOLOGY SERVICES WITH CT, MRI (TRADITIONAL, OPEN BORE, AND BREAST), PET/CT, ULTRASOUND, NUCLEAR MEDICINE, DIGITAL MAMMOGRAPHY, AND X-RAY MUNSON MEDICAL CENTERS STATE-OF-THE-ART COWELL FAMILY CANCER CENTER, WHICH INCLUDES STEREOTACTIC RADIOSURGERY, OTHER ADVANCED RADIATION THERAPIES, MEDICAL ONCOLOGY, AND BROAD SUPPORT SERVICES, IS PART OF THE MUNSON HEALTHCARE REGIONAL CANCER NETWORK SERVING ALL OF NORTHERN MICHIGAN. COMPREHENSIVE REHABILITATION SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL, SPEECH AND HEARING, AND WOUND THERAPY PROGRAMS A DEDICATED CARDIAC DIAGNOSTIC SUITE USING THE LATEST IN ECHOCARDIOGRAPHY, AN ADJACENT LAB FOR DIAGNOSTIC CATHETERIZATION AND ELECTROPHYSIOLOGY STUDIES, AND A DEDICATED CARDIAC REHABILITATION AND PREVENTION PROGRAM MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES HOME HEALTH, DURABLE MEDICAL EQUIPMENT (DME), AND DIALYSIS SERVICES. POPULATION SERVED MUNSON MEDICAL CENTER IS IN TRAVERSE CITY, MI AND IS THE REGIONAL REFERRAL CENTER FOR ALL NORTHERN MICHIGAN. THE HOSPITALS PRIMARY SERVICE AREA INCLUDES GRAND TRAVERSE, BENZIE, LEELANAU, ANTRIM, AND KALKASKA COUNTIES. THE FOLLOWING DEMOGRAPHICS APPLY TO GRAND TRAVERSE COUNTY, WHICH IS THE LARGEST COUNTY WITHIN THE SERVICE AREA: TOTAL POPULATION: 96,464. MEDIAN HOUSEHOLD INCOME: 64,033. 21.3% OF ADULTS ARE AGE 65 OR OLDER WITH THE MEDIAN AGE OF 43. THE RACIAL MAKEUP OF THE COUNTY IS 95% WHITE, 0.9% BLACK OR AFRICAN AMERICAN, 1.3% AMERICAN INDIAN/ALASKAN NATIVE, 0.9% ASIAN, 3.3% HISPANIC OR LATINO. OF PEOPLE AGED 25 OR OLDER, 95.2% HAVE A HIGH SCHOOL DIPLOMA OR HIGHER. THE UNEMPLOYMENT RATE IS 3.2% WHICH IS THE SECOND LOWEST IN THE STATE. QUALITY MMCS REPUTATION FOR THE HIGHEST QUALITY CARE IS REPRESENTED BY REPEATED NATIONAL RECOGNITION RECEIVED. MMC IS FULLY ACCREDITED BY THE JOINT COMMISSION, AN INTERNATIONALLY- RECOGNIZED SYMBOL OF HEALTH CARE QUALITY. THE ACCREDITATION PROCESS DRIVES QUALITY CARE AND PATIENT SAFETY IMPROVEMENTS THROUGH NATIONALLY RECOGNIZED EVIDENCE-BASED STANDARDS WHICH ADDRESS CRITICAL PATIENT SAFETY AND QUALITY ISSUES, NATIONAL PATIENT SAFETY GOALS, AND PERFORMANCE MEASURES WHICH PROVIDE A FOUNDATION FOR QUALITY. THE JOINT COMMISSION, ALONG WITH THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION HAS CERTIFIED MMC AS A PRIMARY STROKE CENTER SINCE 2012 FOR MEETING ALL CRITICAL ELEMENTS OF PERFORMANCE TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES FOR STROKE PATIENTS. CERTIFICATION RECOGNIZES HOSPITALS THAT HAVE A DEDICATED STROKE-FOCUSED PROGRAM, ARE STAFFED BY QUALIFIED MEDICAL PROFESSIONALS TRAINED IN STROKE CARE, INVOLVE THE PATIENT IN THEIR HOSPITAL CARE, AND WHO USE DATA TO ASSESS AND CONTINUALLY IMPROVE QUALITY OF CARE FOR STROKE PATIENTS. MMC WAS HONORED AGAIN IN AUGUST 2023 WITH THE ASSOCIATION'S 2023 GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD ALONG WITH THE TARGET STROKE HONOR ROLL ELITE AWARD. MMC IS RATED FOUR STARS BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE CMS HOSPITAL COMPARE RATING SYSTEM METHODOLOGY FOR 2023 INVOLVES MEASURES FROM FIVE QUALITY CATEGORIES - MORTALITY, SAFETY OF CARE, READMISSION, PATIENT EXPERIENCE, AND TIMELY AND EFFECTIVE CARE. MUNSON MEDICAL CENTER RECEIVED AN A GRADE FROM THE LEAPFROG GROUP IN SPRING 2023. THE TWICE YEARLY REPORT CARD FROM THE HOSPITAL QUALITY ORGANIZATION. MUNSON MEDICAL CENTER RECEIVED RECOGNITION AS ONE OF THE NATIONS 100 TOP HOSPITALS BY FORTUNE/MERATIVE IN JULY 2022 AND AS ONE OF THE TOP 15 TEACHING HOSPITALS IN THE NATION. MMC IS BLUE CROSS/BLUE SHIELD DISTINCTION CENTER IN MATERNITY, BARIATRIC, CARDIAC CARE FOR DEMONSTRATING ITS EXPERTISE IN DELIVERING SAFE AND EFFECTIVE CARE, MEETING OUTLINED QUALITY MEASURES AND DEMONSTRATING EXPERTISE IN THESE AREAS. MMCS SMITH FAMILY BREAST HEALTH CENTER IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE THREE-YEAR RECOGNITION IS A PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS. THE NAPBC IS A CONSORTIUM OF PROFESSIONAL ORGANIZATIONS DEDICATED TO THE IMPROVEMENT OF THE QUALITY OF CARE AND MONITORING OF OUTCOMES OF PATIENTS WITH DISEASE OF THE BREAST. ACCREDITATION BY THE NAPBC IS ONLY GIVEN TO THOSE CENTERS THAT HAVE VOLUNTARILY COMMITTED TO PROVIDE THE HIGHEST QUALITY BREAST CARE AND THAT UNDERGO A RIGOROUS EVALUATION AND REVIEW OF THEIR PERFORMANCE. THE CENTER HAS BEEN DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY SINCE 2010. SCHEDULE H, PART VI, LINE 5 MUNSON MEDICAL CENTER UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND IMPROVE CARE TO PATIENTS THROUGHOUT THE SERVICE AREA. THESE FUNDS ARE REINVESTED INTO OUR HOSPITALS IN THE FORM OF EMPLOYEE WAGE AND BENEFIT ENHANCEMENTS, TECHNOLOGY, AND SERVICES NEEDED TO ENSURE THE HIGHEST QUALITY CARE IS AVAILABLE IN NORTHERN MICHIGAN. THE HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF WHERE 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. IN ADDITION, THE HOSPITAL CONTINUES SUPPORT FOR EXISTING COMMUNITY HEALTH PROGRAMMING AND INITIATIVES WHILE INVESTING IN NEW AND EXPANDED OFFERINGS: FOR OVER 20 YEARS, HEALTHY FUTURES A PARTNERSHIP OF MUNSON HEALTHCARE, LOCAL HEALTH DEPARTMENTS, AND PROVIDER OFFICES HAS HELPED PARENTS AND BABIES HAVE A HEALTHY START. THIS INCLUDES A POSTPARTUM HOME VISITING PROGRAM, 1:1 BREASTFEEDING ASSISTANCE, INFANT SLEEP AND IMMUNIZATION EDUCATION, AND AGE-APPROPRIATE NEWSLETTERS AND TEXT MESSAGES. HEALTHY FUTURES ENROLLS OVER 1,300 FAMILIES ANNUALLY. EXPANSION OF SUBSTANCE USE DISORDER TREATMENT, INCLUDING THE DEVELOPMENT OF A STANDARD PROTOCOL TO EXTEND BEST PRACTICE TREATMENT ACROSS THE SERVICE AREA. THIS STANDARD ALLOWS FOR THE INITIATION OF TREATMENT IN EMERGENCY MEDICINE SETTINGS WITH WARM HANDOFFS TO PRIMARY CARE. WORK CONTINUES TO INCREASE THE NUMBER OF ACCESS POINTS AND ENHANCE TRAINING AND EDUCATION. IN TANDEM WITH TREATMENT EXPANSION, MUNSON HEALTHCARE CONTINUES TO SUPPORT AND EXPAND HARM REDUCTION EFFORTS, INCLUDING MAKING NARCAN KITS AVAILABLE IN ALL EMERGENCY DEPARTMENTS, OFFERING TRAINING AND EDUCATION TO EMERGENCY RESPONDERS, AND PROMOTING MEDSAFE RETURN RECEPTACLES TO INCREASE UNUSED MEDICATION COLLECTION. HIGH TECH HIGH TOUCH (HTH2) IS A SCREENING-BASED PREVENTION TOOL TO SUPPORT SELF-DISCLOSURE OF SUBSTANCES USED DURING PREGNANCY AND CONNECT PATIENTS WITH BRIEF INTERVENTIONS AND EARLY TREATMENT. WORK HAS SUPPORTED THE SUCCESSFUL IMPLEMENTATION OF THE TOOL IN 60 PERCENT OF AREA CLINICS SERVING PREGNANT PEOPLE, WITH CONTINUED WORK TO IMPLEMENT WITHIN THE REMAINING OFFICES. EAT SLEEP CONSOLE IS A FAMILY-CENTERED, BEST PRACTICE APPROACH FOR CARING FOR INFANTS WITH NEONATAL ABSTINENCE SYNDROME (NAS). IN THE PAST YEAR, MUNSON HEALTHCARE IMPLEMENTED THIS PRACTICE AT ALL BIRTHING HOSPITALS, INCLUDING THE PURCHASE OF EQUIPMENT AND HEALTHCARE TEAM EDUCATION, WHICH RESULTED IN IMPROVED CLINICAL OUTCOMES, INCLUDING PHARMACOLOGICAL MANAGEMENT AND LENGTH OF STAY. COLLABORATION WITH TRAVERSE HEALTH CLINIC AND GOODWILL NORTHERN MICHIGAN TO EXPAND THE STREET MEDICINE PROGRAM, WHICH EXTENDS PHYSICAL AND BEHAVIORAL HEALTHCARE TO INDIVIDUALS WHO ARE UNHOUSED IN THE TRAVERSE CITY AREA. THIS WORK ALSO CONNECTS PATIENTS WITH BASIC NEEDS, SUCH AS FOOD, CLOTHING, AND CLEAN WATER, WHILE ADVOCATING FOR AND CREATING PATHWAYS TO ATTAINABLE HOUSING. RECENT ADVANCEMENTS INCLUDE THE PROCUREMENT OF A MOBILE MEDICAL UNIT AND ELECTRONIC MEDICAL RECORD TO ENHANCE COORDINATION OF CARE AND REACH MORE INDIVIDUALS. INITIATIVES AIMED AT THE REDUCTION AND MANAGEMENT OF CHRONIC DISEASE HAVE ALSO BEEN PRIORITIZED. THESE INCLUDE AN ENHANCED PARTNERSHIP WITH LOCAL HEALTH DEPARTMENTS TO IMPROVE THE REFERRAL AND FEEDBACK PROCESS FOR PATIENTS WHO USE TOBACCO. IN ADDITION, CONTINUED PARTNERSHIP WITH LOCAL GROCERY, FARMERS MARKETS, AND MICHIGAN STATE UNIVERSITY EXTENSION EXTENDS ACCESS TO FREE NUTRITION AND COOKING EDUCATION AND VOUCHERS TO PURCHASE FRUITS AND VEGETABLES THROUGH THE PRESCRIPTION FOR HEALTH PROGRAM. DIABETES EDUCATION CONTINUES TO BE AN IMPORTANT SERVICE AND CONTINUES TO EXPAND OFFERINGS TO MEET DEMAND, INCLUDING VIRTUAL IMPROVEMENTS, GROUP CLASSES, ADDITIONAL EDUCATORS, AND A STREAMLINED INTAKE PROCESS. FINALLY, THE HEALTHCARE SYSTEM HAS COMPLETED FOUNDATIONAL WORK NEEDED TO EXPAND DIRECT PATIENT OUTREACH EFFORTS USING TEXT REMINDERS FOR IMPORTANT HEALTH SCREENINGS AND RESOURCES, SUCH AS CANCER, DIABETES MANAGEMENT, AND TOBACCO CESSATION. THESE ENHANCED DIRECT PATIENT REMINDERS AND EDUCATION PROGRAMS ARE EXPECTED TO BEGIN IN FY24. THE ORGANIZATION PROVIDES 1:1 SUPPORT TO PATIENTS ENROLLING IN PUBLIC ASSISTANCE PROGRAMS, SUCH AS MEDICAID AND MAKES REFERRALS TO OTHER COMMUNITY SERVICES. THE ORGANIZATION OFFERS ROBUST STUDENT, INTERN, AND RESIDENCE EXPERIENCES AT EACH OF THE SYSTEMS HOSPITALS AND CONTRIBUTES TO COMMUNITY-WIDE EFFORTS THAT HELP STUDENTS IDENTIFY PLACEMENTS. MHC MAKES FINANCIAL CONTRIBUTIONS TO COMMUNITY CAUSES AND EVENTS FOCUSED ON MENTAL HEALTH, CHRONIC DISEASE, AND HOUSING, WHILE PARTICIPATING ON SPECIFIC COMMITTEES AND BOARDS WORKING TO ADDRESS SYSTEMATIC CHALLENGES FACING THESE PRIORITY AREAS. ADDITIONALLY, MUNSON MEDICAL CENTER SUPPORTS HEALTH AND WELLBEING THROUGH SPONSORSHIP OF THE BAYSHORE MARATHON AND BAYSHORE KIDS MARATHON. THIS EVENT IS HOSTED BY TRAVERSE CITY TRACK CLUB AND DRAWS THOUSANDS OF PARTICIPANTS ANNUALLY. THE TRAVERSE CITY COMMUNITY HAS BENEFITTED FROM THE BAYSHORE EVENTS IN MANY WAYS INCLUDING THE GROWTH OF SAFE PLACES TO BE ACTIVE. THE BAYSHORE KIDS MARATHON IS A HEALTH ADVOCACY INITIATIVE THAT OFFERS HANDS-ON EDUCATION TO ENCOURAGE KIDS TO BE MORE ACTIVE. THE HOSPITAL FUNDS THE MEDS PROGRAM WHICH HELPS UNINSURED OR UNDERINSURED PATIENTS ACCESS FREE AND REDUCED COST MEDICATIONS. SCHEDULE H, PART VI, LINE 6 MUNSON MEDICAL CENTERS SOLE CORPORATE MEMBER IS MUNSON HEALTHCARE, A 501 (C)(3) CORPORATION. THE MUNSON HEALTHCARE SYSTEM CONSISTS OF A MAJOR TERTIARY REFERRAL HOSPITAL, SEVERAL RURAL-BASED MEDICAL CENTERS, EXTENSIVE OUTPATIENT TREATMENT AND REHABILITATION FACILITIES, AND ANCILLARY EMERGENCY, TRANSPORTATION AND HOME-BASED MEDICAL SERVICES THAT COVER 24 COUNTIES IN MICHIGANS NORTHERN LOWER PENINSULA AND THE EASTERN PORTION OF THE UPPER PENINSULA. THE MOST SIGNIFICANT OF THE MUNSON HEALTHCARE SUBSIDIARIES IS MUNSON MEDICAL CENTER (MMC). MMC IS ONE OF NINE NOT-FOR-PROFIT HOSPITALS WHICH ARE AFFILIATED WITH EACH OTHER AND SERVE AS THE ONLY HOSPITALS IN THEIR COMMUNITIES. EACH OF THE AFFILIATED HOSPITALS HAS INDIVIDUAL COMMUNITY HEALTH INITIATIVES AND/OR PROMOTION ACTIVITIES, AS WELL AS SHARED INITIATIVES. THE OWNED HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM WHICH INCLUDE MUNSON MEDICAL CENTER, PAUL OLIVER MEMORIAL HOSPITAL, MUNSON HEALTHCARE CADILLAC, MUNSON HEALTHCARE GRAYLING, MUNSON HEALTHCARE CHARLEVOIX HOSPITAL, MUNSON HEALTHCARE MANISTEE HOSPITAL AND MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL PROVIDED 150.6 MILLION OF COMMUNITY BENEFIT IN THE 2022 TAX YEAR. ADDITIONALLY, MMC WORKS IN COOPERATION WITH OTHER ENTITIES IN THE MUNSON HEALTHCARE SYSTEM TO PROVIDE A FULL RANGE OF HEALTH SERVICES TO THE COMMUNITIES IN ITS SERVICE AREA. THE HOME HEALTH DIVISION OF MUNSON HEALTHCARE PROVIDES HOME NURSE AND AIDE SERVICES IN ADDITION TO DURABLE MEDICAL EQUIPMENT AND A PALLIATIVE CARE AND HOSPICE PROGRAM ON THE MUNSON CAMPUS. COMMUNITY BENEFIT, IN THE FORM OF CHARITY CARE AND UNREIMBURSED MEDICAID ARE PROVIDED THROUGH THIS DIVISION EACH YEAR. MUNSON MEDICAL GROUP, THE EMPLOYED PHYSICIAN ORGANIZATION IN THE SYSTEM, PROVIDED 4.2 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN TAX YEAR 2022. 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 172.1 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS, INCLUDING NUMEROUS UNCOMPENSATED COMMUNITY HEALTH IMPROVEMENT SERVICES AND PROGRAMS, OUTREACH PROGRAMS, BAD DEBT, AND UNREIMBURSED MEDICARE AND MEDICAID SERVICES TO NORTHERN MICHIGAN. SCHEDULE H, PART VI, LINE 7 MICHIGAN true TRAVERSE HEALTH CLINIC & COALITION 1719 S GARFIELD AVENUE TRAVERSE CITY MI 49686 300224028 501C3 10193 FMV MEDICATION MEDICALLY UNDERSERVE 1 CANCER SUPPORT GROUPS 350 17354 UTILITY, INSUR, TRANS PMT 732 296694 MEDICAL, TRNS, FOOD, DRUG 170 31858 HEALTHY FUTURES PROGRAM 8660 88473 SCHEDULE I, PAGE 1, PART I, LINE 2 MUNSON MEDICAL CENTER AWARDS MOST GRANTS BASED ON AN APPLICATION PROCESS FOR PRE-APPROVED SERVICES AND PURCHASES IN ACCORDANCE WITH PROTOCOLS ESTABLISHED WITH CASE MANAGERS WORKING FOR THE DEPARTMENTS WHICH APPLY FOR ASSISTANCE. THE ASSISTANCE CAN EITHER BE REQUESTED FOR THE DEPARTMENT OR ON BEHALF OF PATIENTS WHO INDICATE AN UNMET NEED THAT POSES A BARRIER TO THE RECEIPT OF HEALTH CARE SERVICES. CASE MANAGERS MONITOR THE USE OF THE FUNDS IN LINE WITH THE PROTOCOLS. MUNSON MEDICAL CENTER MAINTAINS RECORDS OF SUPPORT FOR EXPENSES USED FOR FUNDED REQUESTS. MUNSON MEDICAL CENTER MAY AWARD A GRANT OR CONTRIBUTION TO ANOTHER TAX- EXEMPT ORGANIZATION BASED ON A REQUEST FOR REIMBURSEMENT FOR PRE-APPROVED SERVICES OR PURCHASES. THE AWARD IS BASED ON AN EVALUATION OF THE USE OF THE FUNDS FOR THE PROMOTION OF HEALTH IN THE COMMUNITY. THE ONGOING RELATIONSHIP OF MUNSON MEDICAL CENTER WITH ITS PARTNERS IN THE COMMUNITY FOR THE PROMOTION OF HEALTH ALLOWS FOR THE MONITORING OF THE GRANT AWARD. X true true X X X X true true false false false false false true false EDWIN A NESS DIRECTOR 984135 271268 819521 195058 34013 2303995 776855 GARY RAJAH JR MD NEUROSURGEON 1126965 204176 368 15280 9440 1356229 THOMAS SCHERMERHORN MD NEUROSURGEON 907696 5000 22827 27048 11434 974005 JOHN CAMPBELL MD NEUROSURGEON 853112 5000 21436 15280 29447 924275 JOEL STREHL DO SURGEON 715405 116454 626 10159 15038 857682 JUSTINE PEARL MD NEUROSURGEON 775908 5000 420 15280 9300 805908 LAURA GLENN PRESIDENT AMB SERVIC 565550 126428 861 80280 23537 796656 MATTHEW WILLE CEO & PRESIDENT 477584 113963 20915 66153 27619 706234 ALICIA MAITLAND CFO PART-YR 249058 105150 81420 14698 12936 463262 CASEY KANDOW VP ANCILLARY SERVICE 332447 96453 6130 21801 456831 38923 ELLEN SMITH COO PHYSICIAN NTWRK 323437 54090 2667 54746 2942 437882 TONYA SMITH DIRECTOR 293848 112050 6965 5411 17226 435500 TAMARA PUTNEY CNO, VP PATIENT CARE 243983 41490 814 29217 10446 325950 KATHLEEN MALY INTERIM CFO PART-YR 254344 10326 23720 13974 18200 320564 KATHLEEN LARAIA VP ONCOLOGY & PROF S 142533 46201 22459 5914 1774 9180 996 16802 5220 196888 54191 SCHEDULE J, PAGE 1, PART I, LINE 1A MUNSON HEALTHCARE MAINTAINS A SOCIAL MEMBERSHIP AT THE TRAVERSE CITY COUNTRY CLUB. A REQUIREMENT OF THE COUNTRY CLUB IS THAT A MEMBERSHIP BE IN AN INDIVIDUAL NAME AND NOT A CORPORATE NAME, SO EDWIN NESS IS LISTED AS THE INDIVIDUAL FOR THE MEMBERSHIP. MUNSON HEALTHCARE USES THE SOCIAL MEMBERSHIP TO CONDUCT OFF-SITE MEETINGS AND RETREATS. SCHEDULE J, PAGE 1, PART I, LINE 4 EDWIN A. NESS 0 179,779 0 LAURA GLENN 0 65,000 0 MATTHEW WILLE 0 50,873 0 CASEY KANDOW 12,730 0 0 ELLEN SMITH 0 40,000 0 TAMARA PUTNEY 0 16,829 0 SCHEDULE J, PAGE 1, PART I, LINE 7 MUNSON HEALTHCARE EXECUTIVES ARE ELIGIBLE FOR AN ANNUAL BONUS BASED ON MEETING ORGANIZATIONAL GOALS, WHICH ARE SET IN ADVANCE AND APPROVED BY THE COMPENSATION COMMITTEE OF THE MUNSON HEALTHCARE BOARD. THE GOALS INCLUDE A COMBINATION OF FINANCIAL TARGETS, STRATEGIC TARGETS AND OPERATIONAL TARGETS INCLUDING QUALITY HEALTHCARE DELIVERY, DISEASE MANAGEMENT, PATIENT SATISFACTION, EMPLOYEE SAFETY, AND EMPLOYEE ENGAGEMENT. AT THE END OF EACH FISCAL YEAR, THE COMPENSATION COMMITTEE OF THE MUNSON HEALTHCARE BOARD IS CHARGED WITH REVIEWING AND APPROVING EXECUTIVE BONUSES BASED ON PROGRESS TOWARD MEETING ORGANIZATIONAL GOALS. SCHEDULE J, PART III PART I, LINE 4A 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 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. PART I, LINE 4B 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. AIMEE MATTIS SEE PART V 69420 COMPENSATION PAID false SCHEDULE L, PART V 1. AIMEE MATTIS IS THE DAUGHTER OF BOARD MEMBER KATHY DIXON. TRANSFER INVESTMENTS 2022-07-26 802552013 MARKET VAL 382640544 MUNSON HEALTHCARE 1105 SIXTH STREET TAVERSE CITY MI 49684 501(C)(3) false false false false SCHEDULE N TRANSFER INVESTMENTS TO MUNSON HEALTHCARE, PARENT CORPORATION. FORM 990, PAGE 6, PART VI, LINE 6 MUNSON MEDICAL CENTER IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS. THE SOLE MEMBER IS MUNSON HEALTHCARE, AN IRS SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. IN THE EVENT OF DISSOLUTION, MUNSON MEDICAL CENTER'S NET ASSETS WOULD BE DISTRIBUTED TO MUNSON HEALTHCARE. FORM 990, PAGE 6, PART VI, LINE 7A MUNSON HEALTHCARE, AS THE SOLE MEMBER, ELECTS THE TRUSTEES FOR ALL SUBSIDIARY ENTITIES, INCLUDING MUNSON MEDICAL CENTER. THE BOARD OF TRUSTEES OF MUNSON MEDICAL CENTER CONSISTS OF THOSE INDIVIDUALS THAT ARE ELECTED OR APPOINTED TO SERVE AS THE DIRECTORS OF MUNSON HEALTHCARE. NOMINATIONS TO MUNSON HEALTHCARE ARE CONSIDERED AND RECOMMENDED BY THE MUNSON HEALTHCARE GOVERNANCE COMMITTEE. FORM 990, PAGE 6, PART VI, LINE 7B CERTAIN DECISIONS OF THE MUNSON MEDICAL CENTER (MMC) TRUSTEES ARE APPROVED BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS INCLUDING: ADOPTION, AMENDMENT, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF MMC; ADOPTION, EXECUTION, REVOCATION OR ABANDONMENT OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, OR REORGANIZATION INVOLVING MMC; SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF MMC; ACQUISITION OF OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF MMC; ADOPTION OF ALL OPERATING BUDGETS AND CAPITAL EXPENDITURE BUDGETS FOR MMC; INCURRENCE OF OPERATING OR CAPITAL EXPENDITURES BY MMC WHICH CAUSE THE AGGREGATE OPERATING OR CAPITAL EXPENDITURES TO EXCEED BUDGETED AGGREGATES BY MORE THAN FIVE PERCENT (5%) IN ANY FISCAL YEAR; INCURRENCE OF SECURED BORROWINGS OF MMC, WITH THE EXCEPTION OF EQUIPMENT LEASES AND PURCHASE MONEY SECURITY INTERESTS APPROVED AS PART OF MMC'S BUDGET; ADOPTION OR CHANGE IN THE MISSION STATEMENT, PURPOSES OR THE STRATEGIC GOALS OF MMC; CHANGING SUBSTANTIALLY THE SCOPE OF MMC'S CLINICAL SERVICES AND PROGRAMS OFFERED BY MMC; AND APPOINTMENT OR REMOVAL THE PRESIDENT OF MMC. FORM 990, PAGE 6, PART VI, LINE 11B THE MUNSON MEDICAL CENTER BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. THE MUNSON MEDICAL CENTER BOARD RECEIVES A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. 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 FINANCE AND AUDIT COMMITTEE OVERSEES THE FORM 990 PREPARATION PROCESS BY ENSURING PROPER CONTROLS, POLICIES, PEOPLE AND RESOURCES ARE IN PLACE TO PRODUCE AN ACCURATE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE MUNSON HEALTHCARE BOARD OF DIRECTORS (THE SYSTEM PARENT ORGANIZATION) HAS A STANDING CONFLICT, VALUATION AND COMPLIANCE ("CVC") COMMITTEE. THE CVC COMMITTEE IS COMPOSED OF INDEPENDENT BOARD AND COMMUNITY MEMBERS. THE CVC COMMITTEE IS DELEGATED AUTHORITY BY THE BOARD TO REVIEW AND APPROVE THE REASONABLENESS/FAIR MARKET VALUE OF FINANCIAL TRANSACTIONS/ARRANGEMENTS WITH DISQUALIFIED PERSONS. ANNUALLY, EACH BOARD MEMBER OF MUNSON HEALTHCARE AND ALL OF ITS SUBSIDIARY/CONTROLLED ENTITIES AND ALL MUNSON EXECUTIVES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE/QUESTIONNAIRE. THE RESPONSES TO THE DISCLOSURE/QUESTIONNAIRE ARE REVIEWED BY THE MUNSON LEGAL DEPARTMENT. ANY FINANCIAL ARRANGEMENTS/POTENTIAL CONFLICTS IDENTIFIED THROUGH THE DISCLOSURE/QUESTIONNAIRES ARE PRESENTED TO THE CVC COMMITTEE FOR ITS REVIEW AND DETERMINATION AS TO THE REASONABLENESS/FAIR MARKET VALUE. WHEN AN ACTION ITEM IS CONSIDERED BY A BOARD WHICH INVOLVES A POTENTIAL CONFLICT BY A BOARD MEMBER, THE CONFLICT IS DISCLOSED AND A BOARD MEMBER WILL ABSTAIN FROM A VOTE ON THE ACTION ITEM, AND, IN ADDITION, THE BOARD CHAIR HAS THE DISCRETION/AUTHORITY TO REQUEST THAT THE CONFLICTED BOARD MEMBER BE EXCUSED FROM THE MEETING FOR AN OPPORTUNITY FOR THE BOARD TO DISCUSS THE MATTER WITHOUT THE PRESENCE OF THE CONFLICTED BOARD MEMBER. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED THROUGH THE FOLLOWING PROCESS: FIRST, AN INDEPENDENT FIRM IS ENGAGED TO PROVIDE COMPARABILITY DATA. THEN, THAT DATA IS REVIEWED BY TWO MUNSON HEALTHCARE COMMITTEES, EACH OF WHICH ARE COMPRISED OF INDIVIDUALS WHO ARE NOT EMPLOYEES OR OTHERWISE INSIDERS (DEFINED AS BOARD MEMBERS, PHYSICIANS & EXECUTIVES) OF THE ORGANIZATION. FIRST, THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE EVALUATES THE DATA AND DETERMINES A RECOMMENDED COMPENSATION MODEL BASED ON THE COMPARABILITY DATA. NEXT, THE BOARD CONFLICT, VALUATION AND COMPLIANCE COMMITTEE REVIEWS THE RECOMMENDATIONS AS COMPARED TO THE COMPARABILITY DATA. THIS COMMITTEE'S ROLE IS TO DETERMINE WHETHER THE PROPOSED COMPENSATION IS CONSISTENT WITH FAIR MARKET VALUE. IF PHYSICIANS ARE INCLUDED IN THE DEFINITION OF KEY EMPLOYEE, THE BOARD CONFLICT, VALUATION, AND COMPLIANCE COMMITTEE REVIEWS ALL FINANCIAL RELATIONSHIPS WITH PHYSICIANS AND COMPARES THE PROPOSED FINANCIAL ARRANGEMENT WITH COMPARABILITY DATA PRODUCED BY AN OUTSIDE, INDEPENDENT FIRM. PHYSICIAN COMPENSATION DOES NOT GO TO THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMPARABILITY DATA AS WELL AS THE MINUTES OF EACH OF THESE COMMITTEE MEETINGS ARE MAINTAINED FOR FUTURE REFERENCE. THE MHC BOARD APPROVES THE MHC CEO'S COMPENSATION. THE MHC BOARD HAS DELEGATED TO THE CVC COMMITTEE THE AUTHORITY TO REVIEW AND APPROVE COMPENSATION ARRANGEMENTS WITH INSIDERS. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION OF OTHER KEY EMPLOYEES IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON MEDICAL CENTER. FORM 990, PAGE 6, PART VI, LINE 19 THE MUNSON MEDICAL CENTER ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON MEDICAL CENTER DOES NOT MAKE THE BYLAWS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ANNUALLY, MUNSON HEALTHCARE, PARENT CORPORATION, SUBMITS ITS ANNUAL CONSOLIDATED FINANCIAL STATEMENTS TO THE MSRB IN COMPLIANCE WITH BOND DISCLOSURE REQUIREMENTS. ADDITIONALLY, MUNSON HEALTHCARE PREPARES AND DISTRIBUTES AN ANNUAL REPORT TO THE COMMUNITY, WHICH CONTAINS FINANCIAL AS WELL AS PROGRAM DATA FOR ALL HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM, INCLUDING MUNSON MEDICAL CENTER. FORM 990, PART IX, LINE 11G PURCHASED SERVICES 57,393,994 5,580,949 812,992 PROFESSIONAL FEES 36,671,552 434,001 0 TOTAL 94,065,546 6,014,950 812,992 FORM 990, PART XI, LINE 9 CHANGE IN PUBLIC FUNDING NET ASSETS 62,719 EQUITY TRANSFER FROM PARENT 120,000,000 TRANSFER LONG TERM DEBT TO PARENT 124,439,806 TRANSFER INVESTMENTS TO PARENT -802,552,013 CHANGE IN ACCOUNTING FOR INVEST MUNSON HC FOUND -20,460,735 TRANSFER TO AFFILIATE -25,000,000 TOTAL -603,510,223 MUNSON DIALYSIS CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 383097861 DIALYSIS MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382640544 HEALTHCARE MI C3 12B N/A false MUNSON HEALTHCARE FOUNDATIONS 1105 SIXTH ST TRAVERSE CITY MI 49684 382642724 RAISE FUND MI C3 7 MUNSON HC MUNSON HEALTHCARE true MUNSON HOME CARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382191390 HOME HEALT MI C3 10 MUN HOME H MUNSON HOME HEALTH true MUNSON HOME SERVICES 1105 SIXTH ST TRAVERSE CITY MI 49684 382543463 HOME HEALT MI C3 10 MUN HOME H MUNSON HOME HEALTH true NORTH FLIGHT INC 1105 SIXTH ST TRAVERSE CITY MI 49684 382657917 MED TRANSP MI C3 12B MUNSON HC MUNSON HEALTHCARE true PAUL OLIVER MEMORIAL HOSPITAL 1105 SIXTH ST TRAVERSE CITY MI 49684 381415623 HEALTHCARE MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON MEDICAL GROUP 1105 SIXTH ST TRAVERSE CITY MI 49684 273600575 PHYSICIAN MI C3 10 MUNSON MED MUNSON MEDICAL CENTER true MUNSON HEALTHCARE CADILLAC 1105 SIXTH ST TRAVERSE CITY MI 49684 471156297 HOSPITAL MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE GRAYLING 1105 SIXTH ST TRAVERSE CITY MI 49684 471161992 HOSPITAL MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE CHARLEVOIX HOSPIT 14700 LAKE SHORE DRIVE CHARLEVOIX MI 49720 381459366 HOSPITAL MI C3 3 MUNSON HC true MUNSON HEALTHCARE MANISTEE HOSPITAL 1465 E PARKDALE AVE MANISTEE MI 496609709 380350304 HOSPITAL MI C3 3 MUNSON HC true MUNSON HEALTHCARE OTSEGO MEMORIAL H 825 N CENTER AVE GAYLORD MI 497351592 381303843 HOSPITAL MI C3 3 MUNSON HC MUNSON HEALTHCARE true NORTHERN MICHIGAN SUPPLY ALLIANCE 2651 AERO PARK DR TRAVERSE CITY MI 49686 383453378 PURCHASING MI N/A false false MEDICAL OFFICE CONDOMINIUM ASSOCIATION PO BOX 1188 TRAVERSE CITY MI 496851188 201902620 REAL ESTAT MI N/A true SIXTH STREET DRUGS PO BOX 1188 TRAVERSE CITY MI 496851188 382298290 PHARMACY MI N/A true MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY MI 496851188 383144382 PHARMACY MI N/A true MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION PO BOX 1188 TRAVERSE CITY MI 496851188 383567278 REAL ESTAT MI N/A true true true true false false false false false false false true true true true true true true true true MUNSON DIALYSIS CENTER O 1787575 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER P 873000 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER Q 1622046 ACTUAL AMOUNT PAID MUNSON HEALTHCARE C 120000000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE M 90543472 ACTUAL AMOUNT PAID MUNSON HEALTHCARE O 62127691 ACTUAL AMOUNT PAID MUNSON HEALTHCARE P 82669077 ACTUAL AMOUNT PAID MUNSON HEALTHCARE Q 11483847 ACTUAL AMOUNT PAID MUNSON HEALTHCARE R 678112207 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC L 671892 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC M 167400 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC O 32154407 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC P 19065818 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC Q 19911282 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT L 383608 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT O 18457367 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT P 10370597 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT Q 8457953 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS C 8499298 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS M 812992 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS O 719645 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING L 457842 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING O 28437702 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING P 10644010 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING Q 11023461 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL L 152057 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL O 15013235 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL P 3820772 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL Q 2517244 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H L 237197 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H O 32995725 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H P 13389579 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H Q 12999948 ACTUAL AMOUNT PAID MUNSON HOME CARE A 10235 LEASE CONTRACT AMOUNT MUNSON HOME CARE O 12978414 ACTUAL AMOUNT PAID MUNSON HOME CARE P 439372 ACTUAL AMOUNT PAID MUNSON HOME CARE Q 241646 ACTUAL AMOUNT PAID MUNSON HOME SERVICES O 2056412 ACTUAL AMOUNT PAID MUNSON HOME SERVICES P 80263 ACTUAL AMOUNT PAID MUNSON HOME SERVICES Q 351602 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP B 25000000 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP M 197801 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP O 37284164 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP P 6092830 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP Q 2356426 ACTUAL AMOUNT PAID MUNSON SERVICES INC A 78600 LEASE CONTRACT AMOUNT MUNSON SERVICES INC O 1578123 ACTUAL AMOUNT PAID MUNSON SERVICES INC P 972721 ACTUAL AMOUNT PAID MUNSON SERVICES INC Q 12699176 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE A 277044 LEASE CONTRACT AMOUNT NORTHERN MICHIGAN SUPPLY ALLIANCE M 5514334 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE O 4670367 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE P 20107956 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE Q 3842362 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL L 59386 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL O 8572313 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL P 1115507 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL Q 2087039 ACTUAL AMOUNT PAID SIXTH STREET DRUGS A 45504 LEASE CONTRACT AMOUNT SIXTH STREET DRUGS O 431768 ACTUAL AMOUNT PAID SIXTH STREET DRUGS P 136314 ACTUAL AMOUNT PAID SIXTH STREET DRUGS Q 3965448 ACTUAL AMOUNT PAID SCHEDULE R MUNSON MEDICAL CENTER USED THE ACCRUAL METHOD OF ACCOUNTING TO VALUE THE TRANSACTIONS WITH RELATED ENTITIES. ALL INTERCOMPANY TRANSACTIONS WITH RELATED ENTITIES WERE REVIEWED, SUMMARIZED, AND RECONCILED TO DETERMINE THE DISCLOSURE AMOUNTS.