2025-05-14T13:40:05-04:00 2024-06-30 990 2023-07-01 382191390 MUNSON HOME CARE MUNS 2319357777 1105 SIXTH STREET TRAVERSE CITY MI 49684 PAUL KONOPACKI CFO 2319357777 2025-05-13 false 2023 2025-03-06 01:10:19Z SHARI WILSON 1105 SIXTH STREET TRAVERSE CITY MI 49684 24642656 false X WWW.MUNSONHEALTHCARE.ORG X 1977 MI MUNSON HOME CARE DELIVERS EXCELLENT CARE IN THE HOME FOR MUNSON HEALTHCARE PATIENTS AND THE RESIDENTS OF THE COMMUNITIES WE SERVE. MUNSON HOSPICE IS DEDICATED TO A TEAM APPROACH TO MANAGEMENT OF THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF THE TERMINALLY ILL AND THEIR LOVED ONES. 3 0 262 36 0 487579 650364 24121168 23992216 -46186 76 3798 0 24566359 24642656 0 0 18223509 17916272 0 26096 9346135 8467045 27569644 26383317 -3003285 -1740661 9048775 8860861 2455389 2508136 6593386 6352725 X MUNSON HOME CARE DELIVERS EXCELLENT CARE IN THE HOME FOR MUNSON HEALTHCARE PATIENTS AND THE RESIDENTS OF THE COMMUNITIES WE SERVE. MUNSON HOSPICE IS DEDICATED TO A TEAM APPROACH TO MANAGEMENT OF THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF THE TERMINALLY ILL AND THEIR LOVED ONES. false false 14138124 13903399 SKILLED HOME CARE - PROVIDE SKILLED NURSING, PHYSICAL THERAPY AND SOCIAL WORK SERVICES TO HOME BOUND PATIENTS. THERE WERE A TOTAL OF 66,730 VISITS IN TAX YEAR 2023. 7803761 9371987 HOSPICE HOUSE - OWN AND OPERATE AN END-OF-LIFE FACILITY TO PROVIDE COMPASSIONATE CARE TO PATIENTS AND THEIR FAMILIES. THERE WERE A TOTAL OF 52,501 DAYS OF CARE IN TAX YEAR 2023. 1461974 483286 PALLIATIVE CARE - MUNSON PALLIATIVE CARE ASSISTS IN CREATING AN ENVIRONMENT OF COMFORT, TRANQUILITY, DIGNITY, AND HEALTHY GRIEVING BASED ON PATIENT AND FAMILY WISHES. ALSO ASSISTS HEALTH CARE PROVIDERS IN TREATING PAIN AND OTHER SYMPTOMS IN THE LAST STAGES OF LIFE AND FACILITATES DIFFIULT CONVERSATIONS BETWEEN FAMILY MEMBERS AND HEALTH PROVIDERS. THERE WERE A TOTAL OF 4,815 VISITS IN TAX YEAR 2023. 23403859 true true false false false false false false false false true false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 13 0 true 262 true false false false false false false false false false false false false X 3 0 false false false false true true true true true false false true true true true true true true true false MI X NICOLE SULAK MUNSON HEALTHCARE 2319357777 4230 COPPER RIDGE DR BUILDING C TRAVERSE CITY MI 49684 PAUL KONOPACKI CFO 2.00 40.00 X 0 720042 86525 ROMAN BARRAZA MD MEDICAL DIRE 40.00 X 387876 0 22962 KELLY TOMASZEWSKI DIRECTOR 1.00 40.00 X 0 297671 65475 SHARI WILSON PRESIDENT 2.00 40.00 X X 0 278346 57345 KATHLEEN MALY FORMER INTER X 0 222122 7314 DAWN HALLECK SECRETARY/TR 2.00 40.00 X X 0 175229 41632 RENEE BAIRD PATIENT COOR 39.00 1.00 X 112420 2869 60657 KARLON ALTON DIRECTOR OF 40.00 X 124254 0 29950 REBECCA WILLIAMS HOME CARE MA 40.00 X 129331 0 14582 BILAL MALEK MD PHYSICIAN 40.00 X 121051 0 11551 874932 1696279 397993 14 true true false HALLMARK HEALTHCARE SOLUTIONS PO BOX 22937 NEW YORK NY 100872938 STAFFING 910451 HOMECARE HOMEBASE LLC PO BOX 678637 DALLAS TX 752678637 ELEC HEALTH REC 625462 AMERICAN HEALTHCARE STAFF ASSOC PO BOX 670529 DALLAS TX 752670529 STAFFING 533708 AUTUMNWOOD OF MCBAIN 220 S HUGHSTON ST MCBAIN MI 49657 PATIENT ROOMS 470925 SAMARITAS LUTHERAN SOCIAL SERVICES 460 PEARL ST CADILLAC MI 49601 PATIENT ROOMS 379171 9 650000 364 650364 MEDICARE AND MEDICAID PAYMENT 621610 12711123 12711123 PATIENT REVENUE 621610 11280753 11280753 QUALITY INCENTIVE 621610 340 340 23992216 76 76 24642656 23992216 76 X 14684723 14432312 252411 648569 637421 11148 1541390 1514896 26494 1041590 1023687 17903 3082550 2818382 264168 71995 61420 10575 177631 177631 69568 68372 1196 1019111 1006178 12933 12041 10681 1360 110809 98295 12514 124606 94631 29975 SHARED SERVICES 2338781 2312685 26096 MEDICAL SUPPLIES 1137519 1137519 BAD DEBT 253003 253003 DUES AND SUBSCRIPTIONS 32101 32101 37330 37330 26383317 23403859 2953362 26096 3030799 1304437 5157827 6948856 133767 129069 2992299 2513800 589307 478499 137075 9048775 8860861 2318314 2508136 137075 2455389 2508136 X 6593386 6352725 6593386 6352725 9048775 8860861 X -1740661 1500000 X false true X true false X 1223610 987568 3029183 487579 650364 6378304 26968808 26211160 21941426 24124966 23992216 123238576 28192418 27198728 24970609 24612545 24642580 129616880 129616880 95596 91492 90009 621 76 277794 95596 91492 90009 621 76 277794 28288014 27290220 25060618 24613166 24642656 129894674 0.99790 0.99730 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2148706 1797870 350836 832790 705127 127663 10803 10803 478499 false true false false false false false true false PAUL KONOPACKI CFO 582360 70000 67682 65902 20623 806567 ROMAN BARRAZA MD MEDICAL DIRECTOR HOS 358447 29130 299 13711 9251 410838 KELLY TOMASZEWSKI DIRECTOR 246534 51137 42498 22977 363146 SHARI WILSON PRESIDENT 255075 23271 37927 19418 335691 KATHLEEN MALY FORMER INTERIM CFO 84251 75000 62871 2947 4367 229436 DAWN HALLECK SECRETARY/TRESURER 169371 5858 19503 22129 216861 RENEE BAIRD PATIENT COORDINATOR 106490 5500 2869 430 37987 60 22156 454 172563 3383 KARLON ALTON DIRECTOR OF HOME CAR 122851 1000 403 6406 23544 154204 SCHEDULE J, PAGE 1, PART I, LINE 3 THE PROCESS FOR DETERMINING APPROPRIATE LEVELS OF PAY FOR EXECUTIVE POSITIONS WITHIN MUNSON HEALTHCARE SYSTEM IS CAREFULLY AND THOUGHTFULLY DIRECTED BY THE MUNSON HEALTHCARE 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. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE, AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. ANNUALLY, THE COMMITTEE RETAINS A NATIONAL INDEPENDENT CONSULTANT TO ENSURE MUNSON HEALTHCARE'S COMPENSATION PRACTICES AND LEVELS ARE INDEPENDENTLY REVIEWED WHILE BEING COMPETITIVE AND REASONABLE. THE MUNSON HEALTHCARE CONFLICT, VALUATION AND COMPLIANCE ("CVC") COMMITTEE ALSO REVIEWS THE SURVEY INFORMATION TO EVALUATE THE REASONABLENESS OF EXECUTIVE COMPENSATION. THAT ANALYSIS OCCURS EACH NOVEMBER. THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PAGE 1, PART I, LINE 4 PAUL KONOPACKI 0 56,002 0 KELLY TOMASZEWSKI 0 27,498 0 SHARI WILSON 0 26,000 0 DAWN HALLECK 0 10,491 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 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 OF MUNSON HEALTHCARE, A COMPETITIVE BENEFIT PACKAGE IS OFFERED WHICH INCLUDES PARTICIPATION IN A SUPPLEMENTAL RETIREMENT PLAN. ANNUAL CONTRIBUTIONS, AT MUNSON'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. THESE RETIREMENT FUNDS ARE AVAILABLE TO THE PARTICIPANTS UPON THEIR RETIREMENT FROM MUNSON. PART II, COLUMN B(III) IN JULY 2023, MUNSON HEALTHCARE TRANSITIONED EXECUTIVE PTO FROM AN ACCRUAL PLAN TO AN UP FRONT ANNUAL ALLOTMENT PLAN WITH A USE-IT-OR-LOSE-IT BALANCE DISPOSITION. CURRENT EXECUTIVES ON THE PTO ACCRUAL PLAN WERE PAID OUT THEIR EXISTING BALANCES IN JULY 2023. THE FIRST 80 HOURS OF ACCRUED PTO WAS PAID AT 90% OF VALUE AND THE BALANCE WAS PAID AT 80% OF VALUE. THIS PAYOUT IS LESS FAVORABLE THAN EXISTING POLICY, WHICH PAYS OUT ACCRUED PTO AT 100% UPON SEPARATION OF EMPLOYMENT. THIS ONE-TIME PAYOUT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J. FORM 990 - ORGANIZATION'S MISSION MUNSON HOME CARE DELIVERS EXCELLENT CARE IN THE HOME FOR MUNSON HEALTHCARE PATIENTS AND THE RESIDENTS OF THE COMMUNITIES WE SERVE. MUNSON HOSPICE IS DEDICATED TO A TEAM APPROACH TO MANAGEMENT OF THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF THE TERMINALLY ILL AND THEIR LOVED ONES. FORM 990, PAGE 6, PART VI, LINE 6 MUNSON HOME CARE HAS THREE CLASSES OF MEMBERS. THE CLASS A MEMBER IS MUNSON HOME HEALTH, A MICHIGAN NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SEC. 501(C)(3), WITH 95% INTEREST IN THE CORPORATION. THE OTHER TWO CLASS MEMBERS EACH HAVE A 2.5% INTEREST IN THE CORPORATION. ONE IS A MICHIGAN HOSPITAL AND ONE IS A MICHIGAN MUNICIPAL HEALTH FACILITY CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7A THE CLASS B MEMBER AND THE CLASS C MEMBER EACH SHALL HAVE THE RIGHT TO APPOINT ONE MEMBER OF THE BOARD OF DIRECTORS, AND THE CLASS A MEMBER SHALL HAVE THE RIGHT TO APPOINT THE REMAINING DIRECTORS OF THE CORPORATION. ON ALL OTHER MATTERS SUBMITTED FOR APPROVAL OF THE MEMBERS, EXCEPT AS EXPRESSLY REQUIRED BY THE NONPROFIT CORPORATION ACT, VOTING SHALL NOT BE BY CLASS AND EACH MEMBER SHALL HAVE THE RIGHT TO VOTE BASED ON SUCH MEMBER'S INTEREST IN THE CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7B THE FOLLOWING POWERS AND AUTHORITIES SHALL BE EXERCISED BY THE CORPORATION ONLY UPON RATIFICATION OF SUCH ACTION BY THE CLASS A MEMBER: AMENDMENT OF THE ARTICLES OF INCORPORATION; AMENDMENT OF THE MISSION STATEMENT; ADOPTION OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION OR REORGANIZATION; SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL TO THE PROPERTY AND ASSETS; ACQUISITION OF ANY OTHER ENTITY OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; ACCEPTANCE OF THE ANNUAL BUDGET AND ANNUAL FINANCIAL STATEMENTS; INCURRENCE OF EXPENDITURES EXCEEDING BUDGETED AGGREGATES BY MORE THAN FIVE PERCENT; INCURRENCE OF CERTAIN DEBT; GRANTING ANY MORTGAGE, SECURITY, LIEN OR OTHER ENCUMBRANCE ON THE ASSETS OF THE CORPORATION OR ANY SUBSIDIARY, WITH THE EXCEPTION OF ANY MORTGAGE, SECURITY, LIEN OR OTHER ENCUMBRANCE APPROVED AS PART OF A BUDGET; CHANGE IN SCOPE OF SERVICES OR PROGRAMS PROVIDED BY MUNSON HOME CARE; AND APPOINTMENT OF THE PRESIDENT. FORM 990, PAGE 6, PART VI, LINE 11B THE MUNSON HOME CARE BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON HOME CARE 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 OFFICERS IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON HOME CARE AND MUNSON HEALTHCARE. FORM 990, PAGE 6, PART VI, LINE 19 THE MUNSON HOME CARE ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON HOME CARE DOES NOT MAKE THE BYLAWS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES 2,695,017 264,168 0 PROFESSIONAL FEES 123,365 0 0 TOTAL 2,818,382 264,168 0 FORM 990, PART XI, LINE 9 EQUITY TRASNFER FROM PARENT 1,500,000 MUNSON HEALTHCARE MANISTEE HOSPITAL 1465 E PARKDALE AVE MANISTEE MI 496609709 380350304 HOSPITAL MI C3 3 MUNSON HC true MUNSON DIALYSIS CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 383097861 DIALYSIS MI C3 3 MUNSON HC HEALTHCARE true MUNSON HEALTHCARE FOUNDATIONS 1105 SIXTH ST TRAVERSE CITY MI 49684 382642724 RAISE FUND MI C3 7 MUNSON HC HEALTHCARE true MUNSON HOME SERVICES 1105 SIXTH ST TRAVERSE CITY MI 49684 382543463 HOME HEALT MI C3 10 MUNS HOME MUNSON HOME HEALTH true MUNSON MEDICAL CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 381362830 HOSPITAL MI C3 3 MUNSON HC HEALTHCARE true NORTH FLIGHT INC 1105 SIXTH ST TRAVERSE CITY MI 49684 382657917 MED TRANSP MI C3 12B MUNSON HC HEALTHCARE true PAUL OLIVER MEMORIAL HOSPITAL 1105 SIXTH ST TRAVERSE CITY MI 49684 381415623 HEALTHCARE MI C3 3 MUNSON HC HEALTHCARE true MUNSON HEALTHCARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382640544 PARENT MI C3 12B N/A false 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 1105 SIXTH ST TRAVERSE CITY MI 49684 381459366 HOSPITAL MI C3 3 MUNSON HC true MUNSON HEALTHCARE OTSEGO MEMORIAL H HOSPITAL 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 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 SIXTH STREET DRUGS INC PO BOX 1188 TRAVERSE CITY MI 496851188 382298290 PHARMACY MI N/A true MEDICAL OFFICE CONDOMIMIUM ASSOCIATION PO BOX 1188 TRAVERSE CITY MI 496851188 201902620 REAL ESTAT MI N/A true false false true false false false false false false false true false true false true true true false false MUNSON HEALTHCARE M 2136735 ACTUAL AMOUNT PAID MUNSON HEALTHCARE O 1087079 ACTUAL AMOUNT PAID MUNSON HEALTHCARE P 3445345 ACTUAL AMOUNT PAID MUNSON HEALTHCARE C 1500000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS C 650000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS P 68322 ACTUAL AMOUNT PAID MUNSON HOME SERVICES P 335266 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER O 12762808 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER P 168677 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER Q 275641 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE M 175950 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE P 306560 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC Q 76146 ACTUAL AMOUNT PAID SCHEDULE R MUNSON HOME CARE 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.