2026-05-14T13:00:25-04:00 2025-06-30 990 2024-07-01 382640544 MUNSON HEALTHCARE MUNS 2319355000 1105 SIXTH STREET TRAVERSE CITY MI 49684 PAUL KONOPACKI CFO 2319357777 2026-05-12 false 2024 2025-03-06 01:10:19Z EDWIN A NESS 1105 SIXTH STREET TRAVERSE CITY MI 49684 768774341 false X WWW.MUNSONHEALTHCARE.ORG X 1985 MI MUNSON HEALTHCARE AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH. 21 18 3046 18 101623 2519 833797 1035061 199065454 208810134 44890677 63196225 166735 2405501 244956663 275446921 0 0 120665357 133397558 0 267713 99571856 125782540 220237213 259180098 24719450 16266823 1040548918 1148955862 336241214 335987381 704307704 812968481 MUNSON HEALTHCARE AND ITS PARTNERS WORK TOGETHER TO PROVIDE SUPERIOR QUALITY CARE AND PROMOTE COMMUNITY HEALTH. false false 190324325 208757066 PARENT HOLDING COMPANY FOR CORPORATIONS PROVIDING HEALTH CARE AND RELATED SERVICES. 190324325 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 false false false true true false false false false false false false false false false false false false false true true true true false false true 246 0 true 3046 true true true false false false false false false false false false true false X 21 18 false false false false false false false true true false false true true true true true true true true true true MI X NICOLE SULAK MUNSON HEALTHCARE 2319357777 4230 COPPER RIDGE DR TRAVERSE CITY MI 49684 EDWIN A NESS PRESIDENT 40.00 2.00 X 2668995 0 253876 LAURA GLENN MHC SYSTEM C 40.00 2.00 X 1029397 0 111766 PAUL KONOPACKI CFO 40.00 2.00 X 708738 0 92977 DINO RECCHIA MD DIRECTOR 1.00 40.00 X 0 715300 31094 MICHAEL SAAD CIO 40.00 X 642819 0 73247 JOSEPH SANTANGELO MD CF MED, QUAL 40.00 X 585069 0 70781 SHELLEY SPENCER CHIEF HUMAN 40.00 X 513827 0 65398 ELLEN SMITH PRES AMB SER 40.00 2.00 X 538574 0 9670 GARRICK CVITKOVICH MD SURGEON 1.00 39.00 X 2221 503751 37535 RACHEL ROE CHIEF LEGAL 40.00 2.00 X 458820 0 67489 KIRSTEN KORTH WHITE EAST REGION 0.00 40.00 X 454581 0 55874 DIANA CURRAN GALES MD PHYSICIAN 11.00 29.00 X 118715 328097 40733 JODI WICK FORMER INTER 40.00 X 403725 0 33920 VINCENT SCHULTZ MD DIRECTOR 1.00 40.00 X 0 355887 45583 KENNETH BLOEM CHAIR 12.00 X X 5000 0 0 MATT BULLOCH DIRECTOR 1.00 X 5000 0 0 NICK CEGLAREK DIRECTOR 1.00 X 5000 0 0 KATHY DIXON DIRECTOR 1.00 X 5000 0 0 JENNIFER KING DIRECTOR 1.00 X 5000 0 0 KARL KLIMEK DIRECTOR 1.00 X 5000 0 0 RUTH HOPPE MD V CHAIR 8.00 X X 5000 0 0 DAVE MENGEBIER TREASURER 6.00 X X 5000 0 0 KIM MORLEY DIRECTOR 1.00 X 5000 0 0 TIM NELSON SECRETARY 7.00 X X 5000 0 0 ANDY PAGE DIRECTOR 1.00 X 5000 0 0 BRIAN POSTMA DIRECTOR 2.00 X 5000 0 0 OWEN ROBERTS DIRECTOR 2.00 X 5000 0 0 MARY SANDERS DIRECTOR 3.00 X 5000 0 0 KRISTINE THOMAS DIRECTOR 3.00 X 5000 0 0 TOM VERYSER DIRECTOR 1.00 X 5000 0 0 ELAINE WOOD DIRECTOR 6.00 X 5000 0 0 DAVID MCCURDY DIRECTOR 3.00 X 0 0 0 SAKURA TAKANO DIRECTOR 1.00 X 0 0 0 8210481 1903035 989943 314 true true false ORACLE AMERICA INC PO BOX 203448 DALLAS TX 753203448 CYBER SECURITY 32800206 HURON CONSULTING SERVICES LLC 3005 MOMENTUM PLACE CHICAGO IL 606895330 REVENUE CYCLE S 27011006 OPTIV SECURITY INC PO BOX 561618 DENVER CO 802561610 INFORMATION MGT 2014322 SHERLOQ REVENUE SOLUTIONS INC PO BOX 3434 TAMPA FL 33601 REVENUE CYCLE 1794382 CSI COMPANIES INC PO BOX 890841 CHARLOTTE NC 282890841 STAFFING 1716351 95 325505 709556 1035061 CORPORATE SERVICE REVENUE 561000 205411012 205411012 SERVICES TO OTHER ORGANIZATIO 561000 2902567 2902567 PROVIDER INCENTIVE 561000 243890 243890 HEALTH SERVICE REVENUE 561000 151042 151042 CONTRACT REVENUES 561000 101623 101623 208810134 25585695 -137129 25722824 530937950 493319620 7800 37618330 -7800 37610530 37610530 EXTINGUISHMENT OF BONDS 900003 2219817 2219817 MISCELLANEOUS INCOME 900003 185684 185684 2405501 275446921 208757066 101623 65553171 X 6799366 4688894 1842759 267713 104975252 81554851 23420401 3717738 2896300 821438 10995162 8525729 2469433 6910040 5350127 1559913 1084073 1084073 363605 363605 151542 151542 2656182 2656182 42368176 32176767 10191409 1388137 1096767 291370 3220756 2544719 676037 48922223 38653448 10268775 721876 570354 151522 357659 282586 75073 396655 313397 83258 823755 608770 214985 11780658 8706116 3074542 7731529 7731529 BANK FEES 985986 985986 DUES AND SUBSCRIPTIONS 899507 830434 69073 LICENSES & TAXES 603937 477171 126766 SUPPLIES 421491 333020 88471 904793 714875 189918 259180098 190324325 68588060 267713 242605496 245144962 3362023 9562622 14331045 13245658 225714992 124880831 74551182 100834161 631356855 700298210 36895361 47694770 37446956 32175479 1040548918 1148955862 70875540 72989715 249594887 241249636 1667443 1556812 14103344 20191218 336241214 335987381 X 704307704 812968481 704307704 812968481 1040548918 1148955862 X 16266823 23925906 68468048 X false true X true false X X 7 MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL 381303843 3 true 0 16899200 PAUL OLIVER MEMORIAL HOSPITAL 381415623 3 true 0 3754562 MUNSON HEALTHCARE CHARLEVOIX HOSPITAL 381459366 3 true 0 11647229 MUNSON HEALTHCARE MANISTEE HOSPITAL 380350304 3 true 0 7904721 MUNSON HEALTHCARE GRAYLING 471161992 3 true 0 13496903 MUNSON HEALTHCARE CADILLAC 471156297 3 true 0 29238180 MUNSON MEDICAL CENTER 381362830 3 true 0 108060629 7 191001424 true false false false false false false false false false false false false false false true true false X true true PART I, LINE 11H MUNSON HEALTHCARE CADILLAC 47-1156297 3 X 0 29,238,180 MUNSON MEDICAL CENTER 38-1362830 3 X 0 108,060,629 PART IV, SECTION E, LINE 3A MUNSON HEALTHCARE, AS THE SOLE MEMBER, ELECTS THE TRUSTEES FOR ALL SUBSIDIARY ENTITIES, INCLUDING SUPPORTED ORGANIZATIONS. THE BOARD OF TRUSTEES OF THE SUPPORTED ORGANIZATIONS 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. PART IV, SECTION E, LINE 3B CERTAIN DECISIONS OF THE SUPPORTED ORGANIZATIONS' TRUSTEES/DIRECTORS ARE SUBJECT TO APPROVAL BY THE MUNSON HEALTHCARE BOARD OF TRUSTEES INCLUDING THE ADOPTION, AMENDMENT, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF SUPPORTED ORGANIZATIONS; THE ADOPTION, EXECUTION, REVOCATION OR ABANDONMENT OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, OR REORGANIZATION; THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE SUPPORTED ORGANIZATIONS; THE ACQUISITION OF OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF SUPPORTED ORGANIZATIONS; THE ADOPTION OF ALL OPERATING BUDGETS AND CAPITAL EXPENDITURE BUDGETS FOR SUPPORTED ORGANIZATIONS INCURRENCE OF OPERATING OR CAPITAL EXPENDITURES BY SUPPORTED ORGANIZATIONS 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 SUPPORTED ORGANIZATIONS WITH THE EXCEPTION OF EQUIPMENT LEASES AND PURCHASE MONEY SECURITY INTERESTS APPROVED AS PART OF THE BUDGET; THE ADOPTION OR AMENDMENT OF THE MISSION STATEMENT, PURPOSES OR THE STRATEGIC GOALS OF SUPPORTED ORGANIZATIONS; CHANGE IN SCOPE OF CLINICAL SERVICES OR PROGRAMS PROVIDED BY SUPPORTED ORGANIZATIONS; AND APPOINTMENT OR REMOVAL OF THE PRESIDENT. SUPPLEMENTAL INFORMATION SERVICES PROVIDED BY MUNSON HEALTHCARE TO ALL ENTITIES INCLUDE CORPORATE FUNCTIONS SUCH AS ADMINISTRATION, FINANCE, LEGAL, STRATEGY AND PLANNING, CLINICAL ENGINEERING, FACILITIES, HUMAN RESOURCES, IT, MARKETING, SUPPLY CHAIN, QUALITY, SECURITY AND REVENUE CYCLE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 12500 false false true 139042 151542 false SCHEDULE C, PART II-B, LINE 1 GRASSROOTS LOBBYING EXPENSES GRANTED TO ORGANIZATIONS. PAID A CONSULTANT TO COORDINATE, MANAGE CONACTS AND COMMUNICATE WITH LOCAL, STATE AND FEDERAL LEGISLATORS ON HEALTHCARE LEGISLATION AND POLICY MATTERS OF IMPORTANCE TO MUNSON HEALTHCARE AND ITS FACILITIES AND SERVICES. OTHER ACTIVITIES INDICATE THE PORTION OF DUES ALLOCATED TO LOBBYING EXPENSES PAID TO THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION. 105548 105548 2371510 1980609 390901 219972989 122717144 97255845 3264945 183078 3081867 100834161 INSURANCE CLAIMS RESERVE 16165787 LT OPERATING LEASE LIABILITY 1964318 RESERVE FOR THIRD PARTY SETTLEMENT 1613841 SWAP MARKET VALUE BASIS 247845 ST OPERATING LEASE LIABILITY 120581 DEFERRED POST RETIREMENT BENEFIT 78846 20191218 false CENTRAL AMERICA AND THE CARIBBEAN SELF INSURANCE INSURANCE 1773593 1773593 1773593 true false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 1,773,593 0 SCHEDULE F, PAGE 5, PART V EXPENDITURES ARE REPORTED BASED ON THE ACCRUAL METHOD OF ACCOUNTING. X true true X X X X true true false false false false false true false EDWIN A NESS PRESIDENT 1017265 532036 1119694 223966 29910 2922871 1086251 LAURA GLENN MHC SYSTEM COO 627293 354753 47351 85536 26230 1141163 23351 PAUL KONOPACKI CFO 564989 142802 947 69237 23740 801715 DINO RECCHIA MD DIRECTOR 651441 38148 25711 17285 13809 746394 MICHAEL SAAD CIO 502879 99906 40034 47884 25363 716066 JOSEPH SANTANGELO MD CF MED, QUAL, SAF OF 465370 118752 947 42156 28625 655850 SHELLEY SPENCER CHIEF HUMAN RESOURCE 390258 107855 15714 41765 23633 579225 ELLEN SMITH PRES AMB SERV & BUS 320045 218529 6460 3210 548244 122177 GARRICK CVITKOVICH MD SURGEON 2109 449330 31306 112 23115 9 12414 111 25001 2341 541166 RACHEL ROE CHIEF LEGAL OFFICER 340868 93319 24633 39681 27808 526309 KIRSTEN KORTH WHITE EAST REGION PRESIDEN 323674 107072 23835 46041 9833 510455 DIANA CURRAN GALES MD PHYSICIAN 106836 273871 5400 33202 6479 21024 1809 15476 6674 16774 127198 360347 JODI WICK FORMER INTERIM CIO 271496 107390 24839 13575 20345 437645 VINCENT SCHULTZ MD DIRECTOR 311935 28428 15524 17285 28298 401470 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 BUSINESS MEETINGS AND RETREATS. SCHEDULE J, PAGE 1, PART I, LINE 4 EDWIN A. NESS 0 206,681 0 LAURA GLENN 0 68,251 0 PAUL KONOPACKI 0 57,121 0 MICHAEL SAAD 0 30,600 0 JOSEPH SANTANGELO, MD 0 28,501 0 SHELLEY SPENCER 0 24,481 0 ELLEN SMITH 94,157 0 0 RACHEL ROE 0 22,397 0 KIRSTEN KORTH WHITE 0 35,691 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. PART II, LINE 1, COLUMN B(III) CEO EDWIN NESS, A 25 YEAR EMPLOYEE, HAS BEGUN VESTING IN HIS SERP PLAN. IN 2024, THE TAXABLE AMOUNT WAS 1,086,251. THIS ONE-TIME TAXABLE AMOUNT IS REFLECTED IN HIS 2024 COMPENSATION IN COLUMN B(III) OF SCHEULE J. OF THE AMOUNT REPORTED IN THE CURRENT FORM 990 SCHEDULE J, SERP PLAN CONTRIBUTIONS IN THE AMOUNT OF 1,086,251 WERE PREVIOUSLY REPORTED AS BENEFITS IN PRIOR YEAR FORMS 990. A CTY GR TRAVSE HOSP FIN AUTH 2021A 386004852 386523JJ4 2021-07-01 119547860 THE SERIES 2021 BONDS WERE ISSUED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF NEW GENERAL SURGERY A false false false B CTY GR TRAV HOSP FIN AUTH 2011ABC 386004852 386523EE0 2011-08-10 128728067 REFUND PRIOR BONDS CNTY GRD TRAVSE HOSP FIN AUTH 2011ABC THE SERIES 2011A, 2011B AND 2011C BONDS WER false false false C CHARLEVOIX TWP HOSP FIN AUTH 2016 383203086 2016-06-23 7000000 RENOVATION & EQUIPMENT THE 2016 BONDS WERE ISSUED TO FUND THE PROJECT COSTS WHICH INCLUDE RENOVATION false false false D CTY GR TRAVSE HOSP FIN AUTH 2019AB 386004852 386523HQ0 2019-01-16 35432001 THE SERIES 2019AB BONDS WERE ISSUED TO REFINANCE DEBT OF THE ACQUIRED HOSPITALS AND FINANCE THE CONS false false false A 119547860 1005177 46770000 71772683 2287494 2022 true false true true B 82485000 128728067 1756787 126971280 true false true true C 7006486 64904 6941582 2019 false false true true D 35552890 413194 21239695 13900000 2022 false true true true A false true true false true false 0.02150 0.02150 false false true B false true true false true false 0.02420 0.02420 false false true C false false true false false false false true D false true true false false 0.01000 0.01240 0.02240 false false true A false false true true false false false false true B false false false true true false false false true C false false false true false false false false true D false false false true false false false false true A true B true C true D true DIFFERENCES IN ISSUE PRICE EXPLANATION CHARLEVOIX TWP HOSP FIN AUTH 2016 INVESTMENT INCOME EARNED DIFFERENCES IN ISSUE PRICE EXPLANATION CTY GR TRAVSE HOSP FIN AUTH 2019AB INVESTMENT INCOME EARNED PURPOSE OF ISSUE DESCRIPTION CTY GR TRAVSE HOSP FIN AUTH 2021A THE SERIES 2021 BONDS WERE ISSUED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF NEW GENERAL SURGERY AND NEUROSURGERY CENTER FACILITIES, TO ACQUIRE AND INSTALL ENERGY EFFICIENT EQUIPMENT, TO REFUND THE OUTSTANDING COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY HOSPITAL REVENUE REFUNDING BONDS (MUNSON HEALTHCARE OBLIGATED GROUP) SERIES 2011A, TO REFUND THE OUTSTANDING COUNTY OF OTSEGO HOSPITAL FINANCE AUTHORITY REVENUE REFUNDING BONDS (OTSEGO MEMORIAL HOSPITAL OBLIGATED GROUP) SERIES 2013A, TO REFUND THE OUTSTANDING GAYLORD HOSPITAL FINANCE AUTHORITY HOSPITAL REVENUE REFUNDING BONDS (OTSEGO MEMORIAL HOSPITAL OBLIGATED GROUP) BONDS SERIES 2014B, AND TO REFUND THE OUTSTANDING GAYLORD HOSPITAL FINANCE AUTHORITY HOSPITAL REVENUE REFUNDING BONDS (OTSEGO MEMORIAL HOSPITAL OBLIGATED GROUP) SERIES 2015C PURPOSE OF ISSUE DESCRIPTION CTY GR TRAV HOSP FIN AUTH 2011ABC REFUND PRIOR BONDS CNTY GRD TRAVSE HOSP FIN AUTH 2011ABC THE SERIES 2011A, 2011B AND 2011C BONDS WERE ISSUED TO PURCHASE AND CANCEL TENDERED BONDS, TENDERED DURING A TENDER PROGRAM INITIATED BY MUNSON HEALTHCARE. THE TENDERED BONDS INCLUDED COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY (MUNSON HEALTHCARE OBLIGATED GROUP) HOSPITAL REVENUE AND REFUNDING BONDS SERIES 1998A, ISSUED 9/1/98; REVENUE BONDS SERIES 2001A, ISSUED 1/9/01; REVENUE REFUNDING BONDS SERIES 2002A, ISSUED 9/17/02; REVENUE REFUNDING BONDS SERIES 2005A, ISSUED 11/3/05 AND REVENUE BONDS SERIES 2005B, ISSUED 11/3/05. PURPOSE OF ISSUE DESCRIPTION CHARLEVOIX TWP HOSP FIN AUTH 2016 RENOVATION & EQUIPMENT THE 2016 BONDS WERE ISSUED TO FUND THE PROJECT COSTS WHICH INCLUDE RENOVATION OF THE EMERGENCY ROOM, AN OPERATING ROOM, LAB AND INFUSION AS WELL AS THE PURCHASE OF IMAGING EQUIPMENT AND OTHER CAPITAL EQUIPMENT. PURPOSE OF ISSUE DESCRIPTION CTY GR TRAVSE HOSP FIN AUTH 2019AB THE SERIES 2019AB BONDS WERE ISSUED TO REFINANCE DEBT OF THE ACQUIRED HOSPITALS AND FINANCE THE CONSTRUCTION, RENOVATION, EXPANSION AND EQUIPPING OF HOSPITAL FACILITIES. DATE REBATE COMPUTATION PERFORMED CTY GR TRAVSE HOSP FIN AUTH 2021A 05/09/23 DATE REBATE COMPUTATION PERFORMED CTY GR TRAV HOSP FIN AUTH 2011ABC 02/05/14 DATE REBATE COMPUTATION PERFORMED CHARLEVOIX TWP HOSP FIN AUTH 2016 08/16/21 DATE REBATE COMPUTATION PERFORMED CTY GR TRAVSE HOSP FIN AUTH 2019AB 05/03/23 ADDITIONAL INFORMATION CTY GR TRAVSE HOSP FIN AUTH 2021A PART III, QUESTION 3B AND D MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING 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 CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2024, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. ADDITIONAL INFORMATION CTY GR TRAV HOSP FIN AUTH 2011ABC MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING 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 CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2024, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. ADDITIONAL INFORMATION CHARLEVOIX TWP HOSP FIN AUTH 2016 MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING 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 CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2024, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. ADDITIONAL INFORMATION CTY GR TRAVSE HOSP FIN AUTH 2019AB MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING 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 CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2024, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. A CNTY GRD TRAV HOSP FIN AUTH 2019C 386004852 386523HR8 2019-01-16 22300000 THE SERIES 2019C BONDS WERE ISSUED TO REFINANCE THE COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY (MUN false false false B CNTY GRD TRAVSE HOSP FIN AUTH 2024 386004852 2024-07-01 51195000 THE SERIES 2024 BONDS WERE ISSUED TO REFINANCE THE COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY (MUNS false false false A 22300000 300000 22000000 true false true true B 51195000 275000 50920000 true false true true A false true true false true false 0.02420 0.02420 false false true B false true true false true false 0.00780 0.01260 0.02040 false false true A false false true false true false false false true B false false false false true false false false true A true B true PURPOSE OF ISSUE DESCRIPTION CNTY GRD TRAV HOSP FIN AUTH 2019C THE SERIES 2019C BONDS WERE ISSUED TO REFINANCE THE COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY (MUNSON HEALTHCARE OBLIGATED GROUP) HOSPITAL REVENUE AND REFUNDING BONDS SERIES 2011C ISSUED 08/10/11. PURPOSE OF ISSUE DESCRIPTION CNTY GRD TRAVSE HOSP FIN AUTH 2024 THE SERIES 2024 BONDS WERE ISSUED TO REFINANCE THE COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY (MUNSON HEALTHCARE OBLIGATED GROUP) HOSPITAL REVENUE BONDS SERIES 2014 A, B, AND C ISSUED 12/17/2014. ADDITIONAL INFORMATION CNTY GRD TRAV HOSP FIN AUTH 2019C MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING 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 CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2024, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. ADDITIONAL INFORMATION CNTY GRD TRAVSE HOSP FIN AUTH 2024 MUNSON HEALTHCARE MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS INCLUDING LEASES, MANAGEMENT, SERVICE, AND RESEARCH CONTRACTS. THE MONITORING 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 CONTRACTS. SINCE NEW BONDS WERE ISSUED IN 2024, OUTSIDE COUNSEL WAS ENGAGED DURING THAT TAX YEAR. FORM 990, PAGE 6, PART VI, LINE 11B THE MUNSON HEALTHCARE BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON HEALTHCARE IS THE PARENT COMPANY IN THE MUNSON HEALTHCARE SYSTEM, WHICH UNDERGOES AN AUDIT BY AN EXTERNAL AUDIT FIRM. AT THE CORPORATE LEVEL, THE RESPONSIBLE INDIVIDUALS FROM THE FINANCE, ADMINISTRATION, PATIENT FINANCIAL SERVICES, LEGAL, HUMAN RESOURCES, PUBLIC RELATIONS, AND FUND DEVELOPMENT DEPARTMENTS PREPARE AND REVIEW PORTIONS OF THE FORM 990. THE COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE REVIEWS THE COMPENSATION INFORMATION CONTAINED IN THE CORE FORM AS WELL AS THE SCHEDULE J INFORMATION. THE CONFLICT, VALUATION AND COMPLIANCE COMMITTEE OVERSEES THE CONFLICT OF INTEREST DISCLOSURE PROCESS FOR BOARD MEMBERS AND KEY EMPLOYEES TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE 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 ANNUAL 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 AND KEY EMPLOYEES IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON HEALTHCARE. FORM 990, PAGE 6, PART VI, LINE 19 THE MUNSON HEALTHCARE ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON HEALTHCARE DOES NOT MAKE THE BYLAWS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANNUALLY, MUNSON HEALTHCARE PREPARES AND DISTRIBUTES AN ANNUAL REPORT TO THE COMMUNITY, WHICH CONTAINS FINANCIAL AS WELL AS PROGRAM DATA. FORM 990, PART IX, LINE 11G COLLECTION SERVICES 1,365,616 362,793 0 CONSULTING FEES 812,948 215,969 0 CONTRACT LABOR & SERVICES 27,377,580 7,273,198 0 MARKET RESEARCH SERVICES 916,832 243,568 0 RECRUITING & STAFFING SERVICE 811,267 215,523 0 OTHER PURCH SERV & PROF FEES 892,524 1,880,358 0 TOTAL 32,176,767 10,191,409 0 FORM 990, PART XI, LINE 9 EQUITY TRANSFER FROM SUBSIDIARIES 71,600,000 NET PERIODIC PENSION COST 5,561,073 EQUITY TRANSFER NFL MERGER 8,962,576 EQUITY TRANSFER TO SUBSIDIARIES -9,000,000 CHANGE IN SWAP MARKET VALUE -251,000 CHANGE IN MINIMUM PENSION LIABILITY -8,404,601 TOTAL 68,468,048 MUNSON CIN LLC 1105 SIXTH STREET TRAVERSE CITY MI 49684 842427352 IMP HEALTH MI 243890 1534402 MUNSON HC 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 CARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382191390 HOME HEALT MI C3 10 MUNSON HC MUNSON HOME HEATLH true MUNSON HOME SERVICES 1105 SIXTH ST TRAVERSE CITY MI 49684 382543463 HOME HEALT MI C3 10 MUNSON HC 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 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 HEALTHCARE MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE GRAYLING 1105 SIXTH ST TRAVERSE CITY MI 49684 471161992 HEALTHCARE 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 MANISTEE HOSPITAL 1465 E PARKDALE AVE MANISTEE MI 496609709 380350304 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 SUPPLY PUR MI MUNSON HEA MUNSON HEALTHCARE RELATED 7202060 3315811 false true 0.67750 MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION PO BOX 1188 TRAVERSE CITY MI 496851188 383567278 REAL ESTAT MI N/A true MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY MI 496851188 383144382 PHARMACY MI N/A true SIXTH STREET DRUGS INC PO BOX 1188 TRAVERSE CITY MI 496851188 382298290 PHARMACY MI N/A true MEDICAL OFFICE CONDOMINIUM ASSOCATION PO BOX 1188 TRAVERSE CITY MI 496851188 201902620 REAL ESTAT MI N/A true false true true false false false false false false false false true false false true true true false true MUNSON DIALYSIS CENTER C 3500000 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER L 486959 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER O 133233 ACTUAL AMOUNT PAID MUNSON DIALYSIS CENTER Q 418663 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC C 17000000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC L 29238180 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC O 2264419 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC P 149454 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CADILLAC Q 12430862 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT C 5500000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT L 11647230 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT O 927893 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT P 148410 ACTUAL AMOUNT PAID MUNSON HEALTHCARE CHARLEVOIX HOSPIT Q 6661013 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS C 325505 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS O 71603 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS P 82473 ACTUAL AMOUNT PAID MUNSON HEALTHCARE FOUNDATIONS Q 180058 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING L 13496903 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING O 1038702 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING P 100128 ACTUAL AMOUNT PAID MUNSON HEALTHCARE GRAYLING Q 8744678 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL C 2500000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL L 7904721 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL O 554852 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL P 128660 ACTUAL AMOUNT PAID MUNSON HEALTHCARE MANISTEE HOSPITAL Q 4848370 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H B 7000000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H L 16899200 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H O 482912 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H P 298705 ACTUAL AMOUNT PAID MUNSON HEALTHCARE OTSEGO MEMORIAL H Q 10755872 ACTUAL AMOUNT PAID MUNSON HOME CARE B 2000000 ACTUAL AMOUNT PAID MUNSON HOME CARE L 2216327 ACTUAL AMOUNT PAID MUNSON HOME CARE O 1028991 ACTUAL AMOUNT PAID MUNSON HOME CARE Q 3179835 ACTUAL AMOUNT PAID MUNSON HOME SERVICES L 559639 ACTUAL AMOUNT PAID MUNSON HOME SERVICES O 132841 ACTUAL AMOUNT PAID MUNSON HOME SERVICES Q 382240 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER C 29600000 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER L 108060629 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER O 72736645 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER P 2210990 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER Q 76595160 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP L 6335105 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP O 1749107 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP Q 324110 ACTUAL AMOUNT PAID MUNSON SERVICES INC L 608937 ACTUAL AMOUNT PAID MUNSON SERVICES INC O 87535 ACTUAL AMOUNT PAID MUNSON SERVICES INC Q 203348 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE O 389754 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE P 666878 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE Q 1328304 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL C 13500000 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL L 3754562 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL O 366913 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL Q 2667278 ACTUAL AMOUNT PAID PAUL OLIVER MEMORIAL HOSPITAL P 52470 ACTUAL AMOUNT PAID SIXTH STREET DRUGS L 185093 ACTUAL AMOUNT PAID SIXTH STREET DRUGS Q 66083 ACTUAL AMOUNT PAID NORTH FLIGHT INC S 8962576 ACTUAL AMOUNT PAID SCHEDULE R MUNSON HEALTHCARE USED THE ACCRUAL METHOD OF ACCOUNTING TO VALUE THE TRANSACTIONS WITH RELATED ENTITIES. ALL INTERCOMPANY TRANSACTIONS WITH RELATED ENTITIES WERE REVIEWED, SUMMARIZED, AND RECONCILED TO DETERMINE THE DISCLOSURE AMOUNTS.