TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) EDWIN A NESS PRESIDENT	12.00	X	X	637,756	0	139,446
(2) DAVID WRIGHT MD PRES MED STA	8.00	X		25,000	0	0
(3) THOMAS G MCINTYRE TRUSTEE	4.00	X		0	24,500	0
(4) ROBERT W SPRUNK FORMER CHAIR	8.00	X	X	24,500	0	0
(5) CARL G BENNER MD TRUSTEE	4.00	X		12,500	0	0
(6) DANIEL T WOLF TRUSTEE	4.00	X		0	12,500	0
(7) DAVID FRIAR MD TRUSTEE	4.00	X		12,500	0	0
(8) GORDON H WINSTANLEY TRUSTEE	4.00	X		12,500	0	0
(9) JOHN ERB CHAIR	8.00	X	X	12,500	0	0
(10) JOSEPH KOSTRZEWA TRUSTEE	4.00	X		12,500	0	0
(11) MICHAEL D SIMPSON TRUSTEE	4.00	X		12,500	0	0
(12) NANCY FISHER TRUSTEE	4.00	X		12,500	0	0
(13) PATRICK E HEINTZ TREASURER	6.00	X	X	12,500	0	0
(14) SHIRLANNA CORREIA TRUSTEE	4.00	X		12,500	0	0
(15) GEORGE BEARUP SECRETARY	6.00	X	X	12,500	0	0
(16) REX ANTINOZZI MD VICE CHAIR	6.00	X	X	12,500	0	0
(17) EDWARD J RUTKOWSKI MD TRUSTEE	4.00	X		12,500	0	0

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) DANIEL NAVIN MD DIRECTOR	4.00	X					0	12,500	0
(19) JOHN E PELIZZARI TRUSTEE	4.00	X					0	0	0
(20) MARK A HEPLER CFO	28.00		X				0	249,099	45,753
(21) PAUL M SHIRILLA ASST SEC/VP	6.00			X			0	322,529	46,557
(22) DAVID MCGREAHAM MD VP MEDICAL	40.00			X			312,469	0	48,755
(23) CHRISTOPHER PODGES VP INFO SYST	40.00			X			289,065	0	50,564
(24) KATHLEEN MCMANUS EXECUTIVE VP	36.00			X			275,200	0	43,909
(25) SUZANNE K PETERS VP HR	40.00			X			249,669	0	33,010
(26) MARK R ANTHONY SR VICE PRES	40.00			X			247,554	0	32,433
(27) JAMES P FISCHER VP PATIENT C	40.00			X			202,643	0	40,006
(28) THOMAS SCHERMERHORN MD NEUROSURGEON	40.00				X		727,932	0	31,782
(29) AHMET SEVIMLI MD NEPHROLOGIST	40.00				X		322,046	0	37,837
(30) DAVID B MARTIN MD INFECTIOUS D	40.00				X		254,816	0	28,248
(31) JOHN D FAICHNEY MD ENDOCRINOLOG	40.00				X		244,820	0	31,959
(32) DANIEL M WEBSTER MD PHYSICIAN-FA	40.00				X		236,417	0	28,597
(33) EDWARD CARLSON FORMER CFO	0.00					X	214,490	9,506	0

(A) Name and business address	(B) Description of services	(C) Compensation
HOSPITALISTS OF NORTHWEST MICHIGAN 1105 SIXTH ST TRAVERSE CITY,MI49684	MEDICAL SERVICE	4,853,078
SODEXO INC AND AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO,IL60674	DIETARY	1,409,009
PULMONARY AND CRITICAL CARE PHYSICI 5087 N ROYAL DR TRAVERSE CITY,MI49684	MEDICAL SERVICE	1,329,682
MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS,MN55480	LABORATORY SRV	1,251,055
CARDIOTHORACIC SURGEONS GT PC 107 S CASS ST TRAVERSE CITY,MI49684	MEDICAL SERVICE	1,124,879
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 55

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	50,294	50,294
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,798,979		2,760,119	38,860
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	214,490		214,490
7	Other salaries and wages	162,924,810	145,629,853	17,294,957
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	17,000,272	15,197,453	1,802,819
9	Other employee benefits .......	25,860,616	22,853,565	3,007,051
10	Payroll taxes ...........	11,882,331	10,454,223	1,425,819	2,289
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	591,142		591,142
c	Accounting ...........	207,123		207,123
d	Lobbying ...........	8,122		8,122
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	37,762,818	32,064,906	5,165,841	532,071
12	Advertising and promotion ....	386,990	94,996	291,994
13	Office expenses .......	105,779,547	104,083,832	1,695,715
14	Information technology ......	8,835,579	2,757,375	6,078,204
15	Royalties ..
16	Occupancy ...........	7,854,825	7,003,533	851,292
17	Travel ............	832,994	762,395	70,599
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	688,682	446,479	242,203
20	Interest ...........	2,351,805	2,129,324	222,481
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	26,519,278	24,016,414	2,502,864
23	Insurance ..............	3,999,605	3,576,098	423,507
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	BAD DEBT	14,518,191	14,518,191
b	REPAIRS AND MAINTENANCE	5,143,024	4,642,868	500,156
c	MISCELLANEOUS	1,698,339	1,218,192	480,147
d	REALIZED SWAP EXPENSE	1,575,086		1,575,086
e	DUES AND SUBSCRIPTIONS	515,803	291,111	224,692
f	All other expenses	-14,037,292	-6,107,175	-7,930,117
25	Total functional expenses. Add lines 1 through 24f	425,963,453	385,683,927	39,706,306	573,220
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	73,924	1	437,164
2	Savings and temporary cash investments .......	67,875,851	2	76,860,787
3	Pledges and grants receivable, net .........	44,991	3	34,866
4	Accounts receivable, net .........	50,218,599	4	59,782,632
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	10,855,157	8	12,007,491
9	Prepaid expenses and deferred charges ............	8,111,013	9	8,348,302
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	473,646,541
b	Less: accumulated depreciation. .....	10b	235,863,400	236,491,601	10c	237,783,141
11	Investments—publicly traded securities ..........	141,154,640	11	163,883,298
12	Investments—other securities. See Part IV, line 11 ......	7,390,786	12	8,607,757
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14	557,485
15	Other assets. See Part IV, line 11 ...........	5,637,414	15	4,608,047
16	Total assets. Add lines 1 through 15 (must equal line 34)...	527,853,976	16	572,910,970
	17	Accounts payable and accrued expenses .	40,083,572	17	39,228,366
18	Grants payable ..........		18
19	Deferred revenue ..........	127,580	19	63,076
20	Tax-exempt bond liabilities ..........	132,699,291	20	129,001,841
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	123,348,035	25	98,608,903
26	Total liabilities. Add lines 17 through 25.....	296,258,478	26	266,902,186
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	229,338,073	27	302,895,376
28	Temporarily restricted net assets .....	2,257,425	28	3,113,408
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	231,595,498	33	306,008,784
34	Total liabilities and net assets/fund balances .....	527,853,976	34	572,910,970

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization MUNSON MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization MUNSON MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

8,100

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Total. lines 1c through 1i ...................................

8,122

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	143,412,065	128,015,726	151,976,653
b	Contributions ........	996,567	2,073,910	815,757
c	Investment earnings or losses ...	23,516,814	14,807,677	-19,831,956
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	141,430	1,054,734	4,238,065
f	Administrative expenses ....	787,311	430,514	706,662
g	End of year balance ......	166,996,705	143,412,065	128,015,726

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

98.140 %

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

1.860 %

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	12,502,880		12,502,880
b	Buildings ................	277,651,118	117,464,160	160,186,958
c	Leasehold improvements ............	265,646	65,088	200,558
d	Equipment ................	166,290,036	116,873,517	49,416,519
e	Other .................	16,936,861	1,460,635	15,476,226
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				237,783,141

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
MINIMUM PENSION LIABILITY		64,285,054
DEFERRED POST RETIREMENT BENEFITS		11,955,316
RESERVE FOR THIRD PARTY SETTLEMENTS		11,000,000
SWAP MARKET VALUE BASIS		5,146,157
CAREPAYMENT LIABILITY		3,772,000
ESTIMATED THIRD PARTY SETTLEMENTS		2,450,376



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		98,608,903
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, PART V, LINE 4	THE BOARD OF TRUSTEES DESIGNATES SUBSTANTIAL INVESTMENTS FOR THE REPLACEMENT, IMPROVEMENT, AND THE EXPANSION OF TANGIBLE FACILITIES OWNED BY MUNSON MEDICAL CENTER TO ENSURE FUNDS ARE AVAILABLE TO MAINTAIN THE HOSPITAL ASSETS TO CARRY OUT ITS MISSION. A PORTION OF THE TERM ENDOWMENT ASSETS ARE THOSE HELD FOR SPECIFIC MEDICAL PURPOSES, AS DEFINED BY DONORS. THOSE ASSETS ARE BEING HELD FOR A VARIETY OF DONOR INTERESTS INCLUDING ADAPTIVE SPORTS, PEDIATRIC THERAPY, OTHER PEDIATRIC MEDICAL NEEDS, RESEARCH, AND PATIENT ASSISTANCE.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	7,070,420		7,070,420	1.690 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	39,614,580	30,682,601	8,931,979	2.140 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....	985,362	541,140	444,222	0.110 %
dTotal Charity Care and Means-Tested Government Programs .....	47,670,362	31,223,741	16,446,621	3.940 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	3,338,362	23,365	3,314,997	0.790 %
f Health professions education (from Worksheet 5) ..	4,332,800	1,334,519	2,998,281	0.720 %
g Subsidized health services (from Worksheet 6) ..	468,131	4,655	463,476	0.110 %
h Research (from Worksheet 7)	764,577		764,577	0.180 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	327,560	1,400	326,160	0.080 %
jTotal Other Benefits ...	9,231,430	1,363,939	7,867,491	1.880 %
kTotal. Add lines 7d and 7j. ..	56,901,792	32,587,680	24,314,112	5.820 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	3,665	3,665
2	Economic development	17,868	17,868
3	Community support	43,061	43,061	0.010 %
4	Environmental improvements	153,051	153,051	0.040 %
5	Leadership development and training for community members
6	Coalition building	6,648	6,648
7	Community health improvement advocacy	10,144	10,144
8	Workforce development	407,278	407,278	0.100 %
9	Other
10	Total	641,715	641,715	0.160 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

5,280,469

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

895,567

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

179,592,155

Enter Medicare allowable costs of care relating to payments on line 5.....

175,118,665

Subtract line 6 from line 5. This is the surplus or (shortfall)........

4,473,490

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1NW MI SURGERY CENTER	AMBULATORY SURGERY CENTER	49.000 %	51.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?3 Name and address		Other (Describe)
1	MUNSON MEDICAL CENTER 1105 SIXTH ST TRAVERSE CITY,MI49684	X	X	X	X	X
2	MUNSON MEDICAL CENTER ACUTE INPATIENT PSYCHIATRIC PROGRAM 1105 SIXTH ST TRAVERSE CITY,MI49684	X					INPATIENT PSYCHIATRIC PROGRAM
3	MUNSON MEDICAL CENTER OUTPATIENT PSYCHIATRIC PROGRAM 1105 SIXTH ST TRAVERSE CITY,MI49684	X					OUTPATIENT PSYCHIATRIC PROGRAM

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:MUNSON MEDICAL CENTER

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:MUNSON MEDICAL CENTER

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:MUNSON MEDICAL CENTER

Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?10
Name and address		Type of Facility (Describe)
1	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT
2	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT
3	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT
4	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT
5	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT
6	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT
7	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT
8	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT
9	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT
10	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE	PART I LINE 3C	100 FINANCIAL ASSISTANCE IS PROVIDED FOR THOSE INDIVIDUALS OR FAMILIES WHOSE INCOME IS 200 OR LESS THAN THE FPG AND TOTAL ASSETS ARE WITHIN THE PROTECTED LEVELS THE APPROVAL IS VALID FOR 1 YEAR WITH A VERIFICATION OF FINANCIAL STATUS AT 6 MONTHS CATASTROPHIC ASSISTANCE IS AVAILABLE FOR THOSE INDIVIDUALS OR FAMILIES WHO DO NOT MEET THE GUIDELINES FOR FULL CHARITY CARE BUT WHOSE HOSPITAL EXPENSES WILL POSE AN EXTREME FINANCIAL HARDSHIP THE APPLICANT MUST MEET THE FOLLOWING GUIDELINES APPLICANTS CUMULATIVE BALANCE MUST BE GREATER THAN 10000 APPLICANT MUST COMPLETE FINANCIAL ASSISTANCE APPLICATION IF CATASTROPHIC ASSISTANCE IS GRANTED THE APPLICANT WILL BE RESPONSIBLE TO PAY 20 OF THE APPLICANTS ANNUAL HOUSEHOLD INCOME TO THE GRANTING INSTITUTION CATASTROPHIC ASSISTANCE APPROVAL WILL BE VALID FOR 12 MONTHS FROM THE DATE OF APPROVAL
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	THERE ARE NO PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	TOTAL EXPENSES FROM FORM 990 PART IX LINE 25 ARE XXX-XX-XXXX AND THE PROPORTIONATE SHARE OF TOTAL EXPENSES OF THE AMBULATORY SURGERY CENTER IS 6978333 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS 14702161 THE NET EXPENSE OF XXX-XX-XXXX WAS USED FOR PURPOSES OF CALCULATING LINE 7 COLUMN F
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	COST VALUES FOR LINE 7 ARE BASED ON THE COST TO CHARGE RATIO COMPUTATION
COMMUNITY BUILDING ACTIVITIES	PART II	MUNSON MEDICAL CENTER MMC PROVIDED 641716 IN COMMUNITYBUILDING ACTIVITIES DURING THE 2011 FISCAL YEAR THESE ACTIVITIES INCLUDED A CASH DONATION FOR COALITION BUILDING ACTIVITIES IN GRAND TRAVERSE COUNTY ADMINISTRATIVE SUPPORT ON MANY BOARDS SUPPORTING CHANGES IN SOCIAL DETERMINATES OF HEALTH ADDRESSING ADEQUATE COMMUNITYWIDE HOUSING POVERTY REDUCTION AND WORKFORCE DEVELOPMENT ENVIRONMENTAL IMPROVEMENTS INCLUDING WASTE REDUCTION AND RECYCLING AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY ESPECIALLY IN THE AREAS OF IMPROVED SCHOOL NUTRITION AND COMMUNITY GARDENS MMC CONTINUES AS A GUIDING FORCE IN MICHIGANS REGION 7 BIOTERRORISMDISASTER PREPAREDNESS AS PART OF CRITICAL WORKFORCE DEVELOPMENT MUNSON STAFF ATTENDS MANY REGIONAL CAREER DAYS PROVIDING STUDENTS WITH INFORMATION ON WHY THEY MIGHT WANT TO BE EMPLOYED IN THE OFTENCRITICAL AREA OF HEALTH CARE ALSO DESIGNATED AS A MEDICALLY UNDERSERVED AREA MUNSON INVESTS DOLLARS INTO THE RECRUITMENT OF CRITICALLY NEEDED PHYSICIANS TO THE AREA TO PROMOTE PATIENT ACCESS TO CARE
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	TO DETERMINE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS WHO WOULD PROBABLY QUALIFY UNDER MUNSON MEDICAL CENTERS CHARITY CARE POLICY MUNSON DIRECTED AN INTERNAL STUDY FROM A 3MONTH SAMPLE OF CURRENT BAD DEBT ACCOUNTS FIRST THE STUDY IDENTIFIED THE SELFPAY PORTION OF THE BAD DEBT EXPENSE THEN THE SELFPAY ACCOUNTS WERE ANALYZED USING REVENUE CYCLE ANALYTIC SOFTWARE TO IDENTIFY POTENTIAL CHARITY CARE CANDIDATES USING THE SOFTWARE ESTIMATIONS A PORTION OF THE SELFPAY ACCOUNTS WERE DEEMED CHARITY CARE ELIGIBLE THAT ESTIMATED PORTION WAS APPLIED TO THE SELFPAY BAD DEBT DOLLAR AMOUNT TO DETERMINE THE AMOUNT OF BAD DEBT THAT WOULD BE CONSIDERED CHARITY IF THE PROPER APPLICATIONS AND DOCUMENTATION WERE AVAILABLE FROM THE PATIENTS THE ACCOUNTS RECEIVABLE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF MUNSON HEALTHCARE AND SUBSIDIARIES STATES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITEOFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THE ORGANIZATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PASTDUE PATIENT BALANCES WITH COLLECTION AGENCIES
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	MUNSON HEALTHCARES INTERNAL AND EXTERNAL COLLECTION PRACTICES INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NONPAYMENT INCLUDING COLLECTIONS ACTIONS AND REPORTING TO COLLECTION AGENCIES SHALL TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY A PATIENTS GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MUNSON HEALTHCARE AND A PATIENTS GOOD FAITH EFFORT TO COMPLY WITH HISHER PAYMENT AGREEMENTS WITH MUNSON HEALTHCARE FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS MUNSON HEALTHCARE MAY OFFER EXTENDED PAYMENT PLANS WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES AND WILL CEASE ALL COLLECTION EFFORTS ON ANY UNPAID BALANCES ON ACCOUNTS THAT WERE OPENED WITHIN ONE YEAR OF THE DATE THAT THE PATIENT QUALIFIED FOR CHARITY UNDER THIS POLICY
NEEDS ASSESSMENT	PART VI	THE MUNSON HEALTHCARE BOARD OF DIRECTORS MAINTAINS A STANDING COMMUNITY HEALTH COMMITTEE CHC TO SERVE THE MUNSON HEALTHCARE SYSTEM THE CHC CONSISTS OF MUNSON HEALTHCARE BOARD MEMBERS FROM MUNSON HEALTHCARE HOSPITALS AND OTHER INTERESTED AREA PHYSICIANS AND COMMUNITY MEMBERS APPOINTED BY THE MUNSON HEALTHCARE BOARD CHAIRPERSON THE CHC MEETS AT LEAST QUARTERLY TO REVIEW EXISTING PROGRAMS AND SERVICES RELATED TO CURRENT COMMUNITY HEALTH NEEDS CONSIDER THE MHC RESPONSE TO ANY EMERGING HEALTH TRENDS AS IDENTIFIED BY COMMUNITY HEALTH NEEDS ASSESSMENT AND REVIEW ANY NEW COMMUNITY HEALTH BASED COLLABORATION OR PROGRAM THE CHC IS RESPONSIBLE FOR COMMUNICATING INTERNALLY AND EXTERNALLY THE SIGNIFICANCE OF MHC COMMUNITY BENEFIT PROGRAMS AND SERVICES THIS COMMITTEE IS SUPPORTED BY A COMMUNITY HEALTH DEPARTMENT OF MUNSON MEDICAL CENTER MUNSON MEDICAL CENTER MMC IS A SIGNIFICANT CONTRIBUTOR TO REGIONAL EFFORTS THAT ASSESS THE HEALTH STATUS OF THE TOTAL POPULATION WITHIN OUR EXTENSIVE GEOGRAPHICAL AREA COMMUNITY HEALTH ASSESSMENT IS AN IMPORTANT COMPONENT OF A COMMUNITY HEALTH IMPROVEMENT STRATEGY AS IT PROVIDES GUIDANCE AS TO WHERE EFFORTS SHOULD BE CONCENTRATED AS WELL AS WHERE PROGRESS HAS BEEN MADE THE DATA DOCUMENTED THROUGH AN ASSESSMENT SERVES AS A USEFUL REFERENCE FOR PROGRAM AND RESOURCE DEVELOPMENT EFFORTS COMMUNITYWIDE MUNSON IS PREPARING A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO MEET THE REQUIREMENTS OF IRC SEC 501R WHICH WILL BE CONDUCTED IN FISCAL 2013 IN ACCORDANCE WITH THE PLANS OF THE COMMUNITY HEALTH COMMITTEE OF THE BOARD ADDITIONALLY MUNSON WORKS IN CONJUNCTION WITH COMMUNITY COLLABORATIVES IN FIVE COUNTIES ANTRIM BENZIE GRAND TRAVERSE LEELANAU AND KALKASKA THE TRAVERSE CITY CHAMBER OF COMMERCE THE LOCAL UNITED WAY THE POVERTY REDUCTION INITIATIVE AND OTHER REGIONAL ASSOCIATIONS TO MAINTAIN CURRENT UNDERSTANDING OF COMMUNITY NEED
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE AND EDUCATE PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE THIS IS ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS INFORMATION BROCHURES AVAILABLE AT THE REGISTRATION DESKS BROCHURES THAT DESCRIBE MUNSON HEALTHCARES FINANCIAL ASSISTANCE PROGRAM ARE AVAILABLE AT ALL REGISTRATION SITES THE BROCHURE HAS CLEAR INFORMATION ON HOW TO CONTACT A FINANCIAL COUNSELOR STATEMENT ON BILLS STATEMENTS INCLUDE VERBIAGE THAT INSTRUCTS THE PATIENT TO CALL PATIENT FINANCIAL ASSISTANCE IF THEY NEED HELP WITH THEIR BILL SIGNS IN THE ER REGISTRATION AREA ADVISES THE PATIENTS THAT THEIR CARE IS NOT WITHHELD IF THEY HAVE NO INSURANCE OR MEANS TO PAY REFERRAL BY REGISTRATION STAFF AT THE TIME OF REGISTRATION SELFPAY PATIENTS OR ANY PATIENT THAT MAY HAVE CONCERNS REGARDING THEIR UPCOMING ADMISSION IS REFERRED TO THE FINANCIAL COUNSELING STAFF MUNSON MEDICAL CENTER FINANCIAL COUNSELORS ARE AVAILABLE TO TALK WITH PATIENTS ABOUT THEIR FINANCIAL CONCERNS THE COUNSELORS VISIT ALL INPATIENTS THAT ARE DEEMED SELFPAY TO SEE IF THEY HAVE CONCERNS AND TO DETERMINE IF THEY WOULD LIKE HELP IF THE PATIENT WOULD LIKE HELP THE COUNSELORS GATHER INCOME INFORMATION AND SCREEN THE PATIENT FOR MEDICAID GENERALLY THESE TWO ACTIONS WILL DETERMINE WHAT PROGRAM THE PATIENT MIGHT QUALIFY FOR ONCE THE COUNSELOR DETERMINES WHAT THE PATIENT MAY QUALIFY FOR THE COUNSELOR EDUCATES THE PATIENT ON THE AVAILABLE PROGRAMS AND ASSISTS THEM WITH COMPLETING THE APPROPRIATE APPLICATIONS THE COUNSELORS ALSO IDENTIFY ALL SELFPAY OUTPATIENTS AND GO THROUGH THE SAME PROCESS ONLY BY PHONE THE GOAL IS TO TALK WITH PATIENTS PRIOR TO ADMISSION BUT WHEN THAT IS NOT POSSIBLE THE CALL IS MADE SOON AFTER DISCHARGE AVAILABLE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO MEDICAID AND ALL OF ITS SUBSETS SOCIAL SECURITY DISABILITY TRAVERSE HEALTH CLINIC MUNSON HEALTHCARE CHARITY CARE MUNSON MEDICAL CENTER CATASTROPHIC CARE AND MUNSON MEDICAL CENTER MEDS PROGRAM
COMMUNITY INFORMATION	PART VI	MUNSON MEDICAL CENTER DESCRIPTION MUNSON MEDICAL CENTER MMC IS THE LARGEST HOSPITAL IN NORTHERN LOWER MICHIGAN WITH 391 LICENSED ACUTE CARE BEDS ONE OF SEVEN HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM MMC PROVIDES MORE THAN 300000 ANNUAL PATIENT VISITS MMC SERVES APPROXIMATELY 23800 INPATIENTS HAS 2000 OBSTETRICAL BIRTHS AND 48000 EMERGENCY ROOM PATIENTS EVERY YEAR MMC IS ALSO THE LARGEST EMPLOYER IN NORTHERN MICHIGAN DUE TO ITS GEOGRAPHIC LOCATION AND COMPREHENSIVE ARRAY OF SERVICES OFFERED MMC HAS BEEN NAMED A RURAL REFERRAL CENTER BY THE CENTERS FOR MEDICARE AND MEDICAID MMC IS ALSO RECOGNIZED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES CMS AS A SOLE COMMUNITY HOSPITAL BECAUSE OF THIS STATUS IT IS EQUIPPED TO PROVIDE CRITICAL CARE FOR PATIENTS IN 24 COUNTIES HOSPITAL SERVICES MUNSON MEDICAL CENTER PROVIDES SERVICES IN 33 DIFFERENT MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING CARDIAC SURGERY CARDIAC CATHETERIZATION RADIATION ONCOLOGY NEONATAL INTENSIVE CARE AND COMPREHENSIVE EMERGENCY SERVICES MUNSON MEDICAL CENTER IS A LEVEL II TRAUMA CENTER AND IS THE ONLY RECOGNIZED TRAUMA CENTER IN MICHIGANS REGION 7 WHICH COVERS 17 COUNTIES SPECIALIZED INPATIENT UNITS AVAILABLE AT MMC INCLUDE MEDICALSURGICAL INTENSIVE CARE CARDIAC INTENSIVE CARE NEONATAL INTENSIVE CARE ONCOLOGY MENTAL HEALTH AND PHYSICAL MEDICINE AND REHABILITATION A BROAD SPECTRUM OF DIAGNOSTIC AND THERAPEUTIC SERVICES SUPPORTS MMCS PROGRAMS THE SERVICES AVAILABLE TO INPATIENTS AND OUTPATIENTS CONSIST OF RADIOLOGY INCLUDING MRI CT SCAN PET SCAN ULTRASOUND NUCLEAR MEDICINE AND RADIATION THERAPY COMPUTERIZED LABORATORY REHABILITATION SERVICES INCLUDING PHYSICAL OCCUPATIONAL AND SPEECH AND HEARING THERAPY CARDIAC CATHETERIZATION COMPREHENSIVE CANCER TREATMENT OBSTETRIC CLINIC FOR INDIGENT PATIENTS MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES HOME HEALTH DME AND DIALYSIS SERVICES AND COMPLEX SURGERY SUCH AS VASCULAR AND NEUROSURGERY AS WELL AS LESS COMPLEX SAMEDAY SURGERY POPULATION SERVED BY MUNSON MEDICAL CENTER MMC SERVES PATIENTS FROM 24 COUNTIES IN NORTHERN LOWER MICHIGAN AND THE EASTERN PORTION OF THE UPPER PENINSULA A POPULATION BASE OF APPROXIMATELY 580000 IN THE 11 COUNTY REGION IMMEDIATELY SURROUNDING MMC 184 OF THE POPULATION ARE 65 YEARS OR OLDER UNEMPLOYMENT IS 12 OR HIGHER ALMOST 23 OF ADULTS AGED 1864 YEARS OF AGE LACK HEALTH INSURANCE 58 OF BIRTHS ARE COVERED BY MEDICAID ABOUT 70 OF MMC INPATIENT DISCHARGES ORIGINATE FROM THE 5 COUNTIES IN CLOSEST PROXIMITY TO MMC ANTRIM BENZIE GRAND TRAVERSE LEELANAU AND KALKASKA QUALITY MUNSON MEDICAL CENTER HAS WON NUMEROUS AWARDS FOR OUTSTANDING CLINICAL QUALITY CARE HEALTH GRADES 5 STAR RATING FOR CARDIAC STROKE ORTHOPEDIC PULMONARY CARE AMERICAS 50 BEST HOSPITALS OUTSTANDING PATIENT EXPERIENCE HOSPITAL TOP 100 HOSPITAL 12 TIMES ONLY 2 OTHER HOSPITALS NATIONWIDE HAVE BEEN SO RECOGNIZED AMONG 23 NATIONALLY NAMED AS AN EVEREST AWARD FOR NATIONAL BENCHMARKS WINNER FOR THE SECOND YEAR IN A ROW THIS AWARD RECOGNIZES A HOSPITALS RATE OF LONGTERM IMPROVEMENT AND ESTABLISHES MUNSON MEDICAL CENTER AS A NATIONAL BENCHMARK AGAINST WHICH OTHER HOSPITALS WILL BE COMPARED 2008 AMERICAN HOSPITAL ASSOCIATION MCKESSON QUEST FOR QUALITY PRIZE RUNNER UP WAS UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS AMERICAN NURSES CREDENTIALING CENTER MAGNET HOSPITAL 3 OF HOSPITALS NATIONWIDE QUALIFY
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	THE MUNSON MEDICAL CENTER BOARD OF TRUSTEES IS MADE UP OF COMMUNITY MEMBERS ALL OF WHOM RESIDE IN THE HOSPITALS PRIMARY SERVICE AREA THESE INDIVIDUALS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY SUBJECT TO CREDENTIALING REVIEW AND REQUIREMENTS OF THE MEDICAL STAFF AND THE BOARD OF TRUSTEES MUNSON MEDICAL CENTER UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND IMPROVE CARE TO PATIENTS THROUGHOUT ITS SERVICE AREA EXAMPLES OF HOW MUNSON MEDICAL CENTER PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PROGRAMS INCLUDE HEALTHY FUTURES A PARTNERSHIP OF AREA HEALTH CARE PROVIDERS HEALTH DEPARTMENTS AND MUNSON HEALTHCARE CREATED TO IMPROVE THE HEALTH OF PREGNANT WOMEN AND CHILDREN UP TO AGE TWO THE PROGRAM INCLUDES CENTRAL ACCESSDATA MANAGEMENT REGISTERED NURSE RN CARE COORDINATION EDUCATIONAL MAILINGS TO AGE 5 AND HEALTH CARERELATED FINANCIAL ASSISTANCE THEHEALTHY FUTURES MODEL OF RN CARE COORDINATION CONSISTS OF AN OUTCOMESBASED APPROACH TO INTERVENTION IN THE AREAS OF BREASTFEEDING LONGEVITY ACCESS TO HEALTH CARE AND IMMUNIZATIONS MEDS PROGRAM A PROGRAM THAT PROVIDES TO PATIENTS WITHOUT RESOURCES BEING DISCHARGED FROM THE HOSPITAL NEEDED MEDICATIONS AS WELL AS ENROLLING THOSE PATIENTS INTO PHARMACEUTICAL COMPANY SPONSORED ASSISTANCE PROGRAMS SO THEY MAY CONTINUE TO GET THE NEEDED PHARMACEUTICALS POVERTY REDUCTION INITIATIVE PRI A COLLABORATIVE GROUP OF ORGANIZATIONS AND INDIVIDUALS WORKING TO ADDRESS ISSUES OF POVERTY IN THE FIVE COUNTY SERVICE AREA OF MUNSON MEDICAL CENTER PROJECTS SUPPORTED BY THE PRI WORK GROUPS INCLUDE EFFORTS TO EXPAND ACCESS TO MEDICAL AND DENTAL CARE JOB TRAINING OPPORTUNITIES JOB RETENTION COMMUNITY RESOURCE MOBILIZATION AND DATA COLLECTION MUNSONS INVOLVEMENT IN PRI INCLUDES MEMBERSHIP ON THE ADVISORY COUNCIL STEERING COMMITTEE AND NAVIGATING WORKGROUP NORTHERN MICHIGAN DIABETES INITIATIVE NMDI A GROUP OF STAKEHOLDERS AND STEERING COMMITTEE MEMBERS THAT REPRESENT THE 11 COUNTY SERVICE AREA WITH A VISION TO IMPROVE THE CHRONIC CARE MANAGEMENT OF DIABETES NMDI IS COMMITTED TO PROVIDING LOCAL REGIONAL AND NATIONAL RESOURCES FOR THE PREVENTION AND MANAGEMENT OF DIABETES WHILE MOST DIABETES COLLABORATIVES FOCUS ON PROVIDING OPTIMAL EVIDENCE BASED CARE MANAGEMENT TO THE PERSON ALREADY DIAGNOSED WITH DIABETES NMDI FOCUSES ON CONCURRENT UPSTREAM TARGETED EDUCATION OF THREE SPECIFIC POPULATIONS THE GENERAL COMMUNITY THE SOCIOECONOMICALLY CHALLENGED HIGH RISK POPULATION AND RURAL PRIMARY CARE PROVIDERS PCP CARING FOR DIABETIC PATIENTS COLLABORATION WITH THE TRAVERSE HEALTH CLINIC THE TRAVERSE HEALTH CLINIC THC OPERATING UNDER AN INDIGENT CARE AGREEMENT UTILIZING MUNSON MEDICAL CENTERS DSH CAPACITY PROVIDES ACCESS TO HEALTH SERVICES THROUGH COMMUNITY COLLABORATION TO PEOPLE IN NEED IN BENZIE LEELANAU AND GRAND TRAVERSE COUNTIES THC SERVES AS A PRIMARY CARE PROVIDER FOR THOSE WITH MEDICAID AND RUNS THE COALITION HEALTH ACCESS PROGRAM CHAP FOR THOSE ADULTS WITH NO INSURANCE WHO QUALIFY INCOMES 200 OF FPG MUNSON DONATES TO THC THROUGH INKIND DONATIONS OF MEDICATIONS AND STAFFING GRANTS ETC WHILE NOT COUNTABLE AS MUNSON COMMUNITY BENEFIT MANY MUNSON EMPLOYEES ALSO VOLUNTEER THEIR TIME PROVIDING CARE AT THE THC MEDICAL EDUCATIONTHE MUNSON FAMILY PRACTICE RESIDENCY PROGRAM INTEGRATES OSTEOPATHIC AND ALLOPATHIC MEDICINE TOGETHER WITH THE RESOURCES OF MUNSON MEDICAL CENTER THIS DUALLY ACCREDITED 555 PROGRAM ACCEPTS BOTH DO AND MD TRAINEES THE PROGRAM IS AFFILIATED WITH THE MICHIGAN STATE UNIVERSITY MMC ALSO PARTNERS WITH SEVERAL SCHOOLS OF NURSING TO PROVIDE INTERNSHIPS AND CLINICAL EXPERIENCES FOR REGISTERED NURSES RESPIRATORY THERAPISTS PHARMACISTS AND OTHER HEALTH PROFESSIONALS
AFFILIATED HEALTH CARE INFORMATION	PART VI	MUNSON MEDICAL CENTERS SOLE CORPORATE MEMBER IS MUNSON HEALTHCARE A 501C3 CORPORATION THE MUNSON HEALTHCARE SYSTEM CONSISTS OF A MAJOR TERTIARY REFERRAL HOSPITAL SEVERAL RURALBASED MEDICAL CENTERS EXTENSIVE OUTPATIENT TREATMENT AND REHABILITATION FACILITIES AND ANCILLARY EMERGENCY TRANSPORTATION AND HOMEBASED MEDICAL SERVICES THAT COVER 24 COUNTIES IN MICHIGANS NORTHERN LOWER PENINSULA AND THE EASTERN PORTION OF THE UPPER PENINSULA THE MOST SIGNIFICANT OF THE MUNSON HEALTHCARE SUBSIDIARIES IS MUNSON MEDICAL CENTER MMC MMC IS ONE OF SEVEN NOTFORPROFIT HOSPITALS WHICH ARE AFFILIATED WITH EACH OTHER AND SERVE AS THE ONLY HOSPITALS IN THEIR COMMUNITIES EACH OF THE AFFILIATED HOSPITALS HAS INDIVIDUAL COMMUNITY HEALTH INITIATIVES ANDOR PROMOTION ACTIVITIES AS WELL AS SHARED INITIATIVES MMC WORKS IN COOPERATION WITH OTHER ENTITIES IN THE MUNSON HEALTHCARE SYSTEM TO PROVIDE A FULL RANGE OF HEALTH SERVICES TO THE COMMUNITIES IN ITS SERVICE AREA THE HOME HEALTH DIVISION OF MUNSON HEALTHCARE PROVIDES HOME NURSE AND AIDE SERVICES IN ADDITION TO DURABLE MEDICAL EQUIPMENT AND A PALLIATIVE CARE AND HOSPICE PROGRAM ON THE MUNSON CAMPUS OVER A HALF MILLION DOLLARS IN COMMUNITY BENEFIT IN THE FORM OF CHARITY CARE AND UNREIMBURSED MEDICAID ARE PROVIDED THROUGH THIS DIVISION EACH YEAR NORTH FLIGHT INC IS THE CHARITABLE TRANSPORTATION ENTITY IN THE SYSTEM WITH ITS FIXED WING AND HELICOPTER AIR SERVICES IN COMBINATION WITH GROUND TRANSPORT PATIENTS IN THE SYSTEM ARE ABLE TO ACCESS APPROPRIATE CARE NORTH FLIGHT INC PROVIDED OVER 12 MILLION IN CHARITY CARE AND UNREIMBURSED MEDICAID IN THE PAST FISCAL YEAR 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

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
MUNSON MEDICAL CENTER

Employer identification number
38-1362830

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) MEDICAL INSURANCE PAYMENT	11	12,714
(2) EQUIP RENTAL AND SUPPLIES	13	7,972
(3) CLIENT TRANSPORT & FOOD	13	2,720
(4) MEDICAL, TRANSPORT & DRUG	129	26,888

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) EDWIN A NESS	(i) (ii)	515,678	120,976	1,102	119,320	20,126	777,202
(2) MARK A HEPLER	(i) (ii)	208,875	38,795	1,429	26,375	19,378	294,852
(3) PAUL M SHIRILLA	(i) (ii)	259,556	60,698	2,275	31,769	14,788	369,086
(4) DAVID MCGREAHAM MD	(i) (ii)	246,483	46,908	19,078	31,257	17,498	361,224
(5) CHRISTOPHER PODGES	(i) (ii)	236,237	51,366	1,462	28,808	21,756	339,629
(6) KATHLEEN MCMANUS	(i) (ii)	232,504	41,769	927	29,602	14,307	319,109
(7) SUZANNE K PETERS	(i) (ii)	152,851	34,434	62,384	19,503	13,507	282,679	45,835
(8) MARK R ANTHONY	(i) (ii)	192,948	37,485	17,121	24,357	8,076	279,987
(9) JAMES P FISCHER	(i) (ii)	166,625	33,467	2,551	20,395	19,611	242,649
(10) THOMAS SCHERMERHORN MD	(i) (ii)	727,250		682	12,144	19,638	759,714
(11) AHMET SEVIMLI MD	(i) (ii)	321,100		946	19,266	18,571	359,883
(12) DAVID B MARTIN MD	(i) (ii)	235,020	3,698	16,098	14,101	14,147	283,064
(13) JOHN D FAICHNEY MD	(i) (ii)	216,403	24,730	3,687	11,348	20,611	276,779
(14) DANIEL M WEBSTER MD	(i) (ii)	217,537	14,464	4,416	13,052	15,545	265,014
(15) EDWARD CARLSON	(i) (ii)			214,490 9,506			214,490 9,506	14,872

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	EDWIN A. NESS 0 107,176 0 MARK A. HEPLER 0 13,842 0 PAUL M. SHIRILLA 0 16,196 0 DAVID MCGREAHAM, MD 0 16,468 0 CHRISTOPHER PODGES 0 14,634 0 KATHLEEN MCMANUS 0 15,652 0 SUZANNE K. PETERS 0 10,332 0 MARK R. ANTHONY 0 12,780 0 JAMES P. FISCHER 0 10,398 0 EDWARD CARLSON 209,123 0 0
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	EXECUTIVE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, INCLUDING THE PRESIDENT AND VICE-PRESIDENTS, A COMPETITIVE BENEFIT PACKAGE IS OFFERED WHICH INCLUDES PARTICIPATION IN A 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. FOR VICE-PRESIDENTS, AFTER WORKING FOR MUNSON FOR 3 YEARS, A VICE-PRESIDENT IS ELIGIBLE TO PARTICIPATE IN A NON-QUALIFIED RETIREMENT PLAN, WHICH IS FUNDED ANNUALLY AT THE SOLE DISCRETION OF MUNSON IN AN AMOUNT NOT TO EXCEED 6% OF BASE COMPENSATION. THE PARTICIPANT BECOMES ELIGIBLE FOR THIS BENEFIT UPON THEIR RETIREMENT FROM MUNSON. EXECUTIVE SEVERANCE PLAN: SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, A COMPETITIVE BENEFIT PACKAGE IS OFFERED TO THE PRESIDENT AND VICE-PRESIDENTS WHICH INCLUDES A SEVERANCE PLAN. MUNSON HAS A SEVERANCE PLAN FOR THE PRESIDENT AND THE VICE-PRESIDENT/EXECUTIVE LEVEL POSITIONS WHICH PROVIDES FOR THE PRESIDENT UP TO TWO YEARS OF PAY IN THE EVENT EMPLOYMENT ENDS UNDER CERTAIN CONDITIONS AND ONE-YEAR OF PAY IN THE EVENT EMPLOYMENT ENDS UNDER CERTAIN CONDITIONS. THE PLAN PROVIDES FOR A 50% OFFSET FOR SUBSEQUENT EMPLOYMENT DURING THE SEVERANCE PERIOD. MEDICAL BENEFITS ARE PROVIDED DURING THE SEVERANCE PERIOD.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
MUNSON MEDICAL CENTER

Employer identification number
38-1362830

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	COUNTY OF GRAND TRAVERSE HOSPITAL F	38-6004832	386523DK7	11-03-2005	25,000,000	ADVANCE REFUND 1998		X		X		X
B	COUNTY OF GRAND TRAVERSE HOSPITAL F	38-6004832	386523DL5	11-03-2005	30,000,000	NEW CONSTRUCTION		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	27,259,026		30,474,818
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	270,982		323,467
8 Credit enhancement from proceeds.	528,444		713,293
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	29,437,958		29,437,958
11 Other spent proceeds . .	26,459,600
12 Other unspent proceeds. . .
13 Year of substantial completion . . .	2007		2007
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X		X
15 Were the bonds issued as part of an advance refunding issue?	X			X
16 Has the final allocation of proceeds been made? . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X	X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X	X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .
6 Total of lines 4 and 5 . . .. . . . . .
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?		X	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X
2 Is the bond issue a variable rate issue?	X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?	X		X
b Name of provider .	JP MORGAN CHASE BANK		MERRILL LYNCH CAPITAL SERVICES INC
c Term of hedge . .	22.7		29.7
d Was the hedge superintegrated? .		X		X
e Was a hedge terminated? .		X		X
4a Were gross proceeds invested in a GIC? .		X		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .	X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X	X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
DIFFERENCES IN ISSUE PRICE EXPLANATION	SCHEDULE K	COUNTY OF GRAND TRAVERSE HOSPITAL F INVESMENT EARNINGS TOTALED 2259026 DURING THE PERIOD BETWEEN THE BOND ISSUE AND THE DATE OF OF THE REFUNDING
ADDITIONAL INFORMATION	SCHEDULE K	COUNTY OF GRAND TRAVERSE HOSPITAL F PART I DESCRIPTION OF PURPOSE THE 2005A ISSUE WAS USED TO ADVANCE REFUND 39 OF THE CALLABLE ORIGINAL PRINCIPAL AMOUNT OF THE COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY HOSPITAL REVENUE AND REFUNDING BONDS MUNSON HEALTHCARE OBLIGATED GROUP SERIES 1998A ISSUED 9198 COUNTY OF GRAND TRAVERSE HOSPITAL F THE 2005B ISSUE FUNDED A PROJECT FOR THE CONSTRUCTION AND EQUIPPING OF A 4STORY ADDITION TO THE HOSPITAL THAT INCLUDED A NEW EMERGENCY ROOM A 60BED ACUTE CARE NURSING UNIT SPACE FOR FUTURE CLINICAL NEEDS AND AN ENERGY CENTER PART III QUESTION 3C MUNSON MEDICAL CENTER MAINTAINS POLICIES AND PROCEDURES TO REVIEW AND MONITOR ALL CONTRACTS THE REVIEW PROCESS INCLUDES A REVIEW BY THE INTERNAL LEGAL DEPARTMENT OUTSIDE COUNSEL MAY BE CONSULTED AS NECESSARY OUTSIDE COUNSEL IS RETAINED FOR ALL NEW EXEMPT BOND OFFERINGS DURING WHICH A THOROUGH DUE DILIGENCE PROCESS REVIEWS APPLICABLE CONTACTS

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MAUREEN CARLSON	FAMILY OF FORME	51,839	RELATED FAMILY COMP		No
(2) MEGAN COX	FAMILY OF TRUST	53,689	RELATED FAMILY COMP		No
(3) GLORIA WOLF	FAMILY OF TRUST	74,634	RELATED FAMILY COMP		No
(4) GRAND TRAVERSE CHILDRENS CLINIC	OWNER ISTRUSTEE	179,414	GROUP PRACTICE PHYSI		No
(5) HOSPITALISTS OF NORTHWEST MI	OWNER ISTRUSTEE	4,948,832	GROUP PRACTICE PHYSI		No
(6) MUNSON SUPPORT SERVICES	E NESS TRUSTEE	2,068,778	LAUNDRY SERVICES		No
(7) MUNSON SERVICES INC	C PODGESTRUSTEE	2,021,387	CONTRACT EMPLOYEES		No
(8) PULMONARY AND CRITICAL CARE PHYSICI	OWNER ISTRUSTEE	1,361,885	GROUP PRACTICE PHYSI		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Identifier	Return Reference	Explanation
RELATED PARTY INFORMATION AMONG OFFICERS	FORM 990, PAGE 6, PART VI, LINE 2	EDWIN A. NESS CHRISTOPHER PODGES PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER EDWIN A. NESS MARK R. ANTHONY PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER EDWIN A. NESS SUZANNE K. PETERS PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER EDWIN A. NESS JAMES P. FISCHER PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER EDWIN A. NESS KATHLEEN MCMANUS PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER EDWIN A. NESS DAVID MCGREAHAM PRESIDENT KEY EMPLOYEE MUNSON MEDICAL CENTER EMPLOYER MARK A. HEPLER PAUL M. SHIRILLA CFO KEY EMPLOYEE MUNSON HEALTHCARE EMPLOYER
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	MUNSON MEDICAL CENTER IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS. THE SOLE MEMBER IS MUNSON HEALTHCARE, AN IRS SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. IN THE EVENT OF DISSOLUTION, MUNSON MEDICAL CENTER'S NET ASSETS WOULD BE DISTRIBUTED TO MUNSON HEALTHCARE.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	FOUR TRUSTEES OF MUNSON MEDICAL CENTER ARE DIRECTORS OF MUNSON HEALTHCARE. OTHER TRUSTEES ARE CHOSEN FROM AMONG THOSE NOMINATED BY THE GOVERNANCE COMMITTEE.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	CERTAIN DECISIONS OF THE MUNSON MEDICAL CENTER TRUSTEES ARE APPROVED BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS INCLUDING THE ACCEPTANCE OF THE ANNUAL BUDGET, AND ANNUAL FINANCIAL STATEMENTS, INCURRENCE OF CERTAIN DEBT, AND APPOINTMENT OF THE PRESIDENT.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE MUNSON MEDICAL CENTER BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON MEDICAL CENTER BELONGS TO THE MUNSON HEALTHCARE SYSTEM. AT THE CORPORATE LEVEL, THE RESPONSIBLE INDIVIDUALS FROM THE FINANCE, ADMINISTRATION, BUSINESS, LEGAL, HUMAN RESOURCES, PUBLIC RELATIONS, AND FUND DEVELOPMENT DEPARTMENTS PREPARE AND REVIEW PORTIONS OF THE FORM 990. BOARD COMMITTEES THEN FURTHER REVIEW SPECIFIC DISCLOSURES. THE COMPENSATION COMMITTEE REVIEWS THE COMPENSATION INFORMATION CONTAINED IN THE CORE FORM AS WELL AS THE SCHEDULE J INFORMATION. THE CONFLICT, VALUATION AND COMPLIANCE COMMITTEE OVERSEES THE CONFLICT OF INTEREST DISCLOSURE PROCESS FOR BOARD MEMBERS AND KEY EMPLOYEES TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE AUDIT COMMITTEE REVIEWS MUNSON HEALTHCARE, MUNSON MEDICAL CENTER, MUNSON HEALTHCARE REGIONAL FOUNDATION, AND SELECTED OTHER SYSTEM ENTITY FORMS 990 ON AN ANNUAL BASIS.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE MUNSON MEDICAL CENTER BOARD HAS A STANDING CONFLICT, VALUATION, AND COMPLIANCE ("CVC") COMMITTEE. ANY TRANSACTIONS WITH DISQUALIFIED PERSONS ARE SUBJECT TO PRIOR APPROVAL OF FAIR MARKET VALUE BY THE CVC COMMITTEE. ANNUALLY, THE CVC COMMITTEE DIRECTS THE PROCESS FOR EACH TRUSTEE AND KEY EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THE RESPONSES ARE REVIEWED AND SUMMARIZED BY MUNSON MEDICAL CENTER'S LEGAL DEPARTMENT. A REPORT OF IDENTIFIED CONFLICTS IS PRESENTED TO THE CVC COMMITTEE FOR ITS REVIEW AND APPROVAL. THE CVC COMMITTEE UTILIZES THE QUESTIONNAIRE RESPONSES TO EVALUATE ANY TRANSACTION WITH A POTENTIAL CONFLICT.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE PROCESS FOR DETERMINING APPROPRIATE LEVELS OF PAY FOR EXECUTIVE POSITIONS WITHIN MUNSON HEALTHCARE IS CAREFULLY AND THOUGHTFULLY DIRECTED BY THE BOARD OF DIRECTORS, THROUGH THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMMITTEE UTILIZES "BEST PRACTICES" METHODS OF DETERMINING COMPENSATION AND, AS SUCH, IS COMPOSED OF SEVEN MEMBERS WHOSE VOTING MEMBERS ARE INDEPENDENT. THE COMMITTEE IS CHARGED WITH ENSURING THAT EXECUTIVE COMPENSATION IS DESIGNED TO ATTRACT AND RETAIN HIGH QUALITY, PROFESSIONAL LEADERSHIP WHILE MAINTAINING STRONG STEWARDSHIP FOR THE ORGANIZATION. ANNUALLY, THE COMMITTEE RETAINS A NATIONAL INDEPENDENT CONSULTANT TO ENSURE THAT MHC'S COMPENSATION PRACTICES AND LEVELS ARE INDEPENDENTLY REVIEWED WHILE BEING COMPETITIVE AND REASONABLE. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE, AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. ANNUAL COMPENSATION FOR MUNSON EXECUTIVES IS DETERMINED IN PART BY MEASURABLE PROGRESS TOWARD THE ORGANIZATION'S GOALS INCLUDING CONTINUED IMPROVEMENT IN CLINICAL QUALITY, COMMUNITY HEALTH, AND OPERATIONAL EFFICIENCIES. MUNSON HEALTHCARE'S INTENT FOR EXECUTIVE BASE COMPENSATION IS TO BE AT THE MEDIAN WHEN COMPARED TO LIKE-SIZE NON-PROFIT HOSPITALS AND HEALTHCARE SYSTEMS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	COMPENSATION OF OTHER KEY EMPLOYEES IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON MEDICAL CENTER.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE MUNSON MEDICAL CENTER ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON MEDICAL CENTER DOES NOT MAKE THE BYLAWS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ANNUALLY, MUNSON HEALTHCARE, PARENT CORPORATION, SUBMITS ITS ANNUAL CONSOLIDATED FINANCIAL STATEMENTS TO THE MSRB IN COMPLIANCE WITH BOND DISCLOSURE REQUIREMENTS. ADDITIONALLY, MUNSON MEDICAL CENTER PREPARES AND DISTRIBUTES AN ANNUAL REPORT TO THE COMMUNITY, WHICH CONTAINS FINANCIAL AS WELL AS PROGRAM DATA.
GROUP RETURN METHOD	FORM 990, PAGE 7, PART VII	PARENT ORGANIZATION HAS FILED A SEPARATE RETURN
RELATED ORGANIZATIONS	FORM 990, PAGE 7, PART VII	EDWIN A. NESS WAS PRESIDENT OF MUNSON HEALTHCARE AND ALLOCATED 95% OF HIS TIME TO MUNSON HEALTHCARE SYSTEM MATTERS AND 5% OF HIS TIME TO THE MUNSON HEALTHCARE REGIONAL FOUNDATION. MARK HEPLER, CFO, ALLOCATES 30% OF HIS TIME TO MUNSON HEALTHCARE, SYSTEM PARENT ORGANIZATION; 70% TO MUNSON MEDICAL CENTER; AND LESS THAN AN HOUR A WEEK TO THE REMAINING ORGANIZATIONS IN THE MUNSON HEALTHCARE SYSTEM IN HIS CAPACITY AS CFO FOR ALL MUNSON SYSTEM ORGANIZATIONS. PAUL M. SHIRILLA, VICE PRESIDENT OF GENERAL COUNSEL FOR THE MUNSON HEALTHCARE SYSTEM, ALLOCATES 85% OF HIS TIME TO SYSTEM MATTERS AND 15% TO MUNSON MEDICAL CENTER. KATHLEEN MCMANUS, SENIOR VICE PRESIDENT OF MUNSON MEDICAL CENTER, ALLOCATES 90% OF HER TIME TO MUNSON MEDICAL CENTER AND THE REMAINDER TO SYSTEM ENTITIES. MARK ANTHONY IS A VICE PRESIDENT FOR MUNSON MEDICAL CENTER AND ALLOCATES 95% OF THIS TIME TO THAT COMPANY. HE DEVOTES APPROXIMATELY 2-3 HOURS A WEEK TO MUNSON MOBILE IMAGING AND GREAT LAKES MOBILE PET AS PRESIDENT OF BOTH ENTITIES.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	THE OTHER CHANGES IN NET ASSETS INCLUDE THE FOLLOWING ITEMS: CHANGE IN MINIMUM PENSION LIABILITY 26,582,239 UNREALIZED GAINS ON POOLED INVESTMENT ACCOUNTS 14,254,237 CHANGE IN VALUE OF INTEREST RATE SWAPS 1,763,406 CHANGE IN INVESTMENT VALUE OF ASSETS HELD AT THE FOUNDATION 855,878 TRANSFERS TO AFFILIATES (6,324,457) TOTAL 37,131,303

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) MUNSON DIALYSIS CENTER 1105 SIXTH ST TRAVERSE CITY,MI49684 38-3097861	DIALYSIS	MI	(C)(3)	3	MUNSON HC MUNSON HEALTHCARE		No
(2) MUNSON HEALTHCARE 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2640544	HEALTHCARE	MI	(C)(3)	11B	N/A		No
(3) MUNSON HEALTHCARE REGIONAL FOUNDATI 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2642724	RAISE FUND	MI	(C)(3)	7	MUNSON HC MUNSON HEALTHCARE		No
(4) MUNSON HOME CARE 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2191390	HOME HEALT	MI	(C)(3)	9	MUN HOME H MUNSON HOME HEALTH		No
(5) MUNSON HOME HEALTH 1105 SIXTH ST TRAVERSE CITY,MI49684 38-3335362	HOME HEALT	MI	(C)(3)	11B	MUNSON HC MUNSON HEALTHCARE		No
(6) MUNSON HOME SERVICES 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2543463	HOME HEALT	MI	(C)(3)	9	MUN HOME H MUNSON HOME HEALTH		No
(7) MUNSON MOBILE IMAGING INC 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2704069	HEALTHCARE	MI	(C)(4)		MUNSON HC MUNSON HEALTHCARE		No
(8) NORTH FLIGHT INC 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2657917	MED TRANSP	MI	(C)(3)	11B	MUNSON HC MUNSON HEALTHCARE		No
(9) PAUL OLIVER MEMORIAL HOSPITAL 1105 SIXTH ST TRAVERSE CITY,MI49684 38-1415623	HEALTHCARE	MI	(C)(3)	3	MUNSON HC MUNSON HEALTHCARE		No
(10) PAUL OLIVER MEMORIAL HOSPITAL FOUND 1105 SIXTH ST TRAVERSE CITY,MI49684 23-7201619	RAISE FUND	MI	(C)(3)	7	PAUL OLV H PAUL OLIVER MEMORIAL HOSPITAL		No
(11) MUNSON MEDICAL GROUP 1105 SIXTH ST TRAVERSE CITY,MI49684 27-3600575	PHYSICIAN	MI	(C)(3)	9	MUNSON MED MUNSON MEDICAL CENTER	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MUNSON MEDICAL BUILDING PARTNERS PO BOX 1188 TRAVERSE CITY,MI496851188 38-2830005	REAL ESTAT	MI	MUNSON MED MUNSON MEDICAL CENTER	RELATED	217,973	1,809,871		No		Yes		56.540 %
(2) NORTHERN MICHIGAN SUPPLY ALLIANCE 2651 AERO PARK DR TRAVERSE CITY,MI49686 38-3453378	PURCHASING	MI	N/A					No			No
(3) MUNSON MEDICAL BUILDING PARTNERS PO BOX 1188 TRAVERSE CITY,MI496851188 38-2830005	REAL ESTAT	MI	MUNSON MED MUNSON MEDICAL CENTER	RELATED	217,973	1,809,871		No		Yes		56.540 %
(4) NORTHERN MICHIGAN SUPPLY ALLIANCE 2651 AERO PARK DR TRAVERSE CITY,MI49686 38-3453378	PURCHASING	MI	N/A					No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) MEDICAL OFFICE CONDOMINIUM MEDICAL OFFICE CONDOMINIUM PO BOX 1188 TRAVERSE CITY,MI496851188 20-1902620	REAL ESTAT	MI	MUNSON MED MUNSON MEDICAL CENTER	C CORP	171,696	33,579	74.000 %
(2) SIXTH STREET DRUGS PO BOX 1188 TRAVERSE CITY,MI496851188 38-2298290	PHARMACY	MI	N/A
(3) MUNSON SUPPORT SERVICES PO BOX 1188 TRAVERSE CITY,MI496851188 38-2872821	LAUNDRY	MI	MUNSON MED MUNSON MEDICAL CENTER	C CORP	4,262,322	4,697,275	100.000 %
(4) MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY,MI496851188 38-3144382	PHARMACY	MI	N/A
(5) MEDICAL OFFICE BUILDING CONDOMINIUM MEDICAL OFFICE BUILDING CONDOMINIUM PO BOX 1188 TRAVERSE CITY,MI496851188 38-3567278	REAL ESTAT	MI	MUNSON MED MUNSON MEDICAL CENTER	C CORP	49,382	50,486	100.000 %
(6) MEDICAL OFFICE CONDOMINIUM MEDICAL OFFICE CONDOMINIUM PO BOX 1188 TRAVERSE CITY,MI496851188 20-1902620	REAL ESTAT	MI	MUNSON MED MUNSON MEDICAL CENTER	C CORP	171,696	33,579	74.000 %
(7) SIXTH STREET DRUGS PO BOX 1188 TRAVERSE CITY,MI496851188 38-2298290	PHARMACY	MI	N/A
(8) MUNSON SUPPORT SERVICES PO BOX 1188 TRAVERSE CITY,MI496851188 38-2872821	LAUNDRY	MI	MUNSON MED MUNSON MEDICAL CENTER	C CORP	4,262,322	4,697,275	100.000 %
(9) MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY,MI496851188 38-3144382	PHARMACY	MI	N/A
(10) MEDICAL OFFICE BUILDING CONDOMINIUM MEDICAL OFFICE BUILDING CONDOMINIUM PO BOX 1188 TRAVERSE CITY,MI496851188 38-3567278	REAL ESTAT	MI	MUNSON MED MUNSON MEDICAL CENTER	C CORP	49,382	50,486	100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	P	219,689	FMV
(2) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	J	177,622	FMV
(3) MUNSON DIALYSIS CENTER	K	117,888	FMV
(4) MUNSON DIALYSIS CENTER	P	968,479	FMV
(5) MUNSON DIALYSIS CENTER	N	1,769,724	FMV
(6) MUNSON HEALTHCARE	B	3,000,000	FMV
(7) MUNSON HEALTHCARE	D	175,000	FMV
(8) MUNSON HEALTHCARE	L	1,296,936	FMV
(9) MUNSON HEALTHCARE	N	537,361	FMV
(10) MUNSON HEALTHCARE	O	3,801,201	FMV
(11) MUNSON HEALTHCARE	P	6,803,977	FMV
(12) MUNSON HEALTHCARE	R	2,017,267	FMV
(13) MUNSON HEALTHCARE	E	175,000	FMV
(14) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	885,750	FMV
(15) MUNSON HEALTHCARE REGIONAL FOUNDATI	L	541,361	FMV
(16) MUNSON HOME CARE	I	131,462	FMV
(17) MUNSON HOME CARE	K	171,983	FMV
(18) MUNSON HOME CARE	P	13,958,889	FMV
(19) MUNSON HOME CARE	R	418,000	FMV
(20) MUNSON HOME HEALTH	I	58,800	FMV
(21) MUNSON HOME HEALTH	P	1,907,512	FMV
(22) MUNSON HOME SERVICES	K	147,425	FMV
(23) MUNSON HOME SERVICES	P	3,563,145	FMV
(24) MUNSON MEDICAL BUILDING PARTNERS	J	634,584	FMV
(25) MUNSON MEDICAL BUILDING PARTNERS	Q	634,584	FMV
(26) MUNSON MEDICAL GROUP	B	3,324,457	FMV
(27) MUNSON MEDICAL GROUP	D	900,000	FMV
(28) MUNSON MEDICAL GROUP	O	230,660	FMV
(29) MUNSON MEDICAL GROUP	P	2,625,033	FMV
(30) MUNSON MEDICAL GROUP	N	1,173,909	FMV
(31) MUNSON MOBILE IMAGING	O	54,837	FMV
(32) MUNSON MOBILE IMAGING	P	1,214,143	FMV
(33) MUNSON SERVICES INC	K	93,329	FMV
(34) MUNSON SERVICES INC	N	2,021,387	FMV
(35) MUNSON SERVICES INC	P	55,870	FMV
(36) MUNSON SERVICES INC	O	64,212	FMV
(37) MUNSON SUPPORT SERVICES	L	2,086,049	FMV
(38) MUNSON SUPPORT SERVICES	P	2,165,095	FMV
(39) NORTH FLIGHT INC	L	55,783	FMV
(40) NORTH FLIGHT INC	P	6,400,955	FMV
(41) NORTHERN MICHIGAN SUPPLY ALLIANCE	D	10,306,000	FMV
(42) NORTHERN MICHIGAN SUPPLY ALLIANCE	I	126,000	FMV
(43) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	17,315,778	FMV
(44) NORTHERN MICHIGAN SUPPLY ALLIANCE	R	10,181,000	FMV
(45) NORTHERN MICHIGAN SUPPLY ALLIANCE	N	473,916	FMV
(46) NORTHERN MICHIGAN SUPPLY ALLIANCE	L	2,753,851	FMV
(47) PAUL OLIVER MEMORIAL HOSPITAL	K	1,688,687	FMV
(48) PAUL OLIVER MEMORIAL HOSPITAL	N	939,935	FMV
(49) PAUL OLIVER MEMORIAL HOSPITAL	O	182,903	FMV
(50) PAUL OLIVER MEMORIAL HOSPITAL	P	5,629,919	FMV
(51) SIXTH STREET CONDO ASSOCIATION	J	130,178	FMV
(52) SIXTH STREET CONDO ASSOCIATION	P	240,132	FMV
(53) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	P	219,689	FMV
(54) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	J	177,622	FMV
(55) MUNSON DIALYSIS CENTER	K	117,888	FMV
(56) MUNSON DIALYSIS CENTER	P	968,479	FMV
(57) MUNSON DIALYSIS CENTER	N	1,769,724	FMV
(58) MUNSON HEALTHCARE	B	3,000,000	FMV
(59) MUNSON HEALTHCARE	D	175,000	FMV
(60) MUNSON HEALTHCARE	L	1,296,936	FMV
(61) MUNSON HEALTHCARE	N	537,361	FMV
(62) MUNSON HEALTHCARE	O	3,801,201	FMV
(63) MUNSON HEALTHCARE	P	6,803,977	FMV
(64) MUNSON HEALTHCARE	R	2,017,267	FMV
(65) MUNSON HEALTHCARE	E	175,000	FMV
(66) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	885,750	FMV
(67) MUNSON HEALTHCARE REGIONAL FOUNDATI	L	541,361	FMV
(68) MUNSON HOME CARE	I	131,462	FMV
(69) MUNSON HOME CARE	K	171,983	FMV
(70) MUNSON HOME CARE	P	13,958,889	FMV
(71) MUNSON HOME CARE	R	418,000	FMV
(72) MUNSON HOME HEALTH	I	58,800	FMV
(73) MUNSON HOME HEALTH	P	1,907,512	FMV
(74) MUNSON HOME SERVICES	K	147,425	FMV
(75) MUNSON HOME SERVICES	P	3,563,145	FMV
(76) MUNSON MEDICAL BUILDING PARTNERS	J	634,584	FMV
(77) MUNSON MEDICAL BUILDING PARTNERS	Q	634,584	FMV
(78) MUNSON MEDICAL GROUP	B	3,324,457	FMV
(79) MUNSON MEDICAL GROUP	D	900,000	FMV
(80) MUNSON MEDICAL GROUP	O	230,660	FMV
(81) MUNSON MEDICAL GROUP	P	2,625,033	FMV
(82) MUNSON MEDICAL GROUP	N	1,173,909	FMV
(83) MUNSON MOBILE IMAGING	O	54,837	FMV
(84) MUNSON MOBILE IMAGING	P	1,214,143	FMV
(85) MUNSON SERVICES INC	K	93,329	FMV
(86) MUNSON SERVICES INC	N	2,021,387	FMV
(87) MUNSON SERVICES INC	P	55,870	FMV
(88) MUNSON SERVICES INC	O	64,212	FMV
(89) MUNSON SUPPORT SERVICES	L	2,086,049	FMV
(90) MUNSON SUPPORT SERVICES	P	2,165,095	FMV
(91) NORTH FLIGHT INC	L	55,783	FMV
(92) NORTH FLIGHT INC	P	6,400,955	FMV
(93) NORTHERN MICHIGAN SUPPLY ALLIANCE	D	10,306,000	FMV
(94) NORTHERN MICHIGAN SUPPLY ALLIANCE	I	126,000	FMV
(95) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	17,315,778	FMV
(96) NORTHERN MICHIGAN SUPPLY ALLIANCE	R	10,181,000	FMV
(97) NORTHERN MICHIGAN SUPPLY ALLIANCE	N	473,916	FMV
(98) NORTHERN MICHIGAN SUPPLY ALLIANCE	L	2,753,851	FMV
(99) PAUL OLIVER MEMORIAL HOSPITAL	K	1,688,687	FMV
(100) PAUL OLIVER MEMORIAL HOSPITAL	N	939,935	FMV
(101) PAUL OLIVER MEMORIAL HOSPITAL	O	182,903	FMV
(102) PAUL OLIVER MEMORIAL HOSPITAL	P	5,629,919	FMV
(103) SIXTH STREET CONDO ASSOCIATION	J	130,178	FMV
(104) SIXTH STREET CONDO ASSOCIATION	P	240,132	FMV
(105) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	P	219,689	FMV
(106) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	J	177,622	FMV
(107) MUNSON DIALYSIS CENTER	K	117,888	FMV
(108) MUNSON DIALYSIS CENTER	P	968,479	FMV
(109) MUNSON DIALYSIS CENTER	N	1,769,724	FMV
(110) MUNSON HEALTHCARE	B	3,000,000	FMV
(111) MUNSON HEALTHCARE	D	175,000	FMV
(112) MUNSON HEALTHCARE	L	1,296,936	FMV
(113) MUNSON HEALTHCARE	N	537,361	FMV
(114) MUNSON HEALTHCARE	O	3,801,201	FMV
(115) MUNSON HEALTHCARE	P	6,803,977	FMV
(116) MUNSON HEALTHCARE	R	2,017,267	FMV
(117) MUNSON HEALTHCARE	E	175,000	FMV
(118) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	885,750	FMV
(119) MUNSON HEALTHCARE REGIONAL FOUNDATI	L	541,361	FMV
(120) MUNSON HOME CARE	I	131,462	FMV
(121) MUNSON HOME CARE	K	171,983	FMV
(122) MUNSON HOME CARE	P	13,958,889	FMV
(123) MUNSON HOME CARE	R	418,000	FMV
(124) MUNSON HOME HEALTH	I	58,800	FMV
(125) MUNSON HOME HEALTH	P	1,907,512	FMV
(126) MUNSON HOME SERVICES	K	147,425	FMV
(127) MUNSON HOME SERVICES	P	3,563,145	FMV
(128) MUNSON MEDICAL BUILDING PARTNERS	J	634,584	FMV
(129) MUNSON MEDICAL BUILDING PARTNERS	Q	634,584	FMV
(130) MUNSON MEDICAL GROUP	B	3,324,457	FMV
(131) MUNSON MEDICAL GROUP	D	900,000	FMV
(132) MUNSON MEDICAL GROUP	O	230,660	FMV
(133) MUNSON MEDICAL GROUP	P	2,625,033	FMV
(134) MUNSON MEDICAL GROUP	N	1,173,909	FMV
(135) MUNSON MOBILE IMAGING	O	54,837	FMV
(136) MUNSON MOBILE IMAGING	P	1,214,143	FMV
(137) MUNSON SERVICES INC	K	93,329	FMV
(138) MUNSON SERVICES INC	N	2,021,387	FMV
(139) MUNSON SERVICES INC	P	55,870	FMV
(140) MUNSON SERVICES INC	O	64,212	FMV
(141) MUNSON SUPPORT SERVICES	L	2,086,049	FMV
(142) MUNSON SUPPORT SERVICES	P	2,165,095	FMV
(143) NORTH FLIGHT INC	L	55,783	FMV
(144) NORTH FLIGHT INC	P	6,400,955	FMV
(145) NORTHERN MICHIGAN SUPPLY ALLIANCE	D	10,306,000	FMV
(146) NORTHERN MICHIGAN SUPPLY ALLIANCE	I	126,000	FMV
(147) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	17,315,778	FMV
(148) NORTHERN MICHIGAN SUPPLY ALLIANCE	R	10,181,000	FMV
(149) NORTHERN MICHIGAN SUPPLY ALLIANCE	N	473,916	FMV
(150) NORTHERN MICHIGAN SUPPLY ALLIANCE	L	2,753,851	FMV
(151) PAUL OLIVER MEMORIAL HOSPITAL	K	1,688,687	FMV
(152) PAUL OLIVER MEMORIAL HOSPITAL	N	939,935	FMV
(153) PAUL OLIVER MEMORIAL HOSPITAL	O	182,903	FMV
(154) PAUL OLIVER MEMORIAL HOSPITAL	P	5,629,919	FMV
(155) SIXTH STREET CONDO ASSOCIATION	J	130,178	FMV
(156) SIXTH STREET CONDO ASSOCIATION	P	240,132	FMV
(157) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	P	219,689	FMV
(158) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	J	177,622	FMV
(159) MUNSON DIALYSIS CENTER	K	117,888	FMV
(160) MUNSON DIALYSIS CENTER	P	968,479	FMV
(161) MUNSON DIALYSIS CENTER	N	1,769,724	FMV
(162) MUNSON HEALTHCARE	B	3,000,000	FMV
(163) MUNSON HEALTHCARE	D	175,000	FMV
(164) MUNSON HEALTHCARE	L	1,296,936	FMV
(165) MUNSON HEALTHCARE	N	537,361	FMV
(166) MUNSON HEALTHCARE	O	3,801,201	FMV
(167) MUNSON HEALTHCARE	P	6,803,977	FMV
(168) MUNSON HEALTHCARE	R	2,017,267	FMV
(169) MUNSON HEALTHCARE	E	175,000	FMV
(170) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	885,750	FMV
(171) MUNSON HEALTHCARE REGIONAL FOUNDATI	L	541,361	FMV
(172) MUNSON HOME CARE	I	131,462	FMV
(173) MUNSON HOME CARE	K	171,983	FMV
(174) MUNSON HOME CARE	P	13,958,889	FMV
(175) MUNSON HOME CARE	R	418,000	FMV
(176) MUNSON HOME HEALTH	I	58,800	FMV
(177) MUNSON HOME HEALTH	P	1,907,512	FMV
(178) MUNSON HOME SERVICES	K	147,425	FMV
(179) MUNSON HOME SERVICES	P	3,563,145	FMV
(180) MUNSON MEDICAL BUILDING PARTNERS	J	634,584	FMV
(181) MUNSON MEDICAL BUILDING PARTNERS	Q	634,584	FMV
(182) MUNSON MEDICAL GROUP	B	3,324,457	FMV
(183) MUNSON MEDICAL GROUP	D	900,000	FMV
(184) MUNSON MEDICAL GROUP	O	230,660	FMV
(185) MUNSON MEDICAL GROUP	P	2,625,033	FMV
(186) MUNSON MEDICAL GROUP	N	1,173,909	FMV
(187) MUNSON MOBILE IMAGING	O	54,837	FMV
(188) MUNSON MOBILE IMAGING	P	1,214,143	FMV
(189) MUNSON SERVICES INC	K	93,329	FMV
(190) MUNSON SERVICES INC	N	2,021,387	FMV
(191) MUNSON SERVICES INC	P	55,870	FMV
(192) MUNSON SERVICES INC	O	64,212	FMV
(193) MUNSON SUPPORT SERVICES	L	2,086,049	FMV
(194) MUNSON SUPPORT SERVICES	P	2,165,095	FMV
(195) NORTH FLIGHT INC	L	55,783	FMV
(196) NORTH FLIGHT INC	P	6,400,955	FMV
(197) NORTHERN MICHIGAN SUPPLY ALLIANCE	D	10,306,000	FMV
(198) NORTHERN MICHIGAN SUPPLY ALLIANCE	I	126,000	FMV
(199) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	17,315,778	FMV
(200) NORTHERN MICHIGAN SUPPLY ALLIANCE	R	10,181,000	FMV
(201) NORTHERN MICHIGAN SUPPLY ALLIANCE	N	473,916	FMV
(202) NORTHERN MICHIGAN SUPPLY ALLIANCE	L	2,753,851	FMV
(203) PAUL OLIVER MEMORIAL HOSPITAL	K	1,688,687	FMV
(204) PAUL OLIVER MEMORIAL HOSPITAL	N	939,935	FMV
(205) PAUL OLIVER MEMORIAL HOSPITAL	O	182,903	FMV
(206) PAUL OLIVER MEMORIAL HOSPITAL	P	5,629,919	FMV
(207) SIXTH STREET CONDO ASSOCIATION	J	130,178	FMV
(208) SIXTH STREET CONDO ASSOCIATION	P	240,132	FMV
(209) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	P	219,689	FMV
(210) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	J	177,622	FMV
(211) MUNSON DIALYSIS CENTER	K	117,888	FMV
(212) MUNSON DIALYSIS CENTER	P	968,479	FMV
(213) MUNSON DIALYSIS CENTER	N	1,769,724	FMV
(214) MUNSON HEALTHCARE	B	3,000,000	FMV
(215) MUNSON HEALTHCARE	D	175,000	FMV
(216) MUNSON HEALTHCARE	L	1,296,936	FMV
(217) MUNSON HEALTHCARE	N	537,361	FMV
(218) MUNSON HEALTHCARE	O	3,801,201	FMV
(219) MUNSON HEALTHCARE	P	6,803,977	FMV
(220) MUNSON HEALTHCARE	R	2,017,267	FMV
(221) MUNSON HEALTHCARE	E	175,000	FMV
(222) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	885,750	FMV
(223) MUNSON HEALTHCARE REGIONAL FOUNDATI	L	541,361	FMV
(224) MUNSON HOME CARE	I	131,462	FMV
(225) MUNSON HOME CARE	K	171,983	FMV
(226) MUNSON HOME CARE	P	13,958,889	FMV
(227) MUNSON HOME CARE	R	418,000	FMV
(228) MUNSON HOME HEALTH	I	58,800	FMV
(229) MUNSON HOME HEALTH	P	1,907,512	FMV
(230) MUNSON HOME SERVICES	K	147,425	FMV
(231) MUNSON HOME SERVICES	P	3,563,145	FMV
(232) MUNSON MEDICAL BUILDING PARTNERS	J	634,584	FMV
(233) MUNSON MEDICAL BUILDING PARTNERS	Q	634,584	FMV
(234) MUNSON MEDICAL GROUP	B	3,324,457	FMV
(235) MUNSON MEDICAL GROUP	D	900,000	FMV
(236) MUNSON MEDICAL GROUP	O	230,660	FMV
(237) MUNSON MEDICAL GROUP	P	2,625,033	FMV
(238) MUNSON MEDICAL GROUP	N	1,173,909	FMV
(239) MUNSON MOBILE IMAGING	O	54,837	FMV
(240) MUNSON MOBILE IMAGING	P	1,214,143	FMV
(241) MUNSON SERVICES INC	K	93,329	FMV
(242) MUNSON SERVICES INC	N	2,021,387	FMV
(243) MUNSON SERVICES INC	P	55,870	FMV
(244) MUNSON SERVICES INC	O	64,212	FMV
(245) MUNSON SUPPORT SERVICES	L	2,086,049	FMV
(246) MUNSON SUPPORT SERVICES	P	2,165,095	FMV
(247) NORTH FLIGHT INC	L	55,783	FMV
(248) NORTH FLIGHT INC	P	6,400,955	FMV
(249) NORTHERN MICHIGAN SUPPLY ALLIANCE	D	10,306,000	FMV
(250) NORTHERN MICHIGAN SUPPLY ALLIANCE	I	126,000	FMV
(251) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	17,315,778	FMV
(252) NORTHERN MICHIGAN SUPPLY ALLIANCE	R	10,181,000	FMV
(253) NORTHERN MICHIGAN SUPPLY ALLIANCE	N	473,916	FMV
(254) NORTHERN MICHIGAN SUPPLY ALLIANCE	L	2,753,851	FMV
(255) PAUL OLIVER MEMORIAL HOSPITAL	K	1,688,687	FMV
(256) PAUL OLIVER MEMORIAL HOSPITAL	N	939,935	FMV
(257) PAUL OLIVER MEMORIAL HOSPITAL	O	182,903	FMV
(258) PAUL OLIVER MEMORIAL HOSPITAL	P	5,629,919	FMV
(259) SIXTH STREET CONDO ASSOCIATION	J	130,178	FMV
(260) SIXTH STREET CONDO ASSOCIATION	P	240,132	FMV
(261) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	P	219,689	FMV
(262) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	J	177,622	FMV
(263) MUNSON DIALYSIS CENTER	K	117,888	FMV
(264) MUNSON DIALYSIS CENTER	P	968,479	FMV
(265) MUNSON DIALYSIS CENTER	N	1,769,724	FMV
(266) MUNSON HEALTHCARE	B	3,000,000	FMV
(267) MUNSON HEALTHCARE	D	175,000	FMV
(268) MUNSON HEALTHCARE	L	1,296,936	FMV
(269) MUNSON HEALTHCARE	N	537,361	FMV
(270) MUNSON HEALTHCARE	O	3,801,201	FMV
(271) MUNSON HEALTHCARE	P	6,803,977	FMV
(272) MUNSON HEALTHCARE	R	2,017,267	FMV
(273) MUNSON HEALTHCARE	E	175,000	FMV
(274) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	885,750	FMV
(275) MUNSON HEALTHCARE REGIONAL FOUNDATI	L	541,361	FMV
(276) MUNSON HOME CARE	I	131,462	FMV
(277) MUNSON HOME CARE	K	171,983	FMV
(278) MUNSON HOME CARE	P	13,958,889	FMV
(279) MUNSON HOME CARE	R	418,000	FMV
(280) MUNSON HOME HEALTH	I	58,800	FMV
(281) MUNSON HOME HEALTH	P	1,907,512	FMV
(282) MUNSON HOME SERVICES	K	147,425	FMV
(283) MUNSON HOME SERVICES	P	3,563,145	FMV
(284) MUNSON MEDICAL BUILDING PARTNERS	J	634,584	FMV
(285) MUNSON MEDICAL BUILDING PARTNERS	Q	634,584	FMV
(286) MUNSON MEDICAL GROUP	B	3,324,457	FMV
(287) MUNSON MEDICAL GROUP	D	900,000	FMV
(288) MUNSON MEDICAL GROUP	O	230,660	FMV
(289) MUNSON MEDICAL GROUP	P	2,625,033	FMV
(290) MUNSON MEDICAL GROUP	N	1,173,909	FMV
(291) MUNSON MOBILE IMAGING	O	54,837	FMV
(292) MUNSON MOBILE IMAGING	P	1,214,143	FMV
(293) MUNSON SERVICES INC	K	93,329	FMV
(294) MUNSON SERVICES INC	N	2,021,387	FMV
(295) MUNSON SERVICES INC	P	55,870	FMV
(296) MUNSON SERVICES INC	O	64,212	FMV
(297) MUNSON SUPPORT SERVICES	L	2,086,049	FMV
(298) MUNSON SUPPORT SERVICES	P	2,165,095	FMV
(299) NORTH FLIGHT INC	L	55,783	FMV
(300) NORTH FLIGHT INC	P	6,400,955	FMV
(301) NORTHERN MICHIGAN SUPPLY ALLIANCE	D	10,306,000	FMV
(302) NORTHERN MICHIGAN SUPPLY ALLIANCE	I	126,000	FMV
(303) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	17,315,778	FMV
(304) NORTHERN MICHIGAN SUPPLY ALLIANCE	R	10,181,000	FMV
(305) NORTHERN MICHIGAN SUPPLY ALLIANCE	N	473,916	FMV
(306) NORTHERN MICHIGAN SUPPLY ALLIANCE	L	2,753,851	FMV
(307) PAUL OLIVER MEMORIAL HOSPITAL	K	1,688,687	FMV
(308) PAUL OLIVER MEMORIAL HOSPITAL	N	939,935	FMV
(309) PAUL OLIVER MEMORIAL HOSPITAL	O	182,903	FMV
(310) PAUL OLIVER MEMORIAL HOSPITAL	P	5,629,919	FMV
(311) SIXTH STREET CONDO ASSOCIATION	J	130,178	FMV
(312) SIXTH STREET CONDO ASSOCIATION	P	240,132	FMV
(313) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	P	219,689	FMV
(314) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	J	177,622	FMV
(315) MUNSON DIALYSIS CENTER	K	117,888	FMV
(316) MUNSON DIALYSIS CENTER	P	968,479	FMV
(317) MUNSON DIALYSIS CENTER	N	1,769,724	FMV
(318) MUNSON HEALTHCARE	B	3,000,000	FMV
(319) MUNSON HEALTHCARE	D	175,000	FMV
(320) MUNSON HEALTHCARE	L	1,296,936	FMV
(321) MUNSON HEALTHCARE	N	537,361	FMV
(322) MUNSON HEALTHCARE	O	3,801,201	FMV
(323) MUNSON HEALTHCARE	P	6,803,977	FMV
(324) MUNSON HEALTHCARE	R	2,017,267	FMV
(325) MUNSON HEALTHCARE	E	175,000	FMV
(326) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	885,750	FMV
(327) MUNSON HEALTHCARE REGIONAL FOUNDATI	L	541,361	FMV
(328) MUNSON HOME CARE	I	131,462	FMV
(329) MUNSON HOME CARE	K	171,983	FMV
(330) MUNSON HOME CARE	P	13,958,889	FMV
(331) MUNSON HOME CARE	R	418,000	FMV
(332) MUNSON HOME HEALTH	I	58,800	FMV
(333) MUNSON HOME HEALTH	P	1,907,512	FMV
(334) MUNSON HOME SERVICES	K	147,425	FMV
(335) MUNSON HOME SERVICES	P	3,563,145	FMV
(336) MUNSON MEDICAL BUILDING PARTNERS	J	634,584	FMV
(337) MUNSON MEDICAL BUILDING PARTNERS	Q	634,584	FMV
(338) MUNSON MEDICAL GROUP	B	3,324,457	FMV
(339) MUNSON MEDICAL GROUP	D	900,000	FMV
(340) MUNSON MEDICAL GROUP	O	230,660	FMV
(341) MUNSON MEDICAL GROUP	P	2,625,033	FMV
(342) MUNSON MEDICAL GROUP	N	1,173,909	FMV
(343) MUNSON MOBILE IMAGING	O	54,837	FMV
(344) MUNSON MOBILE IMAGING	P	1,214,143	FMV
(345) MUNSON SERVICES INC	K	93,329	FMV
(346) MUNSON SERVICES INC	N	2,021,387	FMV
(347) MUNSON SERVICES INC	P	55,870	FMV
(348) MUNSON SERVICES INC	O	64,212	FMV
(349) MUNSON SUPPORT SERVICES	L	2,086,049	FMV
(350) MUNSON SUPPORT SERVICES	P	2,165,095	FMV
(351) NORTH FLIGHT INC	L	55,783	FMV
(352) NORTH FLIGHT INC	P	6,400,955	FMV
(353) NORTHERN MICHIGAN SUPPLY ALLIANCE	D	10,306,000	FMV
(354) NORTHERN MICHIGAN SUPPLY ALLIANCE	I	126,000	FMV
(355) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	17,315,778	FMV
(356) NORTHERN MICHIGAN SUPPLY ALLIANCE	R	10,181,000	FMV
(357) NORTHERN MICHIGAN SUPPLY ALLIANCE	N	473,916	FMV
(358) NORTHERN MICHIGAN SUPPLY ALLIANCE	L	2,753,851	FMV
(359) PAUL OLIVER MEMORIAL HOSPITAL	K	1,688,687	FMV
(360) PAUL OLIVER MEMORIAL HOSPITAL	N	939,935	FMV
(361) PAUL OLIVER MEMORIAL HOSPITAL	O	182,903	FMV
(362) PAUL OLIVER MEMORIAL HOSPITAL	P	5,629,919	FMV
(363) SIXTH STREET CONDO ASSOCIATION	J	130,178	FMV
(364) SIXTH STREET CONDO ASSOCIATION	P	240,132	FMV
(365) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	P	219,689	FMV
(366) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	J	177,622	FMV
(367) MUNSON DIALYSIS CENTER	K	117,888	FMV
(368) MUNSON DIALYSIS CENTER	P	968,479	FMV
(369) MUNSON DIALYSIS CENTER	N	1,769,724	FMV
(370) MUNSON HEALTHCARE	B	3,000,000	FMV
(371) MUNSON HEALTHCARE	D	175,000	FMV
(372) MUNSON HEALTHCARE	L	1,296,936	FMV
(373) MUNSON HEALTHCARE	N	537,361	FMV
(374) MUNSON HEALTHCARE	O	3,801,201	FMV
(375) MUNSON HEALTHCARE	P	6,803,977	FMV
(376) MUNSON HEALTHCARE	R	2,017,267	FMV
(377) MUNSON HEALTHCARE	E	175,000	FMV
(378) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	885,750	FMV
(379) MUNSON HEALTHCARE REGIONAL FOUNDATI	L	541,361	FMV
(380) MUNSON HOME CARE	I	131,462	FMV
(381) MUNSON HOME CARE	K	171,983	FMV
(382) MUNSON HOME CARE	P	13,958,889	FMV
(383) MUNSON HOME CARE	R	418,000	FMV
(384) MUNSON HOME HEALTH	I	58,800	FMV
(385) MUNSON HOME HEALTH	P	1,907,512	FMV
(386) MUNSON HOME SERVICES	K	147,425	FMV
(387) MUNSON HOME SERVICES	P	3,563,145	FMV
(388) MUNSON MEDICAL BUILDING PARTNERS	J	634,584	FMV
(389) MUNSON MEDICAL BUILDING PARTNERS	Q	634,584	FMV
(390) MUNSON MEDICAL GROUP	B	3,324,457	FMV
(391) MUNSON MEDICAL GROUP	D	900,000	FMV
(392) MUNSON MEDICAL GROUP	O	230,660	FMV
(393) MUNSON MEDICAL GROUP	P	2,625,033	FMV
(394) MUNSON MEDICAL GROUP	N	1,173,909	FMV
(395) MUNSON MOBILE IMAGING	O	54,837	FMV
(396) MUNSON MOBILE IMAGING	P	1,214,143	FMV
(397) MUNSON SERVICES INC	K	93,329	FMV
(398) MUNSON SERVICES INC	N	2,021,387	FMV
(399) MUNSON SERVICES INC	P	55,870	FMV
(400) MUNSON SERVICES INC	O	64,212	FMV
(401) MUNSON SUPPORT SERVICES	L	2,086,049	FMV
(402) MUNSON SUPPORT SERVICES	P	2,165,095	FMV
(403) NORTH FLIGHT INC	L	55,783	FMV
(404) NORTH FLIGHT INC	P	6,400,955	FMV
(405) NORTHERN MICHIGAN SUPPLY ALLIANCE	D	10,306,000	FMV
(406) NORTHERN MICHIGAN SUPPLY ALLIANCE	I	126,000	FMV
(407) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	17,315,778	FMV
(408) NORTHERN MICHIGAN SUPPLY ALLIANCE	R	10,181,000	FMV
(409) NORTHERN MICHIGAN SUPPLY ALLIANCE	N	473,916	FMV
(410) NORTHERN MICHIGAN SUPPLY ALLIANCE	L	2,753,851	FMV
(411) PAUL OLIVER MEMORIAL HOSPITAL	K	1,688,687	FMV
(412) PAUL OLIVER MEMORIAL HOSPITAL	N	939,935	FMV
(413) PAUL OLIVER MEMORIAL HOSPITAL	O	182,903	FMV
(414) PAUL OLIVER MEMORIAL HOSPITAL	P	5,629,919	FMV
(415) SIXTH STREET CONDO ASSOCIATION	J	130,178	FMV
(416) SIXTH STREET CONDO ASSOCIATION	P	240,132	FMV
(417) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	P	219,689	FMV
(418) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	J	177,622	FMV
(419) MUNSON DIALYSIS CENTER	K	117,888	FMV
(420) MUNSON DIALYSIS CENTER	P	968,479	FMV
(421) MUNSON DIALYSIS CENTER	N	1,769,724	FMV
(422) MUNSON HEALTHCARE	B	3,000,000	FMV
(423) MUNSON HEALTHCARE	D	175,000	FMV
(424) MUNSON HEALTHCARE	L	1,296,936	FMV
(425) MUNSON HEALTHCARE	N	537,361	FMV
(426) MUNSON HEALTHCARE	O	3,801,201	FMV
(427) MUNSON HEALTHCARE	P	6,803,977	FMV
(428) MUNSON HEALTHCARE	R	2,017,267	FMV
(429) MUNSON HEALTHCARE	E	175,000	FMV
(430) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	885,750	FMV
(431) MUNSON HEALTHCARE REGIONAL FOUNDATI	L	541,361	FMV
(432) MUNSON HOME CARE	I	131,462	FMV
(433) MUNSON HOME CARE	K	171,983	FMV
(434) MUNSON HOME CARE	P	13,958,889	FMV
(435) MUNSON HOME CARE	R	418,000	FMV
(436) MUNSON HOME HEALTH	I	58,800	FMV
(437) MUNSON HOME HEALTH	P	1,907,512	FMV
(438) MUNSON HOME SERVICES	K	147,425	FMV
(439) MUNSON HOME SERVICES	P	3,563,145	FMV
(440) MUNSON MEDICAL BUILDING PARTNERS	J	634,584	FMV
(441) MUNSON MEDICAL BUILDING PARTNERS	Q	634,584	FMV
(442) MUNSON MEDICAL GROUP	B	3,324,457	FMV
(443) MUNSON MEDICAL GROUP	D	900,000	FMV
(444) MUNSON MEDICAL GROUP	O	230,660	FMV
(445) MUNSON MEDICAL GROUP	P	2,625,033	FMV
(446) MUNSON MEDICAL GROUP	N	1,173,909	FMV
(447) MUNSON MOBILE IMAGING	O	54,837	FMV
(448) MUNSON MOBILE IMAGING	P	1,214,143	FMV
(449) MUNSON SERVICES INC	K	93,329	FMV
(450) MUNSON SERVICES INC	N	2,021,387	FMV
(451) MUNSON SERVICES INC	P	55,870	FMV
(452) MUNSON SERVICES INC	O	64,212	FMV
(453) MUNSON SUPPORT SERVICES	L	2,086,049	FMV
(454) MUNSON SUPPORT SERVICES	P	2,165,095	FMV
(455) NORTH FLIGHT INC	L	55,783	FMV
(456) NORTH FLIGHT INC	P	6,400,955	FMV
(457) NORTHERN MICHIGAN SUPPLY ALLIANCE	D	10,306,000	FMV
(458) NORTHERN MICHIGAN SUPPLY ALLIANCE	I	126,000	FMV
(459) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	17,315,778	FMV
(460) NORTHERN MICHIGAN SUPPLY ALLIANCE	R	10,181,000	FMV
(461) NORTHERN MICHIGAN SUPPLY ALLIANCE	N	473,916	FMV
(462) NORTHERN MICHIGAN SUPPLY ALLIANCE	L	2,753,851	FMV
(463) PAUL OLIVER MEMORIAL HOSPITAL	K	1,688,687	FMV
(464) PAUL OLIVER MEMORIAL HOSPITAL	N	939,935	FMV
(465) PAUL OLIVER MEMORIAL HOSPITAL	O	182,903	FMV
(466) PAUL OLIVER MEMORIAL HOSPITAL	P	5,629,919	FMV
(467) SIXTH STREET CONDO ASSOCIATION	J	130,178	FMV
(468) SIXTH STREET CONDO ASSOCIATION	P	240,132	FMV

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation
ADDITIONAL INFORMATION	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

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: AS A VITAL PART OF MUNSON HEALTHCARE, MUNSON MEDICAL CENTER EXISTS TO DELIVER COMPREHENSIVE QUALITY CARE TO PATIENTS IN PARTNERSHIP WITH PHYSICIANS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	12
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	4,161
6	Total number of volunteers (estimate if necessary) ....	6	408
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	2,240
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	453

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,339,335	1,661,786
9	Program service revenue (Part VIII, line 2g) .........	431,377,303	445,989,729
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	14,957,443	10,773,131
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,391,805	4,820,790
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	453,065,886	463,245,436
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	50,778	50,294
14	Benefits paid to or for members (Part IX, column (A), line 4) ....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	213,178,649	220,681,498
16a	Professional fundraising fees (Part IX, column (A), line 11e)....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 573,220
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	198,083,904	205,231,661
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	411,313,331	425,963,453
19	Revenue less expenses. Subtract line 18 from line 12......	41,752,555	37,281,983
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	527,853,976	572,910,970
21	Total liabilities (Part X, line 26)............	296,258,478	266,902,186
22	Net assets or fund balances. Subtract line 21 from line 20 .....	231,595,498	306,008,784

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 385,683,927 including grants of $ 50,294 ) (Revenue $ 447,967,013 )
	EXPENSES INCURRED WHILE PROVIDING HOSPITAL SERVICES TO THE RESIDENTS OF TRAVERSE CITY, MICHIGAN AND THE SURROUNDING AREA WHILE FULFILLING THE HOSPITAL'S MISSION TO PROVIDE HEALTHCARE IN THE COMMUNITY.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 385,683,927

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,414,377	630,634	638,856

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		885,750
e	Government grants (contributions)1e		625,748

f	All other contributions, gifts, grants, and similar amounts not included above1f		150,288
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,661,786
			Business Code
2a	MEDICARE AND MEDICAID PMTS		621,990	239,865,000	239,865,000
b	PATIENT SERVICE REVENUE		621,990	200,416,188	200,416,188
c	HEALTH SERVICE REVENUE		621,990	2,891,429	2,891,429
d	SERVICES TO OTHER ORGANIZATIO		621,990	2,377,970	2,377,970
e	RENT FROM RELATED ORGS		531,120	439,142	439,142
f	All other program service revenue .
g	Total. Add lines 2a–2f........			445,989,729
3	Investment income (including dividends, interest
	and other similar amounts).....			5,228,819	1,975,044		3,253,775
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	248,062
b	Less: rental expenses
c	Rental income or (loss)	248,062
d	Net rental income or (loss).......			248,062			248,062
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	5,502,373	57,438
b	Less: cost or other basis and sales expenses		15,499
c	Gain or (loss)	5,502,373	41,939
d	Net gain or (loss)..........			5,544,312			5,544,312
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a		46,060
b	Less: cost of goods sold ..b		43,820
c	Net income or (loss) from sales of inventory..			2,240		2,240
Miscellaneous Revenue			Business Code
11a	CAFETERIA SALES		722,210	3,572,151			3,572,151
b	MISCELLANEOUS		621,990	613,614			613,614
c	AUXILIARY GIFT SHOP		446,199	384,723			384,723
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,570,488
12	Total revenue. See Instructions....			463,245,436	447,964,773	2,240	13,616,637


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			73,924	1	437,164
2	Savings and temporary cash investments .......			67,875,851	2	76,860,787
3	Pledges and grants receivable, net .........			44,991	3	34,866
4	Accounts receivable, net .........			50,218,599	4	59,782,632
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			10,855,157	8	12,007,491
9	Prepaid expenses and deferred charges ............			8,111,013	9	8,348,302
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	473,646,541
b	Less: accumulated depreciation. .....	10b	235,863,400	236,491,601	10c	237,783,141
11	Investments—publicly traded securities ..........			141,154,640	11	163,883,298
12	Investments—other securities. See Part IV, line 11 ......			7,390,786	12	8,607,757
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14	557,485
15	Other assets. See Part IV, line 11 ...........			5,637,414	15	4,608,047
16	Total assets. Add lines 1 through 15 (must equal line 34)...			527,853,976	16	572,910,970
17	Accounts payable and accrued expenses .			40,083,572	17	39,228,366
18	Grants payable ..........				18
19	Deferred revenue ..........			127,580	19	63,076
20	Tax-exempt bond liabilities ..........			132,699,291	20	129,001,841
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			123,348,035	25	98,608,903
26	Total liabilities. Add lines 17 through 25.....			296,258,478	26	266,902,186
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			229,338,073	27	302,895,376
28	Temporarily restricted net assets .....			2,257,425	28	3,113,408
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			231,595,498	33	306,008,784
34	Total liabilities and net assets/fund balances .....			527,853,976	34	572,910,970