TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) EDWIN A NESS........................................................................ TRUSTEE	0.00 .......................40.00	X	X	0	741,166	242,296
(2) DANIEL T WOLF........................................................................ TRUSTEE	1.00 .......................6.00	X		0	24,500	0
(3) JOHN ERB........................................................................ FORMER CHAIR	6.00 .......................1.00	X		24,500	0	0
(4) CARL BENNER........................................................................ TRUSTEE	4.00 .......................	X		12,500	0	0
(5) DAVID FRIAR MD........................................................................ TRUSTEE	4.00 .......................	X		12,500	0	0
(6) JOSEPH KOSTRZEWA........................................................................ TRUSTEE	4.00 .......................	X		12,500	0	0
(7) NANCY FISHER........................................................................ TRUSTEE	4.00 .......................	X		12,500	0	0
(8) PATRICK E HEINTZ........................................................................ SECRETARY	6.00 .......................	X	X	12,500	0	0
(9) SHIRLANNA CORREIA........................................................................ TRUSTEE (RET	4.00 .......................	X		12,500	0	0
(10) GEORGE BEARUP........................................................................ VICE CHAIR	6.00 .......................	X	X	12,500	0	0
(11) REX ANTINOZZI MD........................................................................ CHAIR	1.00 .......................4.00	X	X	12,500	0	0
(12) DANIEL NAVIN MD........................................................................ TREASURER	4.00 .......................	X	X	12,500	0	0
(13) GORDON H WINSTANLEY........................................................................ TRUSTEE	4.00 .......................	X		9,375	0	0
(14) MICHAEL D SIMPSON........................................................................ TRUSTEE (RET	4.00 .......................	X		9,375	0	0
(15) EDWARD J RUTKOWSKI MD........................................................................ TRUSTEE	4.00 .......................	X		9,375	0	0
(16) DOUGLAS LUCIANI........................................................................ TRUSTEE	4.00 .......................	X		9,375	0	0
(17) CARL B ANDERS MD........................................................................ TRUSTEE	4.00 .......................	X		3,125	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JOHN E PELIZZARI........................................................................ TRUSTEE (RET	1.00 .......................5.00	X				0	0	0
(19) DANIEL C EDSON........................................................................ TRUSTEE	4.00 .......................	X				0	0	0
(20) JAMES W HOOK........................................................................ TRUSTEE	4.00 .......................	X				0	0	0
(21) ROBERT P SCHAFER........................................................................ TRUSTEE	4.00 .......................	X				0	0	0
(22) ALFRED PILONG........................................................................ CEO	40.00 .......................	X	X			0	0	0
(23) TIMOTHY NELSON........................................................................ TRUSTEE	4.00 .......................	X				0	0	0
(24) MARK A HEPLER........................................................................ CFO	22.00 .......................18.00		X			0	290,343	59,971
(25) KATHLEEN MCMANUS........................................................................ EXECUTIVE VP	40.00 .......................			X		308,169	0	56,328
(26) PAUL M SHIRILLA........................................................................ ASST SEC/VP	6.00 .......................32.00			X		0	302,295	46,971
(27) DAVID MCGREAHAM MD........................................................................ VP MEDICAL	40.00 .......................			X		298,346	0	49,662
(28) CHRISTOPHER PODGES........................................................................ VP INFO SYST	40.00 .......................			X		277,254	0	39,820
(29) SUZANNE K PETERS........................................................................ VP HUMAN RES	40.00 .......................			X		210,965	0	34,609
(30) JAMES P FISCHER........................................................................ VP PATIENT C	40.00 .......................			X		196,483	0	26,486
(31) THOMAS SCHERMERHORN MD........................................................................ NEUROSURGEON	40.00 .......................				X	824,854	0	31,791
(32) AHMET SEVIMLI MD........................................................................ NEPHROLOGIST	40.00 .......................				X	466,026	0	46,523
(33) PHILOMENA COLUCCI........................................................................ PHYSICIAN -	40.00 .......................				X	317,640	0	20,018
(34) KAREN SPEIRS DO........................................................................ PHYSICIAN	40.00 .......................				X	277,170	0	15,614
(35) DANIEL M WEBSTER........................................................................ PHYSICIAN	40.00 .......................				X	261,048	0	30,879

(A) Name and business address	(B) Description of services	(C) Compensation
HOSPITALISTS OF NORTHWEST MICHIGAN, 1105 SIXTH STTRAVERSE CITYMI49684	MEDICAL SERVICE	5,378,669
HURON CONSULTING, 3005 MOMENTUM PLACECHICAGOIL60689	CONSULTING	3,986,349
CERNER CORPORATION, PO BOX 412702KANSAS CITYMO64151	INFO TECHNOLOGY	3,239,894
CARDIOTHORACIC SURGEONS GT PC, 107 S CASS STTRAVERSE CITYMI49684	MEDICAL SERVICE	2,086,533
MAYO COLLABORATIVE SERVICES, PO BOX 9146MINNEAPOLISMN55480	LABORATORY SRV	1,728,191
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 110

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 United States. See Part IV, line 21	300,000	300,000
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	423,296	423,296
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,812,458		1,812,458
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	170,541,268	151,430,242	19,111,026
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	19,054,355	16,890,196	2,164,159
9	Other employee benefits .......	27,862,618	24,562,945	3,299,673
10	Payroll taxes ...........	12,741,536	11,207,583	1,533,953
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	181,841		181,841
c	Accounting ...........	173,951		173,951
d	Lobbying ...........	21,599		21,599
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	51,805,655	39,556,871	11,725,585	523,199
12	Advertising and promotion ....	721,797	130,882	590,915
13	Office expenses .......	5,319,960	3,481,384	1,838,576
14	Information technology ......	10,660,417	3,659,124	7,001,293
15	Royalties ..
16	Occupancy ...........	8,351,168	7,485,105	866,063
17	Travel ............	977,613	770,101	207,512
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	522,328	401,287	121,041
20	Interest ...........	5,669,342	5,097,872	571,470
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	26,995,290	24,275,705	2,719,585
23	Insurance ..............	1,681,123	1,200,149	480,974
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	112,467,177	111,865,428	601,749
b	BAD DEBT	19,424,599	19,424,599
c	REPAIRS AND MAINTENANCE	5,971,641	5,546,946	424,695
d	MISCELLANEOUS	1,175,490	961,602	213,888
e	All other expenses	-16,631,148	-7,639,689	-8,991,459
25	Total functional expenses. Add lines 1 through 24e	468,225,374	421,031,628	46,670,547	523,199
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	1,084,341	1	50,193
2	Savings and temporary cash investments .........	78,438,418	2	100,334,093
3	Pledges and grants receivable, net ...........	669,040	3	624,449
4	Accounts receivable, net .............	58,804,499	4	67,536,302
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	10,929,153	8	11,882,176
9	Prepaid expenses and deferred charges ..........	6,234,932	9	6,845,339
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	519,023,954
b	Less: accumulated depreciation .....	10b	282,543,088	240,636,094	10c	236,480,866
11	Investments—publicly traded securities ..........	170,730,714	11	188,024,381
12	Investments—other securities. See Part IV, line 11 .....	14,935,549	12	28,032,624
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	517,604	14	449,717
15	Other assets. See Part IV, line 11 ...........	4,371,849	15	4,367,544
16	Total assets. Add lines 1 through 15 (must equal line 34)......	587,352,193	16	644,627,684
	17	Accounts payable and accrued expenses .........	34,324,376	17	39,555,331
18	Grants payable .................		18
19	Deferred revenue ................	64,860	19	117,929
20	Tax-exempt bond liabilities .............	128,713,437	20	127,037,476
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other 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 (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	149,153,486	25	108,976,012
26	Total liabilities. Add lines 17 through 25.........	312,256,159	26	275,686,748
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	265,592,590	27	347,274,449
28	Temporarily restricted net assets ...........	9,503,444	28	21,666,487
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	275,096,034	33	368,940,936
34	Total liabilities and net assets/fund balances ........	587,352,193	34	644,627,684

- 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

2012

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 described in 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. See section 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 - Non-functionally integrated

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 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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. 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—2011. If the organization did not check a 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—2012. 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—2011. 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) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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.)..

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 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. 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—2011. 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) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

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

2012

Name of the 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, total 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 total 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 on line H of its
Form 990-EZ or on Part I, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization MUNSON MEDICAL CENTER

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total 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) Total 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) Total 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) Total 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) Total 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) Total 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization MUNSON MEDICAL CENTER

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

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
that total 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

$
Use duplicate copies of Part III if additional space is needed.

(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) (2012)

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

2012

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 35c (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 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 function 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

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)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(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

8,500

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

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

Other activities? ..........................

Yes

13,099

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

21,599

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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

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

Section 162(e) nondeductible 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; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
	SCHEDULE C, PART II-B, LINE 1	GRASSROOTS LOBBYING EXPENSES GRANTED TO ORGANIZATIONS. OTHER ACTIVITIES INDICATE THE PORTION OF DUES ALLOCATED TO LOBBYING EXPENSES PAID TO REGIONAL OR NATIONAL ORGANIZATIONS.

Schedule C (Form 990 or 990EZ) 2012

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

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 can 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........

Part V

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

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	180,234,157	166,996,705	143,412,065	128,015,726	151,976,653
b	Contributions ........	12,760,078	9,477,532	996,567	2,073,910	815,757
c	Net investment earnings, gains, and losses	18,163,160	4,724,667	23,516,814	14,807,677	-20,538,618
d	Grants or scholarships .....	589,921
e	Other expenditures for facilities and programs ........	80,507	87,150	141,430	1,054,734	4,238,065
f	Administrative expenses ....	792,541	877,667	787,311	430,514
g	End of year balance ......	209,694,426	180,234,157	166,996,705	143,412,065	128,015,726

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

89.670 %

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

10.330 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

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 XIII the intended uses of the organization's endowment funds.

Part VI

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

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	14,105,697		14,105,697
b	Buildings ................	295,065,384	137,246,959	157,818,425
c	Leasehold improvements ............	265,646	87,260	178,386
d	Equipment ................	190,398,293	143,507,054	46,891,239
e	Other .................	19,188,934	1,701,815	17,487,119
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				236,480,866

Schedule D (Form 990) 2012

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) must 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) must 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) must 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) Book value
Federal income taxes
MINIMUM PENSION LIABILITY		78,671,744
DEFERRED POST RETIREMENT BENEFITS		14,106,111
RESERVE FOR THIRD PARTY SETTLEMENTS		5,303,335
ESTIMATED THIRD PARTY SETTLEMENTS		5,280,407
SWAP MARKET VALUE BASIS		3,750,957
CAREPAYMENT LIABILITY		1,831,662
CAPITAL LEASE		31,796


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		108,976,012
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI 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 XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII 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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

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, line 2; Part XI, lines 2d and 4b; and Part XII, 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. MUNSON MEDICAL CENTER HAS NO FIN 48 LIABILITIES; AND THEREFORE, NO FOOTNOTE DISCLOSURE ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.

Schedule D (Form 990) 2012

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

2012

Open to Public Inspection

Name of the organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

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

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	5,097,633		5,097,633	1.120 %
b	Medicaid (from Worksheet 3, column a) ....	41,146,801	30,344,920	10,801,881	2.370 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	545,142	259,580	285,562	0.060 %
d	Total Financial Assistance and Means-Tested Government Programs .	46,789,576	30,604,500	16,185,076	3.550 %
Other Benefits		3,678,395	338,230	3,340,165	0.730 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	3,678,395	338,230	3,340,165	0.730 %
f	Health professions education (from Worksheet 5) ..	4,868,150	1,310,630	3,557,520	0.780 %
g	Subsidized health services (from Worksheet 6) ..	322,056	583	321,473	0.070 %
h	Research (from Worksheet 7)	1,156,007	87,000	1,069,007	0.230 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	638,915		638,915	0.140 %
j	Total. Other Benefits ..	10,663,523	1,736,443	8,927,080	1.950 %
k	Total. Add lines 7d and 7j .	57,453,099	32,340,943	25,112,156	5.500 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	25,984	25,984	0.010 %
3	Community support	21,752	21,752
4	Environmental improvements	303,336	303,336	0.070 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	625	625
8	Workforce development	29,249	29,249	0.010 %
9	Other
10	Total	380,946	380,946	0.090 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

6,684,728

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

886,395

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

232,165,370

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

225,751,640

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

6,413,730

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, and primary website address
1	MUNSON MEDICAL CENTER 1105 SIXTH ST TRAVERSE CITY,MI49684	X	X	X	X	X	X

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	MUNSON MEDICAL CENTER
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.0% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.0% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?13
Name and address		Type of Facility (describe)
1	MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVENUE TRAVERSE CITY,MI49686	OUTPATIENT
2	BIEDERMAN CANCER CENTER 1120 SIXTH ST TRAVERSE CITY,MI49684	RADIATION THERAPY
3	MRI CENTER 217 S MADISON TRAVERSE CITY,MI49684	MRI
4	SMITH FAMILY BREAST HEALTH CENTER COPPER RIDGE TRAVERSE CITY,MI49684	MAMMOGRAPHY AND WOMEN'S HEALTH
5	IV THERAPY 1200 SIXTH ST TRAVERSE CITY,MI49684	IV THERAPY
6	CHEMICAL DEPENDENCY CENTER 420 BROOK ST TRAVERSE CITY,MI49684	REHABILITATION
7	PHYSICAL THERAPY 3643 WEST FRONT ST TRAVERSE CITY,MI49684	PHYSICAL THERAPY
8	MUNSON MANOR 1220 MEDICAL CAMPUS DR TRAVERSE CITY,MI49684	HOSPITALITY HOUSE
9	PHYSICAL THERAPY 211 S HIGH ST NORTHPORT,MI49670	PHYSICAL THERAPY
10	ADVANCED WOUND CENTER 5085 ANNA DR TRAVERSE CITY,MI49684	PATIENT WOUND CARE
11	MUNSON HOSPICE HOUSE 450 BROOK ST TRAVERSE CITY,MI49684	HOSPICE CARE HOUSE
12	MUNSON RENAL DIALYSIS 4062 WEST ROYAL DRIVE TRAVERSE CITY,MI49684	RENAL DIALYSIS UNIT
13	REHAB POOL FACILITY 1202 GARFIELD TRAVERSE CITY,MI49684	POOL FOR REHAB

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE	PART I LINE 3C	INCOME UP TO 200 OF THE FPG 100 DISCOUNT ON CHARGES INCOME BETWEEN 201 AND 300 FPG 75 DISCOUNT ON CHARGES INCOME BETWEEN 301 AND 400 FPG 50 DISCOUNT ON CHARGES FAMILY INCOME MAY INCLUDE ALL INCOME ATTRIBUTABLE TO ALL MEMBERS OF THE FAMILY IN THE RESIDENCE OTHER THAN MINIMAL AMOUNTS EARNED BY MINORS FAMILY INCOME INCLUDES THE FOLLOWING WHEN COMPUTING FPG INCLUDES EARNINGS UNEMPLOYMENT COMPENSATION WORKERS COMPENSATION SOCIAL SECURITY SUPPLEMENTAL SECURITY INCOME PUBLIC ASSISTANCE VETERANS PAYMENTS SURVIVOR BENEFITS PENSION OR RETIREMENT INCOME INTEREST DIVIDENDS RENTS ROYALTIES INCOME FROM ESTATES EDUCATIONAL ASSISTANCE ALIMONY CHILD SUPPORT ASSISTANCE FROM OUTSIDE THE HOUSEHOLD AND OTHER MISCELLANEOUS SOURCES CASH CHECKING AND SAVINGS BALANCES MONEY MARKET ACCOUNTS CERTIFICATES OF DEPOSIT IRAS TRUSTS INHERITANCES ANNUITIES SAVINGS BONDS STOCKS MUTUAL FUNDS ANDOR CASH VALUE OF LIFE INSURANCE
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	THERE ARE NO PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	TOTAL EXPENSES FROM FORM 990 PART IX LINE 25 ARE XXX-XX-XXXX AND THE PROPORTIONATE SHARE OF TOTAL EXPENSES OF THE AMBULATORY SURGERY CENTER IS 8065840 THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS 19587287 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 380946 IN COMMUNITYBUILDING ACTIVITIES DURING THE 2012 TAX YEAR THE MOST SIGNIFICANT PORTION OF THIS INVESTMENT WAS AN ENVIRONMENTAL PROJECT TO RESTORE A LOCAL CREEK ON HOSPITAL PROPERTY ADDITIONAL ACTIVITIES INCLUDED ADMINISTRATIVE SUPPORT ON MANY BOARDS WORKFORCE DEVELOPMENT AND ENVIRONMENTAL IMPROVEMENTS INCLUDING WASTE REDUCTION AND RECYCLING MMC CONTINUES AS A GUIDING FORCE IN MICHIGANS REGION 7 BIOTERRORISMDISASTER PREPAREDNESS AS PART OF CRITICAL WORKFORCE DEVELOPMENT MUNSON STAFF ATTENDS MANY REGIONAL CAREER DAYS PROVIDING STUDENTS WITH INFORMATION ON WHY THEY MIGHT WANT TO BE EMPLOYED IN THE OFTENCRITICAL AREA OF HEALTH CARE MUNSON ALSO IS COLLABORATING WITH THE LOCAL COLLEGE TO DEVELOP HEALTHCARE INFORMATION TECHNOLOGY PROGRAMS
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 CONDITIONS IN ITS SERVICE AREA TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND 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 AFTER AMOUNTS DUE FROM THIRDPARTY PAYORS ARE SATISFIED AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED 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 PREPARED A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO MEET THE REQUIREMENTS OF IRC SEC 501R DURING 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 FINANCIAL ASSITANCE AND MUNSON MEDICAL CENTER MEDS PROGRAM
COMMUNITY INFORMATION	PART VI	MUNSON MEDICAL CENTER DESCRIPTION MUNSON MEDICAL CENTER MMC IS THE LARGEST HOSPITAL IN NORTHERN LOWER PENINSULA OF MICHIGAN WITH 391 LICENSED ACUTE CARE BEDS AND FACILITIES ON TWO MAJOR CAMPUSES ONE OF EIGHT HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM MMC SERVES AS A RURAL REFERRAL CENTER FOR THE SURROUNDING 24COUNTY AREA WITH MORE THAN 22000 INPATIENT ADMISSIONS AND 489000 OUTPATIENT VISITS IN 2013 THE HOSPITAL SERVED MORE THAN 14000 SURGICAL CASES JUST OVER 1800 OBSTETRICAL BIRTHS AND NEARLY 52000 EMERGENCY ROOM VISITS LAST YEAR THE HOSPITAL HAS AN ACTIVE MEDICAL STAFF OF 420 AND MORE THAN 370 VOLUNTEERS WITH MORE THAN 3700 EMPLOYEES MMC IS THE LARGEST EMPLOYER IN NORTHERN MICHIGAN DUE TO ITS GEOGRAPHIC LOCATION AND COMPREHENSIVE ARRAY OF SERVICES OFFERED MMC IS DESIGNATED A RURAL REFERRAL CENTER BY THE CENTERS FOR MEDICARE AND MEDICAID MMC IS ALSO RECOGNIZED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES CMS AS A SOLE COMMUNITY HOSPITAL BECAUSE OF THIS STATUS IT IS EQUIPPED TO PROVIDE CRITICAL CARE FOR PATIENTS IN 24 COUNTIES HOSPITAL SERVICES MMC PROVIDES SERVICES IN MORE THAN 50 DIFFERENT MEDICAL SPECIALTIES AND OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICE MMC HAS AN AWARDWINNING OPENHEART SURGERY AND INTERVENTIONAL CARDIOLOGY PROGRAM PLUS THE ONLY LEVEL II TRAUMA CENTER IN MICHIGANS REGION 7 WHICH COVERS 17 COUNTIES AND THE ONLY NEONATAL INTENSIVE CARE UNIT IN NORTHERN LOWER MICHIGAN MMC IS ALSO A DESIGNATED PRIMARY STROKE CENTER BY THE JOINT COMMISSION AND ACCREDITED AS A COMPREHENSIVE COMMUNITY CANCER CENTER BY THE AMERICAN COLLEGE OF SURGEONS SPECIALIZED INPATIENT UNITS AVAILABLE AT MMC INCLUDE MEDICALSURGICAL INTENSIVE CARE CARDIAC INTENSIVE CARE NEONATAL INTENSIVE CARE ONCOLOGY ORTHOPEDICS INPATIENT MENTAL HEALTH AND PHYSICAL MEDICINE AND REHABILITATION COMPLEX SURGERY SUCH AS VASCULAR AND NEUROSURGERY ARE AVAILABLE AS WELL AS LESS COMPLEX SAMEDAY SURGERY A BROAD SPECTRUM OF DIAGNOSTIC AND THERAPEUTIC SERVICES SUPPORT MMCS PROGRAMS INCLUDING COMPREHENSIVE RADIOLOGY SERVICES WITH CT MRI TRADITIONAL AND OPEN PETCT ULTRASOUND NUCLEAR MEDICINE DIGITAL MAMMOGRAPHY AND XRAY COMPREHENSIVE CANCER TREATMENT INCLUDING RADIATION ONCOLOGY DELIVERED VIA BRACHYTHERAPY IMRT RADIATION THERAPY AND THE LATEST IN STEREOTACTIC RADIOSURGERY COMPUTERIZED INPATIENT AND OUTPATIENT LABORATORY SERVICES COMPREHENSIVE REHABILITATION SERVICES INCLUDING PHYSICAL OCCUPATIONAL SPEECH AND HEARING AND WOUND THERAPY PROGRAMS A DEDICATED CARDIAC DIAGNOSTIC SUITE USING THE LATEST IS ECHOCARDIOGRAPHY AN ADJACENT LAB FOR DIAGNOSTIC CATHETERIZATION AND ELECTROPHYSIOLOGY STUDIES AND A DEDICATED CARDIAC REHABILITATION AND PREVENTION PROGRAM OBSTETRIC CLINIC FOR INDIGENT PATIENTS MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES HOME HEALTH DME AND DIALYSIS SERVICES 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 11COUNTY REGION IMMEDIATELY SURROUNDING MMC 20 OF THE POPULATION ARE 65 YEARS OR OLDER UNEMPLOYMENT RATE IS 10 IN 8 OF THE 11 COUNTIES SERVED 154 OF ADULTS AGED 1864 YEARS OF AGE LACK HEALTH INSURANCE 45 OF BIRTHS ARE COVERED BY MEDICAID 1956 DISCHARGES ABOUT 70 OF MMC INPATIENT DISCHARGES ORIGINATE FROM THE FIVE COUNTIES IN CLOSEST PROXIMITY TO MMC ANTRIM BENZIE GRAND TRAVERSE LEELANAU AND KALKASKA QUALITY MMCS REPUTATION FOR THE HIGHEST QUALITY CARE IS REPRESENTED BY REPEATED NATIONAL RECOGNITION RECEIVED NAMED AMONG THE 100 TOP HOSPITAL 14 TIMES BY THOMSON REUTERS NOW TRUVEN HEALTH ANALYTICS ONLY 3 OTHER HOSPITALS NATIONWIDE RECOGNIZED THIS MANY TIMES OR MORE NAMED ONE OF THE NATIONS 50 TOP CARDIOVASCULAR HOSPITALS IN 2010 FOR SUPERIOR CLINICAL AND OPERATIONAL PERFORMANCE AND AMONG THE 100 TOP CARDIOVASCULAR HOSPITALS IN 2009 2008 2006 2001 2000 AND 1999 RECOGNIZED WITH THE EVEREST AWARD FOR NATIONAL BENCHMARKS BY THOMSON REUTERS NOW TRUVEN HEALTH ANALYTICS TWICE FOR THE HOSPITALS RATE OF LONGTERM IMPROVEMENT THIS RECOGNITION HELPED ESTABLISH MMC AS A NATIONAL BENCHMARK AGAINST WHICH OTHER HOSPITALS ARE COMPARED RECOGNIZED WITH THE 2008 AMERICAN HOSPITAL ASSOCIATIONMCKESSON QUEST FOR QUALITY PRIZE RUNNER UP WAS UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS MMC RECEIVED THE MAGNET RECOGNITION AWARD FROM THE AMERICAN NURSES CREDENTIALING CENTER IN 2006 AND WAS REDESIGNATED IN 2011 MAGNET DESIGNATION RECOGNIZES EXCELLENCE IN PATIENT CARE STANDARDS RESPECT OF CULTURAL AND ETHNIC DIVERSITY LEADERSHIP OF THE NURSE ADMINISTRATOR IN SUPPORTING PROFESSIONAL NURSING PRACTICE AND THE MANAGEMENT AND PHILOSOPHY OF NURSING SERVICES ONLY 65 PERCENT OF HOSPITALS NATIONALLY HAVE ACHIEVED MAGNET STATUS
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 ADDITIONALLY 100 OF MUNSON MEDICAL CENTER TRUSTEES SUPPORT MUNSON FINANCIALLY MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY SUBJECT TO CREDENTIALING REVIEW AND REQUIREMENTS OF THE MEDICAL STAFF AND THE BOARD OF TRUSTEES MUNSON MEDICAL CENTER UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND IMPROVE CARE TO PATIENTS THROUGHOUT ITS SERVICE AREA EXAMPLES OF HOW MUNSON MEDICAL CENTER PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PROGRAMS INCLUDE HEALTHY FUTURES A PARTNERSHIP OF AREA HEALTH CARE PROVIDERS HEALTH DEPARTMENTS AND MUNSON HEALTHCARE CREATED TO IMPROVE THE HEALTH OF PREGNANT WOMEN AND CHILDREN UP TO AGE FIVE THE PROGRAM INCLUDES CENTRAL ACCESSDATA MANAGEMENT REGISTERED NURSE RN CARE COORDINATION EDUCATIONAL MAILINGS AND HEALTH CARERELATED FINANCIAL ASSISTANCE THE HEALTHY FUTURES MODEL OF RN CARE COORDINATION CONSISTS OF AN OUTCOMESBASED APPROACH TO INTERVENTION IN THE AREAS OF BREASTFEEDING LONGEVITY ACCESS TO HEALTH CARE AND IMMUNIZATIONS MEDS PROGRAM A PROGRAM THAT PROVIDES TO PATIENTS WITHOUT RESOURCES BEING DISCHARGED FROM THE HOSPITAL NEEDED MEDICATIONS AS WELL AS ENROLLING THOSE PATIENTS INTO PHARMACEUTICAL COMPANY SPONSORED ASSISTANCE PROGRAMS SO THEY MAY CONTINUE TO GET THE NEEDED PHARMACEUTICALS THE MEDS PROGRAM ALSO PROVIDES ASSISTANCE TO THOSE NEEDING MEDICATIONS FROM THE OUTPATIENT INFUSION CLINIC POVERTY REDUCTION INITIATIVE PRI A COLLABORATIVE GROUP OF ORGANIZATIONS AND INDIVIDUALS WORKING TO ADDRESS ISSUES OF POVERTY IN THE FIVE COUNTY SERVICE AREA OF MUNSON MEDICAL CENTER PROJECTS SUPPORTED BY THE PRI WORK GROUPS INCLUDE EFFORTS TO EXPAND ACCESS TO MEDICAL AND DENTAL CARE JOB TRAINING OPPORTUNITIES JOB RETENTION COMMUNITY RESOURCE MOBILIZATION AND DATA COLLECTION MUNSONS INVOLVEMENT IN PRI INCLUDES MEMBERSHIP ON THE ADVISORY COUNCIL STEERING COMMITTEE AND NAVIGATORS NORTHERN MICHIGAN DIABETES INITIATIVE NMDI A GROUP OF STAKEHOLDERS AND STEERING COMMITTEE MEMBERS THAT REPRESENT THE 12 COUNTY SERVICE AREA WITH A VISION TO IMPROVE THE CHRONIC CARE MANAGEMENT OF DIABETES NMDI IS COMMITTED TO PROVIDING LOCAL REGIONAL AND NATIONAL RESOURCES FOR THE PREVENTION AND MANAGEMENT OF DIABETES WHILE MOST DIABETES COLLABORATIVES FOCUS ON PROVIDING OPTIMAL EVIDENCE BASED CARE MANAGEMENT TO THE PERSON ALREADY DIAGNOSED WITH DIABETES NMDI FOCUSES ON CONCURRENT UPSTREAM TARGETED EDUCATION OF THREE SPECIFIC POPULATIONS THE GENERAL COMMUNITY THE SOCIOECONOMICALLY CHALLENGED HIGH RISK POPULATION AND RURAL PRIMARY CARE PROVIDERS PCP CARING FOR DIABETIC PATIENTS COLLABORATION WITH THE TRAVERSE HEALTH CLINIC TRAVERSE HEALTH CLINIC THC SERVES AS A MAJOR PRIMARY CARE SAFETY NET PROVIDER FOR LOW INCOME UNINSURED PERSONS IN THE REGION THC OPERATES A LARGE VOLUNTEER ACCESS PROGRAM COALITION HEALTH ACCESS PROGRAMCHAP FOR THE UNINSURED IN COLLABORATION WITH COMMUNITY PROVIDERS IN THE REGION MUNSON PROVIDES DIRECT FUNDS TO THC THROUGH A FORMAL SERVICE AGREEMENT AND A COMMUNITY BENEFIT SUBSIDY TO HELP SUPPORT OPERATIONS MUNSON DONATES MILLIONS OF DOLLARS WORTH OF DIRECT SERVICES TO UNINSURED THC CHAP PATIENTS EACH YEAR AND ALSO DONATES MEDICATIONS PHARMACIST STAFF TIME AND OTHER INKIND SERVICES TO THC THC HAS JUST TRANSITIONED IN 2013 FROM A FREE CLINIC MODEL TO BECOME AN FQHC COMMUNITY HEALTH CENTER 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 COLLEGES AND SCHOOLS OF NURSING TO PROVIDE INTERNSHIPS AND CLINICAL EXPERIENCES FOR REGISTERED NURSES RESPIRATORY THERAPISTS PHARMACISTS AND OTHER HEALTH PROFESSIONALS OBESITY INITIATIVE A COLLABORATIVE EFFORT LED BY MUNSON MEDICAL CENTER WITH OVER TWENTY COMMITTED COMMUNITY PARTNERS FOUR FOCUS AREA STRATEGIES WERE SELECTED FOR GREATEST COMMUNITY IMPACT PROVIDERS SCHOOLS BUSINESSES AND COMMUNITY AWARENESS THIS COLLABORATION ALLOWS PARTNERS TO WORK TOGETHER TO ADOPT CONSISTENT CLEAR AND UNIFIED MESSAGES AND DEVELOP COMMON INTERVENTION STRATEGIES IN AN EFFORT TO CREATE COLLECTIVE IMPACT MATERNAL SMOKING A COLLABORATIVE GROUP OF 11 PLUS PARTNERS COVERING 21 COUNTIES WHOSE FOCUS IS TO REDUCE THE MATERNAL SMOKING RATE IN THIS AREA RECENT SURVEYS HAVE BEEN COMPLETED TO FURTHER UNDERSTAND WHY MOTHERS SMOKE DURING PREGNANCY WORKING TOGETHER THIS TEAM IS CREATING A COMPREHENSIVE COMMUNICATION PLAN TO HELP EDUCATE MOTHERS ON THE DANGERS OF MATERNAL SMOKING THIS TEAM WILL BE WORKING WITH HEALTHCARE PROVIDERS TO ENSURE THIS INFORMATION IS COMMUNICATED TO THEIR PATIENTS TRAINING ON MOTIVATIONAL INTERVIEWING WILL ALSO BE PROVIDED TO HEALTH CARE PROFESSIONALS
AFFILIATED HEALTH CARE INFORMATION	PART VI	MUNSON MEDICAL CENTERS SOLE CORPORATE MEMBER IS MUNSON HEALTHCARE A 501C3 CORPORATION THE MUNSON HEALTHCARE SYSTEM CONSISTS OF A MAJOR TERTIARY REFERRAL HOSPITAL SEVERAL RURALBASED MEDICAL CENTERS EXTENSIVE OUTPATIENT TREATMENT AND REHABILITATION FACILITIES AND ANCILLARY EMERGENCY TRANSPORTATION AND HOMEBASED MEDICAL SERVICES THAT COVER 24 COUNTIES IN MICHIGANS NORTHERN LOWER PENINSULA AND THE EASTERN PORTION OF THE UPPER PENINSULA THE MOST SIGNIFICANT OF THE MUNSON HEALTHCARE SUBSIDIARIES IS MUNSON MEDICAL CENTER MMC MMC IS ONE OF SEVEN NOTFORPROFIT HOSPITALS WHICH ARE AFFILIATED WITH EACH OTHER AND SERVE AS THE ONLY HOSPITALS IN THEIR COMMUNITIES EACH OF THE AFFILIATED HOSPITALS HAS INDIVIDUAL COMMUNITY HEALTH INITIATIVES ANDOR PROMOTION ACTIVITIES AS WELL AS SHARED INITIATIVES MMC WORKS IN COOPERATION WITH OTHER ENTITIES IN THE MUNSON HEALTHCARE SYSTEM TO PROVIDE A FULL RANGE OF HEALTH SERVICES TO THE COMMUNITIES IN ITS SERVICE AREA THE HOME HEALTH DIVISION OF MUNSON HEALTHCARE PROVIDES HOME NURSE AND AIDE SERVICES IN ADDITION TO DURABLE MEDICAL EQUIPMENT AND A PALLIATIVE CARE AND HOSPICE PROGRAM ON THE MUNSON CAMPUS CLOSE TO 210000 DOLLARS IN COMMUNITY BENEFIT IN THE FORM OF CHARITY CARE AND UNREIMBURSED MEDICAID ARE PROVIDED THROUGH THIS DIVISION EACH YEAR NORTH FLIGHT INC IS THE CHARITABLE TRANSPORTATION ENTITY IN THE SYSTEM WITH ITS FIXED WING AND HELICOPTER AIR SERVICES IN COMBINATION WITH GROUND TRANSPORT PATIENTS IN THE SYSTEM ARE ABLE TO ACCESS APPROPRIATE CARE NORTH FLIGHT INC PROVIDED 12 MILLION IN CHARITY CARE AND UNREIMBURSED MEDICAID IN THE PAST FISCAL YEAR MUNSON MEDICAL GROUP THE EMPLOYED PHYSICIAN ORGANIZATION IN THE SYSTEM PROVIDED ALMOST A HALF MILLION DOLLARS IN CHARITY CARE AND COMMUNITY BENEFIT IN TAX YEAR 2012 MMC PERFORMS THE NEEDS ASSESSMENTS FOR MUNSON HEALTHCARE UTILIZING THIS NEEDS ASSESSMENT MUNSON HEALTHCARE COORDINATES COMMUNITY BENEFIT PROGRAMS THROUGH PLANNING DEVELOPING IMPLEMENTING EVALUATING AND FUNDING PROGRAMS THAT ADDRESS COMMUNITY NEEDS IN TOTAL THE MUNSON HEALTHCARE SYSTEM PROVIDED 419 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS INCLUDING NUMEROUS UNCOMPENSATED COMMUNITY HEALTH IMPROVEMENT SERVICES AND PROGRAMS OUTREACH PROGRAMS BAD DEBT AND UNREIMBURSED MEDICARE AND MEDICAID SERVICES TO NORTHERN MICHIGAN
MUNSON MEDICAL CENTER LINE NUMBER 1 PART V LINE 3	PART V LINE 3	A COLLABORATIVE 12MEMBER STEERING COMMITTEE GUIDED THE CHNA PROCESS THIS STEERING COMMITTEE WAS COMPRISED OF HOSPITAL LEADERS AND PUBLIC HEALTH OFFICIALS AS THE CHNA PROCESS PROGRESSED 129 INDIVIDUALS FROM MULTIPLE AREA ORGANIZATIONS WERE INVOLVED TO ENSURE INPUT FROM THOSE WHO HAVE A BROAD KNOWLEDGE OF THE COMMUNITY FURTHER A GROUP OF KEY PHYSICIAN LEADERS FROM THE REGION ALSO WAS CONSULTED FOR INPUT INDIVIDUALS POSSESSING BROAD KNOWLEDGE OF ALL SEGMENTS OF THE FIVECOUNTY AREA PARTICIPATED IN 10 FOCUS GROUPS TO HELP ASSESS HEALTH CARE NEEDS SESSIONS WERE CONDUCTED WITH FIVE AREA COUNTY COLLABORATIVES AS WELL AS PEOPLE LIVING IN POVERTY YOUTH THOSE WHO PROVIDE SERVICES TO SENIORS AND BEHAVIORAL HEALTH PROVIDERS THESE GROUPS WERE SELECTED BECAUSE OF THEIR KNOWLEDGE OF PEOPLE AND AREAS MOST IMPACTED BY HEALTH DISPARITIES BEHAVIORAL HEALTH PROVIDERS WERE AN IMPORTANT INITIAL FOCUS GROUP BECAUSE THERE IS ALMOST NO SECONDARY MENTAL HEALTH DATA AVAILABLE FOCUS GROUPS SERVING A SPECIFIC POPULATION IE SENIORS BEHAVIORAL HEALTH WERE ASKED ABOUT HEALTH NEEDS SPECIFIC TO THE GROUPS AREA OF EXPERTISE EACH FOCUS GROUP DETERMINED A COMPREHENSIVE LIST OF HEALTH NEEDS THEN PRIORITIZED ITS TOP FOUR TO SIX HEALTH NEEDS IN ADDITION SIXTEEN KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN JANUARY 2012 TO JULY 2012 WITH INDIVIDUALS FROM THE COURTS AREA FOUNDATIONS FREE AND FEDERALLY QUALIFIED HEALTH CENTER CLINICS THE MIGRANT CLINIC THE TRIBAL CLINIC ORGANIZATIONS WHO SERVE SENIORS AND ADOLESCENT HEALTH CLINIC PROVIDERS TO ASSESS THE GREATEST HEALTH NEEDS THEY OBSERVE KEY INFORMANTS WERE ASKED THE SAME FOUR QUESTIONS AS THE FOCUS GROUPS FOCUSING ON THEIR SPECIFIC POPULATION AREA OF EXPERTISE KEY INFORMANTS WERE CHOSEN BECAUSE OF THEIR KNOWLEDGE OF PEOPLE AND AREAS MOST IMPACTED BY HEALTH DISPARITIES
MUNSON MEDICAL CENTER LINE NUMBER 1 PART V LINE 4	PART V LINE 4	PAUL OLIVER MEMORIAL HOSPITAL
MUNSON MEDICAL CENTER LINE NUMBER 1 PART V LINE 7	PART V LINE 7	WHILE MMC ASSESSES AND SUPPORTS SMOKING CESSATION EFFORTS FOR THEIR EMPLOYEES THROUGH THE HEALTH BY CHOICE PROGRAM ENCOURAGES ALL PATIENTS TO QUIT AND MAINTAINS A TOBACCO FREE CAMPUS IT DOES NOT CURRENTLY OFFER ANY SMOKING CESSATIONCOUNSELING PROGRAMS BECAUSE IT SEEKS TO AVOID DUPLICATION OF SERVICES CURRENTLY COMMUNITY PROGRAMS ARE OFFERED BY THE TRAVERSE BAY AREA TOBACCO COALITION AND THE ADOLESCENT HEALTH CLINICS WHICH OFFER INDIVIDUALIZED QUIT PLANS FOR THE POPULATION THEY SERVE MMC DOES OFFER PRINTED AND ELECTRONIC RESOURCES TO PATIENTS AND EMPLOYEES WHO EXPRESS THE DESIRE TO QUIT USING TOBACCO AND REFERS THEM TO THE STATE OF MICHIGAN WEBSITE WHICH OFFERS RESOURCES AND TIPS FOR QUITTING AS WELL AS THE ABILITY TO CREATE A PERSONALIZED PLAN MMC DOES NOT DIRECTLY ADDRESS HOUSING ISSUES AFFORDABILITY FORECLOSURE VACANCIES THIS PRIORITY DID NOT MEET THE DEFINED EVALUATION CRITERIA AND IT WAS DETERMINED INTERNALLY THAT MMC DOES NOT HAVE THE ABILITY TO DIRECTLY AFFECT CHANGE WITHIN THIS NEED NOR ARE THERE SYSTEM RESOURCES AVAILABLE TO INFLUENCE CHANGE IT WAS ALSO DETERMINED THERE ARE OTHER COMMUNITY ORGANIZATIONS BETTER ALIGNED TO ADDRESS THIS PRIORITY MMC IS HOWEVER A MEMBER OF THE FIVE AREA COUNTY COLLABORATIVES WHICH INCLUDE REPRESENTATION FROM AGENCIES THAT ADDRESS HOUSING ISSUES SUCH AS NORTHWEST COMMUNITY ACTION AGENCY THE MICHIGAN STATE HOUSING DEVELOPMENT AUTHORITY AND THE GRAND VISION
MUNSON MEDICAL CENTER LINE NUMBER 1 PART V LINE 12H	PART V LINE 12H	PATIENTS WHOSE FAMILY INCOME EXCEEDS 400 OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASEBYCASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES IE HIGH DEBTTOINCOME RATIO AT THE SOLE DISCRETION OF MUNSON HEALTHCARE
MUNSON MEDICAL CENTER LINE NUMBER 1 PART V LINE 14G	PART V LINE 14G	IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE TO THE PATIENTS AND TO THE PUBLIC THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY THIS WILL BE ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS INFORMATION BROCHURES AVAILABLE AT THE REGISTRATION DESKS INFORMATION POSTED ON THE WEBSITE STATEMENT ON BILLS ANDOR SIGNS IN THE REGISTRATION AREAS
MUNSON MEDICAL CENTER LINE NUMBER 1 PART V LINE 20D	PART V LINE 20D	SELFPAYNO INSURANCE PATIENTS ARE GIVEN A DISCOUNT EQUAL TO 15 OFF THEIR TOTAL BILL FOR ALL MEDICALLY NECESSARY AND EMERGENCY SERVICES THIS RATE WAS DETERMINED BY TAKING THE AVERAGE OF COMMERCIAL RATES NOT INCLUDING BLUE CROSS

Schedule H (Form 990) 2012

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

2012

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. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) TRAVERSE HEALTH CLINIC 3155 LOGAN VALLEY TRAVERSE CITY,MI49684	30-0224028	501(C)	300,000	MEDICALLY UNDERSERVE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2012

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.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) MEDICAL INSURANCE PAYMENT	14	7,542
(2) TRANSPORT, HOUSING, WIGS	100	72,638
(3) MEDICAL, TRANSPORT & DRUG	144	85,795
(4) MAMMOGRAPHY ASSISTANCE	332	19,042
(5) TRANSPORT, HOUSING, FOOD	721	171,863
(6) HOUSING ASSISTANCE	39	30,277
(7) HEART SCREENING	53	3,916
(8) SCHOLARSHIPS FOR BABY SWI	30	18,407
(9) DIABETES ED SCHOLARSHIP	17	4,350
(10) MEALS FOR PATIENT FAMILY	2122		9,466	FMV	MEALS

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation

Schedule I (Form 990) 2012

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

2012

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 or provision of all of 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 filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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? ................

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

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 as deferred in prior Form 990
(A) Name and Title		(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)	(F) Compensation reported as deferred in prior Form 990
(1)EDWIN A NESSTRUSTEE	(i) (ii)	581,988	157,658	1,520	223,317	18,979	983,462
(2)MARK A HEPLERCFO	(i) (ii)	241,424	31,844	17,075	39,379	20,592	350,314	4,348
(3)KATHLEEN MCMANUSEXECUTIVE VP & COO	(i) (ii)	258,858	48,113	1,198	41,735	14,593	364,497
(4)PAUL M SHIRILLAASST SECVP	(i) (ii)	264,793	33,615	3,887	32,025	14,946	349,266
(5)DAVID MCGREAHAM MDVP MEDICAL AFFAIRS	(i) (ii)	250,654	28,110	19,582	31,384	18,278	348,008
(6)CHRISTOPHER PODGESVP INFO SYST	(i) (ii)	242,682	33,004	1,568	31,652	8,168	317,074
(7)SUZANNE K PETERSVP HUMAN RESOURCES	(i) (ii)	161,334	21,315	28,316	20,586	14,023	245,574	3,245
(8)JAMES P FISCHERVP PATIENT CARE	(i) (ii)	173,886	19,810	2,787	21,041	5,445	222,969
(9)THOMAS SCHERMERHORN MDNEUROSURGEON	(i) (ii)	807,049		17,805	12,375	19,416	856,645
(10)AHMET SEVIMLI MDNEPHROLOGIST	(i) (ii)	448,570		17,456	26,914	19,609	512,549
(11)PHILOMENA COLUCCIPHYSICIAN - ONCOLOGY	(i) (ii)	278,323		39,317	12,375	7,643	337,658
(12)KAREN SPEIRS DOPHYSICIAN	(i) (ii)	259,939	16,000	1,231	12,375	3,239	292,784
(13)DANIEL M WEBSTERPHYSICIAN	(i) (ii)	242,668	13,890	4,490	14,560	16,319	291,927

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
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 0 210,942 0 MARK A. HEPLER 0 24,893 0 KATHLEEN MCMANUS 0 26,204 0 PAUL M. SHIRILLA 0 16,138 0 DAVID MCGREAHAM, MD 0 16,345 0 CHRISTOPHER PODGES 0 14,926 0 SUZANNE K. PETERS 0 10,906 0 JAMES P. FISCHER 0 10,608 0
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	EXECUTIVE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, INCLUDING THE PRESIDENT AND VICE-PRESIDENTS, A COMPETITIVE BENEFIT PACKAGE IS OFFERED WHICH INCLUDES PARTICIPATION IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. FOR THE PRESIDENT, THE PLAN PROVIDES A TARGETED BENEFIT AT AGE 62. ANNUAL CONTRIBUTIONS, AT MUNSON'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. VICE-PRESIDENTS ARE ELIGIBLE TO PARTICIPATE IN AN AMOUNT NOT TO EXCEED 6% OF BASE COMPENSATION, FUNDED ANNUALLY, AT THE SOLE DISCRETION OF MUNSON. THESE FUNDS ARE AVAILABLE TO VESTED PARTICIPANTS UPON SEPARATION OF EMPLOYMENT FROM MUNSON. EXECUTIVE SEVERANCE PLAN: SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, A COMPETITIVE BENEFIT PACKAGE IS OFFERED TO THE PRESIDENT AND VICE-PRESIDENTS WHICH INCLUDES A SEVERANCE PLAN. MUNSON HAS A SEVERANCE PLAN FOR THE PRESIDENT AND THE VICE-PRESIDENT/EXECUTIVE LEVEL POSITIONS WHICH PROVIDES FOR THE PRESIDENT UP TO TWO YEARS OF PAY IN THE EVENT EMPLOYMENT ENDS UNDER CERTAIN CONDITIONS AND FOR VICE PRESIDENTS, UP TO ONE-YEAR OF PAY IN THE EVENT EMPLOYMENT ENDS UNDER CERTAIN CONDITIONS. THE PLAN PROVIDES FOR A 50% OFFSET FOR SUBSEQUENT EMPLOYMENT DURING THE SEVERANCE PERIOD. MEDICAL BENEFITS ARE PROVIDED DURING THE SEVERANCE PERIOD.

Schedule J (Form 990) 2012

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 Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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	CTY GRD TRAVSE HOSP FIN AUTH 2011	38-6004832	386523EE0	08-10-2011	128,728,067	REFUND PRIOR BONDS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	128,728,067
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	1,756,787
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .
11 Other spent proceeds . . . . . . . . . . . . . .	126,971,281
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X

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

Cat. No. 50193E

Schedule K (Form 990) 2012

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 of bond-financed property? . . . . . . . . . . . .	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .		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 Does the bond issue meet the private security or payment test? . . . . .		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X
b Exception to rebate? . . . . . . . .		X
c No rebate due? . . . . . . . . . .	X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . . . .
e Was a hedge terminated? . . . . . . .

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		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? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part VI

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

Identifier	Return Reference	Explanation
PURPOSE OF ISSUE DESCRIPTION	SCHEDULE K	CTY GRD TRAVSE HOSP FIN AUTH 2011 THE SERIES 2011A 2011B AND 2011C BONDS WERE ISSUED TO PURCHASE AND CANCEL TENDERED BONDS TENDERED DURING A TENDER PROGRAM INITIATED BY MUNSON HEALTHCARE THE TENDERED BONDS INCLUDED COUNTY OF GRAND TRAVERSE HOSPITAL AUTHORITY MUNSON HEALTHCARE OBLIGATED GROUP HOSPITAL REVENUE AND REFUNDING BONDS SERIES 1998A ISSUED 9198 REVENUE BONDS SERIES 2001A ISSUED 1901 REVENUE REFUNDING BONDS SERIES 2002A ISSUED 91702 REVENUE REFUNDING BONDS SERIES 2005A ISSUED 11305 AND REVENUE BONDS SERIES 2005B ISSUED 11305
DATE REBATE COMPUTATION PERFORMED	SCHEDULE K	CTY GRD TRAVSE HOSP FIN AUTH 2011 081013

Schedule K (Form 990) 2012

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

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) MEGAN COX	FAMILY OF TRUST	53,731	RELATED FAMILY COMP		No
(2) HOSPITALISTS OF NORTHWEST MI	OWNER ISTRUSTEE	5,690,967	GROUP PRACTICE PHYSI		No
(3) MUNSON SERVICES INC	E NESS TRUSTEE	2,318,252	CONTRACT EMPLOYEES		No
(4) PULMONARY AND CRITICAL CARE PHYSICI	OWNER ISTRUSTEE	1,617,120	GROUP PRACTICE PHYSI		No
(5) GLORIA WOLF	FAMILY OF TRUST	75,529	RELATED FAMILY COMP		No
(6) JEFF BERRY	FAMILY OF TRUST	92,485	RELATED FAMILY COMP		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) 2012

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

2012

Open to Public
Inspection

Name of the organization

MUNSON MEDICAL CENTER

Employer identification number

38-1362830

Identifier	Return Reference	Explanation
ADDITIONAL INFORMATION	FORM 990, PART VI	WRITTEN JOINT VENTURE POLICY APPROVED AFTER YEAR-END.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	MUNSON MEDICAL CENTER IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS. THE SOLE MEMBER IS MUNSON HEALTHCARE, AN IRS SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. IN THE EVENT OF DISSOLUTION, MUNSON MEDICAL CENTER'S NET ASSETS WOULD BE DISTRIBUTED TO MUNSON HEALTHCARE.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	FOUR TRUSTEES OF MUNSON MEDICAL CENTER ARE DIRECTORS OF MUNSON HEALTHCARE. OTHER TRUSTEES ARE CHOSEN FROM AMONG THOSE NOMINATED BY THE GOVERNANCE COMMITTEE.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	CERTAIN DECISIONS OF THE MUNSON MEDICAL CENTER (MMC) TRUSTEES ARE APPROVED BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS INCLUDING: ADOPTION, AMENDMENT, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF MMC; ADOPTION, EXECUTION, REVOCATION OR ABANDONMENT OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION, OR REORGANIZATION INVOLVING MMC; SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF MMC; ACQUISITION OF OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF MMC; ADOPTION OF ALL OPERATING BUDGETS AND CAPITAL EXPENDITURE BUDGETS FOR MMC; INCURRENCE OF OPERATING OR CAPITAL EXPENDITURES BY MMC WHICH CAUSE THE AGGREGATE OPERATING OR CAPITAL EXPENDITURES TO EXCEED BUDGETED AGGREGATES BY MORE THAN FIVE PERCENT (5%) IN ANY FISCAL YEAR; INCURRENCE OF SECURED BORROWINGS OF MMC, WITH THE EXCEPTION OF EQUIPMENT LEASES AND PURCHASE MONEY SECURITY INTERESTS APPROVED AS PART OF MMC'S BUDGET; ADOPTION OR CHANGE IN THE MISSION STATEMENT, PURPOSES OR THE STRATEGIC GOALS OF MMC; CHANGING SUBSTANTIALLY THE SCOPE OF MMC'S CLINICAL SERVICES AND PROGRAMS OFFERED BY MMC; AND APPOINTMENT OR REMOVAL THE PRESIDENT OF MMC.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE MUNSON MEDICAL CENTER BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. MUNSON MEDICAL CENTER BELONGS TO THE MUNSON HEALTHCARE SYSTEM. MUNSON HEALTHCARE IS THE PARENT COMPANY IN THE MUNSON HEALTHCARE SYSTEM, WHICH UNDERGOES AN AUDIT BY AN EXTERNAL AUDIT FIRM. AT THE CORPORATE LEVEL, THE RESPONSIBLE INDIVIDUALS FROM THE FINANCE, ADMINISTRATION, PATIENT FINANCIAL SERVICES, LEGAL, HUMAN RESOURCES, PUBLIC RELATIONS, AND FUND DEVELOPMENT DEPARTMENTS PREPARE AND REVIEW PORTIONS OF THE FORM 990. THE COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE REVIEWS THE COMPENSATION INFORMATION CONTAINED IN THE CORE FORM AS WELL AS THE SCHEDULE J INFORMATION. THE CONFLICT, VALUATION AND COMPLIANCE COMMITTEE OVERSEES THE CONFLICT OF INTEREST DISCLOSURE PROCESS FOR BOARD MEMBERS AND KEY EMPLOYEES TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE AUDIT COMMITTEE OVERSEES THE FORM 990 PREPARATION PROCESS BY ENSURING PROPER CONTROLS, POLICIES, PEOPLE AND RESOURCES ARE IN PLACE TO PRODUCE AN ACCURATE RETURN.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE MUNSON HEALTHCARE BOARD OF DIRECTORS (THE SYSTEM PARENT ORGANIZATION) HAS A STANDING CONFLICT, VALUATION AND COMPLIANCE ("CVC") COMMITTEE. THE CVC COMMITTEE IS COMPOSED OF INDEPENDENT BOARD AND COMMUNITY MEMBERS. THE CVC COMMITTEE IS DELEGATED AUTHORITY BY THE BOARD TO REVIEW AND APPROVE THE REASONABLENESS/FAIR MARKET VALUE OF FINANCIAL TRANSACTIONS/ARRANGEMENTS WITH DISQUALIFIED PERSONS. ANNUALLY EACH BOARD MEMBER OF MUNSON HEALTHCARE AND ALL OF ITS SUBSIDIARY/CONTROLLED ENTITIES AND ALL MUNSON EXECUTIVES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE/QUESTIONNAIRE. THE RESPONSES TO THE DISCLOSURE/QUESTIONNAIRE ARE REVIEWED BY THE MUNSON LEGAL DEPARTMENT. ANY FINANCIAL ARRANGEMENTS/POTENTIAL CONFLICTS IDENTIFIED THRU THE DISCLOSURE/QUESTIONNAIRES ARE PRESENTED TO THE CVC COMMITTEE FOR ITS REVIEW AND DETERMINATION AS TO THE REASONABLENESS/FAIR MARKET VALUE.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE PROCESS FOR DETERMINING APPROPRIATE LEVELS OF PAY FOR EXECUTIVE POSITIONS WITHIN MUNSON HEALTHCARE IS CAREFULLY AND THOUGHTFULLY DIRECTED BY THE BOARD OF DIRECTORS, THROUGH THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMMITTEE UTILIZES "BEST PRACTICES" METHODS OF DETERMINING COMPENSATION AND, AS SUCH, IS COMPOSED OF SEVEN MEMBERS WHOSE VOTING MEMBERS ARE INDEPENDENT. THE COMMITTEE IS CHARGED WITH ENSURING THAT EXECUTIVE COMPENSATION IS DESIGNED TO ATTRACT AND RETAIN HIGH QUALITY, PROFESSIONAL LEADERSHIP WHILE MAINTAINING STRONG STEWARDSHIP FOR THE ORGANIZATION. ANNUALLY, THE COMMITTEE RETAINS A NATIONAL INDEPENDENT CONSULTANT TO ENSURE THAT MHC'S COMPENSATION PRACTICES AND LEVELS ARE INDEPENDENTLY REVIEWED WHILE BEING COMPETITIVE AND REASONABLE. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE, AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. ANNUAL COMPENSATION FOR MUNSON EXECUTIVES IS DETERMINED IN PART BY MEASURABLE PROGRESS TOWARD THE ORGANIZATION'S GOALS INCLUDING CONTINUED IMPROVEMENT IN CLINICAL QUALITY, COMMUNITY HEALTH, AND OPERATIONAL EFFICIENCIES. MUNSON HEALTHCARE'S INTENT FOR EXECUTIVE BASE COMPENSATION IS TO BE AT THE MEDIAN WHEN COMPARED TO LIKE-SIZE NON-PROFIT HOSPITALS AND HEALTHCARE SYSTEMS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	COMPENSATION OF OTHER KEY EMPLOYEES IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES FOR MUNSON MEDICAL CENTER.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE MUNSON MEDICAL CENTER ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. MUNSON MEDICAL CENTER DOES NOT MAKE THE BYLAWS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ANNUALLY, MUNSON HEALTHCARE, PARENT CORPORATION, SUBMITS ITS ANNUAL CONSOLIDATED FINANCIAL STATEMENTS TO THE MSRB IN COMPLIANCE WITH BOND DISCLOSURE REQUIREMENTS. ADDITIONALLY, MUNSON MEDICAL CENTER PREPARES AND DISTRIBUTES AN ANNUAL REPORT TO THE COMMUNITY, WHICH CONTAINS FINANCIAL AS WELL AS PROGRAM DATA.
GROUP RETURN METHOD	FORM 990, PAGE 7, PART VII	PARENT ORGANIZATION HAS FILED A SEPARATE RETURN
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	PURCHASED SERVICES 21,494,571 10,219,164 523,199 PROFESSIONAL FEES 18,062,300 1,506,421 0
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	INVEST IN MUNSON HEALTHCARE FOUNDATION CONTRIBUTIO 12,832,478 PENSION AND POST RETIREMENT CHANGES 41,109,930 SWAP MARKET VALUE CHANGE 2,208,255 TRANSFERS TO AFFILIATES -8,100,000 TEMPORARILY RESTRICTED ACTIVITY -669,434 -

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

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

2012

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" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) 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" to 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 entity?
(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	C3	3	MUNSON HC MUNSON HEALTHCARE		No
(2) MUNSON HEALTHCARE 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2640544	HEALTHCARE	MI	C3	11B	N/A		No
(3) MUNSON HEALTHCARE REGIONAL FOUNDATI 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2642724	RAISE FUND	MI	C3	7	MUNSON HC MUNSON HEALTHCARE		No
(4) MUNSON HOME CARE 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2191390	HOME HEALT	MI	C3	9	MUN HOME H MUNSON HOME HEALTH		No
(5) MUNSON HOME HEALTH 1105 SIXTH ST TRAVERSE CITY,MI49684 38-3335362	HOME HEALT	MI	C3	11B	MUNSON HC MUNSON HEALTHCARE		No
(6) MUNSON HOME SERVICES 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2543463	HOME HEALT	MI	C3	9	MUN HOME H MUNSON HOME HEALTH		No
(7) NORTH FLIGHT INC 1105 SIXTH ST TRAVERSE CITY,MI49684 38-2657917	MED TRANSP	MI	C3	11B	MUNSON HC MUNSON HEALTHCARE		No
(8) PAUL OLIVER MEMORIAL HOSPITAL 1105 SIXTH ST TRAVERSE CITY,MI49684 38-1415623	HEALTHCARE	MI	C3	3	MUNSON HC MUNSON HEALTHCARE		No
(9) PAUL OLIVER MEMORIAL HOSPITAL FOUND 1105 SIXTH ST TRAVERSE CITY,MI49684 23-7201619	RAISE FUND	MI	C3	7	PAUL OLV H PAUL OLIVER MEMORIAL HOSPITAL		No
(10) MUNSON MEDICAL GROUP 1105 SIXTH ST TRAVERSE CITY,MI49684 27-3600575	PHYSICIAN	MI	C3	9	MUNSON MED MUNSON MEDICAL CENTER	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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	787,235	2,510,747		No		Yes		72.480 %
(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	787,235	2,510,747		No		Yes		72.480 %
(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" to 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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(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	115,629	34,425	74.000 %		No
(2) SIXTH STREET DRUGS PO BOX 1188 TRAVERSE CITY,MI496851188 38-2298290	PHARMACY	MI	N/A						No
(3) MUNSON SUPPORT SERVICES PO BOX 1188 TRAVERSE CITY,MI496851188 38-2872821	LAUNDRY	MI	N/A					Yes
(4) MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY,MI496851188 38-3144382	PHARMACY	MI	N/A						No
(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	60,202	21,733	78.000 %		No
(6) MUNSON MOBILE IMAGING PO BOX 1188 TRAVERSE CITY,MI496851188 38-2704069	IMAGING	MI	N/A						No
(7) MEDICAL OFFICE CONDOMINIUM MEDICAL OFFICE CONDOMINIUM PO BOX 1188 TRAVERSE CITY,MI496851188 20-1902620	REAL ESTAT	MI	MUNSON MED MUNSON MEDICAL CENTER	C CORP	115,629	34,425	74.000 %		No
(8) SIXTH STREET DRUGS PO BOX 1188 TRAVERSE CITY,MI496851188 38-2298290	PHARMACY	MI	N/A						No
(9) MUNSON SUPPORT SERVICES PO BOX 1188 TRAVERSE CITY,MI496851188 38-2872821	LAUNDRY	MI	N/A					Yes
(10) MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY,MI496851188 38-3144382	PHARMACY	MI	N/A						No
(11) 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	60,202	21,733	78.000 %		No
(12) MUNSON MOBILE IMAGING PO BOX 1188 TRAVERSE CITY,MI496851188 38-2704069	IMAGING	MI	N/A						No

Schedule R (Form 990) 2012

Page 3

Part V

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

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

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

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

Yes

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

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

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related 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-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MUNSON DIALYSIS CENTER	L	130,451	FMV
(2) MUNSON DIALYSIS CENTER	Q	754,248	FMV
(3) MUNSON DIALYSIS CENTER	O	2,280,379	FMV
(4) MUNSON HEALTHCARE	B	3,200,000	FMV
(5) MUNSON HEALTHCARE	M	1,541,796	FMV
(6) MUNSON HEALTHCARE	O	915,348	FMV
(7) MUNSON HEALTHCARE	P	2,153,009	FMV
(8) MUNSON HEALTHCARE	Q	6,865,785	FMV
(9) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	1,748,120	FMV
(10) MUNSON HEALTHCARE REGIONAL FOUNDATI	M	523,199	FMV
(11) MUNSON HEALTHCARE REGIONAL FOUNDATI	Q	90,872	FMV
(12) MUNSON HOME CARE	J	131,304	FMV
(13) MUNSON HOME CARE	L	54,536	FMV
(14) MUNSON HOME CARE	Q	11,138,017	FMV
(15) MUNSON HOME HEALTH	J	58,800	FMV
(16) MUNSON HOME HEALTH	Q	2,035,777	FMV
(17) MUNSON HOME SERVICES	Q	3,393,853	FMV
(18) MUNSON MEDICAL BUILDING PARTNERS	K	725,305	FMV
(19) MUNSON MEDICAL BUILDING PARTNERS	Q	211,893	FMV
(20) MUNSON MEDICAL GROUP	B	4,900,000	FMV
(21) MUNSON MEDICAL GROUP	L	440,712	FMV
(22) MUNSON MEDICAL GROUP	P	86,697	FMV
(23) MUNSON MEDICAL GROUP	Q	17,062,339	FMV
(24) MUNSON MEDICAL GROUP	O	5,901,702	FMV
(25) MUNSON MEDICAL GROUP	M	482,674	FMV
(26) MUNSON SERVICES INC	L	115,257	FMV
(27) MUNSON SERVICES INC	O	2,318,252	FMV
(28) MUNSON SERVICES INC	P	80,622	FMV
(29) MUNSON SERVICES INC	Q	5,357,472	FMV
(30) MUNSON SUPPORT SERVICES	M	2,169,305	FMV
(31) MUNSON SUPPORT SERVICES	Q	1,958,963	FMV
(32) MUNSON SUPPORT SERVICES	R	132,175	FMV
(33) NORTH FLIGHT INC	P	51,499	FMV
(34) NORTH FLIGHT INC	Q	5,716,790	FMV
(35) NORTHERN MICHIGAN SUPPLY ALLIANCE	E	915,000	FMV
(36) NORTHERN MICHIGAN SUPPLY ALLIANCE	J	173,211	FMV
(37) NORTHERN MICHIGAN SUPPLY ALLIANCE	P	18,761,541	FMV
(38) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	1,077,734	FMV
(39) NORTHERN MICHIGAN SUPPLY ALLIANCE	Q	1,031,346	FMV
(40) NORTHERN MICHIGAN SUPPLY ALLIANCE	M	1,888,464	FMV
(41) PAUL OLIVER MEMORIAL HOSPITAL	L	811,113	FMV
(42) PAUL OLIVER MEMORIAL HOSPITAL	O	1,044,383	FMV
(43) PAUL OLIVER MEMORIAL HOSPITAL	Q	6,135,851	FMV
(44) SIXTH STREET CONDO ASSOCIATION	Q	243,680	FMV
(45) SIXTH STREET CONDO ASSOCIATION	K	371,384	FMV
(46) SIXTH STREET CONDO ASSOCIATION	L	56,184	FMV
(47) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	Q	222,710	FMV
(48) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	K	179,072	FMV
(49) MUNSON DIALYSIS CENTER	L	130,451	FMV
(50) MUNSON DIALYSIS CENTER	Q	754,248	FMV
(51) MUNSON DIALYSIS CENTER	O	2,280,379	FMV
(52) MUNSON HEALTHCARE	B	3,200,000	FMV
(53) MUNSON HEALTHCARE	M	1,541,796	FMV
(54) MUNSON HEALTHCARE	O	915,348	FMV
(55) MUNSON HEALTHCARE	P	2,153,009	FMV
(56) MUNSON HEALTHCARE	Q	6,865,785	FMV
(57) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	1,748,120	FMV
(58) MUNSON HEALTHCARE REGIONAL FOUNDATI	M	523,199	FMV
(59) MUNSON HEALTHCARE REGIONAL FOUNDATI	Q	90,872	FMV
(60) MUNSON HOME CARE	J	131,304	FMV
(61) MUNSON HOME CARE	L	54,536	FMV
(62) MUNSON HOME CARE	Q	11,138,017	FMV
(63) MUNSON HOME HEALTH	J	58,800	FMV
(64) MUNSON HOME HEALTH	Q	2,035,777	FMV
(65) MUNSON HOME SERVICES	Q	3,393,853	FMV
(66) MUNSON MEDICAL BUILDING PARTNERS	K	725,305	FMV
(67) MUNSON MEDICAL BUILDING PARTNERS	Q	211,893	FMV
(68) MUNSON MEDICAL GROUP	B	4,900,000	FMV
(69) MUNSON MEDICAL GROUP	L	440,712	FMV
(70) MUNSON MEDICAL GROUP	P	86,697	FMV
(71) MUNSON MEDICAL GROUP	Q	17,062,339	FMV
(72) MUNSON MEDICAL GROUP	O	5,901,702	FMV
(73) MUNSON MEDICAL GROUP	M	482,674	FMV
(74) MUNSON SERVICES INC	L	115,257	FMV
(75) MUNSON SERVICES INC	O	2,318,252	FMV
(76) MUNSON SERVICES INC	P	80,622	FMV
(77) MUNSON SERVICES INC	Q	5,357,472	FMV
(78) MUNSON SUPPORT SERVICES	M	2,169,305	FMV
(79) MUNSON SUPPORT SERVICES	Q	1,958,963	FMV
(80) MUNSON SUPPORT SERVICES	R	132,175	FMV
(81) NORTH FLIGHT INC	P	51,499	FMV
(82) NORTH FLIGHT INC	Q	5,716,790	FMV
(83) NORTHERN MICHIGAN SUPPLY ALLIANCE	E	915,000	FMV
(84) NORTHERN MICHIGAN SUPPLY ALLIANCE	J	173,211	FMV
(85) NORTHERN MICHIGAN SUPPLY ALLIANCE	P	18,761,541	FMV
(86) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	1,077,734	FMV
(87) NORTHERN MICHIGAN SUPPLY ALLIANCE	Q	1,031,346	FMV
(88) NORTHERN MICHIGAN SUPPLY ALLIANCE	M	1,888,464	FMV
(89) PAUL OLIVER MEMORIAL HOSPITAL	L	811,113	FMV
(90) PAUL OLIVER MEMORIAL HOSPITAL	O	1,044,383	FMV
(91) PAUL OLIVER MEMORIAL HOSPITAL	Q	6,135,851	FMV
(92) SIXTH STREET CONDO ASSOCIATION	Q	243,680	FMV
(93) SIXTH STREET CONDO ASSOCIATION	K	371,384	FMV
(94) SIXTH STREET CONDO ASSOCIATION	L	56,184	FMV
(95) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	Q	222,710	FMV
(96) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	K	179,072	FMV
(97) MUNSON DIALYSIS CENTER	L	130,451	FMV
(98) MUNSON DIALYSIS CENTER	Q	754,248	FMV
(99) MUNSON DIALYSIS CENTER	O	2,280,379	FMV
(100) MUNSON HEALTHCARE	B	3,200,000	FMV
(101) MUNSON HEALTHCARE	M	1,541,796	FMV
(102) MUNSON HEALTHCARE	O	915,348	FMV
(103) MUNSON HEALTHCARE	P	2,153,009	FMV
(104) MUNSON HEALTHCARE	Q	6,865,785	FMV
(105) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	1,748,120	FMV
(106) MUNSON HEALTHCARE REGIONAL FOUNDATI	M	523,199	FMV
(107) MUNSON HEALTHCARE REGIONAL FOUNDATI	Q	90,872	FMV
(108) MUNSON HOME CARE	J	131,304	FMV
(109) MUNSON HOME CARE	L	54,536	FMV
(110) MUNSON HOME CARE	Q	11,138,017	FMV
(111) MUNSON HOME HEALTH	J	58,800	FMV
(112) MUNSON HOME HEALTH	Q	2,035,777	FMV
(113) MUNSON HOME SERVICES	Q	3,393,853	FMV
(114) MUNSON MEDICAL BUILDING PARTNERS	K	725,305	FMV
(115) MUNSON MEDICAL BUILDING PARTNERS	Q	211,893	FMV
(116) MUNSON MEDICAL GROUP	B	4,900,000	FMV
(117) MUNSON MEDICAL GROUP	L	440,712	FMV
(118) MUNSON MEDICAL GROUP	P	86,697	FMV
(119) MUNSON MEDICAL GROUP	Q	17,062,339	FMV
(120) MUNSON MEDICAL GROUP	O	5,901,702	FMV
(121) MUNSON MEDICAL GROUP	M	482,674	FMV
(122) MUNSON SERVICES INC	L	115,257	FMV
(123) MUNSON SERVICES INC	O	2,318,252	FMV
(124) MUNSON SERVICES INC	P	80,622	FMV
(125) MUNSON SERVICES INC	Q	5,357,472	FMV
(126) MUNSON SUPPORT SERVICES	M	2,169,305	FMV
(127) MUNSON SUPPORT SERVICES	Q	1,958,963	FMV
(128) MUNSON SUPPORT SERVICES	R	132,175	FMV
(129) NORTH FLIGHT INC	P	51,499	FMV
(130) NORTH FLIGHT INC	Q	5,716,790	FMV
(131) NORTHERN MICHIGAN SUPPLY ALLIANCE	E	915,000	FMV
(132) NORTHERN MICHIGAN SUPPLY ALLIANCE	J	173,211	FMV
(133) NORTHERN MICHIGAN SUPPLY ALLIANCE	P	18,761,541	FMV
(134) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	1,077,734	FMV
(135) NORTHERN MICHIGAN SUPPLY ALLIANCE	Q	1,031,346	FMV
(136) NORTHERN MICHIGAN SUPPLY ALLIANCE	M	1,888,464	FMV
(137) PAUL OLIVER MEMORIAL HOSPITAL	L	811,113	FMV
(138) PAUL OLIVER MEMORIAL HOSPITAL	O	1,044,383	FMV
(139) PAUL OLIVER MEMORIAL HOSPITAL	Q	6,135,851	FMV
(140) SIXTH STREET CONDO ASSOCIATION	Q	243,680	FMV
(141) SIXTH STREET CONDO ASSOCIATION	K	371,384	FMV
(142) SIXTH STREET CONDO ASSOCIATION	L	56,184	FMV
(143) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	Q	222,710	FMV
(144) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	K	179,072	FMV
(145) MUNSON DIALYSIS CENTER	L	130,451	FMV
(146) MUNSON DIALYSIS CENTER	Q	754,248	FMV
(147) MUNSON DIALYSIS CENTER	O	2,280,379	FMV
(148) MUNSON HEALTHCARE	B	3,200,000	FMV
(149) MUNSON HEALTHCARE	M	1,541,796	FMV
(150) MUNSON HEALTHCARE	O	915,348	FMV
(151) MUNSON HEALTHCARE	P	2,153,009	FMV
(152) MUNSON HEALTHCARE	Q	6,865,785	FMV
(153) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	1,748,120	FMV
(154) MUNSON HEALTHCARE REGIONAL FOUNDATI	M	523,199	FMV
(155) MUNSON HEALTHCARE REGIONAL FOUNDATI	Q	90,872	FMV
(156) MUNSON HOME CARE	J	131,304	FMV
(157) MUNSON HOME CARE	L	54,536	FMV
(158) MUNSON HOME CARE	Q	11,138,017	FMV
(159) MUNSON HOME HEALTH	J	58,800	FMV
(160) MUNSON HOME HEALTH	Q	2,035,777	FMV
(161) MUNSON HOME SERVICES	Q	3,393,853	FMV
(162) MUNSON MEDICAL BUILDING PARTNERS	K	725,305	FMV
(163) MUNSON MEDICAL BUILDING PARTNERS	Q	211,893	FMV
(164) MUNSON MEDICAL GROUP	B	4,900,000	FMV
(165) MUNSON MEDICAL GROUP	L	440,712	FMV
(166) MUNSON MEDICAL GROUP	P	86,697	FMV
(167) MUNSON MEDICAL GROUP	Q	17,062,339	FMV
(168) MUNSON MEDICAL GROUP	O	5,901,702	FMV
(169) MUNSON MEDICAL GROUP	M	482,674	FMV
(170) MUNSON SERVICES INC	L	115,257	FMV
(171) MUNSON SERVICES INC	O	2,318,252	FMV
(172) MUNSON SERVICES INC	P	80,622	FMV
(173) MUNSON SERVICES INC	Q	5,357,472	FMV
(174) MUNSON SUPPORT SERVICES	M	2,169,305	FMV
(175) MUNSON SUPPORT SERVICES	Q	1,958,963	FMV
(176) MUNSON SUPPORT SERVICES	R	132,175	FMV
(177) NORTH FLIGHT INC	P	51,499	FMV
(178) NORTH FLIGHT INC	Q	5,716,790	FMV
(179) NORTHERN MICHIGAN SUPPLY ALLIANCE	E	915,000	FMV
(180) NORTHERN MICHIGAN SUPPLY ALLIANCE	J	173,211	FMV
(181) NORTHERN MICHIGAN SUPPLY ALLIANCE	P	18,761,541	FMV
(182) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	1,077,734	FMV
(183) NORTHERN MICHIGAN SUPPLY ALLIANCE	Q	1,031,346	FMV
(184) NORTHERN MICHIGAN SUPPLY ALLIANCE	M	1,888,464	FMV
(185) PAUL OLIVER MEMORIAL HOSPITAL	L	811,113	FMV
(186) PAUL OLIVER MEMORIAL HOSPITAL	O	1,044,383	FMV
(187) PAUL OLIVER MEMORIAL HOSPITAL	Q	6,135,851	FMV
(188) SIXTH STREET CONDO ASSOCIATION	Q	243,680	FMV
(189) SIXTH STREET CONDO ASSOCIATION	K	371,384	FMV
(190) SIXTH STREET CONDO ASSOCIATION	L	56,184	FMV
(191) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	Q	222,710	FMV
(192) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	K	179,072	FMV
(193) MUNSON DIALYSIS CENTER	L	130,451	FMV
(194) MUNSON DIALYSIS CENTER	Q	754,248	FMV
(195) MUNSON DIALYSIS CENTER	O	2,280,379	FMV
(196) MUNSON HEALTHCARE	B	3,200,000	FMV
(197) MUNSON HEALTHCARE	M	1,541,796	FMV
(198) MUNSON HEALTHCARE	O	915,348	FMV
(199) MUNSON HEALTHCARE	P	2,153,009	FMV
(200) MUNSON HEALTHCARE	Q	6,865,785	FMV
(201) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	1,748,120	FMV
(202) MUNSON HEALTHCARE REGIONAL FOUNDATI	M	523,199	FMV
(203) MUNSON HEALTHCARE REGIONAL FOUNDATI	Q	90,872	FMV
(204) MUNSON HOME CARE	J	131,304	FMV
(205) MUNSON HOME CARE	L	54,536	FMV
(206) MUNSON HOME CARE	Q	11,138,017	FMV
(207) MUNSON HOME HEALTH	J	58,800	FMV
(208) MUNSON HOME HEALTH	Q	2,035,777	FMV
(209) MUNSON HOME SERVICES	Q	3,393,853	FMV
(210) MUNSON MEDICAL BUILDING PARTNERS	K	725,305	FMV
(211) MUNSON MEDICAL BUILDING PARTNERS	Q	211,893	FMV
(212) MUNSON MEDICAL GROUP	B	4,900,000	FMV
(213) MUNSON MEDICAL GROUP	L	440,712	FMV
(214) MUNSON MEDICAL GROUP	P	86,697	FMV
(215) MUNSON MEDICAL GROUP	Q	17,062,339	FMV
(216) MUNSON MEDICAL GROUP	O	5,901,702	FMV
(217) MUNSON MEDICAL GROUP	M	482,674	FMV
(218) MUNSON SERVICES INC	L	115,257	FMV
(219) MUNSON SERVICES INC	O	2,318,252	FMV
(220) MUNSON SERVICES INC	P	80,622	FMV
(221) MUNSON SERVICES INC	Q	5,357,472	FMV
(222) MUNSON SUPPORT SERVICES	M	2,169,305	FMV
(223) MUNSON SUPPORT SERVICES	Q	1,958,963	FMV
(224) MUNSON SUPPORT SERVICES	R	132,175	FMV
(225) NORTH FLIGHT INC	P	51,499	FMV
(226) NORTH FLIGHT INC	Q	5,716,790	FMV
(227) NORTHERN MICHIGAN SUPPLY ALLIANCE	E	915,000	FMV
(228) NORTHERN MICHIGAN SUPPLY ALLIANCE	J	173,211	FMV
(229) NORTHERN MICHIGAN SUPPLY ALLIANCE	P	18,761,541	FMV
(230) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	1,077,734	FMV
(231) NORTHERN MICHIGAN SUPPLY ALLIANCE	Q	1,031,346	FMV
(232) NORTHERN MICHIGAN SUPPLY ALLIANCE	M	1,888,464	FMV
(233) PAUL OLIVER MEMORIAL HOSPITAL	L	811,113	FMV
(234) PAUL OLIVER MEMORIAL HOSPITAL	O	1,044,383	FMV
(235) PAUL OLIVER MEMORIAL HOSPITAL	Q	6,135,851	FMV
(236) SIXTH STREET CONDO ASSOCIATION	Q	243,680	FMV
(237) SIXTH STREET CONDO ASSOCIATION	K	371,384	FMV
(238) SIXTH STREET CONDO ASSOCIATION	L	56,184	FMV
(239) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	Q	222,710	FMV
(240) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	K	179,072	FMV
(241) MUNSON DIALYSIS CENTER	L	130,451	FMV
(242) MUNSON DIALYSIS CENTER	Q	754,248	FMV
(243) MUNSON DIALYSIS CENTER	O	2,280,379	FMV
(244) MUNSON HEALTHCARE	B	3,200,000	FMV
(245) MUNSON HEALTHCARE	M	1,541,796	FMV
(246) MUNSON HEALTHCARE	O	915,348	FMV
(247) MUNSON HEALTHCARE	P	2,153,009	FMV
(248) MUNSON HEALTHCARE	Q	6,865,785	FMV
(249) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	1,748,120	FMV
(250) MUNSON HEALTHCARE REGIONAL FOUNDATI	M	523,199	FMV
(251) MUNSON HEALTHCARE REGIONAL FOUNDATI	Q	90,872	FMV
(252) MUNSON HOME CARE	J	131,304	FMV
(253) MUNSON HOME CARE	L	54,536	FMV
(254) MUNSON HOME CARE	Q	11,138,017	FMV
(255) MUNSON HOME HEALTH	J	58,800	FMV
(256) MUNSON HOME HEALTH	Q	2,035,777	FMV
(257) MUNSON HOME SERVICES	Q	3,393,853	FMV
(258) MUNSON MEDICAL BUILDING PARTNERS	K	725,305	FMV
(259) MUNSON MEDICAL BUILDING PARTNERS	Q	211,893	FMV
(260) MUNSON MEDICAL GROUP	B	4,900,000	FMV
(261) MUNSON MEDICAL GROUP	L	440,712	FMV
(262) MUNSON MEDICAL GROUP	P	86,697	FMV
(263) MUNSON MEDICAL GROUP	Q	17,062,339	FMV
(264) MUNSON MEDICAL GROUP	O	5,901,702	FMV
(265) MUNSON MEDICAL GROUP	M	482,674	FMV
(266) MUNSON SERVICES INC	L	115,257	FMV
(267) MUNSON SERVICES INC	O	2,318,252	FMV
(268) MUNSON SERVICES INC	P	80,622	FMV
(269) MUNSON SERVICES INC	Q	5,357,472	FMV
(270) MUNSON SUPPORT SERVICES	M	2,169,305	FMV
(271) MUNSON SUPPORT SERVICES	Q	1,958,963	FMV
(272) MUNSON SUPPORT SERVICES	R	132,175	FMV
(273) NORTH FLIGHT INC	P	51,499	FMV
(274) NORTH FLIGHT INC	Q	5,716,790	FMV
(275) NORTHERN MICHIGAN SUPPLY ALLIANCE	E	915,000	FMV
(276) NORTHERN MICHIGAN SUPPLY ALLIANCE	J	173,211	FMV
(277) NORTHERN MICHIGAN SUPPLY ALLIANCE	P	18,761,541	FMV
(278) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	1,077,734	FMV
(279) NORTHERN MICHIGAN SUPPLY ALLIANCE	Q	1,031,346	FMV
(280) NORTHERN MICHIGAN SUPPLY ALLIANCE	M	1,888,464	FMV
(281) PAUL OLIVER MEMORIAL HOSPITAL	L	811,113	FMV
(282) PAUL OLIVER MEMORIAL HOSPITAL	O	1,044,383	FMV
(283) PAUL OLIVER MEMORIAL HOSPITAL	Q	6,135,851	FMV
(284) SIXTH STREET CONDO ASSOCIATION	Q	243,680	FMV
(285) SIXTH STREET CONDO ASSOCIATION	K	371,384	FMV
(286) SIXTH STREET CONDO ASSOCIATION	L	56,184	FMV
(287) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	Q	222,710	FMV
(288) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	K	179,072	FMV
(289) MUNSON DIALYSIS CENTER	L	130,451	FMV
(290) MUNSON DIALYSIS CENTER	Q	754,248	FMV
(291) MUNSON DIALYSIS CENTER	O	2,280,379	FMV
(292) MUNSON HEALTHCARE	B	3,200,000	FMV
(293) MUNSON HEALTHCARE	M	1,541,796	FMV
(294) MUNSON HEALTHCARE	O	915,348	FMV
(295) MUNSON HEALTHCARE	P	2,153,009	FMV
(296) MUNSON HEALTHCARE	Q	6,865,785	FMV
(297) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	1,748,120	FMV
(298) MUNSON HEALTHCARE REGIONAL FOUNDATI	M	523,199	FMV
(299) MUNSON HEALTHCARE REGIONAL FOUNDATI	Q	90,872	FMV
(300) MUNSON HOME CARE	J	131,304	FMV
(301) MUNSON HOME CARE	L	54,536	FMV
(302) MUNSON HOME CARE	Q	11,138,017	FMV
(303) MUNSON HOME HEALTH	J	58,800	FMV
(304) MUNSON HOME HEALTH	Q	2,035,777	FMV
(305) MUNSON HOME SERVICES	Q	3,393,853	FMV
(306) MUNSON MEDICAL BUILDING PARTNERS	K	725,305	FMV
(307) MUNSON MEDICAL BUILDING PARTNERS	Q	211,893	FMV
(308) MUNSON MEDICAL GROUP	B	4,900,000	FMV
(309) MUNSON MEDICAL GROUP	L	440,712	FMV
(310) MUNSON MEDICAL GROUP	P	86,697	FMV
(311) MUNSON MEDICAL GROUP	Q	17,062,339	FMV
(312) MUNSON MEDICAL GROUP	O	5,901,702	FMV
(313) MUNSON MEDICAL GROUP	M	482,674	FMV
(314) MUNSON SERVICES INC	L	115,257	FMV
(315) MUNSON SERVICES INC	O	2,318,252	FMV
(316) MUNSON SERVICES INC	P	80,622	FMV
(317) MUNSON SERVICES INC	Q	5,357,472	FMV
(318) MUNSON SUPPORT SERVICES	M	2,169,305	FMV
(319) MUNSON SUPPORT SERVICES	Q	1,958,963	FMV
(320) MUNSON SUPPORT SERVICES	R	132,175	FMV
(321) NORTH FLIGHT INC	P	51,499	FMV
(322) NORTH FLIGHT INC	Q	5,716,790	FMV
(323) NORTHERN MICHIGAN SUPPLY ALLIANCE	E	915,000	FMV
(324) NORTHERN MICHIGAN SUPPLY ALLIANCE	J	173,211	FMV
(325) NORTHERN MICHIGAN SUPPLY ALLIANCE	P	18,761,541	FMV
(326) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	1,077,734	FMV
(327) NORTHERN MICHIGAN SUPPLY ALLIANCE	Q	1,031,346	FMV
(328) NORTHERN MICHIGAN SUPPLY ALLIANCE	M	1,888,464	FMV
(329) PAUL OLIVER MEMORIAL HOSPITAL	L	811,113	FMV
(330) PAUL OLIVER MEMORIAL HOSPITAL	O	1,044,383	FMV
(331) PAUL OLIVER MEMORIAL HOSPITAL	Q	6,135,851	FMV
(332) SIXTH STREET CONDO ASSOCIATION	Q	243,680	FMV
(333) SIXTH STREET CONDO ASSOCIATION	K	371,384	FMV
(334) SIXTH STREET CONDO ASSOCIATION	L	56,184	FMV
(335) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	Q	222,710	FMV
(336) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	K	179,072	FMV
(337) MUNSON DIALYSIS CENTER	L	130,451	FMV
(338) MUNSON DIALYSIS CENTER	Q	754,248	FMV
(339) MUNSON DIALYSIS CENTER	O	2,280,379	FMV
(340) MUNSON HEALTHCARE	B	3,200,000	FMV
(341) MUNSON HEALTHCARE	M	1,541,796	FMV
(342) MUNSON HEALTHCARE	O	915,348	FMV
(343) MUNSON HEALTHCARE	P	2,153,009	FMV
(344) MUNSON HEALTHCARE	Q	6,865,785	FMV
(345) MUNSON HEALTHCARE REGIONAL FOUNDATI	C	1,748,120	FMV
(346) MUNSON HEALTHCARE REGIONAL FOUNDATI	M	523,199	FMV
(347) MUNSON HEALTHCARE REGIONAL FOUNDATI	Q	90,872	FMV
(348) MUNSON HOME CARE	J	131,304	FMV
(349) MUNSON HOME CARE	L	54,536	FMV
(350) MUNSON HOME CARE	Q	11,138,017	FMV
(351) MUNSON HOME HEALTH	J	58,800	FMV
(352) MUNSON HOME HEALTH	Q	2,035,777	FMV
(353) MUNSON HOME SERVICES	Q	3,393,853	FMV
(354) MUNSON MEDICAL BUILDING PARTNERS	K	725,305	FMV
(355) MUNSON MEDICAL BUILDING PARTNERS	Q	211,893	FMV
(356) MUNSON MEDICAL GROUP	B	4,900,000	FMV
(357) MUNSON MEDICAL GROUP	L	440,712	FMV
(358) MUNSON MEDICAL GROUP	P	86,697	FMV
(359) MUNSON MEDICAL GROUP	Q	17,062,339	FMV
(360) MUNSON MEDICAL GROUP	O	5,901,702	FMV
(361) MUNSON MEDICAL GROUP	M	482,674	FMV
(362) MUNSON SERVICES INC	L	115,257	FMV
(363) MUNSON SERVICES INC	O	2,318,252	FMV
(364) MUNSON SERVICES INC	P	80,622	FMV
(365) MUNSON SERVICES INC	Q	5,357,472	FMV
(366) MUNSON SUPPORT SERVICES	M	2,169,305	FMV
(367) MUNSON SUPPORT SERVICES	Q	1,958,963	FMV
(368) MUNSON SUPPORT SERVICES	R	132,175	FMV
(369) NORTH FLIGHT INC	P	51,499	FMV
(370) NORTH FLIGHT INC	Q	5,716,790	FMV
(371) NORTHERN MICHIGAN SUPPLY ALLIANCE	E	915,000	FMV
(372) NORTHERN MICHIGAN SUPPLY ALLIANCE	J	173,211	FMV
(373) NORTHERN MICHIGAN SUPPLY ALLIANCE	P	18,761,541	FMV
(374) NORTHERN MICHIGAN SUPPLY ALLIANCE	O	1,077,734	FMV
(375) NORTHERN MICHIGAN SUPPLY ALLIANCE	Q	1,031,346	FMV
(376) NORTHERN MICHIGAN SUPPLY ALLIANCE	M	1,888,464	FMV
(377) PAUL OLIVER MEMORIAL HOSPITAL	L	811,113	FMV
(378) PAUL OLIVER MEMORIAL HOSPITAL	O	1,044,383	FMV
(379) PAUL OLIVER MEMORIAL HOSPITAL	Q	6,135,851	FMV
(380) SIXTH STREET CONDO ASSOCIATION	Q	243,680	FMV
(381) SIXTH STREET CONDO ASSOCIATION	K	371,384	FMV
(382) SIXTH STREET CONDO ASSOCIATION	L	56,184	FMV
(383) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	Q	222,710	FMV
(384) MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION	K	179,072	FMV

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(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

Schedule R (Form 990) 2012

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	20
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	4,248
6	Total number of volunteers (estimate if necessary) .............	6	350
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	50,877
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	12,567

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,890,667	13,692,326
9	Program service revenue (Part VIII, line 2g) .........	455,632,762	476,205,605
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	10,157,619	15,845,427
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,847,918	5,165,395
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	473,528,966	510,908,753
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	273,071	723,296
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)	220,279,573	232,012,235
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 523,199
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	215,244,905	235,489,843
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	435,797,549	468,225,374
19	Revenue less expenses. Subtract line 18 from line 12.......	37,731,417	42,683,379
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	587,352,193	644,627,684
21	Total liabilities (Part X, line 26).............	312,256,159	275,686,748
22	Net assets or fund balances. Subtract line 21 from line 20.....	275,096,034	368,940,936

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 421,031,628 including grants of $ 723,296 ) (Revenue $ 478,372,131 )
	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 expenses421,031,628

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,615,580	1,358,304	700,968

				(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		1,748,120
e	Government grants (contributions)1e		11,622,269

f	All other contributions, gifts, grants, and similar amounts not included above1f		321,937

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			13,692,326
			Business Code
2a	MEDICARE AND MEDICAID PMTS		621990	240,286,585	240,286,585
b	PATIENT SERVICE REVENUE		621990	231,568,040	231,568,040
c	SERVICES TO OTHER ORGANIZATIO		621990	2,442,098	2,442,098
d	HEALTH SERVICE REVENUE		621990	1,686,543	1,686,543
e	RENT FROM RELATED ORGS		531120	173,211	173,211
f	All other program service revenue .			49,128		49,128
g	Total. Add lines 2a–2f........			476,205,605
3	Investment income (including dividends, interest, and other similar amounts).......			6,914,448	2,745,542		4,168,906
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	498,144
b	Less: rental expenses
c	Rental income or (loss)	498,144
d	Net rental income or (loss).......			498,144			498,144
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	9,579,553	446,220
b	Less: cost or other basis and sales expenses	389,794	705,000
c	Gain or (loss)	9,189,759	-258,780
d	Net gain or (loss)..........			8,930,979	-580,765		9,511,744
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		35,927
b	Less: cost of goods sold ..b		34,178
c	Net income or (loss) from sales of inventory..			1,749		1,749
Miscellaneous Revenue			Business Code
11a	CAFETERIA SALES		722210	3,770,385			3,770,385
b	MISCELLANEOUS		621990	475,212			475,212
c	AUXILIARY GIFT SHOP		446199	419,905			419,905
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,665,502
12	Total revenue. See Instructions......			510,908,753	478,321,254	50,877	18,844,296


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			1,084,341	1	50,193
2	Savings and temporary cash investments .........			78,438,418	2	100,334,093
3	Pledges and grants receivable, net ...........			669,040	3	624,449
4	Accounts receivable, net .............			58,804,499	4	67,536,302
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			10,929,153	8	11,882,176
9	Prepaid expenses and deferred charges ..........			6,234,932	9	6,845,339
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	519,023,954
b	Less: accumulated depreciation .....	10b	282,543,088	240,636,094	10c	236,480,866
11	Investments—publicly traded securities ..........			170,730,714	11	188,024,381
12	Investments—other securities. See Part IV, line 11 .....			14,935,549	12	28,032,624
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			517,604	14	449,717
15	Other assets. See Part IV, line 11 ...........			4,371,849	15	4,367,544
16	Total assets. Add lines 1 through 15 (must equal line 34)......			587,352,193	16	644,627,684
17	Accounts payable and accrued expenses .........			34,324,376	17	39,555,331
18	Grants payable .................				18
19	Deferred revenue ................			64,860	19	117,929
20	Tax-exempt bond liabilities .............			128,713,437	20	127,037,476
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other 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 (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			149,153,486	25	108,976,012
26	Total liabilities. Add lines 17 through 25.........			312,256,159	26	275,686,748
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			265,592,590	27	347,274,449
28	Temporarily restricted net assets ...........			9,503,444	28	21,666,487
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........			275,096,034	33	368,940,936
34	Total liabilities and net assets/fund balances ........			587,352,193	34	644,627,684