Civic Intelligence

Munson Medical Group

990 • Fiscal year 2022 • EIN 27-3600575

Jul 01, 2021 to Jun 30, 2022 • Filed on May 15, 2023

1105 Sixth StreetTraverse City, MI 49684

(231) 935-5000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

74th percentile

0.46x

Higher debt load relative to assets than 74% of similar nonprofits.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2022

Liabilities / Revenue

39th percentile

0.14x

Higher debt load relative to revenue than 39% of similar nonprofits.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2022

Net Margin

5th percentile

-71%

Higher net margin than 5% of similar nonprofits.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2022

Top Officer Pay

98th percentile

$1,416,391

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 6.8% of source-year revenue.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2022

Asset Growth

79th percentile

19%

Faster asset growth than 79% of similar nonprofits.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2021 to 2022

Revenue Growth

63rd percentile

12%

Faster revenue growth than 63% of similar nonprofits.

2022 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2021 to 2022

Assets

Up

$6,439,318

Up $1,019,149 (+19%) from 2021

Net Assets

Up

$3,486,209

Up $2,228,977 (+177%) from 2021

Liabilities

Down

$2,953,109

Down $1,209,828 (-29%) from 2021

Revenue

Up

$20,835,606

Up $2,274,274 (+12%) from 2021

Expenses

Up

$35,606,629

Up $6,242,188 (+21%) from 2021

Net Income

Down

-$14,771,023

Down $3,967,914 (-37%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0Assets 2012: $4,177,835Liabilities 2012: $2,247,857Net Assets 2012: $1,929,9782012Assets 2013: $4,018,651Liabilities 2013: $2,428,859Net Assets 2013: $1,589,7922013Assets 2014: $3,555,280Liabilities 2014: $2,277,446Net Assets 2014: $1,277,8342014Assets 2015: $3,875,016Liabilities 2015: $2,882,669Net Assets 2015: $992,3472015Assets 2016: $4,166,105Liabilities 2016: $3,075,583Net Assets 2016: $1,090,5222016Assets 2017: $4,474,217Liabilities 2017: $3,176,240Net Assets 2017: $1,297,9772017Assets 2018: $4,515,567Liabilities 2018: $2,413,258Net Assets 2018: $2,102,3092018Assets 2019: $5,526,584Liabilities 2019: $2,953,219Net Assets 2019: $2,573,3652019Assets 2020: $5,395,731Liabilities 2020: $1,335,390Net Assets 2020: $4,060,3412020Assets 2021: $5,420,169Liabilities 2021: $4,162,937Net Assets 2021: $1,257,2322021Assets 2022: $6,439,318Liabilities 2022: $2,953,109Net Assets 2022: $3,486,2092022Assets 2023: $11,465,502Liabilities 2023: $3,162,753Net Assets 2023: $8,302,7492023Assets 2024: $9,759,818Liabilities 2024: $4,138,800Net Assets 2024: $5,621,0182024

Highlighted filing

2022

Assets$6,439,318
Liabilities$2,953,109
Net Assets$3,486,209

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MExpenses 2012: $13,898,0602012Expenses 2013: $15,159,1342013Revenue 2014: $9,822,533Expenses 2014: $15,534,491Net Income 2014: -$5,711,9582014Revenue 2015: $10,346,288Expenses 2015: $16,231,775Net Income 2015: -$5,885,4872015Revenue 2016: $12,261,511Expenses 2016: $18,863,336Net Income 2016: -$6,601,8252016Revenue 2017: $10,899,259Expenses 2017: $20,691,804Net Income 2017: -$9,792,5452017Revenue 2018: $11,302,914Expenses 2018: $20,498,582Net Income 2018: -$9,195,6682018Revenue 2019: $11,444,023Expenses 2019: $20,972,967Net Income 2019: -$9,528,9442019Revenue 2020: $12,820,703Expenses 2020: $21,333,727Net Income 2020: -$8,513,0242020Revenue 2021: $18,561,332Expenses 2021: $29,364,441Net Income 2021: -$10,803,1092021Revenue 2022: $20,835,606Expenses 2022: $35,606,629Net Income 2022: -$14,771,0232022Revenue 2023: $34,785,203Expenses 2023: $54,968,663Net Income 2023: -$20,183,4602023Revenue 2024: $31,596,048Expenses 2024: $59,777,779Net Income 2024: -$28,181,7312024

Highlighted filing

2022

Revenue$20,835,606
Expenses$35,606,629
Net Income-$14,771,023
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
May 15, 2023
Return Version
2021v4.0
Gross Receipts
$20,835,606
Mission and Program Overview

Mission

To grow and develop a highly effective, multi-regional physician practice that is a central component of a community-focused, vertically integrated health care delivery system supporting the operations of munson medical center with a commitment to excellence and the ethical directives of the medical profession.

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$2,715,577$3,087,452▲ $371,875
Accounts Receivable$1,637,430$1,845,348▲ $207,918
Savings and Temporary Cash Investments$1,052,408$1,429,476▲ $377,068
Prepaid Expenses and Deferred Charges$14,754$77,042▲ $62,288
Total Assets$5,420,169$6,439,318▲ $1,019,149
Liabilities
Accounts Payable and Accrued Expenses$3,888,968$2,953,109▼ $935,859
Other Liabilities$273,969--
Total Liabilities$4,162,937$2,953,109▼ $1,209,828
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,257,232$3,486,209▲ $2,228,977
Total Net Assets Fund Balance$1,257,232$3,486,209▲ $2,228,977
Total Liabilities and Net Assets / Fund Balance$5,420,169$6,439,318▲ $1,019,149
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Edwin a NessDirector-$592,731$277,217$869,948
James Fox MdCardiologistFT$592,074$275,029$867,103
Steven Mast MdCardiologistFT$594,317$269,926$864,243
John Beattie MdCardiologistFT$597,463$265,070$862,533
Nicklaus Slocum MdCardiologistFT$616,065$225,143$841,208
Mark HeplerFormer CFO/t--$547,093$547,093
Rachel RoeSec/treas Pt--$469,340$469,340
Alicia MaitlandCFO/treasure--$436,773$436,773
Ellen SmithCOO Physicia--$361,407$361,407

Board Members and Trustees

NameTitle
Laura GlennPresident
Christine Nefcy MdDirector
Daniel Webster MdDirector
Todd Adams DoCardiologist
Alicia MaitlandCFO/treasurer Pt-yr
Ellen SmithCOO Physician Networ
Mark HeplerFormer CFO/treas
Rachel RoeSec/treas Pt-yr

Highest Paid Contractors

ContractorServicesLocationCompensation
Cerner CorporationAmb SupportPO BOX 959156, St Louis, MO 63195-9156$349,163
Eclinical WorksPractice MgmtPO BOX 847950, Boston, MA 02284-7950$312,191
Waystar INCRevenue Cycle1311 SOLUTIONS CENTER, Chicago, IL 60677-1311$260,995
Ingenious Med INCRevenue OptimizDEPT CH 19685, Palatine, IL 60055-9685$194,457
Murj INCData Mgmt3912 PORTOLA DE SUITE 9, Santa Cruz, CA 95062$160,000
Revenue and Support

Revenue Composition

Contributions and Grants
$574,814
Program Service Revenue
$20,198,548
Investment Income
$0
Other Revenue
$62,244
Change in Net Assets
$-14,771,023
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$38,144,857
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0
Other Expenses$-2,538,228

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$26,031,942$7,224,337-$33,256,279
Other Employee Benefits$1,630,474$452,486-$2,082,960
Fees for Services Other$779,772$1,149,343-$1,929,115
Payroll Taxes$1,397,664$387,877-$1,785,541
Information Technology$49,205$1,560,688-$1,609,893
Pension Plan Contributions$798,483$221,594-$1,020,077
Office Expenses$90,016$88,923-$178,939
Occupancy$171,207$183-$171,390
Travel$161,726$1,730-$163,456
Fees for Services Accounting-$152,411-$152,411
Insurance$106,633$42,069-$148,702
Depreciation Depletion$53,125--$53,125
Conferences and Meetings$41,614$4,096-$45,710
Other Expenses$18,909$869-$19,778
Fees for Services Lobbying-$2,827-$2,827
Advertising$529--$529
All Other Expenses$-4,930,566$-2,852,056-$-7,782,622
Total Functional Expenses$27,147,060$8,459,569$0$35,606,629
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

Munson medical group is organized on a nonstock membership basis. The sole member is munson medical center, an irs section 501(c)(3) tax-exempt organization.

Form 990, Page 6, Part VI, Line 7A

Munson medical center, as the sole member, appoints the trustees. Nominations to munson medical center are considered and recommended by the munson healthcare governance committee.

Form 990, Page 6, Part VI, Line 7B

Certain decisions of the munson medical group (mmg) trustees are subject to approval by the munson medical center board of trustees including the adoption, amendment, restatement or repeal of the articles of incorporation or bylaws of mmg; the adoption or change in the mission statement, purposes or the strategic goals of mmg; the sale, lease, exchange or other disposition of all or substantially all of the property and assets of mmg; the acquisition of or the establishment of any subsidiary or affiliate of mmg; the adoption of all operating budgets and capital expenditure budgets for mmg; incurrence of operating or capital expenditures by mmg 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 mmg, with the exception of equipment leases and purchase money security interests approved as part of the mmg's budget; change in scope of clinical services or programs provided by mmg; and appointment or removal of the president.

Form 990, Page 6, Part VI, Line 11B

The munson medical group board is committed to the accuracy and thoroughness of the form 990 reporting. Munson medical group belongs to the munson healthcare system. Munson healthcare is the parent company in the munson healthcare system, which undergoes an audit by an external audit firm. At the corporate level, the responsible individuals from the finance, administration, patient financial services, legal, human resources, public relations, and fund development departments prepare and review portions of the form 990. The compensation and leadership development committee reviews the compensation information contained in the core form as well as the schedule j information. The conflict, valuation and compliance committee oversees the conflict of interest disclosure process for board members and key employees to ensure compliance with the conflict of interest policy. The finance and audit committee oversees the form 990 preparation process by ensuring proper controls, policies, people and resources are in place to produce an accurate return.

Form 990, Page 6, Part VI, Line 12C

The munson healthcare board of directors (the system parent organization) has a standing conflict, valuation and compliance ("cvc") committee. The cvc committee is composed of independent board and community members. The cvc committee is delegated authority by the board to review and approve the reasonableness/fair market value of financial transactions/arrangements with disqualified persons. Annually, each board member of munson healthcare and all of its subsidiary/controlled entities and all munson executives are required to complete a conflict of interest disclosure/questionnaire. The responses to the disclosure/questionnaire are reviewed by the munson legal department. Any financial arrangements/potential conflicts identified through the disclosure/questionnaires are presented to the cvc committee for its review and determination as to the reasonableness/fair market value. When an action item is considered by a board which involves a potential conflict by a board member, the conflict is disclosed and a board member will abstain from a vote on the action item, and, in addition, the board chair has the discretion/authority to request that the conflicted board member be excused from the meeting for an opportunity for the board to discuss the matter without the presence of the conflicted board member.

Form 990, Page 6, Part VI, Line 15A

Compensation for the ceo and other officers and key employees of the organization is determined through the following process: first, an independent firm is engaged to provide comparability data. Then, that data is reviewed by two munson healthcare committees, each of which are comprised of individuals who are not employees or otherwise insiders (defined as board members, physicians & executives) of the organization. First, the board compensation and executive leadership development committee evaluates the data and determines a recommended compensation model based on the comparability data. Next, the board conflict, valuation and compliance committee reviews the recommendations as compared to the comparability data. This committee's role is to determine whether the proposed compensation is consistent with fair market value. If physicians are included in the definition of key employee, the board conflict, valuation, and compliance committee reviews all financial relationships with physicians and compares the proposed financial arrangement with comparability data produced by an outside, independent firm. Physician compensation does not go to the compensation and executive leadership development committee. The comparability data as well as the minutes of each of these committee meetings are maintained for future reference. The mhc board approves the mhc ceo's compensation. The mhc board has delegated to the cvc committee the authority to review and approve compensation arrangements with insiders.

Form 990, Page 6, Part VI, Line 15B

Compensation of other officers and key employees is consistent with that of the top executives of munson medical group and munson healthcare.

Form 990, Page 6, Part VI, Line 19

The munson medical group articles of incorporation are available to the public on the michigan department of treasury website. Munson medical group 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.

Filing and Contact Details

Filer

Filer Name
Munson Medical Group
EIN
27-3600575
Phone
2319355000
Address
1105 SIXTH STREET, TRAVERSE CITY, MI 49684

Signing Officer

Name
Paul Konopacki
Title
CFO
Phone
2319355000
Signed
2023-05-15

Organization Details

Principal Officer
Laura Glenn
Formed
2010
Legal Domicile
Mi
Voting Board Members
5
Independent Board Members
0
Employees
334
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

To grow and develop a highly effective, multi-regional physician practice that is a central component of a community-focused, vertically integrated health care delivery system supporting the operations of munson medical center with a commitment to excellence and the ethical directives of the medical profession.

Form 990, Part XI, Line 9

Capitalization from sole member 17,000,000

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