Civic Intelligence

Munson Medical Group

990 • Fiscal year 2023 • EIN 27-3600575

Jul 01, 2022 to Jun 30, 2023 • Filed on May 10, 2024

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

56th percentile

0.28x

Higher debt load relative to assets than 56% of similar nonprofits.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2023

Liabilities / Revenue

21st percentile

0.09x

Higher debt load relative to revenue than 21% of similar nonprofits.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2023

Net Margin

6th percentile

-58%

Higher net margin than 6% of similar nonprofits.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2023

Top Officer Pay

98th percentile

$2,303,995

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 6.6% of source-year revenue.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2023

Asset Growth

94th percentile

78%

Faster asset growth than 94% of similar nonprofits.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2022 to 2023

Revenue Growth

90th percentile

67%

Faster revenue growth than 90% of similar nonprofits.

2023 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2022 to 2023

Assets

Up

$11,465,502

Up $5,026,184 (+78%) from 2022

Net Assets

Up

$8,302,749

Up $4,816,540 (+138%) from 2022

Liabilities

Up

$3,162,753

Up $209,644 (+7.1%) from 2022

Revenue

Up

$34,785,203

Up $13,949,597 (+67%) from 2022

Expenses

Up

$54,968,663

Up $19,362,034 (+54%) from 2022

Net Income

Down

-$20,183,460

Down $5,412,437 (-37%) from 2022

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

2023

Assets$11,465,502
Liabilities$3,162,753
Net Assets$8,302,749

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

2023

Revenue$34,785,203
Expenses$54,968,663
Net Income-$20,183,460
Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
May 10, 2024
Return Version
2022v5.0
Gross Receipts
$34,785,203
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
Accounts Receivable$1,845,348$7,718,112▲ $5,872,764
Intangible Assets$3,087,452$2,981,202▼ $106,250
Savings and Temporary Cash Investments$1,429,476$472,039▼ $957,437
Prepaid Expenses and Deferred Charges$77,042$294,149▲ $217,107
Total Assets$6,439,318$11,465,502▲ $5,026,184
Liabilities
Accounts Payable and Accrued Expenses$2,953,109$3,162,753▲ $209,644
Total Liabilities$2,953,109$3,162,753▲ $209,644
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,486,209$8,302,749▲ $4,816,540
Total Net Assets Fund Balance$3,486,209$8,302,749▲ $4,816,540
Total Liabilities and Net Assets / Fund Balance$6,439,318$11,465,502▲ $5,026,184
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Edwin a NessDirector-$720,691$72,613$793,304
Laura GlennPresident-$721,247$72,052$793,299
Steven Mast MdCardiologistFT$743,770$49,248$793,018
John Beattie MdCardiologistFT$721,009$71,408$792,417
Todd Adams DoCardiologistFT$724,275$66,606$790,881
Rachel RoeSecretary/tr--$494,847$494,847
Alicia MaitlandCFO/director--$463,262$463,262
Ellen SmithPres Amb Ser--$437,882$437,882
Kathleen MalyInterim CFO--$320,564$320,564

Board Members and Trustees

NameTitle
Alicia MaitlandCFO/director Pt-yr
Christine Nefcy MdDirector
Michael Howe MdCardiologist
Nicklaus Slocum MdCardiologist
Kathleen MalyInterim CFO Pt-yr
Ellen SmithPres Amb Serv & Bus
Rachel RoeSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Eclinical WorksPractice MgmtPO BOX 847950, Boston, MA 02284-7950$910,070
Waystar INCRevenue Cycle1311 SOLUTIONS CENTER, Chicago, IL 60677-1311$618,741
Greenway Health LLCRevenue CyclePO BOX 203658, Dallas, TX 75320-3658$441,556
General Healthcare Resources LLCRevenue CyclePO BOX 825973, Philadelphia, PA 19182-5973$317,104
Ingenious Med INCRevenue OptimizDEPT CH 19685, Palatine, IL 60055-9685$229,468
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$34,757,065
Investment Income
$0
Other Revenue
$28,138
Change in Net Assets
$-20,183,460
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$55,381,040
Total Fundraising Expense$27,285
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Other Expenses$-412,377

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$42,373,335$6,149,584-$48,522,919
Fees for Services Other$2,483,103$937,499-$3,420,602
Payroll Taxes$2,544,556$369,288-$2,913,844
Other Employee Benefits$2,222,701$322,577-$2,545,278
Pension Plan Contributions$1,221,696$177,303-$1,398,999
Information Technology$38,812$1,048,242-$1,087,054
Travel$256,407--$256,407
Insurance$117,826$65,222-$183,048
Office Expenses$42,401$104,904-$147,305
Occupancy$143,757--$143,757
Conferences and Meetings$131,851$10,364-$142,215
Depreciation Depletion$106,250--$106,250
Other Expenses$17,960$6,745-$24,705
Fees for Services Accounting-$10,556-$10,556
Fees for Services Lobbying-$3,546-$3,546
Payment Travel Entrtnmnt Publicly Ofcl-$1,287-$1,287
All Other Expenses$-9,309,528$-608,462$27,285$-9,890,705
Total Functional Expenses$46,311,506$8,629,872$27,285$54,968,663
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
2024-05-10

Organization Details

Principal Officer
Laura Glenn
Formed
2010
Legal Domicile
Mi
Voting Board Members
4
Independent Board Members
0
Employees
565
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 25,000,000

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