14 locations registered under this record — data as of November 5, 2026
Sole community hospital · GAYLORD, MI
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Taking partYesLast certifiedAugust 11, 2026
- 14Registered locations
- 1Associated locations
- 56Contract pharmacies
- 41With no end date
- August 11, 2010In 340B since
Every Medicare cost report this hospital has filed is on its cost-report record.
Counting the locations registered under this record as well: 57 pharmacy contracts.
Finances, as filed
From this hospital’s Medicare cost report for the year ended June 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $316,781,166 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $182,060,910 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $134,720,256 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $123,917,290 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $10,802,966 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Bad debt expense | $253,619 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $88,766 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $88,766 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 46 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.3511 | CMS-2552-10 worksheet S100001 line 100 column 100 |
| Allowable disproportionate share percentage | 0.0891 | CMS-2552-10 worksheet E00A18A line 3300 column 100 |
Cost report filed under CMS certification number 230133 for July 1, 2024 to June 30, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by MUNSON HEALTHCARE OTSEGO MEMORIAL (employer identification number 381303843) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $6,513,052 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $756,470 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $4,185,848 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $4,942,318 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,570,734 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0576 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202411359349301536. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by MUNSON HEALTHCARE OTSEGO MEMORIAL (employer identification number 381303843) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ALAN CONRAD | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| ALICIA MAITLAND | CFO PART-YR | Trustee/director, Officer | $0 | $435,628 | $27,634 |
| BEN MULADORE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| BRIAN POSTMA | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| BRUCE ZENNER | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| CASEY COWELL | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| CASEY KANDOW | VP ANCILLARY | Key employee | $0 | $428,900 | $27,931 |
| CHANGXIN LI MD | PHYSICIAN | Highest-compensated employee | $657,957 | $0 | $34,159 |
| CHRISTOPHER SQUIRE | PRESIDENT | Trustee/director, Officer | $0 | $373,647 | $67,970 |
| DAVE MENGEBIER | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| DAVID MCCURDY | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| DAWN HALLECK | VP PATIENT C | Key employee | $194,129 | $0 | $42,002 |
| DOUG LUCIANI | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| EDWIN A NESS | DIRECTOR | Trustee/director | $0 | $2,074,924 | $229,071 |
| ELAINE WOOD | CHAIR | Trustee/director, Officer | $0 | $5,000 | $0 |
| ELLEN SMITH | COO, PHYSICI | Key employee | $0 | $380,194 | $57,688 |
| JAMES FLICKEMA | VP PAT CARE | Former | $249,739 | $0 | $12,282 |
| JAMES SHURLOW DO | SURGEON | Highest-compensated employee | $890,511 | $0 | $38,152 |
| JANELLE HENDRIAN DO | ANESTHESIOLO | Highest-compensated employee | $621,704 | $0 | $42,041 |
| JOHN MOFFAT MD | SURGEON | Highest-compensated employee | $710,048 | $0 | $41,362 |
| KATHLEEN LARAIA | VP ONCOLOGY | Key employee | $0 | $218,881 | $32,198 |
| KATHLEEN MALY | INTERIM CFO | Trustee/director, Officer | $0 | $288,390 | $32,174 |
| KATHY DIXON | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| KENNETH BLOEM | VICE CHAIR | Trustee/director, Officer | $0 | $5,000 | $0 |
| KIM MORLEY | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| KRISTINE THOMAS | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| LAURA GLENN | PRESIDENT AM | Key employee | $0 | $692,839 | $103,817 |
| MARLENE HULTEEN | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| MARY SANDERS | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| MATT BULLOCH | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| MICHELLE RUSSELL | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| NICK CEGLAREK | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| OWEN ROBERTS | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| RUTH HOPPE MD | SECRETARY | Trustee/director, Officer | $0 | $5,000 | $0 |
| SAKURA TAKANO | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| STACEY SENSOR DO | PHYSICIAN | Highest-compensated employee | $573,126 | $0 | $42,103 |
| THEODORE BATZER | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| TIM NELSON | TREASURER | Trustee/director, Officer | $0 | $5,000 | $0 |
| TOM VERYSER DDS | DIRECTOR | Trustee/director | $0 | $5,000 | $0 |
| TONYA SMITH | DIRECTOR | Trustee/director | $0 | $412,863 | $22,637 |
E-file object id 202411359349301536. The IRS archive it was read from.
Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: short-term acute care hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 92ndpercentile of 63 hospitals in MI, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
- 89thpercentile of 63 hospitals in MI, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
- 18thpercentile of 28 hospitals in MI, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 81stpercentile of 63 hospitals in MI, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
- 60thpercentile of 30 hospitals in MI, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Michigan beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- August 11, 2010
- Certification date
- August 11, 2026
- Record last edited
- August 11, 2026
Identifiers
- 340B ID
- SCH230133-00
- Entity type as filed
- SCH
- CMS certification number
- 230133
- NPI
- 1124028972 (MI)
- Rural
- Yes
825 N. CENTER AVENUE, GAYLORD MI 49735
Locations registered under this record
Browse all of them as a list →
| SCH230133-01 | OMH Cancer & Infusion Center | SCH | Gaylord, MI | Yes |
| SCH230133-02 | OMH Medical Group Family Practice - Gaylord | SCH | GAYLORD, MI | Yes |
| SCH230133-03 | OMH Medical Group - Lewiston | SCH | Lewiston, MI | Yes |
| SCH230133-04 | OMH Walk-In Clinic | SCH | Gaylord, MI | Yes |
| SCH230133-05 | OMH MEDICAL GROUP - INDIAN RIVER | SCH | INDIAN RIVER, MI | Yes |
| SCH230133-06 | OMH Medical Group - Elmira | SCH | ELMIRA, MI | No |
| SCH230133-07 | OMH MEDICAL GROUP - INDIAN RIVER - Walk-In Clinic | SCH | INDIAN RIVER, MI | Yes |
| SCH230133-08 | OMH Medical Group - Gaylord - Surgical Clinic | SCH | GAYLORD, MI | Yes |
| SCH230133-09 | OMH Medical Group - Gaylord - OB/GYN | SCH | GAYLORD, MI | Yes |
| SCH230133-10 | OMH Medical Group - Gaylord - Pediatric Clinic | SCH | GAYLORD, MI | Yes |
| SCH230133-11 | OMH Medical Group - Gaylord - Urology | SCH | GAYLORD, MI | Yes |
| SCH230133-12 | OMH Medical Group - Gaylord - Internal Medicine | SCH | GAYLORD, MI | Yes |
| SCH230133-13 | OMH MEDICAL GROUP - INDIAN RIVER - Pediatrics | SCH | INDIAN RIVER, MI | Yes |
| SCH230133-14 | OMH MEDICAL GROUP - INDIAN RIVER - OB/GYN | SCH | INDIAN RIVER, MI | Yes |
Associated locations
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | 825 N. CENTER AVENUE | GAYLORD MI 49735 |
Pharmacy contracts
No end date filed41
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | January 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | January 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | January 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | January 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | January 1, 2023 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | January 1, 2025 | no end date filed |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | July 1, 2017 | no end date filed |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | April 1, 2025 | no end date filed |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | April 1, 2025 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | April 1, 2025 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | April 1, 2025 | no end date filed |
| FAMILY FARE PHARMACY #1510 | GAYLORD, MI | April 1, 2017 | no end date filed |
| MEIJER DISTRIBUTION INC #90 | GRAND RAPIDS, MI | January 1, 2017 | no end date filed |
| MEIJER INC #250 | GAYLORD, MI | January 1, 2017 | no end date filed |
| MEIJER PHARMACY #464 | BELLEVILLE, MI | January 1, 2017 | no end date filed |
| MEIJER STORES LIMITED PARTNERSHIP | FORT WAYNE, IN | January 1, 2017 | no end date filed |
| MODERN MEDICAL SERVICE, INC. | CHEBOYGAN, MI | April 1, 2023 | no end date filed |
| MODERN RX | INDIAN RIVER, MI | January 1, 2025 | no end date filed |
| MUNSON HEALTHCARE SPECIALTY PHARMACY | TRAVERSE CITY, MI | October 1, 2023 | no end date filed |
| OPTUM PHARMACY 700, LLC | OVIEDO, FL | July 1, 2024 | no end date filed |
| OPTUM PHARMACY 701, LLC | CHARLOTTE, NC | April 1, 2025 | no end date filed |
| OPTUM PHARMACY 701, LLC | FLINT, MI | July 29, 2022 | no end date filed |
| OPTUM PHARMACY 701, LLC | MESA, AZ | January 1, 2025 | no end date filed |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | July 1, 2021 | no end date filed |
| OPTUMRX | OVERLAND PARK, KS | July 1, 2024 | no end date filed |
| SINA DRUG LLC | LOUISVILLE, KY | July 1, 2018 | no end date filed |
| SINA DRUG LLC | NEW HYDE PARK, NY | July 1, 2018 | no end date filed |
| SORKIN'S RX LTD | NEW HYDE PARK, NY | July 1, 2018 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | October 1, 2017 | no end date filed |
| WAL-MART PHARMACY 10-1542 | GAYLORD, MI | October 1, 2016 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | October 1, 2017 | no end date filed |
| WALGREEN CO | PETOSKEY, MI | January 1, 2018 | no end date filed |
| WALGREEN CO. | CHEBOYGAN, MI | October 1, 2016 | no end date filed |
| WALGREEN CO. | GRAYLING, MI | April 1, 2018 | no end date filed |
| WALGREEN CO. | GAYLORD, MI | October 1, 2016 | no end date filed |
| Walgreens #21423 | Canal WInchester, OH | January 1, 2024 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | April 1, 2017 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | April 1, 2017 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | April 1, 2017 | no end date filed |
| WALMART PHARMACY 10-5169 | ROGERS, AR | January 1, 2024 | no end date filed |
| Walmart Pharmacy 10-7611 | Plainfield, IN | April 1, 2025 | no end date filed |
An end date is filed15
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | January 1, 2023 | June 30, 2023 |
| CYSTIC FIBROSIS SERVICES | FRISCO, TX | April 1, 2023 | September 21, 2023 |
| CYSTIC FIBROSIS SERVICES | FRISCO, TX | April 1, 2017 | August 9, 2017 |
| DIPLOMAT SPECIALTY PHARMACY | FLINT, MI | July 1, 2018 | October 3, 2022 |
| DIPLOMAT SPECIALTY PHARMACY | FLINT, MI | July 1, 2018 | July 28, 2022 |
| ONCOMED PHARMACEUTICAL SERVICES OF MA, L | WALTHAM, MA | July 1, 2018 | September 21, 2023 |
| ONCOMED THE ONCOLOGY PHARMACY OF BUFFALO | AMHERST, NY | July 1, 2018 | September 21, 2023 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | July 1, 2021 | November 1, 2024 |
| OPTUM PHARMACY 706, INC. | LONG ISLAND CITY, NY | July 1, 2021 | April 1, 2024 |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | July 1, 2021 | April 1, 2024 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | October 1, 2017 | October 1, 2022 |
| RITE AID OF MICHIGAN, INC. | LEWISTON, MI | July 1, 2016 | August 16, 2024 |
| RITE AID OF MICHIGAN, INC. | GAYLORD, MI | July 1, 2016 | August 16, 2024 |
| WAL-MART PHARMACY 10-2100 | CHEBOYGAN, MI | April 1, 2022 | November 1, 2024 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | April 1, 2017 | October 1, 2021 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261105_172420.xlsx, stamped by its publisher November 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261105_172420.xlsx, read November 5, 2026.
The full report for MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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