2023-02-14T10:52:40-06:00 2022-03-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2021-04-01 208756459 MACKINAC STRAITS HEALTH SYSTEM INC MACK 9066438585 1140 N STATE STREET ST IGNACE MI 49781 RYAN SPEAS CFO 9066438585 2023-02-14 1 RYAN SPEAS 999009999 TERRI REXRODE CPA MST P00096513 9206620016 2023-02-14 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z RYAN SPEAS 1140 N STATE STREET ST IGNACE MI 49781 67265328 0 X MACKINACSTRAITSHEALTH.ORG X 2008 MI MACKINAC STRAITS HEALTH SYSTEM WILL BE A DESTINATION HEALTH SYSTEM, DELIVERING THE BEST CARE AND INVESTING IN COMMUNITY WELLNESS. 13 9 389 20 35260 0 5951928 5647309 50908770 59547996 35076 20581 2012578 2049442 58908352 67265328 0 0 0 0 23260853 25599300 0 0 0 30489851 34193910 53750704 59793210 5157648 7472118 52256973 55869740 72989324 68149194 -20732351 -12279454 PROVIDING QUALITY HEALTHCARE TO THE FAMILIES AND COMMUNITIES WE SERVE. 0 0 51025783 0 60839118 MACKINAC STRAITS HEALTH SYSTEM INC. OPERATES A 15-BED ACUTE CARE FACILITY, A 48-BED LONG-TERM CARE UNIT, AND SEVERAL PHYSICIAN CLINICS IN MACKINAC COUNTY, MICHIGAN. THE HEALTH SYSTEM PROVIDES COMPREHENSIVE INPATIENT, OUTPATIENT, EMERGENCY, AND PHYSICIAN SERVICES TO THE RESIDENTS OF MACKINAC COUNTY AND THE SURROUNDING AREAS. 51025783 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 48 0 389 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 9 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X RYAN SPEAS 9066438585 1140 N STATE STREET ST IGNACE MI 49781 MATTHEW BOWES PHYSICIAN 40.00 X 553795 0 26347 SUSAN STRICH CHIEF OF STAFF 40.00 3.00 X X 426162 0 24347 ROBERT SHARON PHYSICIAN 40.00 X 297848 0 19142 AMY BOLMER PHYSICIAN 40.00 X 299655 0 8847 GREGORY HESSLER PHYSICIAN 40.00 X 265927 0 21891 LENE' HEINLEN CHIEF OF STAFF - ELECT 40.00 3.00 X 254460 0 24347 LORETTA LEJA CHIEF OF STAFF - POST 40.00 3.00 X 259005 0 9047 RODERICK BALTZER PHYSICIAN 40.00 X 259216 0 8047 KAREN CHEESEMAN CEO 40.00 3.70 X X 219327 0 25847 RYAN SPEAS CFO 40.00 3.00 X 148644 0 8047 STEVE AUTORE CHAIRMAN OF BOARD 1.00 3.70 X X 0 0 0 PATRICK SHANNON VICE CHAIRMAN OF BOARD 1.00 3.00 X X 0 0 0 JAMES NORTH TREASURER OF BOARD 1.00 3.70 X X 0 0 0 MARGARET DOUD SECRETARY OF BOARD 1.00 3.70 X X 0 0 0 PRENTISS BROWN BOARD MEMBER 1.00 3.70 X 0 0 0 CHRISTINE MCPHERSON BOARD MEMBER 1.00 3.00 X 0 0 0 RD MUSSER III BOARD MEMBER 1.00 3.00 X 0 0 0 GREG ROGERS BOARD MEMBER 1.00 3.70 X 0 0 0 EDWARD SMITH CHIEF OF STAFF - POST (THRU MAY) 1.00 3.00 X 0 0 0 RICHARD SMITH BOARD MEMBER 1.00 X 0 0 0 2984039 0 175909 31 0 1 0 DANIEL K WILCOX MD PC 3493 LAKESIDE DRIVE N PETOSKEY MI 49770 ORTHOPEDIST 642000 ONCOLOGY SPECIALIST PLLC 3451 SOUTH M129 SAULT STE MARIE MI 49783 ONCOLOGIST 516425 UNIMED MOBILE MRI LLC 18201 VON KARMAN AVE SUITE 600 IRVINE CA 92612 MRI SERVICES 405220 TOMAS G TEITJEN 859 SURREY LN PETOSKEY MI 49770 ENDOCRONLOLGIST 334675 PETER E LEVANOVICH 7336 PRESERVE COURT PETOSKEY MI 49770 CARDIOLOGIST 269200 5 69389 5216883 361037 5647309 PATIENT REVENUE 900099 56042945 55944044 98901 QAAP REVENUE 900099 2047567 2047567 340B REVENUE 900099 843983 843983 AFFILIATED RENTAL REVENUE 900099 35260 35260 MOB RENTAL REVENUE 900099 9450 9450 568791 568791 59547996 20581 20581 TAX LEVY 900099 1363705 1363705 LEASED EMPLOYEE INCOME 900099 630369 630369 PHYSICIAN INCENTIVES 900099 55368 55368 2049442 67265328 60839118 35260 743641 X 1399234 997368 401866 16538655 14180175 2358480 1703529 1443273 260256 4725620 4023560 702060 1232262 1044004 188258 84159 84159 89081 89081 10732799 8429382 2303417 141770 141770 124361 89384 34977 1137823 993344 144479 56989 52203 4786 76624 66746 9878 2010071 2010071 2689871 2689871 290305 12445 277860 MEDICAL SUPPLIES 12313271 12166634 146637 BAD DEBT EXPENSE 1748679 1748679 QAAP TAXES PAID 1314143 1314143 REPAIRS AND MAINTENANCE 857915 821377 36538 526049 257267 268782 59793210 51025783 8767427 0 307288 0 16096765 18964163 4192946 5209498 1457398 1911614 207951 233504 59152144 29709454 29750976 29442690 243649 108271 52256973 55869740 3376057 5305271 16852 20696 48467619 47211090 21128796 15612137 72989324 68149194 X -20763365 -13693602 31014 1414148 -20732351 -12279454 52256973 55869740 X 7472118 980779 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 16852 3844 20696 1 1200000 1200000 39462919 17194009 22268910 2532302 1444188 1088114 15922257 11071257 4851000 34666 34666 29442690 PENSION LIABILITY 9802608 AMOUNTS PAYABLE TO THIRD PARTIES 1698156 MEDICARE REFUNDABLE ADVANCE PAYMENTS 3527361 CAPITAL LEASE LIABILITY 584012 15612137 1 1 X 1 X 1 X 1 0 0 377884 377884 0.00630 6530401 4226330 2304071 0.03850 6908285 4226330 2681955 0.04480 20440 20440 0.00030 218825 218825 0.00370 695928 230576 465352 0.00780 6000 6000 0.00010 941193 230576 710617 0.01190 7849478 4456906 3392572 0.05670 3 18 360 360 0.00000 4 18 300 300 0.00000 2 16 250 250 0.00000 18 36 1400 1400 0.00000 12 24 250 250 0.00000 6 330 1000 1000 0.00000 45 442 3560 3560 0.00000 0 1748679 1043050 11427702 11653753 -226051 X 1 0 1 1 MACKINAC STRAITS HEALTH SYSTEM INC 1140 N STATE STREET ST IGNACE MI 49781 WWW.MACKINACSTRAITSHEALTH.ORG MW0043832 X X X RHC MACKINAC STRAITS HEALTH SYSTEM INC 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE EXPLANATION FOR LINE 7D X X 1 22 1 SEE EXPLANATION FOR LINE 7D 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.MACKINACSTRAITSHEALTH.ORG/CHARITY-CARE/ X HTTPS://WWW.MACKINACSTRAITSHEALTH.ORG/CHARITY-CARE/ X HTTPS://WWW.MACKINACSTRAITSHEALTH.ORG/CHARITY-CARE/ X X X X X 1 X 0 X 1 X 0 0 MACKINAC STRAITS HEALTH SYSTEM, INC. PART V, SECTION B, LINE 5: KEY INFORMATIONAL INTERVIEWS WERE CONDUCTED WITH MEMBERS OF THE COMMUNITY SERVED BY MACKINAC STRAITS HEALTH SYSTEM. THESE INDIVIDUALS WERE IDENTIFIED BY THE COMMITTEE BASED ON THEIR QUALIFICATIONS TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. GENERALLY, THE INTERVIEWEES INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND PERSONS WHO REPRESENT THE MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS. MACKINAC STRAITS HEALTH SYSTEM, INC. PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A FULL WEBSITE ADDRESS IS: HTTP://MACKINACSTRAITSHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.HTMLPART V, SECTION B, LINE 10A FULL WEBSITE ADDRESS IS: HTTP://MACKINACSTRAITSHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.HTML MACKINAC STRAITS HEALTH SYSTEM, INC. PART V, SECTION B, LINE 11: THE FOLLOWING NEEDS WERE IDENTIFIED DURING THE CHNA CONDUCTED IN MARCH 2022 (TAX YEAR 2021): MENTAL HEALTH / BEHAVIORAL HEALTH SERVICES, SUBSTANCE USE DISORDER, AWARENESS OF AVAILABLE PROGRAMS AND SERVICES.MENTAL HEALTH / BEHAVIORAL HEALTH SERVICES :-PROVIDE EDUCATION TO PROVIDERS ON SCREENING TOOLS FOR BEHAVIORAL HEALTH-PROVIDE EDUCATION TO PROVIDERS ON PROPER REFERRALS FOR BEHAVIORAL HEALTH-PROVIDE EDUCATION TO PROVIDERS ON TREATMENT OPTIONS FOR BEHAVIORAL HEALTH-PROVIDE EDUCATION TO PROVIDERS ON AVAILABLE MENTAL/BEHAVIORAL HEALTH RESOURCES-PROVIDE EDUCATION TO THE COMMUNITY ON AVAILABLE RESOURCES VIA SOCIAL MEDIA-RESEARCH POTENTIAL FUNDING OPTIONS FOR TREATMENT AND SERVICESSUBSTANCE USE DISORDER:- PROMOTE DISCUSSION OF COMMUNITY NEEDS AND POSSIBLE SOLUTIONS BY COORDINATING WITH LOCAL, REGIONAL, AND STATE RESOURCES- PROMOTE SUBSTANCE USE DISORDER AWARENESS AND RESOURCES ON SOCIAL MEDIA- RESEARCH POTENTIAL FUNDING OPTIONS FOR TREATMENT OF SUBSTANCE USE DISORDERS SERVICES AWARENESS OF AVAILABLE PROGRAMS AND SERVICES:- PROMOTE ROBUST HEALTH SYSTEM SOCIAL MEDIA PLATFORM- RESEARCH ADDITIONAL SOCIAL MEDIA PLATFORMS- PARTICIPATE IN COMMUNITY HEALTH FAIRS 4 1 - MACKINAC ISLAND MEDICAL CLINIC 7474 MARKET STREET MACKINAC ISLAND MI 49757 EMERGENCY ROOM & PHYSICIAN OFFICE 2 - MACKINAW CITY MEDICAL CLINIC 420 SOUTH NICOLET ST MACKINAW CITY MI 49701 PHYSICIAN OFFICE 3 - RIVERTOWN MEDICAL CENTER 920 SOUTH HURON STREET CHEBOYGAN MI 49721 PHYSICIAN OFFICE 4 - MACKINAC CITY SPECIALTY CLINIC 580 SOUTH NICOLET ST MACKINAC CITY MI 49701 PHYSICIAN OFFICE PART I, LINE 7: THE ORGANIZATION UTILIZES A COST TO CHARGE RATIO WHEN CALCULATING THE PERCENTAGE OF CHARITY CARE AND COMMUNITY BENEFIT PERCENTAGES. PART I, LINE 7G: THE ENTIRE AMOUNT OF SUBSIDIZED HEALTH SERVICES IS FROM PHYSICIAN CLINICS. PART II, COMMUNITY BUILDING ACTIVITIES: PROVIDED 24 HOUR EMERGENCY AND ESSENTIAL HEALTH CARE SERVICES TO RURAL COMMUNITY. PART III, LINE 2: THE BAD DEBT EXPENSE AT COST IS CALCULATED USING THE COST TO CHARGE RATIO. PART III, LINE 3: THE BAD DEBT EXPENSE IS CALCULATED UTILIZING ACTUAL WRITE-OFFS AND THE AMOUNTS THAT HAVE BEEN DETERMINED LIKELY TO BE WRITTEN OFF GIVEN PAST EXPERIENCE OF THE COLLECTION POSSIBILITIES. ALTHOUGH THERE ARE SOME AMOUNTS OF CHARITY CARE INCLUDED IN THIS AMOUNT, THERE IS NOT A CURRENT METHOD TO EASILY OBTAIN THE AMOUNT THAT SHOULD HAVE BEEN CHARITY CARE. PART III, LINE 4: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE FOR THE PURPOSE OF ESTIMATING THE APPROPRIATE AMOUNTS OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR BAD DEBTS. DATA IN EACH MAJOR PAYOR SOURCE IS REGULARLY REVIEWED TO EVALUATE THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES RELATING TO SERVICES PROVIDED TO PATIENTS HAVING THIRD-PARTY COVERAGE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A CORRESPONDING PROVISION FOR BAD DEBTS ARE ESTABLISHED BASED ON HISTORICAL WRITE-OFF PERCENTAGES; FOR RECEIVABLES RELATING TO SELF-PAY PATIENTS, A PROVISION FOR BAD DEBTS IS MADE IN THE PERIOD SERVICES ARE RENDERED BASED ON EXPERIENCE INDICATING THE INABILITY OR UNWILLINGNESS OF PATIENTS TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: IT IS CONSIDERED COMMUNITY BENEFIT AS THE HOSPITAL IS REIMBURSED ON MEDICARE ALLOWABLE COSTS. MEDICARE ALLOWABLE COSTS ARE DEFINED BY MEDICARE. THEY DO NOT NECESSARILY CAPTURE ALL COSTS OF THE HOSPITAL PROVIDING SERVICES TO THE COMMUNITY. CONSEQUENTLY, THERE ARE COSTS NOT REIMBURSED BY EITHER PATIENT OR THE PROGRAM. MEDICARE ALLOWABLE COSTS ARE FROM THE MEDICARE COST REPORT. PART VI, LINE 2: FEEDBACK FROM COMMUNITY MEMBERS VIA SURVEY AND PRESENTATIONS AT LOCAL ORGANIZATIONS. PART VI, LINE 3: PAMPLETS AND OTHER LITERATURE AND SIGNAGE. PART VI, LINE 4: MACKINAC COUNTY - A RURAL COUNTY IN MICHIGAN'S UPPER PENNINSULA. SEASONAL ECONOMY WITH HIGHER THAN AVERAGE UNEMPLOYMENT. AGING POPULATION WITH LARGE NUMBER OF NATIVE AMERICANS. PART VI, LINE 5: A MAJORITY OF OUR ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY AND ALSO PROVIDES COURTESY PRIVILIGES TO ANY VISITING SPECIALISTS WHO ARE ALSO PROVIDED SPACE IN OUR BUILDINGS IN ORDER TO SEE THEIR PATIENTS. X X X 0 0 0 0 0 0 0 0 0 MATTHEW BOWES PHYSICIAN 553795 0 0 0 0 0 0 0 26347 0 580142 0 0 0 SUSAN STRICH CHIEF OF STAFF 415634 0 0 0 10528 0 0 0 24347 0 450509 0 0 0 ROBERT SHARON PHYSICIAN 297848 0 0 0 0 0 0 0 19142 0 316990 0 0 0 AMY BOLMER PHYSICIAN 288471 0 0 0 11184 0 0 0 8847 0 308502 0 0 0 GREGORY HESSLER PHYSICIAN 259159 0 0 0 6768 0 0 0 21891 0 287818 0 0 0 LENE' HEINLEN CHIEF OF STAFF - ELECT 254460 0 0 0 0 0 0 0 24347 0 278807 0 0 0 LORETTA LEJA CHIEF OF STAFF - POST 248045 0 0 0 10960 0 0 0 9047 0 268052 0 0 0 RODERICK BALTZER PHYSICIAN 248368 0 0 0 10848 0 0 0 8047 0 267263 0 0 0 KAREN CHEESEMAN CEO 207723 0 0 0 11604 0 0 0 25847 0 245174 0 0 0 RYAN SPEAS CFO 148644 0 0 0 0 0 0 0 8047 0 156691 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE OCTOBER 1, 2021, MACKINAC STRAITS HEALTH FOUNDATION, INC. AND MYMICHIGAN HEALTH BECAME 60% AND 40%, RESPECTIVELY, CORPORTATE MEMBERS OF MACKINAC STRAITS AREA HEALTH. THE ARTICLES OF INCORPORATION WERE UPDATED TO REFLECT THE UPDATED OWNERSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS HAS DELEGATED REVIEW AND APPROVAL OF THE FORM 990 TO THE CFO. THE 990 RETURN IS E-MAILED TO THE BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS MONITORS THE CONFLICT OF INTEREST POLICY. NEW CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD IN ACCORDANCE WITH THE POLICY AND DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING ALL COMPENSATION IS BASED ON THE MHA ANNUAL SURVEY. THE COMPENSATION IS THEN REVIEWED BY THE BOARD FOR THE CEO AND IS REVIEWED BY THE CEO FOR OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THEIR DOCUMENTATION AVAILABLE TO THE PUBLIC BY REQUEST ONLY. THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 MAKING THEM AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART IX, LINE 11G OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 4,620,008. MANAGEMENT AND GENERAL EXPENSES 909,062. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,529,070. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,475,984. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,475,984. FISCAL & ADMINISTRATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 223,159. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 223,159. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 452,915. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 452,915. CLINIC CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,880,475. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,880,475. INFORMATION TECHNOLOGY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,171,196. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,171,196. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE 980,779. MACKINAC STRAITS AREA HEALTH 1140 N STATE STREET ST IGNACE MI 49781 472021925 SUPPORTS MACKINAC STRAITS HEALTH SYSTEM MI 501(C)(3) LINE 12B, II N/A 0 MACKINAC STRAITS HEALTH FOUNDATION 1140 N STATE STREET ST IGNACE MI 49781 465296565 FOUNDATION MI 501(C)(3) LINE 12B, II MACKINAC STRAITS HEALTH SYSTEM 1 STRAITS AREA PHARMACY INC 1140 N STATE STREET ST IGNACE MI 49781 813168928 RETAIL PHARMACY MI MACKINAC STRAITS HEALTH SYSTEM C 1.00000 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 MACKINAC STRAITS HEALTH FOUNDATION C 69389 ACTUAL STRAITS AREA PHARMACY J 35260 FMV STRAITS AREA PHARMACY Q 630369 FMV