2020-02-15T07:46:18-06:00 2019-03-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2018-04-01 208756459 MACKINAC STRAITS HEALTH SYSTEM INC MACK 9066438585 1140 N STATE STREET ST IGNACE MI 49781 KAREN CHEESEMAN CEO 9066438585 2020-02-15 1 TERRI REXRODE CPA MST P00096513 9206620016 2020-02-15 74.87.127.216 2020-02-15 07:45:18 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A43ECD1EE6AF4781A69F6BFA161A98BDE8FA2C07 2018 2020-09-23 17:36:50Z KAREN CHEESEMAN 1140 N STATE STREET ST IGNACE MI 49781 48061161 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. 10 8 372 20 35260 -129243 868029 375390 44383080 45390788 -19447 5831 2093329 2289152 47324991 48061161 0 0 0 0 21692546 21967722 0 0 0 24063585 25639275 45756131 47606997 1568860 454164 44273471 42516020 66085885 64940121 -21812414 -22424101 PROVIDING QUALITY HEALTHCARE TO THE FAMILIES AND COMMUNITIES WE SERVE. 0 0 39477335 47452831 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. 39477335 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 0 0 0 1 49 0 372 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JASON ANDERSON 9066438585 1140 N STATE STREET ST IGNACE MI 49781 X CHRISTINE MCPHERSON CHAIRPERSON 1.00 3.00 X X 0 0 0 DR EDWARD SMITH BOARD MEMBER/CHIEF OF STAF 40.00 3.00 X 369192 0 18172 JAMES NORTH TREASURER 1.00 3.70 X X 0 0 0 MARGARET DOUD SECRETARY 1.00 3.70 X X 0 0 0 MARY MAURER BOARD MEMBER 1.00 3.00 X 0 0 0 PATRICK SHANNON BOARD MEMBER 1.00 3.00 X 0 0 0 PRENTISS BROWN BOARD MEMBER 1.00 3.70 X 0 0 0 RICHARD SMITH BOARD MEMBER 1.00 0.00 X 0 0 0 STEVE AUTORE VICE CHAIR 1.00 3.70 X X 0 0 0 TODD HARBURN DO BOARD MEMBER/CHIEF OF STAFF ELECT 40.00 3.00 X 211701 0 17372 JASON ANDERSON CFO - TERMED 40.00 3.00 X 88149 0 20259 KAREN CHEESEMAN CEO 40.00 3.70 X 188920 0 21717 HENRY KOTULA INTERIM CFO - TERMED 40.00 0.00 X 0 0 0 AMY BOLMER PHYSICIAN 40.00 0.00 X 259561 0 7422 DR MATTHEW BOWES PHYSICIAN 40.00 0.00 X 491896 0 20717 RODERICK BALTZER PHYSICIAN 40.00 0.00 X 271869 0 6822 SUSAN STRICH PHYSICIAN 40.00 0.00 X 412802 0 20717 ROBERT SHARON PHYSICIAN 40.00 0.00 X 297617 0 20717 2591707 0 153915 22 0 1 0 NI2 HEALTH LLC 17424 34TH DR SE BOTHELL WA 98012 REVENUE CYCLE CONSULTANT 909711 CYNTHIA JENSON 3541 SOUTH M129 SAULT STE MARIE MI 49783 ONCOLOGY SERVICES 419403 TOM TIETJEN 859 SURRY ROAD PETOSKEY MI 49770 PHYSICIAN SERVICES 297594 UNIMED MOBILE MRI LLC PO BOX 19532 IRVINE CA 92623 MRI SERVICES 282393 PETER LEVANOVICH 7336 PRESERVE COURT PETOSKEY MI 49770 CARDIOLOGY SERVICES 217150 5 43041 332349 375390 PATIENT REVENUE 900099 43768546 43652337 116209 QAAP REVENUE 900099 1572654 1572654 AFFILIATE RENTAL REVENUE 900099 35260 35260 MOB RENTAL REVENUE 900099 14328 14328 45390788 3331 3331 2500 0 2500 2500 2500 TAX LEVY 900099 1208779 1208779 LEASED EMPLOYEE INCOME 900099 522681 522681 MEANINGFUL USE INCENTIVE 900099 482052 482052 75640 75640 2289152 48061161 47452831 35260 197680 X 935482 616437 319045 14792208 13169866 1622342 1307834 1221610 86224 3876789 3625679 251110 1055409 985827 69582 51294 175 51119 102364 102364 8220647 4984474 3236173 94411 94411 7035730 6672936 362794 1770267 1378106 392161 90101 79304 10797 58432 44802 13630 2042067 2042067 2808092 2808092 198059 15928 182131 BAD DEBT EXPENSE 1566615 1566615 QAAP TAXES PAID 1189170 1189170 MINOR EQUIPMENT 112468 102374 10094 DUES & SUBSCRIPTIONS 111240 82075 29165 188318 80968 107350 47606997 39477335 8129662 0 435199 81918 1078303 1434891 5000091 5779293 482000 414000 978848 1070428 274775 227984 55062682 21555176 36024255 33507506 44273471 42516020 3723674 5853579 763250 281198 52372351 51103312 9226610 7702032 66085885 64940121 X -21841948 -22453901 29534 29800 -21812414 -22424101 44273471 42516020 X 454164 -1065851 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 21056 2039 19017 0 1200000 1200000 39368957 13040059 26328898 2532302 1218198 1314104 11926757 7296919 4629838 34666 34666 33507506 AMOUNTS PAYABLE TO THIRD PARTIES 42364 PENSION LIABILITY 7640651 PATIENT TRUST SAVINGS 19017 7702032 45654295 -2363825 -2363825 48018120 43041 43041 48061161 45010941 115837 115837 44895104 2711893 2711893 47606997 PART XI, LINE 2D - OTHER ADJUSTMENTS: QAAP PAYMENTS -1,189,170. BAD DEBT EXPENSE -1,566,615. FOUNDATION REVENUE 256,908. SAP REVENUE 141,142. OTHER REVENUE NETTED WITH EXPENSE -6,090. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANT FROM FOUNDATION 43,041. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION EXPENSES 115,837. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 1,566,615. QAAP PAYMENTS 1,189,170. SAP EXPENSES -49,982. OTHER REVENUE NETTED WITH EXPENSE 6,090. 1 1 X 1 X 1 X 1 0 0 300367 300367 0.00650 4483054 2207927 2275127 0.04940 4783421 2207927 2575494 0.05590 18961 18961 0.00040 164061 164061 0.00360 700754 309963 390791 0.00850 8850 8850 0.00020 892626 309963 582663 0.01270 5676047 2517890 3158157 0.06860 0 1022216 12307598 12569034 -261436 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 18 1 0 0 1 X HTTP://MACKINACSTRAITSHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.HTML X 1 18 1 HTTP://MACKINACSTRAITSHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.HTML 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X 1 X HTTP://MACKINACSTRAITSHEALTH.ORG/PATIENT-RESOURCES.HTML X HTTP://MACKINACSTRAITSHEALTH.ORG/PATIENT-RESOURCES.HTML X HTTP://MACKINACSTRAITSHEALTH.ORG/PATIENT-RESOURCES.HTML X X X X X 1 X 0 X 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 11: THE FOLLOWING NEEDS WERE IDENTIFIED DURING THE CHNA CONDUCTED IN MARCH 2019 (TAX YEAR 2018): MENTAL HEALTH / BEHAVIORAL HEALTH SERVICES, COMMUNITY EDUCATION PROGRAMS, OBESITY AND DIABETES.MENTAL HEALTH / BEHAVIORAL HEALTH SERVICES :-FACILITATE COMMUNITY TASK FORCE AT MACKINAC STRAITS HOSPITAL-COORDINATE WITH RESOURCES IN THE STATE AVAILABLE TO ASSIST CLINIC PATIENTS-COORDINATE WITH LOCAL OR REGIONAL RESOURCES TO PROMOTE DISCUSSION OF COMMUNITY NEEDS AND POSSIBLE SOLUTIONS-PROMOTE MENTAL HEALTH / BEHAVIORAL HEALTH AWARENESS DURING ONE MONTH A YEARCOMMUNITY EDUCATIONAL PROGRAMS:-CONNECT WITH COMMUNITY RESOURCES TO IDENTIFY SCOPE OF SERVICES AVAILABLE-COORDINATE WITH MSHS' CLINIC LEADERS TO SHARE INFORMATION ABOUT COMMUNITY EDUCATION RESOURCES-SCHEDULE MEETINGS AT MSHS, AND PROVIDE THE SPACE AND ASSISTANCE TO HELP ORGANIZATIONS PROMOTE THEIR SERVICES TO MSHS AND MACKINAC COUNTYOBESITY:-SECURE A CARE MANAGER FOR MSHS' CLINICS-CONNECT MSHS PATIENTS WITH LOCAL RESOURCES FOR MANAGING OBESITY-PRESENTATION TABLE FOR ONE MONTH A YEAR TO EDUCATE THE COMMUNITY ON OBESITYDIABETES:-SECURE A CARE MANAGER FOR MSHS' CLINICS-CONNECT MSHS PATIENTS WITH LOCAL RESOURCES FOR MANAGING DIABETES, INCLUDING ON-SITE DIABETES EDUCATORS (E.G., SAULT TRIBE CLINIC)-CONTINUE ASSESSING THE POTENTIAL FOR DEVELOPING A DIABETES EDUCATION PROGRAM-CONTINUE MEETING MONTHLY FOR THE DIABETES SUPPORT GROUP AND INCORPORATE LOCAL OR REGIONAL RESOURCES FOR GUEST SPEAKERS 3 1 - MACKINAW CITY MEDICAL CLINIC 580 SOUTH NICOLET ST MACKINAW CITY MI 49701 PHYSICIAN OFFICE 2 - MACKINAC ISLAND MEDICAL CLINIC 7474 MARKET STREET MACKINAC ISLAND MI 49757 EMERGENCY ROOM & PHYSICIAN OFFICE 3 - RIVERTOWN MEDICAL CENTER 920 SOUTH HURON STREET CHEBOYGAN MI 49721 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 I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,566,615. 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 X 0 0 0 0 0 0 0 0 0 DR EDWARD SMITH BOARD MEMBER/CHIEF OF STAF 369192 0 0 0 0 0 0 0 18172 0 387364 0 0 0 TODD HARBURN DO BOARD MEMBER/CHIEF OF STAFF ELECT 211701 0 0 0 0 0 0 0 17372 0 229073 0 0 0 KAREN CHEESEMAN CEO 188920 0 0 0 0 0 0 0 21717 0 210637 0 0 0 AMY BOLMER PHYSICIAN 259561 0 0 0 0 0 0 0 7422 0 266983 0 0 0 DR MATTHEW BOWES PHYSICIAN 491896 0 0 0 0 0 0 0 20717 0 512613 0 0 0 RODERICK BALTZER PHYSICIAN 263217 0 0 0 8652 0 0 0 6822 0 278691 0 0 0 SUSAN STRICH PHYSICIAN 412802 0 0 0 0 0 0 0 20717 0 433519 0 0 0 ROBERT SHARON PHYSICIAN 297617 0 0 0 0 0 0 0 20717 0 318334 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS HAS DELEGATED TO 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. PART VII, SECTION A INTERIM CFO, HENRY KOTULA, WAS CONTRACTED THROUGH A MANAGEMENT COMPANY AND DID NOT RECEIVE COMPENSATION DIRECTLY FROM THE ORGANIZATION. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,612,927. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,612,927. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 357,804. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 357,804. NURSING SERVICES: PROGRAM SERVICE EXPENSES 573,542. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 573,542. SURGERY SERVICES: PROGRAM SERVICE EXPENSES 285,626. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 285,626. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 315,602. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 315,602. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 82,752. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,752. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 89,365. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,365. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 442,013. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 442,013. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 6,195. MANAGEMENT AND GENERAL EXPENSES 119,357. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,552. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 187,478. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 187,478. INFORMATION TECHNOLOGY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 674,701. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 674,701. RISK MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 8,744. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,744. MATERIALS MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 45,558. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,558. MISCELLANEOUS SERVICES: PROGRAM SERVICE EXPENSES 2,268. MANAGEMENT AND GENERAL EXPENSES 12,434. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,702. ONCOLOGY SERVICES: PROGRAM SERVICE EXPENSES 207,636. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 207,636. FISCAL & ADMINISTRATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,607,114. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,607,114. HUMAN RESOURCES SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 109,563. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,563. EDCUATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,385. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,385. MEDICAL RECORDS SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 451,583. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 451,583. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE -1,068,150. CHANGE IN INTEREST IN FOUNDATION 2,299. FORM 990, PART XI, LINE 2C THE AUDITED FINANCIAL STATEMENTS ARE PRESENTED TO THE MACKINAC STRAITS HEALTH SYSTEM FINANCE COMMITTEE AND RECOMMENDATIONS ARE TAKEN TO THE MACKINAC STRAITS HEALTH SYSTEM BOARD OF DIRECTORS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MACKINAC STRAITS AREA HEALTH 1140 NORTH STATE STREET ST IGNACE MI 49781 472021925 SUPPORT MACKINAC STRAITS HEALTH SYSTEM MI 501(C)(3) LINE 12B, II N/A 0 MACKINAC STRAITS HEALTH FOUNDATION 1140 NORTH 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 N/A C 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 STRAITS AREA PHARMACY J 35260 FMV STRAITS AREA PHARMACY Q 522681 FMV