2014-02-15T16:21:02-06:00 2013-03-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2012-04-01 208756459 MACKINAC STRAITS HEALTH SYSTEM INC MACK 9066438585 1140 N STATE STREET ST IGNACE MI 49781 JASON ANDERSON 9066438585 2014-02-14 1 TERRI REXRODE CPA MST P00096513 9206620016 2014-02-14 2012 2015-11-30 17:44:51Z JASON ANDERSON 1140 N STATE STREET ST IGNACE MI 49781 31535896 0 X MACKINACSTRAITSHEALTH.ORG X 2008 MI WE WILL BE THE HOSPITAL OF CHOICE AND RECOGNIZED FOR OUR EXEMPLARY PATIENT CARE, PEOPLE AND PERFORMANCE. WE HAVE A PASSION FOR EXCELLENCE AND STRIVE TO SET AND DELIVER THE HIGHEST STANDARDS OF SERVICE, INTEGRITY AND MOST OF ALL QUALITY. WE VALUE THE DIVERSITY AND CULTURES IN OUR COMMUNITY. 7 8 190 7 -479867 -479868 650867 498465 28369336 30620978 45944 45059 371110 -356380 29437257 30808122 4000 0 0 0 14582996 15167097 0 12504 12504 16394386 16728832 30981382 31908433 -1544125 -1100311 48421691 48107655 54875938 56783968 -6454247 -8676313 PROVIDING LOCAL ACCESS AND QUALITY HEALTHCARE TO THE FAMILIES AND COMMUNITIES WE SERVE. 0 0 29681340 30444054 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 PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, EMERGENCY, AND PHYSICIAN SERVICES TO THE RESIDENTS OF MACKINAC COUNTY AND THE SURROUNDING AREAS. 29681340 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 22 0 190 1 1 1 0 0 0 0 0 0 0 0 0 X 7 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 JAMES NORTH 1.00 X 0 0 0 PRENTISS BROWN 1.00 X 0 0 0 CHRISTINE MCPHERSON 1.00 X 0 0 0 DR SUSAN HEPKER 40.00 X 412979 0 20733 PATRICK SHANNON 1.00 X X 0 0 0 RICHARD SMITH 1.00 X X 0 0 0 STEVE AUTORE 1.00 X X 0 0 0 MARGARET DOUD 1.00 X X 0 0 0 RODNEY NELSON 40.00 2.00 X 150278 0 20899 JASON ANDERSON 40.00 2.00 X 81814 0 20803 DR CARL HAWKINS 40.00 X 146839 0 21733 DR EDWARD SMITH 40.00 X 389816 0 22733 DR MATTHEW BOWES 40.00 X 367639 0 20733 DR JENNIFER SHOCKLEY 40.00 X 195000 0 0 DR DARRIN BENZING 48.00 X 140350 0 15571 1884715 0 143205 7 0 1 0 RALPH OLECHOWSKI 1140 N STATE ST ST IGNACE MI 49781 PHYSICIAN SERVICES 223610 DONZA WORDEN 1140 N STATE ST ST IGNACE MI 49781 PHYSICIAN SERVICES 132000 CLAUDIO DUARTE 1140 N STATE ST ST IGNACE MI 49781 PHYSICIAN SERVICES 108000 RUTH HOLTHUIS 1140 N STATE ST ST IGNACE MI 49781 PHYSICIAN SERVICES 103982 RICHARD HODGEMAN 1140 N STATE ST ST IGNACE MI 49781 PHYSICIAN SERVICES 100880 5 16874 6785 474806 498465 PATIENT REVENUE 900099 28743668 28743668 TAX LEVY 900099 1074290 1074290 QAAP REVENUE 900099 478771 478771 CHAP REVENUE 900099 147325 147325 CAFETERIA/VENDING REVENUE 900099 105799 105799 71125 71125 30620978 44559 44559 363487 719867 -356380 -356380 -479867 123487 500 0 500 500 500 7907 16874 7907 0 30808122 30444054 -479867 345470 X 1871431 1597637 273794 8886999 8331200 555799 1097446 1012821 84625 2539194 2343394 195800 772027 712495 59532 141978 141978 86736 86736 12504 12504 3212690 2983847 228843 144817 144817 3968304 3955950 12354 2671333 2647325 24008 109156 80493 28663 61753 44596 17157 2214654 2214654 1747468 1747468 155039 155039 BAD DEBT EXPENSE 1215355 1215355 QAAP TAXES PAID 715327 715327 MINOR EQUIPMENT 110011 110011 DUES AND SUBSCRIPTIONS 50302 49452 850 123909 106072 17837 31908433 29681340 2214589 12504 213456 572944 317913 359913 199909 4660190 4113300 59892 44523 160329 159510 316727 448334 162999 52016 48621891 10218971 37915579 38402920 4213118 4155774 48421691 48107655 5704697 5007211 520000 280000 41947307 43203217 6703934 8293540 54875938 56783968 X -6481662 -8704258 27415 27945 -6454247 -8676313 48421691 48107655 X -1100311 -20677 -1101078 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 285 0 1 716 1001 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE ORGANIZATION BELONGS TO THE AHA AND PAYS DUES. THE ORGANIZATION PAYS A TOTAL OF $3,048 IN DUES TO THE AHA. OF THAT AMOUNT, $716 OF THE DUES ARE SPENT ON LOBBYING ACTIVITIES. THE ORGANIZATION SPENT $285 IN EXPENSES AT THE GREATER DETROIT CHAMBER MEETING THAT WAS HELD ON MACKINAC ISLAND. 1213406 1213406 39029531 8444331 30585200 2562161 443637 2118524 3501618 1331003 2170615 2315175 2315175 38402920 UNAMORTIZED DEBT ISSUE COSTS 2053194 OTHER ASSETS 85391 DEBT SERVICE RESERVE 1615168 CAPITALIZED INTEREST 177021 EMR RECEIVABLE 225000 4155774 AMOUNTS PAYABLE TO THIRD PARTIES 150784 PENSION LIABILITY 7330581 PATIENT TRUST SAVINGS 12249 LINE OF CREDIT 495000 CAPITAL LEASE OBLIGATION 304926 8293540 X 30825939 -709957 -709957 31535896 -727774 -727774 30808122 31926250 727774 727774 31198476 709957 709957 31908433 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. PART XI, LINE 2D - OTHER ADJUSTMENTS: QAAP PAYMENTS -715,327. PROVISION FOR BAD PLEDGES 5,370. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -7,907. RENTAL EXPENSES -719,867. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 7,907. RENTAL EXPENSES 719,867. PART XII, LINE 4B - OTHER ADJUSTMENTS: QAAP PAYMENTS 715,327. PROVISION FOR BAD PLEDGES -5,370. HOOPING FOR A CURE 24781 16874 7907 7907 24781 16874 7907 7907 7907 0 1 1 1 X 1 X 150.000000000000 1 0 1 1 902291 771916 130375 0.00420 5606591 5210398 396193 0.01290 6508882 5982314 526568 0.01710 2270 11953 11953 0.00040 93 137507 137507 0.00450 2363 149460 149460 0.00490 2363 6658342 5982314 676028 0.02200 0 1215355 975730 8892210 8854109 38101 X 1 0 2 1 MACKINAC STRAITS HEALTH SYSTEM INC

1140 N STATE STREET ST IGNACE MI 49781

X X RHC 2 MACKINAC ISLAND MEDICAL CLINIC

7474 MARKET STREET MACKINAC ISLAND MI 49757

X MACKINAC STRAITS HEALTH SYSTEM INC 1 1 X X X X X X X X X 12 1 0 1 X X X X X X X 1 0 1 1 100.000000000000 1 150.000000000000 1 X X X 1 1 X X 1 X X 1 X X X 1 X 0 0 3 PICKFORD MEDICAL CENTER

7742 N M-129 PICKFORD MI 49774

PHYSICIAN OFFICE NAUBINWAY FAMILY HEALTH CLINIC

11650 W HWY US-2 NAUBINWAY MI 49762

PHYSICIAN OFFICE MACKINAW CITY MEDICAL CLINIC

580 SOUTH NICOLET ST MACKINAW 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, L7 COL(F): 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 II: PROVIDED 24 HOUR EMERGENCY AND ESSENTIAL HEALTH CARE SERVICES TO RURAL COMMUNITY. PART III, LINE 4: THERE IS NOT ANY FIANANCIAL STATEMENT FOOTNOTE ON BAD DEBT EXPENSE. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE FROM THE MEDICARE COST REPORT MACKINAC STRAITS HEALTH SYSTEM, INC. PART V, SECTION B, LINE 3: 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 PERSOMS 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 5C: THE CHNA CAN BE FOUND ON THE HOSPITAL'S WEBSITE AT HTTP://MACKINACSTRAITSHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.HTML MACKINAC STRAITS HEALTH SYSTEM, INC. PART V, SECTION B, LINE 6I: IMPLEMENTATION PLANONCE THE HEALTH NEEDS WERE PRIORITIZED BY THE CHNA ADVISORY COMMITTEE, THE FINAL STEP IN THE CHNA PROCESS INVOLVED DEVELOPING AN IMPLEMENTATION STRATEGY. THE PURPOSE OF THE IMPLEMENTATION STRATEGY IS TO DEVELOP A CLEAR SET OF GOALS TO RESPOND TO THE PRIORITIES IDENTIFIED THROUGH THE CHNA. THE IMPLEMENTATION STRATEGY SHOULD INCLUDE A WRITTEN PLAN THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, DESCRIBE HOW THE HOSPITAL PLANS TO MEET THE HEALTH NEEDS, AND IDENTIFY HEALTH NEEDS THE HOSPITAL DOES NOT INTEND TO MEET AND WHY.WITH THE SUPPORT OF WIPFLI, THE CHNA ADVISORY COMMITTEE DEVELOPED THE IMPLEMENTATION STRATEGY. THE COMMITTEE ADDRESSED THE FOLLOWING IMPLEMENTATION STRATEGY COMPONENTS WITHIN EACH PRIORITY IDENTIFIED:1. OBJECTIVES/STRATEGY2. TACTICS (HOW)3. PROGRAMS/RESOURCES TO COMMIT4. IMPACT OF PROGRAMS/RESOURCES ON HEALTH NEED5. ACCOUNTABLE PARTIES6. PARTNERSHIPS/COLLABORATIONTHE DETAILED IMPLEMENTATION STRATEGY FOR EACH PRIORITY CAN BE FOUND IN APPENDIX 5. IN SUMMARY, THE FOLLOWING PRIORITIES WERE ADDRESSED THROUGH THE IMPLEMENTATION STRATEGY:1. AVAILABILITY OF HEALTH INSURANCE AND ACCESS TO LOW COST HEALTH CARE2. OBESITY/DIABETES3. WEEKEND ACCESS TO LOCAL PHARMACY4. EDUCATE THE COMMUNITY REGARDING WHAT PROGRAMS ARE AVAILABLETHE IMPLEMENTATION STRATEGY DETAIL FOR EACH PRIORITY LOCATED IN APPENDIX 5 PROVIDES SUPPORTING TACTICS, PROGRAMS/RESOURCES, ACCOUNTABLE PARTIES, AND POTENTIAL PARTNERSHIPS/COLLABORATION FOR EACH STRATEGY. MACKINAC STRAITS HEALTH SYSTEM, INC. PART V, SECTION B, LINE 20D: FAP ELIGIBLE PATIENTS RECEIVE A DISCOUNT WHICH IS A SLIDING FEE BASED ON POVERTY LEVEL. 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 AMNY 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 SUSAN HEPKER 394700 0 0 0 18279 0 0 0 20733 0 433712 0 0 0 RODNEY NELSON 150000 0 0 0 278 0 0 0 20899 0 171177 0 0 0 DR CARL HAWKINS 146839 0 0 0 0 0 0 0 21733 0 168572 0 0 0 DR EDWARD SMITH 329500 0 60000 0 316 0 0 0 22733 0 412549 0 0 0 DR MATTHEW BOWES 367639 0 0 0 0 0 0 0 20733 0 388372 0 0 0 DR JENNIFER SHOCKLEY 195000 0 0 0 0 0 0 0 0 0 195000 0 0 0 DR DARRIN BENZING 140350 0 0 0 0 0 0 0 15571 0 155921 0 0 0 DR SUSAN HEPKER BOARD MEMBER/CHIEF OF STAFF RELOCATION/HOUSING X 90000 44523 0 1 1 44523 FORM 990, PART VI, SECTION B, LINE 11 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. OTHER FEES FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,016,312. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,016,312. THERAPIST: PROGRAM SERVICE EXPENSES 306,144. MANAGEMENT AND GENERAL EXPENSES 2,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 308,644. TRANSPORT: PROGRAM SERVICE EXPENSES 123,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,372. NURSING SERVICES: PROGRAM SERVICE EXPENSES 171,901. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 171,901. PATIENT MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 5,266. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,266. CODING: PROGRAM SERVICE EXPENSES 127,260. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,260. LAB: PROGRAM SERVICE EXPENSES 212,468. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 212,468. RADIOLOGY PACS: PROGRAM SERVICE EXPENSES 101,524. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,524. CARDIOLOGY MONITORING: PROGRAM SERVICE EXPENSES 3,362. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,362. PHARMACY SYSTEMS: PROGRAM SERVICE EXPENSES 37,742. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,742. BILLING: PROGRAM SERVICE EXPENSES 319,350. MANAGEMENT AND GENERAL EXPENSES 109,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 428,350. MAINTENANCE: PROGRAM SERVICE EXPENSES 69,547. MANAGEMENT AND GENERAL EXPENSES 1,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,225. MED REC SCANNING: PROGRAM SERVICE EXPENSES 7,608. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,608. BIOMED: PROGRAM SERVICE EXPENSES 81,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,550. WASTE REMOVAL: PROGRAM SERVICE EXPENSES 45,208. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,208. LAUNDRY: PROGRAM SERVICE EXPENSES 58,305. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,305. SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 129,255. MANAGEMENT AND GENERAL EXPENSES 48,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 177,255. PURCHASING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,698. EDUCATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,121. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,121. PAYROLL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 43,846. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,846. TRANSPORT: PROGRAM SERVICE EXPENSES 131,673. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 131,673. LTC RESIDENT OUTING: PROGRAM SERVICE EXPENSES 36,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,000. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE -1,101,078. OVERSIGHT OF AUDIT 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. MOSES DIALYSIS UNIT 1140 NORTH STATE STREET ST IGNACE MI 49781 320031170 RENAL DIALYSIS SERVICES MI 501(C)(3) LINE 3 MACKINAC STRAITS HEALTH SYSTEM INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 MOSES DIALYSIS UNIT O 320627 MOSES DIALYSIS UNIT Q 168383