2026-02-05T15:01:21-06:00 2025-03-31 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-04-01 208756459 MACKINAC STRAITS HEALTH SYSTEM INC MACK 9066438585 1140 N STATE STREET ST IGNACE MI 49781 JASON ANDERSON CFO 9066438585 2026-02-05 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2026-02-05 2024 2025-03-06 01:10:19Z JASON ANDERSON 1140 N STATE STREET ST IGNACE MI 49781 89986524 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. 15 12 448 77 35260 0 5355050 5985441 72107984 81004841 545685 522196 2369218 2474046 80377937 89986524 0 0 0 0 31945277 36368883 0 0 0 39886076 41557052 71831353 77925935 8546584 12060589 62319791 75206076 63852298 65410669 -1532507 9795407 PROVIDING QUALITY HEALTHCARE TO THE FAMILIES AND COMMUNITIES WE SERVE. 0 0 63804105 0 82925901 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. 63804105 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 55 0 448 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 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 JOHN MOFFAT VICE CHIEF OF STAFF & PHYSICIAN 40.00 2.00 X X 597047 0 39203 SUSAN STRICH POST CHIEF OF STAFF 40.00 2.00 X X 471301 0 69288 KAREN CHEESEMAN CEO 40.00 2.70 X X 310874 0 65094 ROBERT CURRIER CHIEF OF STAFF 8.00 2.00 X X 0 0 0 LORETTA LEJA POST CHIEF OF STAFF/PHYSICIAN (THRU 4/2024) 40.00 2.00 X 0 0 0 STEVE AUTORE CHAIRMAN OF BOARD 1.00 2.70 X X 0 0 0 PATRICK SHANNON VICE CHAIRMAN OF BOARD 1.00 2.00 X X 0 0 0 MARK ELMBLAD TREASURER OF THE 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 2.70 X 0 0 0 BRYAN CROSS BOARD MEMBER 1.00 2.70 X 0 0 0 CHRISTINE MCPHERSON BOARD MEMBER 1.00 2.00 X 0 0 0 RD MUSSER III BOARD MEMBER 1.00 2.00 X 0 0 0 JAMES NORTH BOARD MEMBER 1.00 3.70 X 0 0 0 RICHARD SMITH BOARD MEMBER 1.00 X 0 0 0 LYDIA WATSON BOARD MEMBER 1.00 2.70 X 0 0 0 JASON ANDERSON CFO 40.00 2.70 X 150442 0 46326 MATTHEW BOWES PHYSICIAN 40.00 X 416698 0 72338 AMY BOLMER PHYSICIAN 40.00 X 380579 0 51561 DAVID BOUSLOUGH PHYSICIAN 40.00 X 349484 0 45138 GREGORY HESSLER PHYSICIAN 40.00 X 327076 0 64108 MARVYN NERI PHYSICIAN 40.00 X 319988 0 37979 3323489 0 491035 39 0 1 0 CLARK CONSTRUCTION COMPANY 3535 MOORES RIVER DRIVE LANSING MI 48911 CONSTRUCTION 8581456 ANATOMY IT LLC PO BOX 23888 NEW YORK NY 10087 I.T. SERVICES 1155575 NORTHERN MI EMERG PHYS 4075 COPPER RIDGE DR TRAVERSE CITY MI 49684 ER PHYSICIANS 1033879 DANIEL K WILCOX MD PC 10460 MCCARTHY ALANSON MI 49706 ORTHOPEDIST 895080 MGH LAB PO BOX 4608 CAROL STREAM IL 60122 LABORATORY SERVICES 615749 26 28888 5656553 300000 5985441 PATIENT REVENUE 900099 77749098 77631742 117356 340B REVENUE 900099 2872366 2872366 MOB RENTAL REVENUE 900099 118095 82835 35260 265282 265282 81004841 522196 522196 TAX LEVY 900099 1593027 1593027 LEASED EMPLOYEE INCOME 900099 745931 745931 PHYSICIAN INCENTIVES 900099 135088 135088 2474046 89986524 82925901 35260 1039922 X 1749573 1413699 335874 23855521 19574455 4281066 2454916 1769895 685021 6536531 4712573 1823958 1772342 1277786 494556 43650 2632 41018 137021 137021 10167038 7444556 2722482 205527 205527 241447 102705 138742 1366868 686498 680370 84528 72477 12051 78382 73140 5242 1725834 1725834 3267877 3267877 343617 22756 320861 PHARMACEUTICALS 10812520 10812520 MEDICAL SUPPLIES 6933069 5546374 1386695 BAD DEBT EXPENSE 3712709 3712709 REPAIRS AND MAINTENANCE 1484123 1212519 271604 952842 373100 579742 77925935 63804105 14121830 0 0 350325 16196782 21306775 9914989 9405742 2236525 2269257 389803 669711 76077702 37890957 33455118 38186745 126574 3017521 62319791 75206076 6100072 5695344 20758 12753 44463711 43071305 13267757 16631267 63852298 65410669 X -3305313 7756860 1772806 2038547 -1532507 9795407 62319791 75206076 X 12060589 -732675 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 20758 8005 12753 1 1255237 1255237 51597527 21506893 30090634 2532302 1643889 888413 20642623 14740175 5902448 50013 50013 38186745 PENSION LIABILITY 12993864 AMOUNTS PAYABLE TO THIRD PARTIES 591800 OPERATING LEASE LIABILITY 3045603 16631267 1 1 X 1 X 1 X 1 0 0 451791 451791 0.00580 7333300 6411425 921875 0.01180 7785091 6411425 1373666 0.01760 16267 16267 0.00020 265370 265370 0.00340 923635 431007 492628 0.00630 17800 17800 0.00020 1223072 431007 792065 0.01010 9008163 6842432 2165731 0.02770 1 375 375 375 0.00000 1 12 528 528 0.00000 2 387 903 903 0.00000 0 3712709 371270 13244718 13383362 -138644 X 1 1 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 24 1 0 0 1 X SEE EXPLANATION FOR LINE 7D X X 1 24 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 X 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 7D: PART V, SECTION B, LINE 7A FULL WEBSITE ADDRESS IS: HTTPS://WWW.MACKINACSTRAITSHEALTH.ORG/WP-CONTENT/UPLOADS/2025/04/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-FY25.DOCXPART V, SECTION B, LINE 10A FULL WEBSITE ADDRESS IS: HTTPS://WWW.MACKINACSTRAITSHEALTH.ORG/WP-CONTENT/UPLOADS/2025/04/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-FY25.DOCX MACKINAC STRAITS HEALTH SYSTEM, INC. PART V, SECTION B, LINE 11: THE FOLLOWING NEEDS WERE IDENTIFIED DURING THE CHNA CONDUCTED IN MARCH 2025 (TAX YEAR 2024): ACCESS TO PRIMARY CARE, ACCESS TO MENTAL HEALTH PROFESSIONALS, ACCESS TO SUBSTANCE USE DISORDER SERVICES.ACCESS TO PRIMARY CARE:- PROMOTE ROBUST HEALTH SYSTEM SOCIAL MEDIA PLATFORM- RESEARCH ADDITIONAL SOCIAL MEDIA PLATFORMS- PARTICIPATE IN COMMUNITY HEALTH FAIRSACCESS TO MENTAL HEALTH PROFESSIONALS: -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 SERVICESACCESS TO SUBSTANCE USE DISORDER SERVICES:- 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 3 1 - MACKINAC ISLAND MEDICAL CLINIC 7474 MARKET STREET MACKINAC ISLAND MI 49757 EMERGENCY ROOM & PHYSICIAN OFFICE 2 - MACKINAW CITY MEDICAL CLINIC 4540 N MACKINAW HIGHWAY MACKINAW CITY MI 49701 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. THE ENTIRE AMOUNT OF SUBSIDIZED HEALTH SERVICES IS FROM PHYSICIAN CLINICS. 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 III, LINE 9B: PATIENTS WHO REPRESENT INCREASED FINANCIAL RISK AS A RESULT OF THE AMOUNT THEY ARE EXPECTED TO OWE "OUT OF POCKET" WILL BE REFERRED TO THE BILLING DEPARTMENT. IF IT IS DETERMINED THAT EVEN WITH THE 30% UNINSURED SELF-PAY DISCOUNT, A PATIENT IS UNABLE TO MEET THEIR FINANCIAL RESPONSIBILITIES, THE BILLING DEPARTMENT WILL REFER THE ACCOUNT FOR ASSISTANCE IN DETERMINING ELIGIBILITY FOR MEDICAID AND, IF NECESSARY, FINANCIAL ASSISTANCE/CHARITY CARE. THE BILLING DEPARTMENT FINANCIAL COUNSELING SERVICES ARE AVAILABLE TO ALL PATIENTS. PART VI, LINE 2: BEYOND THE CHNA, THE ORGANIZATION SEEKS FEEDBACK FROM COMMUNITY MEMBERS VIA SURVEY AND PRESENTATIONS AT LOCAL ORGANIZATIONS. PART VI, LINE 3: AT TIME OF REGISTRATION, PATIENTS ARE MADE AWARE OF THE ORGANIZATIONS FAP. PAMPHLETS AND OTHER LITERATURE ARE AVAILABLE AT REGISTRATION LOCATIONS WITH SIGNAGE. THERE IS A LINK ON HOME PAGE OF HOSPITAL WEBSITE TO THE CHARITY CARE APPLICATION ALONG WITH OUR FINANCIAL ASSISTANCE POLICY. ALL PATIENT STATEMENTS STATE THAT FINANCIAL ASSISTANCE IS AVAILABLE WITH PHONE NUMBER FOR ASSISTANCE, AND IT IS ALSO STATED WHEN PATIENTS LOG INTO THEIR ONLINE MEDICAL CHART. PART VI, LINE 4: MACKINAC COUNTY - A RURAL COUNTY IN MICHIGAN'S UPPER PENINSULA. SEASONAL ECONOMY WITH HIGHER THAN AVERAGE UNEMPLOYMENT. AGING POPULATION WITH LARGE NUMBER OF NATIVE AMERICANS. ACCORDING TO THE US CENSUS BUREAU 30.6% OF RESIDENTS WERE OVER 65 YEARS OF AGE AND 15.9% WERE NATIVE AMERICAN AS OF JULY 2022. 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 PRIVILEGES TO ANY VISITING SPECIALISTS WHO ARE ALSO PROVIDED SPACE IN OUR BUILDINGS IN ORDER TO SEE THEIR PATIENTS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH MYMICHIGAN HEALTH. THEIR AFFILIATION SUPPORTS THE HOSPITAL BY PROVIDING ACCESS TO CERTAIN RESOURCES, TECHNOLOGIES AND PROCESSES THAT EXPAND THE CARE THEY CAN PROVIDE. X X X X 0 0 0 0 0 0 0 0 0 JOHN MOFFAT VICE CHIEF OF STAFF & PHYSICIAN 597047 0 0 0 0 0 17250 0 21953 0 636250 0 0 0 SUSAN STRICH POST CHIEF OF STAFF 422287 0 0 0 49014 0 41400 0 27888 0 540589 0 0 0 MATTHEW BOWES PHYSICIAN 416698 0 0 0 0 0 41400 0 30938 0 489036 0 0 0 AMY BOLMER PHYSICIAN 369395 0 0 0 11184 0 41400 0 10161 0 432140 0 0 0 DAVID BOUSLOUGH PHYSICIAN 349484 0 0 0 0 0 17250 0 27888 0 394622 0 0 0 GREGORY HESSLER PHYSICIAN 320308 0 0 0 6768 0 39106 0 25002 0 391184 0 0 0 KAREN CHEESEMAN CEO 306842 0 0 0 4032 0 37206 0 27888 0 375968 0 0 0 MARVYN NERI PHYSICIAN 319988 0 0 0 0 0 16000 0 21979 0 357967 0 0 0 JASON ANDERSON CFO 150442 0 0 0 0 0 18438 0 27888 0 196768 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CORPORATE MEMBER MACKINAC STRAITS AREA HEALTH (MSAH) - A 501(C)(3) SUPPORTING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A WHILE THE ORGANIZATION HAS ONE SOLE MEMBER - MACKINAC STRAITS AREA HEALTH (MSAH) - THERE ARE THEN TWO 501(C)(3) MEMBERS OF MSAH (MACKINAC STRAITS HEALTH FOUNDATION AND MYMICHIGAN) WHO HAVE REPRESENTATIONS WHICH IMPACT THE ELECTION OF THE BOARD OF DIRECTORS. THERE ARE TWO POSITIONS RESERVED FOR APPOINTMENTS BY MYMICHIGAN AND THE REMAINDER BY MACKINAC STRAITS HEALTH FOUNDATION. THAT BOARD THEN IS TASKED WITH MANY ROLES GOVERNED BY THE BYLAWS. AS FOR THE POWERS OF THE SOLE MEMBER, MACKINAC STRAITS AREA HEALTH, IN GENERAL THE MEMBER WILL BE DECISION MAKING POWERS FOR THE FOLLOWING DECISIONS. - DISSOLUTION OF THE ENTITY - MATERIAL CLINICAL AFFILIATIONS AND CONTRACTUAL RELATIONSHIPS - CHANGES TO THE ORGANIZATIONAL DOCUMENTS OF THE CORPORATION AND SUBSIDIARIES - ADDITION OF ANY NEW MEMBER OF THE CORPORATION OR MEMBERSHIP CLASS (OR TRANSFERS THEREOF) - LARGE SALES OR CAPITAL EXPENDITURES OVER CERTAIN THRESHOLDS AS SET FORTH IN THE BYLAWS. - GUARANTEES BY THE CORPORATION OF THE DEBT OF AND OTHER MATTERS AROUND THE ASSUMPTION OR CREATION OF DEBT OR LEASES OVER CERTAIN THRESHOLDS AS SET FORTH IN THE BYLAWS. THERE ARE ALSO SOME RESERVED POWERS FOR THE MEMBERS WHICH SHALL BE EFFECTUATED IN ACCORDANCE WITH THE VOTING REQUIREMENTS IN THE MSAH BYLAWS. THIS INCLUDES APPROVAL OF THE SALE OR RELOCATION OF THE REAL ESTATE AND RELOCATION OF THE MSAH'S FACILITIES. ENSURING COMPLIANCE WITH CERTAIN AGREEMENTS AND FUND DIRECTIVES AND PROVIDING FINAL APPROVAL OF OPERATING AND CAPITAL BUDGETS. FORM 990, PART VI, SECTION A, LINE 7B SEE 7A DISCLOSURE 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 FORM 990 RETURN IS E-MAILED TO THE BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS SHALL IN NO WAY PERMIT THEIR POSITIONS ON THE BOARD IN RELATION TO THEIR PERSONAL BUSINESS OR WHERE THEIR PARTICIPATION COULD GIVE RISE TO A VIOLATION OF LAW, TO CONFLICT WITH THE CORPORATION'S ACTIVITIES. IN FURTHERANCE OF THE FOREGOING, EACH DIRECTOR SHALL SIGN A STATEMENT, ON A FORM TO BE ADOPTED BY THE BOARD, WHEREBY HE OR SHE SHALL AGREE TO DISCLOSE, AT ANY TIME AND FROM TIME TO TIME, ALL SUCH CONFLICTS. IN ADDITION, THE BOARD OF DIRECTORS SHALL TAKE THE FOLLOWING STEPS IN THE EVENT IT CONSIDERS ENTERING INTO ANY TRANSACTION OR CONTRACT WITH AN ENTITY OR INDIVIDUAL IN WHICH A DIRECTOR HAS AN INTEREST: A. WHERE A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED, SUCH PERSON SHALL NOT VOTE ON SUCH CONTRACT OR TRANSACTION; B. AN INTERESTED DIRECTOR MAY BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING WHERE THE CONTRACT OR TRANSACTION IS UNDER DISCUSSION OR IS BEING VOTED UPON; PROVIDED THAT A QUORUM OF THE VOTING DIRECTORS THEN IN OFFICE ARE PRESENT AT THE MEETING AND THE MATTER SUBMITTED TO A VOTE OF THE BOARD WAS AUTHORIZED BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE BOARD WITHOUT COUNTING THE VOTE OF THE INTERESTED DIRECTOR; AND C. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE ABSTENTION FROM VOTING, THE IDENTITIES OF THOSE DIRECTORS PRESENT FOR THE DISCUSSION AND VOTE, THE CONTENT OF THE DISCUSSION, AND ANY ROLL CALL ON THE VOTE. 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 LTC NURSING SERVICES: PROGRAM SERVICE EXPENSES 70,649. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,649. LABORATORY - TESTING SERVICES: PROGRAM SERVICE EXPENSES 1,095,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,095,195. OPERATING ROOM SERVICES: PROGRAM SERVICE EXPENSES 1,722,954. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,722,954. EMERGENCY ROOM SERVICES: PROGRAM SERVICE EXPENSES 805,356. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 805,356. ST IGNACE RHC CLINIC SERVICES: PROGRAM SERVICE EXPENSES 869,329. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 869,329. INFORMATION TECHNOLOGY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,164,601. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,164,601. OTHER FEES: PROGRAM SERVICE EXPENSES 2,881,073. MANAGEMENT AND GENERAL EXPENSES 1,557,881. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,438,954. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE -732,675. MACKINAC STRAITS HEALTH FOUNDATION 1140 N STATE STREET ST IGNACE MI 49781 465296565 FOUNDATION MI 501(C)(3) LINE 12B, II N/A 0 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 MACKINAC STRAITS HEALTH FOUNDATION 0 STRAITS AREA PHARMACY INC 1140 N STATE STREET ST IGNACE MI 49781 813168928 RETAIL PHARMACY MI MACKINAC STRAITS HEALTH SYSTEM C 1098342 1708647 1.00000 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 STRAITS AREA PHARMACY A 35260 FMV STRAITS AREA PHARMACY Q 745931 FMV