MACKINAC STRAITS HEALTH SYSTEM INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MACKINAC STRAITS HEALTH SYSTEM INC (EIN 20-8756459)
- Tax period
- 2009-04-01 to 2010-03-31
- Filed
- 2011-02-14
- IRS object ID
- 201120459349301302
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-02-14T13:12:30-06:00 | Timestamp |
| Tax Period End Date | 2010-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1 |
| City | GREEN BAY | City |
| State | WI | State |
| ZIP Code | 543072237 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208756459 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MACKINAC STRAITS HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MACK | NameControl |
| Phone | 9066438585 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 BURDETTE STREET | AddressLine1 |
| City | ST IGNACE | City |
| State | MI | State |
| ZIP Code | 49781 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JASON ANDERSON | Name |
| Title | CFO | Title |
| Phone | 9066438585 | Phone |
| Date Signed | 2011-02-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Terri Rexrode CPA MST | Name |
| Phone | 9206620016 | Phone |
| Date Prepared | 2011-02-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JASON ANDERSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 BURDETTE STREET | AddressLine1 |
| City | ST IGNACE | City |
| State | MI | State |
| ZIP Code | 49781 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 23152731 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.macinacstraitshealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 276 | TotalNbrEmployees |
| Total Nbr Volunteers | 55 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 625604 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 206932 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 14582899 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 22745905 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6485 | InvestmentIncomePriorYear |
| Investment Income Current Year | 746 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 842315 | OtherRevenuePriorYear |
| Other Revenue Current Year | 137828 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 16057303 | TotalRevenuePriorYear |
| Total Revenue Current Year | 23091411 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9662306 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13970032 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 32135 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6153637 | OtherExpensePriorYear |
| Other Expenses Current Year | 9385324 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 15815943 | TotalExpensesPriorYear |
| Total Expenses Current Year | 23355356 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 241360 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -263945 | RevenuesLessExpensesCY |
| Total Assets BOY | 40897659 | TotalAssetsBOY |
| Total Assets EOY | 47822221 | TotalAssetsEOY |
| Total Liabilities BOY | 40557214 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 46832945 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 340445 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 989276 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDING LOCAL ACCESS AND QUALITY HEALTHCARE TO THE FAMILIES AND COMMUNITIES WE SERVE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 21492279 | Expense |
| Revenue | 21831791 | Revenue |
| Description | 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. THEY PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, EMERGENCY, AND PHYSICIAN SERVICES TO THE RESIDENTS OF MACKINAC COUNTY AND THE SURROUNDING AREAS. | Description |
| Total Program Service Expense | 21492279 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 303 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 276 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JASON ANDERSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9066438585 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 BURDETTE STREET | AddressLine1 |
| City | ST IGNACE | City |
| State | MI | State |
| ZIP Code | 49781 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Ronald Mitchell | ||||||||
| ChaIRman | 1.00 | X | 0 | 0 | 0 | |||
| Fred Paquin | ||||||||
| Vice Chair | 1.00 | X | 0 | 0 | 0 | |||
| Margaret Doud | ||||||||
| Treasurer/Secretary | 1.00 | X | 0 | 0 | 0 | |||
| Richard Smith | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Walter North | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Patrick Shannon | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Steve Autore | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| RODNEY NELSON | ||||||||
| CEO | 40.00 | 125843 | 0 | 20861 | X | |||
| JASON ANDERSON | ||||||||
| CFO | 40.00 | 66189 | 0 | 15223 | X | |||
| JOHN STEPHENSON | ||||||||
| CHIEF OF STAFF, PHYSICIAN | 40.00 | 188790 | 0 | 0 | X | |||
| JONATHAN SCHUMAKER | ||||||||
| PHYSICIAN | 40.00 | 309762 | 0 | 15223 | X | |||
| EDWARD SMITH | ||||||||
| PHYSICIAN | 40.00 | 166517 | 0 | 0 | X | |||
| ALICE LINDSEY | ||||||||
| PHYSICIAN | 40.00 | 128077 | 0 | 5638 | X | |||
| KAREN MILJOUR | ||||||||
| PHYSICIAN | 40.00 | 161600 | 0 | 12686 | X | |||
| CAROL HAWKINS | ||||||||
| PHYSICIAN | 40.00 | 147799 | 0 | 18323 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1294577 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 87954 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 15197 | FundraisingEvents |
| Government Grants | 73069 | GovernmentGrants |
| All Other Contributions | 118666 | AllOtherContributions |
| Total Contributions | 206932 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Patient Revenue | 900099 | 20764634 | 20764634 | |
| Tax Levy Revenue | 900099 | 1067157 | 1067157 | |
| Other Revenue | 900099 | 914114 | $914,114 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 22745905 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 746 | TotalRevenueColumn |
| Exclusion | $746 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 118181 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 118181 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 118181 | TotalRevenueColumn |
| Exclusion | $118,181 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 79848 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 15197 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 61320 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18528 | TotalRevenueColumn |
| Exclusion | $18,528 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 1119 | GrossIncomeGaming |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1119 | TotalRevenueColumn |
| Exclusion | $1,119 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23091411 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21831791 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,052,688 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 416906 | Total |
| Program Services | 188790 | ProgramServices |
| Management And General | 228116 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9522221 | Total |
| Program Services | 8960352 | ProgramServices |
| Management And General | 561869 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1194458 | Total |
| Program Services | 1098901 | ProgramServices |
| Management And General | 95557 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2082488 | Total |
| Program Services | 2073995 | ProgramServices |
| Management And General | 8493 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 753959 | Total |
| Program Services | 693642 | ProgramServices |
| Management And General | 60317 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49032 | Total |
| Program Services | 49032 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276087 | Total |
| Program Services | 276087 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2019190 | Total |
| Program Services | 1840630 | ProgramServices |
| Management And General | 178560 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98409 | Total |
| Program Services | 98409 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3206083 | Total |
| Program Services | 3195497 | ProgramServices |
| Management And General | 10586 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 814695 | Total |
| Program Services | 808002 | ProgramServices |
| Management And General | 6693 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109431 | Total |
| Program Services | 88677 | ProgramServices |
| Management And General | 20754 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13182 | Total |
| Program Services | 12583 | ProgramServices |
| Management And General | 599 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 269299 | Total |
| Program Services | 269299 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 506153 | Total |
| Program Services | 506153 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176052 | Total |
| Program Services | 176052 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Bad Debt Expense | 929685 | 929685 | ||
| QAAP Taxes Paid | 629804 | 629804 | ||
| Miscellaneous | 234969 | 176915 | 25919 | 32135 |
| Dues and Subscriptions | 53253 | 49578 | 3675 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23355356 | Total |
| Program Services | 21492279 | ProgramServices |
| Management And General | 1830942 | ManagementAndGeneral |
| Fundraising | 32135 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440443 | BOY |
| EOY | 21477 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159131 | BOY |
| EOY | 214586 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2582264 | BOY |
| EOY | 2903877 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 251000 | BOY |
| EOY | 292459 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238960 | BOY |
| EOY | 255728 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120070 | BOY |
| EOY | 150255 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 41933602 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7178868 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15240437 | BOY |
| EOY | 34754734 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21865354 | BOY |
| EOY | 9229105 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40897659 | BOY |
| EOY | 47822221 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4495519 | BOY |
| EOY | 5553403 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000000 | BOY |
| EOY | 1000000 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27985000 | BOY |
| EOY | 27805000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4104216 | BOY |
| EOY | 10400000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2972479 | BOY |
| EOY | 2074542 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40557214 | BOY |
| EOY | 46832945 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 340445 | BOY |
| EOY | 989276 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 340445 | BOY |
| EOY | 989276 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40897659 | BOY |
| EOY | 47822221 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $1,094 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1094 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | The organization belongs to the MHA and pays dues of $7,387. 14.81% or $1,094 of the dues are spent on lobbying purposes. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1213406 | OtherCostOrOtherBasis |
| Book Value | 1213406 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10140469 | OtherCostOrOtherBasis |
| Depreciation | 4151977 | Depreciation |
| Book Value | 5988492 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29859 | OtherCostOrOtherBasis |
| Depreciation | 29859 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3203775 | OtherCostOrOtherBasis |
| Depreciation | 2997032 | Depreciation |
| Book Value | 206743 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27346093 | OtherCostOrOtherBasis |
| Book Value | 27346093 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 34754734 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Unamortized Debt Issue Costs | 1956895 |
| Receivable from Mackinac Island Health Center | 364278 |
| Other Assets | 1149394 |
| Construction fund | 2708695 |
| Debt service reserve | 1465687 |
| restricted investments | 242334 |
| Capitalized interest | 614006 |
| DUE FROM THIRD PARTY PAYORS | 727816 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9229105 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Pension Liability | $1,904,515 |
| Patient Trust Savings | $20,027 |
| Line of Credit | $150,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2074542 | TotalOfAmounts |
| Total Revenue | 23091411 | TotalRevenue |
| Total Expenses | 23355356 | TotalExpenses |
| Excess Or Deficit For Year | -263945 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -9773 | NetUnrealizedGLOnInvestments |
| Other | $922,549 | OtherAmount |
| Total Adjustments | 912776 | TotalAdjustments |
| Excess Or Deficit Per FS | 648831 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 23152731 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 23152731 | RevenueSubtotal |
| Other Revenues Not Included | -61320 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -61320 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 23091411 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 23416676 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 61320 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 61320 | ExpensesNotRptdF990 |
| Expenses Subtotal | 23355356 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 23355356 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | THERE IS NO FOOTNOTE REGARDING THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. |
| Part XI, Line 8 - Other Adjustments: | Change in pension obligation: 922549. | |
| Part XII, Line 4b - Other Adjustments: | FUNDRAISING EXPENSES: -61320. | |
| Part XIII, Line 2d - Other Adjustments: | FUNDRAISING EXPENSES: 61320. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT-2009 | NameOfEvent1 |
| Gross Receipts Event1 | 80788 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 1000 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 79788 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 2608 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 1000 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 48996 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 4028 | OtherDirectExpensesEvent1 |
| Name Of Event2 | HOPING FOR A CURE-2009 | NameOfEvent2 |
| Gross Receipts Event2 | 14257 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 14197 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 60 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 4688 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 95045 | GrossReceiptsTotal |
| Charitable Contributions Total | 15197 | CharitableContributionsTotal |
| Gross Revenue Total Events | 79848 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 2608 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 1000 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 48996 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 8716 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 61320 | DirectExpenseSummaryEvents |
| Net Income Summary | 18528 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 150.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 724800 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 724800 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03230 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4613153 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3687047 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 926106 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04130 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5337953 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3687047 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1650906 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07360 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14771 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14771 | DirectOffsettingRevenue |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4450 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4450 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21221 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14771 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6450 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5359174 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3701818 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1657356 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07390 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $921,129 | BadDebtExpenseAmount |
| Amount Attributable To | 904812 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5212417 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6107710 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -895293 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicy |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Critical Access HospitalCriticalAccessHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|
| Mackinac Straits Health System Inc | ||||||
| 220 Burdette Street | St Ignace | MI | 49781 | X | X | RHC |
| Mackinac Island Medical Clinic | ||||||
| 7474 Market Street | Mackinac Island | MI | 49757 | X | ||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | Part I, Line 7: THE ORGANIZATION UTILIZES A COST TO CHARGE RATIO WHEN CALCULATING THE PERCENTAGE OF CHARITY CARE AND COMMUNITY BENEFIT PERCENTAGES. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: 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.THERE IS NOT A FINANCIAL STATEMENT FOOTNOTE ON BAD DEBT EXPENSE. | PercentOfTotalExpenseExpln |
| Shortfall As Community Benefit | Part III, Line 8: Medicare allowable costs are from the Medicare cost report | ShortfallAsCommunityBenefit |
| General Explanation | SCHEDULE H, PART i, LINE 7, COLUMN (F): THE DENOMINATOR WAS REDUCED BY THE BAD DEBT EXPENSE OF $921,129. | GeneralExplanation |
| Needs Assessment | Part VI, Line 2: Feedback from community members via survey and presentations at local organizations | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Pamplets and other literature and signage | PatientEducationAssistance |
| Community Information | 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. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Provided 24 hour emergency and essential health care services to rural community. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: 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. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: N/A | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN STEPHENSON | |||||||||||||
| 188790 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 188790 | 0 | 0 | 0 |
| JONATHAN SCHUMAKER | |||||||||||||
| 309762 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15223 | 0 | 324985 | 0 | 0 | 0 |
| EDWARD SMITH | |||||||||||||
| 165750 | 0 | 0 | 0 | 767 | 0 | 0 | 0 | 0 | 0 | 166517 | 0 | 0 | 0 |
| KAREN MILJOUR | |||||||||||||
| 161600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12686 | 0 | 174286 | 0 | 0 | 0 |
| CAROL HAWKINS | |||||||||||||
| 147500 | 0 | 0 | 0 | 299 | 0 | 0 | 0 | 18323 | 0 | 166122 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| Mackinac Straits Health System Inc | ||||||
| 208756459 | NONEAVAIL | 2008-09-03 | 24120000 | Construct a new hospital and health care facility | 0 | 0 |
| Mackinac Straits Health System Inc | ||||||
| 208756459 | NONEAVAIL | 2008-09-03 | 2680000 | Construct a new hospital and health care facility | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 24120000 | 4342093 | 1979910 | 17797997 | 2010 | 1 | 0 | 1 | 1 |
| 2680000 | 511247 | 219990 | 1948763 | 2010 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line2NameOfGICProvider/BusinessNameLine2 | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| TRANSAMERICA LIFE | ||||||||
| 0 | 0 | 0 | 1 | INSURANCE COMPANY | 1.833333300000 | 1 | 0 | 1 |
| TRANSAMERICA LIFE | ||||||||
| 0 | 0 | 0 | 1 | INSURANCE COMPANY | 1.833333300000 | 1 | 0 | 1 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | The 990 return is e-mailed to the board members prior to filing with the IRS. | |
| 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. | |
| Form 990, Part XI, Line 2c | Presented to the Finance Committee and recommendations taken to the Board of Directors | Oversight of audit |