2023-02-14T10:51:15-06:00 2022-03-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2021-04-01 465296565 MACKINAC STRAITS HEALTH FOUNDATION MACK 9066430443 1140 N STATE STREET SAINT IGNACE MI 497811048 MICHAEL GRISDALE DIRECTOR 9066430443 2023-02-14 1 MICHAEL GRISDALE 999009999 TERRI REXRODE CPA MST P00096513 9206620016 2023-02-14 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z MICHAEL GRISDALE 1140 N STATE STREET SAINT IGNACE MI 497811048 773178 0 X MACKINACSTRAITSHEALTH.ORG X 2013 MI TO PROVIDE SUPPORT TO MACKINAC STRAITS HEALTH SYSTEM IN ORDER TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES. 9 9 0 10 0 0 177700 575757 0 0 627 1306 106508 79959 284835 657022 28423 69389 0 0 0 0 15638 14900 14900 10067 10419 54128 94708 230707 562314 721117 1384829 0 0 721117 1384829 THE ORGANIZATION'S PURPOSE IS TO SUPPORT MACKINAC STRAITS HEALTH SYSTEM IN ORDER TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES. 0 0 69389 69389 0 THE ORGANIZATION'S PURPOSE IS TO SUPPORT MACKINAC STRAITS HEALTH SYSTEM IN ORDER TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES. 69389 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 1 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X MICHAEL GRISDALE 9066430443 1140 N STATE STREET SAINT IGNACE MI 497811048 KAREN CHEESEMAN TRUSTEE/MSHS CEO 0.70 43.00 X 0 219327 25847 JAMES R NORTH CHAIRMAN 0.70 4.00 X X 0 0 0 MARGARET DOUD VICE CHAIR 0.70 4.00 X X 0 0 0 WESLEY H MAURER JR SECRETARY 0.70 X X 0 0 0 PRENTISS M BROWN TREASURER 0.70 4.00 X X 0 0 0 STEVE AUTORE TRUSTEE 0.70 4.00 X 0 0 0 PATTI ANN MOSKWA TRUSTEE 0.70 X 0 0 0 DIANE POSTLER-SLATTERY TRUSTEE/MMH (THRU DEC) 0.70 X 0 0 0 GREG ROGERS TRUSTEE/MMH 0.70 4.00 X 0 0 0 ELIZABETH TURF TRUSTEE 0.70 X 0 0 0 MICHAEL GRISDALE EXECUTIVE DIRECTOR 18.00 X 0 58674 24778 0 278001 50625 0 0 1 0 0 575757 575757 1306 1306 183411 116156 67255 67255 11804 0 11804 11804 900 900 900 657022 0 0 81265 69389 69389 2150 2150 14900 14900 2114 2114 1642 1642 4050 4050 110 110 268 268 85 85 94708 69389 10419 14900 697617 1279831 23500 104998 721117 1384829 0 0 X 721117 1384829 721117 1384829 721117 1384829 562314 101398 0 X 0 1 X 0 0 X X X 1 MACKINAC STRAITS HEALTH SYSTEM INC 208756459 3 1 69389 0 1 69389 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART IV, SECTION A, LINE 1 PER FORM 1023, APPLICATION FOR RECOGNITION OF EXEMPTION, MACKINAC STRAITS HEALTH FOUNDATION'S SUPPORTED ORGANIZATION IS MACKINAC STRAITS HEALTH SYSTEM ("MSHS"), AN ORGANIZATION DESCRIBED UNDER SECTION 501(C ) (3) OF THE CODE AND EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(A) OF THE CODE. MSHS IS A HEALTH CARE SYSTEM THAT PROVIDES HEALTH CARE TO THE RESIDENTS OF MACKINAC COUNTY, MICHIGAN. THE PURPOSE OF THE FOUNDATION IS TO BE OPERATED FOR THE SUPPORT OF NONPROFIT ORGANIZATIONS THAT PROVIDE HEALTH CARE TO RESIDENTS OF MACKINAC COUNTY. SCHEDULE A, PART IV, SECTION C, LINE 1 THE BOARD OF DIRECTORS OF THIS ORGANIZATION (SUPPORTING ORGANIZATION) ARE COMPRISED OVER 50 PERCENT BY DIRECTORS OF THE SUPPORTED ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED GOLF 101522 101522 40883 16624 HOOPING FOR A CURE 42534 42534 4845 16007 6 39355 39355 5240 32557 183411 183411 4845 5240 40883 65188 116156 67255 1 MACKINAC STRAITS HEALTH SYSTEM 1140 N STATE STREET ST IGNACE MI 49781 208756459 501(C)(3) 69389 0 GRANTS PAID FOR GENERAL OPERATING EXPENSES. 1 0 PART I, LINE 2: AS FUNDS ARE RECEIVED, THERE IS A VALUATION OF PROJECTS THAT MACKINAC STRAITS HEALTH SYSTEM (OUR SUPPORTED ORGANIZATION) IS SEEKING SUPPORT FOR. THE BOARD OF DIRECTORS DETERMINES WHAT AMOUNT SHOULD BE GIVEN FOR EACH REQUEST. 0 0 0 0 0 0 0 0 0 KAREN CHEESEMAN TRUSTEE/MSHS CEO 0 207723 0 0 0 11604 0 0 0 25847 0 245174 0 0 WESLEY MAUER BOARD MEMBER 11440 ADVERTISING 0 FORM 990, PART VI, SECTION A, LINE 2 MSH FOUNDATION'S COORDINATOR, KIMBERLY NORTH IS THE WIFE OF MSH FOUNDATION'S CHAIRMAN JAMES NORTH FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE OCTOBER 1, 2021, MACKINAC STRAITS HEALTH FOUNDATION, INC. AND MYMICHIGAN HEALTH BECAME 60% AND 40%, RESPECTIVELY, CORPORTATE MEMBERS OF MACKINAC STRAITS AREA HEALTH. THE ARTICLES OF INCORPORATION WERE UPDATED TO REFLECT THE UPDATED OWNERSHIP. FORM 990, PART VI, SECTION A, LINE 8B THIS ORGANIZATION DOES NOT CURRENTLY HAVE ANY COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS DISTRIBUTED TO THE FOUNDATION BOARD DURING THE MONTHLY BOARD MEETING PRIOR TO THE 990 BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS, TOP MANAGERS AND KEY EMPLOYEES OF THE FOUNDATION. EACH DIRECTOR, OFFICER, TOP MANAGER, KEY EMPLOYEE AND ANY INDIVIDUAL HAVING POWERS OR RESPONSIBILITIES SIMILAR TO OFFICERS OR DIRECTORS SIGNS A ANNUAL CONFLICT OF INTEREST POLICY. IF A CONFLICT OF INTEREST ARISES IT IS DISCLOSED TO THE BOARD AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS. AFTER DISCLOSURE AND DISCUSSION, THE INTERESTED PERSON LEAVES THE BOARD OR COMMITTEE MEETING WHILE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION WILL MAKE ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST ONLY. MACKINAC STRAITS HEALTH SYSTEM INC 1140 N STATE STREET ST IGNACE MI 49781 208756459 HOSPITAL MI 501(C)(3) LINE 3 MACKINAC STRAITS AREA HEALTH 0 MACKINAC STRAITS AREA HEALTH 1140 N STATE STREET ST IGNACE MI 49781 472021925 STRATEGIC SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II N/A 0 STRAITS AREA PHARMACY INC 1140 N STATE STREET ST IGNACE MI 49781 813168928 RETAIL PHARMACY MI N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0