2022-02-09T14:08:00-06:00 2021-03-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2020-04-01 208756459 MACKINAC STRAITS HEALTH SYSTEM INC MACK 9066438585 1140 N STATE STREET ST IGNACE MI 49781 RYAN SPEAS CFO 9066438585 2022-02-09 1 RYAN SPEAS 999009999 TERRI REXRODE CPA MST P00096513 9206620016 2022-02-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z RYAN SPEAS 1140 N STATE STREET ST IGNACE MI 49781 58908352 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. 12 8 392 20 35260 0 1261303 5951928 48841547 50908770 5316 35076 2162456 2012578 52270622 58908352 0 0 0 0 23828818 23260853 0 0 0 28200077 30489851 52028895 53750704 241727 5157648 42754641 52539258 66952076 73271609 -24197435 -20732351 PROVIDING QUALITY HEALTHCARE TO THE FAMILIES AND COMMUNITIES WE SERVE. 0 0 45402614 0 52760734 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. 45402614 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 1 0 1 0 0 0 0 0 1 1 1 0 0 1 48 0 392 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X RYAN SPEAS 9066438585 1140 N STATE STREET ST IGNACE MI 49781 MATTHEW BOWES PHYSICIAN 40.00 X 551852 0 24915 SUSAN STRICH CHIEF OF STAFF - ELECT 40.00 X 464482 0 22915 ROBERT SHARON PHYSICIAN 40.00 X 296280 0 22855 GREGORY HESSLER PHYSICIAN 40.00 X 264781 0 24415 AMY BOLMER PHYSICIAN 40.00 X 259307 0 8361 RODERICK BALTZER PHYSICIAN 40.00 X 259265 0 7548 LORETTA LEJA CHIEF OF STAFF 40.00 3.00 X 256241 0 9061 KAREN CHEESEMAN CEO 40.00 3.70 X X 199280 0 23915 RYAN SPEAS CFO 40.00 X 156868 0 9728 CHRISTINE MCPHERSON CHAIRMAN OF BOARD 1.00 3.70 X X 0 0 0 STEVE AUTORE VICE PRESIDENT OF BOARD 1.00 3.70 X X 0 0 0 JAMES NORTH TREASURER OF BOARD 1.00 3.70 X X 0 0 0 MARGARET DOUD SECRETARY OF BOARD 1.00 3.70 X X 0 0 0 EDWARD SMITH CHIEF OF STAFF - POST 1.00 3.00 X 0 0 0 PRENTISS BROWN BOARD MEMBER 1.00 3.70 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 RICHARD SMITH BOARD MEMBER 1.00 X 0 0 0 2708356 0 153713 31 0 1 0 ONCOLOGY SPECIALISTS PLLC 3541 SOUTH M129 SAULT STE MARIE MI 49783 ONCOLOGIST 631293 DANIEL K WILCOX MD PC 3493 LAKESIDE DR N PETOSKEY MI 49770 ORTHOPEDIST 593828 KITCH DRUTCHEAS WAGNER VALITUTTI & SHERB ONE WOODWARD AVE/STE 2400 DETROIT MI 48226 LAW FIRM 420970 UNIMED MOBILE MRI LLC 7647 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 MRI SERVICES 340717 WIPFLI LLP POBOX 3160 MILWAUKEE WI 53201 ACCOUNTING FIRM 305206 5 28423 5672381 251124 5951928 PATIENT REVENUE 900099 48172435 48086654 85781 QAAP REVENUE 900099 1688664 1688664 340B REVENUE 900099 1002434 1002434 AFFILIATED RENTAL REVENUE 900099 35260 35260 MOB RENTAL REVENUE 900099 9977 9977 50908770 35076 35076 TAX LEVY 900099 1319555 1319555 LEASED EMPLOYEE INCOME 900099 653450 653450 PHYSICIAN INCENTIVES 900099 39573 39573 2012578 58908352 52760734 35260 160430 X 1142489 752698 389791 15645123 13493343 2151780 1387265 1196465 190800 3933346 3398012 535334 1152630 994101 158529 123113 123113 106101 106101 10380383 7920790 2459593 84266 84266 106627 73651 32976 1097992 970309 127683 41117 39798 1319 28062 24641 3421 2021947 2021947 2706643 2706643 228588 18117 210471 MEDICAL SUPPLIES 9557433 9401355 156078 BAD DEBT EXPENSE 1334521 1334521 QAAP TAXES PAID 1334282 1334282 REPAIRS AND MAINTENANCE 739679 679255 60424 599097 376968 222129 53750704 45402614 8348090 0 31814 307288 1751828 16096765 5350011 4192946 184000 0 1273578 1457398 199005 207951 56792789 27041813 32131358 29750976 1833047 525934 42754641 52539258 6842104 3376057 17094 16852 49741297 48467619 10351581 21411081 66952076 73271609 X -24227525 -20763365 30090 31014 -24197435 -20732351 42754641 52539258 X 5157648 -1692564 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 17124 272 16852 1 1200000 1200000 39449285 15810561 23638724 2532302 1377621 1154681 13576536 9853631 3722905 34666 34666 29750976 PENSION LIABILITY 10783387 OTHER LIABILITIES 1344251 MEDICARE REFUNDABLE ADVANCE PAYMENTS 6088443 PAYCHECK PROTECTION PROGRAM LOAN PAYABLE 3195000 21411081 56858424 -2021505 -2021505 58879929 28423 28423 58908352 51279335 90638 90638 51188697 2562007 2562007 53750704 PART XI, LINE 2D - OTHER ADJUSTMENTS: QAAP PAYMENTS -1,334,282. BAD DEBT EXPENSE -1,334,521. FOUNDATION REVENUE 362,787. SAP REVENUE 284,511. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANT FROM FOUNDATION 28,423. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION EXPENSES 90,638. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 1,334,521. QAAP PAYMENTS 1,334,282. SAP EXPENSES -106,796. 1 1 X 1 X 1 X 1 0 0 306083 306083 0.00570 5460605 2422746 3037859 0.05650 5766688 2422746 3343942 0.06220 19236 19236 0.00040 323700 323700 0.00600 554955 186713 368242 0.00690 8000 8000 0.00010 905891 186713 719178 0.01340 6672579 2609459 4063120 0.07560 1 4 200 200 0.00000 4 60 600 600 0.00000 1 1 100 100 0.00000 35 75 1500 1500 0.00000 12 12 300 300 0.00000 4 4 1000 1000 0.00000 57 156 3700 3700 0.00000 0 1334521 844879 12397836 12858337 -460501 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 SEE EXPLANATION FOR LINE 7D X X 1 18 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 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: HTTP://MACKINACSTRAITSHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.HTMLPART V, SECTION B, LINE 10A FULL WEBSITE ADDRESS IS: HTTP://MACKINACSTRAITSHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.HTML 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 4 1 - MACKINAC ISLAND MEDICAL CLINIC 7474 MARKET STREET MACKINAC ISLAND MI 49757 EMERGENCY ROOM & PHYSICIAN OFFICE 2 - MACKINAW CITY MEDICAL CLINIC 420 SOUTH NICOLET ST MACKINAW CITY MI 49701 PHYSICIAN OFFICE 3 - RIVERTOWN MEDICAL CENTER 920 SOUTH HURON STREET CHEBOYGAN MI 49721 PHYSICIAN OFFICE 4 - MACKINAC CITY SPECIALTY CLINIC 580 SOUTH NICOLET ST MACKINAC 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, 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 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 MATTHEW BOWES PHYSICIAN 551852 0 0 0 0 0 0 0 24915 0 576767 0 0 0 SUSAN STRICH CHIEF OF STAFF - ELECT 408189 0 0 0 56293 0 0 0 22915 0 487397 0 0 0 ROBERT SHARON PHYSICIAN 296280 0 0 0 0 0 0 0 22855 0 319135 0 0 0 GREGORY HESSLER PHYSICIAN 258013 0 0 0 6768 0 0 0 24415 0 289196 0 0 0 AMY BOLMER PHYSICIAN 248123 0 0 0 11184 0 0 0 8361 0 267668 0 0 0 RODERICK BALTZER PHYSICIAN 248417 0 0 0 10848 0 0 0 7548 0 266813 0 0 0 LORETTA LEJA CHIEF OF STAFF 245281 0 0 0 10960 0 0 0 9061 0 265302 0 0 0 KAREN CHEESEMAN CEO 182742 0 0 0 16538 0 0 0 23915 0 223195 0 0 0 RYAN SPEAS CFO 147103 0 0 0 9765 0 0 0 9728 0 166596 0 0 0 MARY MAURER BOARD MEMBER 10477 ADVERTISING 0 KAREN CHEESEMAN CEO 7442 INSURANCE 0 JIM NORTH BOARD MEMBER 1809 LOAN PAYMENTS 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. FORM 990, PART IX, LINE 11G OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 4,047,118. MANAGEMENT AND GENERAL EXPENSES 655,144. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,702,262. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,218,766. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,218,766. FISCAL & ADMINISTRATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 852,077. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 852,077. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 641,723. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 641,723. CLINIC CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,013,183. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,013,183. INFORMATION TECHNOLOGY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 952,372. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 952,372. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE -1,650,333. CHANGE IN INTEREST IN FOUNDATION -42,231. 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 N/A 0 MACKINAC STRAITS HEALTH FOUNDATION 1140 N 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 MACKINAC STRAITS HEALTH SYSTEM C 1.00000 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 MACKINAC STRAITS HEALTH FOUNDATION C 28423 ACTUAL STRAITS AREA PHARMACY J 35260 FMV STRAITS AREA PHARMACY Q 653450 FMV