MACKINAC STRAITS HEALTH FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MACKINAC STRAITS HEALTH FOUNDATION (EIN 46-5296565)
Tax period
2019-04-01 to 2020-03-31
Filed
2021-02-02
IRS object ID
202100339349301100
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-02-02T10:25:27-06:00ReturnTs
Tax Period End2020-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543072237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN465296565EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MACKINAC STRAITS HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMACKBusinessNameControlTxt
Phone9066438585PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11140 N STATE STREETAddressLine1Txt
CitySAINT IGNACECityNm
State AbbreviationMIStateAbbreviationCd
ZIP497811048ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL GRISDALEPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone9066438585PhoneNum
Signature2021-01-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI REXRODE CPA MSTPreparerPersonNm
PTINP00096513PTIN
Phone9206620016PhoneNum
Preparation2021-01-27PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL GRISDALEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11140 N STATE STREETAddressLine1Txt
CitySAINT IGNACECityNm
State AbbreviationMIStateAbbreviationCd
ZIP497811048ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$291,431GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMACKINACSTRAITSHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO PROVIDE SUPPORT TO MACKINAC STRAITS HEALTH SYSTEM IN ORDER TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$97,284PYContributionsGrantsAmt
CY Contributions Grants$91,512CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$20,064PYInvestmentIncomeAmt
CY Investment Income$14,747CYInvestmentIncomeAmt
PY Other Revenue$45,302PYOtherRevenueAmt
CY Other Revenue$85,640CYOtherRevenueAmt
PY Total Revenue$162,650PYTotalRevenueAmt
CY Total Revenue$191,899CYTotalRevenueAmt
PY Grants And Similar Paid$43,041PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$546,051CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$14,400PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$15,713CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$18,729CYTotalFundraisingExpenseAmt
PY Other Expenses$10,081PYOtherExpensesAmt
CY Other Expenses$11,392CYOtherExpensesAmt
PY Total Expenses$67,522PYTotalExpensesAmt
CY Total Expenses$573,156CYTotalExpensesAmt
PY Revenues Less Expenses$95,128PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$381,257CYRevenuesLessExpensesAmt
Total Assets BOY$871,667TotalAssetsBOYAmt
Total Assets EOY$490,410TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$871,667NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$490,410NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION'S PURPOSE IS TO SUPPORT MACKINAC STRAITS HEALTH SYSTEM IN ORDER TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$546,051ExpenseAmt
Grant$546,051GrantAmt
DescTHE ORGANIZATION'S PURPOSE IS TO SUPPORT MACKINAC STRAITS HEALTH SYSTEM IN ORDER TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES.Desc
Total Program Service Expenses$546,051TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL GRISDALEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9066438585PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11140 N STATE STREETAddressLine1Txt
CitySAINT IGNACECityNm
State AbbreviationMIStateAbbreviationCd
ZIP497811048ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
KAREN CHEESEMAN
BOARD MEMBER/MSHS CEO0.7040.00Yes (X)$0$196,110$22,752
MICHAEL GRISDALE
EXECUTIVE DIRECTOR18.00$0$56,779$19,252Yes (X)
JAMES R NORTH
PRESIDENT/CHAIRMAN0.704.00Yes (X)$0$0$0Yes (X)
MARGARET DOUD
VICE CHAIR0.704.00Yes (X)$0$0$0Yes (X)
WESLEY H MAURER JR
SECRETARY0.70Yes (X)$0$0$0Yes (X)
PRENTISS M BROWN III
TREASURER0.704.00Yes (X)$0$0$0Yes (X)
STEVE AUTORE
BOARD MEMBER0.70Yes (X)$0$0$0
KENNETH HAYWARD
BOARD MEMBER0.70Yes (X)$0$0$0
PATTI ANN MOSKWA
BOARD MEMBER0.70Yes (X)$0$0$0
ELIZABETH TURF
BOARD MEMBER0.70Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$252,889TotReportableCompRltdOrgAmt
Total Other Compensation$42,004TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$91,512AllOtherContributionsAmt
Total Contributions$91,512TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,747TotalRevenueColumnAmt
Exclusion$14,747ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$177,141FundraisingGrossIncomeAmt
Fundraising Direct Expenses$99,532FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,609TotalRevenueColumnAmt
Exclusion$77,609ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$8,031GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,031TotalRevenueColumnAmt
Exclusion$8,031ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$191,899TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$100,387ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$546,051TotalAmt
Program Services$546,051ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,000TotalAmt
Management And General$2,000ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$15,713TotalAmt
Fundraising$15,713FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$825TotalAmt
Management And General$825ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$428TotalAmt
Management And General$428ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,825TotalAmt
Management And General$4,825ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$298TotalAmt
Management And General$298ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescFUNDRAISING EXPENSESDesc
Total$3,016TotalAmt
Fundraising$3,016FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$573,156TotalAmt
Program Services$546,051ProgramServicesAmt
Management And General$8,376ManagementAndGeneralAmt
Fundraising$18,729FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$752,665BOYAmt
EOY$472,956EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$119,002BOYAmt
EOY$17,454EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$871,667BOYAmt
EOY$490,410EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$871,667BOYAmt
EOY$490,410EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$871,667BOYAmt
EOY$490,410EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$871,667BOYAmt
EOY$490,410EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$381,257ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MACKINAC STRAITS HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN208756459EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$546,051SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$546,051SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Total$2TotalAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported Org0MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION A, LINE 1PER 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 1THE BOARD OF DIRECTORS OF THIS ORGANIZATION (SUPPORTING ORGANIZATION) ARE COMPRISED OVER 50 PERCENT BY DIRECTORS OF THE SUPPORTED ORGANIZATION.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty0AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1KENNARI CONSULTINGBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 HALL STREET SUITE 309AddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49534ZIPCd
FieldValueIRS element (for citing)
ActivityCONSULTING FIRMActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$0GrossReceiptsAmt
Retained By Contractor$15,713RetainedByContractorAmt
Net To Organization-$15,713NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Retained By Contractors$15,713TotalRetainedByContractorsAmt
Total Net To Organization-$15,713TotalNetToOrganizationAmt
Licensed StatesMILicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HOOPING FOR A CUREEvent1Nm
Gross Receipts Event1$39,790GrossReceiptsEvent1Amt
Gross Revenue Event1$39,790GrossRevenueEvent1Amt
Other Direct Expenses Event1$9,115OtherDirectExpensesEvent1Amt
Event2GOLFEvent2Nm
Gross Receipts Event2$82,249GrossReceiptsEvent2Amt
Gross Revenue Event2$82,249GrossRevenueEvent2Amt
Non Cash Prizes Event2$1,200NonCashPrizesEvent2Amt
Rent Facility Costs Event2$9,676RentFacilityCostsEvent2Amt
Food And Beverage Event2$32,098FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$7,755OtherDirectExpensesEvent2Amt
Other Events Total7OtherEventsTotalCnt
Gross Receipts Other Events$55,102GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$55,102GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$39,688OthDirectExpnssOtherEventsAmt
Gross Receipts Total$177,141GrossReceiptsTotalAmt
Gross Revenue Total Events$177,141GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,200NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$9,676RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$32,098FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$56,558OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$99,532DirectExpenseSummaryEventsAmt
Net Income Summary$77,609NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MACKINAC STRAITS HEALTH SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11140 N STATE STREETAddressLine1Txt
CityST IGNACECityNm
State AbbreviationMIStateAbbreviationCd
ZIP49781ZIPCd
FieldValueIRS element (for citing)
Recipient EIN208756459RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$546,051CashGrantAmt
Purpose Of GrantGRANTS PAID FOR GENERAL OPERATING EXPENSES.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
SCHEDULE I, PART I, LINE 2AS 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonKAREN CHEESEMANPersonNm
TitleBOARD MEMBER/MSHS CEOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$186,500CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$9,610OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$22,752NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$218,862TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHIS 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 11BTHE 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 12CTHE 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 19THE FOUNDATION WILL MAKE ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST ONLY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MACKINAC STRAITS HEALTH SYSTEM INC
1140 N STATE STREETST IGNACEMI49781208756459HOSPITALMI501(C)(3)LINE 3MACKINAC STRAITS AREA HEALTH0
MACKINAC STRAITS AREA HEALTH
1140 N STATE STREETST IGNACEMI49781472021925STRATEGIC SUPPORTING ORGANIZATIONMI501(C)(3)LINE 12B, II0N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1STRAITS AREA PHARMACY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11140 N STATE STREETAddressLine1Txt
CityST IGNACECityNm
State AbbreviationMIStateAbbreviationCd
ZIP49781ZIPCd
FieldValueIRS element (for citing)
EIN813168928EIN
Primary ActivitiesRETAIL PHARMACYPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line11BusinessNameLine1Txt

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