2020-02-14T17:13:48-06:00 2019-03-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2018-04-01 465296565 MACKINAC STRAITS HEALTH FOUNDATION MACK 9066438585 1140 N STATE STREET SAINT IGNACE MI 497811048 MICHAEL GRISDALE EXECUTIVE DIRECTOR 9066438585 2020-02-14 1 TERRI REXRODE CPA MST P00096513 9206620016 2020-02-14 74.87.127.216 2020-02-14 07:51:23 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7D2FE2EA17AC540A2D29D4112E82844D375299C1 2018 2020-09-23 17:36:50Z MICHAEL GRISDALE 1140 N STATE STREET SAINT IGNACE MI 497811048 254007 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 8 0 9 0 0 77864 97284 0 0 9054 20064 65868 45302 152786 162650 529082 43041 0 0 0 0 14640 14400 16622 5748 10081 549470 67522 -396684 95128 776539 871667 0 0 776539 871667 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 43041 43041 THE ORGANIZATION'S PURPOSE IS TO SUPPORT MACKINAC STRAITS HEALTH SYSTEM IN ORDER TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES. 43041 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 0 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 8 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X MICHAEL GRISDALE 9066438585 1140 N STATE STREET SAINT IGNACE MI 497811048 STEVE AUTORE BOARD MEMBER 0.70 4.00 X 0 0 0 KEN HAYWARD BOARD MEMBER 0.70 0.00 X 0 0 0 PATTI ANN MOSKWA BOARD MEMBER 0.70 0.00 X 0 0 0 ELIZABETH TURF BOARD MEMBER 0.70 0.00 X 0 0 0 KAREN CHEESEMAN BOARD MEMBER/MSHS CEO 0.70 40.00 X 0 188920 21717 JAMES R NORTH PRESIDENT/CHAIRMAN 0.70 4.00 X X 0 0 0 WESLEY H MAURER JR SECRETARY 0.70 0.00 X X 0 0 0 PRENTISS M BROWN III TREASURER 0.70 4.00 X X 0 0 0 MARGARET DOUD VICE CHAIR 0.70 4.00 X X 0 0 0 MICHAEL GRISDALE EXECUTIVE DIRECTOR 18.00 0.00 X 0 55648 1466 0 244568 23183 0 0 1 0 0 97284 97284 20064 20064 130595 91357 39238 39238 6064 0 6064 6064 162650 0 0 65366 43041 43041 3052 3052 14400 14400 800 800 2075 2075 1932 1932 FUNDRAISING EXPENSES 2222 2222 67522 43041 7859 16622 422200 752665 354339 119002 776539 871667 0 0 X 776539 871667 776539 871667 776539 871667 95128 0 X 0 1 X 0 0 X X X 1 MACKINAC STRAITS HEALTH SYSTEM INC 208756459 3 1 43041 0 1 43041 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 A MAJORITY OF THE BOARD OF DIRECTORS OF THE SUPPORTING ORGANIZATION ARE ON THE SUPPORTED ORGANIZATION'S BOARD OF DIRECTORS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED HOOPING FOR A CURE 29033 29033 9208 GOLF 75527 75527 965 9539 33209 6224 6 26035 26035 32212 130595 130595 965 9539 33209 47644 91357 39238 1 MACKINAC STRAITS HEALTH SYSTEM 1140 N STATE STREET ST IGNACE MI 49781 208756459 501(C)(3) 43041 GRANTS PAID FOR GENERAL OPERATING EXPENSES. 1 0 SCHEDULE I, 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 BOARD MEMBER/MSHS CEO 0 188920 0 0 0 0 0 0 0 21717 0 210637 0 0 SCHEDULE J, PART I, LINE 3 THE PROCESS FOR DETERMINING ALL COMPENSATION IS BASED ON THE MHA ANNUAL COMPENSATION SURVEY. THE COMPENSATION IS THEN REVIEWED BY THE BOARD FOR APPROVAL. 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 NORTH STATE STREET ST IGNACE MI 49781 208756459 HOSPITAL MI 501(C)(3) LINE 3 MACKINAC STRAITS AREA HEALTH 0 MACKINAC STRAITS AREA HEALTH 1140 NORTH 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 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0