2019-02-14T14:50:27-06:00 2018-03-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2017-04-01 208756459 MACKINAC STRAITS HEALTH SYSTEM INC MACK 9066438585 1140 N STATE STREET ST IGNACE MI 49781 JASON ANDERSON CFO 9066438585 2019-02-11 1 TERRI REXRODE CPA MST P00096513 9206620016 2019-02-11 74.87.127.216 2019-02-11 11:37:38 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A43ECD1EE6AF4781A69F6BFA161A98BDE8FA2C07 2017 2019-02-21 02:37:17Z JASON ANDERSON 1140 N STATE STREET ST IGNACE MI 49781 47354354 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. 11 8 369 20 20568 -76878 598179 868029 39403985 44383080 29500 -19447 2098878 2093329 42130542 47324991 0 0 0 0 19422645 21692546 0 0 0 22430921 24063585 41853566 45756131 276976 1568860 42819542 44273471 65555007 66085885 -22735465 -21812414 PROVIDING QUALITY HEALTHCARE TO THE FAMILIES AND COMMUNITIES WE SERVE. 0 0 42656982 46176614 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. 42656982 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 0 0 0 0 0 0 0 0 1 0 0 0 1 46 0 369 1 1 1 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JASON ANDERSON 9066438585 1140 N STATE STREET ST IGNACE MI 49781 CHRISTINE MCPHERSON CHAIRPERSON 1.00 3.00 X X 0 0 0 DR CARL HAWKINS BOARD MEMBER/POST-CHIEF OF 40.00 3.00 X 114089 0 16644 DR EDWARD SMITH BOARD MEMBER/CHIEF OF STAF 40.00 3.00 X 384942 0 21962 JAMES NORTH TREASURER 1.00 3.70 X X 0 0 0 MARGARET DOUD SECRETARY 1.00 3.70 X 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 PRENTISS BROWN BOARD MEMBER 1.00 3.70 X 0 0 0 RICHARD SMITH BOARD MEMBER 1.00 3.00 X 0 0 0 STEVE AUTORE VICE CHAIR 1.00 3.70 X X 0 0 0 TODD HARBURN DO BOARD MEMBER/PHYSICIAN 40.00 3.00 X 212083 0 17494 JASON ANDERSON CFO 40.00 3.00 X 107792 0 20462 RODNEY NELSON - TERMED CEO 40.00 3.00 X 103387 0 9947 KAREN CHEESEMAN CEO 40.00 3.70 X 156333 0 21462 AMY BOLMER PHYSICIAN 40.00 X 259684 0 7542 DR MATTHEW BOWES PHYSICIAN 40.00 X 370388 0 20462 RODERICK BALTZER PHYSICIAN 40.00 X 264365 0 8006 SUSAN STRICH PHYSICIAN 40.00 X 423576 0 20462 GREGORY HESSLER PHYSICIAN 40.00 X 232954 0 2308 2629593 0 166751 23 0 1 0 UNIMED MOBILE MRI LLC PO BOX 19532 IRVINE CA 92623 MRI SERVICES 388750 TOM TIETJEN 859 SURRY ROAD PETOSKEY MI 49770 PHYSICIAN SERVICES 284716 PETER LEVANOVICH 7336 PRESERVE COURT PETOSKEY MI 49770 CARDIOLOGY SERVICES 152400 NI2 HEALTH LLC 1724 34TH DR SE BOTHELL WA 98012 REVENUE CYCLE CONSULTANT 146609 WIPFLI LLP PO BOX 3160 MILWAUKEE WI 53201 ACCOUNTING SERVICES 140450 5 529082 338947 868029 PATIENT REVENUE 900099 43197004 43080858 116146 QAAP REVENUE 900099 1152983 1152983 AFFILIATE RENTAL REVENUE 900099 20568 20568 MOB RENTAL REVENUE 900099 12525 12525 44383080 313 313 9603 29363 -19760 -19760 -19760 TAX LEVY 900099 1225803 1225803 MEANINGFUL USE INCENTIVE 900099 520191 520191 LEASED EMPLOYEE INCOME 900099 184254 184254 163081 163081 2093329 47324991 46176614 20568 259780 X 1186596 767214 419382 14030242 13212916 817326 1239847 1142618 97229 4151806 3869625 282181 1084055 999043 85012 109222 108312 910 110509 110509 6113807 5491797 622010 80001 80001 7694061 7680785 13276 1819316 1818788 528 114024 96170 17854 45154 33124 12030 2085376 2085376 2757060 2757060 180451 180451 BAD DEBT EXPENSE 1707825 1707825 QAAP TAXES PAID 722314 722314 MINOR EQUIPMENT 185333 185333 DUES & SUBSCRIPTIONS 102269 101165 1104 236863 228870 7993 45756131 42656982 3099149 0 681823 435199 58552 1078303 3021805 5000091 441000 482000 1032540 978848 214420 274775 54781163 18756908 37355741 36024255 13661 0 42819542 44273471 3457567 3723674 1245302 763250 53576882 52372351 7275256 9226610 65555007 66085885 X -22764665 -21841948 29200 29534 -22735465 -21812414 42819542 44273471 X 1568860 -645809 X X 0 1 X 1 0 X 0 25444 4388 21056 0 1200000 1200000 39217308 11653892 27563416 2532302 1123111 1409191 11796887 5979905 5816982 34666 34666 36024255 AMOUNTS PAYABLE TO THIRD PARTIES 2031918 PENSION LIABILITY 7173636 PATIENT TRUST SAVINGS 21056 9226610 44830680 -1965229 -1965229 46795909 529082 529082 47324991 43705649 111137 111137 43594512 2161619 2161619 45756131 PART XI, LINE 2D - OTHER ADJUSTMENTS: QAAP PAYMENTS -722,314. BAD DEBT EXPENSE -1,707,825. FOUNDATION REVENUE 207,630. SAP REVENUE 265,282. OTHER REVENUE NETTED WITH EXPENSE -7,658. RESTRICTED CONTRIBUTIONS RECORDED TO NET ASSETS -344. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANT FROM FOUNDATION 529,082. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION EXPENSES 111,137. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 1,707,825. QAAP PAYMENTS 722,314. SAP EXPENSES -276,178. OTHER REVENUE NETTED WITH EXPENSE 7,658. 1 1 X 1 X 1 X 1 0 0 236993 236993 0.00540 4110190 2389443 1720747 0.03910 4347183 2389443 1957740 0.04450 5990 5990 0.00010 284049 284049 0.00640 695207 310321 384886 0.00870 5512 5512 0.00010 990758 310321 680437 0.01530 5337941 2699764 2638177 0.05980 0 1124176 11805829 12033355 -227526 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 15 1 0 0 1 X HTTP://MACKINACSTRAITSHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.HTML X 1 15 1 HTTP://MACKINACSTRAITSHEALTH.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.HTML 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X 1 X HTTP://MACKINACSTRAITSHEALTH.ORG/PATIENT-RESOURCES.HTML X HTTP://MACKINACSTRAITSHEALTH.ORG/PATIENT-RESOURCES.HTML X HTTP://MACKINACSTRAITSHEALTH.ORG/PATIENT-RESOURCES.HTML 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 11: THE FOLLOWING NEEDS WERE IDENTIFIED DURING THE CHNA CONDUCTED IN MARCH 2016 (TAX YEAR 2015): MENTAL HEALTH AND SUBSTANCE ABUSE, ACCESS TO PHARMACY, COST OF CARE, OBESITY/DIABETES, AND TRANSPORTATION. MENTAL HEALTH AND SUBSTANCE ABUSE: A LARGE AMOUNT OF RESOURCES OF THE COMMUNITY TASK FORCE CONTINUES TO BE DIRECTED TOWARDS MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES INCLUDING COLLABORATING WITH NEW TREATMENT FACILITY ON SUBSTANCE ABUSE ISSUES AND PROVIDING COMMUNITY AWARENESS BY UTILIZING MARKETING SERVICES. ACCESS TO PHARMACY: CONTINUED GROWTH OF THE 340B PROGRAM CURRENTLY IN PLACE COUPLED WITH NEW RETAIL PHARMACY OPENING ITS DOORS DURING THE YEAR. COST OF CARE: UPDATED WEBSITE WHICH HIGHLIGHTS CHARITY CARE PROGRAM AND IMPROVES EASE OF APPLICATION. OBESITY/DIABETES: INCREASE IN DEVELOPMENT AND IMPROVEMENT OF DIABETES EDUCATION PROGRAM WHICH FOCUSES ON HEALTHY EATING HABITS. TRANSPORTATION: SYSTEM RESOURCES CONTINUE TO BE LIMITED AS TO THE IMPACT THAT CAN BE MADE IN THIS AREA OF CONCERN. 3 1 - MACKINAW CITY MEDICAL CLINIC 580 SOUTH NICOLET ST MACKINAW CITY MI 49701 PHYSICIAN OFFICE 2 - MACKINAC ISLAND MEDICAL CLINIC 7474 MARKET STREET MACKINAC ISLAND MI 49757 EMERGENCY ROOM & PHYSICIAN OFFICE 3 - RIVERTOWN MEDICAL CENTER 920 SOUTH HURON STREET CHEBOYGAN MI 49721 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 I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,707,825. 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 DR EDWARD SMITH BOARD MEMBER/CHIEF OF STAF 327682 0 57260 0 0 0 0 0 21962 0 406904 0 0 0 TODD HARBURN DO BOARD MEMBER/PHYSICIAN 204674 0 0 0 7409 0 0 0 17494 0 229577 0 0 0 KAREN CHEESEMAN CEO 153044 0 0 0 3289 0 0 0 21462 0 177795 0 0 0 AMY BOLMER PHYSICIAN 248500 0 0 0 11184 0 0 0 7542 0 267226 0 0 0 DR MATTHEW BOWES PHYSICIAN 369607 0 781 0 0 0 0 0 20462 0 390850 0 0 0 RODERICK BALTZER PHYSICIAN 247955 0 0 0 16410 0 0 0 8006 0 272371 0 0 0 SUSAN STRICH PHYSICIAN 414357 0 0 0 9219 0 0 0 20462 0 444038 0 0 0 GREGORY HESSLER PHYSICIAN 226024 0 0 0 6930 0 0 0 2308 0 235262 0 0 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 PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,387,617. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,387,617. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 334,830. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 334,830. NURSING SERVICES: PROGRAM SERVICE EXPENSES 498,420. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 498,420. SURGERY SERVICES: PROGRAM SERVICE EXPENSES 305,037. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 305,037. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 302,694. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,694. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 87,551. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,551. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 53,381. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,381. CLINIC SERVICES: PROGRAM SERVICE EXPENSES 64,836. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,836. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 69,104. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,104. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 164,949. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,949. INFORMATION TECHNOLOGY SERVICES: PROGRAM SERVICE EXPENSES 907,271. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 907,271. RISK MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 10,733. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,733. MATERIALS MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 19,800. MANAGEMENT AND GENERAL EXPENSES 33,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,550. MISCELLANEOUS SERVICES: PROGRAM SERVICE EXPENSES 16,802. MANAGEMENT AND GENERAL EXPENSES 7,182. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,984. ONCOLOGY SERVICES: PROGRAM SERVICE EXPENSES 61,361. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,361. FISCAL & ADMINISTRATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 435,999. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 435,999. HUMAN RESOURCES SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 112,061. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,061. EDCUATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,018. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,018. MEDICAL RECORDS SERVICES: PROGRAM SERVICE EXPENSES 207,411. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 207,411. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE -641,902. CHANGE IN INTEREST IN FOUNDATION -3,907. FORM 990, PART XI, LINE 2C THE AUDITED FINANCIAL STATEMENTS ARE PRESENTED TO THE MACKINAC STRAITS HEALTH SYSTEM FINANCE COMMITTEE AND RECOMMENDATIONS ARE TAKEN TO THE MACKINAC STRAITS HEALTH SYSTEM BOARD OF DIRECTORS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MACKINAC STRAITS AREA HEALTH 1140 NORTH STATE STREET ST IGNACE MI 49781 472021925 SUPPORT MACKINAC STRAITS HEALTH SYSTEM MI 501(C)(3) LINE 12B, II N/A 0 MACKINAC STRAITS HEALTH FOUNDATION 1140 NORTH 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 N/A C 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 529082 FMV STRAITS AREA PHARMACY J 20568 FMV STRAITS AREA PHARMACY Q 184254 FMV