2024-02-12T09:12:11-06:00 2023-03-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-04-01 465296565 MACKINAC STRAITS HEALTH FOUNDATION MACK 9066430443 1140 N STATE STREET SAINT IGNACE MI 497811048 MICHAEL GRISDALE DIRECTOR 9066430443 2024-02-09 1 MICHAEL GRISDALE 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-02-05 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL GRISDALE 1140 N STATE STREET SAINT IGNACE MI 497811048 490228 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 575757 269012 0 0 1306 31103 79959 74823 657022 374938 69389 296229 0 0 0 0 14900 16950 16950 10419 7358 94708 320537 562314 54401 1384829 1439230 0 0 1384829 1439230 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 296229 296229 0 THE ORGANIZATION'S PURPOSE IS TO SUPPORT MACKINAC STRAITS HEALTH SYSTEM IN ORDER TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES. 296229 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 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 9 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 MI X MICHAEL GRISDALE 9066430443 1140 N STATE STREET SAINT IGNACE MI 497811048 KAREN CHEESEMAN TRUSTEE/MSHS CEO 0.70 42.00 X 0 255949 47158 MICHAEL GRISDALE EXECUTIVE DIRECTOR 18.00 X 0 60677 24953 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 3.00 X X 0 0 0 STEVE AUTORE TRUSTEE 0.70 3.00 X 0 0 0 PATTI ANN MOSKWA TRUSTEE 0.70 X 0 0 0 BRYAN CROSS TRUSTEE/MMH 0.70 3.00 X 0 0 0 GREG ROGERS TRUSTEE/MMH (THRU NOV 2022) 0.70 3.00 X 0 0 0 ELIZABETH TURF TRUSTEE 0.70 X 0 0 0 LYDIA WATSON TRUSTEE/MMH 0.70 3.00 X 0 0 0 0 316626 72111 0 0 1 0 0 86449 182563 269012 31103 31103 179960 86449 115290 64670 64670 10153 0 10153 10153 374938 0 0 105926 296229 296229 2914 2914 16950 16950 2914 2914 745 745 118 118 667 667 320537 296229 7358 16950 1279831 1426587 104998 12643 1384829 1439230 0 0 X 1384829 1439230 1384829 1439230 1384829 1439230 54401 0 X 0 1 X 0 0 X X X 1 MACKINAC STRAITS HEALTH SYSTEM INC 208756459 3 1 296229 0 1 296229 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 X X X X 0 KENNARI CONSULTING 401 HALL STREET SUITE 309 GRAND RAPIDS MI 49534 CONSULTING FIRM 0 0 16950 -16950 16950 -16950 MI JEWEL GOLF OUTING 129449 86449 43000 3600 2400 14349 41561 3309 LUNCHEON 69443 69443 5859 2 67517 67517 4000 200 40012 266409 86449 179960 7600 8459 14349 41561 43321 115290 64670 1 MACKINAC STRAITS HEALTH SYSTEM 1140 N STATE STREET ST IGNACE MI 49781 208756459 501(C)(3) 296229 0 PURCHASE VENTILATORS FOR ER, SPINE SURGICALY EQUIPMENT 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 252566 0 0 0 3383 0 21000 0 26158 0 303107 0 0 PART I, LINE 3 THE ORGANIZATION IS REPORTING COMPENSATION PAID OUT BY THEIR RELATED PARTY. ON THE RELATED PARTY'S ACCOMPANYING SCHEDULE J THE FOLLOWING WERE INDICATED: COMPENSATION COMMITTEE WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE 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 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 B, LINE 15A 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 EXECUTIVE DIRECTOR. 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 1 MACKINAC STRAITS AREA HEALTH 1140 N STATE STREET ST IGNACE MI 49781 472021925 STRATEGIC SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II MACKINAC STRAITS HEALTH FOUNDATION 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