6 locations registered under this record — data as of October 30, 2026
Critical access hospital · SAINT IGNACE, MI
MACKINAC STRAITS HOSPITAL & HEALTH CENTER
Taking partYesLast certifiedAugust 14, 2026
- 6Registered locations
- 1Associated locations
- 10Contract pharmacies
- 3With no end date
- January 1, 2011In 340B since
Where this record sits: among the 35 Critical access hospitals in Michigan, the median open contract-pharmacy count is 6; this record’s open count ranks 27.
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended March 31, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $142,235,583 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $61,548,312 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $80,687,271 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $75,575,890 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $5,111,381 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $1,063,537 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $544,571 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $3,718,961 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $1,840,051 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $2,384,622 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 15 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.5120 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 231306 for April 1, 2025 to March 31, 2026, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by MACKINAC STRAITS HEALTH SYSTEM INC (employer identification number 208756459) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $2,304,321 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $273,089 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $1,351,151 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $1,624,240 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $680,081 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0356 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202430439349301503. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by MACKINAC STRAITS HEALTH SYSTEM INC (employer identification number 208756459) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| AMY BOLMER | PHYSICIAN | Highest-compensated employee | $309,201 | $0 | $30,211 |
| ANGELA DESANTIS | PHYSICIAN | Highest-compensated employee | $259,665 | $0 | $18,200 |
| BRYAN CROSS | BOARD MEMBER (FROM NOV 2022) | Trustee/director | $0 | $0 | $0 |
| CHRISTINE MCPHERSON | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| GREG ROGERS | BOARD MEMBER (THRU DEC 2022) | Trustee/director | $0 | $0 | $0 |
| GREGORY HESSLER | PHYSICIAN | Highest-compensated employee | $283,621 | $0 | $42,271 |
| JAMES NORTH | TREASURER OF BOARD | Trustee/director, Officer | $0 | $0 | $0 |
| KAREN CHEESEMAN | CEO | Trustee/director, Officer | $255,949 | $0 | $44,058 |
| LENE' HEINLEN | VICE CHIEF OF STAFF | Trustee/director | $247,242 | $0 | $41,833 |
| LORETTA LEJA | CHIEF OF STAFF - POST | Trustee/director | $259,726 | $0 | $26,806 |
| LYDIA WATSON | BOARD MEMBER (FROM MAY 2022) | Trustee/director | $0 | $0 | $0 |
| MARGARET DOUD | SECRETARY OF BOARD | Trustee/director, Officer | $0 | $0 | $0 |
| MATTHEW BOWES | PHYSICIAN | Highest-compensated employee | $468,374 | $0 | $46,252 |
| PATRICK SHANNON | VICE CHAIRMAN OF BOARD | Trustee/director, Officer | $0 | $0 | $0 |
| PRENTISS BROWN | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| RD MUSSER III | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| RICHARD SMITH | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| ROBERT SHARON | PHYSICIAN | Highest-compensated employee | $300,071 | $0 | $40,281 |
| RYAN SPEAS | CFO | Officer | $150,642 | $0 | $18,606 |
| STEVE AUTORE | CHAIRMAN OF BOARD | Trustee/director, Officer | $0 | $0 | $0 |
| SUSAN STRICH | CHIEF OF STAFF | Trustee/director, Officer | $529,843 | $0 | $45,533 |
E-file object id 202430439349301503. The IRS archive it was read from.
The full report for MACKINAC STRAITS HOSPITAL & HEALTH CENTER
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 82ndpercentile of 17 hospitals in MI, same facility class, under 25 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2026, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $23,466,837 and $137,722,733, median $43,102,995, across 270 hospitals that filed for 2026, in every state and of every size.
- 88thpercentile of 17 hospitals in MI, same facility class, under 25 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2026, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $21,989,913 and $120,074,080, median $38,600,761, across 270 hospitals that filed for 2026, in every state and of every size.
- 64thpercentile of 14 hospitals in MI, same facility class, under 25 bedsCharity care, at cost, in dollars, as filed
- 94thpercentile of 16 hospitals in MI, same facility class, under 25 bedsUncompensated care, at cost, in dollars, as filed
- 47thpercentile of 17 hospitals in MI, same facility class, under 25 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2026, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 29 and 108, median 50, across 268 hospitals that filed for 2026, in every state and of every size.
- 44thpercentile of 16 hospitals in MI, same facility class, under 25 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2026, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1207 and 0.4450, median 0.2553, across 170 hospitals that filed for 2026, in every state and of every size.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Michigan beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- January 1, 2011
- Certification date
- August 14, 2026
- Record last edited
- September 11, 2026
Identifiers
- 340B ID
- CAH231306-00
- Entity type as filed
- CAH
- CMS certification number
- 231306
- Rural
- Yes
1140 NORTH STATE STREET, SAINT IGNACE MI 49781
Locations registered under this record
Browse all of them as a list →
| CAH231306-01 | MACKINAW CITY MEDICAL CLINIC | CAH | MACKINAW CITY, MI | Yes |
| CAH231306-02 | Mackinac Straits Rural Health Clinic | CAH | St. ignace, MI | Yes |
| CAH231306-03 | Rivertown Medical Clinic | CAH | Cheboygan, MI | Yes |
| CAH231306-04 | MACKINAC ISLAND MEDICAL CENTER | CAH | MACKINAC ISLAND, MI | Yes |
| CAH231306-05 | ST IGNACE PEDIATRIC CLINIC - ST IGNACE PEDIATRIC CLINIC | CAH | SAINT IGNACE, MI | Yes |
| CAH231306-06 | Mackinaw City Specialty Clinic - Mackinaw City Specialty Clinic | CAH | Mackinaw City, MI | No |
Associated locations
| MACKINAC STRAITS HOSPITAL & HEALTH CENTER | 1140 NORTH STATE STREET | SAINT IGNACE MI 49781 |
Pharmacy contracts
No end date filed3
| MODERN MEDICAL SERVICES INC | CHEBOYGAN, MI | October 1, 2022 | no end date filed |
| MODERN RX | INDIAN RIVER, MI | July 1, 2019 | no end date filed |
| STRAITS AREA PHARMACY INC | SAINT IGNACE, MI | October 1, 2017 | no end date filed |
An end date is filed7
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| FAMILY FARE PHARMACY #1504 | CHEBOYGAN, MI | October 1, 2019 | October 1, 2025 |
| MODERN MEDICAL SERVICES INC | CHEBOYGAN, MI | July 1, 2017 | June 1, 2022 |
| NEWBERRY HOMETOWN PHARMACY | NEWBERRY, MI | January 1, 2014 | October 11, 2017 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | January 1, 2020 | October 1, 2025 |
| WAL-MART PHARMACY 10-1936 | SAULT SAINTE MARIE, MI | July 1, 2014 | October 1, 2025 |
| WAL-MART PHARMACY 10-2100 | CHEBOYGAN, MI | July 1, 2014 | October 1, 2025 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | January 1, 2020 | October 1, 2025 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 30, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261030_103139.xlsx, stamped by its publisher October 30, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261030_103139.xlsx, read October 30, 2026.