Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Michigan · Ranked 787 of 1033 by CEO pay.

Mackinac Straits Health System

Karen Cheeseman, CEO. Fiscal year ending 2025-03.

$375,968
CEO total compensation
Form 990 Part VII, columns D+E+F
0.58%
of expenses spent on charity care
Schedule H Part I line 7a
83.2%
CEO pay as a share of all charity care
Karen Cheeseman’s pay of $375,968 equals 83.2 percent of the $451,791 the system spent on charity care in the same year.

§1The filing

Total revenue
$89,986,524
Total expenses
$77,925,935
Net assets
$9,795,407
Employees
448
Hospitals covered
1 facilities across 1 filing
Charity care, net
$451,791
Bad debt
$3,712,709
Medicare surplus (shortfall), as filed
($138,644)
CEO pay from the organization (Part VII col. D)
$310,874
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$65,094
CEO total compensation (D+E+F)
$375,968 to Karen Cheeseman

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Mackinac Straits Health System, EIN 20-8756459, fiscal year ending 2025-03, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$2.2M Of which charity care to patients who could not pay (line 7a)$451,791 (21%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($3.7M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Mackinac Straits Health System: CEO pay $375,968, charity care 0.58% of expenses