ASPIRUS KEWEENAW: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ASPIRUS KEWEENAW (EIN 38-1443361)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202341329349305174
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T12:56:36-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381443361	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS KEWEENAW HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ASPI	BusinessNameControlTxt
Phone	9063376500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 OSCEOLA	AddressLine1Txt
City	LAURIUM	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49913	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SIDNEY C SCZYGELSKI	PersonNm
Person Title	SENIOR VP OF FINANCE & CFO	PersonTitleTxt
Phone	7158472250	PhoneNum
Signature	2023-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	SIDNEY	PersonFirstNm
Person Last	SCZYGELSKI	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2023-05-12	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MATTHEW HEYWOOD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 WESTWOOD DRIVE	AddressLine1Txt
City	WAUSAU	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$66,438,346	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ASPIRUS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1939	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	364	TotalEmployeeCnt
Total Volunteers	8	TotalVolunteersCnt
Total Gross UBI	$1,560,194	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,753,120	PYContributionsGrantsAmt
CY Contributions Grants	$1,929,198	CYContributionsGrantsAmt
PY Program Service Revenue	$58,311,944	PYProgramServiceRevenueAmt
CY Program Service Revenue	$63,229,617	CYProgramServiceRevenueAmt
PY Investment Income	$220,123	PYInvestmentIncomeAmt
CY Investment Income	$416,211	CYInvestmentIncomeAmt
PY Other Revenue	$173,172	PYOtherRevenueAmt
CY Other Revenue	$231,477	CYOtherRevenueAmt
PY Total Revenue	$62,458,359	PYTotalRevenueAmt
CY Total Revenue	$65,806,503	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,211	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,412	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$29,005,878	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$28,120,456	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,582,909	PYOtherExpensesAmt
CY Other Expenses	$35,955,137	CYOtherExpensesAmt
PY Total Expenses	$59,590,998	PYTotalExpensesAmt
CY Total Expenses	$64,078,005	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,867,361	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,728,498	CYRevenuesLessExpensesAmt
Total Assets BOY	$57,422,111	TotalAssetsBOYAmt
Total Assets EOY	$58,039,373	TotalAssetsEOYAmt
Total Liabilities BOY	$30,243,462	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,873,348	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$27,178,649	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$29,166,025	NetAssetsOrFundBalancesEOYAmt
Mission	WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$47,115,180	ExpenseAmt
Grant	$2,412	GrantAmt
Revenue	$61,755,565	RevenueAmt
Desc	ASPIRUS KEWEENAW HOSPITAL PROVIDES COMPREHENSIVE INPATIENT, OUTPATIENT, EMERGENCY, MEDICAL, PHYSICIAN CLINIC SERVICES, AND EYE CLINIC SERVICES.	Desc
Total Program Service Expenses	$47,115,180	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	30	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	364	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SIDNEY C SCZYGELSKI	PersonNm
Phone	7158472250	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 WESTWOOD DRIVE	AddressLine1Txt
City	WAUSAU	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JENNIFER REDMAN-SCHELL
VICE-CHRM/SVP-PRES. AMG	2.00	50.00	Yes (X)	Yes (X)	$0	$572,454	$92,664
JESSE TISCHER
BOARD MEMBER/SVP & PRES. REG. MARKETS	2.00	50.00	Yes (X)		$0	$644,385	$101,649
JENNIFER WEAVER
BOARD MEMBER/NURSE PRACTITIONER	2.00	50.00	Yes (X)		$0	$104,166	$20,417
DANIEL J LUKES DO
BOARD MEMBER/PHYSICIAN	2.00	50.00	Yes (X)		$0	$669,993	$44,505
JONATHAN N BRUEGGEMAN
BOARD MEMBER/PHYSICIAN	2.00	50.00	Yes (X)		$0	$443,961	$50,805
KRISTEN DMESKE NP-C
BOARD MEMBER/NURSE PRACTITIONER	2.00	50.00	Yes (X)		$0	$108,310	$5,597
PATRICK TINCHER JR
BOARD MEMBER/VP FINANCE-REG. OPERATIONS	2.00	50.00	Yes (X)		$0	$334,332	$52,220
MICHAEL HOLZHUETER
ASST SEC./SVP-GENERAL COUNSEL	2.00	50.00	Yes (X)	Yes (X)	$0	$449,756	$89,333
MARCUS SANTINI
BOARD MEMBER/PHYS. (THRU SEPT. 21)	2.00	50.00	Yes (X)		$0	$319,936	$53,873
JAMES LORENSON
CHAIRMAN (THRU JAN '22)	2.00		Yes (X)	Yes (X)	$0	$0	$0
STEVEN TINTI
TREASURER	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
KATIE CLARK
SECRETARY / REGISTERD NURSE	2.00		Yes (X)	Yes (X)	$0	$0	$0
RICHARD J KOUBEK PHD
BOARD MEMBER	2.00		Yes (X)		$0	$0	$0
JOHN D MATONICH
BOARD MEMBER	2.00		Yes (X)		$0	$0	$0
JAMES R RICHARDSON
BOARD MEMBER	2.00		Yes (X)		$0	$0	$0
KIRK R SCHOTT
BOARD MEMBER	2.00		Yes (X)		$0	$0	$0
LISA TWARDZIK
BOARD MEMBER (THRU OCT '21)	2.00		Yes (X)		$0	$0	$0
WILLIAM W WOOD
BOARD MEMBER	2.00		Yes (X)		$0	$0	$0
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS	2.00	50.00		Yes (X)	$0	$2,684,221	$266,094
SIDNEY SCZYGELSKI
SR. VP OF FINANCE/CFO	2.00	50.00		Yes (X)	$0	$915,379	$141,626
CHRISTINE HARFF
PRESIDENT - REGIONAL UP	2.00	50.00		Yes (X)	$0	$403,040	$91,022
BRETT DAVIS
PRESIDENT-ASPIRUS HEALTH PLAN	2.00	50.00			$0	$394,127	$62,857	Yes (X)
ERIC ANDERSON
SVP-SERVICE LINE & PATIENT EXP.	2.00	50.00			$0	$495,034	$104,300	Yes (X)
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER	2.00	50.00			$0	$452,729	$89,948	Yes (X)
LISA ROWE-PEPLINSKI
VP-CARE QUALITY & PAT. SAFETY	2.00	50.00			$0	$367,202	$18,878	Yes (X)
PAUL VAN DEN HEUVEL
VP-NETWORKS STRATEGY	2.00	50.00			$0	$340,811	$45,098	Yes (X)
RENEE SMITH
EXECUTIVE DIRECTOR ANI	2.00	50.00			$0	$460,002	$93,775	Yes (X)
RUTH RISLEY-GRAY
SVP & SYSTEM CNO	2.00	50.00			$0	$329,902	$52,673	Yes (X)
TODD RICHARDSON
SVP & CHIEF INFORMATION OFFICER	2.00	50.00			$0	$516,494	$97,286	Yes (X)
JOHN HEISLER
SVP & CHIEF HUMAN RESOURCES OFFICER	2.00	50.00			$0	$751,984	$56,650	Yes (X)
JESSICA BESSNER
PHARMACIST	40.00				$190,613	$0	$45,615		Yes (X)
MICHAEL HAGWELL
FINANCE DIRECTOR	40.00				$166,412	$0	$22,435		Yes (X)
RYAN GREENLEY
PHARMACIST	40.00				$149,694	$0	$8,387		Yes (X)
AMY TARVIS
PHARMACIST	30.00	10.00			$137,740	$0	$9,399		Yes (X)
DARCY DONNELLY
CNO	40.00				$124,081	$0	$36,646		Yes (X)
MICHAEL MCGRAIL
FORMER SVP & SYSTEM CMO	0.00	0.00			$0	$449,085	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$768,540	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$12,207,303	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,753,752	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	51	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WAPITI MEDICAL GROUP LIMITED
107 FLYNN DRIVE SUITE 600	MILBANK	SD	57252	CONTRACT LABOR - PROVIDERS	$2,427,024
COMPHEALTH INC
PO BOX 972651	DALLAS	TX	753972651	CONTRACT LABOR - PROVIDERS	$643,663
CLAYTON CHARLES MD LLC
1100 S STATE RD 7 SUITE 200A	MARGATE	FL	33068	CONTRACT LABOR - PROVIDER	$582,500
STAFFENCY LLC
221 W COLLEGE AVE FLOOR 2	APPLETON	WI	54911	CONTRACT LABOR - PROVIDER	$580,110
MICHAEL BEST & FRIEDRICH LLP
790 N WATER ST SUITE 2500	MILWAUKEE	WI	53202	LAWYER FEES	$418,710

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,889,602	GovernmentGrantsAmt
All Other Contributions	$39,596	AllOtherContributionsAmt
Total Contributions	$1,929,198	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621990	$58,383,182	$58,383,182
PHARMACY REVENUE	446110	$4,181,815	$2,648,263	$1,533,552
CONTRACT SERVICE REVENUE	621110	$228,563	$228,563

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$436,057	TotalRevenueColumnAmt
Related Or Exempt Func Income	$436,057	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$63,229,617	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$283,973	TotalRevenueColumnAmt
Exclusion	$283,973	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$77,392	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$77,392	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$77,392	TotalRevenueColumnAmt
Unrelated Business Revenue	$26,642	UnrelatedBusinessRevenueAmt
Exclusion	$50,750	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$732,681	SecuritiesAmt
Other	$31,400	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$570,478	SecuritiesAmt
Other	$61,365	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$162,203	SecuritiesAmt
Other	-$29,965	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$132,238	TotalRevenueColumnAmt
Exclusion	$132,238	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE	624200	$94,123	$94,123
E.H.R INCENTIVE	621110	$59,500		$59,500
VENDING REVENUE	624200	$462	$462

Field	Value	IRS element (for citing)
Other Revenue Total	$154,085	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$65,806,503	TotalRevenueColumnAmt
Related Or Exempt Func Income	$61,755,565	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,560,194	UnrelatedBusinessRevenueAmt
Exclusion	$561,546	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,412	TotalAmt
Program Services	$2,412	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$22,786,456	TotalAmt
Program Services	$19,783,849	ProgramServicesAmt
Management And General	$3,002,607	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$827,197	TotalAmt
Program Services	$646,034	ProgramServicesAmt
Management And General	$181,163	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,647,658	TotalAmt
Program Services	$3,157,308	ProgramServicesAmt
Management And General	$490,350	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$859,145	TotalAmt
Program Services	$654,341	ProgramServicesAmt
Management And General	$204,804	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$744,118	TotalAmt
Management And General	$744,118	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,140	TotalAmt
Management And General	$4,140	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$903	TotalAmt
Management And General	$903	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,438,159	TotalAmt
Program Services	$9,214,953	ProgramServicesAmt
Management And General	$223,206	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$43,921	TotalAmt
Management And General	$43,921	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$135,107	TotalAmt
Program Services	$91,857	ProgramServicesAmt
Management And General	$43,250	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$26,775	TotalAmt
Program Services	$17,727	ProgramServicesAmt
Management And General	$9,048	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$721,869	TotalAmt
Program Services	$54,701	ProgramServicesAmt
Management And General	$667,168	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$134,984	TotalAmt
Program Services	$64,021	ProgramServicesAmt
Management And General	$70,963	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$729,509	TotalAmt
Program Services	$729,509	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,498,948	TotalAmt
Program Services	$2,172,713	ProgramServicesAmt
Management And General	$326,235	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$371,567	TotalAmt
Program Services	$212,000	ProgramServicesAmt
Management And General	$159,567	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$9,122,244	$9,122,244
CORPORATE ALLOCATIONS	$8,776,358		$8,776,358
HOSPITAL ASSESSMENT PAY	$1,376,089		$1,376,089
REPAIRS & MAINTENANCE	$798,833	$668,524	$130,309

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,031,613	TotalAmt
Program Services	$522,987	ProgramServicesAmt
Management And General	$508,626	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,078,005	TotalAmt
Program Services	$47,115,180	ProgramServicesAmt
Management And General	$16,962,825	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,385,664	BOYAmt
EOY	$13,378,488	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,422,975	BOYAmt
EOY	$1,062,744	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,689,399	BOYAmt
EOY	$9,528,629	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$890,058	BOYAmt
EOY	$1,487,847	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$99,513	BOYAmt
EOY	$54,443	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$51,159,377	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$30,585,271	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$19,953,917	BOYAmt
EOY	$20,574,106	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,132,449	BOYAmt
EOY	$4,794,738	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,403,949	BOYAmt
EOY	$1,702,167	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,444,187	BOYAmt
EOY	$5,456,211	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$57,422,111	BOYAmt
EOY	$58,039,373	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,413,665	BOYAmt
EOY	$4,268,199	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$597,566	BOYAmt
EOY	$893,030	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,024,037	BOYAmt
EOY	$16,867,875	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,208,194	BOYAmt
EOY	$6,844,244	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,243,462	BOYAmt
EOY	$28,873,348	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,890,703	BOYAmt
EOY	$28,878,079	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$287,946	BOYAmt
EOY	$287,946	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,178,649	BOYAmt
EOY	$29,166,025	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$57,422,111	BOYAmt
EOY	$58,039,373	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,728,498	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$825,112	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,083,990	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$4,140	OtherActivitiesAmt
Total Lobbying Expenditures	$4,140	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ASPIRUS KEWEENAW HOSPITAL & CLINICS PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE MICHIGAN HOSPITAL ASSOCIATION (MHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. AHA AND MHA HAVE NOTIFIED ASPIRUS KEWEENAW THAT APPROXIMATELY $4,140 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$874,763	OtherCostOrOtherBasisAmt
Book Value	$874,763	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,511,425	OtherCostOrOtherBasisAmt
Depreciation	$21,184,754	DepreciationAmt
Book Value	$14,326,671	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,384,227	OtherCostOrOtherBasisAmt
Depreciation	$9,400,517	DepreciationAmt
Book Value	$4,983,710	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$388,962	OtherCostOrOtherBasisAmt
Book Value	$388,962	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$20,574,106	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM ASPIRUS KEWEENAW ENTERPRISES	$2,037,785
DUE FROM OTHER ENTITIES	$7,897
DUE FROM ASPIRUS INC.	$3,117,434
INSURANCE RECEIVABLE	$242,421
DEFERRED COMPENSATION	$50,674

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,456,211	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
LONG TERM INSURANCE PAYABLE	$187,150
ASBESTOS LIABILITY	$21,448
MEDICARE REFUNDABLE ADVANCE	$3,117,434
OPERATING LEASE LIABILITY	$142,608
FINANCE LEASE OBLIGATIONS	$28,774
DEFERRED COMPENSATION	$50,674
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$3,296,156

Field	Value	IRS element (for citing)
Total Liability	$6,844,244	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2022.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$413,022	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$413,022	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,237,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,307,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,930,483	NetCommunityBenefitExpnsAmt
Total Expense	0.07730	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,650,765	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,307,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,343,505	NetCommunityBenefitExpnsAmt
Total Expense	0.08380	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,518	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,518	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,258,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,449,491	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,809,112	NetCommunityBenefitExpnsAmt
Total Expense	0.02840	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,138	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,138	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,979	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,979	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,284,238	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,449,491	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,834,747	NetCommunityBenefitExpnsAmt
Total Expense	0.02880	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,935,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,756,751	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,178,252	NetCommunityBenefitExpnsAmt
Total Expense	0.11260	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,843	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,843	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,843	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,843	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$110,945	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,299,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,067,879	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$231,121	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS KEWEENAW HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 OSCEOLA STREET	AddressLine1Txt
City	LAURIUM	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49913	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ASPIRUS.ORG	WebsiteAddressTxt
State License	1060000151	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PHYSICIAN CLINIC & PHARMACY	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS KEWEENAW HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASPIRUS KEWEENAW HOSPITAL	PART V, SECTION B, LINE 5: THE WESTERN UPPER PENINSULA COMMUNITY MEMBERS PROVIDED INPUT ON THE TOP COMMUNITY HEALTH NEEDS THROUGH THE 2021 UPPER PENINSULA COMMUNITY HEALTH ISSUES AND PRIORITIES SURVEY (UPCHIPS). THE SURVEY WAS COMPLETED BY 3500 ADULTS IN THE REGION.
ASPIRUS KEWEENAW HOSPITAL	PART V, SECTION B, LINE 6A: ASPIRUS KEWEENAW HOSPITAL COLLABORATED WITH THE OTHER THREE ASPIRUS HOSPITALS IN THE REGION -- ASPIRUS ONTONAGON, ASPIRUS IRON RIVER, AND ASPIRUS IRONWOOD.
ASPIRUS KEWEENAW HOSPITAL	PART V, SECTION B, LINE 6B: ASPIRUS KEWEENAW HOSPITAL COLLABORATES WITH THE WESTERN U.P. HEALTH DEPARTMENT ON MANY COMMUNITY HEALTH IMPROVEMENT EFFORTS. THE HEALTH DEPARTMENT RECEIVED A GRANT FROM THE MICHIGAN HEALTH ENDOWMENT FUND TO CONDUCT THE UPPER PENINSULA COMMUNITY HEALTH ISSUES AND PRIORITIES SURVEY (2021 UPCHIPS) AND SHARE THE RESULTS WITH THE ASPIRUS HOSPITALS. ASPIRUS DID NOT PAY ANY CONSULTANTS OR VENDORS.
ASPIRUS KEWEENAW HOSPITAL	PART V, SECTION B, LINE 11: OVER THE PAST YEAR (JULY 1, 2021-JUNE 30, 2022), ASPIRUS KEWEENAW HOSPITAL HAS WORKED TO ADDRESS THE HEALTH ISSUES IDENTIFIED IN THE PREVIOUS CHNA. ALTHOUGH MANY EFFORTS HAVE BEEN SUCCESSFUL, THE HOSPITAL'S EFFORTS HAVE BEEN HAMPERED BY COMMUNITY HEALTH IMPROVEMENT STAFF VACANCIES AND COVID-19 AND ITS RIPPLE EFFECT ON COMMUNITY OUTREACH AND PUBLIC EVENTS/PROGRAMS.THE HOSPITAL'S PRIORITY HEALTH ISSUES FROM THE PREVIOUS CHNA INCLUDED: THE IMPORTANCE OF PREVENTION THE IMPACT OF AN AGING POPULATION EXPANDED ACCESS TO CARE VIA THE EVOLVING AFFORDABLE CARE ACT THE POWERFUL CORRELATION BETWEEN SOCIO-ECONOMIC STATUS AND POOR HEALTHTO ADDRESS THESE NEEDS, THE HOSPITAL APPLIED THE FIRST HEALTH AREA PREVENTION AS A WAY TO ADDRESS THE OTHER THREE HEALTH AREAS AGING POPULATION, ACCESS TO CARE, AND SOCIAL AND ECONOMIC FACTORS THAT INFLUENCE HEALTH. HIGHLIGHTS OF THE HOSPITAL'S EFFORTS ARE BELOW. HEALTHY EATING AND NUTRITION COMMUNITY OUTREACH WITH THE INTENTION OF PROVIDING EDUCATION AND INFORMATION ON HEALTHY LIVING FOR PREVENTION AND AWARENESS OF CHRONIC DISEASES, THE HOSPITAL: PARTICIPATED IN LOCAL SCHOOL WELLNESS FAIRS BY HAVING A TABLE WITH HEALTHY EATING INFORMATION, MODELS AND EDUCATION; SUPPORTED A DIETICIAN BEING AVAILABLE AT LOCAL EVENTS TO PROMOTE HEALTHY EATING AND PREVENTION; HAD A BOOTH AT THE LOCAL WELLNESS FAIR AT THE FARMERS MARKET; PARTICIPATED IN THE ASPIRUS FRUIT AND VEGETABLE PRESCRIPTION PROGRAM. FITNESS AND EXERCISE PROGRAMMINGWITH THE INTENTION OF SUPPORTING AND PROVIDING THE COMMUNITY WITH FITNESS PROGRAMS THAT WORK TOWARDS PREVENTING CHRONIC DISEASE AND OTHER HEALTH CONCERNS IN OUR LOCAL POPULATION, THE HOSPITAL: COLLABORATED WITH LOCAL BUSINESSES AND ORGANIZATIONS TO OFFER A CORPORATE HOSPITAL FITNESS CENTER MEMBERSHIP TO THEIR EMPLOYEES; OFFERED A FREE TWO-WEEK WELLNESS BENEFIT FOR THOSE WHO FINISH CARDIAC REHAB. POLICY AND ENVIRONMENTAL CHANGE WITH THE INTENTION OF IMPROVING HEALTHY BEHAVIORS THROUGH POLICY AND ENVIRONMENTAL CHANGE, THE HOSPITAL: PARTICIPATED IN LOCAL WELLNESS FAIRS, OFFERING SNACKS, RECIPES, EDUCATION AND INFORMATION ON PROVIDERS AND SERVICES; PROVIDED SEVERAL COMMUNITY PRESENTATIONS.SMOKING / DRUG CESSATION PROGRAMSWITH THE INTENTION OF SUPPORTING SMOKING AND DRUG CESSATION EDUCATION WITH A DIRECTED EFFORT TOWARD ADOLESCENTS AND FAMILIES, THE HOSPITAL MADE SMOKING CESSATION TREATMENT INFORMATION AVAILABLE AT EVERY VISIT; COLLABORATED WITH THE HEALTH DEPARTMENT AND THE WIC PROGRAM FOR SMOKING CESSATION EFFORTS FOR MOTHERS; COLLABORATED WITH LOCAL LAW ENFORCEMENT FOR SHARPS AND MEDICATION DISPOSAL. NEEDS NOT ADDRESSED AND WHYFROM THE MOST RECENT (AUGUST 2021) REGIONAL COMMUNITY SURVEY, THE TOP-SELECTED ISSUES WERE: HEALTH INSURANCE IS EXPENSIVE OR HAS HIGH COSTS FOR CO-PAYS AND DEDUCTIBLES DRUG ABUSE LACK OF HEALTH INSURANCE UNEMPLOYMENT, WAGES, AND ECONOMIC CONDITIONSFROM THIS LIST, ASPIRUS KEWEENAW IS ADDRESSING DRUG ABUSE (SUBSTANCE USE). THE OTHER THREE ISSUES WERE NOT SELECTED FOR THE FOLLOWING REASONS. THE LACK OF AFFORDABLE HEALTH INSURANCE IS OF HIGH CONCERN FOR MANY PEOPLE IN THE UPPER PENINSULA. ASPIRUS PROVIDES FINANCIAL ASSISTANCE FOR PATIENTS WHO STRUGGLE TO AFFORD CARE. ASPIRUS HOSPITALS MAY CONTRIBUTE TO EFFORTS THAT IMPROVE THE AVAILABILITY AND THE AFFORDABILITY OF HEALTH INSURANCE, HOWEVER, THEIR PRIMARY FOCUS IS TO DELIVER HIGH QUALITY MEDICAL CARE. UNEMPLOYMENT, WAGES, AND ECONOMIC CONDITIONS ARE IMPORTANT ISSUES FOR ASPIRUS. ASPIRUS WORKS TO PAY FAIR WAGES AND PROVIDE REASONABLE BENEFITS PACKAGES. ASPIRUS HOSPITALS MAY CONTRIBUTE TO EFFORTS THAT IMPROVE ECONOMIC CONDITIONS, HOWEVER, THEIR PRIMARY FOCUS IS TO DELIVER HIGH QUALITY MEDICAL CARE.
ASPIRUS KEWEENAW HOSPITAL	PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ASPIRUS HOUGHTON CLINIC
1000 CEDAR STREET	HOUGHTON	MI	49931	CLINIC & OUTPATIENT THERAPY
2 - ASPIRUS KEWEENAW OUTPATIENT THERAPIES
25680 COPPER KING WAY	LAURIUM	MI	49913	OUTPATIENT THERAPY
3 - ASPIRUS KEWEENAW LAKE LINDEN CLINIC
110 CALUMET STREET	LAKE LINDEN	MI	49945	CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION. SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE.
PART I, LINE 7:	THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990.
PART I, LINE 7G:	THE COST OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE ASPIRUS KEWEENAW CLINICS. ASPIRUS KEWEENAW HOSPITAL UTILIZED AN INTERNAL DEPARTMENTAL FINANCIAL STATEMENT TO REPORT THE COST AND DIRECT OFFSETTING REVENUE THAT CALCULATES THE COMMUNITY BENEFIT EXPENSE.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24C, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $271,347.
PART II, COMMUNITY BUILDING ACTIVITIES:	ASPIRUS KEWEENAW HOSPITAL, INC., IN ADDITION TO PROVIDING SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. ASPIRUS KEWEENAW HOSPITAL, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL WOULD NOT BE AVAILABLE LOCALLY. IN ADDITION TO INPATIENT HOSPITALIZATIONS, THE ORGANIZATION PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: EMERGENCY SERVICES, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, FAMILY PRACTICE CLINICS, AND LABORATORY AND PATHOLOGY SERVICES.
PART III, LINE 2:	THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. THE COSTING METHODOLOGY USED WAS THE PATIENT CARE COST TO CHARGE RATIO WHICH WAS DERIVED FROM THE CALCULATION ON IRS WORKSHEET 2.
PART III, LINE 3:	THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS.
PART III, LINE 4:	THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES.BAD DEBT POLICY AND PROCEDURE:POLICY: I. ASPIRUS' FINANCIAL POLICY REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. II. FAILURE TO MEET THESE REQUIREMENTS IN ASPIRUS POLICY WILL RESULT IN THE ACCOUNT BEING CONSIDERED FOR BAD DEBT ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THE ACCOUNT WILL BE REMOVED FROM ACCOUNTS RECEIVABLE AND TURNED OVER TO AN OUTSIDE AGENCY OR LAW FIRM FOR COLLECTION. PRIOR TO THIS HAPPENING, THE FOLLOWING CRITERIA MUST BE MET: A. PATIENT FINANCIAL SERVICES STAFF WILL MAKE REASONABLE COLLECTION EFFORTS BY WAY OF: 1. MONTHLY STATEMENTS 2. COLLECTION LETTERS 3. COLLECTION PHONE CALLS III. ALL COLLECTION ACTIVITY AND PATIENT CONTACTS WILL BE DOCUMENTED ON THE INDIVIDUAL ACCOUNTS. IV. ALL COLLECTION ACCOUNTS ARE TO BE TREATED THE SAME REGARDLESS OF PAYOR TYPE: SELF-PAY, GENERAL INSURANCE, MEDICARE, OR MEDICAL ASSISTANCE. V. PATIENT FINANCIAL SERVICES STAFF WILL USE SOUND BUSINESS JUDGMENT WHEN WORKING WITH THE ACCOUNT. AT THE DISCRETION OF THE FINANCIAL COUNSELOR, CREDIT REPORTS WILL BE REQUESTED FROM THE CREDIT BUREAU AND PROPERTY VERIFICATION OBTAINED THROUGH THE COUNTY TREASURER'S OFFICE. PROCEDURE: VI. THE FINAL STEP IS TO SUBMIT THE ACCOUNT TO A COLLECTION AGENCY OR LAW FIRM. EACH ACCOUNT IS REVIEWED TO DETERMINE IF THE ACCOUNT HAS MET THE BAD DEBT CRITERIA. ONCE IT HAS BEEN DETERMINED THAT ALL REQUIREMENTS HAVE BEEN MET, THE ACCOUNT IS TRANSFERRED FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY THE FINANCIAL COUNSELOR. SPECIFIC PROCEDURES PERTAINING TO THE DETAILED PROCEDURAL STEPS FOR TRANSFERRING TO THE AGENCY CAN BE FOUND IN THE INTERNAL POLICY. A. ADDITIONAL INFORMATION REGARDING MEDICARE BAD DEBTS: 1. THE DEBT MUST BE RELATED TO COVERED SERVICES AND DERIVED FROM DEDUCTIBLE AND COINSURANCE AMOUNTS. 2. THE HOSPITAL MUST PROVIDE REASONABLE COLLECTION EFFORTS. 3. THE DEBT IS NOT COLLECTABLE (AT LEAST 120 DAYS OUTSTANDING FROM THE DATE OF THE FIRST BILLING TO THE PATIENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. II. BAD DEBT RECOVERIES A. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. B. PAYMENTS MADE DIRECTLY TO ASPIRUS BUT INTENDED FOR COLLECTION ACCOUNTS WILL BE POSTED TO THE APPROPRIATE ACCOUNT AND REPORTED DAILY/WEEKLY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. C. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE REVIEWED BY THE FINANCIAL COUNSELOR TEAM LEAD AND APPROVED BY THE MANAGER/DIRECTOR, THEN SUBMITTED TO FISCAL SERVICES FOR CHECK PROCESSING AND PAYMENT TO AGENCIES FOR COMMISSIONS DUE.
PART III, LINE 8:	THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT ASPIRUS KEWEENAW HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2022 AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS.
PART III, LINE 9B:	UPON A PATIENTS APPROVAL FOR FINANCIAL ASSISTANCE, THIS IS LOADED AS AN INSURANCE COVERAGE TO THE PATIENTS ACCOUNT WITH AN EFFECTIVE AND TERMINATION DATE TO ASSURE CAPTURING ALL CHARGES FOR THE PATIENT FOR ADJUSTMENT IN A WORK QUEUE PRIOR TO ANY REMAINING BALANCE BEING MOVED TO PATIENT LIABILITY AND THEREFORE PREVENTING UNDISCOUNTED SERVICES FROM BEING BILLED TO A PATIENT.
PART VI, LINE 2:	THE ORGANIZATION MEETS WITH A LOCAL FEDERALLY QUALIFIED HEALTH CENTER TO CONSULT AND DETERMINE HOW TO MEET THE HEALTH CARE NEEDS IN THE ORGANIZATION'S GEOGRAPHICAL AREA. IN ADDITION, THE ORGANIZATION ITSELF EVALUATES ITS' OWN SERVICES OFFERED IN THEIR SERVICE AREA AND EVALUATES OTHER SERVICES THAT COULD BE PROVIDED TO BENEFIT THE COMMUNITY SERVED.
PART VI, LINE 3:	ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS FROM CENTRAL BILLING OFFICE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. IF ASPIRUS FINANCIAL COUNSELORS NOTICE THE PATIENT HAS NOT BEEN OFFERED AN APPLICATION WITHIN THE PAST YEAR, THEY WILL ALSO ASK IF THE PATIENT WOULD LIKE ONE MAILED OR IF THE PATIENT SHOWS FINANCIAL DISTRESS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS.
PART VI, LINE 4:	THE ORGANIZATION PROVIDES SERVICES PRIMARILY TO THE ELDERLY AND FRAIL OF NORTHERN HOUGHTON AND KEWEENAW COUNTIES. THE LARGEST CITIES IN THESE REGIONS INCLUDE HOUGHTON, HANCOCK, LAURIUM AND CALUMET. COMPARED TO MICHIGAN AS A WHOLE, HOUGHTON AND KEWEENAW COUNTIES HAVE: FEWER PEOPLE PER SQUARE MILE; A HIGHER PERCENTAGE OF INDIVIDUALS WHO ARE CAUCASIAN; A LOWER PERCENTAGE OF INDIVIDUALS WHO ARE HISPANIC; A LOWER MEDIAN HOUSEHOLD INCOME; A SIMILAR LEVEL OF INDIVIDUALS IN POVERTY; A SIMILAR PERCENTAGE OF HIGH SCHOOL GRADUATES; A LOWER PERCENTAGE OF HOUSEHOLDS WHERE A LANGUAGE OTHER THAN ENGLISH IS THE PRIMARY LANGUAGE.
PART VI, LINE 5:	THE BOARD OF DIRECTOR'S IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS. THE ORGANIZATION PROVIDES, FREE OF CHARGE TO THE LOCAL SCHOOL, AN ATHLETIC TRAINER.
PART VI, LINE 6:	ASPIRUS KEWEENAW IS A PART OF THE ASPIRUS, INC. SYSTEM WITH THE MAIN BASE IN WAUSAU WI. TOGETHER WE PROMOTE THE MISSION AND WORK COLLABORATIVELY TO SHARE THE PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. THE COMBINED EFFORTS ARE ABLE TO PROVIDE THE SMALLER COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. ALSO, AS PART OF THIS SYSTEM ARE 3 OTHER UPPER PENINSULA OF MI HOSPITALS AND 11 OTHER HOSPITAL SYSTEMS IN WI ALONG WITH POST-ACUTE CARE PROGRAMS, MANY PROVIDER CLINICS, AMBULANCE SERVICE AND LONG-TERM CARE.
PART VI, LINE 7, REPORTS FILED WITH STATES	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS	$0	$1,051,076	$0	$1,629,342	$0	$3,803	$0	$17,346	$0	$248,748	$0	$2,950,315	$0	$0
SIDNEY SCZYGELSKI
SR. VP OF FINANCE/CFO	$0	$610,115	$0	$177,495	$0	$127,769	$0	$20,196	$0	$121,430	$0	$1,057,005	$0	$112,143
JOHN HEISLER
SVP & CHIEF HUMAN RESOURCES OFFICER	$0	$289,961	$0	$426,149	$0	$35,874	$0	$13,626	$0	$43,024	$0	$808,634	$0	$25,179
JESSE TISCHER
BOARD MEMBER/SVP & PRES. REG. MARKET	$0	$501,025	$0	$142,821	$0	$539	$0	$11,714	$0	$89,935	$0	$746,034	$0	$0
DANIEL J LUKES DO
BOARD MEMBER/PHYSICIAN	$0	$662,071	$0	$600	$0	$7,322	$0	$17,346	$0	$27,159	$0	$714,498	$0	$0
JENNIFER REDMAN-SCHELL
VICE-CHRM/SVP-PRES. AMG	$0	$405,520	$0	$113,119	$0	$53,815	$0	$17,346	$0	$75,318	$0	$665,118	$0	$51,368
TODD RICHARDSON
SVP & CHIEF INFORMATION OFFICER	$0	$357,568	$0	$105,424	$0	$53,502	$0	$17,346	$0	$79,940	$0	$613,780	$0	$50,634
ERIC ANDERSON
SVP-SERVICE LINE & PATIENT EXP.	$0	$382,299	$0	$111,001	$0	$1,734	$0	$17,346	$0	$86,954	$0	$599,334	$0	$0
RENEE SMITH
EXECUTIVE DIRECTOR ANI	$0	$315,463	$0	$89,914	$0	$54,625	$0	$17,346	$0	$76,429	$0	$553,777	$0	$53,547
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER	$0	$322,706	$0	$94,649	$0	$35,374	$0	$16,347	$0	$73,601	$0	$542,677	$0	$26,065
MICHAEL HOLZHUETER
ASST SEC./SVP-GENERAL COUNSEL	$0	$399,152	$0	$25,600	$0	$25,004	$0	$8,700	$0	$80,633	$0	$539,089	$0	$0
JONATHAN N BRUEGGEMAN
BOARD MEMBER/PHYSICIAN	$0	$402,125	$0	$41,317	$0	$519	$0	$17,346	$0	$33,459	$0	$494,766	$0	$0
CHRISTINE HARFF
PRESIDENT - REGIONAL UP	$0	$312,209	$0	$87,267	$0	$3,564	$0	$15,384	$0	$75,638	$0	$494,062	$0	$0
BRETT DAVIS
PRESIDENT-ASPIRUS HEALTH PLAN	$0	$260,587	$0	$127,333	$0	$6,207	$0	$16,557	$0	$46,300	$0	$456,984	$0	$0
MICHAEL MCGRAIL
FORMER SVP & SYSTEM CMO	$0	$0	$0	$0	$0	$449,085	$0	$0	$0	$0	$0	$449,085	$0	$449,085
PATRICK TINCHER JR
BOARD MEMBER/VP FINANCE-REG. OPERATI	$0	$262,964	$0	$52,409	$0	$18,959	$0	$16,349	$0	$35,871	$0	$386,552	$0	$7,837
LISA ROWE-PEPLINSKI
VP-CARE QUALITY & PAT. SAFETY	$0	$287,310	$0	$55,655	$0	$24,237	$0	$17,283	$0	$1,595	$0	$386,080	$0	$22,695
PAUL VAN DEN HEUVEL
VP-NETWORKS STRATEGY	$0	$302,649	$0	$31,790	$0	$6,372	$0	$11,252	$0	$33,846	$0	$385,909	$0	$0
RUTH RISLEY-GRAY
SVP & SYSTEM CNO	$0	$213,913	$0	$91,534	$0	$24,455	$0	$17,417	$0	$35,256	$0	$382,575	$0	$19,718
MARCUS SANTINI
BOARD MEMBER/PHYS. (THRU SEPT. 21)	$0	$300,734	$0	$3,078	$0	$16,124	$0	$17,346	$0	$36,527	$0	$373,809	$0	$0
JESSICA BESSNER
PHARMACIST	$163,179	$0	$24,392	$0	$3,042	$0	$10,463	$0	$35,152	$0	$236,228	$0	$0	$0
MICHAEL HAGWELL
FINANCE DIRECTOR	$151,389	$0	$13,689	$0	$1,334	$0	$8,619	$0	$13,816	$0	$188,847	$0	$0	$0
DARCY DONNELLY
CNO	$104,458	$0	$19,620	$0	$3	$0	$6,162	$0	$30,484	$0	$160,727	$0	$0	$0
RYAN GREENLEY
PHARMACIST	$142,960	$0	$6,480	$0	$254	$0	$7,695	$0	$692	$0	$158,081	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PAUL VAN DEN HEUVEL ($4,050) HAD A TAXABLE HOUSING ALLOWANCE.
PART I, LINE 3	FOR THE PURPOSE OF DETERMINING COMPENSATION, ASPIRUS KEWEENAW HOSPITAL RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICIES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B	SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457 (F) DISTRIBUTION: J. REDMAN-SCHELL $51,368 S. SCZYGELSKI $112,143 P. TINCHER JR. $7,837 J. MATHESON $26,065 J. HARDESTY $21,288 L. ROWE-PEPLINSKI $22,695 M. BREWER $24,855 M. MCGRAIL $449,085 R. SMITH $53,547 R. RISLEY-GRAY $19,718 T. RICHARDSON $50,634 J. HEISLER $25,179 KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 13% FOR SENIOR VICE PRESIDENT OR PRESIDENT, 15% FOR SVP & CHIEF FINANCIAL OFFICER, AND 20% FOR THE PRESIDENT & CHIEF EXECUTIVE OFFICER. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; 24 MONTHS FROM THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	391337855	BondIssuerEIN
CUSIP	97712DMG9	CUSIPNum
Bond Issued	2015-05-07	BondIssuedDt
Issue Price	$16,997,543	IssuePriceAmt
Purpose	NEW CONSTRUCTION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$200,000	RetiredAmt
Total Proceeds	$17,005,943	TotalProceedsAmt
Issuance Costs From Proceeds	$242,015	IssuanceCostsFromProceedsAmt
Capital Expenditures	$16,763,928	CapitalExpendituresAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	0	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00500	PrivateBusUseByOthersPct
Total Private Business Use	0.00500	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART VI	THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. (EIN 38-3236977); AND ASPIRUS KEWEENAW HOSPITAL (EIN 38-1443361). INFORMATION REGARDING THE SERIES 2015 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2015 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2015 BONDS.]
PART III - LINE 3A AND 3B:	ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS KEWEENAW HOSPITAL, INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW LEASE AGREEMENTS, MANAGEMENT, AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY.
PART III, LINE 9	SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	ASPIRUS, INC. IS THE SOLE CORPORATE AND VOTING MEMBER OF ASPIRUS KEWEENAW HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS IS A REGIONAL BOARD FOR THE UP. THE BOARD OF DIRECTORS IS COMPRISED OF TEN DIRECTORS FROM ASPIRUS, INC. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN SIX INDEPENDENT COMMUNITY CLASS DIRECTORS, CONSISTING OF THREE NOMINATED BY THE FOUNDATION BOARD OF TRUSTEES AND THREE NOMINATED BY ASPIRUS, INC. WITH CONSIDERATION TO INPUT FROM THE CORPORATION'S BOARD, AND ELECTED BY ASPIRUS, INC., TWO ASPIRUS CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., TWO PROVIDER CLASS DIRECTOR FROM EACH HOSPITAL, CONSISTING OF PHYSICIANS IN THE ACTIVE CATEGORY OF THE MEDICAL STAFF AT THE HOSPITAL, NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING ACTIONS MUST BE APPROVED BY THE DIRECTORS OF THE ORGANIZATION: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS.
FORM 990, PART VI, SECTION B, LINE 11B	THE ACCOUNTING DEPARTMENT ACCUMULATED ALL 990 AND 990-T INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND THE 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, BOARD MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS TO THE BOARD. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS. AN INTERESTED PERSON IS A DIRECTOR, PRINCIPAL, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. AFTER DISCLOSURE, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING MEMBERS SHALL DECIDE IF A CONFLICT EXISTS. THE MEMBER WILL ABSTAIN FROM VOTING ON THIS ISSUE IF A CONFLICT OF INTEREST IS DISCOVERED.
FORM 990, PART VI, SECTION B, LINE 15	FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS KEWEENAW HOSPITAL RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION HAS DEEMED THAT ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE THE PROPERTY OF THE ORGANIZATION AND ARE NOT AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART IX, LINE 11G	CONTRACT/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,757,101. MANAGEMENT AND GENERAL EXPENSES 101,967. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,859,068. DISPENSING FEE 340B: PROGRAM SERVICE EXPENSES 563,499. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 563,499. LAB PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 894,149. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 894,149. LINEN CONTRACT: PROGRAM SERVICE EXPENSES 204. MANAGEMENT AND GENERAL EXPENSES 117,474. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,678. OTHER SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,765. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,765.
FORM 990, PART XI, LINE 9:	INTERCOMPANY TRANSFERS - AWH 312,419. INTERCOMPANY TRANSFERS - AI 1,787,475. INTERCOMPANY TRANSFERS - ACI -448,272. INTERCOMPANY TRANSFERS - AOH -345,864. INTERCOMPANY TRANSFERS - VNA -1,319. INTERCOMPANY TRANSFERS - AIW -156,130. INTERCOMPANY TRANSFERS - AIR -85,845. INTERCOMPANY TRANSFERS - ARH 7,927. INTERCOMPANY TRANSFERS - ADS 210. INTERCOMPANY TRANSFERS - ASP 4,122. INTERCOMPANY TRANSFERS - ARN 9,279. INTERCOMPANY TRANSFERS - AER -15. OTHER CHANGES IN NET ASSETS 3.
FORM 990, PART XII, LINE 2C	THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC. THE PARENT ORGANIZATION, ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS IN THE PAST YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASPIRUS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391328331	HEALTHCARE	WI	501 (C) 3	LINE 12B, II	N/A	0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391138241	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391406537	PROPERTY LEASING	WI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	390782130	NURSING HOME SERVICES	WI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS MEDICAL GROUP INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391670223	MEDICAL SERVICES	WI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS ONTONAGON INC
601 SEVENTH STREET	ONTONAGON	MI	49953	260806477	HOSPITAL	MI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUE	WAUSAU	WI	54401	390808511	HOME HEALTH CARE SERVICES	WI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUE	WAUSAU	WI	54401	391597350	PERSONAL CARE SERVICES	WI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS VNA HOME HEALTH INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVD	WAUSAU	WI	54401	391256656	CHARITABLE FOUNDATION	WI	501 (C) 3	LINE 7		Yes (1)	ASPIRUS INC
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
1400 W ICE LAKE ROAD	IRON RIVER	MI	49935	383236977	HOSPITAL	MI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
N 10561 GRAND VIEW LANE	IRONWOOD	MI	49938	382908586	HOSPITAL	MI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
410 DEWEY STREET	WISCONSIN RAPIDS	WI	54494	390868982	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
DIVINE SAVIOR HEALTHCARE INC
2817 NEW PINERY ROAD	PORTGAGE	WI	53901	390806250	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
135 S GIBSON STREET	MEDFORD	WI	54451	390964813	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MEDFORD FOUNDATION INC
135 S GIBSON STREET	MEDFORD	WI	54451	391777081	CHARITABLE FOUNDATION	WI	501 (C) 3	LINE 7		Yes (1)	ASPIRUS INC
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
900 ILLINOIS AVENUE	STEVENS POINT	WI	54481	390808443	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC
900 ILLINOIS AVENUE	STEVENS POINT	WI	54481	391657410	CHARITABLE FOUNDATION	WI	501 (C) 3	LINE 12A, I		Yes (1)	ASPIRUS INC
ASPIRUS STANLEY HOSPITAL & CLINICS INC
1120 PINE STREET	STANLEY	WI	54768	390807065	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MERRILL HOSPITAL & CLINICS INC
601 S CENTER AVENUE	MERRILL	WI	54452	390808503	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MERRILL HOSPITAL FOUNDATION INC
601 S CENTER AVENUE	MERRILL	WI	54452	391627755	CHARITABLE FOUNDATION	WI	501 (C) 3	LINE 12A, I		Yes (1)	ASPIRUS INC
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
2251 NORTH SHORE DRIVE	RHINELANDER	WI	54501	391390638	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC
201 HOSPITAL ROAD	EAGLE RIVER	WI	54521	390985690	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREET	WOODRUFF	WI	54568	390873606	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREET	WOODRUFF	WI	54568	391499115	HEALTHCARE	WI	501 (C) 3	LINE 12B, II		Yes (1)	ASPIRUS INC
ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN
2251 NORTH SHORE DRIVE	RHINELANDER	WI	54501	391965593	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
WESTERN UPPER MICHIGAN EYE CARE LLC
131 W GENESEE STREET	IRON RIVER	MI	49935	272324957	EYE CARE SERVICES	MI	N/A	0	0
THE WESTWOOD CONFERENCE CENTER LLC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	571184256	REAL ESTATE INVESTMENT	WI	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
ASPIRUS NETWORK INC
3000 WESTHILL DRIVE 202	WAUSAU	WI	54401	391931678	HEALTH CARE SERVICES	WI	N/A	C	Yes (1)
ASPIRUS KEWEENAW ENTERPRISES INC
205 OSCEOLA STREET	LAURIUM	MI	49913	383390273	PHARMACY	MI		C	Yes (1)	ASPIRUS KEWEENAW HOSPITAL	$83,659	$725,282	1.00000
ASPIRUS HEALTH VENTURES
3000 WESTHILL DR SUITE 303	WAUSAU	WI	54401	474925640	HEALTH INSURANCE PLAN	WI	N/A	C	Yes (1)
ASPIRUS ARISE HEALTH PLAN OF WI INC
300 WESTHILL DR SUITE 303	WAUSAU	WI	54401	364832569	HEALTH INSURANCE PLAN	WI	N/A	C	Yes (1)
ASPIRUS ARISE HEALTH PLAN OF MI INC
300 WESTHILL DR SUITE 303	WAUSAU	WI	54401	475448266	HEALTH INSURANCE PLAN	MI	N/A	C	Yes (1)
ASPIRUS CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC
2200 WESTWOOD DRIVE	WAUSAU	WI	54401	842513742	ASSOCIATION	WI	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS WAUSAU HOSPITAL INC
I	$77,972	COST
ASPIRUS WAUSAU HOSPITAL INC
O	$169,561	COST
ASPIRUS WAUSAU HOSPITAL INC
P	$169,019	COST
ASPIRUS WAUSAU HOSPITAL INC
Q	$99,706	COST
ASPIRUS INC
C	$4,197,307	COST
ASPIRUS INC
I	$70,989	COST
ASPIRUS INC
M	$9,399,552	COST
ASPIRUS INC
O	$29,118,551	COST
ASPIRUS INC
P	$13,412,224	COST
ASPIRUS INC
Q	$102,597	COST
ASPIRUS MEDICAL GROUP INC
J	$50,750	COST
ASPIRUS MEDICAL GROUP INC
O	$535,785	COST
ASPIRUS ONTONAGON HOSPITAL INC
M	$139,615	COST
ASPIRUS ONTONAGON HOSPITAL INC
O	$59,644	COST
ASPIRUS ONTONAGON HOSPITAL INC
Q	$710,849	COST
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
O	$189,669	COST
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
O	$143,930	COST