STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ASPIRUS IRONWOOD HOSPITAL & CLINICS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC (EIN 38-2908586)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-13
IRS object ID
202111339349301101
Schema version
2019v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-13T06:20:54-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382908586EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS IRONWOOD HOSPITAL & CLINICS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASPIBusinessNameControlTxt
Phone9069322525PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1N10561 GRAND VIEW LANEAddressLine1Txt
CityIRONWOODCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49938ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSIDNEY C SCZYGELSKIPersonNm
Person TitleCFO/SENIOR VP OF FINANCEPersonTitleTxt
Phone9069322525PhoneNum
Signature2021-05-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2021-05-03PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSIDNEY C SCZYGELSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 WESTWOOD DRIVEAddressLine1Txt
CityWAUSAUCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$62,955,912GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASPIRUS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionWE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee403TotalEmployeeCnt
Total Volunteers85TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$128,379PYContributionsGrantsAmt
CY Contributions Grants$704,744CYContributionsGrantsAmt
PY Program Service Revenue$61,894,282PYProgramServiceRevenueAmt
CY Program Service Revenue$60,235,103CYProgramServiceRevenueAmt
PY Investment Income$864,928PYInvestmentIncomeAmt
CY Investment Income$1,650,972CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$358,743CYOtherRevenueAmt
PY Total Revenue$62,887,589PYTotalRevenueAmt
CY Total Revenue$62,949,562CYTotalRevenueAmt
PY Grants And Similar Paid$20,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,375CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$29,044,261PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,563,053CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,968,221PYOtherExpensesAmt
CY Other Expenses$31,793,802CYOtherExpensesAmt
PY Total Expenses$62,032,482PYTotalExpensesAmt
CY Total Expenses$61,359,230CYTotalExpensesAmt
PY Revenues Less Expenses$855,107PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,590,332CYRevenuesLessExpensesAmt
Total Assets BOY$69,357,067TotalAssetsBOYAmt
Total Assets EOY$76,634,283TotalAssetsEOYAmt
Total Liabilities BOY$29,217,683TotalLiabilitiesBOYAmt
Total Liabilities EOY$43,880,240TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$40,139,384NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,754,043NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$48,528,597ExpenseAmt
Grant$2,375GrantAmt
Revenue$60,140,668RevenueAmt
DescASPIRUS IRONWOOD HOSPITAL AND CLINICS IS A 25-BED CRITICAL ACCESS HOSPITAL WHICH PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF IRONWOOD, MICHIGAN AND ITS SURROUNDING COMMUNITIES. SOME OF THE SERVICES PROVIDED BEYOND TRADITIONAL INPATIENT HOSPITALIZATIONS INCLUDE SURGERY, EMERGENCY CARE, RADIOLOGY, LABORATORY, THERAPIES, EYE CARE, ONCOLOGY, SLEEP LAB, AND CARDIOLOGY, AMONG VARIOUS OTHER HEALTH CARE SERVICES.ASPIRUS IRONWOOD HOSPITAL AND CLINICS PROVIDES HEALTH CARE SERVICES TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. FOR THOSE INDIVIDUALS UNABLE TO PAY FOR THEIR HEALTH CARE NEEDS, ASPIRUS IRONWOOD HOSPITAL AND CLINICS OFFERS SERVICES FOR FREE OR AT A REDUCED PRICE THROUGH THE FINANCIAL AID DISCOUNT POLICY. PLEASE REFER TO SCHEDULE H OF THE FORM 990 FOR ADDITIONAL INFORMATION ON THE COST OF FINANCIAL AID DISCOUNTS PROVIDED TO PATIENTS DURING FISCAL YEAR 2020.ASPIRUS IRONWOOD HOSPITAL AND CLINICS ALSO PROVIDES HEALTH CARE SERVICES TO INDIVIDUALS COVERED UNDER GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID WHICH OFTEN REIMBURSE THE HOSPITAL AT AMOUNTS SUBSTANTIALLY LOWER THAN THE USUAL AND CUSTOMARY CHARGE. THOSE PEOPLE COVERED BY THESE TYPES OF PROGRAMS NEED ACCESS TO HEALTH CARE BUT ARE OFTEN TIMES UNABLE TO TRAVEL LONG DISTANCES TO RECEIVE THIS CARE. ASPIRUS IRONWOOD HOSPITAL AND CLINICS PROVIDES THIS LOCAL, QUALITY HEALTH CARE TO MANY ELDERLY AND LOW-INCOME INDIVIDUALS THAT ARE IN NEED OF HEALTH CARE. DURING FISCAL YEAR 2020, MORE THAN 71.1% OF THE HOSPITAL'S GROSS PATIENT SERVICE REVENUE WAS FROM BENEFICIARIES OF MEDICARE AND MEDICAID.Desc
Total Program Service Expenses$48,528,597TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document93IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee403EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SIDNEY C SCZYGELSKIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7158472250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 WESTWOOD DRIVEAddressLine1Txt
CityWAUSAUCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DANIEL LUKES
PHYSICIAN40.00Yes (X)$618,127$0$42,158
JAMES HUBBARD
PHYSICIAN40.00Yes (X)$600,161$0$30,456
ENRICO BRAUCHER
PHYSICIAN40.00Yes (X)$583,736$0$37,066
TATYANA BOMBARD
RADIOLOGIST40.00Yes (X)$528,627$0$48,078
JOHN PIETILA
RADIOLOGIST40.00Yes (X)$480,689$0$31,647
CARI LOGEMANN
SVP & GENERAL COUNSEL1.00$0$527,198$91,25150.00Yes (X)
MICHAEL MCGRAIL
SVP & SYSTEM CHIEF MEDICAL OFFICER1.00$0$527,876$83,27450.00Yes (X)
RICK NEVERS
SVP- REGIONAL OPERATIONS SIO1.00$0$468,168$87,16350.00Yes (X)
ERIC ANDERSON
SVP- SERVICE LINE & PATIENT EXP.1.00$0$449,876$93,73950.00Yes (X)
TODD RICHARDSON
SVP & CHIEF INFORMATION OFFICER1.00$0$443,960$90,92250.00Yes (X)
RENEE SMITH
EXECUTIVE DIRECTOR ANI1.00$0$457,632$47,26650.00Yes (X)
JOHN HEISLER
SVP & CHIEF HUMAN RESOURCES OFFICER1.00$0$458,655$41,44350.00Yes (X)
RUTH RISLEY-GRAY
SVP & SYSTEM CHIEF NURSING OFFICER1.00$0$454,475$44,14050.00Yes (X)
PAULA CHERMSIDE
CHIEF ADMINISTRATIVE OFFICER ASPIRUS IRONWOOD40.00$338,658$0$29,071Yes (X)
STEPHEN BREWER
VP- HEART VASCULAR & TERTIARY ACI1.00$0$279,378$67,262Yes (X)
LORI PECK
VP- REVENUE CYCLE1.00$0$261,660$32,868Yes (X)
JOHN MONKS
VP- OPERATIONS1.00$0$250,602$45,380Yes (X)
GRACE TOUSIGNANT
VP- REGIONAL PATIENT CARE & CNO1.00$0$249,273$34,605Yes (X)
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS1.00$0$1,351,919$222,22550.00Yes (X)
SIDNEY SCZYGELSKI
SR. VP OF FINANCE/CFO1.00$0$742,406$126,38050.00Yes (X)
JENNIFER REDMAN-SCHELL
SVP & PRESIDENT- ASPIRUS CLINICS1.00$0$450,779$79,71650.00Yes (X)Yes (X)
KATIE L CLARK
SECRETARY1.00$0$0$0Yes (X)Yes (X)
JOHN GARSKE
VICE CHAIRPERSON1.00$0$0$0Yes (X)Yes (X)
JAMES LORENSON
CHAIRPERSON1.00$0$0$0Yes (X)Yes (X)
STEVEN TINTI
TREASURER1.00$0$0$0Yes (X)Yes (X)
JESSE TISCHER
SVP & PRESIDENT- REGIONAL MARKETS1.00$0$455,557$71,88450.00Yes (X)
PATRICK TINCHER JR
VP- FINANCE REGIONAL OPERATIONS1.00$0$356,677$54,01450.00Yes (X)
STEVEN PHILLIPSON
MEDICAL DIRECTOR1.00$0$340,890$40,17950.00Yes (X)
MARCUS SANTINI
PHYSICIAN40.00$330,058$0$44,708Yes (X)
JONATHAN BRUEGGEMAN
PHYSICIAN1.00$0$312,591$48,15550.00Yes (X)
CHRISTINE HARFF
PRESIDENT- REGIONAL UP1.00$0$196,756$18,36350.00Yes (X)
JENNIFER WEAVER
NURSE PRACTITIONER40.00$0$97,404$38,135Yes (X)
RICHARD KOUBEK
DIRECTOR1.00$0$0$0Yes (X)
JOHN MATONICH
DIRECTOR1.00$0$0$0Yes (X)
CHRISTOPHER J PATRITTO
DIRECTOR1.00$0$0$0Yes (X)
KIRK R SCHOTT
DIRECTOR/ PHYSICIAN40.00$0$0$0Yes (X)
WILLIAM W WOOD
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,480,056TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,133,732TotReportableCompRltdOrgAmt
Total Other Compensation$1,721,548TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K46IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MICHIGAN EMERGENCY PHYSICIANS
PO BOX 677979DALLASTX752677979ER PHYSICIAN COVERAGE$2,007,150
UPPER PENINSULA HEALTH CARE SOLUTIONS
W WASHINGTON STMARQUETTEMI498554330MRI SERVICES$530,236
NORTHERN XRAY COMPANY
2118 FOURTH AVENUE SOUTHMINNEAPOLISMN554042642RADIOLOGY$465,959
CHG COMPANIES INC
PO BOX 972651DALLASTX753972651CONTRACT LABOR$297,677
SHARED MEDICAL SERVICES
209 LIMESTONE PASSCOTTAGE GROVEWI53527RADIOLOGY$237,535
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Government Grants$694,344GovernmentGrantsAmt
All Other Contributions$10,400AllOtherContributionsAmt
Total Contributions$704,744TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUE621990$55,890,889$55,890,889
PHARMACY 340B900099$3,994,646$3,994,646
RELATED PARTY RENTAL531120$152,177$152,177
CAFETERIA900099$94,435$94,435
NON RELATED PARTY RENTAL900099$89,756$89,756

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,200TotalRevenueColumnAmt
Related Or Exempt Func Income$13,200RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$60,235,103TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,631,309TotalRevenueColumnAmt
Exclusion$1,631,309ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$26,013SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$6,350OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$26,013SecuritiesAmt
Other-$6,350OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,663TotalRevenueColumnAmt
Exclusion$19,663ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$358,743TotalRevenueColumnAmt
Exclusion$358,743ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$358,743OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,949,562TotalRevenueColumnAmt
Related Or Exempt Func Income$60,140,668RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,104,150ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,375TotalAmt
Program Services$2,375ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,262,922TotalAmt
Program Services$21,092,162ProgramServicesAmt
Management And General$3,170,760ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,165,737TotalAmt
Program Services$1,091,670ProgramServicesAmt
Management And General$74,067ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,722,309TotalAmt
Program Services$1,987,977ProgramServicesAmt
Management And General$734,332ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,412,085TotalAmt
Program Services$1,182,341ProgramServicesAmt
Management And General$229,744ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$75,090TotalAmt
Management And General$75,090ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$13,500TotalAmt
Management And General$13,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,302,701TotalAmt
Program Services$5,775,544ProgramServicesAmt
Management And General$527,157ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$121,371TotalAmt
Program Services$15,277ProgramServicesAmt
Management And General$106,094ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,020,804TotalAmt
Program Services$819,051ProgramServicesAmt
Management And General$201,753ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$36,318TotalAmt
Program Services$36,318ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$581,960TotalAmt
Program Services$173,144ProgramServicesAmt
Management And General$408,816ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$129,432TotalAmt
Program Services$84,881ProgramServicesAmt
Management And General$44,551ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$137,220TotalAmt
Program Services$137,220ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$580,485TotalAmt
Program Services$562ProgramServicesAmt
Management And General$579,923ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,698,812TotalAmt
Program Services$1,193,834ProgramServicesAmt
Management And General$1,504,978ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$292,812TotalAmt
Management And General$292,812ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CORPORATE ALLOCATIONS$8,483,560$4,336,367$4,147,193
DRUGS AND MEDICAL SUPPL$7,258,281$7,091,693$166,588
QAAP EXPENSES$1,266,354$1,266,354
BAD DEBT EXPENSE$910,986$910,986

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,884,116TotalAmt
Program Services$1,330,841ProgramServicesAmt
Management And General$553,275ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$61,359,230TotalAmt
Program Services$48,528,597ProgramServicesAmt
Management And General$12,830,633ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,270BOYAmt
EOY$1,512,864EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,587,665BOYAmt
EOY$11,393,197EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,749,875BOYAmt
EOY$6,247,801EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,216,025BOYAmt
EOY$1,229,105EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$132,703BOYAmt
EOY$910,202EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$67,901,692LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,342,831LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,930,185BOYAmt
EOY$28,558,861EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$9,549,322BOYAmt
EOY$9,718,280EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,056,243BOYAmt
EOY$6,121,393EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$236,607BOYAmt
EOY$236,607EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$896,172BOYAmt
EOY$10,705,973EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$69,357,067BOYAmt
EOY$76,634,283EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,652,242BOYAmt
EOY$4,947,364EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$49,207BOYAmt
EOY$5,109,922EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,533,049BOYAmt
EOY$14,268,319EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$585,482EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,983,185BOYAmt
EOY$18,969,153EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,217,683BOYAmt
EOY$43,880,240EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,633,299BOYAmt
EOY$32,130,385EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$506,085BOYAmt
EOY$623,658EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,139,384BOYAmt
EOY$32,754,043EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$69,357,067BOYAmt
EOY$76,634,283EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,590,332ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$260,872NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$8,714,801OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,967OtherActivitiesAmt
Total Lobbying Expenditures$5,967TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationASPIRUS IRONWOOD 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 IRONWOOD HOSPITAL & CLINICS THAT APPROXIMATELY $5,967 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis$421,754OtherCostOrOtherBasisAmt
Book Value$421,754BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,153,339OtherCostOrOtherBasisAmt
Depreciation$17,262,970DepreciationAmt
Book Value$23,890,369BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,035OtherCostOrOtherBasisAmt
Depreciation$64,579DepreciationAmt
Book Value$6,456BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,230,972OtherCostOrOtherBasisAmt
Depreciation$22,015,282DepreciationAmt
Book Value$4,215,690BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,592OtherCostOrOtherBasisAmt
Book Value$24,592BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,558,861TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
DEFERRED COMPENSATION PLAN ASSETS$5,035,193F
INVESTMENTS IN UNCONSOLIDATED AFFILIATES$1,086,200F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$6,121,393TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
CSV LIFE INSURANCE$229,479
OPERATING LEASE ROU ASSET$645,756
RELATED PARTY RECEIVABLE$9,830,738
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,705,973TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$5,035,193
LONG-TERM INSURANCE LIABILITY$257,946
DUE TO OTHER$2,850
ACC INSURANCE DEDUCTIBLES$168,092
MEDICAID, MEDICARE & BLUE CROSS PAYABLES$13,505,072
FieldValueIRS element (for citing)
Total Liability$18,969,153TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide CareYes (1)UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$921,109TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$921,109NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,370,280TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,845,272DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,525,008NetCommunityBenefitExpnsAmt
Total Expense0.10630TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,291,389TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,845,272DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,446,117NetCommunityBenefitExpnsAmt
Total Expense0.12130TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,714TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,714NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,390,833TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$986,171DirectOffsettingRevenueAmt
Net Community Benefit Expns$404,662NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,399,547TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$986,171DirectOffsettingRevenueAmt
Net Community Benefit Expns$413,376NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,690,936TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,831,443DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,859,493NetCommunityBenefitExpnsAmt
Total Expense0.12800TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,059TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,059NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$54NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,113TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,113NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$378,129BadDebtExpenseAmt
Reimbursed By Medicare$15,114,991ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$15,196,874CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$81,883MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 WESTERN UPPER MICHIGAN EYE CARE LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesEYE CLINICPrimaryActivitiesTxt
Org Profit Or Ownership0.51000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.49000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS IRONWOOD HOSPITAL & CLINICSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1N10561 GRAND VIEW LANEAddressLine1Txt
CityIRONWOODCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49938ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ASPIRUS.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS IRONWOOD HOSPITAL & CLINICS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SUPPLEMENTAL INFORMATIONOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.ASPIRUS.ORG/COMMUNITY-RESOURCESStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.ASPIRUS.ORG/FINANCIALAIDFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.ASPIRUS.ORG/FINANCIALAIDFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.ASPIRUS.ORG/FINANCIALAIDFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.PART V, SECTION B, LINE 5: THROUGHOUT THE PLANNING AND PRODUCTION OF THE UPPER PENINSULA 2018 REGIONAL HEALTH ASSESSMENT, A STEERING COMMITTEE OF COMMUNITY LEADERS AND SUBJECT MATTER EXPERTS MET REGULARLY TO DIRECT THE REPORTING PROCESS, WHICH INCLUDED THE CREATION AND DISTRIBUTION OF A SURVEY TO A RANDOM SELECTION OF RESIDENTS. FOR ASPIRUS IRONWOOD, THIS INCLUDES INPUT FROM THE WESTERN UPPER PENINSULA HEALTH DEPARTMENT AS WELL AS OTHER ASPIRUS UP HOSPITALS. REPRESENTATIVES FROM EACH ORGANIZATION COMMUNICATED IN REGULAR MEETINGS. THE KEY DATA ELEMENT IN THE UPPER PENINSULA 2018 REGIONAL HEALTH ASSESSMENT IS THE COMMUNITY SURVEY, WHICH IDENTIFIED IMPORTANT ISSUES REGARDING QUALITY OF LIFE THAT HAD NOT BEEN MEASURED BEFORE THE SURVEY WAS CONDUCTED. THE SURVEY WAS MAILED TO THOUSANDS OF HOUSEHOLDS ACROSS THE ENTIRE UPPER PENINSULA, WITH NEARLY 5,000 RESPONSES BACK FROM RESIDENTS. THE UPPER PENINSULA 2018 REGIONAL HEALTH ASSESSMENT ALSO INCLUDES A SIGNIFICANT AMOUNT OF DATA INDICATORS ACROSS MULTIPLE CATEGORIES RELATING TO HEALTH AND HEALTH FACTORS. THIS DATA WAS COMPILED FROM A WIDE ARRAY OF PUBLISHED SOURCES AND FROM HEALTH CARE PROVIDERS. PUBLISHED SOURCES INCLUDED THE U.S. CENSUS, THE AMERICAN COMMUNITY SURVEY, AND STATISTICS COMPILED BY THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, THE WISCONSIN DIVISION OF PUBLIC HEALTH, AND OTHER GOVERNMENT AND PRIVATE AGENCIES.
ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER HOSPITALS:- ASPIRUS ONTONAGON HOSPITAL, INC.- U.P. HEALTH SYSTEM - BARAGA COUNTY MEMORIAL HOSPITAL- ASPIRUS KEWEENAW HOSPITAL- ASPIRUS IRON RIVER HOSPITAL- COPPER COUNTRY MENTAL HEALTH SERVICES- GOGEBIC COUNTY COMMUNITY MENTAL HEALTH- UPPER GREAT LAKES FAMILY HEALTH CENTER
ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.PART V, SECTION B, LINE 7D: HTTP://ASPIRUS.ORG/MAIN/COMMUNITY-RESOURCES
ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.PART V, SECTION B, LINE 11: AFTER MULTIPLE MEETINGS, DISCUSSIONS AND APPROVAL, THE PRIORITIES WERE SELECTED BY THE STEERING COMMITTEE ON A REGIONAL SCALE. THE GOAL BEING THAT THE MEMBER ORGANIZATIONS WOULD CONTINUE TO WORK TOGETHER, ADD MEMBERS, AND POOL RESOURCES, LEADERSHIP, AND EXPERTISE TO DEVELOP INITIATIVES THAT COULD MAKE AN EVEN GREATER IMPACT ON A REGIONAL BASIS THAN AN INDIVIDUAL ORGANIZATION MIGHT BE ABLE TO, ESPECIALLY WITH LIMITED RESOURCES. MANY OF THE COUNTIES IDENTIFIED IN MICHIGAN AND WISCONSIN ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS. FOR PURPOSES OF THE ASPIRUS IRONWOOD CHNA, AND TO FULFILL THE REQUIREMENTS SET FORTH BY THE PPACA, ASPIRUS IRONWOOD HAS TAKEN THE FOUR OVERALL PRIORITIES AND WILL BE ADDRESSING THESE NEEDS AND LOOKING TO MAKE AN IMPACT ON THE FUTURE OF OUR COMMUNITIES. BELOW ARE THE FOUR MAJOR PRIORITY AREAS OUTLINED IN THE UPPER PENINSULA 2018 REGIONAL HEALTH ASSESSMENT, FOLLOWED BY THE AREAS OF FOCUS THAT ASPIRUS IRONWOOD WILL COMMIT TO ADDRESSING: - HEALTH INSURANCE IS EXPENSIVE OR HAS HIGH COSTS FOR CO-PAYS AND DEDUCTIBLES- DRUG ABUSE- LACK OF HEALTH INSURANCE- UNEMPLOYMENT, WAGES, AND ECONOMIC CONDITIONSHOWEVER, BASED ON THE INDIVIDUAL DATA FOR GOGEBIC COUNTY, ASPIRUS IRONWOOD HOSPITAL WILL CONTINUE TO FOCUS ON THE FOLLOWING IN ORDER TO MAKE THE GREATEST COMMUNITY IMPACT: 1. THE IMPACT ON AN AGING POPULATION: IN THE UPPER PENINSULA, NEARLY 20 PERCENT OF THE NON-INCARCERATED POPULATION IS AGE 65 OR OLDER, COMPARED WITH 15 PERCENT STATEWIDE. IN GOGEBIC COUNTY, OVER 23 PERCENT OF THE POPULATION IS 65 YEARS OR OLDER. SINCE THE CHRONIC DISEASE BURDEN IS HIGHER IN OLDER ADULTS, AND AGING ADULTS HAVE GREATER NEEDS FOR HOME HEALTH SERVICES, ASSISTED LIVING AND NURSING HOME CARE, THE SHIFTING OF A COMMUNITY'S AGE DISTRIBUTION TOWARD OLDER COHORTS HAS PROFOUND IMPLICATIONS ON THE NEEDS FOR HEALTH CARE AND ELDER SERVICES. 2. THE IMPORTANCE OF PREVENTION: CHRONIC DISEASES SUCH AS CANCER, HEART DISEASE, DIABETES AND STROKE ARE THE LEADING CAUSES OF DEATH IN THE U.P. AND ACROSS MUCH OF THE GLOBE. CANCER AND HEART DISEASE ALONE ACCOUNT FOR ABOUT HALF OF ALL U.P. DEATHS. THEY ARE ALSO LARGELY PREVENTABLE. CURTAILING TOBACCO USE, OBESITY AND THE ABUSE OF ALCOHOL AND OTHER DRUGS ALONE WOULD DRAMATICALLY REDUCE MORBIDITY AND MORTALITY AMONG U.P. RESIDENTS. TOBACCO IS STILL THE LEADING PREVENTABLE CAUSE OF DEATH IN THE US., BUT THE EMERGING OPIOID EPIDEMIC IS TAKING ITS TOLL IN THE REGION THROUGH ITS BROAD IMPACT ON MATERNAL AND CHILD HEALTH, CHILD ABUSE AND NEGLECT, NEONATAL DRUG ADDICTION/WITHDRAWAL, INCARCERATION AND EMPLOYMENT. OTHER FACTORS WHICH LEND THEMSELVES TO PREVENTION AND SIGNIFICANTLY IMPACT HEALTH STATUS INCLUDE:- HIGH RATES OF LOCAL TOBACCO AND ALCOHOL USE CONTRIBUTE TO CHRONIC DISEASE BURDEN LOCALLY. OVER 20 PERCENT OF GOGEBIC COUNTY ADULTS ARE CURRENT SMOKERS AND OVER HALF ARE EITHER CURRENT OR FORMER SMOKERS. AN ESTIMATED 15 PERCENT OF LOCAL ADULTS ARE HEAVY DRINKERS, COMPARED WITH 6.9 PERCENT NATIONWIDE. - IN THE U.P., CIGARETTE SMOKING DURING PREGNANCY FAR EXCEEDS STATE LEVELS; 12 COUNTIES REPORTED AT LEAST 1-IN-4 WOMEN SMOKED DURING PREGNANCY AND SEVEN COUNTIES REPORTED AT LEAST 30 PERCENT OF WOMEN SMOKED DURING PREGNANCY. - AN ESTIMATED 29.6 PERCENT OF GOGEBIC COUNTY RESIDENTS RECEIVED NO DENTAL SERVICES IN THE PAST YEAR.- AN ESTIMATED 23 PERCENT OF GOGEBIC COUNTY ADULTS REPORT A HISTORY OF DEPRESSION, WHICH IS A TREATABLE CONDITION WITH MULTIPLE NEGATIVE HEALTH CONSEQUENCES. THE PREVALENCE OF MENTAL ILLNESS COMBINED WITH A REPORTED SHORTAGE OF MENTAL HEALTH SERVICES FOR ADULTS AND CHILDREN INDICATED AN UNMET COMMUNITY HEALTH NEED. 3. THE POWERFUL CORRELATION BETWEEN SOCIO-ECONOMIC STATUS AND POOR HEALTH: ALTHOUGH THE U.P. SPANS OVER 16,000 SQUARE MILES AND COMPRISES APPROXIMATELY ONE THIRD OF MICHIGAN'S LAND MASS, ITS RESIDENTS ARE MORE ALIKE THAN THEY ARE DIFFERENT. IN FACT, THE READER WILL NOTE THAT INCOME AND EDUCATION, I.E. SOCIOECONOMIC STATUS, ARE GREATER DETERMINANTS OF HEALTH STATUS AND ACCESS THAN GEOGRAPHY IN THE U.P. AND, AS COMMUNITIES MOVE FORWARD IN COMMUNITY HEALTH IMPROVEMENT PLANNING, IT WILL BE IMPORTANT THAT NON-TRADITIONAL PARTNERS IN HEALTHCARE BE AT THE TABLE SUCH AS EDUCATORS, VOLUNTEER ORGANIZATIONS, LEADERS IN THE BUSINESS COMMUNITY, AND GOVERNMENTAL ENTITIES SUCH AS CITY COUNCIL MEMBERS, COUNTY COMMISSIONERS AND LEGISLATORS. LOCALLY, LOW-INCOME ADULTS, AND THOSE WITH LOWER LEVELS OF EDUCATION, REPORT POORER PHYSICAL AND MENTAL HEALTH, HIGHER RATES OF DISEASE AND DISABILITY, AND LOWER RATES FOR ANNUAL PHYSICAL EXAMS AND APPROPRIATELY TIMED CANCER SCREENINGS , INEQUALITIES OF SOCIOECONOMIC STATUS CONTRIBUTE TO DISPARITIES IN ACCESS TO SERVICES, AND SOCIOECONOMIC FACTORS (INCOME AND EDUCATION) STRONGLY CORRELATE WITH HEALTH STATUS. ONE OF THE MOST STRIKING AND ILLUSTRATIVE EXAMPLES OF HEALTH DISPARITY BASED ON SOCIOECONOMIC STATUS IS THE FACT THAT NEARLY 32 PERCENT OF GOGEBIC COUNTY ADULTS WITH HOUSEHOLD INCOMES BELOW $25,000 ARE CURRENT SMOKERS, COMPARED WITH 11 PERCENT FOR ADULTS WITH INCOMES ABOVE $50,000. THIS EXAMPLE IS POWERFUL BECAUSE OF THE WIDE GULF IN HEALTH BEHAVIORS, AND BECAUSE SMOKING IS SUCH A STRONG CONTRIBUTING FACTOR IN DISEASE, DISABILITY, AND PREMATURE DEATH. 4. EXPANDED ACCESS TO CARE VIA THE EVOLVING AFFORDABLE CARE ACT: PRIOR TO IMPLEMENTATION OF THE AFFORDABLE CARE ACT (ACA) IN 2014, 18.5 PERCENT OF U.P. RESIDENTS AGE 18-64 DID NOT HAVE HEALTH INSURANCE. BY 2017, THAT RATE HAD DECLINED TO AN ESTIMATED 7.0 PERCENT DUE TO MICHIGAN'S MEDICAID EXPANSION AND THE NEWLY CREATED HEALTH INSURANCE MARKETPLACE. REGARDLESS OF ONE'S VIEW OF THE ACA, IT HAS CLEARLY SUCCEEDED IN EXPANDING THE POOL OF INDIVIDUALS WITH HEALTH INSURANCE COVERAGE, HENCE REDUCING ONE OF THE BARRIERS RESIDENTS EXPERIENCE IN ACCESSING HEALTHCARE. THE IMPACT OF ON-GOING AMENDMENTS TO THE ACA REMAINS TO BE SEEN. 5. AS A HEALTHCARE SYSTEM, ASPIRES WILL BE WORKING COLLABORATIVELY TO ADDRESS DRUG ADDICTION.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ASPIRUS EYE CENTER
E6112 BLUFF VIEW ROADIRONWOODMI49938EYE CLINIC
2 - ASPIRUS IRONWOOD CLINIC
N10565 GRAND VIEW LANEIRONWOODMI49938PROVIDER BASED CLINIC
3 - ASPIRUS HURLEY CLINIC
501 GRANITE STREETHURLEYWI54534PROVIDER BASED CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:ASPIRUS IRONWOOD HOSPITAL & CLINICS PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND FILES IT WITH THE MICHIGAN HOSPITAL ASSOCIATION (MHA). THE REPORT IS AVAILABLE TO THE GENERAL PUBLIC THROUGH MHA'S DATABASE AND WEBSITE.
PART I, LINE 7:THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSES 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 FROM THE FORM 990.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES AT ASPIRUS IRONWOOD HOSPITAL & CLINICS INCLUDE THE OPERATION OF THE HOSPITAL'S INPATIENT MEDICAL/SURGICAL NURSING UNIT AS WELL AS THE INTENSIVE CARE UNIT. THE HOSPITAL INPATIENT AND INTENSIVE CARE UNITS OPERATE 24 HOURS PER DAY SEVEN DAYS PER WEEK AND ARE STAFFED BY A GROUP OF HIGHLY TRAINED NURSING STAFF INCLUDING REGISTERED NURSES, LICENSED PRACTICAL NURSES, AND OTHER SUPPORT STAFF. MANY OF THE ADMISSIONS TO THE HOSPITAL INPATIENT AND INTENSIVE CARE UNITS COME FROM THE HOSPITAL'S EMERGENCY DEPARTMENT WHICH IS OPERATED TO PROVIDE EMERGENCY CARE TO PATIENTS OF THE COMMUNITY AND SURROUNDING AREAS. THESE SUBSIDIZED HEALTH SERVICES WORK IN SUPPORT AND COOPERATION WITH THE COMBINED EFFORTS OF ASPIRUS IRONWOOD HOSPITAL & CLINICS AND SHARE MANY SUPPORT FUNCTIONS OF THE HOSPITAL IN AN EFFORT TO PROVIDE EXCELLENT LOW COST CARE TO PATIENTS IN THEIR LOCAL COMMUNITY AND AREA. A SIGNIFICANT PAYOR FOR THESE PROGRAMS IS THE MEDICARE PROGRAM WHICH DOES NOT REIMBURSE THE HOSPITAL FOR THESE SERVICES IN ALL CASES BASED ON COST SO A SIGNIFICANT LOSS IS ABSORBED BY THE HOSPITAL TO PROVIDE THESE SERVICES TO MEMBERS OF THE COMMUNITY. IT IS THE GOAL OF ASPIRUS IRONWOOD HOSPITAL & CLINICS TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE INPATIENT UNIT REPORTED COMMUNITY BENEFIT COSTS OF $1,199,951 WITH DIRECT OFFSETTING REVENUE OF $850,826. THE INTENSIVE CARE UNIT REPORTED COMMUNITY BENEFIT COSTS OF $190,882 WITH DIRECT OFFSETTING REVENUE OF $135,345.
PART II, COMMUNITY BUILDING ACTIVITIES:ASPIRUS IRONWOOD HOSPITAL & CLINICS PROMOTE THE HEALTH OF THE COMMUNITY BY ALLOCATING TIME AND FUNDING INTO DEVELOPING PROGRAMS THAT FOCUS ON HEALTHY LIFESTYLES FOR FAMILIES AND INDIVIDUALS. COALITION BUILDING IS A LARGE PART OF THIS. THROUGH COALITIONS SUCH AS INTEGRATED FAMILY SERVICES AND A SUBSTANCE ABUSE NETWORK, ASPIRUS IRONWOOD HOSPITAL & CLINICS PROMOTE HEALTHY BEHAVIORS AND REGULAR PHYSICAL ACTIVITY. ECONOMIC DEVELOPMENT IS PROMOTED THROUGH COLLABORATION WITH LOCAL CHAMBERS OF COMMERCE AND KIWANIS.
PART III, LINE 2:THE BAD DEBT RECORDED MULTIPLIED BY THE COST TO CHARGE RATIO.
PART III, LINE 4:PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY:IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE AMOUNTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE.
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 IRONWOOD HOSPITAL & CLINICS 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, 2020 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).
PART III, LINE 9B:PATIENT FINANCIAL SERVICES (PFS) PROACTIVELY IDENTIFIES UNINSURED PATIENTS AND UNDER-INSURED PATIENTS AND SCREENS THEM FOR FINANCIAL ASSISTANCE AND COUNSELING WITHOUT REGARD TO RACE, ETHNICITY, GENDER, RELIGION, OR NATIONAL ORIGIN. THESE SERVICES ARE PROVIDED AT NO CHARGE. PFS COUNSELORS WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO HELP THEM UNDERSTAND THE SYSTEM'S FINANCIAL ASSISTANCE/DISCOUNTING POLICIES AND HOW THEY CAN QUALIFY FOR ASSISTANCE AND/OR DISCOUNTS INCLUDING A REFERRAL TO PUBLIC AND PRIVATE PROGRAMS TO DETERMINE ELIGIBILITY.
PART VI, LINE 2:ASPIRUS IRONWOOD HOSPITAL & CLINICS ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY EXAMINING THE NEEDS OF THE PATIENT. THIS IS DONE THROUGH ANALYSIS OF PATIENT VOLUMES IN DEPARTMENTS, SPECIALISTS, AND THE DIFFERENT CLINIC LOCATIONS WITHIN THE ORGANIZATION'S AREAS OF SERVICE. INFORMATION IS ALSO GATHERED DIRECTLY FROM THE PATIENTS TO SEE WHAT AREAS THEY WOULD LIKE TO SEE ADDITIONAL SUPPORT. INFORMATION REGARDING THE NEEDS OF THE GENERAL COMMUNITY IS OBTAINED FROM THE MICHIGAN HOSPITAL ASSOCIATION AND THE WISCONSIN HOSPITAL ASSOCIATION AND ANALYZED FOR POTENTIAL NEW SERVICE AREAS. ASPIRUS IRONWOOD HOSPITAL & CLINICS HAS COLLABORATED WITH OTHER AREA HOSPITALS TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS AN IMPORTANT TOOL IN IDENTIFYING THE HEALTH NEEDS OF THE COMMUNITY AND RESULTS OF THE PROJECT ASSIST IN PRIORITIZING HEALTH NEEDS THAT LEAD TO THE ALLOCATION OF APPROPRIATE RESOURCES AND THE CREATION OF NEW PARTNERSHIPS TO IMPROVE THE HEALTH OF THE POPULATION.
PART VI, LINE 3:A SUMMARY OF FINANCIAL ASSISTANCE CONTACT INFORMATION IS AVAILABLE IN THE FORM OF A BROCHURE IN THE WAITING AREAS THROUGHOUT ASPIRUS IRONWOOD HOSPITAL & CLINICS. PATIENT FINANCIAL SERVICES PERSONNEL ARE AVAILABLE TO DISCUSS PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROCEDURES AND PROGRAMS WITH PATIENTS. ASPIRUS IRONWOOD HOSPITAL & CLINICS ALSO HAS A SECTION ON ITS WEBSITE THAT PROVIDES CONTACT INFORMATION FOR FINANCIAL ASSISTANCE FOR THOSE HAVING DIFFICULTY MEETING THEIR FINANCIAL OBLIGATIONS.
PART VI, LINE 4:THE COMMUNITIES THAT ASPIRUS IRONWOOD HOSPITAL & CLINICS SERVE COVER AN APPROXIMATE 50-MILE RADIUS SURROUNDING THE IRONWOOD, MICHIGAN AREA. THIS AREA INCLUDES PORTIONS OF THE UPPER PENINSULA GOGEBIC COUNTY, UP TO THE ONTONAGON COUNTY REGION, INTO WISCONSIN COVERING IRON COUNTY, PARTS OF ASHLAND COUNTY, AND PARTS OF VILAS COUNTY. THE GEOGRAPHIC AREA THAT ASPIRUS IRONWOOD HOSPITAL & CLINICS SERVE INCLUDES AN ECONOMICALLY DEPRESSED AREA THAT IS BASED ON A MAJORITY OF FAMILIES THAT DO NOT HAVE HEALTH INSURANCE, OR THAT ARE UTILIZING MEDICAID.
PART VI, LINE 5:ASPIRUS IRONWOOD HOSPITAL & CLINICS HAVE NUMEROUS CONTINUING EDUCATION EVENTS THAT ARE SET UP TO HELP IMPROVE THE MEDICAL CARE AND KNOWLEDGE OF THE LOCAL POPULATION. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. ASPIRUS IRONWOOD HOSPITAL & CLINICS CONTINUE TO REINVEST IN EQUIPMENT, TRAINING, AND RESEARCH AREAS IN ORDER TO IMPROVE PATIENT CARE IN THE COMMUNITIES THAT IT SERVES, AS WELL AS PROVIDING RESEARCH TO HELP THE LOCAL COMMUNITIES.
PART VI, LINE 6:ASPIRUS IRONWOOD HOSPITAL & CLINICS IS AN AFFILIATED HEALTH SYSTEM WHICH SERVES THE COMMUNITY SURROUNDING IRONWOOD, MICHIGAN. AFFILIATES OF ASPIRUS IRONWOOD HOSPITAL & CLINICS PROMOTE THE HEALTH OF THE COMMUNITY BY FULFILLING ASPIRUS' MISSION. ASPIRUS IRONWOOD HOSPITAL & CLINICS PROVIDES PHYSICIAN SERVICES IN AN OUTPATIENT CLINIC. ASPIRUS IRONWOOD HOSPITAL & CLINICS IS ALSO AN AFFILIATE OF ASPIRUS, INC. ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTH CARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES DEDICATED TO IMPROVING THE HEALTH OF ALL WE SERVE. WE WORK COLLABORATIVELY WITH OTHERS WHO SHARE OUR PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE.
PART VI, LINE 7, REPORTS FILED WITH STATESMI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL LUKES
PHYSICIAN$553,314$0$58,571$0$6,242$0$16,832$0$25,326$0$660,285$0$0$0
JAMES HUBBARD
PHYSICIAN$549,951$0$44,000$0$6,210$0$16,832$0$13,624$0$630,617$0$0$0
ENRICO BRAUCHER
PHYSICIAN$561,125$0$15,273$0$7,338$0$16,832$0$20,234$0$620,802$0$0$0
TATYANA BOMBARD
RADIOLOGIST$493,089$0$30,000$0$5,538$0$16,832$0$31,246$0$576,705$0$0$0
JOHN PIETILA
RADIOLOGIST$400,364$0$75,000$0$5,325$0$8,400$0$23,247$0$512,336$0$0$0
CARI LOGEMANN
SVP & GENERAL COUNSEL$0$381,456$0$102,648$0$43,094$0$16,832$0$74,419$0$618,449$0$41,199
MICHAEL MCGRAIL
SVP & SYSTEM CHIEF MEDICAL OFFICER$0$406,549$0$109,773$0$11,554$0$14,438$0$68,836$0$611,150$0$0
RICK NEVERS
SVP- REGIONAL OPERATIONS SIO$0$339,937$0$83,542$0$44,689$0$19,582$0$67,581$0$555,331$0$38,399
ERIC ANDERSON
SVP- SERVICE LINE & PATIENT EXP.$0$360,168$0$88,372$0$1,336$0$16,832$0$76,907$0$543,615$0$0
TODD RICHARDSON
SVP & CHIEF INFORMATION OFFICER$0$313,273$0$88,199$0$42,488$0$16,832$0$74,090$0$534,882$0$39,566
RENEE SMITH
EXECUTIVE DIRECTOR ANI$0$359,068$0$65,045$0$33,519$0$16,832$0$30,434$0$504,898$0$32,734
JOHN HEISLER
SVP & CHIEF HUMAN RESOURCES OFFICER$0$317,113$0$85,743$0$55,799$0$16,832$0$24,611$0$500,098$0$41,623
RUTH RISLEY-GRAY
SVP & SYSTEM CHIEF NURSING OFFICER$0$291,384$0$78,869$0$84,222$0$19,582$0$24,558$0$498,615$0$76,355
PAULA CHERMSIDE
CHIEF ADMINISTRATIVE OFFICER ASPIRUS$225,764$0$102,461$0$10,433$0$14,627$0$14,444$0$367,729$0$0$0
STEPHEN BREWER
VP- HEART VASCULAR & TERTIARY ACI$0$216,847$0$41,275$0$21,256$0$14,216$0$53,046$0$346,640$0$19,731
LORI PECK
VP- REVENUE CYCLE$0$219,881$0$40,703$0$1,076$0$12,349$0$20,519$0$294,528$0$0
JOHN MONKS
VP- OPERATIONS$0$191,583$0$36,077$0$22,942$0$12,836$0$32,544$0$295,982$0$17,632
GRACE TOUSIGNANT
VP- REGIONAL PATIENT CARE & CNO$0$182,057$0$64,594$0$2,622$0$10,343$0$24,262$0$283,878$0$0
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS$0$920,866$0$410,719$0$20,334$0$16,832$0$205,393$0$1,574,144$0$0
SIDNEY SCZYGELSKI
SR. VP OF FINANCE/CFO$0$536,087$0$132,967$0$73,352$0$19,582$0$106,798$0$868,786$0$60,259
JENNIFER REDMAN-SCHELL
SVP & PRESIDENT- ASPIRUS CLINICS$0$384,617$0$62,473$0$3,689$0$8,400$0$71,316$0$530,495$0$0
JESSE TISCHER
SVP & PRESIDENT- REGIONAL MARKETS$0$374,250$0$80,770$0$537$0$1,971$0$69,913$0$527,441$0$0
PATRICK TINCHER JR
VP- FINANCE REGIONAL OPERATIONS$0$274,699$0$42,396$0$39,582$0$15,181$0$38,833$0$410,691$0$32,761
STEVEN PHILLIPSON
MEDICAL DIRECTOR$0$310,745$0$30,000$0$145$0$14,892$0$25,287$0$381,069$0$0
MARCUS SANTINI
PHYSICIAN$304,375$0$9,817$0$15,866$0$16,832$0$27,876$0$374,766$0$0$0
JONATHAN BRUEGGEMAN
PHYSICIAN$0$255,375$0$50,000$0$7,216$0$14,627$0$33,528$0$360,746$0$0
CHRISTINE HARFF
PRESIDENT- REGIONAL UP$0$143,509$0$40,000$0$13,247$0$5,354$0$13,009$0$215,119$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE, WHEN APPLICABLE, WAS ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE - INCLUDED IN INCOME. J. BRUEGGEMAN $1,679 C. HARFF $3,257 J. REDMAN-SCHELL $3,300 P. CHERMSIDE $4,554
PART I, LINE 1BASPIRUS IRONWOOD HOSPITAL & CLINICS FOLLOWS THE COMPENSATION REVIEW PROCEDURES AND POLICIES OF ASPIRUS, INC. THE PHYSICIAN COMPENSATION OF ASPIRUS IRONWOOD HOSPITAL & CLINICS ALSO IS REVIEWED BY A COMMITTEE WHICH ALSO INCLUDES A REPRESENTATIVE FROM ASPIRUS, INC. TO PROVIDE ADDITIONAL ADMINISTRATIVE REVIEW AND SUPPORT TO THE COMPENSATION REVIEW PROCESS.
PART I, LINE 3FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. RELIED ON THE RELATED ORGANIZATIONS TO ESTABLISH 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.
PART I, LINE 4BSCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $60,259 P. TINCHER JR. $32,761 S. BREWER $19,731 J. HEISLER $41,623 C. LOGEMANN $41,199 J. MONKS $17,632 R. NEVERS $38,399 T. RICHARDSON $39,566 R. RISLEY-GRAY $76,355 R. SMITH $32,734 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: 9% FOR VICE PRESIDENT, 13% FOR SENIOR LEADERSHIP COUNCIL, AND 15% FOR THE CEO. 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; 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 (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WI HEALTH & EDUCATION FACILITIES AUTHORITY
A39133785597710B7X42013-04-12$2,998,547CONSTRUCT, RENOVATE, AND EQUIP FACILITIES000
WI HEALTH & EDUCATION FACILITIES AUTHORITY
B39133785597712DC532017-11-02$12,000,000NEW CONSTRUCTION000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$305,000$2,848,547$2,998,547201500Yes (1)Yes (1)
B$12,000,000$12,000,000201600Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)000.007000.0070000Yes (1)
B00Yes (1)000.003000.0030000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: WI HEALTH & EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/05/2018
SCHEDULE K, PART VI:THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2013 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (EIN 39-0964813); ASPIRUS GRAND VIEW (EIN 38-2908586); AND LANGLADE HOSPITAL HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429). INFORMATION REGARDING THE SERIES 2013 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 2013 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS.]
SCHEDULE K, PART VI:THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. (EIN 38-2908586); AND ASPIRUS ONTONAGON HOSPITAL, INC. (EIN 26-0806477). INFORMATION REGARDING THE SERIES 2017 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 2017 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2017 BONDS.]
PART III, LINES 3A AND 3B:ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS IRONWOOD HOSPITAL & CLINICS, HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW 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.
SCHEDULE K, PART III, LINE 9:SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonDIANA LORENSONPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSPOUSE OF JAMES LORENSON - AIW BOARD CHAIRRelationshipDescriptionTxt
Transaction$20,602TransactionAmt
TransactionEMPLOYMENT COMPENSATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ASEE EXPLANATION FOR FORM 990, PART VI, LINE 7B
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 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 OFFICER; 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 11BTHE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND IS MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH 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 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GLAB FEES: PROGRAM SERVICE EXPENSES 479,016. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 479,016. LOCUM: PROGRAM SERVICE EXPENSES 942,066. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 942,066. OTHER: PROGRAM SERVICE EXPENSES 4,354,462. MANAGEMENT AND GENERAL EXPENSES 527,157. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,881,619.
FORM 990, PART XI, LINE 9:AI EQUITY TRANSFER -8,674,193. RELEASE IN TEMP RESTRICTED NET ASSETS -40,608.
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 (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASPIRUS INC
425 PINE RIDGE BLVDWAUSAUWI54401391328331HEALTH CARE SYSTEM MANAGEMENTWI501(C)(3)LINE 12B, IIN/A0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVDWAUSAUWI54401391138241HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVDWAUSAUWI54401391406537PROPERTY LEASINGWI501(C)(3)LINE 10Yes (1)ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
425 PINE RIDGE BLVDWAUSAUWI54401390782130NURSING HOME SERVICESWI501(C)(3)LINE 100ASPIRUS INC
ASPIRUS CLINICS INC
425 PINE RIDGE BLVDWAUSAUWI54401391670223MEDICAL SERVICESWI501(C)(3)LINE 10Yes (1)ASPIRUS INC
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREETONTONAGONMI49953260806477HOSPITALMI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUEWAUSAUWI54401390808511HOME HEALTHCARE SERVICESWI501(C)(3)LINE 10Yes (1)ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUEWAUSAUWI54401391597350PERSONAL CARE SERVICESWI501(C)(3)LINE 10Yes (1)ASPIRUS VNA HOME HEALTH INC
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
1400 W ICE LAKE RDIRON RIVERMI49935383236977HOSPITALMI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVDWAUSAUWI54401391256656CHARITABLE FOUNDATIONWI501(C)(3)LINE 7Yes (1)ASPIRUS INC
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
410 DEWEY STREETWISCONSIN RAPIDSWI54494390868982HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS KEWEENAW HOSPITAL
205 OSCEOLA STREETLAURIUMMI49913381443361HOSPITALMI501(C)(3)LINE 3Yes (1)ASPIRUS INC
DIVINE SAVIOR HEALTHCARE INC
2817 NEW PINERY ROADPORTAGEWI53901390806250HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WESTERN UPPER MICHIGAN EYE CARE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1131 W GENESEE STREETAddressLine1Txt
CityIRON RIVERCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49935ZIPCd
FieldValueIRS element (for citing)
EIN272324957EIN
Primary ActivitiesEYE CARE SERVICESPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS IRONWOOD HOSPITAL & CLINICS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.51000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ASPIRUS NETWORK INC
3000 WESTHILL DRIVE 202WAUSAUWI54401391931679HEALTH CARE NETWORKWIN/ACYes (1)
ASPIRUS KEWEENAW ENTERPRISES
205 OSCEOLA STREETLAURIUMMI49913383390273PHARMACYMIN/ACYes (1)
ASPIRUS HEALTH VENTURES
3000 WESTHILL DRIVE 303WAUSAUWI54401474925640HEALTH INSURANCE PLANWIN/ACYes (1)
ASPIRUS ARISE HEALTH PLAN OF WI INC
3000 WESTHILL DRIVE 303WAUSAUWI54401364832569HEALTH INSURANCE PLANWIN/ACYes (1)
ASPIRUS ARISE HEALTH PLAN OF MI INC
3000 WESTHILL DRIVE 303WAUSAUWI54401475448266HEALTH INSURANCE PLANMIN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS WAUSAU HOSPITAL INC
O$2,149,783COST
ASPIRUS WAUSAU HOSPITAL INC
P$174,515COST
ASPIRUS INC
M$8,483,561COST
ASPIRUS INC
O$26,295,834COST
ASPIRUS INC
P$1,252,497COST
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
M$396,551COST
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
O$54,365COST
ASPIRUS KEWEENAW HOSPITAL INC
O$154,564COST
ASPIRUS KEWEENAW HOSPITAL INC
P$692,867COST