ASPIRUS KEWEENAW: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS KEWEENAW (EIN 38-1443361)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-13
- IRS object ID
- 202131339349300413
- 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
- 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 | 2021-05-13T06:20:54-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | 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 | 2019-07-01 | 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 | 2021-05-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2021-05-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | $59,375,524 | 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 | 415 | TotalEmployeeCnt |
| Total Volunteers | 48 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $302,660 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,949,097 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $54,240,312 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $56,752,715 | CYProgramServiceRevenueAmt |
| PY Investment Income | $323,823 | PYInvestmentIncomeAmt |
| CY Investment Income | $218,712 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,242,035 | PYOtherRevenueAmt |
| CY Other Revenue | $392,729 | CYOtherRevenueAmt |
| PY Total Revenue | $56,108,830 | PYTotalRevenueAmt |
| CY Total Revenue | $59,313,253 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $38,899 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $30,212 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,170,729 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,954,923 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $30,466,451 | PYOtherExpensesAmt |
| CY Other Expenses | $31,051,605 | CYOtherExpensesAmt |
| PY Total Expenses | $56,676,079 | PYTotalExpensesAmt |
| CY Total Expenses | $57,036,740 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$567,249 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,276,513 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,359,940 | TotalAssetsBOYAmt |
| Total Assets EOY | $56,177,057 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,523,999 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $40,731,232 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,835,941 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,445,825 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $41,213,290 | ExpenseAmt |
| Grant | $30,212 | GrantAmt |
| Revenue | $56,930,443 | RevenueAmt |
| Desc | ASPIRUS KEWEENAW HOSPITAL PROVIDES COMPREHENSIVE INPATIENT, OUTPATIENT, EMERGENCY, MEDICAL, PHYSICIAN CLINIC SERVICES, AND EYE CLINIC SERVICES. | Desc |
| Total Program Service Expenses | $41,213,290 | 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 | 0 | 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 | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 415 | 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 | Yes (1) | 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 (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| FREDERICK RAU | |||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $564,280 | $0 | $44,414 | |||
| MARK A KELLEY | |||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $542,031 | $0 | $44,966 | |||
| JAMES BLACK | |||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $486,253 | $0 | $48,414 | |||
| SHAHAR MADJAR | |||||||||
| PHYSICIAN | 30.00 | 10.00 | Yes (X) | $453,534 | $0 | $46,267 | |||
| MICHAEL MCALLISTER | |||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $439,970 | $0 | $30,361 | |||
| CARI LOGEMANN | |||||||||
| SVP & GENERAL COUNSEL | 2.00 | 50.00 | $0 | $527,198 | $91,251 | Yes (X) | |||
| MICHAEL MCGRAIL | |||||||||
| SVP & SYSTEM CHIEF MEDICAL OFFICER | 2.00 | 50.00 | $0 | $527,876 | $83,274 | Yes (X) | |||
| RICK NEVERS | |||||||||
| SVP- REGIONAL OPERATIONS SIO | 2.00 | 50.00 | $0 | $468,168 | $87,163 | Yes (X) | |||
| ERIC ANDERSON | |||||||||
| SVP- SERVICE LINE & PATIENT EXP. | 2.00 | 50.00 | $0 | $449,876 | $93,739 | Yes (X) | |||
| TODD RICHARDSON | |||||||||
| SVP & CHIEF INFORMATION OFFICER | 2.00 | 50.00 | $0 | $443,960 | $90,922 | Yes (X) | |||
| RENEE SMITH | |||||||||
| EXECUTIVE DIRECTOR ANI | 2.00 | 50.00 | $0 | $457,632 | $47,266 | Yes (X) | |||
| RUTH RISLEY-GRAY | |||||||||
| SVP & SYSTEM CHIEF NURSING OFFICER | 2.00 | 50.00 | $0 | $454,475 | $44,140 | Yes (X) | |||
| STEPHEN BREWER | |||||||||
| VP- HEART VASCULAR & TERTIARY ACI | 2.00 | 50.00 | $0 | $279,378 | $67,262 | Yes (X) | |||
| LORI PECK | |||||||||
| VP- REVENUE CYCLE | 2.00 | 50.00 | $0 | $261,660 | $32,868 | Yes (X) | |||
| JOHN MONKS | |||||||||
| VP- OPERATIONS | 2.00 | 50.00 | $0 | $250,602 | $45,380 | Yes (X) | |||
| GRACE TOUSIGNANT | |||||||||
| VP- REGIONAL PATIENT CARE & CNO | 2.00 | 50.00 | $249,273 | $0 | $34,605 | Yes (X) | |||
| MATTHEW HEYWOOD | |||||||||
| PRESIDENT & CEO ASPIRUS | 1.00 | 50.00 | $0 | $1,351,919 | $222,225 | Yes (X) | |||
| SIDNEY C SCZYGELSKI | |||||||||
| SR. VP OF FINANCE/CFO | 1.00 | 50.00 | $0 | $742,406 | $126,380 | Yes (X) | |||
| JENNIFER REDMAN-SCHELL | |||||||||
| SVP & PRESIDENT- ASPIRUS CLINICS | 2.00 | 50.00 | $0 | $450,779 | $79,716 | Yes (X) | |||
| JESSE TISCHER | |||||||||
| INTERIM REGIONAL CEO/SVP&PRES OF REG. MKT | 1.00 | 50.00 | $0 | $455,557 | $71,884 | Yes (X) | Yes (X) | ||
| CHRISTINE K HARFF | |||||||||
| CEO | 10.00 | 30.00 | $0 | $196,756 | $18,363 | Yes (X) | Yes (X) | ||
| DANIEL L DALQUIST | |||||||||
| CHAIRMAN | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| EDWARD D JENICH | |||||||||
| VICE-CHAIRMAN | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| DARRYL A PIERCE | |||||||||
| SECRETARY / TREASURER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JOHN F HEISLER | |||||||||
| DIRECTOR / SVP CHIEF HR | 1.00 | 50.00 | $0 | $458,655 | $41,443 | Yes (X) | |||
| PATRICK TINCHER JR | |||||||||
| VP- FINANCE REGIONAL OPERATIONS | 2.00 | 50.00 | $0 | $356,677 | $54,014 | Yes (X) | |||
| MARCUS SANTINI | |||||||||
| PHYSICIAN | 2.00 | 50.00 | $0 | $330,058 | $44,708 | Yes (X) | |||
| JONATHAN BRUEGGEMAN | |||||||||
| PHYSICIAN | 2.00 | 50.00 | $312,591 | $0 | $48,155 | Yes (X) | |||
| MICHAEL W LUOMA MD | |||||||||
| DIRECTOR/MEDICAL DIRECTOR | 40.00 | 0.00 | $205,381 | $0 | $41,828 | Yes (X) | |||
| JENNIFER WEAVER | |||||||||
| NURSE PRACTITIONER | 2.00 | 50.00 | $0 | $97,404 | $38,135 | Yes (X) | |||
| JERRY W LUOMA MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| ADNAN MALIK MD | |||||||||
| DIRECTOR / PHYSICIAN | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| DALE R TAHTINEN | |||||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| JOEL C TUORINIEMI | |||||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,253,313 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,561,036 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,719,143 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 43 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 730 | MIDVALE | UT | 84047 | CONTRACT LABOR - LOCUM PROVIDERS | $1,262,693 |
| WAPITI MEDICAL GROUP LIMITED | |||||
| 107 FLYNN DRIVE STE 600 | MILBANK | SD | 57252 | CONTRACT LABOR - PROVIDERS | $1,078,058 |
| CLAYTON CHARLES MD LLC | |||||
| 1100 S STATE RD 7 STE 200A | MARGATE | FL | 33068 | CONTRACT LABOR - PROVIDER | $602,100 |
| UP PATHOLOGY SERVICES PC | |||||
| 22381 STATE HWY M26 | HANCOCK | MI | 49930 | CONTRACT LABOR - PROVIDERS | $362,281 |
| DOUGLAS A CROSBY MD PLLC | |||||
| 3219 CONGER ST | PORT HURON | MI | 48060 | CONTRACT LABOR - PROVIDER | $266,780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,885,260 | GovernmentGrantsAmt |
| All Other Contributions | $63,837 | AllOtherContributionsAmt |
| Total Contributions | $1,949,097 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $51,454,056 | $51,454,056 | |
| 340B REVENUE DRUG PROGRAM | 900099 | $4,243,741 | $4,243,741 | |
| CAFETERIA REVENUE | 624200 | $110,077 | $110,077 | |
| VENDING REVENUE | 624200 | $8,002 | $8,002 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $936,839 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $936,839 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $56,752,715 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $225,267 | TotalRevenueColumnAmt |
| Exclusion | $225,267 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $146,422 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $49,500 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $96,922 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,922 | TotalRevenueColumnAmt |
| Exclusion | $96,922 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,216 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $12,771 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,216 | SecuritiesAmt |
| Other | -$12,771 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,555 | TotalRevenueColumnAmt |
| Exclusion | -$6,555 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONTRACT SERVICE REVENUE | 900099 | $165,659 | $165,659 |
| E.H.R INCENTIVE | 900099 | $130,148 | $130,148 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $295,807 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,313,253 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,930,443 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $433,713 | 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 | $30,212 | TotalAmt |
| Program Services | $30,212 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,021,777 | TotalAmt |
| Program Services | $18,287,511 | ProgramServicesAmt |
| Management And General | $2,734,266 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,058,968 | TotalAmt |
| Program Services | $870,800 | ProgramServicesAmt |
| Management And General | $188,168 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,606,455 | TotalAmt |
| Program Services | $2,082,376 | ProgramServicesAmt |
| Management And General | $524,079 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,267,723 | TotalAmt |
| Program Services | $1,090,992 | ProgramServicesAmt |
| Management And General | $176,731 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,580 | TotalAmt |
| Management And General | $23,580 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $857 | TotalAmt |
| Management And General | $857 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,005,749 | TotalAmt |
| Program Services | $6,374,047 | ProgramServicesAmt |
| Management And General | $631,702 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,440 | TotalAmt |
| Management And General | $97,440 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,584 | TotalAmt |
| Program Services | $52,584 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,786 | TotalAmt |
| Management And General | $36,786 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312 | TotalAmt |
| Management And General | $312 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $524,179 | TotalAmt |
| Program Services | $31,965 | ProgramServicesAmt |
| Management And General | $492,214 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,373 | TotalAmt |
| Program Services | $41,760 | ProgramServicesAmt |
| Management And General | $32,613 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,985 | TotalAmt |
| Management And General | $21,985 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,502 | TotalAmt |
| Program Services | $13,493 | ProgramServicesAmt |
| Management And General | $9 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739,588 | TotalAmt |
| Program Services | $1,656 | ProgramServicesAmt |
| Management And General | $737,932 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,453,616 | TotalAmt |
| Program Services | $789,577 | ProgramServicesAmt |
| Management And General | $1,664,039 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,348 | TotalAmt |
| Program Services | $90,297 | ProgramServicesAmt |
| Management And General | $115,051 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES/EXP | $7,789,590 | $7,577,746 | $211,844 |
| CORPORATE ALLOCATIONS | $7,763,046 | $7,763,046 | |
| HOSPITAL ASSESSMENT PAY | $1,468,795 | $1,468,795 | |
| PROVISION FOR BAD DEBTS | $1,280,605 | $1,280,605 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,499,670 | TotalAmt |
| Program Services | $1,128,874 | ProgramServicesAmt |
| Management And General | $370,796 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,036,740 | TotalAmt |
| Program Services | $41,213,290 | ProgramServicesAmt |
| Management And General | $15,823,450 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,334,538 | BOYAmt |
| EOY | $8,354,905 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,591,556 | BOYAmt |
| EOY | $1,481,014 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,306,805 | BOYAmt |
| EOY | $6,588,424 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,858 | BOYAmt |
| EOY | $568,357 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,491,841 | BOYAmt |
| EOY | $159,958 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $48,033,786 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $27,165,925 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,903,415 | BOYAmt |
| EOY | $20,867,861 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,960,342 | BOYAmt |
| EOY | $4,359,575 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,083,943 | BOYAmt |
| EOY | $1,091,468 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,733,642 | BOYAmt |
| EOY | $12,705,495 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,359,940 | BOYAmt |
| EOY | $56,177,057 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,948,944 | BOYAmt |
| EOY | $10,582,019 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,148 | BOYAmt |
| EOY | $3,831,566 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,936,361 | BOYAmt |
| EOY | $16,980,198 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $426,227 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,508,546 | BOYAmt |
| EOY | $8,911,222 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,523,999 | BOYAmt |
| EOY | $40,731,232 | 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 | $21,835,941 | BOYAmt |
| EOY | $15,157,879 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $287,946 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,835,941 | BOYAmt |
| EOY | $15,445,825 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,359,940 | BOYAmt |
| EOY | $56,177,057 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,276,513 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$103,328 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$8,563,301 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $5,539 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,539 | 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 $5,539 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 | $910,838 | OtherCostOrOtherBasisAmt |
| Book Value | $910,838 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,600,068 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,921,231 | DepreciationAmt |
| Book Value | $16,678,837 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,468,481 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,244,694 | DepreciationAmt |
| Book Value | $3,223,787 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,399 | OtherCostOrOtherBasisAmt |
| Book Value | $54,399 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,867,861 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM ASPIRUS KEWEENAW ENTERPRISES | $2,896,934 |
| DUE FROM OTHER ENTITIES | $24,714 |
| DUE FROM ASPIRUS INC. | $7,554,607 |
| RHC MEDICAID RECEIVABLE | $115,000 |
| INSURANCE RECEIVABLE | $2,114,240 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,705,495 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| LONG TERM INSURANCE PAYABLE | $2,025,114 |
| ASBESTOS LIABILITY | $21,448 |
| MEDICARE ACCELERATED PAYMENTS | $6,202,323 |
| OPERATING LEASE LIABILITY | $294,117 |
| LONG TERM FICA TAX LIABILITY | $191,557 |
| DUE TO PHYSICIANS | $96,197 |
| FINANCE LEASE LIABILITY | $80,466 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,911,222 | TotalLiabilityAmt |
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 | $559,583 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $559,583 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,929,651 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,350,519 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,579,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,489,234 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,350,519 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,138,715 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11010 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,398 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,398 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,427,942 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,958,598 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,469,344 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11600 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,212 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,212 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,531,552 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,958,598 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,572,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11780 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,020,786 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,309,117 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,711,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.22790 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $506,708 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $12,343,118 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,373,735 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$30,617 | 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 | 18 | 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 | 18 | 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 |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| 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/FINANCIALAID | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.ASPIRUS.ORG/FINANCIALAID | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.ASPIRUS.ORG/FINANCIALAID | 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: A SURVEY WAS MAILED TO 23,800 HOUSEHOLDS ACROSS THE WESTERN U.P. IN AUGUST 2017. A TOTAL OF 1,700 RANDOMLY SELECTED HOUSEHOLDS IN HOUGHTON AND KEWEENAW COUNTIES RECEIVED A SURVEY. |
| ASPIRUS KEWEENAW HOSPITAL | PART V, SECTION B, LINE 6A: ASPIRUS GRAND VIEW, ASPIRUS ONTONAGON, BARAGA COUNTY MEMORIAL HOSPITAL, U.P. HEALTH SYSTEM - PORTAGE. |
| ASPIRUS KEWEENAW HOSPITAL | PART V, SECTION B, LINE 6B: WESTERN UPPER PENINSULA HEALTH DEPARTMENT AND COPPER COUNTY MEMORIAL HEALTH SERVICES |
| ASPIRUS KEWEENAW HOSPITAL | PART V, SECTION B, LINE 11: FOR THE PURPOSES OF DEVELOPING ASPIRUS KEWEENAW'S CHNA AND TO FULFILL THE PPACA REQUIREMENTS, ASPIRUS KEWEENAW IS USING THE FOUR OVERALL U.P. PRIORITIES AS THE STRATEGIC DRIVERS TO ENACT EFFORTS TO PROVIDE PROACTIVE HEALTHCARE SERVICES THAT ALIGN TO THE NEEDS OF THE COMMUNITIES ASPIRUS KEWEENAW SERVES. WITHIN THOSE 4 STRATEGIC DRIVERS ARE FIVE MAIN GOALS. THE FISCAL YEAR 2020 PROGRESS TOWARD THOSE GOALS ARE AS FOLLOWS: 1. PROVIDE EDUCATION AND INFORMATION ON HEALTH LIVING FOR PREVENTION AND AWARENESS OF CHRONIC DISEASES. A. WE'VE HELD MULTIPLE ASPIRING WOMEN EVENTS ON VARIOUS TOPICS INCLUDING HEALTHY EATING, HEART DISEASE, MINDFULNESS, ADDICTION, AND OVERALL WELLNESS. B. WE CONTINUE TO PROVIDE OUR MONTHLY DIABETES SUPPORT GROUP. C. ALL EVENTS WE HOLD OR ATTEND WE PROVIDE INFORMATION ON FITNESS, NUTRITION, GENERAL AWARENESS, AND INFORMATION ON SERVICES WE PROVIDE. D. WE ALSO HOLD SPORTS PHYSICALS. 2. SUPPORT AND PROVIDE THE COMMUNITY WITH A FITNESS LOCATION AND PROGRAMS THAT WORK TOWARD PREVENTING CHRONIC DISEASE AND OTHER HEALTH CONCERNS IN OUR LOCAL POPULATION. A. WE CURRENTLY ACCEPT SILVER SNEAKERS THROUGH MEDICARE. B. THE STAFF AT THE FITNESS CENTER ATTEND 100% OF OUR OUTREACH EVENTS. C. FITNESS CHALLENGES ARE CREATED MONTHLY TO EDUCATE THE GENERAL COMMUNITY AS WELL AS MEMBERS. D. THE FITNESS STAFF ARE COLLABORATING WITH ASPIRUS AND OTHER AREA PROVIDERS TO CREATE FITNESS PLANS FOR INDIVIDUALS WHO ARE STRUGGLING WITH ADDICTION ISSUES. 3. CONTINUE TO SUPPORT THE DIABETES EDUCATION PROGRAM THROUGH EDUCATION TO THE COMMUNITY. A. WE OFFER ONE-ON-ONE SESSIONS WITH OUR DIABETES CLINIC FOR GENERAL EDUCATION AND SPECIFIC NEEDS. B. DIABETES SUPPORT GROUPS CONTINUE MONTHLY. 4. FOCUS ON SUBSTANCE ABUSE EPIDEMIC RELATED ISSUES AND PROVIDE EDUCATION AND TREATMENT OPTIONS FOR LOCAL COMMUNITY. A. OFFERING SELF-REFERRAL TO LOCAL ADDITIONAL SPECIALIST PROVIDER. B. HIRED A SOCIAL WORKER TO DIRECTLY WORK WITH LOCAL ADDICTION PROVIDER TO HELP MAKE THE CONNECTION FOR ALL ASPECTS OF RECOVERY INCLUDING LOCAL RESOURCES. C. PROVIDE SUBSTANCE ABUSE PREVENTION INFORMATION AT ALL OUTREACH EVENTS. 5. REACH 50% OF HOUGHTON AND KEWEENAW COUNTY POPULATION WITH ANNUAL "HOW-TO" INFORMATION. A. CREATING FEATURES FOR LOCAL PUBLICATIONS REGARDING SCREENINGS, PREVENTION, AND USEFUL INFORMATION ON LOCAL AND SYSTEM SERVICES. B. CONTINUE TO HOLD ASPIRING WOMEN EVENTS C. CROSS COMMUNICATION INCLUDING INFORMATION ON SUBSTANCE ABUSE AT NUTRITIONAL COMMUNITY EVENT. PROGRESS ON THESE INITIATIVES STALLED DURING THE SECOND HALF OF FISCAL YEAR 2020 DUE TO THE ONSET OF THE COVID-19 PANDEMIC AND RESTRICTIONS THAT WERE PUT INTO PLACE AS A RESULT. |
| ASPIRUS KEWEENAW HOSPITAL | PART V, SECTION B, LINE 13H: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ASPIRUS KEWEENAW OUTPATIENT THERAPIES | ||||
| 342 HECLA STREET | LAURIUM | MI | 49913 | OUTPATIENT THERAPY |
| 2 - ASPIRUS HOUGHTON CLINIC | ||||
| 1000 CEDAR STREET | HOUGHTON | MI | 49931 | CLINIC & OUTPATIENT THERAPY |
| 3 - ASPIRUS KEWEENAW LAKE LINDEN CLINIC | ||||
| 110 CALUMET STREET | LAKE LINDEN | MI | 49945 | CLINIC |
| 4 - ASPIRUS KEWEENAW LAURIUM WELLNESS | ||||
| 300 HECLA STREET | LAURIUM | MI | 49913 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COST METHOD THAT IS USED ON THE FORM 990 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. THIS IS THEN DIVIDED BY GROSS PATIENT SERVICES REVENUE. |
| 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 $1,280,605. |
| 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 4: | IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE 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 RELATING TO SERVICES PROVIDED TO PATIENTS HAVING THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS 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), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS 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 OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 8: | ALLOWABLE MEDICARE COSTS WERE OBTAINED FROM THE ORGANIZATION'S FILED MEDICARE COST REPORT. AS SUCH THEY ONLY INCLUDE THE AMOUNTS ALLOWED IN THE FORM 990 INSTRUCTIONS. THEREFORE, THEY ONLY INCLUDE A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND DO NOT CONSIDER ALL OF THE CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. THE MEDICARE REVENUES AMOUNTS LISTED DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS ANESTHESIA PROFESSIONAL SERVICES, REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS, PHYSICAL THERAPY SERVICES PROVIDED TO NURSING HOME RESIDENTS, AND A SIGNIFICANT PORTION OF LAB SERVICES PROVIDED TO AREA CLINIC PATIENTS. |
| 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. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. CARDON OUTREACH 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. AS A PERCENTAGE OF TOTAL REVENUE, MEDICARE AND MEDICAID COMPRISE OF 48% AND 18%, RESPECTIVELY FOR THE ORGANIZATION. |
| 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 AN AFFILIATED HEALTH SYSTEM WHICH SERVES THE COMMUNITY SURROUNDING LAURIUM, MICHIGAN. AFFILIATES OF ASPIRUS KEWEENAW PROMOTE THE HEALTH OF THE COMMUNITY BY FULFILLING THEIR INDIVIDUAL MISSIONS. ASPIRUS KEWEENAW PROVIDES PHYSICIAN SERVICES IN OUTPATIENT CLINICS. |
| 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 | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (26 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FREDERICK RAU | ||||||||||||||
| PHYSICIAN | $548,217 | $0 | $0 | $0 | $16,063 | $0 | $16,832 | $0 | $27,582 | $0 | $608,694 | $0 | $0 | $0 |
| MARK A KELLEY | ||||||||||||||
| PHYSICIAN | $508,575 | $0 | $25,000 | $0 | $8,456 | $0 | $16,934 | $0 | $28,032 | $0 | $586,997 | $0 | $0 | $0 |
| JAMES BLACK | ||||||||||||||
| PHYSICIAN | $474,073 | $0 | $0 | $0 | $12,180 | $0 | $16,832 | $0 | $31,582 | $0 | $534,667 | $0 | $0 | $0 |
| SHAHAR MADJAR | ||||||||||||||
| PHYSICIAN | $446,260 | $0 | $0 | $0 | $7,274 | $0 | $14,685 | $0 | $31,582 | $0 | $499,801 | $0 | $0 | $0 |
| MICHAEL MCALLISTER | ||||||||||||||
| PHYSICIAN | $434,500 | $0 | $0 | $0 | $5,470 | $0 | $16,607 | $0 | $13,754 | $0 | $470,331 | $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 |
| 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 |
| 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 | $182,057 | $0 | $64,594 | $0 | $2,622 | $0 | $10,343 | $0 | $24,262 | $0 | $283,878 | $0 | $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 C 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 | ||||||||||||||
| INTERIM REGIONAL CEO/SVP&PRES OF REG | $0 | $374,250 | $0 | $80,770 | $0 | $537 | $0 | $1,971 | $0 | $69,913 | $0 | $527,441 | $0 | $0 |
| CHRISTINE K HARFF | ||||||||||||||
| CEO | $0 | $143,509 | $0 | $40,000 | $0 | $13,247 | $0 | $5,354 | $0 | $13,009 | $0 | $215,119 | $0 | $0 |
| JOHN F HEISLER | ||||||||||||||
| DIRECTOR / SVP CHIEF HR | $0 | $317,113 | $0 | $85,743 | $0 | $55,799 | $0 | $16,832 | $0 | $24,611 | $0 | $500,098 | $0 | $41,623 |
| 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 |
| MARCUS SANTINI | ||||||||||||||
| PHYSICIAN | $0 | $304,375 | $0 | $9,817 | $0 | $15,866 | $0 | $16,832 | $0 | $27,876 | $0 | $374,766 | $0 | $0 |
| JONATHAN BRUEGGEMAN | ||||||||||||||
| PHYSICIAN | $255,375 | $0 | $50,000 | $0 | $7,216 | $0 | $14,627 | $0 | $33,528 | $0 | $360,746 | $0 | $0 | $0 |
| MICHAEL W LUOMA MD | ||||||||||||||
| DIRECTOR/MEDICAL DIRECTOR | $197,748 | $0 | $7,186 | $0 | $447 | $0 | $14,578 | $0 | $27,250 | $0 | $247,209 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | HOUSING 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. REDMAN-SCHELL $3,300 C. HARFF $3,257 J. BRUEGGEMAN $1,679 |
| 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: S. SCZYGELSKI $60,259 S. BREWER $19,731 P. TINCHER JR. $32,761 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 A 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 FROM 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 |
| Total Proceeds | $17,005,943 | TotalProceedsAmt |
| Capital Expenditures | $17,005,943 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART VI | FormAndLineReferenceDesc |
| Explanation | 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.] | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | JERRY LUOMA AND MICHAEL LUOMA HAVE A FAMILY RELATIONSHIP. |
| 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 COMPRISED OF 7 DIRECTORS FROM ASPIRUS, INC. AND 3 DIRECTORS FROM KEWEENAW HEALTH FOUNDATION. 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 DIRECTORS 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. 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 4,859,188. MANAGEMENT AND GENERAL EXPENSES 89,219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,948,407. DISPENSING FEE 340B: PROGRAM SERVICE EXPENSES 966,694. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 966,694. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 248,187. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 248,187. LAB PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 525,885. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 525,885. LINEN CONTRACT: PROGRAM SERVICE EXPENSES 4,428. MANAGEMENT AND GENERAL EXPENSES 131,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 136,028. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 45,537. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,537. LAWN CARE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,760. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,760. SNOW REMOVAL: PROGRAM SERVICE EXPENSES 15,578. MANAGEMENT AND GENERAL EXPENSES 81,782. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,360. WASTE: PROGRAM SERVICE EXPENSES 389. MANAGEMENT AND GENERAL EXPENSES 31,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,876. PEST CONTROL: PROGRAM SERVICE EXPENSES 525. MANAGEMENT AND GENERAL EXPENSES 1,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,655. TRANSPORTATION: PROGRAM SERVICE EXPENSES 1,360. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,360. |
| FORM 990, PART XI, LINE 9: | UNRESTRICTED NET ASSET TRANSFERS - ASPIRUS WAUSAU HOSPITAL -14,479,901. UNRESTRICTED NET ASSET TRANSFERS - ASPIRUS INC 11,659,784. UNRESTRICTED NET ASSET TRANSFERS - ASPIRUS CLINICS INC -3,953,021. UNRESTRICTED NET ASSET TRANSFERS - ASPIRUS ONTONAGON HOSPITAL -609,321. UNRESTRICTED NET ASSET TRANSFERS - ASPIRUS VNA EXTENDED CARE -4,356. UNRESTRICTED NET ASSET TRANSFERS - ASPIRUS IRONWOOD HOSPITAL -838,174. UNRESTRICTED NET ASSET TRANSFERS - ASPIRUS IRON RIVER -338,312. |
| 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS WAUSAU HOSPITAL INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391138241 | HOSPITAL | WI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS BUILDINGS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391406537 | PROPERTY LEASING | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | Yes (1) | |
| ASPIRUS EXTENDED SERVICES INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 390782130 | NURSING HOME SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | 0 | |
| ASPIRUS CLINICS INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391670223 | MEDICAL SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | Yes (1) | |
| ASPIRUS ONTONAGON HOSPITAL INC | |||||||||||
| 601 SEVENTH STREET | ONTONAGON | MI | 49953 | 260806447 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS VNA HOME HEALTH INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 390808511 | HOME HEALTHCARE SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | Yes (1) | |
| ASPIRUS VNA EXTENDED CARE INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 391597350 | PERSONAL CARE SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS VNA HOME HEALTH INC | Yes (1) | |
| ASPIRUS HEALTH FOUNDATION INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391256656 | CHARITABLE FOUNDATION | WI | 501(C)(3) | LINE 7 | ASPIRUS INC | Yes (1) | |
| ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 382908586 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391328331 | HEALTH CARE MANAGEMENT SYSTEM | WI | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS INC | |||||||||||
| 1400 W ICE LAKE ROAD | IRON RIVER | MI | 49935 | 383236977 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | |||||||||||
| 410 DEWEY STREET | WISCONSIN RAPIDS | WI | 54494 | 390868982 | HOSPITAL | WI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| DIVINE SAVIOR HEALTHCARE INC | |||||||||||
| 2817 NEW PINERY ROAD | PORTGAGE | WI | 53901 | 390806250 | HOSPITAL | WI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN UPPER MICHIGAN EYE CARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 131 W GENESEE STREET | AddressLine1Txt |
| City | IRON RIVER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49935 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272324957 | EIN |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 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 | -$88,092 | $1,784,476 | 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) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | 0 | 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 | 0 | 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ASPIRUS WAUSAU HOSPITAL INC | ||
| M | $405,464 | COST |
| ASPIRUS WAUSAU HOSPITAL INC | ||
| O | $2,430,229 | COST |
| ASPIRUS WAUSAU HOSPITAL INC | ||
| P | $110,303 | COST |
| ASPIRUS WAUSAU HOSPITAL INC | ||
| Q | $51,540 | COST |
| ASPIRUS INC | ||
| M | $7,763,046 | COST |
| ASPIRUS INC | ||
| O | $24,024,728 | COST |
| ASPIRUS INC | ||
| P | $738,229 | COST |
| ASPIRUS CLINIC INC | ||
| J | $51,250 | COST |
| ASPIRUS ONTONAGON HOSPITAL INC | ||
| L | $129,022 | COST |
| ASPIRUS ONTONAGON HOSPITAL INC | ||
| Q | $362,762 | COST |
| ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | ||
| O | $154,564 | COST |
| ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | ||
| Q | $692,867 | COST |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS INC | ||
| O | $168,115 | COST |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS INC | ||
| Q | $204,419 | COST |
| ASPIRUS KEWEENAW ENTERPRISES | ||
| A | $95,172 | COST |