ASPIRUS IRON RIVER HOSPITAL & CLINICS INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS IRON RIVER HOSPITAL & CLINICS INC (EIN 38-3236977)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-15
- IRS object ID
- 201911359349307686
- Schema version
- 2017v2.3
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-15T13:37:47-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | 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 | 4890 OWEN AYRES COURT SUITE 200 | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383236977 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS IRON RIVER HOSPITAL & CLINICS | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASPI | BusinessNameControlTxt |
| Phone | 9062656121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 W ICE LAKE RD | AddressLine1Txt |
| City | IRON RIVER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49935 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SIDNEY C SCZYGELSKI | PersonNm |
| Person Title | CFO/SENIOR VP OF FINANCE | PersonTitleTxt |
| Phone | 9062656121 | PhoneNum |
| Signature | 2019-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL M TRACZEK CPA | PreparerPersonNm |
| PTIN | P01368830 | PTIN |
| Phone | 7158323407 | PhoneNum |
| Preparation | 2019-05-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 137.26.200.211 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-10 | IPDt |
| IP Tm | 15:12:53 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E4255D669FE7A429B540D12C0E645A16D05D3497 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SYDNEY C SCZYGELSKI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 W ICE LAKE RD | AddressLine1Txt |
| City | IRON RIVER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49935 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $51,480,198 | 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 | 1995 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 318 | TotalEmployeeCnt |
| Total Volunteers | 33 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $87 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $188,258 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,914 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $38,745,551 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,382,451 | CYProgramServiceRevenueAmt |
| PY Investment Income | $273,708 | PYInvestmentIncomeAmt |
| CY Investment Income | $866,911 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,049,110 | PYOtherRevenueAmt |
| CY Other Revenue | $2,990,097 | CYOtherRevenueAmt |
| PY Total Revenue | $42,256,627 | PYTotalRevenueAmt |
| CY Total Revenue | $44,261,373 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $9,067 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $700 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,209,978 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,953,691 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,976,416 | PYOtherExpensesAmt |
| CY Other Expenses | $26,069,756 | CYOtherExpensesAmt |
| PY Total Expenses | $43,195,461 | PYTotalExpensesAmt |
| CY Total Expenses | $46,024,147 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$938,834 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,762,774 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,541,570 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,695,790 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,729,460 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,698,343 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,812,110 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,997,447 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $32,520,135 | ExpenseAmt |
| Grant | $700 | GrantAmt |
| Revenue | $40,418,520 | RevenueAmt |
| Desc | - EMERGENCY DEPARTMENT: ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. OPERATES AN EMERGENCY DEPARTMENT 365 DAYS A YEAR, 24 HOURS A DAY. A PHYSICIAN IS ON-SITE, DEDICATED TO ONLY THE EMERGENCY DEPARTMENT. IN FISCAL YEAR 2018, 7,594 VISITS WERE MADE TO THIS DEPARTMENT. 85% OF ALL INPATIENT ADMISSIONS TO ASPIRUS IRON RIVER HOSPITAL COME FROM THE EMERGENCY DEPARTMENT. ALSO, ON MONDAY-FRIDAY, 4PM-8PM, WE OPERATE AN EXPRESS CARE CLINIC FOR THE NON-CRITICALLY ILL PATIENTS THAT CANNOT GET INTO THEIR OWN PHYSICIAN'S OFFICE THAT DAY. THE TOTAL VISITS LISTED ABOVE INCLUDE THE COUNTS FOR THE EXPRESS CARE CLINIC. MANY OF THESE TIMES, A MID-LEVEL PROVIDER IS ADDED TO HELP COVER FOR THESE PATIENTS, RELIEVING THE PHYSICIAN TO MANAGE THE CRITICALLY ILL AND TO PROVIDE EXPRESS (FASTER) FLOW THROUGH FOR PATIENTS. GROSS PATIENT REVENUE FOR THIS TIME PERIOD WAS $7,281,830, EXPENSES (INCLUDING CONTRACTUAL ALLOWANCES) WERE $7,393,110.-HOSPICE: ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. OPERATES A HOSPICE AGENCY BASED AWAY FROM THE MAIN HOSPITAL CAMPUS BUT STILL IN IRON RIVER, MI. DURING THE UPCOMING YEAR, THE DIRECT OWNERSHIP AND MANAGEMENT OF THIS AGENCY IS TO TRANSITION OVER TO ASPIRUS AT HOME WHICH IS ANOTHER AFFILIATE OF ASPIRUS, INC. THIS CHANGE WILL ALLOW MORE SERVICE AREA COVERAGE BY UTILIZING STAFF FROM OTHER ASPIRUS AT HOME LOCATIONS' STAFF. -DIALYSIS: ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. DISCONTINUED THE DIALYSIS PROGRAM IN CRYSTAL FALLS, MI WHICH IS 15 MILES TO THE WEST OF THE MAIN HOSPITAL CAMPUS. THIS HAPPENED IN APRIL 2018. THIS PROGRAM WAS ONE OF ONLY A COUPLE PROGRAMS IN THE ASPIRUS IRON RIVER GEOGRAPHICAL AREA OF 90 SQUARE MILES, AND IT PROVIDED A DEMONSTRATED COMMUNITY NEED. ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. WORKED CLOSELY WITH FOUR OTHER REGIONAL PROVIDERS TO TRANSITION THE CURRENT PATIENTS ALONG WITH IMPLEMENTING A TRANSPORTATION SERVICE FOR THE PATIENTS IN NEED. | Desc |
| Total Program Service Expenses | $32,520,135 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 82 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 318 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SYDNEY C SCZYGELSKI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARK D TOUSIGNANT | |||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RICK L NEVERS | |||||||||
| VICE-CHAIRMAN/SVP REG OPS SYSTEM INT OFFICER | 1.00 | Yes (X) | Yes (X) | $0 | $422,587 | $79,085 | 50.00 | ||
| LORI PECK | |||||||||
| TREASURER/VP OF REVENUE CYCLE | 1.00 | Yes (X) | Yes (X) | $0 | $229,106 | $31,988 | 50.00 | ||
| DONALD BASTIANELLO | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RAY KOIVUNEN | |||||||||
| DIRECTOR/VPMA | 10.00 | Yes (X) | $61,875 | $0 | $0 | ||||
| CHUCK NELSON | |||||||||
| DIRECTOR/ REGINAL CEO-UP | 16.00 | Yes (X) | $0 | $389,204 | $81,847 | 24.00 | |||
| NASSEEM RIZKALLA | |||||||||
| DIRECTOR/PHYSICIAN | 40.00 | Yes (X) | $431,002 | $0 | $41,825 | ||||
| STEVEN TINTI | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GARY SCALCUCCI | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CONNIE KOUTOUZOS | |||||||||
| CEO - AIR | 40.00 | Yes (X) | $248,703 | $0 | $34,110 | ||||
| GLENN E DOBSON | |||||||||
| CFO | 40.00 | Yes (X) | $164,732 | $0 | $28,004 | ||||
| SIDNEY SCYZGELSKI | |||||||||
| SVP OF FINANCE & CFO | 1.00 | Yes (X) | $0 | $644,952 | $106,596 | 50.00 | |||
| MATT HEYWOOD | |||||||||
| PRESIDENT/CEO | 1.00 | Yes (X) | $0 | $1,118,732 | $163,184 | 50.00 | |||
| RENEE SMITH | |||||||||
| EXECUTIVE DIRECTOR ANI | 1.00 | $0 | $431,396 | $46,277 | 50.00 | Yes (X) | |||
| SHANE JACQUES TERMED 519 | |||||||||
| REGIONAL CFO | 16.00 | $0 | $223,027 | $38,117 | 24.00 | Yes (X) | |||
| DEAN DANNER | |||||||||
| SVP AMBULATORY SERVICES, PRESIDENT | 1.00 | $0 | $388,969 | $44,042 | 50.00 | Yes (X) | |||
| ERIC ANDERSON | |||||||||
| SVP OF SERVICE LINE | 1.00 | $0 | $274,164 | $64,677 | 50.00 | Yes (X) | |||
| RUTH RISLEY-GREY | |||||||||
| SVP NURSING, CNO | 1.00 | $0 | $377,496 | $77,201 | 50.00 | Yes (X) | |||
| CARI LOGEMANN | |||||||||
| SVP AND GENERAL COUNSEL | 1.00 | $0 | $421,450 | $85,137 | 50.00 | Yes (X) | |||
| TODD RICHARDSON | |||||||||
| SVP AND CIO | 1.00 | $0 | $392,900 | $87,961 | 50.00 | Yes (X) | |||
| MICHAEL MCGRAIL | |||||||||
| SVP SYSTEM CMOS | 1.00 | $0 | $486,338 | $77,636 | 50.00 | Yes (X) | |||
| JOHN HEISLER | |||||||||
| SVP CHIEF HR OFFICER | 1.00 | $0 | $369,321 | $76,970 | 50.00 | Yes (X) | |||
| GRACE TOUSIGNANT | |||||||||
| REGIONAL CNO | 16.00 | $0 | $195,811 | $28,752 | 24.00 | Yes (X) | |||
| HAROLD CLINE | |||||||||
| PHYSICIAN | 40.00 | $561,673 | $0 | $45,313 | Yes (X) | ||||
| MEDHAT FANOUS | |||||||||
| PHYSICIAN | 40.00 | $455,884 | $0 | $43,252 | Yes (X) | ||||
| RONALD DALTON | |||||||||
| PHYSICIAN | 40.00 | $290,823 | $0 | $31,246 | Yes (X) | ||||
| SHARON HAYWARD | |||||||||
| PHYSICIAN | 40.00 | $262,453 | $0 | $15,600 | Yes (X) | ||||
| NAGARAJU CHORAGUDI | |||||||||
| PHYSICIAN | 40.00 | $288,351 | $0 | $31,184 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,765,496 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,365,453 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,360,004 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | 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 |
|---|---|---|---|---|---|
| ASPIRUS INC | |||||
| 2200 WESTWOOD DRIVE | WAUSAU | WI | 54401 | CORPORATE ALLOCATIONS & STAFFING | $6,989,436 |
| INNOVA EMERGENCY SERVICES | |||||
| 700 N COLORADO BLVD SUITE 109 | DENVER | CO | 80206 | EMERGENCY DEPT DOCTORS | $1,294,052 |
| ARAMARK UNIFORM SERVICES INC | |||||
| 5330 INDUSTRIAL BLVD SUITE 616 | FRIDLEY | MN | 55412 | LAUNDRY/LINEN | $618,406 |
| ASPIRUS KEWEENAW HOSPITAL | |||||
| 205 OSCEOLA STREET | LARIUM | MI | 49913 | SHARED REGIONAL STAFF | $600,267 |
| STAFF CARE | |||||
| 12400 HIGH BLUFF DR | SAN DIEGO | CA | 92130 | LOCUM DOCTOR | $465,697 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $21,914 | AllOtherContributionsAmt |
| Total Contributions | $21,914 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $40,267,614 | $40,267,614 | |
| CAFETERIA MEALS | 900099 | $114,837 | $114,837 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,382,451 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $358,586 | TotalRevenueColumnAmt |
| Exclusion | $358,586 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $53,293 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $53,293 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,293 | TotalRevenueColumnAmt |
| Exclusion | $53,293 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,727,150 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,218,825 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $508,325 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $508,325 | TotalRevenueColumnAmt |
| Exclusion | $508,325 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 340 B PHARMACY REVENUE | 900099 | $2,085,138 | $2,085,138 |
| E.H.R INCENTIVE | 900099 | $752,673 | $752,673 |
| ALL OTHER REVENUE | 900099 | $98,993 | $98,993 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,936,804 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,261,373 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,204,418 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,035,041 | 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 | $700 | TotalAmt |
| Program Services | $700 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $959,413 | TotalAmt |
| Program Services | $419,597 | ProgramServicesAmt |
| Management And General | $539,816 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,904,160 | TotalAmt |
| Program Services | $12,485,800 | ProgramServicesAmt |
| Management And General | $2,418,360 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,035 | TotalAmt |
| Program Services | $605,717 | ProgramServicesAmt |
| Management And General | $115,318 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,224,328 | TotalAmt |
| Program Services | $1,666,442 | ProgramServicesAmt |
| Management And General | $557,886 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,144,755 | TotalAmt |
| Program Services | $958,821 | ProgramServicesAmt |
| Management And General | $185,934 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,451 | TotalAmt |
| Management And General | $37,451 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,403 | TotalAmt |
| Management And General | $35,403 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,687 | TotalAmt |
| Management And General | $4,687 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,722 | TotalAmt |
| Management And General | $13,722 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,397,857 | TotalAmt |
| Program Services | $6,404,302 | ProgramServicesAmt |
| Management And General | $5,993,555 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,594 | TotalAmt |
| Management And General | $243,594 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $646,218 | TotalAmt |
| Program Services | $354,274 | ProgramServicesAmt |
| Management And General | $291,944 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,544,817 | TotalAmt |
| Program Services | $1,102,253 | ProgramServicesAmt |
| Management And General | $442,564 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,765 | TotalAmt |
| Program Services | $74,259 | ProgramServicesAmt |
| Management And General | $53,506 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627,580 | TotalAmt |
| Program Services | $627,580 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,277,778 | TotalAmt |
| Program Services | $637,404 | ProgramServicesAmt |
| Management And General | $1,640,374 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,043 | TotalAmt |
| Program Services | $25,720 | ProgramServicesAmt |
| Management And General | $90,323 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $5,828,751 | $5,828,751 | |
| PROVISION FOR BAD DEBTS | $1,276,531 | $1,276,531 | |
| HOSPITAL TAX | $793,585 | $793,585 | |
| DUES & SUBSCRIPTION | $122,846 | $51,984 | $70,862 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$24,872 | TotalAmt |
| Management And General | -$24,872 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,024,147 | TotalAmt |
| Program Services | $32,520,135 | ProgramServicesAmt |
| Management And General | $13,504,012 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,912,312 | BOYAmt |
| EOY | $2,036,702 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,861,591 | BOYAmt |
| EOY | $5,657,397 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,009 | BOYAmt |
| EOY | $420,751 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,505 | BOYAmt |
| EOY | $117,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $47,765,075 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,967,100 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,118,187 | BOYAmt |
| EOY | $24,797,975 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,792,558 | BOYAmt |
| EOY | $231,421 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $394,408 | BOYAmt |
| EOY | $434,363 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,541,570 | BOYAmt |
| EOY | $33,695,790 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,452,151 | BOYAmt |
| EOY | $940,316 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,866,516 | BOYAmt |
| EOY | $18,483,811 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,410,793 | BOYAmt |
| EOY | $5,274,216 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,729,460 | BOYAmt |
| EOY | $24,698,343 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,690,341 | BOYAmt |
| EOY | $8,875,678 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,769 | BOYAmt |
| EOY | $121,769 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,812,110 | BOYAmt |
| EOY | $8,997,447 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,541,570 | BOYAmt |
| EOY | $33,695,790 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,762,774 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$196,890 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$854,999 | 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
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,687 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,687 | 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 | A PORTION OF OUR ANNUAL MICHIGAN HOSPITAL ASSOCIATION (MHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA) DUES ARE USED FOR LOBBYING ACTIVITIES. THE PERCENTAGES THAT ARE SPECIFIC TO LOBBYING PURPOSES ARE: MHA 16.96% AND AHA 22.12% FOR A GRAND TOTAL DOLLAR AMOUNT GOING TO LOBBYING OF $4,687. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $210,026 | OtherCostOrOtherBasisAmt |
| Book Value | $210,026 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,906,031 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,800,241 | DepreciationAmt |
| Book Value | $21,105,790 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $813,927 | OtherCostOrOtherBasisAmt |
| Depreciation | $529,113 | DepreciationAmt |
| Book Value | $284,814 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,821,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,637,746 | DepreciationAmt |
| Book Value | $3,184,223 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,122 | OtherCostOrOtherBasisAmt |
| Book Value | $13,122 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,797,975 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $1,611,437 |
| OTHER ACCRUED EXPENSES | $2,900,497 |
| PENSION/ INSURANCE LIABILITY | $702,327 |
| DEFFERED POSTREIREMENT BENEFITS | $20,000 |
| DEFFERED COMP | $39,955 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,274,216 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ALL SUBSIDIARIES, EXCEPT FOR ASPIRUS NETWORK, INC. (ANI), ARE TAX-EXEMPT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 509(A)(2) OF THE CODE. THEY ARE ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. ASPIRUS IS ALSO ENGAGED, TO A LIMITED EXTENT, IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). INCOME TAXES ON UBI ARE NOT SIGNIFICANT. INCOME TAXES FOR ANI, A NOT-FOR-PROFIT TAXABLE CORPORATION, WERE IMMATERIAL FOR THE YEARS ENDED JUNE 30, 2018 AND 2017. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $508,652 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $508,652 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01120 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,748,972 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,564,971 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,184,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09230 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,257,624 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,564,971 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,692,653 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10350 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,730 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,477,675 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,420,910 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $56,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,180 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,509,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,420,910 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $88,675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,767,209 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,985,881 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,781,328 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10560 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $675,216 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $14,686,660 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,646,375 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $40,285 | 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 | 0 | 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 IRON RIVER HOSPITAL & CLINICS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 W ICE LAKE ROAD | AddressLine1Txt |
| City | IRON RIVER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49935 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ASPIRUS.ORG | WebsiteAddressTxt |
| State License | 732-410 | 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 |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS IRON RIVER HOSPITAL & CLINICS I | 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 |
| 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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | WWW.WUPDHD.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-ASSESSMENT-2/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.ASPIRUS.ORG/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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. | PART V, SECTION B, LINE 3J: IMPLEMENTATION STRATEGY AND BUDGET PROJECTIONS. |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. | PART V, SECTION B, LINE 5: BASED UPON THEIR COMMUNITY INVOLVEMENT INCLUDING THE SCHOOLS, WE HAD THEM REVIEW OUR ASSESSMENT TO AGREE OR TO ADD REASONS FOR DISAGREEMENTS. MEMBERS ON OUR TASK FORCE WERE: DICKINSON-IRON HEALTH DEPT., SCHOOLS' SUPERINTENDENTS, SCHOOL WELLNESS COORDINATOR, NURSING HOME DIRECTOR, FOUNDATION DIRECTOR AND BEHAVIORAL HEALTH DIRECTOR. |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. | PART V, SECTION B, LINE 7D: THE CHNA IS AVAILABLE TO ALL LOCATIONS COVERED BY THE SIX COUNTY REGIONAL SURVEY |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. | PART V, SECTION B, LINE 11: FOUR MAJOR PRIORITY AREAS WERE SELECTED BY THE STEERING COMITTEE ON A REGIONAL SCALE WITH A GOAL OF THE MEMBER ORGANIZATIONS TO CONTINUE TO WORK TOGETHER, ADD MEMBERS, POOL RESOURCES, LEADERSHIP, AND EXPERTISE TO DEVELOP INITIATIVES WITH AN EVEN GREATER IMPACT ON A REGIONAL BASIS THAN AN INDIVIDUAL ORGANIZATION MIGHT BE ABLE TO UNDERTAKE, ESPECIALLY WITH LIMITED RESOURCES. THE FIRST OF THE FOUR PRIORITY AREAS AND OVERARCHING THEME OF ALL FOUR PRIORITIES IS THE IMPORTANCE OF PREVENTION. ASPIRUS IRON RIVER WILL TARGET ROOT CAUSES OF HEART DISEASE, CANCER, STROKE, AND DIABETES. THE STRATEGIES AND GOALS ARE:1. FOCUS HUMAN RESOURCE AND LOCAL PUBLIC RELATIONS RESOURCES ON HEALTHY EATING AND NUTRITION COMMUNITY OUTREACH. 2. CONTINUE TO SUPPORT THE DIABETES EDUCATION PROGRAM THROUGH OFFERING A VARIETY OF AVENUE FOR EDUCATION TO THE COMMUNITY. GROW PATIENT ENCOUNTERS BY 5 PERCENT ANNUALLY OVER 3 YEARS. 3. REACH 50 PERCENT OF IRON COUNTY POPULATION ANNUALLY WITH "HOW-TO" INFORMATION REGARDING POSITIVE DISEASE PREVENTION BEHAVIORS AND ACCESS TO SERVICES. 4. IDENTIFY PATIENT POPULATION WHO HAVE DIABETES AND ALSO USE TOBACCO PRODUCTS AND PROVIDE CESSATION EDUCATION TO 20 PERCENT OF THE IDENTIFIED POPULATION. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ASPIRUS IRON RIVER DIALYSIS | ||||
| 1328 US HWY 2 | CRYSTAL FALLS | MI | 49920 | ESRD |
| 2 - SURGICAL ASSOCIATES | ||||
| 1500 WEST ICE LAKE ROAD | IRON RIVER | MI | 49935 | SURGEON PRACTICE |
| 3 - CRYSTAL FALLS CLINIC | ||||
| 1328 US HWY 2 | CRYSTAL FALLS | MI | 49920 | FAMILY PRACTICE |
| 4 - GENESEE CLINIC | ||||
| 229 W GENESEE ST | IRON RIVER | MI | 49935 | ORTHOPEDICS/REHAB |
| 5 - ICE LAKE CLINIC | ||||
| 1300 WEST ICE LAKE | IRON RIVER | MI | 49935 | FAMILY PRACTICE |
| 6 - RIVERSIDE CLINIC | ||||
| 927 RIVERSIDE PLAZA | IRON RIVER | MI | 49935 | FAMILY PRACTICE |
| 7 - ASPIRUS HOSPICE | ||||
| 3255 US HWY 2 | IRON RIVER | MI | 49935 | HOSPICE |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COSTING METHODOLOGY USED WAS A COST-TO-CHARGE RATIO. |
| PART I, LINE 7G: | THE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINICS IN CALCULATING SUBSIDIZED HEALTH SERVICE COSTS. THE SUBSIDIZED HEALTH SERVICES INCLUDED THE EMERGENCY DEPARTMENT WITH COSTS OF $2,965,806 AND DIRECT OFFSETING REVENUE OF $2,919,525, DIABETIC EDUCATION WITH COSTS OF $11,834 AND DIRECT OFFSETING REVENUE OF $11,662, DIALYSIS WITH COSTS OF $492,075 AND DIRECT OFFSETTING REVENUE OF $483,551, AND HOSPICE WITH COSTS OF $7,961 AND DIRECT OFFSETING REVENUE OF $6,172. |
| PART I, LN 7 COL(F): | IN CALCULATING THE PERCENTAGES IN PART 1, LINE 7 BAD DEBT EXPENSE OF $675,216 WAS EXCLUDED FROM THE DENOMINATOR. |
| PART III, LINE 4: | THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. THE COSTING METHODOLOGY USED WAS THE PATIENT CARE COST TO CHARGE RATIO WHICH WAS DERIVED FROM THE CALCULATION ON IRS WORKSHEET 2. |
| PART III, LINE 8: | THE COSTING METHODOLOGY USED TO DETERMINE ALLOWABLE COSTS REPORTED ABOVE IS THE COST TO CHARGE RATIO. |
| PART III, LINE 9B: | UPON A PATIENT'S APPROVAL FOR FINANCIAL ASSISTANCE, THIS IS LOADED AS AN INSURANCE COVERAGE TO THE PATIENT'S ACCOUNT WITH AN EFFECTIVE AND TERMINATION DATE TO ASSURE CAPTURING ALL CHARGES FOR THE PATIENT FOR ADJUSTMENT IN A WORKQUEUE PRIOR TO ANY REMAINING BALANCE BEING MOVED TO PATIENT LIABILITY AND THEREFORE PREVENTING UNDISCOUNTED SERVICES FROM BEING BILLED TO A PATIENT. |
| 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 FIANCIAL 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 PATIENT DURING COLLECTION CALLS. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AS 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 CHNA GIVES A DETAILED BREAKDOWN OF THE COMMUNITY THAT ASPIRUS IRON RIVER SERVES ALONG WITH THE DETAILS ABOUT THE SEVERE CHALLENGES TO A RURAL COMMUNITY WITH A SIGNIFCANT AGING POPULATION. |
| PART VI, LINE 5: | ASPIRUS IRON RIVER HAS A BOARD OF DIRECTORS THAT INCLUDES SEVERAL INDIVIDUALS FROM THE COMMUNITY WITH A FOCUS ON HAVING THEM BE INDEPENDENT (IE, HAVING NO DIRECT TIES TO THE HOSPITAL SYSTEM). MEDICAL PRIVILEGES ARE EXTENDED TO ALL LOCAL, QUALIFIED PROVIDERS. THROUGH MANY OPPORTUNITIES IN THE COMMUNITIES THAT WE SERVE, INVESTMENTS ARE MADE BACK INTO THE COMMUNITY INCLUDING DONATIONS TO SUPPORT LOCAL, HEALTH INSPIRED ACTIVITIES ANNUALLY. THESE OPPORTUNITIES RELATE TO THE SCHOOLS, ELDERLY CARE SERVICES, AMERICAN CANCER SOCIETY, HEALTH SCREENING, AND OTHERS. |
| PART VI, LINE 6: | ASPIRUS IRON RIVER IS A PART OF THE ASPIRUS, INC. SYSTEM WITH THE MAIN BASE IN WAUSAU WI. TOGETHER WE PROMOTE THE MISSION AND WORK COLLABORATIVELY TO SHARE THE PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. THE COMBINED EFFORTS ARE ABLE TO PROVIDE THE SMALLER COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. ALSO AS PART OF THIS SYSTEM ARE 3 OTHER UPPER PENINSULA OF MI HOSPITALS AND 3 OTHER HOSPITAL SYSTEMS IN WI ALONG WITH POST-ACUTE CARE PROGRAMS, MANY PROVIDER CLINICS, AMBULANCE SERVICE AND LONG-TERM CARE. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| 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 (23 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICK L NEVERS | ||||||||||||||
| VICE-CHAIRMAN/SVP REG OPS SYSTEM INT | $0 | $322,120 | $0 | $61,986 | $0 | $38,481 | $0 | $19,030 | $0 | $60,055 | $0 | $501,672 | $0 | $0 |
| LORI PECK | ||||||||||||||
| TREASURER/VP OF REVENUE CYCLE | $0 | $200,139 | $0 | $27,956 | $0 | $1,011 | $0 | $12,737 | $0 | $19,251 | $0 | $261,094 | $0 | $0 |
| CHUCK NELSON | ||||||||||||||
| DIRECTOR/ REGINAL CEO-UP | $0 | $286,094 | $0 | $58,000 | $0 | $45,110 | $0 | $18,965 | $0 | $62,882 | $0 | $471,051 | $0 | $0 |
| NASSEEM RIZKALLA | ||||||||||||||
| DIRECTOR/PHYSICIAN | $413,081 | $0 | $7,000 | $0 | $10,921 | $0 | $13,137 | $0 | $28,688 | $0 | $472,827 | $0 | $0 | $0 |
| CONNIE KOUTOUZOS | ||||||||||||||
| CEO - AIR | $205,378 | $0 | $41,415 | $0 | $1,910 | $0 | $7,721 | $0 | $26,389 | $0 | $282,813 | $0 | $0 | $0 |
| GLENN E DOBSON | ||||||||||||||
| CFO | $137,793 | $0 | $18,672 | $0 | $8,267 | $0 | $5,109 | $0 | $22,895 | $0 | $192,736 | $0 | $0 | $0 |
| SIDNEY SCYZGELSKI | ||||||||||||||
| SVP OF FINANCE & CFO | $0 | $500,272 | $0 | $97,238 | $0 | $47,442 | $0 | $19,030 | $0 | $87,566 | $0 | $751,548 | $0 | $0 |
| MATT HEYWOOD | ||||||||||||||
| PRESIDENT/CEO | $0 | $822,805 | $0 | $293,232 | $0 | $2,695 | $0 | $19,030 | $0 | $144,154 | $0 | $1,281,916 | $0 | $0 |
| RENEE SMITH | ||||||||||||||
| EXECUTIVE DIRECTOR ANI | $0 | $344,370 | $0 | $42,139 | $0 | $44,887 | $0 | $19,030 | $0 | $27,247 | $0 | $477,673 | $0 | $0 |
| SHANE JACQUES TERMED 519 | ||||||||||||||
| REGIONAL CFO | $0 | $192,438 | $0 | $26,521 | $0 | $4,068 | $0 | $7,697 | $0 | $30,420 | $0 | $261,144 | $0 | $0 |
| DEAN DANNER | ||||||||||||||
| SVP AMBULATORY SERVICES, PRESIDENT | $0 | $291,709 | $0 | $50,695 | $0 | $46,565 | $0 | $19,030 | $0 | $25,012 | $0 | $433,011 | $0 | $0 |
| ERIC ANDERSON | ||||||||||||||
| SVP OF SERVICE LINE | $0 | $233,292 | $0 | $40,147 | $0 | $725 | $0 | $4,819 | $0 | $59,858 | $0 | $338,841 | $0 | $0 |
| RUTH RISLEY-GREY | ||||||||||||||
| SVP NURSING, CNO | $0 | $275,808 | $0 | $58,636 | $0 | $43,052 | $0 | $19,030 | $0 | $58,171 | $0 | $454,697 | $0 | $0 |
| CARI LOGEMANN | ||||||||||||||
| SVP AND GENERAL COUNSEL | $0 | $319,704 | $0 | $64,915 | $0 | $36,831 | $0 | $19,030 | $0 | $66,107 | $0 | $506,587 | $0 | $0 |
| TODD RICHARDSON | ||||||||||||||
| SVP AND CIO | $0 | $292,477 | $0 | $62,933 | $0 | $37,490 | $0 | $19,030 | $0 | $68,931 | $0 | $480,861 | $0 | $0 |
| MICHAEL MCGRAIL | ||||||||||||||
| SVP SYSTEM CMOS | $0 | $391,427 | $0 | $82,975 | $0 | $11,936 | $0 | $12,004 | $0 | $65,632 | $0 | $563,974 | $0 | $0 |
| JOHN HEISLER | ||||||||||||||
| SVP CHIEF HR OFFICER | $0 | $292,124 | $0 | $63,187 | $0 | $14,010 | $0 | $18,924 | $0 | $58,046 | $0 | $446,291 | $0 | $0 |
| GRACE TOUSIGNANT | ||||||||||||||
| REGIONAL CNO | $0 | $169,578 | $0 | $23,536 | $0 | $2,697 | $0 | $6,553 | $0 | $22,199 | $0 | $224,563 | $0 | $0 |
| HAROLD CLINE | ||||||||||||||
| PHYSICIAN | $548,513 | $0 | $7,000 | $0 | $6,160 | $0 | $17,007 | $0 | $28,306 | $0 | $606,986 | $0 | $0 | $0 |
| MEDHAT FANOUS | ||||||||||||||
| PHYSICIAN | $448,276 | $0 | $7,000 | $0 | $608 | $0 | $13,446 | $0 | $29,806 | $0 | $499,136 | $0 | $0 | $0 |
| RONALD DALTON | ||||||||||||||
| PHYSICIAN | $282,229 | $0 | $4,592 | $0 | $4,002 | $0 | $8,849 | $0 | $22,397 | $0 | $322,069 | $0 | $0 | $0 |
| SHARON HAYWARD | ||||||||||||||
| PHYSICIAN | $231,203 | $0 | $25,000 | $0 | $6,250 | $0 | $0 | $0 | $15,600 | $0 | $278,053 | $0 | $0 | $0 |
| NAGARAJU CHORAGUDI | ||||||||||||||
| PHYSICIAN | $264,194 | $0 | $23,297 | $0 | $860 | $0 | $8,223 | $0 | $22,961 | $0 | $319,535 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | HOUSING ALLOWANCE, WHEN APPLICABLE, WAS ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. HOUSING ALLOWANCE - S. HAYWARD $4,000 - INCLUDED IN INCOME. |
| PART I, LINE 3 | FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS IRON RIVER HOSPITAL & CLINIC, 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 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(B) DISTRIBUTION: S. SCZYGELSKI $ 38,440 D. DANNER $ 35,422 R. NEVERS $ 32,268 C. NELSON $ 35,012 R. RISLEY-GRAY $ 38,590 T. RICHARDSON $ 35,685 C. LOGEMANN $ 34,955 R. SMITH $ 10,121 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
| 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 | 463003AA1 | CUSIPNum |
| Bond Issued | 2015-05-07 | BondIssuedDt |
| Issue Price | $19,765,185 | IssuePriceAmt |
| Purpose | REFUND 2008 ISSUE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $75,000 | RetiredAmt |
| Total Proceeds | $19,765,185 | TotalProceedsAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| 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 | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | 0 | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI | THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. (EIN 38-3236977); AND ASPIRUS KEWEENAW HOSPITAL (EIN 38-1443361). INFORMATION REGARDING THE SERIES 2015 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2015 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2015 BONDS.] |
| PART III, LINES 3A AND 3B | ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC., 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 THE EXEMPT BONDS: POLICY STATES WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JODY TOUSIGNANT | |||
| EMPLOYED SPOUSE OF BOARD MEMBER | $66,970 | PAYROLL | 0 |
| CAROL BASTIANELLO | |||
| EMPLOYED SPOUSE OF BOARD MEMBER | $104,370 | PAYROLL | 0 |
| DEBRA RIZKALLA | |||
| EMPLOYED SPOUSE OF BOARD MEMBER | $27,303 | PAYROLL | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE PARENT ORGANIZATION, ASPIRUS INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND THE 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD 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 NOTED IN THE MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR PURPOSES OF DETERMINING COMPENSATION, ASPRIUS IRON RIVER HOSPITAL & CLINICS, INC. 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 OF COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | A COPY OF THE FILED FORM 990 IS AVAILABLE TO THE PUBLIC THROUGH A REQUEST FROM ANY MEMBER OF THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,366,427. MANAGEMENT AND GENERAL EXPENSES 449,124. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,815,551. CORPORATE ALLOCATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,544,431. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,544,431. MEDICAL DIRECTORS: PROGRAM SERVICE EXPENSES 37,875. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,875. |
| FORM 990, PART XI, LINE 9: | AI TRANSFERS -854,999. |
| 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 (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391328331 | HEALTHCARE | WI | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| ASPIRUS WAUSAU HOSPITAL INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391138241 | HOSPITAL | WI | 501(C)(3) | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS BUILDINGS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391406537 | PROPERTY LEASING | WI | 501(C)(3) | LINE 10 | Yes (1) | ASPIRUS INC | |
| ASPIRUS EXTENDED SERVICES INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 390782130 | NURSING HOME SERVICES | WI | 501(C)(3) | LINE 10 | Yes (1) | ASPIRUS INC | |
| ASPIRUS CLINICS INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391670223 | MEDICAL SERVICES | WI | 501(C)(3) | LINE 10 | Yes (1) | ASPIRUS INC | |
| ASPIRUS ONTONAGON HOSPITAL INC | |||||||||||
| 601 SEVENTH STREET | ONTONAGON | MI | 49953 | 260806477 | HOSPITAL | MI | 501(C)(3) | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS VNA HOME HEALTH INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 390808511 | HOME HEALTH CARE SERVICES | WI | 501(C)(3) | LINE 10 | Yes (1) | ASPIRUS INC | |
| ASPIRUS VNA EXTENDED CARE INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 391597350 | PERSONAL CARE SERVICES | WI | 501(C)(3) | LINE 10 | Yes (1) | ASPIRUS VNA HOME HEALTH INC | |
| ASPIRUS HEALTH FOUNDATION INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391256656 | CHARITABLE FOUNDATION | WI | 501(C)(3) | LINE 7 | Yes (1) | ASPIRUS INC | |
| ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 382908586 | HOSPITAL | MI | 501(C)(3) | LINE 3 | Yes (1) | ASPIRUS INC | |
| GRAND VIEW HOSPITAL AUXILIARY | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 237178363 | LIFELINE EMERGENCY SYSTEM | MI | 501(C)(3) | LINE 10 | Yes (1) | ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | |||||||||||
| 410 DEWEY STREET | WISCONSIN RAPIDS | WI | 54494 | 390868982 | HOSPITAL | WI | 501(C)(3) | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS KEWEENAW HOSPITAL | |||||||||||
| 205 OSCEOLA STREET | LAURIUM | MI | 49913 | 381443361 | HOSPITAL | MI | 501(C)(3) | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS IRON AREA HEALTH FOUNDATION | |||||||||||
| 1400 WEST ICE LAKE ROAD | IRON RIVER | MI | 49935 | 383762132 | CHARITABLE FOUNDATION | MI | 501(C)(3) | LINE 3 | N/A | 0 | |
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 |
| Primary Activities | EYE CARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS NETWORK INC | |||||||||
| 3000 WESTHILL DR 11202 | WAUSAU | WI | 54401 | 391931679 | HEALTH CARE NETWORK | WI | N/A | C | Yes (1) |
| ASPIRUS KEWEENAW ENTERPRISES | |||||||||
| 205 OSCEOLA STREET | LAURIUM | MI | 49913 | 383390273 | PHARMACY | MI | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | 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 | 0 | 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 | 0 | 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 (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ASPIRUS WAUSAU HOSPITAL INC | ||
| O | $222,954 | COST |
| ASPIRUS WAUSAU HOSPITAL INC | ||
| P | $3,367,198 | COST |
| ASPIRUS INC | ||
| B | $855,000 | COST |
| ASPIRUS INC | ||
| M | $5,539,129 | COST |
| ASPIRUS INC | ||
| O | $1,949,053 | COST |
| ASPIRUS INC | ||
| P | $818,263 | COST |
| ASPIRUS VNA HOME HEALTH INC | ||
| O | $867,802 | COST |
| ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | ||
| L | $370,000 | COST |
| ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | ||
| M | $83,751 | COST |
| ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | ||
| O | $167,398 | COST |
| ASPIRUS KEWEENAW HOSPITAL | ||
| O | $607,917 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 1D | FormAndLineReferenceDesc |
| Explanation | ALL OUTSTANDING OBLIGATED GROUP DEBT IS GUARANTEED BY ALL MEMBERS OF THE OBLIGATED GROUP. | ExplanationTxt |