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ASPIRUS IRONWOOD HOSPITAL & CLINICS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC (EIN 38-2908586)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-10
IRS object ID
201730419349301363
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-02-10T13:34:37-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wipfli LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8010AddressLine1Txt
CityWausauCityNm
State AbbreviationWIStateAbbreviationCd
ZIP544028010ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382908586EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Aspirus Grand ViewBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASPIBusinessNameControlTxt
Phone9069322525PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1N10561 Grand View LaneAddressLine1Txt
CityIronwoodCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49938ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHANE JACQUESPersonNm
Person TitleRegional CFOPersonTitleTxt
Phone9069322525PhoneNum
Signature2017-01-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKathleen J LaBrake CPAPreparerPersonNm
PTINP00164006PTIN
Phone7158453111PhoneNum
Preparation2017-01-30PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerShane JacquesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 OSCEOLAAddressLine1Txt
CityLAURIUMCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49913ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$60,137,937GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASPIRUSGRANDVIEW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionPROVISION OF HEALTH CARE SERVICESActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee499TotalEmployeeCnt
Total Volunteers62TotalVolunteersCnt
Total Gross UBI$14,985TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$10,171NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,966PYContributionsGrantsAmt
CY Contributions Grants$9,377CYContributionsGrantsAmt
PY Program Service Revenue$53,242,083PYProgramServiceRevenueAmt
CY Program Service Revenue$58,524,239CYProgramServiceRevenueAmt
PY Investment Income-$11,460PYInvestmentIncomeAmt
CY Investment Income$229,062CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$53,239,589PYTotalRevenueAmt
CY Total Revenue$58,762,678CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,374,909PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$28,343,347CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$24,002,304PYOtherExpensesAmt
CY Other Expenses$28,486,108CYOtherExpensesAmt
PY Total Expenses$51,377,213PYTotalExpensesAmt
CY Total Expenses$56,829,455CYTotalExpensesAmt
PY Revenues Less Expenses$1,862,376PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,933,223CYRevenuesLessExpensesAmt
Total Assets BOY$53,270,523TotalAssetsBOYAmt
Total Assets EOY$61,560,637TotalAssetsEOYAmt
Total Liabilities BOY$14,299,564TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,633,210TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,970,959NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$46,927,427NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionASPIRUS GRAND VIEW IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM WHICH LEADS BY ADVANCING INITITATIVES DEDICATED TO IMPROVING THE HEALTH OF ALL WE SERVE. WE WORK COLLABRATIVELY WITH OTHERS WHO SHARE OUR PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$42,736,465ExpenseAmt
Revenue$58,509,455RevenueAmt
DescASPIRUS GRAND VIEW IS A 25-BED CRITICAL ACCESS HOSPITAL WHICH PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF IRONWOOD, MICHIGAN AND ITS SURROUNDING COMMUNITIES. SOME OF THE SERVICES PROVIDED BEYOND TRADITIONAL INPATIENT HOSPITALIZATIONS INCLUDE SURGERY, EMERGENCY CARE, RADIOLOGY, LABORATORY, THERAPIES, EYE CARE, ONCOLOGY, SLEEP LAB, AND CARDIOLOGY, AMONG VARIOUS OTHER HEALTH CARE SERVICES.ASPIRUS GRAND VIEW PROVIDES HEALTH CARE SERVICES TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. FOR THOSE INDIVIDUALS UNABLE TO PAY FOR THEIR HEALTH CARE NEEDS, ASPIRUS GRAND VIEW OFFERS SERVICES FOR FREE OR AT A REDUCED PRICE THROUGH THE FINANCIAL AID DISCOUNT POLICY. PLEASE REFER TO SCHEDULE H OF THE FORM 990 FOR ADDITIONAL INFORMATION ON THE COST OF FINANCIAL AID DISCOUNTS PROVIDED TO PATIENTS DURING FISCAL YEAR 2014.ASPIRUS GRAND VIEW ALSO PROVIDES HEALTH CARE SERVICES TO INDIVIDUALS COVERED UNDER GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID WHICH OFTEN REIMBURSE THE HOSPITAL AT AMOUNTS SUBSTANTIALLY LOWER THAN THE USUAL AND CUSTOMARY CHARGE. THOSE PEOPLE COVERED BY THESE TYPES OF PROGRAMS NEED ACCESS TO HEALTH CARE, BUT ARE OFTEN TIMES UNABLE TO TRAVEL LONG DISTANCES TO RECEIVE THIS CARE. ASPIRUS GRAND VIEW PROVIDES THIS LOCAL, QUALITY HEALTH CARE TO MANY ELDERLY AND LOW INCOME INDIVIDUALS THAT ARE IN NEED OF HEALTH CARE. DURING FISCAL YEAR 2015, MORE THAN 67% OF THE HOSPITAL'S GROSS PATIENT SERVICE REVENUE WAS FROM BENEFICIARIES OF MEDICARE AND MEDICAID.Desc
Total Program Service Expenses$42,736,465TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document106IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee499EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 Pine Ridge BlvdAddressLine1Txt
CityWausauCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JEFFREY NEHRING DDS
Chairperson1.00Yes (X)Yes (X)$0$0$0
JOHN GARSKE
VICE CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
Sara Lusignan
Treasurer / VP OF FINANCE AI1.00Yes (X)Yes (X)$0$191,644$27,09941.00
RICK NEVERS
SECRETARY / SVP REG OPS SYSTEM INT OFFICER1.00Yes (X)Yes (X)$0$391,429$71,33850.00
PAULA CHERMSIDE
DIRECTOR/CEO40.00Yes (X)Yes (X)$235,032$0$24,778
RICHARD ARMSTRONG
DIRECTOR1.00Yes (X)$0$0$0
MARIA GULAN
DIRECTOR1.00Yes (X)$0$205,283$47,42041.00
CHARLES IKNAYAN MD
DIRECTOR40.00Yes (X)$0$0$0
JAMES LORENSON
DIRECTOR1.00Yes (X)$0$0$0
CHRISTOPHER POGLIANO MD
DIRECTOR40.00Yes (X)$455,470$0$25,6721.00
JACOB KEMPEN
DIRECTOR1.00Yes (X)$0$211,928$36,64640.00
Kari Jacquart
Director1.00Yes (X)$0$0$0
MATT HEYWOOD
CEO AI1.00Yes (X)$0$884,848$132,93750.00
SIDNEY C SCZYGELSKI
CFO AI1.00Yes (X)$0$580,594$89,45950.00
CHUCK NELSON
REGIONAL CEO - UP1.00Yes (X)$0$353,959$73,50941.00
SHANE JACQUES
AKH CFO/ AGV CFO12.00$0$211,045$29,66528.00Yes (X)
GRACE TOUSIGNANT
SVP12.00$0$163,844$22,78729.00Yes (X)
JOHN HEISLER
SVP & CHIEF HR OFFICER1.00$0$336,213$63,61249.00Yes (X)
DEAN DANNER
ACI President1.00$0$333,863$69,07348.00Yes (X)
MICHAEL MCGRAIL
SYSTEM CMO1.00$0$439,142$69,72950.00Yes (X)
CARI LOGEMANN
SVP & GENERAL COUNSEL1.00$0$324,135$70,66950.00Yes (X)
KATHRYNE MCGOWAN
ANI EXECUTIVE DIRECTOR1.00$0$288,000$61,58150.00Yes (X)
RUTH RISLEY-GREY
SVP & CNO1.00$0$307,360$65,08849.00Yes (X)
TODD RICHARDSON
VP & CIO1.00$0$334,322$77,29750.00Yes (X)
NITIN NIGAM
PHYSICIAN - AGV40.00$525,270$0$12,357Yes (X)
ATHER MEHBOOB
PHYSICIAN - AGV40.00$502,100$0$23,801Yes (X)
ENRICO BRAUCHER
PHYSICIAN - AGV40.00$502,359$0$37,604Yes (X)
AJAY PURI
RADIOLOGIST40.00$500,230$0$25,551Yes (X)
DONNA CATALDO
RADIOLOGIST40.00$466,663$0$3,000Yes (X)
Duane L Erwin
Former CEO AI0.00$0$988,906$1,3080.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,187,124TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,546,515TotReportableCompRltdOrgAmt
Total Other Compensation$1,161,980TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K38IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Aspirus Inc
425 Pine Ridge BeoulevardWausauWI544021395Management Services$5,763,821
Miron Construction Co Inc
PO Box 1372Green BayWI543051372Construction$4,683,408
aspirus wausau hospital inc
425 pine ridge beoulevardwausauWI544021395management services$3,954,767
MI Emergency Physicians
PO Box 793Traverse CityMI496850793ER Physician Coverage$1,694,663
aspirus iron river hospital
1400 W Ice lake roadiron riverMI49935management services$975,352
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K31CntrctRcvdGreaterThan100KCnt
Government Grants$9,377GovernmentGrantsAmt
Total Contributions$9,377TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net PATIENT SERVICE REVENUE621990$55,146,164$55,131,179$14,985
OTHER OPERATING REVENUE900099$3,116,083$3,116,083
RELATED PARTY RENTAL531120$210,399$210,399
Other non-operating revenue900099$51,593$51,593
FieldValueIRS element (for citing)
Total Program Service Revenue$58,524,239TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$328,200TotalRevenueColumnAmt
Exclusion$328,200ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,276,121SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,375,259SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$99,138SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$99,138TotalRevenueColumnAmt
Exclusion-$99,138ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,762,678TotalRevenueColumnAmt
Related Or Exempt Func Income$58,509,254RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$14,985UnrelatedBusinessRevenueAmt
Exclusion$229,062ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$684,126TotalAmt
Program Services$439,791ProgramServicesAmt
Management And General$244,335ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,108,446TotalAmt
Program Services$18,037,083ProgramServicesAmt
Management And General$4,071,363ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$773,095TotalAmt
Program Services$773,095ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,346,709TotalAmt
Program Services$1,930,032ProgramServicesAmt
Management And General$1,416,677ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,430,971TotalAmt
Program Services$1,430,971ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,535,517TotalAmt
Program Services$2,436,896ProgramServicesAmt
Management And General$3,098,621ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$26,269TotalAmt
Program Services$5,050ProgramServicesAmt
Management And General$21,219ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$68,748TotalAmt
Management And General$68,748ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,310,137TotalAmt
Program Services$4,732,396ProgramServicesAmt
Management And General$577,741ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$207,316TotalAmt
Management And General$207,316ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$787,642TotalAmt
Program Services$519,950ProgramServicesAmt
Management And General$267,692ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$652,734TotalAmt
Management And General$652,734ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$206,302TotalAmt
Program Services$98,806ProgramServicesAmt
Management And General$107,496ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$146,468TotalAmt
Program Services$146,468ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$118,576TotalAmt
Management And General$118,576ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,558,975TotalAmt
Program Services$1,159,273ProgramServicesAmt
Management And General$1,399,702ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$177,441TotalAmt
Management And General$177,441ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Income tax expense-$5,659-$5,659
MEDICAL SUPPLIES$8,072,838$7,971,781$101,057
MISCELLANEOUS$2,582,745$1,077,230$1,505,515
QAAP Expenses$1,766,786$1,766,786

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$273,273TotalAmt
Program Services$216,516ProgramServicesAmt
Management And General$56,757ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$56,829,455TotalAmt
Program Services$42,736,465ProgramServicesAmt
Management And General$14,092,990ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$587BOYAmt
EOY$440EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,941,414BOYAmt
EOY$8,959,948EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,752,989BOYAmt
EOY$7,702,831EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,171,428BOYAmt
EOY$1,185,111EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,437,718BOYAmt
EOY$555,514EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$61,808,193LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,116,194LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,841,460BOYAmt
EOY$27,691,999EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$813,771BOYAmt
EOY$925,694EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$11,237,745BOYAmt
EOY$11,347,930EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,073,411BOYAmt
EOY$3,191,170EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$53,270,523BOYAmt
EOY$61,560,637EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,461,356BOYAmt
EOY$6,515,521EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,923,365BOYAmt
EOY$2,905,290EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$638,224BOYAmt
EOY$255,280EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,276,619BOYAmt
EOY$4,957,119EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,299,564BOYAmt
EOY$14,633,210EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,086,372BOYAmt
EOY$46,042,340EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$884,587BOYAmt
EOY$885,087EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,970,959BOYAmt
EOY$46,927,427EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$53,270,523BOYAmt
EOY$61,560,637EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,933,223ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$261,090NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,284,334OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$7,215OtherActivitiesAmt
Total Lobbying Expenditures$7,215TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationASPIRUS GRAND VIEW 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 GRAND VIEW THAT APPROXIMATELY $7,215 OF THE ANNUAL DUES WERE USED IN CONJUCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$285,000OtherCostOrOtherBasisAmt
Book Value$285,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,849,403OtherCostOrOtherBasisAmt
Depreciation$13,638,118DepreciationAmt
Book Value$15,211,285BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,543,484OtherCostOrOtherBasisAmt
Depreciation$52,553DepreciationAmt
Book Value$1,490,931BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,499,671OtherCostOrOtherBasisAmt
Depreciation$20,425,523DepreciationAmt
Book Value$5,074,148BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,630,635OtherCostOrOtherBasisAmt
Book Value$5,630,635BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,691,999TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Under agreements for payroll liabilities$26,258F
Deferred Compensation plan assets$3,393,307F
Funded depreciation investments$400,000F
Investments in unconsolidated affiliates$1,019,972F
Investments - Program Related$6,508,393F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$11,347,930TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Interest in net assets of supporting organiations$484,587
Long term insurance receivable$611,489
Estimated third-party payor settlements$1,870,095
GOODWILL & OTHER INTANGIBLES$224,999
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,191,170TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$3,393,307
LONG-TERM INSURANCE LIABILITY$1,562,490
DUE TO OTHER$1,322
FieldValueIRS element (for citing)
Total Liability$4,957,119TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationALL 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, 2016 AND 2015.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,528,610TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,528,610NetCommunityBenefitExpnsAmt
Total Expense0.02690TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,699,733TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,073,834DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,625,899NetCommunityBenefitExpnsAmt
Total Expense0.13420TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,228,343TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,073,834DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,154,509NetCommunityBenefitExpnsAmt
Total Expense0.16110TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,600NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,669TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,669NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,969TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,269NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,302,312TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,079,534DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,222,778NetCommunityBenefitExpnsAmt
Total Expense0.16230TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,500NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,500NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,056,727BadDebtExpenseAmt
Reimbursed By Medicare$14,863,100ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$14,929,896CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$66,796MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS GRAND VIEWBusinessNameLine1Txt

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Aspirus Grand ViewBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section B, Line 5dOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://aspirus.org/Main/Community-Resources.aspx?srcaud=MainStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://aspirus.org/Main/Pay-My-Bill.aspx?srcaud=Main#tab2FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://aspirus.org/Main/Pay-My-Bill.aspx?srcaud=Main#tab2FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://aspirus.org/Main/Pay-My-Bill.aspx?srcaud=Main#tab2FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesYes (1)CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Aspirus Grand ViewPart V, Section B, Line 5: AS part of the Community Health Needs Assessment (CHNA) process, Aspirus Grand View appointed a steering committee which is made up of representatives from major cross-sections of community leaders and experts that have a strong understanding of the health needs of our region and rural communities, from the underserved minorities to the general population. The steering committee issued a survey which was mailed to 8,000 households across the Western Upper Peninsula. A random 2,000 households of Gogebic County were also sent a survey. Five-hundred seventy-nine responses were returned, yielding a 32.5 percent survey response. As a whole, the survey produces an impressive 95 percent confidence level.
Aspirus Grand ViewPart V, Section B, Line 6a: The Community Health Needs Assessment was conducted in joint effort with the following other hospitals:- Aspirus Ontonagon Hospital, Inc.- U.P. Health System - Portage- Baraga County Memorial Hospital- Aspirus Keweenaw Hospital
Aspirus Grand ViewPart V, Section B, Line 7d: The CHNA can be found on the hospital facility's website: http://aspirus.org/Uploads/Public/Documents/Comm-Benefit-Report-AGV.pdf
Aspirus Grand ViewPart V, Section B, Line 11: See the attached implementation strategy for the significant identified needs and Aspirus Grand View's plan to address the identified needs.
Aspirus Grand ViewPart V, Section B, Line 22d: Aspirus hospitals use the look-back method for determining Amount Generally Billed (AGB) percentages. Aspirus hospitals calculate one average AGB percentage for all emergency and medically necessary care provided by the hospital facility. Using allowed traditional Medicare claims for service dates July 1, 2015 to June 30, 2016. Patients approved for Aspirus Financial Assistance will not be charged more than this percentage of gross charges for emergent and medically necessary care.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
2 - GRAND VIEW EYE CENTER
E6112 BLUFF VIEW ROADIRONWOODMI49938EYE CLINIC
3 - GRAND VIEW SURGICAL CENTER
E6112 BLUFF VIEW ROADIRONWOODMI49938SURGEON OFFICES
4 - ASPIRUS GRAND VIEW IRONWOOD CLINIC
N10565 GRAND VIEW LANEIRONWOODMI49938Provider based clinic
5 - ASPIRUS GRAND VIEW HURLEY CLINIC
501 GRANITE STREETHURLEYWI54534Provider based clinic

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:The patient/guarantor, husband or wife, and dependents may not have property in excess of:Primary residence is exempt for patients under 200% federal poverty guidelines. For those over 200% equity allowance is $75,000 (financial statements and tax bills are required). Income producing land (e.g., dairy farm) is evaluated individually on a case-by-case basis. Cash assets in excess of $4,000 at the time of application. Specifically excluded from consideration are IRA and Pension Plans and Irrevocable Burial Trust Funds.Total net assets cannot exceed 800% of federal poverty guidelines. This includes all assets including cash assets above.
Part I, Line 6a:ASPIRUS GRAND VIEW PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND FILES IT WITH THE MICHIGAN HOSPITAL ASSOCIATION (MHA). THE REPORT IS AVAILABLE TO THE GENERAL PUBLIC THROUGH MHA'S DATABASE AND WEBSITE.
Part I, Line 7:THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSES DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FROM THE FORM 990.
Part I, Line 7g:Subsidized health services at Aspirus Grand View include the operation of the hospital's inpatient medical/surgical nursing unit as well as the intensive care unit. The hospital inpatient and intensive care units operate 24 hours per day seven days per week and are staffed by a group of highly trained nursing staff including registered nurses, licensed practical nurses, and other support staff. Many of the admissions to the hospital inpatient and intensive care units come from the hospital's emergency department which is operated to provide emergency care to patients of the community and surrounding areas. These subsidized health services work in support and cooperation with the combined efforts of Aspirus Grand View and share many support functions of the hospital in an effort to provide excellent low cost care to patients in their local community and area. A significant payor for these programs is the Medicare program which does not reimburse the hospital for these services in all cases based on cost so a significant loss is absorbed by the hospital to provide these services to members of the community. It is the goal of Aspirus Grand View to provide these services to the community regardless of a patient's ability to pay.
Part II, Community Building Activities:ASPIRUS GRAND VIEW PROMOTES THE HEALTH OF THE COMMUNITY BY ALLOCATING TIME AND FUNDING INTO DEVELOPING PROGRAMS THAT FOCUS ON HEALTHY LIFESTYLES FOR FAMILIES AND INDIVIDUALS. COALITION BUILDING IS A LARGE PART OF THIS. THROUGH COALITIONS SUCH AS INTEGRATED FAMILY SERVICES and a substance abuse network, ASPIRUS GRAND VIEW PROMOTES HEALTHY BEHAVIORS AND REGULAR PHYSICAL ACTIVITY. ECONOMIC DEVELOPMENT IS PROMOTED THROUGH COLLABORATION WITH LOCAL CHAMBERS OF COMMERCE AND KIWANIS.
Part III, Line 4:Patient Accounts Receivable and Credit Policy:
Part III, Line 8:THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT ASPIRUS GRAND VIEW PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2014 AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).
Part III, Line 9b:PATIENT FINANCIAL SERVICES (PFS) PROACTIVELY IDENTIFIES UNINSURED PATIENTS AND UNDER-INSURED PATIENTS AND SCREENS THEM FOR FINANCIAL ASSISTANCE AND COUNSELING WITHOUT REGARD TO RACE, ETHNICITY, GENDER, RELIGION, OR NATIONAL ORIGIN. THESE SERVICES ARE PROVIDED AT NO CHARGE. PFS COUNSELORS WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO HELP THEM UNDERSTAND THE SYSTEM'S FINANCIAL ASSISTANCE/DISCOUNTING POLICIES AND HOW THEY CAN QUALIFY FOR ASSISTANCE AND/OR DISCOUNTS INCLUDING A REFERRAL TO PUBLIC AND PRIVATE PROGRAMS TO DETERMINE ELIGIBILITY.
Part VI, Line 2:ASPIRUS GRAND VIEW ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY EXAMINING THE NEEDS OF THE PATIENT. THIS IS DONE THROUGH ANALYSIS OF PATIENT VOLUMES IN DEPARTMENTS, SPECIALISTS, AND THE DIFFERENT CLINIC LOCATIONS WITHIN THE Organization'S AREAS OF SERVICE. INFORMATION IS ALSO GATHERED DIRECTLY FROM THE PATIENTS TO SEE WHAT AREAS THEY WOULD LIKE TO SEE ADDITIONAL SUPPORT. INFORMATION REGARDING THE NEEDS OF THE GENERAL COMMUNITY IS OBTAINED FROM THE MICHIGAN HOSPITAL ASSOCIATION AND THE WISCONSIN HOSPITAL ASSOCIATION AND ANALYZED FOR POTENTIAL NEW SERVICE AREAS. Aspirus Grand View also recently collaborated with other area hospitals to complete a community health needs assessment (CHNA). The CHNA is an important tool in identifying the health needs of the community and results of the project assist in prioritizing health needs that lead to the allocation of appropriate resources and the creation of new partnerships to improve the health of the population.
Part VI, Line 3:A SUMMARY OF FINANCIAL ASSISTANCE CONTACT INFORMATION IS AVAILABLE IN THE FORM OF A BROCHURE IN THE WAITING AREAS THROUGHOUT ASPIRUS GRAND VIEW. PATIENT FINANCIAL SERVICES PERSONNEL ARE AVAILABLE TO DISCUSS PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROCEDURES AND PROGRAMS WITH PATIENTS. ASPIRUS GRAND VIEW ALSO HAS A SECTION ON ITS WEBSITE THAT PROVIDES CONTACT INFORMATION FOR FINANCIAL ASSISTANCE FOR THOSE HAVING DIFFICULTY MEETING THEIR FINANCIAL OBLIGATIONS.
Part VI, Line 4:THE COMMUNITIES THAT ASPIRUS GRAND VIEW SERVES COVER AN APPROXIMATE 50-MILE RADIUS SURROUNDING THE IRONWOOD, MICHIGAN AREA. THIS AREA INCLUDES PORTIONS OF THE UPPER PENINSULA GOGEBIC COUNTY, UP TO THE ONTONAGON COUNTY REGION, INTO WISCONSIN COVERING IRON COUNTY, PARTS OF ASHLAND COUNTY, AND PARTS OF VILAS COUNTY. THE GEOGRAPHIC AREA THAT ASPIRUS GRAND VIEW SERVES INCLUDES AN ECONOMICALLY DEPRESSED AREA THAT IS BASED ON A MAJORITY OF FAMILIES THAT DO NOT HAVE HEALTH INSURANCE, OR THAT ARE UTILIZING MEDICAID.
Part VI, Line 5:ASPIRUS GRAND VIEW HAS NUMEROUS CONTINUING EDUCATION EVENTS THAT ARE SET UP TO HELP IMPROVE THE MEDICAL CARE AND KNOWLEDGE OF THE LOCAL POPULATION. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. ASPIRUS GRAND VIEW CONTINUES TO REINVEST IN EQUIPMENT, TRAINING, AND RESEARCH AREAS IN ORDER TO IMPROVE PATIENT CARE IN THE COMMUNITIES THAT IT SERVES, AS WELL AS PROVIDING RESEARCH TO HELP THE LOCAL COMMUNITIES.
Part VI, Line 6:ASPIRUS GRAND VIEW IS AN AFFILIATED HEALTH SYSTEM WHICH SERVES THE COMMUNITY SURROUNDING IRONWOOD, MICHIGAN. AFFILIATES OF ASPIRUS GRAND VIEW PROMOTE THE HEALTH OF THE COMMUNITY BY FULFILLING THEIR INDIVIDUAL MISSIONS. ASPIRUS GRAND VIEW IS ALSO AN AFFILIATE OF ASPIRUS, INC. ASPIRUS IS AN INTERGRATED, COMMUNITY-GOVERNED HEALTH CARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES DEDICATED TO IMPROVING THE HEALTH OF ALL WE SERVE. WE WORK COLLABORATIVELY WITH OTHERS WHO SHARE OUR PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE.
Part VI, Line 7, Reports Filed With StatesMI

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Sara Lusignan
Treasurer / VP OF FINANCE AI$0$169,081$0$10,000$0$12,563$0$0$0$27,099$0$218,743$0$0
RICK NEVERS
SECRETARY / SVP REG OPS SYSTEM INT O$0$291,780$0$68,268$0$31,381$0$18,145$0$53,193$0$462,767$0$0
PAULA CHERMSIDE
DIRECTOR/CEO$193,348$0$26,778$0$14,906$0$10,272$0$14,506$0$259,810$0$0$0
MARIA GULAN
DIRECTOR$0$157,186$0$29,060$0$19,037$0$10,413$0$37,007$0$252,703$0$0
CHRISTOPHER POGLIANO MD
DIRECTOR$435,296$0$8,000$0$12,174$0$3,000$0$22,672$0$481,142$0$0$0
JACOB KEMPEN
DIRECTOR$0$176,877$0$31,283$0$3,768$0$11,740$0$24,906$0$248,574$0$0
MATT HEYWOOD
CEO AI$0$649,912$0$232,922$0$2,014$0$13,360$0$119,577$0$1,017,785$0$0
SIDNEY C SCZYGELSKI
CFO AI$0$376,534$0$157,197$0$46,863$0$18,660$0$70,799$0$670,053$0$0
CHUCK NELSON
REGIONAL CEO - UP$0$248,933$0$62,538$0$42,488$0$17,371$0$56,138$0$427,468$0$0
SHANE JACQUES
AKH CFO/ AGV CFO$0$172,833$0$31,462$0$6,750$0$7,417$0$22,248$0$240,710$0$0
GRACE TOUSIGNANT
SVP$0$138,628$0$23,939$0$1,277$0$5,725$0$17,062$0$186,631$0$0
JOHN HEISLER
SVP & CHIEF HR OFFICER$0$256,725$0$70,436$0$9,052$0$12,179$0$51,433$0$399,825$0$0
DEAN DANNER
ACI President$0$232,445$0$63,986$0$37,432$0$17,028$0$52,045$0$402,936$0$0
MICHAEL MCGRAIL
SYSTEM CMO$0$370,677$0$58,414$0$10,051$0$3,750$0$65,979$0$508,871$0$0
CARI LOGEMANN
SVP & GENERAL COUNSEL$0$253,718$0$69,397$0$1,020$0$15,593$0$55,076$0$394,804$0$0
KATHRYNE MCGOWAN
ANI EXECUTIVE DIRECTOR$0$245,256$0$41,541$0$1,203$0$4,662$0$56,919$0$349,581$0$0
RUTH RISLEY-GREY
SVP & CNO$0$237,122$0$67,504$0$2,734$0$14,872$0$50,216$0$372,448$0$0
TODD RICHARDSON
VP & CIO$0$261,084$0$71,992$0$1,246$0$18,113$0$59,184$0$411,619$0$0
NITIN NIGAM
PHYSICIAN - AGV$492,890$0$25,000$0$7,380$0$3,000$0$9,357$0$537,627$0$0$0
ATHER MEHBOOB
PHYSICIAN - AGV$496,928$0$0$0$5,172$0$3,000$0$20,801$0$525,901$0$0$0
ENRICO BRAUCHER
PHYSICIAN - AGV$494,978$0$0$0$7,381$0$13,250$0$24,354$0$539,963$0$0$0
AJAY PURI
RADIOLOGIST$495,337$0-$7,500$0$12,393$0$3,000$0$22,551$0$525,781$0$0$0
DONNA CATALDO
RADIOLOGIST$459,663$0$0$0$7,000$0$3,000$0$0$0$469,663$0$0$0
Duane L Erwin
Former CEO AI$0$0$0$0$0$988,906$0$0$0$1,308$0$990,214$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aCompanion travel, Gross-up payments and housing allowance, when applicable, were added to the individual's compensation at fair market value. Companion Travel - R. Nevers $202, S. Lusignan $132, C. Pogliano $152, S. Sczygelski $166, C. Nelson $160, J. Heisler $184, D. Danner $105, K. McGowan $120, R. Risley-Grey $175, T. Richardson $105; M. Heywood $174. Gross-up Payments - C. Pogliano $5,022, P. Chermside $3.072, N. Nigam $380, A. Mehboob $5,022, E. Braucher $381, A.Puri $5,022. Housing Allowance - S. Lusignan $3,600, P. Chermside $4,833, M. McGrail $1,200
Part I, Line 1bASPIRUS GRAND VIEW FOLLOWS THE COMPENSATION REVIEW PROCEDURES AND POLICIES OF ASPRIUS, INC. THE PHYSICIAN COMPENSATION OF ASPIRUS GRAND VIEW ALSO IS REVIEWED BY A COMMITTEE WHICH ALSO INCLUDES A REPRESENTATIVE FROM ASPIRUS, INC. TO PROVIDE ADDITIONAL ADMINISTRATIVE REVIEW AND SUPPORT TO THE COMPENSATION REVIEW PROCESS.
Part I, Line 3FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS ONTONAGON HOSPITAL, INC. RELIED ON THE RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICES, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Part I, Lines 4a-bSCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENT: D. ERWIN - $67,610 Schedule J, Part I, Line 4B - Supplemental Nonqualified Retirement 457(f) distribution: R. Nevers $29,240 M. Gulan $16,394 S. Sczygelski $40,323 C. Nelson $35,744 D. Danner $31,730 D. ERWIN $921,521 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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WI Health & Education Facilities AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
CUSIP97710b7x4CUSIPNum
Bond Issued2013-04-12BondIssuedDt
Issue Price$2,998,547IssuePriceAmt
PurposeConstruct, renovate, and equip facilitiesPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$2,998,547TotalProceedsAmt
Substantial Completion2015SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts0EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Concerning UBI0.00030PrivateBusConcerningUBIPct
Total Private Business Use0.00030TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: WI Health & Education Facilities Authority Date the Rebate Computation was Performed: 06/19/2015
FORM PART VIThe proceeds of the Wisconsin Health and Educational Facilities Authority Revenue Bonds, Series 2013 (Aspirus, Inc. Obligated Group) were borrowed by the following organizations: Aspirus Wausau Hospital, Inc. (EIN 39-1138241); Aspirus Medford Hospital & Clinics, Inc. (EIN 39-0964813); Aspirus Grand View (EIN 38-2908586); and Langlade Hospital Hotel Dieu of St. Joseph of Antigo Wisconsin (EIN 39-0806429). Information regarding the Series 2013 Bonds is reported in the Schedule K for each organization. [The information reported in Part I, Part II and Part III relates only to the portion of the Series 2013 Bonds loaned to the Organization. The information reported in Part IV relates to the entire issue of the Series 2013 Bonds.]
PART III, LINE 3A AND 3BASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS GRAND VIEW, 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Diana Lorenson
Spouse of James Lorenson, Board director$19,470Employment Compensation0
Northern Lower Peninsula Labs
Corporation wholly owned by Charles Iknayan, MD, Board Director$292,802Payment for contracted pathology0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE WHICH CONSISTS OF THE CHAIRPERSON, VICE CHAIRPERSON, SECRETARY, TREASURER, PAST CHAIRPERSON, AND CEO. THIS COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE ORGANIZATION DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR AUTHORIZATION GRANTED BY THE BOARD.
Form 990, Part VI, Section A, line 4effective july 1, 2015 aspirus, inc. became the sole corporate member of aspirus grand view. the by-laws were updated to reflect this change.
Form 990, Part VI, Section A, line 6THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Section A, line 7aSEE EXPLANATION FOR FORM 990, PART VI, LINE 7B
Form 990, Part VI, Section A, line 7bTHE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICER; 4) CHANGE THE FROMULA 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 11THE 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 12cBOARD MEMBERS, OFFICERS 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 ORGANIZATIONS'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 DTERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES.
Form 990, Part VI, Section B, line 15FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS GRAND VIEW RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Form 990, Part VI, Section C, line 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC
Form 990, Part XI, line 9:Other changes in Net Assets 500. equity transfer- AGSC -932,010. equity transfer - cci 631,941. difference in fixed asset basis 6,183,903. Equity Transfers - AI 400,000.
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 (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ASPIRUS GRAND VIEW SERVICE CORPORATION
N10565 GRAND VIEW LANEIRONWOODMI49938383005582PHYSICIAN SERVICESMI501(c)(3)Line 3ASPIRUS GRAND VIEWYes (1)
GRAND VIEW HOSPITAL AUXILIARY
N10561 GRAND VIEW LANEIRONWOODMI49938237178363SUPPORTING ORGANIZATION OF THE HOSPITAL AND LIFELINE EMERGENCY SYSTEMMI501(c)(3)Line 9ASPIRUS GRAND VIEWYes (1)
ASPIRUS INC
425 PINE RIDGE BLVDWAUSAUWI54401391328331HEALTH CARE SYSTEM MANAGEMENTWI501(c)(3)Line 11b, II0N/A
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVDWAUSAUWI54401391138241HOSPITALWI501(c)(3)Line 3ASPIRUS INCYes (1)
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVDWAUSAUWI54401391406537PROPERTY LEASINGWI501(c)(3)Line 9ASPIRUS INCYes (1)
ASPIRUS EXTENDED SERVICES INC
425 PINE RIDGE BLVDWAUSAUWI54401390782130NURSING HOME SERVICESWI501(c)(3)Line 9ASPIRUS INCYes (1)
ASPIRUS CLINICS INC
425 PINE RIDGE BLVDWAUSAUWI54401391670223MEDICAL SERVICESWI501(c)(3)Line 9ASPIRUS INCYes (1)
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREETONTONAGONMI49953260806477HOSPITALMI501(c)(3)Line 3ASPIRUS INCYes (1)
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUEWAUSAUWI54401390808511HOME HEALTHCARE SERVICESWI501(c)(3)Line 9ASPIRUS INCYes (1)
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUEWAUSAUWI54401391597350PERSONAL CARE SERVICESWI501(c)(3)Line 9ASPIRUS VNA HOME HEALTH INCYes (1)
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
1400 W ICE LAKE RDIRON RIVERMI49935383236977HOSPITALMI501(c)(3)Line 3ASPIRUS INCYes (1)
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVDWAUSAUWI54401391256656CHARITABLE FOUNDATIONWI501(c)(3)Line 7ASPIRUS INCYes (1)
ASPIRUS RIVERVIEW Hospital & Clinics Inc
410 DEWEY STREETWISCONSIN RAPIDSWI54494390868982HOSPITALWI501(c)(3)Line 3ASPIRUS INCYes (1)
GREATER IRON COUNTY EMS Inc
1400 W ICE LAKE RDIRON RIVERMI49935383236977Emergency medical care and transportationMI501(c)(3)Line 11a, IAspirus Iron River Hospital & Clincs IncYes (1)
Aspirus keweenaw hospital
205 OSCEOLA STREETlauriumMI49913381443361hosPITALMI501(c)(3)Line 3aspirus incYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS GRAND VIEWBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$7,236ShareOfTotalIncomeAmt
Share Of EOY Assets$112,229ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.51000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ASPIRUS GRAND VIEW CARING CAREGIVERS INC
N10561 GRAND VIEW LANEIRONWOODMI49938382902754PERSONAL NEEDS SERVICESMIASPIRUS GRAND VIEWC1.00000Yes (1)
ASPIRUS NETWORK INC
3000 WESTHILL DRIVE 202WAUSAUWI54401391931679HEALTH CARE NETWORKWICYes (1)N/A
ASPIRUS KEWEENAW ENTERPRISES
205 OSCEOLA STREETLAURIUMMI49913383390273PHARMACYMICYes (1)N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS WAUSAU HOSPITAL
P$200,677COST
ASPIRUS WAUSAU HOSPITAL
O$3,396,162COST
Aspirus Inc
M$5,535,517COST
Aspirus Inc
O$914,137COST
Aspirus Inc
P$252,403COST
aspirus inc
E$255,280cost
aspirus Inc
B$600,000cash
aspirus inc
C$1,000,000cash
aspirus Inc
Q$86,978COST
Aspirus Clinics Inc
M$78,551COST
ASPIRUS VNA HOME HEALTH INC
O$59,100COST
ASPIRUS VNA HOME HEALTH INC
L$68,222COST
Aspirus Iron River Hospital & Clinics Inc
P$375,000COST
ASPIRUS Keewenaw hospital inc
O$295,094COST
aspirus keewenaw hospital inc
P$162,847cost
ASPIRUS GRAND VIEW CARING CAREGIVERS INC
C$932,010COST
ASPIRUS GRAND VIEW SERVICE CORPORATION
B$631,941COST