2016-02-10T11:21:41-06:00 2015-06-30 390758449 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2014-07-01 382908586 ASPIRUS GRAND VIEW ASPI 9069322525 N10561 GRAND VIEW LANE IRONWOOD MI 49938 SIDNEY C SCZYGELSKI CFO/SENIOR VP OF FINANCE 9069322525 2016-01-23 1 KATHLEEN J LABRAKE CPA P00164006 7158453111 2016-01-23 2014 2016-08-17 19:52:53Z SIDNEY C SCZYGELSKI 333 PINE RIDGE BLVD WAUSAU WI 54401 53239589 0 X WWW.ASPIRUSGRANDVIEW.ORG X 1989 MI PROVISION OF HEALTH CARE SERVICES 11 3 472 65 33384 26550 8479 8966 40113054 53242083 207994 -11460 0 0 40329527 53239589 0 0 0 0 16267183 27374909 0 0 0 16998027 24002304 33265210 51377213 7064317 1862376 55266000 53270523 18422420 14299564 36843580 38970959 X TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES, TODAY AND TOMORROW, THAT ARE CUSTOMER-FOCUSED AND FISCALLY RESPONSIBLE IN PARTNERSHIP WITH OUR COMMUNITIES. 0 0 38449082 52274261 ASPIRUS 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. 822888 976788 ASPIRUS GRAND VIEW HOME HEALTH IS A MEDICARE-CERTIFIED HOME HEALTH AGENCY WHICH PROVIDES A WIDE RANGE OF HOME HEALTH CARE SERVICES INCLUDING DISEASE MANAGEMENT; EDUCATION; SURGICAL DRESSING CHANGES; INTRAVENOUS ANTIBIOTICS; INJECTIONS; PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY; AND MEDICATION MANAGEMENT. EXPERIENCED REGISTERED NURSES, HOME CARE AIDES, AND THERAPISTS MAKE UP THE TEAM THAT DESIGNS A PLAN OF CARE TO SUIT EACH INDIVIDUAL PATIENT'S NEEDS WHILE IN THE COMFORT OF THEIR OWN HOME. 39271970 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 1 0 0 1 92 0 1 472 1 1 1 0 0 0 0 0 0 0 0 0 X 11 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X SIDNEY SCZYGELSKI 7158472250 333 PINE RIDGE BLVD WAUSAU WI 54401 X RICHARD ARMSTRONG DIRECTOR 1.00 X 0 0 0 MARIA GULAN DIRECTOR/VP OPERATIONS AND SERVICE DEPARTMENT 1.00 40.00 X 0 192903 30876 CHARLES IKNAYAN MD DIRECTOR 1.00 X 0 0 0 JAMES LORENSON DIRECTOR 1.00 X 0 0 0 CHRISTOPHER POGLIANO MD DIRECTOR/PHYSICIAN - AGV 40.00 X 401521 0 30990 JACOB KEMPEN DIRECTOR/VP CLINICAL SERVICES 1.00 40.00 X 0 209506 36544 PAULA CHERMSIDE DIRECTOR/COO AGV 40.00 X 235634 0 31122 JEFFREY NEHRING DDS CHAIRPERSON 1.00 X 0 0 0 JOHN GARSKE VICE CHAIRPERSON/SVP OF FINANCE AND CFO 1.00 X 0 0 0 LORI PECK TREASURER/VP REVENUE CYCLE ASPIRUS 1.00 40.00 X 0 77443 9311 RICK NEVERS SECRETARY/SVP OF REG OPS SYSTEM INT 1.00 40.00 X 0 331104 71838 SIDNEY C SCZYGELSKI CFO AI 1.00 51.00 X 0 445401 99296 CHARMAINE CHIANTELLO CFO 40.00 X 193099 0 7899 CHUCK NELSON REGIONAL CEO - UP 1.00 40.00 X 0 318458 74308 MATT HEYWOOD CEO AI 1.00 51.00 X 0 875945 124428 SHANE JACQUES AKH CFO 12.00 40.00 X 0 180771 22933 ENRICO BRAUCHER PHYSICIAN - AGV 40.00 X 492228 0 40613 NITIN NIGAM PHYSICIAN - AGV 40.00 X 451273 0 15616 DONNA CATALDO RADIOLOGIST 40.00 X 440597 0 3000 MARCUS SANTINI PHYSICIAN - AGV 40.00 X 418912 0 39342 JAMES HUBBARD PHYSICIAN - AGV 40.00 X 412070 0 24377 3045334 2631531 662493 35 0 1 0 ASPIRUS INC 425 PINE RIDGE BEOULEVARD WAUSAU WI 544021395 MANAGEMENT SERVICES 3282402 MIRON CONSTRUCTION CO INC PO BOX 1372 GREEN BAY WI 543051372 CONSTRUCTION 2023397 MI EMERGENCY PHYSICIANS PO BOX 793 TRAVERSE CITY MI 496850793 ER PHYSICIAN COVERAGE 1646528 UPPER PENISULA HEALTH CARE NETWORK INC 228 W WASHINGTON ST STE 2 MARQUETTE MI 498564330 HEALTHCARE SERVICES 428348 DLP MARQUETTE GENERAL HOSPITAL 580 WEST COLLEGE AVE MARQUETTE MI 49855 HEALTHCARE SERVICES 404376 26 8966 8966 NET PATIENT SERVICE REVENUE 621990 48683947 48650563 33384 OTHER OPERATING REVENUE 900099 3944838 3944838 RELATED PARTY RENTAL 531120 613298 613298 53242083 -11460 -11460 53239589 53208699 33384 -11460 X 1322482 893749 428733 21087662 16235812 4851850 760835 592900 167935 2795244 2178263 616981 1408686 1097754 310932 1829907 1829907 26263 26263 69105 69105 6855044 5054986 1800058 198986 198986 1037019 241063 795956 1117362 1117362 229922 120948 108974 154435 154435 107686 107686 2112761 2112761 446813 446813 INCOME TAX EXPENSE 23072 23072 MEDICAL SUPPLIES 4905825 4905825 QAAP EXPENSES 1398684 1398684 340B DRUG EXPENSE 1100534 1100534 2388886 1489323 899563 51377213 39271970 12105243 0 828 587 8243169 5941414 16038125 13752989 950302 1171428 806081 1437718 44774345 28932885 14110883 15841460 7315575 813771 6546910 11237745 1254127 3073411 55266000 53270523 11205351 5461356 2974249 2923365 1055776 638224 3187044 5276619 18422420 14299564 X 35857140 38086372 986440 884587 36843580 38970959 55266000 53270523 X 1862376 213896 51107 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13995 13995 0 PART II-B, LINE 1: ASPIRUS 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 $13,995 OF THE ANNUAL DUES WERE USED IN CONJUCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. 33912 33912 20840895 12195460 8645435 1364720 47214 1317506 22135988 16690211 5445777 398830 398830 15841460 UNDER AGREEMENTS FOR PAYROLL LIABILITIES 26233 F DEFERRED COMPENSATION PLAN ASSETS 3124652 F FUNDED DEPRECIATION INVESTMENTS 400000 F INVESTMENTS IN UNCONSOLIDATED AFFILIATES 1029193 F INVESTMENTS - PROGRAM RELATED 6657667 F 11237745 INTEREST IN NET ASSETS OF SUPPORTING ORGANIATIONS 484587 LONG TERM INSURANCE RECEIVABLE 1988618 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 364492 GOODWILL & OTHER INTANGIBLES 235714 3073411 DEFERRED COMPENSATION 3118441 LONG-TERM INSURANCE LIABILITY 2158443 DUE TO OTHER -265 5276619 X PART X, LINE 2: ASPIRUS GRAND VIEW AND ASPIRUS GRAND VIEW SERVICE CORPORATION ARE NONPROFIT 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 501(A) OF THE CODE. THEY ARE ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE ORGANIZATION 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. THE OTHER SUBSIDIARIES OF ASPIRUS GRAND VIEW ARE TAXABLE CORPORATIONS AND INCLUDE ASPIRUS GRAND VIEW CARING CAREGIVERS, INC. AND WESTERN UPPER MICHIGAN EYE CARE, LLC. THE ORGANIZATION ANNUALLY EVALUATES THE ACTIVITY IN THESE TAXABLE SUBSIDIARIES TO DETERMINE ANY NEED FOR AN ESTIMATED PROVISION OR CREDIT FOR INCOME TAXES OR RELATED DEFERRED TAX ASSETS OR LIABILITIES. IF ANY TAX PROVISIONS OR CREDITS ARE DETERMINED TO BE NECESSARY, THE ORGANIZATION RECORDS THESE AMOUNTS IN THE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 1 X 1 X 1 1 0 1 1 572773 572773 0.01110 9759418 5084523 4674895 0.09100 10332191 5084523 5247668 0.10210 45700 4350 41350 0.00080 5000 5000 0.00010 12439 12439 0.00020 63139 4350 58789 0.00110 10395330 5088873 5306457 0.10320 2750 2750 0.00010 7000 7000 0.00010 9750 9750 0.00020 1 1049531 15103456 14972154 131302 X 1 1 1 WESTERN UPPER MICHIGAN EYE CARE LLC EYE CLINIC 0.51000 0.00000 0.49000 1 1 ASPIRUS GRAND VIEW N10561 GRAND VIEW LANE IRONWOOD MI 49938 WWW.ASPIRUSGRANDVIEW.ORG X X X X HOME HEALTH SERVICES ASPIRUS GRAND VIEW 1 0 0 1 X X X X X X X X X 12 1 1 0 1 X SEE PART V, SECTION B, LINE 5D X X 1 12 1 HTTP://ASPIRUS.ORG/MAIN/COMMUNITY-RESOURCES.ASPX?SRCAUD=MAIN 1 0 1 X 150.000000000000 300.000000000000 X X X 1 1 X X X 1 X X X X 1 X 1 X X X 1 X 0 0 ASPIRUS GRAND VIEW PART 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. IN ADDITION TO THE MAILED SURVEY, RESULTS FROM A TELEPHONE SURVEY, COORDINATED BY THE WISCONSIN DIVISION OF PUBLIC HEALTH, AND INFORMATION FROM THE CDC'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM WERE ALSO TAKEN INTO ACCOUNT SINCE ASPIRUS GRAND VIEW'S PRIMARY SERVICE AREA ALSO INCLDUES IRON COUNTY, WISCONSIN.QUANTITATIVE DATA INCLUDING STATISTICS AND DEMOGRAPHIC INFORMATION WERE OBTAINED FROM A WIDE ARRAY OF PUBLISHED SOURCES AND FROM HEALTH CARE PROVIDERS, INCLUDING THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH AND OTHER GOVERNMENT AND PRIVATE AGENCIES. ASPIRUS GRAND VIEW PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER HOSPITALS:- ASPIRUS ONTONAGON HOSPITAL, INC.- PORTAGE HEALTH- BARAGA COUNTY MEMORIAL HOSPITAL- ASPIRUS KEWEENAW HOSPITAL ASPIRUS GRAND VIEW PART 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.PDFADDITIONALLY, A COPY OF THE CHNA IS ATTACHED TO THE FORM 990. ASPIRUS GRAND VIEW PART V, SECTION B, LINE 11: THERE WERE ITEMS IDENTIFIED IN THE CHNA WHICH WERE NOT ADDRESSED BY ASPIRUS GRAND VIEW; HOWEVER, ALL ITEMS WERE CONSIDERED IF A NEED WAS BROUGHT TO THE ATTENTION OF THE GROUP DURING THE INFORMATION GATHERING PHASE OF THE CHNA PROCESS. SEVERAL OF THE ITEMS WHICH WERE NOT ADDRESSED PRIMARILY WERE NOT ADDRESSED DUE TO THE FINANCIAL CONSTRAINT OF PROVDING A NEW SERVICE FOR A LIMITED POPULATION OF PEOPLE WITHIN THE PRIMARY SERVICE AREA. ASPIRUS GRAND VIEW ALSO CONSIDERED STAFFING RESOURCES IN ADDITION TO FINANCIAL CONSIDERATIONS TO ENSURE THAT THERE ARE ENOUGH PERSONNEL RESOURCES AVAILABLE FOR ANY PROGRAMS THAT MAY NOT CURRENTLY BE OFFERED BY THE HOSPITAL. DUE TO THE FINANCIAL AND STAFFING CONSTRAINTS, THE HOSPITAL HAS DETERMINED THE TOP THREE PRIORITES THAT THEY WILL FOCUS THEIR ATTENTION ON, AS THESE ISSUES WERE THE MOST CRITICAL AND SIGNIFICANT WORK NEEDS TO BE DONE IN THESE AREAS. OVER THE NEXT THREE YEARS AS THE IMPLEMENTATION STRATEGY IS IMPLEMENTED, THE HOSPITAL PLANS TO CONTINUALLY EVALUATE THE BENEFITS PROVIDED TO COMMUNITY MEMBERS TO ENSURE THAT HEALTH NEEDS ARE MET WHENEVER POSSIBLE. ASPIRUS GRAND VIEW PART V, SECTION B, LINE 16I: FINANCIAL ASSISTANCE IS LISTED AS AN OPTION ON COLLECTION LETTERS. ASPIRUS GRAND VIEW PART V, SECTION B, LINE 22D: ALL FAP-ELIGIBLE PATIENTS ARE CHARGED ACCORDING TO THE HOSPITAL'S NORMAL CHARGEMASTER AND THEN DISCOUNTS ARE PROVIDED FROM THE STANDARD CHARGE BASED ON THE PATIENT'S DETERMINATION ACCORDING TO THE FINANCIAL AID DISCOUNT POLICY. 4 GRAND VIEW EYE CENTER E6112 BLUFF VIEW ROAD IRONWOOD MI 49938 EYE CLINIC GRAND VIEW SURGICAL CENTER E6112 BLUFF VIEW ROAD IRONWOOD MI 49938 SURGEON OFFICES ASPIRUS GRAND VIEW IRONWOOD CLINIC N10565 GRAND VIEW LANE IRONWOOD MI 49938 PROVIDER BASED CLINIC ASPIRUS GRAND VIEW HURLEY CLINIC 501 GRANITE STREET HURLEY WI 54534 PROVIDER BASED CLINIC PART I, LINE 3C: COUNSELORS QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE AND DISCOUNTING ELIGIBILITY BY REVIEWING PERSONAL FINANCIAL DATA AND TAX DOCUMENTS. COUNSELORS UTILIZE AN INCOME VALUE CALCULATION WORKSHEET TO PERFORM AN INCOME/ASSET ANALYSIS. CONSIDERATION IS GIVEN TO THE LIQUIDATION OF ASSETS. CURRENT FEDERAL POVERTY LEVEL GUIDELINES ARE USED IN THE CALCULATIONS. INCOMES IN EXCESS OF 300% OF THE FEDERAL POVERTY LEVEL ARE STILL CONSIDERED ELIGIBLE AND COULD STILL BE APPROVED BY MANAGEMENT FOR ADMINISTRATIVE WRITE OFF OF THE ENTIRE OR A PARTIAL AMOUNT OF THEIR BALANCES BASED ON INDIVIDUAL CASES OR CIRCUMSTANCES OF A PATIENT OR THEIR FAMILY. 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.THE COSTING METHODOLOGY FOR SUBSIDIZED HEALTH SERVICES IS BASED ON THE COSTING METHODS USED ON THE HOSPITAL'S MEDICARE COST REPORT. THIS METHODOLOGY PROVIDES FOR A DIRECT ALLOCATION OF EXPENSES AS WELL AS PROVIDING THE SAME DATA TO THE MEDICARE PROGRAM AND THE IRS FOR FORM 990 PURPOSES. 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:IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE AMOUNTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATE THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT ASPIRUS 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).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING THE SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. 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.IF AN ACCOUNT REMAINS UNPAID AFTER TWO STATEMENT CYCLES, PFS GENERATES A PATIENT LETTER WITH OPTIONS TO PAY IN FULL, NEGOTIATE A PAYMENT PLAN, OR FILE FOR UNCOMPENSATED CARE. BY PHONE, OR IN PERSON, PFS ATTEMPTS TO MAKE A FOLLOW UP CONTACT TO DISCUSS THE PAYMENT OPTIONS. IF ACCEPTABLE PAYMENT TERMS CANNOT BE REACHED, OR IF A PATIENT DEFAULTS ON THE PRESCRIBED PAYMENT PLAN, THE ACCOUNT MAY ENTER THE COLLECTION PROCESS AFTER REASONABLE ATTEMPTS HAVE BEEN MADE TO CONTACT THE PATIENT. 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 SERVICE CORPORATION PROVIDES PHYSICIAN SERVICES IN AN OUTPATIENT CLINIC. ASPIRUS GRAND VIEW CARING CAREGIVERS, INC. PROVIDES PRIVATE PERSONAL NEEDS SERVICES. 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 STATES MI X X 1 1 X X X 0 1 0 0 0 0 0 0 0 MARIA GULAN DIRECTOR/VP OPERATIONS AND SERVICE D 0 146283 0 29842 0 16778 0 6180 0 24696 0 223779 0 0 CHRISTOPHER POGLIANO MD DIRECTOR/PHYSICIAN - AGV 378314 0 12000 0 11207 0 3000 0 27990 0 432511 0 0 0 JACOB KEMPEN DIRECTOR/VP CLINICAL SERVICES 0 170871 0 34867 0 3768 0 10343 0 26201 0 246050 0 0 PAULA CHERMSIDE DIRECTOR/COO AGV 219813 0 0 0 15821 0 10260 0 20862 0 266756 0 0 0 RICK NEVERS SECRETARY/SVP OF REG OPS SYSTEM INT 0 236472 0 74420 0 20212 0 14127 0 57711 0 402942 0 0 SIDNEY C SCZYGELSKI CFO AI 0 335544 0 103558 0 6299 0 15500 0 83796 0 544697 0 0 CHARMAINE CHIANTELLO CFO 158433 0 26466 0 8200 0 7603 0 296 0 200998 0 0 0 CHUCK NELSON REGIONAL CEO - UP 0 237702 0 74736 0 6020 0 13996 0 60312 0 392766 0 0 MATT HEYWOOD CEO AI 0 572243 0 233564 0 70138 0 10300 0 114128 0 1000373 0 0 SHANE JACQUES AKH CFO 0 163126 0 17544 0 101 0 6694 0 16239 0 203704 0 0 ENRICO BRAUCHER PHYSICIAN - AGV 480263 0 0 0 11965 0 13000 0 27613 0 532841 0 0 0 NITIN NIGAM PHYSICIAN - AGV 443941 0 0 0 7332 0 3000 0 12616 0 466889 0 0 0 DONNA CATALDO RADIOLOGIST 433597 0 0 0 7000 0 3000 0 0 0 443597 0 0 0 MARCUS SANTINI PHYSICIAN - AGV 407854 0 0 0 11058 0 13000 0 26342 0 458254 0 0 0 JAMES HUBBARD PHYSICIAN - AGV 361012 0 40000 0 11058 0 3000 0 21377 0 436447 0 0 0 PART I, LINE 1A GROSS-UP PAYMENTS AND HOUSING ALLOWANCE, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. GROSS-UP PAYMENTS - P. CHERMSIDE $4,057, C. POGLIANO $4,965, C. CHIANTELLO $1,200, E. BRAUCHER $4,965, N. NIGAM $332, M. SANTINI $4,057, J. HUBBARD $4,057. HOUSING ALLOWANCE - P. CHERMSIDE $4,764 - INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 1B ASPIRUS 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 4B SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: R. NEVERS $17,763 M. GULAN $16.087 KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN 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 THE VICE PRESIDENT, 13% FOR SENIOR LEADERSHIP COUNCIL, AND 15% FOR THE CEO. IF THE 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 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. A WI HEALTH & EDUCATION FACILITIES AUTHORITY 391337855 2013-04-12 2998547 CONSTRUCT, RENOVATE, AND EQUIP FACILITIES 0 0 0 A 2998547 2998547 35270 0 0 1 1 A 0 0 0 0 0.00000 0.00030 0.00030 0 0 0 A 0 1 0 0 0 0 0 0 0 A 1 DIANA LORENSON SPOUSE OF JAMES LORENSON, BOARD DIRECTOR 21008 EMPLOYMENT COMPENSATION 0 NORTHERN LOWER PENINSULA LABS CORPORATION WHOLLY OWNED BY CHARLES IKNAYAN, MD, BOARD DIRECTOR 291111 PAYMENT FOR CONTRACTED PATHOLOGY 0 FORM 990, PART VI, SECTION A, LINE 1 THE 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 6 ASPIRUS GRAND VIEW'S MEMBERS ARE ASPIRUS, INC., A WISCONSIN NONPROFIT CORPORATION AND GOGEBIC RANGE HEALTH FOUNDATION, A MICHIGAN NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A FOUR MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY ASPIRUS, INC. AND FOUR MEMBERS OF THE BOARD ARE ELECTED BY GOGEBIC RANGE HEALTH FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B ASPIRUS, INC. AND GOGEBIC RANGE HEALTH FOUNDATION HAVE THE FOLLOWING RIGHTS AND RESPONSIBILITIES: (A) INITIATE AND APPROVE ANY CHANGE IN PHILOSOPHY, CHARACTER, OR MISSION OF THE CORPORATION. (B) INITIATE AND APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION. (C) AMEND THE BYLAWS OF THE CORPORATION AND ALL SUBSIDIARIES WITH SUPERSEDING AUTHORITY OVER AMENDMENTS ADOPTED BY THE BOARD AS PROVIDED IN THE ARTICLES OF INCORPORATION AND/OR THE BYLAWS. (D) INITIATE AND APPROVE THE ADDITION OF ANY NEW MEMBERS OF THE CORPORATION. (E) APPROVE THE ESTABLISHMENT, TRANSFER OF OWNERSHIP, AND/OR DISSOLUTION OF ANY SUBSIDIARY CORPORATIONS. (F) INITIATE AND APPROVE BORROWING OF MONEY AND OTHER FORMS OF INDEBTEDNESS IN EXCESS OF $5,000,000. (G) APPROVE THE PURCHASE, SALE, LEASE, DISPOSITION, ENCUMBRANCE, OR ALIENATION OF PROPERTY WITH A VALUE IN EXCESS OF $5,000,000. (H) INITIATE AND APPROVE ANY PLAN OF DISSOLUTION, MERGER, OR CONSOLIDATION. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT. WHEN A FINAL DRAFT OF THE RETURN IS COMPLETE, COPIES OF THE RETURN ARE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS REQUIRED TO FILL OUT AN ANNUAL CONFLICT OF INTEREST FORM. THE FORM IS REVIEWED INITIALLY BY THE COO, THEN BY THE BOARD OF DIRECTORS TO REVIEW ANY POTENTIAL CONFLICTS. EACH PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE WHICH PROVIDES A MORE FORMAL REVIEW PROCESS OVER EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE REVIEWS ANNUAL SALARY RECOMMENDATIONS FOR THE COO AND THE CFO. THE COMMITTEE USUES PERFORMANCE EVALUATIONS AND MARKET COMPARABILITY DATA TO MAKE THEIR DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN B EXPLANATION OF HOURS WORKED: CHARMAINE CHIANTELLO, AND PAULA CHERMSIDE ARE EMPLOYED BY ASPIRUS GRAND VIEW. ASPIRUS GRAND VIEW'S PURPOSE IS TO PROVIDE HEALTH CARE SERVICES TO AREA RESIDENTS AND THOSE IN NEED OF CARE THROUGH THE OPERATION OF ITS HOSPITAL AND ITS SUBSIDIARY ORGANIZATIONS. CHARMAINE CHIANTELLO AND PAULA CHERMSIDE DEVOTE THEIR TIME PROVIDING MANAGEMENT SERVICES TO ASPIRUS GRAND VIEW AND RELATED ORGANIZATIONS. SIDNEY C. SCZYGELSKI, MARIA GULAN, LORI PECK, JACOB KEMPEN, AND RICK NEVERS ARE EMPLOYED BY ASPIRUS, INC. AND ITS AFFILIATED ORGANIZATIONS. ASPIRUS, INC'S PURPOSE IS TO SERVE AS A SUPPORTING ORGANIZATION TO MULTIPLE SUBSIDIARY ORGANIZATIONS AS LISTED IN SCHEDULE R, AS WELL AS THE PARTNER HOSPITALS WHICH ASPIRUS, INC. HOLDS A MEMBERSHIP INTEREST IN THE OPERATIONS OF THOSE ADDITIONAL HOSPITALS. THE EMPLOYEES OF ASPIRUS, INC. DEVOTE THEIR TIME PROVIDING MANAGEMENT SERVICES TO THE RELATED ORGANIZATIONS AND AFFILIATED PARTNER HOSPITALS. THESE EMPLOYEES OFTEN WORK HOURS IN EXCESS OF AN AVERAGE OF 40 HOURS EACH WEEK IN ORDER TO FULFILL THIS MISSION. CHRISTOPHER POGLIANO, M.D. IS AN EMPLOYED PHYSICIAN OF ASPIRUS GRAND VIEW AND PROVIDES AN AVERAGE OF 40 HOURS PER WEEK OF PHYSICIAN AND MANAGEMENT SERVICES WHILE WORKING FOR ASPIRUS GRAND VIEW IN ADDITION TO HIS DUTIES ON THE BOARD OF DIRECTORS FOR ASPIRUS GRAND VIEW. HOURS WORKED AT RELATED ORGANIZATIONS ARE REFLECTED IN LINE 2 OF COLUMN B. FORM 990, PART IX, LINE 11G PHYSICIAN PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,690,848. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,690,848. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,364,138. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,364,138. ADMINISTRATIVE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,800,058. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,800,058. FORM 990, PART XI, LINE 9: OPERATING EQUITY TRANSFERS TO ASPIRUS GRAND VIEW SERVICE CORPORATION INCREASE IN INTEREST IN NET ASSETS OF SUPPORTING ORGANIZATIONS 18,919. GAIN FROM CONTROLLED SUBSIDIARY CONTRIBUTIONS FOR PROPERTY & EQUIPMENT 32,188. FORM 990, PART XII, LINE 2C: ASPIRUS GRAND VIEW'S BOARD OF DIRECTORS PROVIDES OVERSIGHT OF THE INDEPENDENT ACCOUNTANTS AND THE MEMBERS OF THE BOARD MEET WITH THE ACCOUNTANT DURING THE AUDIT PROCESS TO DISCUSS THE AUDIT AND OTHER MATTERS. ASPIRUS GRAND VIEW ALSO IS PROVIDED ADDITIONAL OVERSIGHT OF THE AUDIT PROCESS AND SELECTION OF THE INDEPENDENT ACCOUNTANT THROUGH THE AUDIT COMMITTEE OF ASPIRUS, INC. THERE WAS NO CHANGE TO THIS PROCESS IN THE PAST YEAR. ASPIRUS GRAND VIEW SERVICE CORPORATION N10565 GRAND VIEW LANE IRONWOOD MI 49938 383005582 PHYSICIAN SERVICES MI 501(C)(3) LINE 3 ASPIRUS GRAND VIEW 1 GRAND VIEW HOSPITAL AUXILIARY N10561 GRAND VIEW LANE IRONWOOD MI 49938 237178363 SUPPORTING ORGANIZATION OF THE HOSPITAL AND LIFELINE EMERGENCY SYSTEM MI 501(C)(3) LINE 9 ASPIRUS GRAND VIEW 1 ASPIRUS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTH CARE SYSTEM MANAGEMENT WI 501(C)(3) LINE 11B, II N/A 0 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391138241 HOSPITAL WI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391406537 PROPERTY LEASING WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS SPECIALISTS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391945080 MEDICAL SPECIALIST SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS EXTENDED SERVICES INC 425 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS CLINICS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391670223 MEDICAL SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS ONTONAGON HOSPITAL INC 601 SEVENTH STREET ONTONAGON MI 49953 260806477 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS VNA HOME HEALTH INC 520 N 32ND AVENUE WAUSAU WI 54401 390808511 HOME HEALTHCARE SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS VNA EXTENDED CARE INC 520 N 32ND AVENUE WAUSAU WI 54401 391597350 PERSONAL CARE SERVICES WI 501(C)(3) LINE 9 ASPIRUS VNA HOME HEALTH INC 1 ASPIRUS IRON RIVER HOSPITAL & CLINICS INC 1400 W ICE LAKE RD IRON RIVER MI 49935 383236977 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS HEALTH FOUNDATION INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391256656 CHARITABLE FOUNDATION WI 501(C)(3) LINE 7 ASPIRUS INC 1 ASPIRUS RIVERVIEW 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 390868982 HOSPITAL WI 501(C)(3) LINE 3 ASPIRUS INC 1 GREATER IRON COUNTY EMS INC 1400 W ICE LAKE RD IRON RIVER MI 49935 383236977 EMERGENCY MEDICAL CARE AND TRANSPORTATION MI 501(C)(3) LINE 11A, I ASPIRUS IRON RIVER HOSPITAL & CLINCS INC 1 WESTERN UPPER MICHIGAN EYE CARE LLC 131 W GENESEE STREET IRON RIVER MI 49935 272324957 EYE CARE SERVICES MI ASPIRUS GRAND VIEW RELATED -2992 104993 0 1 0.51000 ASPIRUS GRAND VIEW CARING CAREGIVERS INC N10561 GRAND VIEW LANE IRONWOOD MI 49938 382902754 PERSONAL NEEDS SERVICES MI ASPIRUS GRAND VIEW C 46087 642294 1.00000 1 ASPIRUS NETWORK INC 3000 WESTHILL DRIVE 202 WAUSAU WI 54401 391931679 HEALTH CARE NETWORK WI N/A C 1 1 1 1 0 1 0 0 0 0 1 0 0 1 1 1 1 0 1 1 ASPIRUS WAUSAU HOSPITAL P 162365 COST ASPIRUS WAUSAU HOSPITAL O 2528966 COST ASPIRUS INC M 1829907 COST ASPIRUS INC O 79131 COST ASPIRUS INC P 250071 COST ASPIRUS CLINICS INC M 51374 COST ASPIRUS VNA HOME HEALTH INC O 69823 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC P 147500 COST ASPIRUS GRAND VIEW SERVICE CORPORATION S 4119945 COST