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ASPIRUS KEWEENAW: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS KEWEENAW (EIN 38-1443361)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-13
IRS object ID
201541339349301914
Schema version
2013v4.0
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)
Return2015-05-13T10:00:46-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code543072237ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381443361EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS KEWEENAW HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlASPIBusinessNameControlTxt
Phone9063376500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 OSCEOLAAddressLine1
CityLAURIUMCity
StateMIState
ZIP Code49913ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHUCK NELSONPersonNm
Person TitleCEOPersonTitleTxt
Phone9063376500PhoneNum
Signature2015-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI REXRODE CPA MSTPreparerPersonNm
PTINP00096513PTIN
Phone9206620016PhoneNum
Preparation2015-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHUCK NELSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 OSCEOLA STREETAddressLine1
CityLAURIUMCity
StateMIState
ZIP Code49913ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$42,725,162GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASPIRUSKEWEENAW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1939FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionASPIRUS KEWEENAW HOSPITAL PROVIDES COMPREHENSIVE INPATIENT, OUTPATIENT, EMERGENCY, MEDICAL AND PHYSICIAN CLINIC SERVICES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee448TotalEmployeeCnt
Total Volunteers97TotalVolunteersCnt
Total Gross UBI-$695TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$695NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$48,379PYContributionsGrantsAmt
CY Contributions Grants$37,883CYContributionsGrantsAmt
PY Program Service Revenue$39,922,092PYProgramServiceRevenueAmt
CY Program Service Revenue$37,698,743CYProgramServiceRevenueAmt
PY Investment Income$153,578PYInvestmentIncomeAmt
CY Investment Income$528,184CYInvestmentIncomeAmt
PY Other Revenue$114,713PYOtherRevenueAmt
CY Other Revenue$2,575,013CYOtherRevenueAmt
PY Total Revenue$40,238,762PYTotalRevenueAmt
CY Total Revenue$40,839,823CYTotalRevenueAmt
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$22,886,026PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,282,960CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,264,587PYOtherExpensesAmt
CY Other Expenses$15,862,376CYOtherExpensesAmt
PY Total Expenses$38,150,613PYTotalExpensesAmt
CY Total Expenses$40,145,336CYTotalExpensesAmt
PY Revenues Less Expenses$2,088,149PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$694,487CYRevenuesLessExpensesAmt
Total Assets BOY$29,541,483TotalAssetsBOYAmt
Total Assets EOY$32,573,455TotalAssetsEOYAmt
Total Liabilities BOY$9,479,565TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,664,523TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,061,918NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,908,932NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COMPREHENSIVE INPATIENT, OUTPATIENT, EMERGENCY, MEDICAL, AND PHYSICIAN CLINIC SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$34,959,790ExpenseAmt
Revenue$37,527,209RevenueAmt
DescASPIRUS KEWEENAW HOSPITAL PROVIDES COMPREHENSIVE INPATIENT, OUTPATIENT, EMERGENCY, MEDICAL, AND PHYSICIAN CLINIC SERVICES.Desc
Total Program Service Expenses$34,959,790TotalProgramServiceExpensesAmt
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 Invst0ReportProgramRelatedInvstInd
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 Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document89IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee448EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHUCK NELSONPersonNm
Phone9063376500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 OSCEOLA STREETAddressLine1
CityLAURIUMCity
StateMIState
ZIP Code49913ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DANIEL DALQUIST
CHAIRMAN0.501.00Yes (X)Yes (X)$0$0$0
EDWARD JENICH
VICE CHAIRMAN0.501.00Yes (X)Yes (X)$0$0$0
DAVID GILBERT MD
SECRETARY0.501.00Yes (X)Yes (X)$0$0$0
MATTHEW HEYWOOD
BOARD MEMBER & PRESIDENT/CEO OF ASPIRUS, INC.0.5039.50Yes (X)$0$340,183$62,474
CHUCK NELSON
BOARD MEMBER & ASPIRUS UP REGIONAL CEO24.0017.00Yes (X)Yes (X)$0$291,946$67,232
SANDRA HUUKI
BOARD MEMBER0.501.00Yes (X)$0$0$0
DARRELL LENTZ
BOARD MEMBER & PRESIDENT OF ASPIRUS WAUSAU HOSPITA0.5039.50Yes (X)$0$262,768$54,894
JERRY LUOMA MD
BOARD MEMBER & MEDICAL DIRECTOR20.001.00Yes (X)$99,826$0$34,277
MICHAEL LUOMA MD
BOARD MEMBER & CHIEF OF STAFF40.00Yes (X)$220,536$0$46,094
RICK NEVERS
BOARD MEMBER & SR VP OF REGIONAL OPERATIONS0.5039.50Yes (X)$0$262,069$66,517
MARIANA PERINOT MD
BOARD MEMBER & MEDICAL STAFF REP40.00Yes (X)$118,290$0$4,508
DARRYL PIERCE
BOARD MEMBER0.501.00Yes (X)$0$0$0
DALE R TAHTINEN
BOARD MEMBER0.501.00Yes (X)$0$0$0
JOEL TUORINIEMI
BOARD MEMBER0.501.00Yes (X)$0$0$0
DUANE ERWIN
FORMER BOARD MEMBER & PRESIDENT/CEO OF ASPIRUS, IN0.5039.50Yes (X)$0$781,943$138,308
MICHAEL HAUSWIRTH
COO40.00Yes (X)$198,628$0$42,292
SHANE JACQUES
CFO40.00Yes (X)$24,201$0$3,332
GRACE TOUSIGNANT
CNO40.00Yes (X)$149,392$0$33,602
FREDERICK RAU
ORTHOPEDIC SURGEON40.00$442,782$0$44,474Yes (X)
KENNETH PHERSON
ORTHOPEDIC SURGEON40.00$374,579$0$16,706Yes (X)
BONNIE HAFEMAN
PHYSICIAN40.00$363,639$0$43,896Yes (X)
JOHN NOVOSAD
ANESTHESIOLOGIST40.00$291,978$0$24,972Yes (X)
JAMES BLACK
ED PHYSICIAN40.00$304,980$0$52,490Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,588,831TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,938,909TotReportableCompRltdOrgAmt
Total Other Compensation$736,068TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K31IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
MIRON CONSTRUCTION CO INC
PO BOX 1372GREEN BAYWI54305CONSTRUCTION SERVICES$4,382,652
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397CONTRACTED PROVIDERS$684,482
COAST TO COAST HEALTH CARE
5195 HAMPSTED VILLAGE CENTER SUITENEW ALBANYOH43054CONTRACTED PROVIDERS$430,775
CHG COMPANIES INC
6440 SOUTH MILLROCK DRIVE SUITE 175SALT LAKE CITYUT84121CONTRACTED PROVIDERS$329,540
MARK R SHEBUSKI MD PC
301 W LAKE AVENUEHOUGHTONMI49931PROVIDER SERVICES & BUILDING$304,584
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Government Grants$7,956GovernmentGrantsAmt
All Other Contributions$29,927AllOtherContributionsAmt
Total Contributions$37,883TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUE621990$37,527,209$37,527,209
CAFETERIA REVENUE624200$109,808$109,808
MEDICAL OFFICE RENTAL900099$51,050$51,050
VENDING REVENUE624200$10,676$10,676
FieldValueIRS element (for citing)
Total Program Service Revenue$37,698,743TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$219,551TotalRevenueColumnAmt
Exclusion$219,551ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$123,158RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$116,054RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,104RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,104TotalRevenueColumnAmt
Unrelated Business Revenue-$695UnrelatedBusinessRevenueAmt
Exclusion$7,799ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,973,502SecuritiesAmt
Other$104,416OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,602,706SecuritiesAmt
Other$166,579OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$370,796SecuritiesAmt
Other-$62,163OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$308,633TotalRevenueColumnAmt
Exclusion$308,633ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
340B REVENUE999999$2,212,189$2,212,189
OTHER REVENUE999999$355,720$355,720
FieldValueIRS element (for citing)
Other Revenue Total$2,567,909OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,839,823TotalRevenueColumnAmt
Related Or Exempt Func Income$37,527,209RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$695UnrelatedBusinessRevenueAmt
Exclusion$3,275,426ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,190,485TotalAmt
Program Services$706,525ProgramServicesAmt
Management And General$483,960ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,317,208TotalAmt
Program Services$15,774,838ProgramServicesAmt
Management And General$1,542,370ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$592,875TotalAmt
Program Services$528,001ProgramServicesAmt
Management And General$64,874ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,915,484TotalAmt
Program Services$3,487,389ProgramServicesAmt
Management And General$428,095ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,266,908TotalAmt
Program Services$1,128,279ProgramServicesAmt
Management And General$138,629ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$78,371TotalAmt
Management And General$78,371ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$83,525TotalAmt
Management And General$83,525ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$19,299TotalAmt
Management And General$19,299ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,409,903TotalAmt
Program Services$3,721,517ProgramServicesAmt
Management And General$688,386ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$238,498TotalAmt
Program Services$28,489ProgramServicesAmt
Management And General$210,009ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,374,118TotalAmt
Program Services$4,280,028ProgramServicesAmt
Management And General$94,090ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$139,031TotalAmt
Program Services$75,313ProgramServicesAmt
Management And General$63,718ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$493,193TotalAmt
Program Services$493,193ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$239,959TotalAmt
Program Services$168,872ProgramServicesAmt
Management And General$71,087ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$123,879TotalAmt
Program Services$123,879ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,033,724TotalAmt
Program Services$940,656ProgramServicesAmt
Management And General$93,068ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$97,122TotalAmt
Program Services$91,492ProgramServicesAmt
Management And General$5,630ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT RENTAL AND MA$1,996,589$1,785,484$211,105
PROVISION FOR BAD DEBTS$1,381,121$1,381,121
DUES AND SUBSCRIPTIONS/$1,022,288$119,217$903,071
RECRUITMENT EXPENSE$119,390$119,390

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,366TotalAmt
Program Services$6,107ProgramServicesAmt
Management And General$6,259ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,145,336TotalAmt
Program Services$34,959,790ProgramServicesAmt
Management And General$5,185,546ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,024,969BOYAmt
EOY$218,165EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,062,674BOYAmt
EOY$7,002,868EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,555,966BOYAmt
EOY$4,285,153EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$431,100BOYAmt
EOY$392,746EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$847,336BOYAmt
EOY$926,915EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$28,937,914LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,024,707LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,103,617BOYAmt
EOY$12,913,207EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,054,478BOYAmt
EOY$2,317,190EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,412,643BOYAmt
EOY$1,505,234EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$91,833BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,956,867BOYAmt
EOY$3,011,977EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$29,541,483BOYAmt
EOY$32,573,455EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,701,434BOYAmt
EOY$4,955,498EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,655,860BOYAmt
EOY$6,337,654EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,122,271BOYAmt
EOY$371,371EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,479,565BOYAmt
EOY$11,664,523EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,805,016BOYAmt
EOY$20,908,932EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$256,902BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,061,918BOYAmt
EOY$20,908,932EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,541,483BOYAmt
EOY$32,573,455EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$694,487ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$152,527NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$7,765OtherActivitiesAmt
Total Lobbying Expenditures$7,765TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationORGANIZATION HAS INDIRECT LOBBYING ACTIVITIES THROUGH THE PAYMENT OF HOSPITAL ASSOCIATION DUES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$871,587OtherCostOrOtherBasisAmt
Book Value$871,587BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,355,354OtherCostOrOtherBasisAmt
Depreciation$10,857,174DepreciationAmt
Book Value$7,498,180BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,616,133OtherCostOrOtherBasisAmt
Depreciation$5,167,533DepreciationAmt
Book Value$3,448,600BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,094,840OtherCostOrOtherBasisAmt
Book Value$1,094,840BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,913,207TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM ASPIRUS KEWEENAW ENTERPRISES$1,270,359
DUE FROM ASPIRUS KEWEENAW FOUNDATION$9,818
NOTE RECEIVABLE$892,500
DUE FROM OTHER ENTITIES$26,274
THIRD PARTY RECEIVABLES$813,026
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,011,977TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LONG TERM INSURANCE PAYABLE$291,371
ASBESTOS LIABILITY$80,000
FieldValueIRS element (for citing)
Total Liability$371,371TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$39,396,080TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$1,384,680OtherRevenueAmt
Revenue Not Reported-$1,384,680RevenueNotReportedAmt
Revenue Subtotal$40,780,760RevenueSubtotalAmt
Investment Expenses Not Incld$19,299InvestmentExpensesNotIncldAmt
Other Revenues Not Included$39,764OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$59,063RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$40,839,823TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$38,701,593TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$39,764OtherExpensesIncludedAmt
Expenses Not Reported-$39,764ExpensesNotReportedAmt
Expenses Subtotal$38,741,357ExpensesSubtotalAmt
Investment Expenses Not Incld2$19,299InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$1,384,680OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,403,979ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$40,145,336TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION HAS NOT RECORDED ANY ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2014 OR 2013. FEDERAL RETURNS FOR THE YEAR ENDED JUNE 30, 2011, AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 109,262. BAD DEBT EXPENSE -1,381,121. RECRUITMENT EXPENSE -112,821.
PART XI, LINE 4B - OTHER ADJUSTMENTS:DONATIONS 39,764.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DONATIONS -39,764.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSE -109,262. BAD DEBT EXPENSE 1,381,121. RECRUITMENT EXPENSE 112,821.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$289,988TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$289,988NetCommunityBenefitExpnsAmt
Total Expense0.00760TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,069,979TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,669,655DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,400,324NetCommunityBenefitExpnsAmt
Total Expense0.03660TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,359,967TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,669,655DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,690,312NetCommunityBenefitExpnsAmt
Total Expense0.04420TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,396TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$102,396NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,014TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,014NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$128,410TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$128,410NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,488,377TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,669,655DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,818,722NetCommunityBenefitExpnsAmt
Total Expense0.04760TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,087,970BadDebtExpenseAmt
Reimbursed By Medicare$12,709,933ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,891,366CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$181,433MedicareSurplusOrShortfallAmt

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
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS KEWEENAW HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 OSCEOLA STREETAddressLine1
CityLAURIUMCity
StateMIState
ZIP Code49913ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.ASPIRUSKEWEENAW.ORGWebsiteAddressTxt
State License1060000151StateLicenseNum
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 KEWEENAW HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V FOR FULL ADDRESSOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ASPIRUS KEWEENAW HOSPITALPART V, SECTION B, LINE 3: SURVEY BY MAIL AND PARTICIPATION IN REGIONAL HEALTH ASSESSMENTS WITH OTHER HOSPITALS AND AGENCIES.
ASPIRUS KEWEENAW HOSPITALPART V, SECTION B, LINE 4: WESTERN UPPER PENINSULA HEALTH DEPARTMENT, ASPIRUS GRAND VIEW, ASPIRUS ONTONAGON BARAGA COUNTY MEMORIAL HOSPITAL, PORTAGE HEALTH, COPPER COUNTY MEMORIAL HEALTH SERVICES.
ASPIRUS KEWEENAW HOSPITALPART V, SECTION B, LINE 7: THE HOSPITAL HAS SUCCESSFULLY ADDRESS ALL ITEMS IDENTIFIED IN THE CHNA EXCEPT ONE. THIS IS MAINTAINING A ONE-ON-ONE HYPERTENSION CLINIC. THE NURSE PRACTITIONER SUPPORTING THE EFFORT IS NO LONGER WITH THE ORGANIZATION. THE CLINIC MANAGERS HAVE BEEN IN THE PROCESS OF WORKING WITH OTHER STAFF TO FILL GAPS AND ADDRESS THE NEEDS OF THE HYPERTENSION CLINIC. THE HOSPITAL EXPECTS SOLUTIONS AND SUPPORT OF THE CLINIC IN FALL OF 2015.
ASPIRUS KEWEENAW HOSPITALPART V, SECTION B, LINE 14G: BILLING INVOICES CONTAIN CONTACT INFORMATION FOR MORE INFORMATION ABOUT THE THE FINANCIAL ASSISTANCE POLICY. A POSTING OF HOW TO OBTAIN MORE INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS LOCATED IN THE EMERGENCY AND WAITING ROOMS.
ASPIRUS KEWEENAW HOSPITALPART V, SECTION B, LINE 20D: THE AMOUNTS CHARGED ARE BASED ON FPL LEVEL. THIS IS DISCOUNTED USING AVERAGE AMOUNTS PAID BY COMMERCIALLY INSURED AND MEDICARE PATIENTS.
PART V, SECTION B, LINE 5AHOSPTIAL WEB ADDRESS TO LOCATE CHNA: HTTP://ASPIRUS.ORG/MAIN/COMMUNITY-RESOURCES.ASPX
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
ASPIRUS HOUGHTON CLINIC
1000 CEDAR STREETHOUGHTONMI49931CLINIC
ASPIRUS KEWEENAW OUTPATIENT THERAPIES
342 HECLA STREETLAURIUMMI49913OUTPATIENT THERAPY
LAURIUM WELLNESS
300 HECLA STREETLAURIUMMI49913CLINIC
ASPIRUS KEWEENAW LAKE LINDEN CLINIC
110 CALUMET STREETLAKE LINDENMI49945CLINIC
ASPIRUS KEWEENAW FASTCARE
9900 MEMORIAL ROADHOUGHTONMI49931CLINIC

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE COST METHOD THAT IS USED ON THE FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS. THIS IS THEN DIVIDED BY GROSS PATIENT SERVICES REVENUE.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,936,589.
PART II, COMMUNITY BUILDING ACTIVITIES:WHILE THERE IS GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFITS HOSPITAL'S COMMUNITY BENEFIT AND CHARITY CARE, THESE EFFORTS CONTINUE TO BE A WORK IN PROGRESS. ASPIRUS KEWEENAW HOSPITAL, INC., IN ADDITION TO PROVIDING SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. ASPIRUS KEWEENAW HOSPITAL, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL WOULD NOT BE AVAILABLE LOCALLY. IN ADDITION TO INPATIENT HOSPITALIZATIONS, THE ORGANIZATION PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING: EMERGENCY SERVICES, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, FAMILY PRACTICE CLINICS, AND LABORATORY AND PATHOLOGY SERVICES.
PART III, LINE 4:IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES RELATING TO SERVICES PROVIDED TO PATIENTS HAVING THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE HOSPITAL ESTIMATES THAT APPROXIMATELY 56% OF BAD DEBT EXPENSE DURING FY2014 WAS ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY FINANCIAL ASSISTANCE POLICY THAT DID NOT COMPLETE THE APPLICATION PROCESS.THE ORGANIZATION BELIEVES THIS SHOULD BE CHARITY CARE BECAUSE IF THE PROPER APPLICATION WOULD HAVE BEEN COMPLETED, THIS AMOUNT WOULD HAVE BEEN APPROPRIATELY RECORDED.
PART III, LINE 8:ALLOWABLE MEDICARE COSTS WERE OBTAINED FROM THE ORGANIZATION'S FILED MEDICARE COST REPORT. AS SUCH THEY ONLY INCLUDE THE AMOUNTS ALLOWED IN THE FORM 990 INSTRUCTIONS. THEREFORE, THEY ONLY INCLUDE A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND DO NOT CONSIDER ALL OF THE CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. THE MEDICARE REVENUES AMOUNTS LISTED DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE HOSPITAL AS WELL AS ANESTHESIA PROFESSIONAL SERVICES, REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS, PHYSICAL THERAPY SERVICES PROVIDED TO NURSING HOME RESIDENTS, AND A SIGNIFICANT PORTION OF LAB SERVICES PROVIDED TO AREA CLINIC PATIENTS.
PART III, LINE 9B:UNDER THE ORGANIZATION'S COLLECTION AND CHARITY CARE POLICIES, ASPIRUS KEWEENAW HOSPITAL MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE ORGANIZATION'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE.ASPIRUS KEWEENAW HOSPITAL WILL PROVIDE MEDICALLY ACUTE SERVICES TO PATIENTS WHO MEET THE CRITERIA OF THE PATIENT FINANCIAL ASSISTANCE PROGRAM WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES FOR QUALIFYING PATIENTS. THIS PROGRAM IS PROVIDED FOR PATIENTS WHO ARE UNINSURED, UNDERINSURED, AND/OR MEDICALLY INDIGENT. PATIENTS AND THEIR FAMILIES HAVE A RESPONSIBILITY TO HELP THE HOSPITAL QUALIFY THEM FOR THE APPROPRIATE LEVEL OR TYPE OF FINANCIAL ASSISTANCE GIVEN THEIR CIRCUMSTANCES.DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM.AN ACCOUNT WILL BE CONSIDERED DELINQUENT IF ADEQUATE AND TIMELY PAYMENTS ARE NOT MADE AND/OR THERE IS A LACK OF COMMUNICATION FROM THE PATIENT/FAMILY:1.) 60 DAYS AFTER BALANCE BECOMES THE RESPONSIBILITY OF THE PATIENT/GUARANTOR. 2.) IF A PATIENT/GUARANTOR REFUSES TO PAY AN ACCOUNT WITHOUT VALID REASON. 3.) STATEMENTS ARE MAIL-RETURNED AND THE PATIENT/GUARANTOR CANNOT BE LOCATED. 4.) A PATIENT/GUARANTOR ACCOUNT HISTORY SHOWS THE DEBT IS UNLIKELY TO BE PAID. 5.) ACCOUNT PAYMENTS ARE INADEQUATE FOR THE BALANCE AND AGE OF ACCOUNT. 6.) THE PATIENT/GUARANTOR STOPS MAKING SCHEDULED PAYMENTS.
PART VI, LINE 2:THE ORGANIZATION MEETS WITH A LOCAL FEDERALLY QUALIFIED HEALTH CENTER TO CONSULT AND DETERMINE HOW TO MEET THE HEALTH CARE NEEDS IN THE ORGANIZATION'S GEOGRAPHICAL AREA. IN ADDITION, THE ORGANIZATION ITSELF EVALUATES ITS' OWN SERVICES OFFERED IN THEIR SERVICE AREA AND EVALUATES OTHER SERVICES THAT COULD BE PROVIDED TO BENEFIT THE COMMUNITY SERVED.
PART VI, LINE 3:ASPIRUS KEWEENAW HOSPITAL WILL PROVIDE MEDICALLY ACUTE SERVICES TO PATIENTS WHO MEET THE CRITERIA OF THE PATIENT FINANCIAL ASSISTANCE PROGRAM (PFAP) WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES FOR QUALIFYING PATIENTS. THIS PROGRAM IS PROVIDED FOR PATIENTS WHO ARE UNINSURED, UNDERINSURED, AND/OR MEDICALLY INDIGENT. PATIENTS AND THEIR FAMILIES HAVE A RESPONSIBILITY TO HELP THE HOSPITAL QUALIFY THEM FOR THE APPROPRIATE LEVEL OR TYPE OF FINANCIAL ASSISTANCE GIVEN THEIR CIRCUMSTANCE.A PFAP BROCHURE IS GIVEN TO EACH INPATIENT. THE BROCHURE INFORMS PATIENTS OF OUR PATIENT FINANCIAL ASSISTANCE PROGRAM AND HOW TO APPLY. WE HAVE SIGNS POSTED IN ALL ASPIRUS KEWEENAW HOSPITAL AND CLINIC LOCATIONS THAT LET THE PATIENT KNOW ABOUT OUR PFAP PROGRAM. PFAP BROCHURES ARE DISPLAYED IN PATIENT AREAS OF OUR CLINICS AND HOSPITAL. SIGNS ARE POSTED THROUGHOUT AKH TO INFORM THE PATIENT THAT WE PARTICIPATE IN THE MEDICAID PROGRAM. A NOTICE REGARDING OUR SLIDING FEE SCALE AND HOW TO APPLY FOR IT, IS POSTED AT ALL PHYSICIAN RECEPTION AREAS. ALL BILLERS AND FRONT LINE STAFF DIRECT PATIENT INQUIRIES REGARDING PAYMENT, MEDICAID, AND FINANCIAL ASSISTANCE TO A FINANCIAL COUNSELOR. SELF PAY PATIENTS ARE INFORMED OF THE COST OF HIGH DOLLAR PROCEDURES AND OFFERED OPTIONS FOR PAYMENT AND ASSISTANCE PROGRAMS PRIOR TO SCHEDULING THE PROCEDURE. AN ASPIRUS KEWEENAW SOCIAL WORKER COUNSELS PATIENTS AND MAKES THEM AWARE OF ALL AVAILABLE COMMUNITY RESOURCES, INCLUDING MEDICAID AND OUR AKH PATIENT FINANCIAL ASSISTANCE PROGRAM. SHE ASSISTS THEM IN COMPLETING THE MEDICAID APPLICATION. A FINANCIAL COUNSELOR WILL VISIT THE PATIENT IF REQUESTED DURING THE SOCIAL WORKER INTERVIEW WITH THE PATIENT. FINANCIAL COUNSELORS SUGGEST OUR PFAP TO ELIGIBLE PATIENTS WHILE MAKING PAYMENT ARRANGEMENTS.
PART VI, LINE 4:THE ORGANIZATION PROVIDES SERVICES PRIMARILY TO THE ELDERLY AND FRAIL OF NORTHERN HOUGHTON AND KEWEENAW COUNTIES. THE LARGEST CITIES IN THESE REGIONS INCLUDE HOUGHTON, HANCOCK, LAURIUM AND CALUMET. AS A PERCENTAGE OF TOTAL REVENUE, MEDICARE AND MEDICAID COMPRISE OF 53% AND 14%, RESPECTIVELY FOR THE ORGANIZATION.
PART VI, LINE 5:THE BOARD OF DIRECTOR'S IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS. THE ORGANIZATION PROVIDES, FREE OF CHARGE TO THE LOCAL SCHOOL, AN ATHLETIC TRAINER.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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 (13 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
MATTHEW HEYWOOD
BOARD MEMBER & PRESIDENT/CEO OF ASPI$0$280,310$0$50,000$0$9,873$0$4,359$0$58,115$0$402,657$0$0
CHUCK NELSON
BOARD MEMBER & ASPIRUS UP REGIONAL C$0$233,814$0$54,196$0$3,936$0$8,974$0$58,258$0$359,178$0$0
DARRELL LENTZ
BOARD MEMBER & PRESIDENT OF ASPIRUS$0$215,441$0$23,595$0$23,732$0$10,444$0$44,450$0$317,662$0$0
MICHAEL LUOMA MD
BOARD MEMBER & CHIEF OF STAFF$141,168$0$78,900$0$468$0$5,780$0$40,314$0$266,630$0$0$0
RICK NEVERS
BOARD MEMBER & SR VP OF REGIONAL OPE$0$202,368$0$38,216$0$21,485$0$12,256$0$54,261$0$328,586$0$0
DUANE ERWIN
FORMER BOARD MEMBER & PRESIDENT/CEO$0$410,177$0$136,236$0$235,530$0$15,200$0$123,108$0$920,251$0$0
MICHAEL HAUSWIRTH
COO$171,924$0$26,352$0$352$0$6,980$0$35,312$0$240,920$0$0$0
GRACE TOUSIGNANT
CNO$130,459$0$18,047$0$886$0$5,404$0$28,198$0$182,994$0$0$0
FREDERICK RAU
ORTHOPEDIC SURGEON$438,210$0$0$0$4,572$0$4,328$0$40,146$0$487,256$0$0$0
KENNETH PHERSON
ORTHOPEDIC SURGEON$374,122$0$0$0$457$0$5,500$0$11,206$0$391,285$0$0$0
BONNIE HAFEMAN
PHYSICIAN$177,872$0$185,436$0$331$0$3,714$0$40,182$0$407,535$0$0$0
JOHN NOVOSAD
ANESTHESIOLOGIST$290,946$0$0$0$1,032$0$11,366$0$13,606$0$316,950$0$0$0
JAMES BLACK
ED PHYSICIAN$303,507$0$175$0$1,298$0$11,696$0$40,794$0$357,470$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1VILLAGE OF LAURIUM FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN386007184BondIssuerEIN
Bond Issued2004-03-05BondIssuedDt
Issue Price$3,546,723IssuePriceAmt
PurposeREFUNDING BOND SERIES 1997PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,296,826RetiredAmt
Total Proceeds$3,546,723TotalProceedsAmt
Capital Expenditures$3,546,723CapitalExpendituresAmt
Substantial Completion1998SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
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 Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestYes (1)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
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 Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, LINE 7FormAndLineReferenceDesc
ExplanationWE ARE ANALYZING AND EVALUATING POLICIES AND PROCEDURES RELATED TO OUR TAX-EXEMPT BONDS AND WILL UPDATE AS APPROPRIATE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2JERRY LUOMA AND MICHAEL LUOMA HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6ASPIRUS, INC. AND KEWEENAW HEALTH FOUNDATION ARE VOTING MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS IS COMPRISED OF 3 MEMBERS FROM ASPIRUS, INC. AND 11 MEMBERS FROM KEWEENAW HEALTH FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7BMAJOR OPERATING DECISION ITEMS UPON APPROVAL BY THE BOARD OF ASPIRUS KEWEENAW HOSPITAL REQUIRE APPROVAL BY THE ASPIRUS, INC. BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS HAS DELEGATED THE REVIEW PROCESS OF THE FORM 990 TO THE CFO. THE FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS ELECTRONICALLY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, BOARD MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS TO THE BOARD. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS. AN INTERESTED PERSON IS AN DIRECTOR, PRINCIPAL, OFFICER, OR MEMBER OF A COMMITTE WITH BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. AFTER DISCLOSURE, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING MEMBERS SHALL DECIDE IF A CONFLICT EXISTS. THE MEMBER WILL ABSTAIN FROM VOTING ON THIS ISSUE IF A CONFLICT OF INTEREST IS DISCOVERED.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED BY USE OF STATE HOSPITAL ASSOCIATION SURVEY AND SYSTEM SURVEY. THE COMPENSATION OF THE CEO IS DETERMINED BY AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. WAGE DETERMINATION FOR OTHER EXECUTIVE POSITIONS, AN ANNUAL WAGE ANALYSIS IS COMPLETED. THE ORGANIZATION USES SALARY SURVEYS AND SALARY AGENCIES TO DETERMINE THE WAGE SCALE. CONSULTATION ON THE SETTING OF PAY IS PROVIDED TO THE ORGANIZATION BY ASPIRUS, INC. HUMAN RESOURCES. ANY INCREASES IN EXECUTIVE COMPENSATION IS APPROVED BY THE BOARD WITH THE ACTUAL AMOUNT OF SALARY INCREASE BASED OFF OF AN ANNUAL EMPLOYEE EVALUATION. FOR ALL EXECUTIVES, A BONUS POOL IS ESTABLISHED AND CRITERIA IS DEVELOPED AND DETERMINED AT THE BOARD OF DIRECTORS LEVEL. THE BOARD THEN REVIEWS ANNUALLY THE PLAN AND DETERMINES IF A PAYOUT WILL BE PROVIDED. ALL COMPENSATION DECISIONS ARE DOCUMENTED THROUGH A COMPENSATION SUB-COMMITTEE OF THE BOARD OF DIRECTORS BY INDIVIDUALS WITHOUT CONFLICT.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION HAS DEEMED THAT ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE THE PROPERTY OF THE ORGANIZATION AND ARE NOT AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,721,517. MANAGEMENT AND GENERAL EXPENSES 688,386. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,409,903.
FORM 990, PART XII, LINE 2CTHIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KEWEENAW HEALTH FOUNDATION
205 OSCEOLA STREETLAURIUMMI49913352340440DEVELOP RESOURCES TO IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLEMI501(C)(3)LINE 7N/A0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVDWAUSAUWI54401391138241HOSPITALWI501(C)(3)LINE 30ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVDWAUSAUWI54401391406537PROPERTY LEASINGWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS SPEACIALISTS IN
425 PINE RIDGE BLVDWAUSAUWI54401391945080MEDICAL SPECIALIST SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
425 PINE RIDGE BLVDWAUSAUWI54401390782130NURSING HOME SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS CLINICS INC
425 PINE RIDGE BLVDWAUSAUWI54401391670223MEDICAL SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS ONTONAGON HOSPITAL
601 SEVENTH STREETONTONAGONMI49953260806447HOSPITALMI501(C)(3)LINE 30ASPIRUS INC
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUEWAUSAUWI54401390808511HOME HEALTHCARE SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUEWAUSAUWI54401391597350PERSONAL CARE SERVICESWI501(C)(3)LINE 90ASPIRUS VNA HOME HEALTH INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVDWAUSAUWI54401391256656CHARITABLE FOUNDATIONWI501(C)(3)LINE 70ASPIRUS INC
ASPIRUS GRAND VIEW
N 10561 GRAND VIEW LANEIRONWOODMI49938382908586HOSPITALMI501(C)(3)LINE 30ASPIRUS INC
GRAND VIEW HOSPITAL AUXILIARY
N 10561 GRAND VIEW LANEIRONWOODMI49938237178363SUPPORTING ORGANIZATION TO HOSPITAL AND LIFELINE EMERGENCY CENTERMI501(C)(3)LINE 90ASPIRUS GRAND VIEW
ASPIRUS GRAND VIEW SERVICE CORPORATION
N 10561 GRAND VIEW LANEIRONWOODMI49938383005582PHYSICIAN SERVICESMI501(C)(3)LINE 30ASPIRUS GRAND VIEW
ASPIRUS INC
333 PINE RIDGE BLVDWAUSAUWI54401391328331HEALTH CARE MANAGEMENT SYSTEMWI501(C)(3)LINE 11B, IIN/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ASPIRUS KEWEENAW ENTERPRISES
205 OSCOLA STLAURIUMMI49913383390273PHARMACYMIASPIRUS KEWEENAW HOSPITALC1.000000
ASPIRUS NETWORK INC
3000 WESTHILL DRIVE 202WAUSAUWI54401391931678HEALTH CARE SERVICESWIC0N/A
ASPIRUS GRAND VIEW CARING CAREGIVERS
N 10561 GRAND VIEW LANEIRONWOODMI49938382902754PERSONAL NEEDS SERVICESMIC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
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 OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS KEWEENAW ENTERPRISES
A$104,280ACTUAL
ASPIRUS INC
M$72,000ACTUAL
ASPIRUS CLINICS INC
K$51,000ACTUAL
ASPIRUS ONTONAGON HOSPITAL INC
L$444,000ACTUAL
ASPIRUS GRANDVIEW
L$342,000ACTUAL
ASPIRUS WAUSAU HOSPITAL INC
M$187,000ACTUAL
KEWEENAW HEALTH FOUNDATION
P$53,443ACTUAL