ASPIRUS IRON RIVER HOSPITAL & CLINICS INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS IRON RIVER HOSPITAL & CLINICS INC (EIN 38-3236977)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-10-06
- IRS object ID
- 201422799349301057
- Schema version
- 2013v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-10-06T15:39:50-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1 |
| City | GREEN BAY | City |
| State | WI | State |
| ZIP Code | 543072237 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383236977 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHSTAR HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 9062656121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 W ICE LAKE RD | AddressLine1 |
| City | IRON RIVER | City |
| State | MI | State |
| ZIP Code | 49935 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GLENN DOBSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9062656121 | PhoneNum |
| Signature | 2014-09-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRI REXRODE CPA MST | PreparerPersonNm |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | PhoneNum |
| Preparation | 2014-09-30 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GLENN DOBSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 W ICE LAKE RD | AddressLine1 |
| City | IRON RIVER | City |
| State | MI | State |
| ZIP Code | 49935 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $41,139,676 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NORTHSTARHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | OUR ORGANIZATION CONTINUES TO STRIVE TO MEET THE EVOLVING NEEDS OF OUR SERVICE AREA WITH THE CONTINUATION AND EXPANSION OF SERVICES TO A LARGER DEMOGRAPHIC AREA. WE PROVIDE AMBULANCE SERVICE ALONG WITH CONTINUING TO BRING IN ADDITIONAL PHYSICIANS AND SERVICES, ESPECIALLY STABILIZING OUR PHYSICIAN CLINIC PRACTICE. OUR FOCUS IN 2013 WAS TO IDENTIFY THE NEEDS OF THE AREA AND INCREASE MARKET SHARE BY OFFERING THE SERVICES IDENTIFIED THROUGH SURVEYS TO BE NEEDED AND IN DEMAND BY THE POPULATION ALLOWING FOR FISCAL RESPONSIBILITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 333 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $75,546 | PYContributionsGrantsAmt |
| CY Contributions Grants | $100,931 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $39,701,678 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $36,977,877 | CYProgramServiceRevenueAmt |
| PY Investment Income | $277,383 | PYInvestmentIncomeAmt |
| CY Investment Income | $497,727 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $40,054,607 | PYTotalRevenueAmt |
| CY Total Revenue | $37,576,535 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,968 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $15,171 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,588,991 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,905,738 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,196,698 | PYOtherExpensesAmt |
| CY Other Expenses | $19,755,542 | CYOtherExpensesAmt |
| PY Total Expenses | $40,794,657 | PYTotalExpensesAmt |
| CY Total Expenses | $39,676,451 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$740,050 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,099,916 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $35,383,689 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,210,928 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,831,836 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,687,965 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,551,853 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,522,963 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NORTHSTAR HEALTH SYSTEM IS A COMMUNITY-OWNED, NOT-FOR-PROFIT ORGANIZATION RESPONSIBLE FOR THE PHYSICAL AND EMOTIONAL HEALTH OF PEOPLE LIVING IN SOUTH CENTRAL UPPER PENINSULA OF MICHIGAN AND NORTHERN WISCONSIN. DIRECTLY, AND IN GENERAL PARTNERSHIP WITH COMMUNITIES, EMPLOYERS, SCHOOLS, AND GOVERNMENT OFFICIALS, AS WELL AS SELECT PARTNERSHIPS WITH OTHER HEALTH CARE PROVIDERS, WE GUIDE INDIVIDUALS AND FAMILIES IN THEIR LIFELONG JOURNEY TOWARDS OPTIMAL HEALTH. WE ARE COMMITTED TO PROVIDING HIGH QUALITY, RELIABLE, COST-EFFECTIVE, TOTAL HEALTH SOLUTIONS WITH RESPECT AND COMPASSION. OUR INNOVATIVE EFFORTS WILL POSITIVELY IMPACT HEALTH CARE DELIVERY IN OUR SERVICE AREA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $34,455,356 | ExpenseAmt |
| Grant | $15,171 | GrantAmt |
| Revenue | $36,870,213 | RevenueAmt |
| Desc | -EMERGENCY DEPARTMENT: NORTHSTAR HEALTH SYSTEM OPERATES AN EMERGENCY DEPARTMENT 365 DAYS A YEAR, 24 HOURS A DAY. A PHYSICIAN IS ON-SITE AT ALL TIME, DEDICATED TO ONLY THE EMERGENCY DEPARTMENT. IN 2013, 8993 VISITS WERE MADE TO THIS DEPARTMENT. 85% OF ALL INPATIENT ADMISSION TO NORTHSTAR HEALTH SYSTEM IP COMES FROM THE EMERGENCY DEPARTMENT. ALSO, ON MONDAY-FRIDAY, 4PM-8PM, WE OPERATE AN EXPRESS CARE CLINIC FOR THE NOT-CRITICALLY ILL PATIENTS THAT CANNOT GET INTO THEIR OWN PHYSICIAN'S OFFICE THAT DAY. THE TOTAL VISITS LISTED ABOVE INCLUDE THE COUNTS FOR THE EXPRESS CARE. MANY OF THESE TIMES, A MID-LEVEL PROVIDER IS ADDED TO HELP COVER FOR THESE PATIENTS, RELIEVING THE PHYSICIAN TO MANAGE THE CRITICALLY ILL AND PROVIDING EXPRESS (FASTER) FLOW THROUGH FOR PATIENTS. GROSS REVENUE IS $5,055,016 AND DOES NOT ACCOUNT FOR CONTRACTUAL WRITE-OFFS.-HOME HEALTH - NORTHSTAR HEALTH SYSTEM OPERATED A HOME HEALTH AGENCY BASED AWAY FROM THE MAIN CAMPUS BUT STILL IN IRON RIVER, MI. HOME HEALTH VISITS TOTALED 7,950 IN 2013 WHICH HAS REMAINED STRONG OVER THE YEARS. HOME HEALTH ALLOWS PATIENTS TO LEAVE THE IP SETTING SOONER, HELPING SOLIDIFY THE TRANSITION FROM HOSPITAL TO HOME CARE. HOME CARE PROVIDES RN, NURSE AIDE, PHYSICAL AND OCCUPATIONAL THERAPY, ETC. FOR THE HOME BOUND PATIENT.-DIALYSIS - NORTHSTAR HEALTH SYSTEM CONTINUES THE DIALYSIS PROGRAM IN CRYSTAL FALLS MI WHICH IS 15 MILES TO THE WEST OF THE MAIN HOSPITAL CAMPUS. THIS IS ONE OF ONLY A COUPLE PROGRAMS IN OUR GEOGRAPHICAL AREA OF 90 SQUARE MILES, AND IT PROVIDES A DEMONSTRATED COMMUNITY NEED. PATIENT VISITS IN 2013 TOTALED 2,400 WHICH INCLUDES TRANSIENT, SUMMER VACATIONING PATIENTS. | Desc |
| Total Program Service Expenses | $34,455,356 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | Yes (1) | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 83 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 333 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLENN DOBSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9062656121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 W ICE LAKE ROAD | AddressLine1 |
| City | IRON RIVER | City |
| State | MI | State |
| ZIP Code | 499359594 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARK TOUSIGNANT | ||||||||
| CHAIRMAN | 1.00 | 0.50 | Yes (X) | Yes (X) | $3,600 | $0 | $0 | |
| WILLIAM MAYER | ||||||||
| VICE CHAIRMAN | 1.00 | 0.80 | Yes (X) | Yes (X) | $3,600 | $0 | $0 | |
| JIM GIBULA | ||||||||
| TREASURER | 1.00 | 0.50 | Yes (X) | Yes (X) | $3,600 | $0 | $0 | |
| SANDRA BATTYE | ||||||||
| SECRETARY | 1.00 | 0.50 | Yes (X) | Yes (X) | $3,600 | $0 | $0 | |
| DIANE ROSTAGNO | ||||||||
| BOARD MEMBER | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| RANDY JACOBS | ||||||||
| BOARD MEMBER | 1.00 | 0.50 | Yes (X) | $1,650 | $0 | $0 | ||
| RICK KENT | ||||||||
| BOARD MEMBER | 1.00 | 0.50 | Yes (X) | $1,650 | $0 | $0 | ||
| KIM MAHLER MD | ||||||||
| EX-OFFICIO MEMBER | 40.00 | 0.50 | Yes (X) | $263,550 | $0 | $29,307 | ||
| CONNIE KUOTOUZOS | ||||||||
| BOARD MEMBER/CEO | 40.00 | 0.50 | Yes (X) | Yes (X) | $206,217 | $0 | $16,000 | |
| GLENN E DOBSON | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0.50 | Yes (X) | $136,699 | $0 | $30,900 | ||
| MARTIES ANSAY MD | ||||||||
| PHYSICIAN | 40.00 | $232,004 | $0 | $16,495 | Yes (X) | |||
| HAROLD CLINE MD | ||||||||
| PHYSICIAN | 40.00 | $602,559 | $0 | $41,899 | Yes (X) | |||
| NASSEEM RIZKALLA MD | ||||||||
| PHYSICIAN | 40.00 | $414,715 | $0 | $39,330 | Yes (X) | |||
| KATALIN SZLOBODA | ||||||||
| PHYSICIAN | 40.00 | $245,050 | $0 | $27,260 | Yes (X) | |||
| GREGORY PEYER MD | ||||||||
| PHYSICIAN | 40.00 | $385,116 | $0 | $31,871 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,503,610 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $233,062 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MARQUETTE GENERAL HEALTH SYSTEMS | |||||
| 580 W COLLEGE AVE | MARQUETTE | MI | 49855 | EMERGENCY ROOM DOCTORS | $2,710,689 |
| ARAMARK UNIFORM COMPANY | |||||
| 5330 INDUSTRIAL BLVD SUITE 616 | FRIDLEY | MN | 55412 | LAUNDRY SERVICES | $536,689 |
| ANESTHESIA ASSOCIATES | |||||
| 788 PENTOGA TRAIL | CRYSTAL FALLS | MI | 49920 | ANESTHESIA | $305,928 |
| DR MAEKAKA | |||||
| 15730 CR 28 | GOSHEN | IN | 46528 | RADIOLOGIST | $296,700 |
| UP HEALTH CARE NETWORK | |||||
| 228 W WASHINGTON AVE | MARQUETTE | MI | 49855 | MRI MOBILE | $257,405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $80,017 | RelatedOrganizationsAmt |
| All Other Contributions | $20,914 | AllOtherContributionsAmt |
| Total Contributions | $100,931 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $36,870,213 | $36,870,213 | |
| CAFETERIA MEALS | 900099 | $107,664 | $107,664 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $36,977,877 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $114,951 | TotalRevenueColumnAmt |
| Exclusion | $114,951 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,945,917 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,552,832 | SecuritiesAmt |
| Other | $10,309 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $393,085 | SecuritiesAmt |
| Other | -$10,309 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $382,776 | TotalRevenueColumnAmt |
| Exclusion | $382,776 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,576,535 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,870,213 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $605,391 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,171 | TotalAmt |
| Program Services | $15,171 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700,373 | TotalAmt |
| Program Services | $292,857 | ProgramServicesAmt |
| Management And General | $407,516 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,550,644 | TotalAmt |
| Program Services | $12,957,276 | ProgramServicesAmt |
| Management And General | $1,593,368 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,356 | TotalAmt |
| Program Services | $471,952 | ProgramServicesAmt |
| Management And General | $60,404 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,130,474 | TotalAmt |
| Program Services | $2,756,321 | ProgramServicesAmt |
| Management And General | $374,153 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $991,891 | TotalAmt |
| Program Services | $860,811 | ProgramServicesAmt |
| Management And General | $131,080 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,624 | TotalAmt |
| Management And General | $65,624 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,660 | TotalAmt |
| Management And General | $94,660 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,401,494 | TotalAmt |
| Program Services | $3,443,341 | ProgramServicesAmt |
| Management And General | $958,153 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,467 | TotalAmt |
| Management And General | $93,467 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,061,762 | TotalAmt |
| Program Services | $782,300 | ProgramServicesAmt |
| Management And General | $279,462 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $597,594 | TotalAmt |
| Program Services | $444,800 | ProgramServicesAmt |
| Management And General | $152,794 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,607 | TotalAmt |
| Program Services | $132,455 | ProgramServicesAmt |
| Management And General | $56,152 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,453,362 | TotalAmt |
| Program Services | $1,081,763 | ProgramServicesAmt |
| Management And General | $371,599 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,764,524 | TotalAmt |
| Program Services | $1,764,524 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,116 | TotalAmt |
| Program Services | $33,549 | ProgramServicesAmt |
| Management And General | $176,567 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $4,877,891 | $4,877,891 | |
| REPAIRS AND MAINTENANCE | $2,432,890 | $2,251,249 | $181,641 |
| PROVISION FOR BAD DEBTS | $2,217,832 | $2,217,832 | |
| DUES & SUBSCRIPTION | $159,873 | $71,264 | $88,609 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,846 | TotalAmt |
| Management And General | $135,846 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,676,451 | TotalAmt |
| Program Services | $34,455,356 | ProgramServicesAmt |
| Management And General | $5,221,095 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,568,917 | BOYAmt |
| EOY | $568,835 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,939,140 | BOYAmt |
| EOY | $1,135,839 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,521,232 | BOYAmt |
| EOY | $6,483,105 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,529 | BOYAmt |
| EOY | $3,333 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $509,334 | BOYAmt |
| EOY | $457,486 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,874 | BOYAmt |
| EOY | $225,741 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,947,454 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,659,136 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,300,421 | BOYAmt |
| EOY | $20,288,318 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,229,491 | BOYAmt |
| EOY | $4,484,418 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,054,751 | BOYAmt |
| EOY | $1,563,853 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,383,689 | BOYAmt |
| EOY | $35,210,928 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,898,060 | BOYAmt |
| EOY | $5,808,748 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $665,253 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,719,322 | BOYAmt |
| EOY | $21,426,618 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,923 | BOYAmt |
| EOY | $987,824 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,531 | BOYAmt |
| EOY | $799,522 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,831,836 | BOYAmt |
| EOY | $29,687,965 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,551,853 | BOYAmt |
| EOY | $5,522,963 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,551,853 | BOYAmt |
| EOY | $5,522,963 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,383,689 | BOYAmt |
| EOY | $35,210,928 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,099,916 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $58,336 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $12,690 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $235,876 | OtherCostOrOtherBasisAmt |
| Book Value | $235,876 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,339,017 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,081,886 | DepreciationAmt |
| Book Value | $17,257,131 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $491,150 | OtherCostOrOtherBasisAmt |
| Depreciation | $352,251 | DepreciationAmt |
| Book Value | $138,899 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,881,411 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,224,999 | DepreciationAmt |
| Book Value | $2,656,412 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,288,318 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO THIRD PARTY PAYORS | Desc |
| Amt | $799,522 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $799,522 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $35,429,458 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $58,336 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,205,413 | OtherRevenueAmt |
| Revenue Not Reported | -$2,147,077 | RevenueNotReportedAmt |
| Revenue Subtotal | $37,576,535 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $37,576,535 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $37,458,348 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $37,458,348 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,218,103 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,218,103 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $39,676,451 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE CORPORATION 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 CORPORATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2013 OR 2012. FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2010, AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS -2,217,832. SCHOOL GRANT EXPENSES -271. TRANSFER OF NET ASSETS TO FOUNDATION -22,841. CHANGE IN PENSION OBLIGATION 35,531. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 2,217,832. SCHOOL GRANT EXPENSES 271. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $236,960 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $236,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,006,542 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $992,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,014,342 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05380 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,243,502 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $992,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,251,302 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06010 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,900 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $36,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,245,684 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,327,600 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $918,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02450 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,335 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,313,919 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,327,600 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $986,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02630 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,557,421 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,319,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,237,621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08640 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,217,832 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $15,219,243 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,957,773 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$738,530 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHSTAR HEALTH SYSTEM | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 W ICE LAKE ROAD | AddressLine1 |
| City | IRON RIVER | City |
| State | MI | State |
| ZIP Code | 49935 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHSTAR HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://NORTHSTARHS.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NORTHSTAR HEALTH SYSTEM | PART V, SECTION B, LINE 3: PRIMARY DATA WAS GATHERED THROUGH A COMMUNITY ONLINE SURVEY MADE AVAILABLE TO ALL IRON AND DICKINSON COUNTY COMMUNITY MEMBERS. A SECONDARY SOURCE OF DATA COLLECTION INCLUDED A SERIES OF FOCUS GROUP MEETINGS LED BY NORTHSTAR'S DIRECTORY OF COMMUNITY SERVICES. THE GROUPS RANGED IN SIZE FROM 8 TO 12 PEOPLE AND KEY INDIVIDUALS IN THE COMMUNITY WERE IDENTIFIED TO PARTICIPATE TO ASSURE THAT APPROPRIATE CONSTITUENCIES WERE REPRESENTED. ETHNICITIES, RACE AND OTHER DIVERSITY FACTORS WERE INCLUDED IN THE SELECTION OF THESE FOCUS GROUPS. THESE FOCUS GROUPS HAD A FACILITATOR ASSIGNED WHO WAS SKILLED AT CREATING AND MAINTAINING AN ENVIRONMENT WHERE EVERY PARTICIPANT'S VOICE WAS HEARD AND WHERE A SINGLE INDIVIDUAL OR TOPIC DID NOT DOMINATE. |
| NORTHSTAR HEALTH SYSTEM | PART V, SECTION B, LINE 7: SOME OF THE ITEMS IDENTIFIED ON THE SURVEY WHICH FELL BELOW THE 15 PERCENTILE WERE NOT FOLLOWED UP WITH A STRATEGIC INITIATIVE BY NORTHSTAR HEALTH SYSTEM. MOST OF THESE ITEMS (CHILD ABUSE/NEGLECT, DOMESTIC VIOLENCE, FIREARM RELATED INJURIES, MOTOR VEHICLE CRASH/INJURY, RAPE/SEXUAL ASSAULT) WERE DESIGNATED FOR MORE APPROPRIATE FOLLOW UP WITH LOCAL LAW ENFORCEMENT AGENCIES AND/OR FAMILY SERVICE AGENCIES. |
| NORTHSTAR HEALTH SYSTEM | PART V, SECTION B, LINE 20D: PER OUR POLICY ON HOW CHARGES ARE CALCULATED. APPLICATION FOR CHARITY CARE IS REQUIRED. IF INDIGENT - NO BALANCE IS DUE FROM THE PATIENT. OTHERWISE A SLIDING FEE SCALE IS USED AS DETERMINED UPON 100% OF THE CURRENT POVERTY LEVEL. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| NORTHSTAR HOME CARE AND HOSPICE | ||||
| 927 RIVERSIDE AVENUE | IRON RIVER | MI | 49935 | HOME HEALTH AGENCY |
| NORTHSTAR HEALTH SYSTEM - ERSD | ||||
| 1328 US HWY 2 | CRYSTAL FALLS | MI | 49920 | DIALYSIS/FAMILY PRACTICE |
| GENESEE CLINIC | ||||
| 229 W GENESEE ST | IRON RIVER | MI | 49935 | ORTHOPEDICS/REHAB |
| NORTHSTAR ICE LAKE | ||||
| 1300 WEST ICE LAKE | IRON RIVER | MI | 49935 | FAMILY PRACTICE |
| NORTHSTAR RIVERSIDE PLAZA | ||||
| 927 RIVERSIDE AVENUE | IRON RIVER | MI | 49935 | FAMILY PRACTICE |
| MARENISCO CLINIC | ||||
| 236 MAIN STREET | MARENISCO | MI | 49947 | FAMILY PRACTICE |
| NORTHSTAR SURGERY | ||||
| 1500 WEST ICE LAKE RD | IRON RIVER | MI | 49935 | SURGERY |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COSTING METHODOLOGY USED WAS A COST-TO-CHARGE RATIO. |
| PART I, LINE 7G: | THE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINICS IN CALCULATING SUBSIDIZED HEALTH SERVICE COSTS. |
| PART I, LN 7 COL(F): | IN CALCULATING THE PERCENTAGES IN PART 1, LINE 7 BAD DEBT EXPENSE OF $2,217,832 WAS EXCLUDED FROM THE DENOMINATOR. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING ACTIVITIES CONSISTED OF MISCELLANEOUS COMMUNITY SUPPORT. |
| PART III, LINE 2: | IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE FOR THE PURPOSE OF ESTIMATING THE APPROPRIATE AMOUNTS OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR BAD DEBTS. DATA IN EACH MAJOR PAYOR SOURCE ARE REGULARLY REVIEWED TO EVALUATE THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES RELATING TO SERVICES PROVIDED TO PATIENTS HAVING THIRD-PARTY COVERAGE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A CORRESPONDING PROVISION FOR BAD DEBTS ARE ESTABLISHED BASED ON HISTORICAL WRITE-OFF PERCENTAGES; FOR RECEIVABLES RELATING TO SELF-PAY PATIENTS, A PROVISION FOR BAD DEBTS IS MADE IN THE PERIOD SERVICES ARE RENDERED BASED ON EXPERIENCE INDICATING THE INABILITY OR UNWILLINGNESS OF PATIENTS TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. |
| PART III, LINE 4: | THE COSTING METHODOLOGY USED IN DETERMINING AMOUNTS REPORTED ABOVE IS THE COST TO CHARGE RATIO. |
| PART III, LINE 8: | THE COSTING METHODOLOGY USED TO DETERMINE ALLOWABLE COSTS REPORTED ABOVE IS THE COST TO CHARGE RATIO. |
| PART III, LINE 9B: | IF THE PATIENT QUALIFIES FOR CHARITY CARE AND A 100% WRITE-OFF IS NOT QUALIFIED FOR, THE PATIENT MUST MAKE MONTHLY PAYMENT ACCORDING TO FACILITY PAYMENT POLICY. IF PATIENT DOES NOT MAKE MONTHLY PAYMENTS AND CANNOT BE REACHED BY TELEPHONE, THE FORMAL COLLECTION PROCESS WOULD BEGIN. |
| PART VI, LINE 2: | THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A NEEDS ASSESSMENT SURVEY, THROUGH DOCUMENTATION OF REQUESTS FROM OUTLYING AGENCIES OR COMMUNITY GROUPS, AND FROM EVALUATION OF THE REPEAT DIAGNOSIS OF PATIENTS SERVED WITHIN THE SERVICE AREA. |
| PART VI, LINE 3: | THE ORGANIZATION HAS A DEPARTMENT DEVOTED TO SELF PAY ACCOUNTS RECEIVABLE WITH THEIR MAIN FOCUS ON MAKING PATIENT CONTACT WITH THOSE PATIENTS THAT EITHER HAVE NO INSURANCE OR ARE UNDER INSURED BASED UPON INFORMATION COLLECTED AT THE TIME OF SERVICE. THIS STAFF IS EDUCATED ON WHAT PROGRAMS ARE AVAILABLE WITHIN THE COMMUNITY AND CAN ASSIST THE PATIENT IN MAKING CONTACT WITH THESE AGENCIES AND CAN ASSIST IN APPLICATION COMPLETION FOR OUTSIDE PROGRAMS. THE CHARITY CARE PROGRAM IS ALSO COMMUNICATED THE SAME WAY. |
| PART VI, LINE 4: | THE COMMUNITY SERVED IS RELATIVELY OLDER IN AGE WITH A HIGH UTILIZATION OF MEDICARE. THERE IS LITTLE INDUSTRY, NO AIRPORT, AND THE NEAREST TRAUMA CENTER IS 90 MILES AWAY. THE NEXT CLOSEST HOSPITALS ARE 45 TO 55 MILES AWAY. THE GEOGRAPHIC AREA, BY COUNTY, IS VERY LARGE BUT VERY LITTLE POPULATED. THE AREA SUPPORTS SEVERAL RURAL HEALTH CLINICS AND THIS FACILITY SURVIVES BECAUSE OF THE CRITICAL ACCESS HOSPITAL DESIGNATION ONLY. |
| PART VI, LINE 5: | OUR BOARD IS MADE UP OF VOLUNTEER INDIVIDUALS FROM WITHIN THE DIRECT COMMUNITY. MEDICAL STAFF PRIVILEGES TO ALL PROVIDERS WITHIN THE COMMUNITY AND SURROUDING AREA/COUNTIES AS THE TRAVEL TIME TO OTHER HOSPITALS IS OVER 1 HR TO THE NEAREST. SURPLUS FUNDS HAVE BEEN PUT INTO AN $18 MILLION EXPANSION COMPLETED IN 2009 INCLUDING THE EXPANSION OF ED SERVICES AND IP ROOMS/ETC. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PROVIDES VARIOUS GRANTS TO EXEMPT ORGANIZATIONS IN THE LOCAL AREA AND MONITORS THE FUNDS TO ENSURE THAT THEY ARE USED FOR THE PURPOSE SPECIFIED IN THE GRANT REQUEST. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIM MAHLER MD | ||||||||||||||
| EX-OFFICIO MEMBER | $263,550 | $0 | $0 | $0 | $0 | $0 | $7,907 | $0 | $21,400 | $0 | $292,857 | $0 | $0 | $0 |
| CONNIE KUOTOUZOS | ||||||||||||||
| BOARD MEMBER/CEO | $206,217 | $0 | $0 | $0 | $0 | $0 | $6,242 | $0 | $9,758 | $0 | $222,217 | $0 | $0 | $0 |
| GLENN E DOBSON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $136,699 | $0 | $0 | $0 | $0 | $0 | $4,275 | $0 | $26,625 | $0 | $167,599 | $0 | $0 | $0 |
| MARTIES ANSAY MD | ||||||||||||||
| PHYSICIAN | $232,004 | $0 | $0 | $0 | $0 | $0 | $7,014 | $0 | $9,481 | $0 | $248,499 | $0 | $0 | $0 |
| HAROLD CLINE MD | ||||||||||||||
| PHYSICIAN | $602,559 | $0 | $0 | $0 | $0 | $0 | $16,063 | $0 | $25,836 | $0 | $644,458 | $0 | $0 | $0 |
| NASSEEM RIZKALLA MD | ||||||||||||||
| PHYSICIAN | $414,715 | $0 | $0 | $0 | $0 | $0 | $12,601 | $0 | $26,729 | $0 | $454,045 | $0 | $0 | $0 |
| KATALIN SZLOBODA | ||||||||||||||
| PHYSICIAN | $245,050 | $0 | $0 | $0 | $0 | $0 | $5,921 | $0 | $21,339 | $0 | $272,310 | $0 | $0 | $0 |
| GREGORY PEYER MD | ||||||||||||||
| PHYSICIAN | $385,116 | $0 | $0 | $0 | $0 | $0 | $10,786 | $0 | $21,085 | $0 | $416,987 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF IRON RIVER HOSPITAL FINANCE AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 383527449 | BondIssuerEIN |
| CUSIP | 463003AA1 | CUSIPNum |
| Bond Issued | 2008-05-15 | BondIssuedDt |
| Issue Price | $22,721,540 | IssuePriceAmt |
| Purpose | HOSPITAL FACILITY IMPROVEMENTS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,330,000 | RetiredAmt |
| Total Proceeds | $22,721,540 | TotalProceedsAmt |
| In Reserve Fund | $1,713,975 | InReserveFundAmt |
| Refunding Escrow | $5,667,697 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $422,278 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $14,917,591 | CapitalExpendituresAmt |
| Other Spent Proceeds | $15,339,968 | OtherSpentProceedsAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K SUPPLENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | THIS BOND ISSUE WAS COMPRISED OF THREE BONDS THAT WERE ALL ISSUED ON 5/15/2008. THE CUSIP NUMBERS INCLUDED IN THIS ONE ISSUANCE WERE ARE FOLLOWS: 463003AA1 463003AL7 463003AT0 | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HAROLD CLINE MD | PersonNm |
| Relationship With Org | HIGHLY COMPENSATED EMPLOYEE | RelationshipWithOrgTxt |
| Loan Purpose | SIGN ON BONUS FORGIVEN OVER LIFE OF CONTRACT | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $24,238 | OriginalPrincipalAmt |
| Balance Due | $3,333 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $3,333 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS E-MAILED TO ALL BOARD MEMBERS PRIOR TO MAILING/SUBMITTING THE FORM. MEMBERS OF THE BOARD ARE ALLOWED TO SUBMIT FEEDBACK AND APPROPRIATE REQUESTED CHANGES ARE INCORPORATED, IF WARRANTED, INTO THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE WRITTEN CONFLICT OF INTEREST POLICY COVERS DIRECTORS, PRINCIPAL OFFICERS, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWER. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE ABOVE INDIVIDUALS MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTIONS OR ARRANGEMENT, OR IF A MEMBER OF ADMINISTRATION, TO THE CHIEF EXECUTIVE OFFICER. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, TO THE BOARD OR COMMITTEE, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AND EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL SIGN AN ANNUAL DISCLOSURE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES HAVE EMPLOYMENT CONTRACTS THAT GOVERN THEIR COMPENSATION. COMPENSATION LEVELS ARE REVIEWED BY THE APPLICABLE LEVEL OF MANAGEMENT AND/OR THE BOARD OF DIRECTORS. FOR GUIDANCE RELATED TO COMPENSATION LEVELS, MANAGEMENT GATHERS MARKET DATA AND COMPENSATION STUDIES TO ARRIVE AT AMOUNTS THAT ARE COMPETITIVE WITHIN THEIR MARKET AREA. THE COMPENSATION IS APPROVED BY INDIVIDUALS WITHOUT A CONFLICT OF INTEREST AND THEN DOCUMENTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | A COPY OF THE FILED FORM 990 IS AVAILABLE TO THE PUBLIC THROUGH A REQUEST FROM ANY MEMBER OF THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | CONTRACTED PHYSICIANS: PROGRAM SERVICE EXPENSES 1,683,306. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,683,306. LAB SERVICES: PROGRAM SERVICE EXPENSES 311,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,364. LEASES: PROGRAM SERVICE EXPENSES 226,638. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 226,638. PROFESSIONAL CONTRACTED STAFF: PROGRAM SERVICE EXPENSES 218,144. MANAGEMENT AND GENERAL EXPENSES 31,095. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 249,239. LAUNDRY: PROGRAM SERVICE EXPENSES 540,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 540,769. CONSULTING: PROGRAM SERVICE EXPENSES 195,173. MANAGEMENT AND GENERAL EXPENSES 547,528. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 742,701. MOBILE MRI SERVICES: PROGRAM SERVICE EXPENSES 259,850. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 259,850. MAINTENANCE: PROGRAM SERVICE EXPENSES 8,097. MANAGEMENT AND GENERAL EXPENSES 210,483. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 218,580. BILLING OFFICE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 169,047. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,047. |
| FORM 990, PART XI, LINE 9: | CHANGE IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE 35,531. NET ASSET TRANSFER TO FOUNDATION -22,841. |
| FORM 990, PART XII, LINE 2C | AUDIT FIRM IS APPROVED BY THE FINANCE COMMITTEE. THE AUDIT FIRM PRESENTS THE AUDIT RESULTS TO THE FINANCE COMMITTEE. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GREATER IRON COUNTY EMS INC | ||||||||||
| 1400 WEST ICE LAKE ROAD | IRON RIVER | MI | 49935 | 383491283 | EMERGENCY MEDICAL SERVICES | MI | 501(C)3 | LINE 11A, I | NORTHSTAR HEALTH SYSTEM | Yes (1) |
| NORTHSTAR HEALTH SYSTEM FOUNDATION | ||||||||||
| 1400 WEST ICE LAKE ROAD | IRON RIVER | MI | 49935 | 383762132 | RAISE FUNDS FOR NORTHSTAR HEALTH SYSTEM | MI | 501(C)3 | LINE 11A, I | NORTHSTAR HEALTH SYSTEM | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GREATER IRON COUNTY EMS INC | ||
| S | $685,000 | BANK TRANSFERS |
| GREATER IRON COUNTY EMS INC | ||
| O | $413,949 | PAYROLL REPORTS |
| GREATER IRON COUNTY EMS INC | ||
| Q | $79,554 | DIRECT INVOICES/REPORTS |
| NORTHSTAR HEALTH SYSTEM FOUNDATION | ||
| C | $80,017 | CASH PAID |