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ASPIRUS IRONWOOD HOSPITAL & CLINICS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC (EIN 38-2908586)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201321359349301837
Schema version
2011v1.5
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)
Timestamp2013-05-15T09:16:28-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8010AddressLine1
CityWAUSAUCity
StateWIState
ZIP Code544028010ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382908586EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS GRAND VIEWBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlASPINameControl
Phone9069326215Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1N10561 GRAND VIEW LANEAddressLine1
CityIRONWOODCity
StateMIState
ZIP Code49938ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARMAINE CHIANTELLOName
TitleCFOTitle
Phone9069326215Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKATHLEEN J LABRAKEName
PTINP00164006PTIN
Phone7158453111Phone
Date Prepared2013-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLES NELSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1N10561 GRAND VIEW LANEAddressLine1
CityIRONWOODCity
StateMIState
ZIP Code49938ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32606945GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ASPIRUSGRANDVIEW.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF HEALTH CARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees381TotalNbrEmployees
Total Nbr Volunteers62TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year10596ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16808634ProgramServiceRevenuePriorYear
Program Service Revenue CY32260452ProgramServiceRevenueCY
Investment Income Prior Year194072InvestmentIncomePriorYear
Investment Income Current Year335897InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year17002706TotalRevenuePriorYear
Total Revenue Current Year32606945TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6537180SalariesEtcPriorYear
Salaries Etc Current Year13361315SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9151813OtherExpensePriorYear
Other Expenses Current Year15250648OtherExpensesCurrentYear
Total Expenses Prior Year15688993TotalExpensesPriorYear
Total Expenses Current Year28611963TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1313713RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3994982RevenuesLessExpensesCY
Total Assets BOY40952414TotalAssetsBOY
Total Assets EOY35951026TotalAssetsEOY
Total Liabilities BOY13027714TotalLiabilitiesBOY
Total Liabilities EOY9804353TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY27924700NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26146673NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES, TODAY AND TOMORROW, THAT ARE CUSTOMER-FOCUSED AND FISCALLY RESPONSIBLE IN PARTNERSHIP WITH OUR COMMUNITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense22253249Expense
Revenue31323577Revenue
DescriptionASPIRUS GRAND VIEW IS A 25-BED CRITICAL ACCESS HOSPITAL WHICH PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF IRONWOOD, MICHIGAN AND ITS SURROUNDING COMMUNITIES. SOME OF THE SERVICES PROVIDED BEYOND TRADITIONAL INPATIENT HOSPITALIZATIONS INCLUDE SURGERY, EMERGENCY CARE, RADIOLOGY, LABORATORY, THERAPIES, EYE CARE, ONCOLOGY, SLEEP LAB, AND CARDIOLOGY AMONG VARIOUS OTHER HEALTH CARE SERVICES.ASPIRUS GRAND VIEW PROVIDES HEALTH CARE SERVICES TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. FOR THOSE INDIVIDUALS UNABLE TO PAY FOR THEIR HEALTH CARE NEEDS, ASPIRUS GRAND VIEW OFFERS SERVICES FOR FREE OR AT A REDUCED PRICE THROUGH THE FINANCIAL AID DISCOUNT POLICY. PLEASE REFER TO SCHEDULE H OF THE FORM 990 FOR ADDITIONAL INFORMATION ON THE COST OF FINANCIAL AID DISCOUNTS PROVIDED TO PATIENTS DURING FISCAL YEAR 2012.ASPIRUS GRAND VIEW ALSO PROVIDES HEALTH CARE SERVICES TO INDIVIDUALS COVERED UNDER GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID WHICH OFTEN REIMBURSE THE HOSPITAL AT AMOUNTS SUBSTANTIALLY LOWER THAN THE USUAL AND CUSTOMARY CHARGE. THOSE PEOPLE COVERED BY THESE TYPES OF PROGRAMS NEED ACCESS TO HEALTH CARE, BUT ARE OFTEN TIMES UNABLE TO TRAVEL LONG DISTANCES TO RECEIVE THIS CARE. ASPIRUS GRAND VIEW PROVIDES THIS LOCAL, QUALITY HEALTH CARE TO MANY ELDERLY AND LOW INCOME INDIVIDUALS THAT ARE IN NEED OF HEALTH CARE. DURING FISCAL YEAR 2012, MORE THAN 65% OF THE HOSPITAL'S GROSS PATIENT SERVICE REVENUE WAS FROM BENEFICIARIES OF MEDICARE AND MEDICAID.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense797599Expense
Revenue936875Revenue
DescriptionASPIRUS GRAND VIEW HOME HEALTH IS A MEDICARE-CERTIFIED HOME HEALTH AGENCY WHICH PROVIDES A WIDE RANGE OF HOME HEALTH CARE SERVICES INCLUDING DISEASE MANAGEMENT; EDUCATION; SURGICAL DRESSING CHANGES; INTRAVENOUS ANTIBIOTICS; INJECTIONS; PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY; AND MEDICATION MANAGEMENT. EXPERIENCED REGISTERED NURSES, HOME CARE AIDES, AND THERAPISTS MAKE UP THE TEAM THAT DESIGNS A PLAN OF CARE TO SUIT EACH INDIVIDUAL PATIENT'S NEEDS WHILE IN THE COMFORT OF THEIR OWN HOME.Description
FieldValueIRS element (for citing)
Total Program Service Expense23050848TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109660NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees381NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHARMAINE CHIANTELLOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9069322525TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1N10561 GRAND VIEW LANEAddressLine1
CityIRONWOODCity
StateMIState
ZIP Code49938ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JEFFREY NEHRING DDS
VICE CHAIR1.00X000
JOHN GARSKE
SECRETARY1.00X000
SIDNEY C SCZYGELSKI
TREASURER / AI CFO1.00X037772476760
RICHARD ARMSTRONG
DIRECTOR1.00X000
WAYNE NASI
CHAIR1.00X000
MARIA GULAN
DIRECTOR / ACI DIR CLINIC OPS1.00X015071032916
CHARLES IKNAYAN MD
DIRECTOR1.00X000
JAMES LORENSON
DIRECTOR1.00X000
CHRISTOPHER POGLIANO MD
DIRECTOR / PHYSICIAN1.00X025148428740
JOEL RUEBER
DIRECTOR / ANI EXECUTIVE DIRECTOR1.00X020854229807
RICK NEVERS
DIRECTOR1.00X023120660010
CAROL GOFFNETT
CEO26.00279345027291X
CHARMAINE CHIANTELLO
CFO28.0017133509581X
HARRY SKYE MD
RADIOLOGIST40.0048820205244X
GREGG WILLKOM
CRNA40.00261064025252X
RUSSELL WATSON
CRNA40.00235707022985X
LINDA DUNNAM
CRNA40.00140900021866X
MARY NEMETZ
VP PATIENT CARE40.00138169017759X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1714722TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1219666TotalReportableCompFrmRltdOrgs
Total Other Compensation358211TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
E U P EMERGENCY
PO BOX 2870WHITEHOUSEOH43571EMERGENCY ROOM PHYSICIANS1282000
DONNA M CATALDO PC
N11197 HI BRITTEN WYBESSEMERMI49911RADIOLOGIST428385
GNR HEALTH SYSTEMS
1190 SE 17TH STOCALAFL34471PHYSICAL THERAPISTS362777
UPPER PENINSULA MANAGED CARE
228 W WASHINGTON ST STE 2MARQUETTEMI49855PHYSICIAN CREDENTIALS358275
NORTHERN LOWER PENINSULA LABS
E6385 GHELLER DRBESSEMERMI49911PATHOLOGIST282315
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Related Organizations10596RelatedOrganizations
Total Contributions10596TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE6219903019035530190355
OTHER OPERATING REVENU90009915980591598059
RELATED PARTY RENTAL531120472038472038
FieldValueIRS element (for citing)
Total Program Service Revenue32260452TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column301472TotalRevenueColumn
Exclusion$301,472ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other34425Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other34425Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column34425TotalRevenueColumn
Exclusion$34,425ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32606945TotalRevenueColumn
Related Or Exempt Function Income32260452RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$335,897ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total487552Total
Management And General487552ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10339907Total
Program Services8614995ProgramServices
Management And General1724912ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total438572Total
Program Services361853ProgramServices
Management And General76719ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1189458Total
Program Services953419ProgramServices
Management And General236039ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total905826Total
Program Services715603ProgramServices
Management And General190223ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total47963Total
Management And General47963ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total122758Total
Management And General122758ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4891070Total
Program Services4134508ProgramServices
Management And General756562ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total114564Total
Management And General114564ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total919684Total
Program Services565469ProgramServices
Management And General354215ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total409349Total
Management And General409349ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total570505Total
Program Services570505ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total122200Total
Program Services71308ProgramServices
Management And General50892ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25238Total
Management And General25238ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total66132Total
Program Services66132ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1481888Total
Program Services1481888ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total470619Total
Program Services470619ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL PATIENT SUPPLIE40469544046954
REPAIRS AND MAINTENANCE874034732098141936
DUES AND SUBSCRIPTIONS65808945657612432
EQUIPMENT LEASE20417477336126838

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total225427Total
Program Services142504ProgramServices
Management And General82923ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28611963Total
Program Services23050848ProgramServices
Management And General5561115ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY572BOY
EOY849EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5712507BOY
EOY5999783EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5080290BOY
EOY5010729EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY884389BOY
EOY893969EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY488625BOY
EOY827148EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34276207LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24439753LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10238080BOY
EOY9836454EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4090753BOY
EOY5411999EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3482826BOY
EOY3870612EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10974372BOY
EOY4099483EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY40952414BOY
EOY35951026EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3046675BOY
EOY4152754EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2316812BOY
EOY1824347EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY784267BOY
EOY776951EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6879960BOY
EOY3050301EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13027714BOY
EOY9804353EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY27033626BOY
EOY25169440EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY891074BOY
EOY977233EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27924700BOY
EOY26146673EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40952414BOY
EOY35951026EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3994982ReconcilationRevenueExpenses
Reconcilation Other Changes-5773009ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$3,870OtherActivitiesAmount
Total Lobbying Expenditures IIB3870TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationASPIRUS GRAND VIEW PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND MICHIGAN HOSPITAL ASSOCIATION (MHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. MHA AND AHA HAVE NOTIFIED ASPIRUS GRAND VIEW THAT APPROXIMATELY $3,870 OF THE ANNUAL DUES WERE USED IN CONJUCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis33912OtherCostOrOtherBasis
Book Value33912BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17339508OtherCostOrOtherBasis
Depreciation10496221Depreciation
Book Value6843287BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis54736OtherCostOrOtherBasis
Depreciation35067Depreciation
Book Value19669BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16516009OtherCostOrOtherBasis
Depreciation13908465Depreciation
Book Value2607544BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis332042OtherCostOrOtherBasis
Book Value332042BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9836454TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
UNDER BOND INDENTURE AGREEMENT707399F
UNDER AGREEMENTS FOR PAYROLL LIABILITIES27776F
DEFERRED COMPENSATION PLAN ASSETS1969166F
INVESTMENTS IN UNCONSOLIDATED AFFILIATES1074080F
FUNDED DEPRECIATION INVESTMENTS92191F
FieldValueIRS element (for citing)
Total Of Book Value Program Related3870612TotalOfBookValueProgramRelated

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES11732
DEFERRED BOND ISSUANCE COSTS38761
DUE FROM AFFILIATES3000703
INTEREST IN NET ASSETS OF SUPPORTING ORGANIZATIONS436065
LONG TERM INSURANCE RECEIVABLE612222
FieldValueIRS element (for citing)
Total Book Value Other Assets4099483TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$1,889,397
DUE TO AFFILIATES$284,862
LONG TERM INSURANCE LIABILITY$876,042
FieldValueIRS element (for citing)
Total Of Amounts3050301TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationASPIRUS GRAND VIEW AND ASPIRUS GRAND VIEW SERVICE CORPORATION ARE NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THEY ARE ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE OTHER SUBSIDIARIES OF ASPIRUS GRAND VIEW ARE TAXABLE CORPORATIONS AND INCLUDE ASPIRUS GRAND VIEW CARING CAREGIVERS, INC. AND WESTERN UPPER MICHIGAN EYE CARE, LLC. THE ORGANIZATION ANNUALLY EVALUATES THE ACTIVITY IN THESE TAXABLE SUBSIDIARIES TO DETERMINE ANY NEED FOR AN ESTIMATED PROVISION OR CREDIT FOR INCOME TAXES OR RELATED DEFERRED TAX ASSETS OR LIABILITIES. IF ANY TAX PROVISIONS OR CREDITS ARE DETERMINED TO BE NECESSARY, THE ORGANIZATION RECORDS THESE AMOUNTS IN THE CONSOLIDATED FINANCIAL STATEMENTS. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION ASSESSES 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 THE TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ASPIRUS GRAND VIEW AND ASPIRUS GRAND VIEW SERVICE CORPORATION ARE ALSO ENGAGED, TO A LIMITED EXTENT, IN ACTIVITIES THAT THE INTERNAL REVENUE SERVICE (IRS) CONSIDERS UNRELATED TO ITS EXEMPT PURPOSE AND, THEREFORE, TAXABLE. THESE ACTIVITIES, HOWEVER, ANNUALLY RESULT IN NET OPERATING LOSSES FOR INCOME TAX PURPOSES. IT IS NOT CURRENTLY ANTICIPATED THAT A TAX BENEFIT FROM THESE NET OPERATING LOSSES WILL BE REALIZED IN THE FUTURE. ACCORDINGLY, ANY POTENTIAL DEFERRED TAX ASSET RESULTING FROM THE AVAILABILITY OF NET OPERATING LOSS CARRYFORWARDS IS OFFSET BY A VALUATION ALLOWANCE OF EQUAL AMOUNT. NO DEFERRED TAX ASSETS AND LIABILITIES HAVE BEEN RECOGNIZED SINCE NO OTHER DIFFERENCES EXIST BETWEEN THE FINANCIAL TAX BASES OF REPORTING ASPIRUS GRAND VIEW AND ASPIRUS GRAND VIEW SERVICE CORPORATION'S ASSETS AND LIABILITIES. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE WHEN INCURRED. FOR 2012 AND 2011, THERE WERE NO MATERIAL TAX PENALTIES, OR INTEREST RELATED TO TAX PENALTIES, RECORDED BY THE ORGANIZATION IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATIONS RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2012 OR 2011. FEDERAL RETURNS FOR THE YEARS 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense845539TotalCommunityBenefitExpense
Net Community Benefit Expense845539NetCommunityBenefitExpense
Percent Of Total Expense0.02960PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3996942TotalCommunityBenefitExpense
Direct Offsetting Revenue611148DirectOffsettingRevenue
Net Community Benefit Expense3385794NetCommunityBenefitExpense
Percent Of Total Expense0.11830PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense4842481TotalCommunityBenefitExpense
Direct Offsetting Revenue611148DirectOffsettingRevenue
Net Community Benefit Expense4231333NetCommunityBenefitExpense
Percent Of Total Expense0.14790PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense50899TotalCommunityBenefitExpense
Net Community Benefit Expense50899NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense10412TotalCommunityBenefitExpense
Net Community Benefit Expense10412NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3328809TotalCommunityBenefitExpense
Direct Offsetting Revenue1390661DirectOffsettingRevenue
Net Community Benefit Expense1938148NetCommunityBenefitExpense
Percent Of Total Expense0.06770PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense6730TotalCommunityBenefitExpense
Net Community Benefit Expense6730NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3396850TotalCommunityBenefitExpense
Direct Offsetting Revenue1390661DirectOffsettingRevenue
Net Community Benefit Expense2006189NetCommunityBenefitExpense
Percent Of Total Expense0.07010PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8239331TotalCommunityBenefitExpense
Direct Offsetting Revenue2001809DirectOffsettingRevenue
Net Community Benefit Expense6237522NetCommunityBenefitExpense
Percent Of Total Expense0.21800PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense950TotalCommunityBuildingExpense
Net Community Building Expense950NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense1056TotalCommunityBuildingExpense
Net Community Building Expense1056NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense2006TotalCommunityBuildingExpense
Net Community Building Expense2006NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$932,679BadDebtExpenseAmount
Amount Attributable To466340AmountAttributableTo
Amount Reimbursed By Medicare11260376AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare11162722CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall97654MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 WESTERN UPPER MICHIGAN EYE CARE LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityEYE CLINICDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.51000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.49000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS GRAND VIEWBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1N10561 GRAND VIEW LANEAddressLine1
CityIRONWOODCity
StateMIState
ZIP Code49938ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours
OtherHOME HEALTH SERVICESOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS GRAND VIEWBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent300.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
GRAND VIEW EYE CENTER
E6112 BLUFF VIEW ROADIRONWOODMI49938EYE CLINIC
GRAND VIEW SURGICAL CENTER
E6112 BLUFF VIEW ROADIRONWOODMI49938SURGEON OFFICES
ASPIRUS GRAND VIEW IRONWOOD CLINIC
N10565 GRAND VIEW LANEIRONWOODMI49938PROVIDER BASED CLINIC
ASPIRUS GRAND VIEW HURLEY CLINIC
501 GRANITE STREETHURLEYWI54534PROVIDER BASED CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 3C: COUNSELORS QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE AND DISCOUNT ELIGIBILITY BY REVIEWING PERSONAL FINANCIAL DATA AND TAX DOCUMENTS. COUNSELORS UTILIZE AN INCOME VALUE CALCULATION WORKSHEET TO PERFORM AN INCOME/ASSET ANALYSIS. CONSIDERATION IS GIVEN TO THE LIQUIDATION OF ASSETS. CURRENT FEDERAL POVERTY LEVEL GUIDELINES ARE USED IN THE CALCULATIONS. INCOMES IN EXCESS OF 300% OF THE FEDERAL POVERTY LEVEL ARE STILL CONSIDERED ELIGIBLE AND COULD STILL BE APPROVED BY MANAGEMENT FOR ADMINISTRATIVE WRITE OFF OF THE ENTIRE OR A PARTIAL AMOUNT OF THEIR BALANCES BASED ON INDIVIDUAL CASES OR CIRCUMSTANCES OF A PATIENT OR THEIR FAMILY.
PART I, LINE 6A: ASPIRUS GRAND VIEW PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND FILES IT WITH THE MICHIGAN HOSPITAL ASSOCIATION (MHA). THE REPORT IS AVAILABLE TO THE GENERAL PUBLIC ON MHA'S DATABASE AND WEBSITE.
PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSES DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FROM THE FORM 990.
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES AT ASPIRUS GRAND VIEW INCLUDE THE OPERATION OF THE HOSPITAL'S INPATIENT MEDICAL/SURGICAL NURSING UNIT AS WELL AS THE INTENSIVE CARE UNIT. THE HOSPITAL INPATIENT AND INTENSIVE CARE UNITS OPERATE 24 HOURS PER DAY SEVEN DAYS PER WEEK AND IS STAFFED BY A GROUP OF HIGHLY TRAINED NURSING STAFF INCLUDING REGISTERED NURSES, LICENSED PRACTICAL NURSES, AND OTHER SUPPORT STAFF. MANY OF THE ADMISSIONS TO THE HOSPITAL INPATIENT AND INTENSIVE CARE UNITS COME FROM THE HOSPITAL'S EMERGENCY DEPARTMENT WHICH IS OPERATED TO PROVIDE EMERGENCY CARE TO PATIENTS OF THE COMMUNITY AND SURROUNDING AREAS. THESE SUBSIDIZED HEALTH SERVICES WORK IN SUPPORT AND COOPERATION WITH THE COMBINED EFFORTS OF ASPIRUS GRAND VIEW AND SHARE MANY SUPPORT FUNCTIONS OF THE HOSPITAL IN AN EFFORT TO PROVIDE EXCELLENT LOW COST CARE TO PATIENTS IN THEIR LOCAL COMMUNITY AND AREA. A SIGNIFICANT PAYOR FOR THESE PROGRAMS IS THE MEDICARE PROGRAM WHICH DOES NOT REIMBURSE THE HOSPITAL FOR THESE SERVICES IN ALL CASES BASED ON COST SO A SIGNIFICANT LOSS IS ABSORBED BY THE HOSPITAL TO PROVIDE THESE SERVICES TO MEMBERS OF THE COMMUNITY. IT IS THE GOAL OF ASPIRUS GRAND VIEW TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY.THE COSTING METHODOLOGY FOR SUBSIDIZED HEALTH SERVICES IS BASED ON THE COSTING METHODS USED ON THE HOSPITAL'S MEDICARE COST REPORT. THIS METHODOLOGY PROVIDES FOR A DIRECT ALLOCATION OF EXPENSES AS WELL AS PROVIDING THE SAME DATA TO THE MEDICARE PROGRAM AS WELL AS TO THE IRS FOR FORM 990 PURPOSES.
PART II: ASPIRUS GRAND VIEW PROMOTES THE HEALTH OF THE COMMUNITY BY ALLOCATING TIME AND FUNDING INTO DEVELOPING PROGRAMS THAT FOCUS ON HEALTHY LIFESTYLES FOR FAMILIES AND INDIVIDUALS. COALITION BUILDING IS A LARGE PART OF THIS. THROUGH COALITIONS SUCH AS PROJECT ZERO, GREAT LAKES CENTER FOR YOUTH DEVELOPMENT, AND INTEGRATED FAMILY SERVICES, ASPIRUS GRAND VIEW PROMOTES HEALTHY BEHAVIORS AND REGULAR PHYSICAL ACTIVITY AS WELL AS PREVENTION OF SUBSTANCE ABUSE AND UNDERAGE DRINKING. ECONOMIC DEVELOPMENT IS PROMOTED THROUGH COLLABORATION WITH LOCAL CHAMBERS OF COMMERCE AND KIWANIS. SUPPORT IS ALSO GIVEN TO LOCAL ORGANIZATIONS SUCH AS BESSEMER ATHLETICS/BAND, GOGEBIC COMMUNITY COLLEGE, HURLEY SCHOOL DISTRICT/LITTLE LEAGUE/LIONS, IRON COUNTY UW EXTENSION, IRONWOOD AREA SCHOOLS, IRONWOOD CHAMBER, PAAVO NURMI MARATHON, RANGE SHRINERS CLUB, AND BIG BROTHERS BIG SISTERS.
PART III, LINE 4: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS FOR WHICH PATIENTS ARE PERSONALLY RESPONSIBLE, THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE.THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSES EXCLUDING THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE ORGANIZATION. THE ORGANIZATION ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE OF FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE ORGANIZATION.
PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY, RADIOLOGY, AND REHABILITATION SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT ASPIRUS GRAND VIEW PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2012 AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING THE SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.
PART III, LINE 9B: PATIENT FINANCIAL SERVICES (PFS) PROACTIVELY IDENTIFIES UNINSURED PATIENTS AND UNDER-INSURED PATIENTS AND SCREENS THEM FOR FINANCIAL ASSISTANCE AND COUNSELING WITHOUT REGARD TO RACE, ETHNICITY, GENDER, RELIGION, OR NATIONAL ORIGIN. THESE SERVICES ARE PROVIDED AT NO CHARGE. PFS COUNSELORS WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO HELP THEM UNDERSTAND THE SYSTEM'S FINANCIAL ASSISTANCE/DISCOUNTING POLICIES AND HOW THEY CAN QUALIFY FOR ASSISTANCE AND/OR DISCOUNTS INCLUDING A REFERRAL TO PUBLIC AND PRIVATE PROGRAMS TO DETERMINE ELIGIBILITY.IF AN ACCOUNT REMAINS UNPAID AFTER TWO STATEMENT CYCLES, PFS GENERATES A PATIENT LETTER WITH OPTIONS TO PAY IN FULL, NEGOTIATE A PAYMENT PLAN, OR FILE FOR UNCOMPENSATED CARE. BY PHONE, OR IN PERSON, PFS ATTEMPTS TO MAKE A FOLLOW UP CONTACT TO DISCUSS THE PAYMENT OPTIONS. IF ACCEPTABLE PAYMENT TERMS CANNOT BE REACHED, OR IF A PATIENT DEFAULTS ON THE PRESCRIBED PAYMENT PLAN, THE ACCOUNT MAY ENTER THE COLLECTION PROCESS AFTER REASONABLE ATTEMPTS HAVE BEEN MADE TO CONTACT THE PATIENT.
PART V, SECTION B, LINE 13G: FINANCIAL ASSISTANCE IS LISTED AS AN OPTION ON COLLECTION LETTERS.ASPIRUS GRAND VIEW
PART V, SECTION B, LINE 19D: ALL FAP-ELIGIBLE PATIENTS ARE CHARGED ACCORDING TO THE HOSPITAL'S NORMAL CHARGEMASTER AND THEN DISCOUNTS ARE PROVIDED FROM THE STANDARD CHARGE BASED ON THE PATIENT'S DETERMINATION ACCORDING TO THE FINANCIAL AID DISCOUNT POLICY.ASPIRUS GRAND VIEW
PART VI, LINE 2: ASPIRUS GRAND VIEW ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY EXAMINING THE NEEDS OF THE PATIENT. THIS IS DONE THROUGH ANALYSIS OF PATIENT VOLUMES IN DEPARTMENTS, SPECIALISTS, AND THE DIFFERENT CLINIC LOCATIONS WITHIN THE HOSPITAL'S AREAS OF SERVICE. INFORMATION IS ALSO GATHERED DIRECTLY FROM THE PATIENTS TO SEE WHAT AREAS THEY WOULD LIKE TO SEE ADDITIONAL SUPPORT. INFORMATION REGARDING THE NEEDS OF THE GENERAL COMMUNITY IS OBTAINED FROM THE MICHIGAN HOSPITAL ASSOCIATION AND THE WISCONSIN HOSPITAL ASSOCIATION AND ANALYZED FOR POTENTIAL NEW SERVICE AREAS.
PART VI, LINE 3: A SUMMARY OF FINANCIAL ASSISTANCE CONTACT INFORMATION IS AVAILABLE IN THE FORM OF A BROCHURE IN THE WAITING AREAS THROUGHOUT ASPIRUS GRAND VIEW. PATIENT FINANCIAL SERVICES PERSONNEL ARE AVAILABLE TO DISCUSS PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROCEDURES AND PROGRAMS WITH PATIENTS. ASPIRUS GRAND VIEW ALSO HAS A SECTION ON ITS WEBSITE THAT PROVIDES CONTACT INFORMATION FOR FINANCIAL ASSISTANCE FOR THOSE HAVING DIFFICULTY MEETING THEIR FINANCIAL OBLIGATIONS.
PART VI, LINE 4: THE COMMUNITIES THAT ASPIRUS GRAND VIEW SERVES COVER AN APPROXIMATE 50-MILE RADIUS SURROUNDING THE IRONWOOD, MICHIGAN AREA. THIS AREA INCLUDES PORTIONS OF THE UPPER PENINSULA GOGEBIC COUNTY, UP TO THE ONTONAGON COUNTY REGION, INTO WISCONSIN COVERING IRON COUNTY, PARTS OF ASHLAND COUNTY, AND PARTS OF VILAS COUNTY. THE GEOGRAPHIC AREA THAT ASPIRUS GRAND VIEW SERVES INCLUDES AN ECONOMICALLY DEPRESSED AREA THAT IS BASED ON A MAJORITY OF FAMILIES THAT DO NOT HAVE HEALTH INSURANCE, OR THAT ARE UTILIZING MEDICAID.
PART VI, LINE 5: ASPIRUS GRAND VIEW HAS NUMEROUS CONTINUING EDUCATION EVENTS THAT ARE SET UP TO HELP IMPROVE THE MEDICAL CARE AND KNOWLEDGE OF THE LOCAL POPULATION. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. ASPIRUS GRAND VIEW CONTINUES TO REINVEST IN EQUIPMENT, TRAINING, AND RESEARCH AREAS IN ORDER TO IMPROVE PATIENT CARE IN THE COMMUNITIES THAT IT SERVES, AS WELL AS PROVIDING RESEARCH TO HELP THE LOCAL COMMUNITIES.
PART VI, LINE 6: ASPIRUS GRAND VIEW IS AN AFFILIATED HEALTH SYSTEM WHICH SERVES THE COMMUNITY SURROUNDING IRONWOOD, MICHIGAN. AFFILIATES OF ASPIRUS GRAND VIEW PROMOTE THE HEALTH OF THE COMMUNITY BY FULFILLING THEIR INDIVIDUAL MISSIONS. ASPIRUS GRAND VIEW SERVICE CORPORATION PROVIDES PHYSICIAN SERVICES IN AN OUTPATIENT CLINIC. ASPIRUS GRAND VIEW CARING CAREGIVERS, INC. PROVIDES PRIVATE PERSONAL NEEDS SERVICES. ASPIRUS GRAND VIEW IS ALSO AN AFFILIATE OF ASPIRUS, INC. ASPIRUS IS AN INTERGRATED, COMMUNITY-GOVERNED HEALTH CARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES DEDICATED TO IMPROVING THE HEALTH OF ALL WE SERVE. WE WORK COLLABORATIVELY WITH OTHERS WHO SHARE OUR PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SIDNEY C SCZYGELSKI
029291707974205065013428063332045448400
MARIA GULAN
01213940274680184809434023482018362600
CHRISTOPHER POGLIANO MD
02383440001314003000025740028022400
JOEL RUEBER
01739930322880226107084022723023834900
RICK NEVERS
0170569047697012940010317049693029121600
CAROL GOFFNETT
2296950379050117450118170154740306636000
CHARMAINE CHIANTELLO
1496750137500791007653019280180916000
HARRY SKYE MD
480002000820003000022440493446000
GREGG WILLKOM
2472020822013040030000222520286316000
RUSSELL WATSON
21993402733013040033570196280258692000
LINDA DUNNAM
1373760003524072700145960162766000
MARY NEMETZ
1242740600007895064950112640155928000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE FOLLOWING INDIVIDUALS RECEIVED GROSS-UP PAYMENTS IN THE CURRENT YEAR INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J): CAROL GOFFNETT $4,745 CHARMAINE CHIANTELLO $ 810 CHRISTOPHER POGLIANO, MD $6,040 HARRY SKYE, MD $1,200 GREGG WILLKOM $6,040 RUSSELL WATSON $6,040 LINDA DUNNAM $3,524 MARY NEMETZ $ 795
PART I, LINE 1BASPIRUS GRAND VIEW FOLLOWS THE COMPENSATION REVIEW PROCEDURES AND POLICIES OF ASPRIUS, INC. THE PHYSICIAN COMPENSATION OF ASPIRUS GRAND VIEW ALSO IS REVIEWED BY A COMMITTEE WHICH ALSO INCLUDES A REPRESENTATIVE FROM ASPIRUS, INC. TO PROVIDE ADDITIONAL ADMINISTRATIVE REVIEW AND SUPPORT TO THE COMPENSATION REVIEW PROCESS.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS RECEIVED 457B PLAN CONTRIBUTIONS IN THE CURRENT YEAR (INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J): CAROL GOFFNETT $7,000 CHARMAINE CHIANTELLO $7,000 CHRISTOPHER POGLIANO, MD $7,000 HARRY SKYE, MD $7,000 GREGG WILLKOM $7,000 RUSSELL WATSON $7,000 MARY NEMETZ $7,000 THE FOLLOWING INDIVIDUAL RECEIVED A 457F PLAN DISTRIBUTION IN THE CURRENT YEAR FROM A RELATED ORGANIZATION (INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J): RICK NEVERS $10,318

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DIANA LORENSON
WIFE OF A BOARD DIRECTOR17998EMPLOYMENT COMPENSATION0
NORTHERN LOWER PENINSULA LABS
CORPORATION WHOLLY OWNED BY A BOARD DIRECTOR282315PAYMENT FOR CONTRACTED PATHOLOGY0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE WHICH CONSISTS OF THE CHAIRPERSON, VICE CHAIRPERSON, SECRETARY, TREASURER, PAST CHAIRPERSON, AND CEO. THIS COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE ORGANIZATION DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR AUTHORIZATION GRANTED BY THE BOARD.
FORM 990, PART VI, SECTION A, LINE 2SIDNEY C. SCZYGELSKI, RICK NEVERS, MARIA GULAN, AND JOEL RUEBER ARE ALL EMPLOYED BY ONE OF ASPIRUS GRAND VIEW'S MEMBERS, ASPIRUS, INC.
FORM 990, PART VI, SECTION A, LINE 6ASPIRUS GRAND VIEW'S MEMBERS ARE ASPIRUS, INC., A WISCONSIN NONPROFIT CORPORATION, AND GOGEBIC RANGE HEALTH, A MICHIGAN NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7AFOUR MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY ASPIRUS, INC. AND FOUR MEMBERS OF THE BOARD ARE ELECTED BY GOGEBIC RANGE HEALTH.
FORM 990, PART VI, SECTION A, LINE 7BASPIRUS, INC. AND GOGEBIC RANGE HEALTH HAVE THE FOLLOWING RIGHTS AND RESPONSIBILITIES: (A) INITIATE AND APPROVE ANY CHANGE IN PHILOSOPHY, CHARACTER, OR MISSION OF THE CORPORATION. (B) INITIATE AND APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION. (C) AMEND THE BYLAWS OF THE CORPORATION AND ALL SUBSIDIARIES WITH SUPERSEDING AUTHORITY OVER AMENDMENTS ADOPTED BY THE BOARD AS PROVIDED IN THE ARTICLES OF INCORPORATION AND/OR THE BYLAWS. (D) INITIATE AND APPROVE THE ADDITION OF ANY NEW MEMBERS OF THE CORPORATION. (E) APPROVE THE ESTABLISHMENT, TRANSFER OF OWNERSHIP, AND/OR DISSOLUTION OF ANY SUBSIDIARY CORPORATIONS. (F) INITIATE AND APPROVE BORROWING OF MONEY AND OTHER FORMS OF INDEBTEDNESS IN EXCESS OF $5,000,000. (G) APPROVE THE PURCHASE, SALE, LEASE, DISPOSITION, ENCUMBRANCE, OR ALIENATION OF PROPERTY WITH A VALUE IN EXCESS OF $5,000,000. (H) INITIATE AND APPROVE ANY PLAN OF DISSOLUTION, MERGER, OR CONSOLIDATION.
FORM 990, PART VI, SECTION B, LINE 11THE RETURN IS REVIEWED BY THE ORGANIZATION'S CONTROLLER AND THEN BY THE CFO. WHEN A FINAL DRAFT OF THE RETURN IS COMPLETE, COPIES OF THE RETURN ARE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CEACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS REQUIRED TO FILL OUT AN ANNUAL CONFLICT OF INTEREST FORM. THE FORM IS REVIEWED INITIALLY BY THE CEO, THEN BY THE BOARD OF DIRECTORS TO REVIEW ANY POTENTIAL CONFLICTS. EACH PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS.
FORM 990, PART VI, SECTION B, LINE 15ON AN ANNUAL BASIS THROUGH FISCAL YEAR 2012, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS SALARY RECOMMENDATIONS (MADE BY THE CEO) FOR THE CEO AND CFO AND MAKES THEIR RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVES RECOMMENDATIONS AFTER REVIEW OF PERFORMANCE EVALUATIONS, GOAL ACHIEVEMENTS, AND MARKET COMPARABILITY DATA. EFFECTIVE IN FISCAL YEAR 2013, A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS HAS BEEN ESTABLISHED TO PROVIDE A MORE FORMAL REVIEW PROCESS OVER EXCECUTIVE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART VIICAROL GOFFNETT AND CHARMAINE CHIANTELLO ARE EMPLOYED BY ASPIRUS GRAND VIEW. ASPIRUS GRAND VIEW'S PURPOSE IS TO PROVIDE HEALTH CARE SERVICES TO AREA RESIDENTS AND THOSE IN NEED OF CARE THROUGH THE OPERATION OF ITS HOSPITAL AND ITS SUBSIDIARY ORGANIZATIONS. CAROL GOFFNET AND CHARMAINE CHIANTELLO DEVOTE THEIR TIME PROVIDING MANAGEMENT SERVICES TO ASPIRUS GRAND VIEW AND RELATED ORGANIZATIONS. THE HOURS OF SERVICE PROVIDED TO THE VARIOUS ORGANIZATIONS ARE APPROXIMATELY AS FOLLOWS: CAROL GOFFNETT: ASPIRUS GRAND VIEW: 26 HOURS PER WEEK ASPIRUS GRAND VIEW SERVICE CORPORATION: 14 HOURS PER WEEK ASPIRUS GRAND VIEW CARING CAREGIVERS: 1 HOUR PER WEEK WESTERN UPPER MICHIGAN EYE CARE: 1 HOUR PER WEEK GRAND VIEW HEALTH FOUNDATION: 1 HOUR PER WEEK GRAND VIEW HOSPITAL AUXILIARY: 1 HOUR PER WEEK CHARMAINE CHIANTELLO: ASPIRUS GRAND VIEW: 28 HOURS PER WEEK ASPIRUS GRAND VIEW SERVICE CORPORATION: 12 HOURS PER WEEK ASPIRUS GRAND VIEW CARING CAREGIVERS: 1 HOUR PER WEEK WESTERN UPPER MICHIGAN EYE CARE: 1 HOUR PER WEEK GRAND VIEW HEALTH FOUNDATION: 1 HOUR PER WEEK GRAND VIEW HOSPITAL AUXILIARY: 1 HOUR PER WEEK SIDNEY C. SCZYGELSKI, MARIA GULAN, JOEL RUEBER, AND RICK NEVERS ARE EMPLOYED BY ASPIRUS, INC. AND ITS AFFILIATED ORGANIZATIONS. ASPIRUS, INC'S PURPOSE IS TO SERVE AS A SUPPORTING ORGANIZATION TO MULTIPLE SUBSIDIARY ORGANIZATIONS AS LISTED IN SCHEDULE R, AS WELL AS THE PARTNER HOSPITALS WHICH ASPIRUS, INC. HOLDS A MEMBERSHIP INTEREST IN THE OPERATIONS OF THOSE ADDITIONAL HOSPITALS. THE EMPLOYEES OF ASPIRUS, INC. DEVOTE THEIR TIME PROVIDING MANAGEMENT SERVICES TO THE RELATED ORGANIZATIONS AND AFFILIATED PARTNER HOSPITALS. THESE EMPLOYEES OFTEN WORK HOURS IN EXCESS OF AN AVERAGE OF 40 HOURS EACH WEEK IN ORDER TO FULFILL THIS MISSION. CHRISTOPHER POGLIANO, M.D. IS AN EMPLOYED PHYSICIAN OF ASPIRUS GRAND VIEW SERVICE CORPORATION, A NONPROFIT SUBSIDIARY OF ASPIRUS GRAND VIEW, AND PROVIDES AN AVERAGE OF 40 HOURS PER WEEK OF PHYSICIAN AND MANAGEMENT SERVICES WHILE WORKING FOR ASPIRUS GRAND VIEW SERVICE CORPORATION IN ADDITION TO HIS DUTIES ON THE BOARD OF DIRECTORS FOR ASPIRUS GRAND VIEW.EXPLANATION OF HOURS WORKED
FORM 990, PART XI, LINE 5:OPERATING EQUITY TRANSFERS TO ASPIRUS GRAND VIEW SERVICE CORPORATION -6,051,638. INCREASE IN INTEREST IN NET ASSETS OF SUPPORTING ORGANIZATIONS 75,563. GAIN FROM CONTROLLED SUBSIDIARY 16,011. NET UNREALIZED GAIN ON INVESTMENTS 187,055. TOTAL TO FORM 990, PART XI, LINE 5: -5,773,009.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CASPIRUS GRAND VIEW'S BOARD OF DIRECTORS PROVIDES OVERSIGHT OF THE INDEPENDENT ACCOUNTANTS AND THE MEMBERS OF THE BOARD MEET WITH THE ACCOUNTANT DURING THE AUDIT PROCESS TO DISCUSS THE AUDIT AND OTHER MATTERS. ASPIRUS GRAND VIEW ALSO IS PROVIDED ADDITIONAL OVERSIGHT OF THE AUDIT PROCESS AND SELECTION OF THE INDEPENDENT ACCOUNTANT THROUGH THE AUDIT COMMITTEE OF ASPIRUS, INC. THERE WAS NO CHANGE TO THIS PROCESS IN THE PAST YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ASPIRUS GRAND VIEW SERVICE CORPORATION
N10565 GRAND VIEW LANEIRONWOODMI49938383005582PHYSICIAN SERVICESMI501(C)(3)LINE 3ASPIRUS GRAND VIEW1
GRAND VIEW HOSPITAL AUXILIARY
N10561 GRAND VIEW LANEIRONWOODMI49938237178363SUPPORTING ORGANIZATION TO THE HOSPITAL AND LIFELINE EMERGENCY SYSTEMMI501(C)(3)LINE 9ASPIRUS GRAND VIEW1
ASPIRUS INC
425 PINE RIDGE BLVDWAUSAUWI54401391328331HEALTH CARE SYSTEM MANAGEMENTWI501(C)(3)LINE 11B, II0N/A
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVDWAUSAUWI54401391138241HOSPITALWI501(C)(3)LINE 3ASPIRUS INC0
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVDWAUSAUWI54401391406537PROPERTY LEASINGWI501(C)(3)LINE 9ASPIRUS INC0
ASPIRUS SPECIALISTS INC
425 PINE RIDGE BLVDWAUSAUWI54401391945080MEDICAL SPECIALIST SERVICESWI501(C)(3)LINE 9ASPIRUS INC0
ASPIRUS EXTENDED SERVICES INC
425 PINE RIDGE BLVDWAUSAUWI54401390782130NURSING HOME SERVICESWI501(C)(3)LINE 9ASPIRUS INC0
ASPIRUS CLINICS INC
425 PINE RIDGE BLVDWAUSAUWI54401391670223MEDICAL SERVICESWI501(C)(3)LINE 9ASPIRUS INC0
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREETONTONAGONMI49953260806477HOSPITALMI501(C)(3)LINE 3ASPIRUS INC0
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUEWAUSAUWI54401390808511HOME HEALTHCARE SERVICESWI501(C)(3)LINE 9ASPIRUS INC0
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUEWAUSAUWI54401391597350PERSONAL CARE SERVICESWI501(C)(3)LINE 9ASPIRUS VNA HOME HEALTH INC0
ASPIRUS DOCTOR'S CLINIC INC
2031 PEACH STREETWISCONSIN RAPIDSWI54494391972671MEDICAL SERVICESWI501(C)(3)LINE 9ASPIRUS INC0
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVDWAUSAUWI54401391256656CHARITABLE FOUNDATIONWI501(C)(3)LINE 7ASPIRUS INC0
GRAND VIEW HEALTH FOUNDATION
N10561 GRAND VIEW LANEIRONWOODMI49938383464124FOUNDATION TO SUPPORT HOSPITALMI501(C)(3)LINE 11A, IGOGEBIC RANGE HEALTH INC0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1WESTERN UPPER MICHIGAN EYE CARE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1131 W GENESEE STREETAddressLine1
CityIRON RIVERCity
StateMIState
ZIP Code49935ZIPCode
FieldValueIRS element (for citing)
EIN272324957EIN
Primary ActivityEYE CARE SERVICESPrimaryActivity
Legal Domicile StateMILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS GRAND VIEWBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income21000ShareOfTotalIncome
Share Of EOY Assets304626ShareOfEOYAssets
Disproportionate Allocations1DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.51000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNA
ASPIRUS GRAND VIEW CARING CAREGIVERS INC
N10561 GRAND VIEW LANEIRONWOODMI49938382902754PERSONAL NEEDS SERVICESMIASPIRUS GRAND VIEWC206375115401.00000
ASPIRUS NETWORK INC
3000 WESTHILL DR 202WAUSAUWI54401391931679HEALTH CARE NETWORKWICN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS GRAND VIEW SERVICE CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeATransactionType
Amount Involved452988AmountInvolved
Method Of Amt DeterminationFAIR MARKET VALUEMethodOfAmtDetermination