LANGLADE HOSPITAL-HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: LANGLADE HOSPITAL-HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-15
IRS object ID: 202401369349304615
Schema version: 2022v5.0
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 C
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	2024-05-15T09:26:10-05:00	ReturnTs
Tax Period End	2023-06-30	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	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390806429	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LANGLADE HOSPITAL - HOTEL DIEU OF	BusinessNameLine1Txt
Business Name Line2	ST JOSEPH OF ANTIGO WISCONSIN	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	LANG	BusinessNameControlTxt
Phone	7156232331	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	112 EAST FIFTH AVENUE	AddressLine1Txt
City	ANTIGO	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54409	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SHERRY BUNTEN	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	7156232331	PhoneNum
Signature	2024-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	SHERRY	PersonFirstNm
Person Last	BUNTEN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2024-05-14	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS LANGLADE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	SHERRY BUNTEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	112 EAST FIFTH AVENUE	AddressLine1Txt
City	ANTIGO	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54409	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$119,003,092	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ASPIRUS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1933	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	THE COMMUNITY BENEFIT CONTRIBUTION OF ASPIRUS LANGLADE HOSPITAL INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	527	TotalEmployeeCnt
Total Volunteers	25	TotalVolunteersCnt
Total Gross UBI	$277,829	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,143,402	PYContributionsGrantsAmt
CY Contributions Grants	$2,059,866	CYContributionsGrantsAmt
PY Program Service Revenue	$117,846,218	PYProgramServiceRevenueAmt
CY Program Service Revenue	$110,692,243	CYProgramServiceRevenueAmt
PY Investment Income	$8,094,993	PYInvestmentIncomeAmt
CY Investment Income	$6,095,819	CYInvestmentIncomeAmt
PY Other Revenue	$140,756	PYOtherRevenueAmt
CY Other Revenue	$91,788	CYOtherRevenueAmt
PY Total Revenue	$128,225,369	PYTotalRevenueAmt
CY Total Revenue	$118,939,716	CYTotalRevenueAmt
PY Grants And Similar Paid	$16,455	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$81,645	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$44,057,472	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$41,887,276	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$55,782,906	PYOtherExpensesAmt
CY Other Expenses	$55,660,692	CYOtherExpensesAmt
PY Total Expenses	$99,856,833	PYTotalExpensesAmt
CY Total Expenses	$97,629,613	CYTotalExpensesAmt
PY Revenues Less Expenses	$28,368,536	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,310,103	CYRevenuesLessExpensesAmt
Total Assets BOY	$289,772,365	TotalAssetsBOYAmt
Total Assets EOY	$312,622,581	TotalAssetsEOYAmt
Total Liabilities BOY	$33,997,339	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$29,150,770	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$255,775,026	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$283,471,811	NetAssetsOrFundBalancesEOYAmt
Mission	AS A MINISTRY OF JESUS WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$66,186,934	ExpenseAmt
Grant	$81,645	GrantAmt
Revenue	$109,961,217	RevenueAmt
Desc	ACUTE GENERAL CARE HOSPITAL WITH BOTH INPATIENT AND OUTPATIENT RELATED SERVICES ALONG WITH A HOSPICE PROGRAM. INPATIENTS - 969 ADMISSIONS WITH 3,776 PATIENT DAYS AND 159 BIRTHS; OUTPATIENTS - 10,846 EMERGENCY VISITS, 14,447 WALK IN VISITS, 32,217 IMAGING PROCEDURES, 226,809 LAB TESTS, 36,520 THERAPY TREATMENTS, AND 10,293 SPECIALTY CLINIC VISITS; SURGICAL SERVICES - 2,314 TOTAL PATIENTS TREATED; HOSPICE - 3,189 VISITS.	Desc
Total Program Service Expenses	$66,186,934	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
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	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	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	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	81	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	527	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	5	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	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	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	SHERRY BUNTEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7156239215	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	112 EAST FIFTH AVENUE	AddressLine1Txt
City	ANTIGO	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54409	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAMES MATHESON
SEC./TREAS./SVP-CHIEF STRAT. OFF.	1.00	50.00	Yes (X)	$0	$539,401	$110,893
JESSE TISCHER
VICE CHAIR/SVP & PRES. REG. MKTS.	1.00	50.00	Yes (X)	$0	$781,575	$128,595	Yes (X)
NOEL DEEP
BOARD MEMBER/PHYSICIAN	1.00	40.00	Yes (X)	$0	$544,943	$57,774
ROSHINI SAMUEL
BOARD MEMBER/PHYSICIAN	40.00		Yes (X)	$0	$232,058	$28,194
MIKE WINTER
CHAIRMAN	1.00		Yes (X)	$0	$0	$0	Yes (X)
BARRY HAFER
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
LYNNE HENRICKS
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
RANDY MYERS MD
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
JULIE SPRAGUE PHD
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
CHARLIE ZANAYED
BOARD MEMBER (THRU 09/22)	1.00		Yes (X)	$0	$0	$0
TYLER HACK
VP-FINANCE NORTH REGION	50.00			$0	$246,808	$27,314	Yes (X)
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS	2.00	50.00		$0	$1,799,938	$311,110	Yes (X)
SHERRY BUNTEN
(NV) PRESIDENT-NORTHEAST DIVISION	50.00			$339,510	$0	$88,643	Yes (X)
SIDNEY SCZYGELSKI
SR. VP OF FINANCE/CFO	2.00	50.00		$0	$1,911,464	$144,118	Yes (X)
WILLIAM CARROLL
VP-INFORMATION TECHNOLOGY	2.00	50.00		$0	$321,116	$49,427		Yes (X)
CONSTANCE BRADLEY
SVP-SYSTEM CHIEF NURSING EXECUTIVE	2.00	50.00		$0	$502,032	$95,550		Yes (X)
CRYSTAL KIRSCHLING
VP-REGIONAL INTEGRATION OFFICER	2.00	50.00		$0	$348,443	$48,718		Yes (X)
DEBRA BALL
SVP & CHIEF HR OFFICER	2.00	50.00		$0	$458,839	$103,553		Yes (X)
GREG SHAW
VP-FINANCE NORTH REGION	2.00	50.00		$0	$220,782	$30,975		Yes (X)
JANELLE KOMMERS MARKGRAF
VP-HR NORTH REGION	2.00	50.00		$0	$236,917	$44,327		Yes (X)
MICHAEL HOLZHUETER
SVP-GENERAL COUNSEL	2.00	50.00		$0	$672,916	$123,676		Yes (X)
SCOTT REMMICH
VP-CHIEF COMPLIANCE OFFICER	2.00	50.00		$0	$304,493	$45,336		Yes (X)
TODD RICHARDSON
SVP & CHIEF INFO. OFF. (THRU 06/23)	2.00	50.00		$0	$534,868	$104,438		Yes (X)
TOM CHEN
RADIOLOGIST	40.00			$0	$963,609	$25,925			Yes (X)
MICHAEL OLSON
RADIOLOGIST	40.00			$0	$881,655	$55,364			Yes (X)
KRIS FERGUSON
PHYSICIAN	40.00			$0	$808,566	$52,380			Yes (X)
CODY NIKOLAI
PHYSICIAN	40.00			$0	$773,191	$54,970			Yes (X)
GREGORY DODGE
PHYSICIAN	40.00			$0	$547,305	$55,222			Yes (X)
ERIC ANDERSON
FORMER BM/SVP-SERV. LINE & PAT. EXP.	2.00	50.00		$0	$519,926	$106,843				Yes (X)
PATRICK TINCHER JR
FORMER KE/VP-FINANCE REGIONAL OPS.	1.00	50.00		$0	$336,475	$56,521				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$339,510	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,487,320	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,949,866	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	37	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TOTAL MSP LLC (STAFFENCY)
221 W COLLEGE AVENUE FLOOR 2	APPLETON	WI	54911	CLINICAL SERVICES	$1,710,053
PROGRESSIVE ANESTHESIA SOLUTIONS
PO BOX 290	ANTIGO	WI	54409	CLINICAL SERVICES	$1,021,605
RENOVO SOLUTIONS LLC
4 EXECUTIVE CIRCLE STE 185	IRVINE	CA	92614	CLINICAL SERVICES	$830,953
CHG COMPANIES INC (COMPHEALTH)
PO BOX 972651	DALLAS	TX	753972651	CLINICAL SERVICES	$764,761
DANIEL E SALINSKY MD PLLC
1922 BRIDGEWATER DRIVE	ALLEN	TX	75013	CLINICAL SERVICES	$491,062

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,050,601	GovernmentGrantsAmt
All Other Contributions	$9,265	AllOtherContributionsAmt
Total Contributions	$2,059,866	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL SERVICES	621990	$102,752,304	$102,752,304
340 B PROGRAM	456110	$3,920,931	$3,920,931
INDEPENDENT AND ASSISTED LIVING	623000	$2,468,138	$2,468,138
PHYSICIAN PRIMARY CLINICS	621110	$145,003	$145,003

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,405,867	TotalRevenueColumnAmt
Related Or Exempt Func Income	$674,401	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$277,829	UnrelatedBusinessRevenueAmt
Exclusion	$453,637	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$110,692,243	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,079,317	TotalRevenueColumnAmt
Exclusion	$6,079,317	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$138,589	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$47,241	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$91,348	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$91,348	TotalRevenueColumnAmt
Exclusion	$91,348	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$32,637	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$16,135	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$16,502	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,502	TotalRevenueColumnAmt
Exclusion	$16,502	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	ENERGY EFFICIENCY INCENTIVES	Desc
Business	900099	BusinessCd
Total Revenue Column	$440	TotalRevenueColumnAmt
Related Or Exempt Func Income	$440	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$440	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$118,939,716	TotalRevenueColumnAmt
Related Or Exempt Func Income	$109,961,217	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$277,829	UnrelatedBusinessRevenueAmt
Exclusion	$6,640,804	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	$81,645	TotalAmt
Program Services	$81,645	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$436,930	TotalAmt
Management And General	$436,930	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$33,522,895	TotalAmt
Program Services	$28,663,899	ProgramServicesAmt
Management And General	$4,858,996	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$872,964	TotalAmt
Program Services	$715,307	ProgramServicesAmt
Management And General	$157,657	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,945,268	TotalAmt
Program Services	$4,011,318	ProgramServicesAmt
Management And General	$933,950	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,109,219	TotalAmt
Program Services	$1,696,268	ProgramServicesAmt
Management And General	$412,951	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$29,378	TotalAmt
Management And General	$29,378	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$11,853	TotalAmt
Management And General	$11,853	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,041,288	TotalAmt
Program Services	$10,357,742	ProgramServicesAmt
Management And General	$683,546	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$146,287	TotalAmt
Program Services	$1,110	ProgramServicesAmt
Management And General	$145,177	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$113,888	TotalAmt
Program Services	$59,349	ProgramServicesAmt
Management And General	$54,539	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,365,899	TotalAmt
Program Services	$12,473	ProgramServicesAmt
Management And General	$2,353,426	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,159,620	TotalAmt
Program Services	$407,823	ProgramServicesAmt
Management And General	$751,797	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$137,279	TotalAmt
Program Services	$102,926	ProgramServicesAmt
Management And General	$34,353	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$901,547	TotalAmt
Program Services	$330	ProgramServicesAmt
Management And General	$901,217	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,181,244	TotalAmt
Program Services	$3,123,030	ProgramServicesAmt
Management And General	$1,058,214	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$179,257	TotalAmt
Program Services	$31,906	ProgramServicesAmt
Management And General	$147,351	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CORPORATE ALLOCATIONS	$15,633,931	$49,499	$15,584,432
MEDICAL SUPPLIES	$15,547,232	$15,515,273	$31,959
REPAIRS & MAINTENANCE	$1,864,661	$1,147,506	$717,155
BAD DEBT EXPENSE	$1,421,906	$144,285	$1,277,621

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$925,422	TotalAmt
Program Services	$65,245	ProgramServicesAmt
Management And General	$860,177	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$97,629,613	TotalAmt
Program Services	$66,186,934	ProgramServicesAmt
Management And General	$31,442,679	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$28,977,549	BOYAmt
EOY	$24,484,385	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$82,898,497	BOYAmt
EOY	$106,702,302	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,496,470	BOYAmt
EOY	$16,715,795	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,128,224	BOYAmt
EOY	$1,729,033	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$89,555	BOYAmt
EOY	$601,892	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$104,473,565	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$61,326,155	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$42,235,100	BOYAmt
EOY	$43,147,410	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$100,301,166	BOYAmt
EOY	$109,920,874	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,125,003	BOYAmt
EOY	$1,340,121	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,520,801	BOYAmt
EOY	$7,980,769	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$289,772,365	BOYAmt
EOY	$312,622,581	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,678,247	BOYAmt
EOY	$4,869,866	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,576,548	BOYAmt
EOY	$21,957,053	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,742,544	BOYAmt
EOY	$2,323,851	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,997,339	BOYAmt
EOY	$29,150,770	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$255,334,682	BOYAmt
EOY	$283,077,822	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$440,344	BOYAmt
EOY	$393,989	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$255,775,026	BOYAmt
EOY	$283,471,811	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$289,772,365	BOYAmt
EOY	$312,622,581	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,310,103	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,467,919	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$81,237	OtherChangesInNetAssetsAmt
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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$11,853	OtherActivitiesAmt
Total Lobbying Expenditures	$11,853	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ASPIRUS LANGLADE HOSPITAL PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE WHA HAS NOTIFIED ASPIRUS LANGLADE HOSPITAL THAT APPROXIMATELY $2,854 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTH CARE ENVIRONMENT. ASPIRUS LANGLADE HOSPITAL IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, ASPIRUS LANGLADE HOSPITAL PAYS MEMBERSHIP FEES TO THE RWHC. THE RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO PROVIDES ANALYSIS ON CURRENT HEALTH CARE ISSUES IN AN EFFORT TO PROMOTE AND IMPROVE HEALTH CARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. THE RWHC DETERMINED THAT APPROXIMATELY $1,990 OF THE FEES PAID BY ASPIRUS LANGLADE HOSPITAL IN FY2023 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTH CARE ENVIRONMENT IN THE STATE OF WISCONSIN. ALSO, DUES PAID TOWARDS LOBBYING ASSOCIATED WITH THE AMERICAN HOSPITAL ASSOCIATION (AHA) BY ASPIRUS LANGLADE HOSPITAL WAS DETERMINED TO BE $7,009 FOR FY2023.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,374,124	OtherCostOrOtherBasisAmt
Book Value	$1,374,124	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,384,622	OtherCostOrOtherBasisAmt
Depreciation	$39,430,230	DepreciationAmt
Book Value	$35,954,392	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$624,378	OtherCostOrOtherBasisAmt
Depreciation	$624,378	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,950,262	OtherCostOrOtherBasisAmt
Depreciation	$21,093,763	DepreciationAmt
Book Value	$4,856,499	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,140,179	OtherCostOrOtherBasisAmt
Depreciation	$177,784	DepreciationAmt
Book Value	$962,395	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$43,147,410	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$1,118,682
OTHER LONG-TERM LIABILITIES	$91,803
FINANCE LEASE LIABILITIES	$96,306
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$650
RELATED PARTY RECEIVABLES	$1,016,410

Field	Value	IRS element (for citing)
Total Liability	$2,323,851	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$123,983,222	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$6,467,919	NetUnrealizedGainsInvstAmt
Other Revenue	-$1,471,654	OtherRevenueAmt
Revenue Not Reported	$4,996,265	RevenueNotReportedAmt
Revenue Subtotal	$118,986,957	RevenueSubtotalAmt
Other Revenues Not Included	-$47,241	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$47,241	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$118,939,716	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$96,256,837	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$47,241	OtherExpensesIncludedAmt
Expenses Not Reported	$47,241	ExpensesNotReportedAmt
Expenses Subtotal	$96,209,596	ExpensesSubtotalAmt
Other Expenses Not Included	$1,420,017	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,420,017	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$97,629,613	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	IMPAIRMENT OF WESTWOOD CONFERENCE CENTER BAD DEBT EXPENSE -1,420,017. CHANGE IN INTEREST OF CONSOLIDATED AFFILIATE - WESTWOOD CONFERENCE CENTER -34,882. NET ASSETS RELEASED FROM RESTRICTIONS -16,755.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -47,241.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 47,241.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,420,017.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
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	0	ExpensesExceedBudgetInd
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	$569,185	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$569,185	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,447,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,970,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,477,264	NetCommunityBenefitExpnsAmt
Total Expense	0.04590	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,017,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,970,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,046,449	NetCommunityBenefitExpnsAmt
Total Expense	0.05170	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,567	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$77,567	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,571	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,571	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$127,401	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$127,401	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$220,539	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$220,539	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,237,558	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,970,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,266,988	NetCommunityBenefitExpnsAmt
Total Expense	0.05400	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,251	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,251	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,251	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,251	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$494,815	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$18,555,279	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$18,720,945	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$165,666	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	0	WrittenDebtCollectionPolicyInd
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	ASPIRUS LANGLADE HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	112 E 5TH AVENUE	AddressLine1Txt
City	ANTIGO	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54409	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ASPIRUS.ORG	WebsiteAddressTxt
State License	1055	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
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	ASPIRUS LANGLADE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
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
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASPIRUS LANGLADE HOSPITAL	PART V, SECTION B, LINE 5: ASPIRUS LANGLADE COLLABORATED WITH LANGLADE COUNTY HEALTH DEPARTMENT TO COMPLETE THE ASSESSMENT. LANGLADE COUNTY COMMUNITY MEMBERS WERE GIVEN THE OPPORTUNITY TO PROVIDE FEEDBACK THROUGH A COMMUNITY SURVEY AND KEY INFORMANT INTERVIEWS. APPROXIMATELY 325 PEOPLE RESPONDED TO THE COMMUNITY SURVEY AND 16 KEY INFORMANT INTERVIEWS WERE CONDUCTED. KEY INFORMANT INTERVIEWS INCLUDED SIXTEEN COMMUNITY LEADERS REPRESENTING VARIOUS SECTORS OF THE COMMUNITY WERE INTERVIEWED THROUGH AN ONLINE SURVEY. IN THE WINTER OF 2022 A SURVEY (DELIVERED ELECTRONICALLY AND BY PAPER) WAS DISBURSED USING NUMEROUS ORGANIZATIONS THAT SHARED WITH THEIR PATIENTS, CLIENTS, CUSTOMERS AND FAMILY MEMBERS.
ASPIRUS LANGLADE HOSPITAL	PART V, SECTION B, LINE 6B: ASPIRUS LANGLADE HOSPITAL COLLABORATED WITH THE LANGLADE COUNTY HEALTH DEPARTMENT. ASPIRUS LANGLADE HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS LANGLADE HOSPITAL.
ASPIRUS LANGLADE HOSPITAL	PART V, SECTION B, LINE 11: IN FY23, ASPIRUS HEALTH CONTINUED TO COME TOGETHER AS A SYSTEM. THE ADDITION OF SEVEN HOSPITALS IN FY22 RESULTED IN CHANGES IN PROCESSES, TEAM STRUCTURE AND RELATED IMPACTS. ASPIRUS HEALTH IS WORKING TO STRATEGICALLY BUILD STRONG, EFFECTIVE COMMUNITY HEALTH EFFORTS THAT MEET LOCAL NEEDS WHILE ACCOMMODATING ECONOMIC AND OTHER PRESSURES FACING HEALTH SYSTEMS. ASPIRUS LANGLADE HOSPITAL'S SIGNIFICANT NEEDS ARE: MENTAL WELL-BEING; ALCOHOL AND DRUG USE; HEALTHY LIVING AND ACTIVE LIFESTYLES. THE HOSPITAL ADDRESSED THOSE NEEDS IN THE FOLLOWING WAYS: MENTAL WELL-BEING- FINANCIALLY SUPPORTED THE BEGINNING OF A RAISE YOUR VOICE CLUB IN THE LOCAL COMMUNITY THROUGH THE ANTIGO HIGH SCHOOL. - FINANCIALLY SUPPORTED THE CAPACITY OF THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO AID IN SUPPORTING RAISE YOUR VOICE CLUBS IN CENTRAL AND NORTHERN WISCONSIN. - PARTICIPATED ON THE COUNTY MENTAL HEALTH AND SUICIDE PREVENTION COALITION.ALCOHOL AND DRUG USE- PROVIDED THE OPPORTUNITY FOR RECOVERY COACHING SERVICES FOR INDIVIDUALS PRESENTING IN THE EMERGENCY DEPARTMENT WITH SUBSTANCE USE CHALLENGES. HEALTHY LIVING AND ACTIVE LIFESTYLES- CONTINUED THE FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM FOR COMMUNITY MEMBERS IN THE LANGLADE COUNTY AREA. OVER 50 VOUCHERS WERE REDEEMED AT THE FARMER'S MARKET IN SUMMER 2023. - CONTINUED THE WEEKEND BACKPACK PROGRAM WITH FAMILIES AND YOUTH. PRIMARILY FUNDED BY AND STAFFED WITH EMPLOYEES FROM THE HOSPITAL, THIS PROGRAM CONTINUES TO ADDRESS CHILDHOOD FOOD INSECURITY WITHIN LANGLADE COUNTY. THE PROGRAM OPERATES OUT OF THE FOOD PANTRY BUILDING OWNED BY THE HOSPITAL. WITHOUT THE PARTNERSHIP OF ASPIRUS LANGLADE HOSPITAL, THIS PROGRAM WOULD NOT CONTINUE TO RUN AND SERVE THE NEEDS IDENTIFIED IN THE COMMUNITY. EACH WEEK THROUGHOUT THE SCHOOL YEAR (32 WEEKENDS), APPROXIMATELY 385 CHILDREN ARE SERVED. THE PROGRAM ALSO COLLECTED AND DISTRIBUTED PERSONAL HYGIENE PRODUCTS. OTHER- CONTINUED USE OF THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH MISSION FUND. THE FUND IS DEDICATED TO ASSISTING THE COMMUNITY WITH INITIATIVES THAT FOCUS ON SUPPORTING POOR AND VULNERABLE POPULATIONS AS WELL AS TOP HEALTH NEEDS. FUNDS FROM THIS ACCOUNT WERE COMMITTED TO THE LANGLADE COUNTY SENIOR CENTER.- PARTICIPATED ON VARIOUS COMMUNITY COALITIONS AND BOARD, INCLUDING THE BUILDING A HEALTHIER LANGLADE COUNTY GROUP, THE COMMUNITY HEALTH FOUNDATION, UNITED WAY, NORTH CENTRAL TECHNICAL COLLEGE AND MORE. - HOSTED ON-SITE BLOOD DRIVES.STARTING IN JULY 2022, THE HOSPITAL AND ITS PARTNERS ARE ADDRESSING THE FOLLOWING SIGNIFICANT NEEDS: MENTAL WELLBEING; ALCOHOL AND DRUG USE; HEALTHY LIVING AND ACTIVE LIFESTYLES. THE NEEDS NOT SELECTED INCLUDE: AFFORDABILITY AND ACCESS TO CARE; DIVERSITY, INCLUSION AND BELONGING; TRANSPORTATION; OBESITY. THESE ISSUES WERE NOT SELECTED FOR A NUMBER OF REASONS. MANY WILL BE INCLUDED AS PART OF A STRATEGY TO ADDRESS THE PRIORITY ISSUES OR ARE OVERLAPPING ASPECTS OF A PRIORITY ISSUE. FOR EXAMPLE, TRANSPORTATION MAY BE PART OF A STRATEGY TO IMPROVE OPPORTUNITIES FOR HEALTHY AND ACTIVE LIVING. AS ANOTHER EXAMPLE, DIVERSITY, INCLUSION AND BELONGING WILL BE ESSENTIAL IN DEVELOPING STRATEGIES TO ADDRESS MENTAL WELLBEING. IN THE PAST, THERE HAVE BEEN MANY INITIATIVES CREATED TO ASSIST IN AIDING WITH THE NEEDS OF AFFORDABILITY AND ACCESS TO CARE, INCLUDING THOSE OUTLINED IN THE CHNA REPORT IN THE APPENDIX EVALUATION OF IMPACT FROM THE PREVIOUS CHNA IMPLEMENTATION STRATEGY. ALSO, DUE TO THE STATUS AND CHANGE IN TECHNOLOGY AND THE NEED FOR COMMUNICATION TO BECOME VIRTUAL MOST RECENTLY, ACCESS TO HEALTHCARE NOW HAS MANY MORE AVENUES THAN JUST VISITING YOUR FAMILY DOCTOR, I.E., TELEHEALTH.
ASPIRUS LANGLADE HOSPITAL	PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ASPIRUS ANTIGO CLINIC
110 E 5TH AVE	ANTIGO	WI	54409	CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES
2 - ASPIRUS ELCHO CLINIC
W10618 CLINIC ST	ELCHO	WI	54428	CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES
3 - ASPIRUS BIRNAMWOOD CLINIC
400 RAILROAD	BIRNAMWOOD	WI	54414	CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES
4 - ROSALIA GARDENS
525 FLIGHT RD	ANTIGO	WI	54409	ASSISTED LIVING
5 - PINE MEADOWS
525 FLIGHT RD	ANTIGO	WI	54409	SENIOR HOUSING

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY). SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS WHERE RETIREMENT WITHDRAWALS HAVE NOT BEGUN AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE.
PART I, LINE 7:	THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS 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 FOR FORM 990.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $1,421,906.
PART II, COMMUNITY BUILDING ACTIVITIES:	ASPIRUS LANGLADE HOSPITAL PROVIDES A SHARPS DISPOSAL PROGRAM FOR THE COMMUNITY. BY SAFELY REMOVING SHARPS FROM THE ENVIRONMENT, WE MAKE THE COMMUNITY SAFER IN TERMS OF INJURY AND INFECTION.
PART III, LINE 2:	THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. THE COSTING METHODOLOGY USED WAS THE PATIENT CARE COST TO CHARGE RATIO WHICH WAS DERIVED FROM THE CALCULATION ON IRS WORKSHEET 2.
PART III, LINE 3:	THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS.
PART III, LINE 4:	THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES.BAD DEBT POLICY AND PROCEDURE:POLICY: I. ASPIRUS' FINANCIAL POLICY REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. II. FAILURE TO MEET THESE REQUIREMENTS IN ASPIRUS POLICY WILL RESULT IN THE ACCOUNT BEING CONSIDERED FOR BAD DEBT ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THE ACCOUNT WILL BE REMOVED FROM ACCOUNTS RECEIVABLE AND TURNED OVER TO AN OUTSIDE AGENCY OR LAW FIRM FOR COLLECTION. PRIOR TO THIS HAPPENING, THE FOLLOWING CRITERIA MUST BE MET: A. PATIENT FINANCIAL SERVICES STAFF WILL MAKE REASONABLE COLLECTION EFFORTS BY WAY OF: 1. MONTHLY STATEMENTS 2. COLLECTION LETTERS INCLUDING PLAIN LANGUAGE SUMMARY (PLS) 3. COLLECTION PHONE CALLS 4. VERIFICATION THAT CHARITY CARE WAS OFFERED WITHIN THE PAST 12-MONTHS AS RECORDED IN THE ELECTRONIC HEALTH RECORD (EMR) WITH STAFF HAVING THE DISCRETION TO OFFER AGAIN WITHIN THE 12-MONTHS. III. ALL COLLECTION ACTIVITY AND PATIENT CONTACTS WILL BE DOCUMENTED ON THE INDIVIDUAL ACCOUNTS. IV. ALL COLLECTION ACCOUNTS ARE TO BE TREATED THE SAME REGARDLESS OF PAYOR TYPE: SELF-PAY, GENERAL INSURANCE, MEDICARE, OR MEDICAL ASSISTANCE. V. PATIENT FINANCIAL SERVICES STAFF WILL USE SOUND BUSINESS JUDGMENT WHEN WORKING WITH THE ACCOUNT. AT THE DISCRETION OF THE FINANCIAL COUNSELOR, CREDIT REPORTS WILL BE REQUESTED FROM THE CREDIT BUREAU AND PROPERTY VERIFICATION OBTAINED THROUGH THE COUNTY TREASURER'S OFFICE. PROCEDURE: VI. THE FINAL STEP IS TO SUBMIT THE ACCOUNT TO A COLLECTION AGENCY OR LAW FIRM. EACH ACCOUNT IS REVIEWED TO DETERMINE IF THE ACCOUNT HAS MET THE BAD DEBT CRITERIA. ONCE IT HAS BEEN DETERMINED THAT ALL REQUIREMENTS HAVE BEEN MET, THE ACCOUNT IS TRANSFERRED FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY THE FINANCIAL COUNSELOR. SPECIFIC PROCEDURES PERTAINING TO THE DETAILED PROCEDURAL STEPS FOR TRANSFERRING TO THE AGENCY CAN BE FOUND IN THE INTERNAL POLICY. A. ADDITIONAL INFORMATION REGARDING MEDICARE BAD DEBTS: 1. THE DEBT MUST BE RELATED TO COVERED SERVICES AND DERIVED FROM DEDUCTIBLE AND COINSURANCE AMOUNTS. 2. THE HOSPITAL MUST PROVIDE REASONABLE COLLECTION EFFORTS. 3. THE DEBT IS NOT COLLECTABLE (AT LEAST 120 DAYS OUTSTANDING FROM THE DATE OF THE LAST PATIENT PAYMENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. B. BAD DEBT RECOVERIES 1. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. 2. PAYMENTS MADE DIRECTLY TO ASPIRUS BUT INTENDED FOR COLLECTION ACCOUNTS WILL BE POSTED TO THE APPROPRIATE ACCOUNT AND REPORTED DAILY/WEEKLY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. 3. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE REVIEWED BY THE FINANCIAL COUNSELOR TEAM LEAD AND APPROVED BY THE MANAGER/DIRECTOR, THEN SUBMITTED TO FISCAL SERVICES FOR CHECK PROCESSING AND PAYMENT TO AGENCIES FOR COMMISSIONS DUE.
PART III, LINE 8:	THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT THE HOSPITAL 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, 2023 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).MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS.
PART III, LINE 9B:	PATIENT FINANCIAL SERVICES (PFS) PROACTIVELY IDENTIFIES UNINSURED PATIENTS AND UNDER-INSURED PATIENTS AND SCREENS THEM FOR FINANCIAL ASSISTANCE AND COUNSELING WITHOUT REGARD TO RACE, ETHNICITY, GENDER, RELIGION, OR NATIONAL ORIGIN. THESE SERVICES ARE PROVIDED AT NO CHARGE. PFS COUNSELORS WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO HELP THEM UNDERSTAND THE SYSTEM'S FINANCIAL ASSISTANCE/DISCOUNTING POLICIES AND HOW THEY CAN QUALIFY FOR ASSISTANCE AND/OR DISCOUNTS INCLUDING A REFERRAL TO PUBLIC AND PRIVATE PROGRAMS TO DETERMINE ELIGIBILITY.
PART VI, LINE 2:	IN ADDITION TO ASSESSING NEEDS THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL:- SYSTEMATICALLY REVIEWS PATIENT EXPERIENCE DATA TO UNDERSTAND OPPORTUNITIES TO ADDRESS PATIENT CONCERNS. - MAINTAINS AN INVOLVED LOCAL BOARD OF DIRECTORS, WHICH MEETS MONTHLY. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS, INCLUDING LAW ENFORCEMENT, INSURANCE, LEGAL, EDUCATION, LIBRARY AND MEDICAL SECTORS. - SUPPORTS ITS STAFF IN PARTICIPATING ON COMMUNITY BOARDS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES.- REVIEWS FUNDING REQUESTS TO THE HOSPITAL'S RELIGIOUS HOSPITALLERS OF ST. JOSEPH MISSION FUND AS AN INDICATOR OF LOCAL NEEDS.- INITIATED A SOCIAL NEEDS SCREENING PROCESS THAT, OVER TIME, WILL PROVIDE INSIGHT INTO PATIENT NEEDS IN ADDITION TO THEIR IMMEDIATE CARE. AS A CATHOLIC HOSPITAL, ASPIRUS LANGLADE PARTICIPATES IN THE CATHOLIC IDENTITY AND ETHICS REVIEW CONDUCTED BY THE NATIONAL CATHOLIC BIOETHICS CENTER. THE REVIEW HELPS ASSURE THE HOSPITAL IS MEETING ITS MISSION TO HEAL WHILE ALSO COMPLYING WITH CATHOLIC ETHICAL AND RELIGIOUS DIRECTIVES.
PART VI, LINE 3:	ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS FROM CENTRAL BILLING OFFICE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. IF ASPIRUS FINANCIAL COUNSELORS NOTICE THE PATIENT HAS NOT BEEN OFFERED AN APPLICATION WITHIN THE PAST YEAR, THEY WILL ALSO ASK IF THE PATIENT WOULD LIKE ONE MAILED OR IF THE PATIENT SHOWS FINANCIAL DISTRESS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS.
PART VI, LINE 4:	THE PRIMARY SERVICE AREA OF THE HOSPITAL IS LANGLADE COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES. LANGLADE COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 870 SQUARE MILES, WITH 22.4 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 19,502 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER 14 YEARS OLD: 15.9%PERSONS 65 YEARS AND OVER: 21.8%WHITE PERSONS: 95.2%AFRICAN AMERICAN PERSONS: 1.2%AMERICAN INDIAN PERSONS: 1.4%ASIAN PERSONS: 0.5%HISPANIC OR LATINO: 2.1%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 2.2%HIGH SCHOOL GRADUATE OR HIGHER: 89.8%PERSONS BELOW POVERTY LEVEL: 10.7%MEDIAN HOUSEHOLD INCOME: $52,074PERCENT UNINSURED: 7%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 46.2%NUMBER OF HOSPITALS IN THE COUNTY: 1 (INCLUDING ASPIRUS LANGLADE HOSPITAL)LANGLADE COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR MENTAL HEALTH, DENTAL CARE AND PRIMARY CARE.
PART VI, LINE 5:	THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH AND COMMUNITY BENEFIT WORK. ADDITIONALLY, THE HOSPITAL: - MAINTAINS A BOARD OF DIRECTORS THAT REFLECTS THE COMMUNITY. - BRINGS ITS EXPERTISE INTO THE COMMUNITY THROUGH PROGRAMS, SCREENINGS, AND COMMUNITY BOARD AND ADVISORY COMMITTEE MEMBERSHIP.- PROVIDES HIGH QUALITY SERVICES AND IMPLEMENTS ONGOING QUALITY IMPROVEMENT INITIATIVES. - BUDGETS FOR CUTTING EDGE TECHNOLOGIES AND EQUIPMENT THAT SUPPORT PATIENT HEALTH.- OFFERS TRANSPORTATION ASSISTANCE FOR PATIENTS AS APPROPRIATE. - PROVIDES A PREVENTION FUND FOR PATIENTS. THE FUND ASSISTS PATIENTS WITH IMMEDIATE SOCIAL OR ECONOMIC NEEDS THEY ARE UNABLE TO MEET DUE TO FINANCIAL CONSTRAINTS.- OFFERS GRANTS TO COMMUNITY ORGANIZATIONS THROUGH THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH MISSION FUND. THE FUND GIVES BACK TO THE COMMUNITY WITH A SPECIAL EMPHASIS ON TOP COMMUNITY NEEDS AND INDIVIDUALS WITH LOW INCOME OR WHO ARE MORE VULNERABLE.- PROVIDES PRECEPTORS FOR HEALTH PROFESSIONS STUDENTS-IN-TRAINING, WHICH ADVANCES THE HEALTH CARE WORKFORCE. AS PART OF A LARGER NETWORK OF ASPIRUS HEALTHCARE FACILITIES, THE HOSPITAL HAS ACCESS TO: - LOW-COST TEMPORARY LODGING AT ASPIRUS' FLAGSHIP TERTIARY CARE HOSPITAL PARTNER (IN WAUSAU, WI) SO THAT PATIENTS AND/OR THEIR FAMILY NEEDING EXTENDED SPECIALTY CARE HAVE ACCOMMODATIONS. - PROFESSIONAL DEVELOPMENT FOR STAFF, ASSURING THE CARE PROVIDED INCORPORATES THE MOST UP-TO-DATE BEST PRACTICES. - CROSS-TRAINING OPPORTUNITIES. FOR INSTANCE, A WAUSAU-BASED BEREAVEMENT COORDINATOR TRAINS STAFF ACROSS THE SYSTEM ON NORMAL GRIEF RESPONSE, RESILIENCE AND HOSPICE CARE AND SUPPORT. THE COORDINATOR TRAINS THROUGH THE NURSE RESIDENCY PROGRAM AS WELL AS IN UNIT/DEPARTMENT MEETINGS. UNIT/DEPARTMENT LEADERS CAN REQUEST BEREAVEMENT INFORMATION AND SUPPORT FOR THEIR TEAM. SIMILARLY, HOSPITALS HAVE ACCESS TO INJURY PREVENTION EXPERTISE AND RESOURCES THROUGH THE LEVEL 2 TRAUMA CENTER IN WAUSAU. - A MARKETING/COMMUNICATIONS TEAM THAT SUPPORTS THE ONLINE ASPIRUS MEDIA CENTER FEATURING MEDICAL EXPERTS. THE TEAM DEVELOPS AND PROMOTES HEALTH EDUCATION INFORMATION (E.G., ON DIABETES, TICK BITES, SNOWMOBILE SAFETY) FOR PATIENTS AND THE PUBLIC.
PART VI, LINE 6:	ASPIRUS HEALTH IS A NON-PROFIT, COMMUNITY-DIRECTED HEALTHCARE SYSTEM BASED IN WAUSAU, WISCONSIN. ITS 11,000 EMPLOYEES ARE FOCUSED ON IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT WISCONSIN AND UPPER MICHIGAN. ASPIRUS SERVES COMMUNITIES THROUGH FOUR HOSPITALS IN MICHIGAN AND 13 HOSPITALS IN WISCONSIN, 75 CLINICS, HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND AIR-MEDICAL TRANSPORT, MEDICAL GOODS, NURSING HOMES AND A BROAD NETWORK OF PHYSICIANS. THE COMBINED EFFORTS CAN PROVIDE SMALLER COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. FOR MORE INFORMATION, VISIT ASPIRUS.ORG.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
ANTIGO AREA COMMUNITY FOOD PANTRY INC
2120 PROGRESS BLVD	ANTIGO	WI	54409	454834406	501(C)(3)	$0	$49,000	FMV	FOOD PANTRY ASSISTANCE	SUPPORT FOR FOOD PANTRY BUILDING
THE SENIOR CENTER OF LANGLADE COUNTY INC
623 EDISON STREET	ANTIGO	WI	54409	812265193	501(C)(3)	$24,875	$0			TO SUPPORT THE MISSION FUND

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	WHEN COMMUNITY BENEFIT FUNDS ARE DONATED TO LOCAL AGENCIES TO COMPLETE COMMUNITY HEALTH IMPROVEMENT EFFORTS, ASPIRUS REQUESTS A FORMAL REPORT AT THE CONCLUSION OF THE FISCAL YEAR.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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 (24 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
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS	$0	$1,228,335	$0	$567,185	$0	$4,418	$0	$18,619	$0	$292,491	$0	$2,111,048	$0	$0
SIDNEY SCZYGELSKI
SR. VP OF FINANCE/CFO	$0	$649,845	$0	$1,057,600	$0	$204,019	$0	$20,794	$0	$123,324	$0	$2,055,582	$0	$195,109
TOM CHEN
RADIOLOGIST	$0	$918,123	$0	$40,000	$0	$5,486	$0	$9,150	$0	$16,775	$0	$989,534	$0	$0
MICHAEL OLSON
RADIOLOGIST	$0	$871,115	$0	$5,000	$0	$5,540	$0	$17,894	$0	$37,470	$0	$937,019	$0	$0
JESSE TISCHER
VICE CHAIR/SVP & PRES. REG. MKTS.	$0	$580,082	$0	$150,199	$0	$51,294	$0	$18,561	$0	$110,034	$0	$910,170	$0	$50,242
KRIS FERGUSON
PHYSICIAN	$0	$803,048	$0	$0	$0	$5,518	$0	$17,894	$0	$34,486	$0	$860,946	$0	$0
CODY NIKOLAI
PHYSICIAN	$0	$734,137	$0	$2,000	$0	$37,054	$0	$17,894	$0	$37,076	$0	$828,161	$0	$0
MICHAEL HOLZHUETER
SVP-GENERAL COUNSEL	$0	$479,018	$0	$135,622	$0	$58,276	$0	$18,672	$0	$105,004	$0	$796,592	$0	$55,822
JAMES MATHESON
SEC./TREAS./SVP-CHIEF STRAT. OFF.	$0	$386,985	$0	$110,566	$0	$41,850	$0	$17,683	$0	$93,210	$0	$650,294	$0	$32,339
TODD RICHARDSON
SVP & CHIEF INFO. OFF. (THRU 06/23)	$0	$378,807	$0	$112,026	$0	$44,035	$0	$18,079	$0	$86,359	$0	$639,306	$0	$39,964
ERIC ANDERSON
FORMER BM/SVP-SERV. LINE & PAT. EXP.	$0	$399,954	$0	$117,991	$0	$1,981	$0	$17,740	$0	$89,103	$0	$626,769	$0	$0
NOEL DEEP
BOARD MEMBER/PHYSICIAN	$0	$529,758	$0	$14,987	$0	$198	$0	$19,847	$0	$37,927	$0	$602,717	$0	$0
GREGORY DODGE
PHYSICIAN	$0	$539,105	$0	$0	$0	$8,200	$0	$17,894	$0	$37,328	$0	$602,527	$0	$0
CONSTANCE BRADLEY
SVP-SYSTEM CHIEF NURSING EXECUTIVE	$0	$385,875	$0	$113,420	$0	$2,737	$0	$16,421	$0	$79,129	$0	$597,582	$0	$0
DEBRA BALL
SVP & CHIEF HR OFFICER	$0	$349,805	$0	$106,987	$0	$2,047	$0	$13,179	$0	$90,374	$0	$562,392	$0	$0
SHERRY BUNTEN
(NV) PRESIDENT-NORTHEAST DIVISION	$263,859	$0	$64,961	$0	$10,690	$0	$17,498	$0	$71,145	$0	$428,153	$0	$0	$0
CRYSTAL KIRSCHLING
VP-REGIONAL INTEGRATION OFFICER	$0	$291,308	$0	$56,573	$0	$562	$0	$12,036	$0	$36,682	$0	$397,161	$0	$0
PATRICK TINCHER JR
FORMER KE/VP-FINANCE REGIONAL OPS.	$0	$278,727	$0	$49,894	$0	$7,854	$0	$18,549	$0	$37,972	$0	$392,996	$0	$0
WILLIAM CARROLL
VP-INFORMATION TECHNOLOGY	$0	$267,466	$0	$51,102	$0	$2,548	$0	$18,436	$0	$30,991	$0	$370,543	$0	$0
SCOTT REMMICH
VP-CHIEF COMPLIANCE OFFICER	$0	$251,612	$0	$49,272	$0	$3,609	$0	$17,778	$0	$27,558	$0	$349,829	$0	$0
JANELLE KOMMERS MARKGRAF
VP-HR NORTH REGION	$0	$203,520	$0	$29,058	$0	$4,339	$0	$14,791	$0	$29,536	$0	$281,244	$0	$0
TYLER HACK
VP-FINANCE NORTH REGION	$0	$214,264	$0	$28,807	$0	$3,737	$0	$13,090	$0	$14,224	$0	$274,122	$0	$0
ROSHINI SAMUEL
BOARD MEMBER/PHYSICIAN	$0	$221,747	$0	$5,220	$0	$5,091	$0	$13,324	$0	$14,870	$0	$260,252	$0	$0
GREG SHAW
VP-FINANCE NORTH REGION	$0	$191,783	$0	$27,247	$0	$1,752	$0	$12,702	$0	$18,273	$0	$251,757	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $195,109 J. MATHESON $32,339 J. TISCHER $50,242 M. HOLZHUETER $55,822 T. RICHARDSON $39,964 KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 13% FOR SENIOR VICE PRESIDENT OR PRESIDENT, 15% FOR SVP & CHIEF FINANCIAL OFFICER, AND 20% FOR THE PRESIDENT & CHIEF EXECUTIVE OFFICER. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; 24 MONTHS FROM THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH.	ExplanationTxt

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	WI HEALTH & EDUCATION FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	391337855	BondIssuerEIN
CUSIP	97710B7X4	CUSIPNum
Bond Issued	2013-04-12	BondIssuedDt
Issue Price	$27,000,592	IssuePriceAmt
Purpose	CONSTRUCT, RENOVATE, AND EQUIP FACILITIES	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	$590,000	RetiredAmt
Total Proceeds	$27,000,592	TotalProceedsAmt
Issuance Costs From Proceeds	$317,586	IssuanceCostsFromProceedsAmt
Capital Expenditures	$26,683,006	CapitalExpendituresAmt
Substantial Completion	2013	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
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	0	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Concerning UBI	0.00200	PrivateBusConcerningUBIPct
Total Private Business Use	0.00200	TotalPrivateBusinessUsePct
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	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART VI:	THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2013 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (EIN 39-0964813); ASPIRUS IRONWOOD HOSPITALS & CLINICS (EIN 38-2908586); AND LANGLADE HOSPITAL HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429). INFORMATION REGARDING THE SERIES 2013 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2013 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS.]
PART III - LINE 3 AND 3B:	ASPIRUS, INC., A MEMBER OF ASPIRUS LANGLADE HOSPITAL, HAS A POLICY AND PROCEDURES IN PLACE TO REVIEW MANAGEMENT AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCE PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY.
PART III, LINE 9	SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DR LAKSHMI DEEP
FAMILY MEMBER OF NOEL DEEP, BOARD MEMBER	$459,695	EMPLOYMENT COMPENSATION	0
SHANE FRANKLIN
FAMILY MEMBER OF ROSHINI SAMUEL, BOARD MEMBER	$224,850	EMPLOYMENT COMPENSATION	0
MAUREEN WINTER
FAMILY MEMBER OF MIKE WINTER, BOARD MEMBER	$59,791	EMPLOYMENT COMPENSATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE HOSPITAL HAS TWO MEMBERS, THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH HEALTH CORPORATION (55%) AND ASPIRUS, INC. (45%).
FORM 990, PART VI, SECTION A, LINE 7A	THE TWO ORGANIZATIONS HAVE ESTABLISHED A JOINT MEMBER COUNCIL (JMC) EACH MEMBER APPOINTS TWO REPRESENTATIVES AND MEETS TWO TIMES PER YEAR. THE JMC HAS THE POWER TO APPOINT AND REMOVE BOARD OF DIRECTORS OTHER THAN THE 2 INDIVIDUALS APPOINTED BY EACH RESPECTIVE MEMBER. THERE SHALL BE A MINIMUM OF 12 VOTING DIRECTORS ALLOCATED AS FOLLOW. THERE SHALL BE FOUR CLASSES OF VOTING DIRECTORS: THE COMMUNITY CLASS (6), THE ASPIRUS CLASS (2), THE ST. JOSEPH HEALTH CORPORATION CLASS (2), AND THE PROVIDER CLASS (2).
FORM 990, PART VI, SECTION A, LINE 7B	IN ADDITION TO THE POWER TO APPOINT OR REMOVE CERTAIN BOARD OF DIRECTORS, THE JMC (BY APPOINTED THEIR RESPECTIVE MEMBERS DESCRIBED ABOVE) HAVE THE RESPONSIBILITIES TO CONDUCT AN ANNUAL EVALUATION AND SET THE COMPENSATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICERS OF THE HOSPITAL, INCLUDING THE EVALUATION OF PERFORMANCE, DEVELOPING GOALS, ETC. ADDITIONALLY, THE JMC IS RESPONSIBLE FOR APPROVING THE CONFLICT OF INTEREST POLICY, APPROVE THE CHAIRPERSON, VICE CHAIRPERSON, SECRETARY AND TREASURER NOMINATED BY THE BOARD AND TO EXERCISE SUCH ADDITIONAL POWERS FROM TIME TO TIME AS THE MEMBERS DELEGATE DOWN. THE MEMBERS DO HAVE THE POWER TO 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS.
FORM 990, PART VI, SECTION B, LINE 11B	THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND THE 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE HOSPITAL'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE NOTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15	FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS LANGLADE HOSPITAL RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	EMERGENCY SERVICES: PROGRAM SERVICE EXPENSES 1,703,421. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,703,421. LAB FEES: PROGRAM SERVICE EXPENSES 1,076,562. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,076,562. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 65,289. MANAGEMENT AND GENERAL EXPENSES 219,871. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 285,160. PHARMACY DISPENSING FEES: PROGRAM SERVICE EXPENSES 1,408,325. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,408,325. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,846,685. MANAGEMENT AND GENERAL EXPENSES 388,020. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,234,705. FOOD PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 239,691. MANAGEMENT AND GENERAL EXPENSES 62,547. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,238. CRNA PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,017,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,017,769. INTERPRETER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,108.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -46,355. CHANGE IN INTEREST OF CONSOLIDATED AFFILIATE - WESTWOOD CONFERENCE CENTER -34,882.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
RELIGIOUS HOSPITALLERS OF ST JOSEPH HEALTH CORP
411 E WIS AVE STE 700	MILWAUKEE	WI	53202	271341591	HEALTH CARE	WI	501(C)(3)	LINE 1	N/A	0
ASPIRUS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391328331	HEALTH CARE	WI	501(C)(3)	LINE 12B, II	N/A	0

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	0	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	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd