STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ASPIRUS STANLEY HOSPITAL & CLINICS INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS STANLEY HOSPITAL & CLINICS INC (EIN 39-0807065)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202401369349305650
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-15T10:18:35-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390807065EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS STANLEY HOSPITAL & CLINICS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASPIBusinessNameControlTxt
Phone7156445571PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11120 PINE STREETAddressLine1Txt
CitySTANLEYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54768ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJERRY M YANGPersonNm
Person TitleSVP - CHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7156445571PhoneNum
Signature2024-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJERRYPersonFirstNm
Person LastYANGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2024-05-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATTHEW HEYWOODPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 WESTWOOD DRIVEAddressLine1Txt
CityWAUSAUCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,325,105GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASPIRUS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1921FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionWE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee113TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$1,993TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$351,837PYContributionsGrantsAmt
CY Contributions Grants$309,269CYContributionsGrantsAmt
PY Program Service Revenue$17,748,934PYProgramServiceRevenueAmt
CY Program Service Revenue$19,938,895CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income-$8,938CYInvestmentIncomeAmt
PY Other Revenue$94,656PYOtherRevenueAmt
CY Other Revenue$76,936CYOtherRevenueAmt
PY Total Revenue$18,195,427PYTotalRevenueAmt
CY Total Revenue$20,316,162CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,064,615PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,667,340CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,654,790PYOtherExpensesAmt
CY Other Expenses$12,085,393CYOtherExpensesAmt
PY Total Expenses$19,719,405PYTotalExpensesAmt
CY Total Expenses$20,764,733CYTotalExpensesAmt
PY Revenues Less Expenses-$1,523,978PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$448,571CYRevenuesLessExpensesAmt
Total Assets BOY$24,281,273TotalAssetsBOYAmt
Total Assets EOY$23,900,227TotalAssetsEOYAmt
Total Liabilities BOY$19,118,491TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,743,277TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,162,782NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,156,950NetAssetsOrFundBalancesEOYAmt
MissionWE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,628,678ExpenseAmt
Grant$12,000GrantAmt
Revenue$19,936,902RevenueAmt
DescASPIRUS STANLEY HOSPITAL, INC. IS A 12-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2023, ASPIRUS STANLEY HOSPITAL, INC. SERVICED THE COMMUNITY THROUGH A TOTAL OF APPROXIMATELY 584 INPATIENT DAYS, AND APPROXIMATELY 811 SWING BED DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR APPROXIMATELY 22,222 OUTPATIENT VISITS, WHICH INCLUDED APPROXIMATELY 2,670 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.Desc
Total Program Service Expenses$13,628,678TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee113EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJERRY M YANGPersonNm
Phone7158472250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 WESTWOOD DRIVEAddressLine1Txt
CityWAUSAUCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DIANE ANDERSON
BOARD MEMBER/NURSE PRACTITIONER1.0040.00Yes (X)$0$209,483$38,395
JAMES MATHESON
VICE CHAIR/SVP-CHIEF STRATEGY OFF.1.0050.00Yes (X)$0$539,401$110,893
JESSE TISCHER
SVP & PRESIDENT-REG. MARKETS2.0050.00Yes (X)$0$781,575$128,595Yes (X)
MATTHEW BREWER
VP-OPERATIONS2.0050.00Yes (X)$0$290,861$44,790
RACHEL DIXON
BOARD MEMBER/PHYSICIAN ASSISTANT1.0040.00Yes (X)$0$108,456$41,300
SUSAN SCHNEIDER
BOARD MEMBER/PHYSICIAN1.0040.00Yes (X)$0$541,839$39,761
MICHAEL HOLZHUETER
ASST SECRETARY/SVP-GEN. COUNSEL2.0050.00Yes (X)$0$672,916$123,676Yes (X)
LEONARD W HAMMAN
CHAIR1.001.00Yes (X)$0$0$0Yes (X)
WILLIAM G ARCISZEWSKI
BOARD MEMBER1.001.00Yes (X)$0$0$0
RANDY L JUEDES
BOARD MEMBER1.001.00Yes (X)$0$0$0
JOHNATHON R LANGE
BOARD MEMBER1.001.00Yes (X)$0$0$0
SIDNEY C SCZYGELSKI
SENIOR VP OF FINANCE & CFO2.0050.00$0$1,911,464$144,118Yes (X)
MATTHEW HEYWOOD
PRESIDENT & CEO-ASPIRUS2.0050.00$0$1,799,938$311,110Yes (X)
DALE HUSTEDT
(NV) PRESIDENT-ASPIRUS NW DIVISION2.0050.00$0$375,459$93,306Yes (X)
ROBERT SMITH
VP-STEVENS POINT CAMPUS2.0050.00$0$346,937$58,590Yes (X)
WILLIAM CARROLL
VP-INFORMATION TECHNOLOGY2.0050.00$0$321,116$49,427Yes (X)
CONSTANCE BRADLEY
SVP-SYSTEM CHIEF NURSING EXEC2.0050.00$0$502,032$95,550Yes (X)
CRYSTAL KIRSCHLING
VP-REGIONAL INTEGRATION OFFICER2.0050.00$0$348,443$48,718Yes (X)
DEBRA BALL
SVP & CHIEF HR OFFICER2.0050.00$0$458,839$103,553Yes (X)
ERIC ANDERSON
SVP-SERVICE LINE & PATIENT EXP.2.0050.00$0$519,926$106,843Yes (X)
GREG SHAW
VP-FINANCE NORTH REGION2.0050.00$0$220,782$30,975Yes (X)
JANELLE KOMMERS-MARKGRAF
VP-HR NORTH REGION2.0050.00$0$236,917$44,327Yes (X)
JESSICA FAUDE
VP-PATIENT CARE & CNO2.0050.00$0$165,895$31,476Yes (X)
TODD RICHARDSON
SVP & CHIEF INFORMATION OFFICER2.0050.00$0$534,868$104,438Yes (X)
TYLER HACK
VP-FINANCE NORTH REGION2.0050.00$0$246,807$27,314Yes (X)
JOHNATHON JUSTICE
RN-DIRECTOR NURSING40.00$0$322,092$43,692Yes (X)
KATHERINE JACKSON-SCHNEIDER
RN NURSE-EMERGENCY40.00$0$283,465$43,242Yes (X)
PETER GINTNER
SUPERVISOR-NURSING-EMERGENCY40.00$0$244,465$35,102Yes (X)
DANIEL GILLES
SUPERVISOR-THERAPY-PEDS40.00$0$239,931$9,067Yes (X)
STEVEN SANTOS
PHARMACIST-INPATIENT40.00$0$187,529$10,034Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,411,436TotReportableCompRltdOrgAmt
Total Other Compensation$1,918,292TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ACUTE CARE INC
1609 N ANKENY BLVD STE 200ANKENYIA50023CLINICAL SERVICES$2,144,775
TOTAL MSP LLC (STAFFENCY)
221 W COLLEGE AVENUE FLOOR 2APPLETONWI54911CLINICAL SERVICES$875,179
RENOVO SOLUTIONS LLC
4 EXECUTIVE CIRCLE STE 185IRVINECA92614CLINICAL SERVICES$357,397
SHARED MEDICAL TECHNOLOGY INC
202 WEST NEWTON STREETRICE LAKEWI54868CLINICAL SERVICES$208,227
COMPASS GROUP USA INC - TOUCHPOINT SUPPO
PO BOX 102289ATLANTAGA30368CLINICAL SERVICES$187,700
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$309,269GovernmentGrantsAmt
Total Contributions$309,269TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621990$19,073,530$19,073,530
LAB REVENUE621500$713,669$711,676$1,993
PHARMACY REVENUE900099$146,917$146,917

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,779TotalRevenueColumnAmt
Related Or Exempt Func Income$4,779RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,938,895TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5TotalRevenueColumnAmt
Exclusion$5ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$42,556RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$42,556RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,556TotalRevenueColumnAmt
Exclusion$42,556ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$8,943OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$8,943OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,943TotalRevenueColumnAmt
Exclusion-$8,943ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722514$34,213$34,213
VENDING REVENUE900099$167$167
FieldValueIRS element (for citing)
Other Revenue Total$34,380OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,316,162TotalRevenueColumnAmt
Related Or Exempt Func Income$19,936,902RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,993UnrelatedBusinessRevenueAmt
Exclusion$67,998ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,000TotalAmt
Program Services$12,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,011,909TotalAmt
Program Services$5,790,125ProgramServicesAmt
Management And General$1,221,784ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$191,700TotalAmt
Program Services$166,520ProgramServicesAmt
Management And General$25,180ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$992,575TotalAmt
Program Services$743,214ProgramServicesAmt
Management And General$249,361ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$471,156TotalAmt
Program Services$390,538ProgramServicesAmt
Management And General$80,618ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,035TotalAmt
Management And General$1,035ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,877,783TotalAmt
Program Services$3,804,783ProgramServicesAmt
Management And General$73,000ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$350TotalAmt
Management And General$350ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$25,160TotalAmt
Program Services$18,629ProgramServicesAmt
Management And General$6,531ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$18,874TotalAmt
Program Services$3,166ProgramServicesAmt
Management And General$15,708ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$586,000TotalAmt
Program Services$192,056ProgramServicesAmt
Management And General$393,944ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,938TotalAmt
Program Services$18,059ProgramServicesAmt
Management And General$16,879ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$529,984TotalAmt
Management And General$529,984ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,439,736TotalAmt
Program Services$306,819ProgramServicesAmt
Management And General$1,132,917ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$31,085TotalAmt
Program Services$26,362ProgramServicesAmt
Management And General$4,723ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CORPORATE ALLOCATIONS$2,940,449$83,511$2,856,938
MEDICAL SUPPLIES$1,388,735$1,337,155$51,580
REPAIRS AND MAINTENANCE$567,015$342,769$224,246
EQUIPMENT RENTALS$218,850$214,144$4,706

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$425,399TotalAmt
Program Services$178,828ProgramServicesAmt
Management And General$246,571ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,764,733TotalAmt
Program Services$13,628,678ProgramServicesAmt
Management And General$7,136,055ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,395BOYAmt
EOY$1,545EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$114,084BOYAmt
EOY$113,185EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,485,352BOYAmt
EOY$2,959,617EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$351,033BOYAmt
EOY$332,327EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,156BOYAmt
EOY$10,090EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,571,056LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,139,721LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,593,969BOYAmt
EOY$20,431,335EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$726,284BOYAmt
EOY$52,128EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,281,273BOYAmt
EOY$23,900,227EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,074,201BOYAmt
EOY$1,266,297EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$309,269BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$17,522,527BOYAmt
EOY$17,428,953EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$212,494BOYAmt
EOY$1,048,027EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,118,491BOYAmt
EOY$19,743,277EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,162,782BOYAmt
EOY$4,156,950EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,162,782BOYAmt
EOY$4,156,950EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,281,273BOYAmt
EOY$23,900,227EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$448,571ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$557,261OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,035OtherActivitiesAmt
Total Lobbying Expenditures$1,035TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationASPIRUS STANLEY HOSPITAL & CLINICS PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. AHA AND WHA HAVE NOTIFIED THE HOSPITAL THAT APPROXIMATELY $1,035 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,690,000OtherCostOrOtherBasisAmt
Book Value$2,690,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,835,716OtherCostOrOtherBasisAmt
Depreciation$1,481,106DepreciationAmt
Book Value$16,354,610BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,045,340OtherCostOrOtherBasisAmt
Depreciation$658,615DepreciationAmt
Book Value$1,386,725BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,431,335TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
RELATED PARTY PAYABLES$350
OPERATING LEASE LIABILITY$52,128
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$995,549
FieldValueIRS element (for citing)
Total Liability$1,048,027TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2023.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,869TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$118,869NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,761,746TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,937,220DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,824,526NetCommunityBenefitExpnsAmt
Total Expense0.08790TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,179,618TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,040,808DirectOffsettingRevenueAmt
Net Community Benefit Expns$138,810NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,060,233TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,978,028DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,082,205NetCommunityBenefitExpnsAmt
Total Expense0.10030TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,568TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$61,568NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,443TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,443NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,000NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$77,011TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$77,011NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,137,244TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,978,028DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,159,216NetCommunityBenefitExpnsAmt
Total Expense0.10410TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served35PersonsServedCnt
Total Community Benefit Expns$234TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$234NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served35PersonsServedCnt
Total Community Benefit Expns$234TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$234NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$34,291BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,329,313ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,343,558CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,245MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS STANLEY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11120 PINE STREETAddressLine1Txt
CitySTANLEYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54768ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRUWebsiteAddressTxt
State License1013StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS STANLEY HOSPITAL & CLINICSBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (1)TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.ASPIRUS.ORG/COMMUNITY-RESOURCESOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ASPIRUS STANLEY HOSPITAL & CLINICSPART V, SECTION B, LINE 2: THE HOSPITAL WAS ACQUIRED BY ASPIRUS, INC. IN AUGUST 2021 (FY22).
ASPIRUS STANLEY HOSPITAL & CLINICSPART V, SECTION B, LINE 5: ASPIRUS STANLEY HOSPITAL COLLABORATED WITH THE CLARK COUNTY HEALTH DEPARTMENT AND THE MARSHFIELD MEDICAL CENTER-NEILLSVILLE HOSPITAL TO CONDUCT THE ASSESSMENT. NO OUTSIDE CONTRACTORS OR VENDORS WERE PAID FOR SERVICES.THE COLLABORATORS CONDUCTED A COMMUNITY SURVEY IN SUMMER 2021. THE SURVEY CAPTURED SOME DEMOGRAPHIC DATA AS WELL AS RESPONDENTS' OPINIONS ON THE TOP HEALTH ISSUES FACING THE COMMUNITY. THE SURVEY WAS AVAILABLE ELECTRONICALLY (THROUGH A HYPERLINK) AND ON PAPER. PAPER SURVEYS WERE ENTERED INTO THE ONLINE SURVEY COLLECTOR. APPROXIMATELY 320 PEOPLE RESPONDED (THOUGH THE NUMBER VARIED BY QUESTION). DELIBERATE EFFORTS WERE MADE TO REACH MEMBERS OF THE PLAIN COMMUNITY (AMISH, MENNONITE), INDIVIDUALS WHO ARE IN THE JAIL AND ANY/ALL CLARK COUNTY RESIDENTS AT THE COUNTY FAIR.
ASPIRUS STANLEY HOSPITAL & CLINICSPART V, SECTION B, LINE 6A: ASPIRUS STANLEY HOSPITAL COLLABORATED WITH THE MARSHFIELD MEDICAL CENTER-NEILLSVILLE HOSPITAL. ASPIRUS STANLEY HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS STANLEY HOSPITAL.
ASPIRUS STANLEY HOSPITAL & CLINICSPART V, SECTION B, LINE 6B: ASPIRUS STANLEY HOSPITAL COLLABORATED WITH THE CLARK COUNTY HEALTH DEPARTMENT. ASPIRUS STANLEY HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS STANLEY HOSPITAL.
ASPIRUS STANLEY HOSPITAL & CLINICSPART V, SECTION B, LINE 11: FACILITY NAME: ASPIRUS STANLEY HOSPITAL 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. THE HOSPITAL IS IN RURAL NORTHERN WISCONSIN. BECAUSE OF THAT SETTING, COMMUNITY HEALTH EFFORTS ARE FREQUENTLY COMPLETED WITH OTHER REGIONAL PARTNERS. IN FY23, ASPIRUS STANLEY HOSPITAL'S SIGNIFICANT NEEDS WERE: CHRONIC DISEASE; MENTAL HEALTH; PHYSICAL ENVIRONMENT AND SAFETY. THE HOSPITAL ADDRESSED THOSE NEEDS IN THE FOLLOWING WAYS. CHRONIC DISEASEFOOD GLEANING. ASPIRUS STANLEY HOSPITAL CONTINUED THE FOOD GLEANING PROGRAM IT STARTED IN FY21. THE FOOD GLEANING PROGRAM TAKES UNTOUCHED FOOD FROM THE HOSPITAL CAFETERIA, PACKAGES IT AND THEN DISTRIBUTES IT TO AN AREA FOOD PANTRY. THE HOSPITAL CONTRIBUTES BOTH THE CONTAINERS FOR THE FOOD AS WELL AS THE TIME THAT STAFF SPENDS PACKAGING THE FOOD. HOSPITAL STAFF SPENDS APPROXIMATELY 1 HOUR PER WEEK PACKAGING MEALS, TOTALING 52 HOURS OF STAFF TIME AND 1,681LBS OF FOOD DONATED IN FY23. MEALS ON WHEELS. HOSPITAL FOOD AND NUTRITION STAFF SPENT 10 HOURS/WEEK (520 ANNUALLY) PACKAGING FOOD FOR MEALS ON WHEELS DELIVERIES TO HOMEBOUND INDIVIDUALS IN CHIPPEWA COUNTY.COALITION. ASPIRUS STANLEY HOSPITAL IS PART OF THE EAT RIGHT BE FIT COALITION IN CLARK COUNTY. THE GOAL OF THIS COALITION IS TO INCREASE HEALTHY NUTRITION AND PHYSICAL ACTIVITY IN THE COMMUNITY.STORY WALK. ASPIRUS STANLEY COLLABORATED WITH THE EAT RIGHT, BE FIT COALITION TO DEVELOP A STORY WALK GRANT APPLICATION PROCESS MADE AVAILABLE TO COMMUNITY PARTNERS. IN APRIL 2023, THE APPLICATIONS WERE RECEIVED AND THE $4,000 GRANT WAS AWARDED TO THE GRANTON AREA SCHOOL DISTRICT FOR THEIR IMPLEMENTATION ON THIS PROJECT. GRANTON SCHOOL DISTRICT HOSTED THE GRAND OPENING OF THEIR "TRAILS AND TAILS" STORY WALK ON AUGUST 24, 2023.MENTAL HEALTH COALITIONS. THE HOSPITAL IS A MEMBER OF THE CLARK COUNTY PREVENTION PARTNERSHIP WHICH AIMS TO PROVIDE MENTAL HEALTH AWARENESS AND EDUCATION. AS PART OF THE CHIPPEWA COUNTY HEALTH IMPROVEMENT PARTNERSHIP, ASPIRUS PARTICIPATES ON THE MENTAL HEALTH SUBCOMMITTEE. PHYSICAL ENVIRONMENT AND SAFETYCOALITIONS. ASPIRUS STAFF PARTICIPATE IN THE WOOD AND CLARK COUNTY SAFE KIDS COALITION. AS PART OF THE CHIPPEWA COUNTY HEALTH IMPROVEMENT PARTNERSHIP, ASPIRUS PARTICIPATED IN THE SAFE KIDS DAY AT THE YMCA IN APRIL 2023, OFFERING CHILDREN AND FAMILIES SOME FUN WAYS TO IMPROVE NUTRITION AND PHYSICAL ACTIVITY.CAR SEATS. ASPIRUS STANLEY WORKED WITH ASPIRUS WAUSAU TO FUND THE DISTRIBUTION OF CAR SEATS AND CAR SEAT CHECKS AT COMMUNITY EVENTS ($2,000). IN ADDITION, ASPIRUS STANLEY ALSO PROVIDED FUNDING OF $2,500 FOR PACK 'N' PLAYS TO ALSO BE DISTRIBUTED AT THESE EVENTS.YOUTH. ASPIRUS STANLEY HOSPITAL PROVIDED $500 TO CADOTT SCHOOL DISTRICT AND STANLEY BOYD SCHOOL DISTRICT FOR THEIR HIGH SCHOOL SENIOR LOCK-INS. OTHER ASPIRUS STAFF PARTICIPATE IN THE RURAL RESILIENCY NETWORK. THE RURAL RESILIENCY NETWORK (R2N) WAS CREATED TO IMPROVE UNDERSTANDING OF HEALTH INFORMATION AND ACCESS TO HEALTHCARE THROUGHOUT RURAL CENTRAL WISCONSIN. R2N COLLABORATES WITH PUBLIC HEALTH ORGANIZATIONS, RESOURCE AGENCIES, AND COMMUNITY ORGANIZATIONS. AS A PART OF THESE EFFORTS, ASPIRUS PROVIDED FUNDING IN THE AMOUNT OF $5,000TO SUPPORT A COMMUNITY HEALTH WORKER. THE ROLE OF THE COMMUNITY HEALTH WORKER IS TO REACH INDIVIDUALS IN RURAL COMMUNITIES AND PROVIDE HEALTH EDUCATION AND SUPPORT. THE HOSPITAL PROVIDED FUNDING ($4,000) TO SUPPORT ENGLISH AS A SECOND LANGUAGE (ESL) AND GENERAL EDUCATIONAL DEVELOPMENT (GED) CLASSES IN A COMMUNITY THAT HAS A SIGNIFICANT HISPANIC POPULATION.LOCKBOXES (TO HELP KEEP PRESCRIPTION DRUGS SECURE) THAT WERE PURCHASED IN FY22 WERE STILL MADE AVAILABLE IN FY23.ASPIRUS STANLEY HOSPITAL PARTICIPATES ON THE YOUTH PROGRAMMING SUBCOMMITTEE OF THE CENTRAL WISCONSIN PARTNERSHIP FOR RECOVERY (CWPR). THE CWPR WAS GIVEN A GRANT TO SUPPORT THE MATERIALS AND TRAINING FOR SUBSTANCE ABUSE PREVENTION AND EARLY INTERVENTION CURRICULUM IN SCHOOLS AND YOUTH-SERVING ORGANIZATIONS. THE CWPR OFFERS TECHNICAL ASSISTANCE, TRAINING AND DIRECT SERVICES TO SCHOOL DISTRICTS ON A VARIETY OF TOPICS, INCLUDING CURRICULUM, RECOVERY COACHES, MINDFULNESS GROUPS.IN ADDITION TO THE CHIPPEWA COUNTY HEALTH IMPROVEMENT PARTNERSHIP PARTICIPATION MENTIONED ABOVE, ASPIRUS STANLEY ALSO PARTICIPATES ON THE CHRONIC DISEASE AND HEALTH EQUITY SUBCOMMITTEES. - - - - - - - - - - - - - - - - THE HOSPITAL'S FINAL PRIORITIES ARE: CHRONIC DISEASE MENTAL HEALTH PHYSICAL ENVIRONMENT AND SAFETYTHE THREE ISSUES THAT WERE NOT SELECTED AND THE CORRESPONDING RATIONALE ARE: SUBSTANCE USE ALTHOUGH THIS WAS A PRIORITY IN THE PREVIOUS 3-YEAR CYCLE, THERE WAS VERY LITTLE MOMENTUM OR ENERGY AROUND IT FROM OTHER ORGANIZATIONS, RESULTING IN LITTLE PROGRESS. THE HOSPITAL FELT ITS RESOURCES WERE BETTER DIRECTED TO EFFORTS THAT COULD RESULT IN COLLECTIVE IMPACT. COMMUNICABLE DISEASES THE HOSPITAL WILL WORK ON THIS ISSUE OUTSIDE OF THE FORMAL IMPLEMENTATION STRATEGY. SOCIAL DETERMINANTS OF HEALTH THE HOSPITAL WILL WORK TO ADDRESS SOCIAL DETERMINANTS, PARTICULARLY THOSE DETERMINANTS THAT CONTRIBUTE TO HEALTH INEQUITIES, AS PART OF THEIR EFFORTS TO ADDRESS CHRONIC DISEASE, MENTAL HEALTH AND PHYSICAL ENVIRONMENT AND SAFETY.
ASPIRUS STANLEY HOSPITAL & CLINICSPART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ASPIRUS STANLEY CLINIC
1120 PINE STREETSTANLEYWI54768PHYSICIANS CLINIC
2 - ASPIRUS THORP CLINIC
704 SOUTH CLARK STREETTHORPWI54771PHYSICIANS CLINIC
3 - ASPIRUS OWEN CLINIC
6 JOHNSON STREETOWENWI54460PHYSICIANS CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $61,151
PART II, COMMUNITY BUILDING ACTIVITIES:ASPIRUS STANLEY 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 QUARTERLY. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS, INCLUDING BANKING, LOCAL BUSINESSES, AND COMMUNITY SERVICE ORGANIZATIONS. - SUPPORTS ITS STAFF IN PARTICIPATING ON COMMUNITY BOARDS, COALITIONS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES.- REVIEWS FUNDING REQUESTS 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.
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 CLARK COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES INCLUDING CHIPPEWA. CLARK COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 1,209 SQUARE MILES, WITH 28.7 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 34,751 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS 14 YEARS AND UNDER: 24.5%PERSONS 65 YEARS AND OVER: 17.7%WHITE PERSONS: 97.7%AFRICAN AMERICAN PERSONS: 0.9%AMERICAN INDIAN PERSONS: 0.8%ASIAN PERSONS: 0.6%HISPANIC OR LATINO: 5.2%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 17.3%HIGH SCHOOL GRADUATE OR HIGHER: 82.3%PERSONS BELOW POVERTY LEVEL: 13.1%MEDIAN HOUSEHOLD INCOME: $54,012PERCENT UNINSURED: 17%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERAN'S BENEFITS, ETC.) 33.4%NUMBER OF HOSPITALS IN THE COUNTY: 2 (INCLUDING ASPIRUS STANLEY HOSPITAL)CLARK COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR MENTAL HEALTH, DENTAL CARE, AND PRIMARY CARE.ANOTHER GROUP WITHIN OUR COMMUNITY IS "THE PLAIN PEOPLE," CONSISTING OF INDIVIDUALS FROM THE AMISH, MENNONITE, GERMAN BAPTIST, AND OLD GERMAN BAPTIST RELIGIONS. THE PLAIN PEOPLE ALSO REQUIRE SPECIAL CONSIDERATION BY ASPIRUS STANLEY AND THE HEALTH DEPARTMENTS BECAUSE OF THEIR NON-MAINSTREAM LIFESTYLE. DEPENDING ON THE GROUP, BELIEFS MAY INFLUENCE THEIR USE OF PREVENTIVE HEALTH CARE, TREATMENT FOR ILLNESSES AND INJURIES, USE OF INSURANCE, USE OF ELECTRICITY, TRANSPORTATION, AND VARIOUS OTHER FACETS OF DAILY LIFE.
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 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. - IN ADDITION, SEVERAL COMMUNITY EFFORTS ARE SUPPORTED BY ASPIRUS STANLEY INCLUDING PARTICIPATING IN H2N, R2N, COMMUNITY EVENTS AND MANY OTHERS.
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 ARE ABLE TO 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 STATESWI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MATTHEW HEYWOOD
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 C SCZYGELSKI
SENIOR VP OF FINANCE & CFO$0$649,844$0$1,057,601$0$204,019$0$20,794$0$123,324$0$2,055,582$0$195,109
JESSE TISCHER
SVP & PRESIDENT-REG. MARKETS$0$580,082$0$150,199$0$51,294$0$18,561$0$110,034$0$910,170$0$50,242
MICHAEL HOLZHUETER
ASST SECRETARY/SVP-GEN. COUNSEL$0$479,018$0$135,622$0$58,276$0$18,672$0$105,004$0$796,592$0$55,822
JAMES MATHESON
VICE CHAIR/SVP-CHIEF STRATEGY 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 INFORMATION OFFICER$0$378,807$0$112,026$0$44,035$0$18,079$0$86,359$0$639,306$0$39,964
ERIC ANDERSON
SVP-SERVICE LINE & PATIENT EXP.$0$399,954$0$117,991$0$1,981$0$17,740$0$89,103$0$626,769$0$0
CONSTANCE BRADLEY
SVP-SYSTEM CHIEF NURSING EXEC$0$385,875$0$113,420$0$2,737$0$16,421$0$79,129$0$597,582$0$0
SUSAN SCHNEIDER
BOARD MEMBER/PHYSICIAN$0$445,792$0$92,863$0$3,184$0$16,507$0$23,254$0$581,600$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
DALE HUSTEDT
(NV) PRESIDENT-ASPIRUS NW DIVISION$0$279,433$0$60,753$0$35,273$0$18,056$0$75,250$0$468,765$0$28,030
ROBERT SMITH
VP-STEVENS POINT CAMPUS$0$308,433$0$35,611$0$2,893$0$17,848$0$40,742$0$405,527$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
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
JOHNATHON JUSTICE
RN-DIRECTOR NURSING$0$316,580$0$0$0$5,512$0$8,991$0$34,701$0$365,784$0$0
MATTHEW BREWER
VP-OPERATIONS$0$247,654$0$42,650$0$557$0$10,229$0$34,561$0$335,651$0$0
KATHERINE JACKSON-SCHNEIDER
RN NURSE-EMERGENCY$0$265,615$0$0$0$17,850$0$7,385$0$35,857$0$326,707$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
PETER GINTNER
SUPERVISOR-NURSING-EMERGENCY$0$237,377$0$0$0$7,088$0$7,288$0$27,814$0$279,567$0$0
TYLER HACK
VP-FINANCE NORTH REGION$0$214,263$0$28,807$0$3,737$0$13,090$0$14,224$0$274,121$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
DANIEL GILLES
SUPERVISOR-THERAPY-PEDS$0$233,788$0$0$0$6,143$0$7,014$0$2,053$0$248,998$0$0
DIANE ANDERSON
BOARD MEMBER/NURSE PRACTITIONER$0$202,520$0$1,250$0$5,713$0$10,159$0$28,236$0$247,878$0$0
STEVEN SANTOS
PHARMACIST-INPATIENT$0$181,899$0$0$0$5,630$0$5,520$0$4,514$0$197,563$0$0
JESSICA FAUDE
VP-PATIENT CARE & CNO$0$151,288$0$14,345$0$262$0$3,834$0$27,642$0$197,371$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS STANLEY HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4BSCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGESLSKI $195,109 D. HUSTEDT $28,030 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
CUSIP97712JDN0CUSIPNum
Bond Issued2021-11-10BondIssuedDt
Issue Price$17,711,082IssuePriceAmt
PurposeREVENUE BONDS SERIES 2021PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$17,711,082TotalProceedsAmt
Issuance Costs From Proceeds$126,172IssuanceCostsFromProceedsAmt
Capital Expenditures$17,584,910CapitalExpendituresAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts0EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART VI:THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2021 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL & CLINICS, INC. (EIN 39-1138241); ASPIRUS BUILDINGS, INC. (EIN 39-1406537); ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. (EIN 39-0808443); ASPIRUS STANLEY HOSPITAL & CLINICS, INC. (EIN 39-0807065); ASPIRUS MERRILL HOSPITAL & CLINICS, INC. (EIN 39-0808503); ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS, INC. (EIN 39-1390638); ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC. (EIN 39-0985690); AND THE HOWARD YOUNG MEDICAL CENTER, INC. (EIN 39-0873606). INFORMATION REGARDING THE SERIES 2021 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 2021 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2021 BONDS.]
PART III, LINES 3A AND 3B:ASPIRUS, INC., THE PARENT ORGANIZATION OF APIRUS STANLEY HOSPITAL INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW LEASE AGREEMENTS, MANAGEMENT, AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY. ON A CONTRACT-BY-CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY.
SCHEDULE K, PART III, LINE 9SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS IS COMPRISED OF TEN DIRECTORS. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS MEMBER CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN SIX INDEPENDENT COMMUNITY CLASS DIRECTORS, CONSISTING OF THREE NOMINATED BY THE NOMINATING COMMITTEE AND THREE NOMINATED BY ASPIRUS, INC. WITH CONSIDERATION TO INPUT FROM THE CORPORATION'S BOARD, AND ELECTED BY ASPIRUS, INC., TWO ASPIRUS MEMBER CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., TWO PROVIDER CLASS DIRECTOR FROM EACH HOSPITAL, CONSISTING OF PHYSICIANS IN THE ACTIVE CATEGORY OF THE MEDICAL STAFF AT THE HOSPITAL, NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 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 11BTHE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBIT CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND 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 12CBOARD 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 ORGANIZATION'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 15FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS, INC. 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 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GCONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,804,783. MANAGEMENT AND GENERAL EXPENSES 73,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,877,783.
FORM 990, PART XI, LINE 9:INTERCOMPANY TRANSFERS - AWH 97,257. INTERCOMPANY TRANSFERS - AI -909,042. INTERCOMPANY TRANSFERS - AMG 17,890. INTERCOMPANY TRANSFERS - AIW 175. INTERCOMPANY TRANSFERS - AIR -159. INTERCOMPANY TRANSFERS - ARH -362. INTERCOMPANY TRANSFERS - ADS 21. INTERCOMPANY TRANSFERS - AMH -14,106. INTERCOMPANY TRANSFERS - AKH 8. INTERCOMPANY TRANSFERS - ASP 14,732. INTERCOMPANY TRANSFERS - AMR 313,443. INTERCOMPANY TRANSFERS - ARN -126,505. INTERCOMPANY TRANSFERS - AER 49,387.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASPIRUS INC
333 PINE RIDGE BLVDWAUSAUWI54401391328331HEALTHCAREWI501 (C) 3LINE 12B, IIN/A0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVDWAUSAUWI54401391138241HOSPITALWI501 (C) 3LINE 3Yes (1)ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVDWAUSAUWI54401391406537PROPERTY LEASINGWI501 (C) 3LINE 10Yes (1)ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
333 PINE RIDGE BLVDWAUSAUWI54401390782130NURSING HOME SERVICESWI501 (C) 3LINE 10Yes (1)ASPIRUS INC
ASPIRUS MEDICAL GROUP INC
333 PINE RIDGE BLVDWAUSAUWI54401391670223MEDICAL SERVICESWI501 (C) 3LINE 10Yes (1)ASPIRUS INC
ASPIRUS ONTONAGON INC
601 SEVENTH STREETONTONAGONMI49953260806477HOSPITALMI501 (C) 3LINE 3Yes (1)ASPIRUS INC
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUEWAUSAUWI54401390808511HOME HEALTH CARE SERVICESWI501 (C) 3LINE 10Yes (1)ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUEWAUSAUWI54401391597350PERSONAL CARE SERVICESWI501 (C) 3LINE 10Yes (1)ASPIRUS VNA HOME HEALTH INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVDWAUSAUWI54401391256656CHARITABLE FOUNDATIONWI501 (C) 3LINE 7Yes (1)ASPIRUS INC
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
1400 W ICE LAKE ROADIRON RIVERMI49935383236977HOSPITALMI501 (C) 3LINE 3Yes (1)ASPIRUS INC
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
N 10561 GRAND VIEW LANEIRONWOODMI49938382908586HOSPITALMI501 (C) 3LINE 3Yes (1)ASPIRUS INC
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
410 DEWEY STREETWISCONSIN RAPIDSWI54494390868982HOSPITALWI501 (C) 3LINE 3Yes (1)ASPIRUS INC
ASPIRUS KEWEENAW HOSPITAL
205 OSCEOLA STREETLAURIUMMI49913381443361HOSPITALMI501 (C) 3LINE 3Yes (1)ASPIRUS INC
DIVINE SAVIOR HEALTHCARE INC
2817 NEW PINERY ROADPORTGAGEWI53901390806250HOSPITALWI501 (C) 3LINE 3Yes (1)ASPIRUS INC
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
135 S GIBSON STREETMEDFORDWI54451390964813HOSPITALWI501 (C) 3LINE 3Yes (1)ASPIRUS INC
ASPIRUS MEDFORD FOUNDATION INC
135 S GIBSON STREETMEDFORDWI54451391777081CHARITABLE FOUNDATIONWI501 (C) 3LINE 7Yes (1)ASPIRUS INC
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
900 ILLINOIS AVENUESTEVENS POINTWI54481390808443HOSPITALWI501 (C) 3LINE 3Yes (1)ASPIRUS INC
ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC
900 ILLINOIS AVENUESTEVENS POINTWI54481391657410CHARITABLE FOUNDATIONWI501 (C) 3LINE 12A, IYes (1)ASPIRUS INC
ASPIRUS MERRILL HOSPITAL & CLINICS INC
601 S CENTER AVENUEMERRILLWI54452390808503HOSPITALWI501 (C) 3LINE 3Yes (1)ASPIRUS INC
ASPIRUS MERRILL HOSPITAL FOUNDATION INC
601 S CENTER AVENUEMERRILLWI54452391627755CHARITABLE FOUNDATIONWI501 (C) 3LINE 12A, IYes (1)ASPIRUS INC
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
2251 NORTH SHORE DRIVERHINELANDERWI54501391390638HOSPITALWI501 (C) 3LINE 3Yes (1)ASPIRUS INC
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC
201 HOSPITAL ROADEAGLE RIVERWI54521390985690HOSPITALWI501 (C) 3LINE 3Yes (1)ASPIRUS INC
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREETWOODRUFFWI54568390873606HOSPITALWI501 (C) 3LINE 3Yes (1)ASPIRUS INC
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREETWOODRUFFWI54568391499115HEALTHCAREWI501 (C) 3LINE 12B, IIYes (1)ASPIRUS INC
ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN
2200 WESTWOOD DRIVEWAUSAUWI54401391965593HOSPITALWI501 (C) 3LINE 3Yes (1)ASPIRUS INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
WESTERN UPPER MICHIGAN EYE CARE LLC
131 W GENESEE STREETIRON RIVERMI49935272324957EYE CARE SERVICESMIN/A00
THE WESTWOOD CONFERENCE CENTER LLC
333 PINE RIDGE BLVDWAUSAUWI54401571184256REAL ESTATE INVESTMENTWIN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ASPIRUS NETWORK INC
3000 WESTHILL DRIVE 202WAUSAUWI54401391931678HEALTH CARE SERVICESWIN/AC0
ASPIRUS KEWEENAW ENTERPRISES INC
205 OSCEOLA STREETLAURIUMMI49913383390273PHARMACYMIN/AC0
ASPIRUS HEALTH VENTURES
3000 WESTHILL DR SUITE 303WAUSAUWI54401474925640HEALTH INSURANCE PLANWIN/AC0
ASPIRUS ARISE HEALTH PLAN OF WI INC
3000 WESTHILL DR SUITE 303WAUSAUWI54401364832569HEALTH INSURANCE PLANWIN/AC0
ASPIRUS ARISE HEALTH PLAN OF MI INC
3000 WESTHILL DR SUITE 303WAUSAUWI54401475448266HEALTH INSURANCE PLANMIN/AC0
ASPIRUS CAMPUS PROPERTY CONDOMINIUM OWNERS ASSOCIATION INC
2200 WESTWOOD DRIVEWAUSAUWI54401842513742ASSOCIATIONWIN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS WAUSAU HOSPITAL INC
O$52,572COST
ASPIRUS INC
I$76,263COST
ASPIRUS INC
M$3,460,636COST
ASPIRUS INC
O$8,534,065COST
ASPIRUS INC
P$7,314,940COST
ASPIRUS INC
S$2,312,801COST
ASPIRUS MERRILL HOSPITAL & CLINICS INC
I$313,439COST
THE HOWARD YOUNG MEDICAL CENTER INC
M$50,500COST
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
S$130,801COST