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ASPIRUS EAGLE RIVER HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS EAGLE RIVER HOSPITAL INC (EIN 39-0985690)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202421369349304807
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)
Return2024-05-15T09:42:12-05:00ReturnTs
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)
EIN390985690EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS EAGLE RIVERBusinessNameLine1Txt
Business Name Line2HOSPITAL & CLINICS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlASPIBusinessNameControlTxt
Phone7154797411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 HOSPITAL ROADAddressLine1Txt
CityEAGLE RIVERCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54521ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJERRY M YANGPersonNm
Person TitleSVP - CHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7158472250PhoneNum
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 Curr0IRSResponsiblePrtyInfoCurrInd

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$17,625,379GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASPIRUS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1941FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionWE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee73TotalEmployeeCnt
Total Volunteers41TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$283,353PYContributionsGrantsAmt
CY Contributions Grants$155,375CYContributionsGrantsAmt
PY Program Service Revenue$18,101,344PYProgramServiceRevenueAmt
CY Program Service Revenue$17,432,209CYProgramServiceRevenueAmt
PY Investment Income$1,586PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$29,914PYOtherRevenueAmt
CY Other Revenue$37,795CYOtherRevenueAmt
PY Total Revenue$18,416,197PYTotalRevenueAmt
CY Total Revenue$17,625,379CYTotalRevenueAmt
PY Grants And Similar Paid$3,250PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,778CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,334,035PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,075,180CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,916,363PYOtherExpensesAmt
CY Other Expenses$7,394,038CYOtherExpensesAmt
PY Total Expenses$16,253,648PYTotalExpensesAmt
CY Total Expenses$16,489,996CYTotalExpensesAmt
PY Revenues Less Expenses$2,162,549PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,135,383CYRevenuesLessExpensesAmt
Total Assets BOY$8,845,075TotalAssetsBOYAmt
Total Assets EOY$8,219,113TotalAssetsEOYAmt
Total Liabilities BOY$7,000,465TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,498,430TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,844,610NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$720,683NetAssetsOrFundBalancesEOYAmt
MissionWE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,210,996ExpenseAmt
Grant$20,778GrantAmt
Revenue$17,432,209RevenueAmt
DescASPIRUS EAGLE RIVER HOSPITAL, INC. IS A 25 BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2023, ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC. SERVICED THE COMMUNITY THROUGH A TOTAL OF APPROXIMATELY 1,619 INPATIENT DAYS, AND APPROXIMATELY 792 SWING BED DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR APPROXIMATELY 16,186 OUTPATIENT VISITS, WHICH INCLUDED APPROXIMATELY 6,221 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NONEXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.Desc
Total Program Service Expenses$11,210,996TotalProgramServiceExpensesAmt
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 OrganizationsYes (1)GrantsToOrganizationsInd
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
Employee73EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JESSE G TISCHER
VICE CHAIR/SVP & PRES.-REG. MKTS.1.0050.00Yes (X)Yes (X)$0$781,575$128,595
ERIC ANDERSON
BOARD MEMBER/SVP-SERV. LINE & PAT. EXP.1.0050.00Yes (X)$0$519,926$106,843
AMY SLETTE
BOARD MEMBER/PHYSICIAN1.0040.00Yes (X)$0$236,921$42,607
HOLLY BEEDE-MCKINNEY
BOARD MEMBER/NURSE PRACTITIONER1.0040.00Yes (X)$0$154,588$8,884
TERESA THEILER
(NV) PRESIDENT - ASPIRUS NORTH DIV.1.0050.00Yes (X)$0$359,198$75,497
JUDY SMOLAREK
CHAIR1.002.00Yes (X)Yes (X)$0$0$0
KELLY COURT
SECRETARY/TREASURER1.002.00Yes (X)Yes (X)$0$0$0
STEVE LAKING
SECRETARY/TREASURER (THRU 09/22)1.002.00Yes (X)$0$0$0
SISTER ELIZABETH AMMAN
BOARD MEMBER (THRU 04/23)1.002.00Yes (X)$0$0$0
KATE FERREL
BOARD MEMBER1.002.00Yes (X)$0$0$0
FATHER JIM FOSDICK
BOARD MEMBER1.004.00Yes (X)$0$0$0
ARTHUR HELGERSON
BOARD MEMBER1.002.00Yes (X)$0$0$0
MATTHEW F HEYWOOD
PRESIDENT & CEO ASPIRUS1.0050.00Yes (X)$0$1,799,938$311,110
SIDNEY SCZYGELSKI
SR. VP OF FINANCE/CFO1.0050.00Yes (X)$0$1,911,464$144,118
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)
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER2.0050.00$0$539,401$110,893Yes (X)
JENNIFER REDMAN-SCHELL
SVP & PRESIDENT-AMG2.0050.00$0$641,148$101,726Yes (X)
MATTHEW BREWER
VP-OPERATIONS2.0050.00$0$290,861$44,790Yes (X)
MICHAEL HOLZHUETER
SVP & GENERAL COUNSEL2.0050.00$0$672,916$123,676Yes (X)
TODD RICHARDSON
SVP & CHIEF INFORMATION OFFICER2.0050.00$0$534,868$104,438Yes (X)
GREG SHAW
VP-FINANCE2.0050.00$0$220,782$30,975Yes (X)
JANELLE KOMMERS-MARKGRAF
VP-HR & OFF CAMPUS SERVICES2.0050.00$0$236,917$44,327Yes (X)
JASON TROXELL
VP-CHIEF ADMINSTRATIIVE OFFICER2.0050.00$0$182,836$40,204Yes (X)
LORI KNITT
VP-PATIENT CARE & CNO2.0050.00$0$220,343$27,280Yes (X)
TYLER HACK
VP-FINANCE2.0050.00$0$246,807$27,314Yes (X)
HEATH MEYER
REGISTERED NURSE40.00$0$453,932$47,621Yes (X)
DANNY YARGER
REGISTERED NURSE40.00$0$439,197$30,187Yes (X)
HARVEY LANGEE
NURSING DIRECTOR40.00$0$554,279$36,928Yes (X)
MARIA TILLMAN
PHYSCIAL THERAPIST40.00$0$546,833$36,163Yes (X)
ANDREW WILKE
REGISTERED NURSE40.00$0$565,138$44,846Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,740,298TotReportableCompRltdOrgAmt
Total Other Compensation$1,966,270TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TOTAL MSP LLC
221 W COLLEGE AVE FLOOR 2APPLETONWI54911CONTRACT LABOR$314,202
RENOVO SOLUTIONS LLC
4 EXECUTIVE CIRCLE STE 185IRVINECA92614MAINTENANCE CONTRACT$297,342
SHARED MEDICAL SERVICES INC
209 LIMESTONE PASSCOTTAGE GROVEWI53527SCANNING SERVICES$224,506
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$155,375GovernmentGrantsAmt
Total Contributions$155,375TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621990BusinessCd
Total Revenue Column$17,427,140TotalRevenueColumnAmt
Related Or Exempt Func Income$17,427,140RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,069TotalRevenueColumnAmt
Related Or Exempt Func Income$5,069RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$17,432,209TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$636RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$636RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$636TotalRevenueColumnAmt
Exclusion$636ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$33,276GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,276TotalRevenueColumnAmt
Exclusion$33,276ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA/VENDING REVENUEDesc
Business722514BusinessCd
Total Revenue Column$3,883TotalRevenueColumnAmt
Exclusion$3,883ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,883OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,625,379TotalRevenueColumnAmt
Related Or Exempt Func Income$17,432,209RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$37,795ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$20,778TotalAmt
Program Services$20,778ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,441,349TotalAmt
Program Services$6,578,428ProgramServicesAmt
Management And General$862,921ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$200,578TotalAmt
Program Services$185,090ProgramServicesAmt
Management And General$15,488ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$994,018TotalAmt
Program Services$802,792ProgramServicesAmt
Management And General$191,226ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$439,235TotalAmt
Program Services$384,286ProgramServicesAmt
Management And General$54,949ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,748TotalAmt
Management And General$2,748ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,134,858TotalAmt
Program Services$1,068,619ProgramServicesAmt
Management And General$66,239ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,371TotalAmt
Program Services$2,631ProgramServicesAmt
Management And General$740ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,252TotalAmt
Program Services$6,947ProgramServicesAmt
Management And General$2,305ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$30,471TotalAmt
Program Services$17,572ProgramServicesAmt
Management And General$12,899ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$337,823TotalAmt
Management And General$337,823ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,467TotalAmt
Program Services$14,913ProgramServicesAmt
Management And General$13,554ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$186,375TotalAmt
Program Services$186,375ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$897,444TotalAmt
Program Services$498,959ProgramServicesAmt
Management And General$398,485ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,887TotalAmt
Management And General$27,887ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
CORPORATE ALLOCATIONS$2,965,727$2,965,727
MEDICAL SUPPLIES$1,074,376$68,140$1,006,236
REPAIRS AND MAINTENANCE$343,362$136,528$206,834
BAD DEBT EXPENSE$113,152$113,152

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$238,725TotalAmt
Program Services$117,384ProgramServicesAmt
Management And General$121,341ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,489,996TotalAmt
Program Services$11,210,996ProgramServicesAmt
Management And General$5,279,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$965BOYAmt
EOY$965EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,327BOYAmt
EOY$10EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,564,444BOYAmt
EOY$2,610,908EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$181,499BOYAmt
EOY$144,595EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$24,131BOYAmt
EOY$26,851EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,698,843LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,263,059LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,719,825BOYAmt
EOY$5,435,784EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$322,884BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,845,075BOYAmt
EOY$8,219,113EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$621,430BOYAmt
EOY$652,021EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$185,000BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,162,035BOYAmt
EOY$6,129,129EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,000BOYAmt
EOY$717,280EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,000,465BOYAmt
EOY$7,498,430EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,844,610BOYAmt
EOY$720,683EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,844,610BOYAmt
EOY$720,683EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,845,075BOYAmt
EOY$8,219,113EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,135,383ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$2,259,310OtherChangesInNetAssetsAmt
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$2,748OtherActivitiesAmt
Total Lobbying Expenditures$2,748TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationASPIRUS EAGLE RIVER 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 $2,748 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$970,000OtherCostOrOtherBasisAmt
Book Value$970,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,435,163OtherCostOrOtherBasisAmt
Depreciation$700,569DepreciationAmt
Book Value$3,734,594BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,177,580OtherCostOrOtherBasisAmt
Depreciation$562,490DepreciationAmt
Book Value$615,090BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,100OtherCostOrOtherBasisAmt
Book Value$116,100BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,435,784TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY PAYOR PAYABLES$667,260
DUE TO RELATED PARTY$20
ASBESTOS LIABILITY$50,000
FieldValueIRS element (for citing)
Total Liability$717,280TotalLiabilityAmt
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$93,752TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$93,752NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,184,118TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,140,682DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,043,436NetCommunityBenefitExpnsAmt
Total Expense0.06370TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,277,870TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,140,682DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,137,188NetCommunityBenefitExpnsAmt
Total Expense0.06940TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,358TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,358NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,511TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,511NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,581TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,581NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,450TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,450NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,300,320TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,140,682DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,159,638NetCommunityBenefitExpnsAmt
Total Expense0.07080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$39,970BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,590,250ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,588,181CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,069MedicareSurplusOrShortfallAmt

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 EAGLE RIVER HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 HOSPITAL ROADAddressLine1Txt
CityEAGLE RIVERCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54521ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRUWebsiteAddressTxt
State License1000StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
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 EAGLE RIVER HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
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 Conducted22CHNAConductedYr
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-REPORTS-NEEDSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
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 EAGLE RIVER HOSPITALPART V, SECTION B, LINE 2: THE HOSPITAL WAS ACQUIRED BY ASPIRUS, INC. IN AUGUST 2021 (FY22).
ASPIRUS EAGLE RIVER HOSPITALPART V, SECTION B, LINE 5: AS PART OF THE ASPIRUS EAGLE RIVER HOSPITAL, ASPIRUS RHINELANDER HOSPITAL AND HOWARD YOUNG MEDICAL CENTER 'S FY23 (SPRING 2023) COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, MULTIPLE OPPORTUNITIES FOR COMMUNITY INPUT WERE CONDUCTED. ALL INPUT OPPORTUNITIES WERE LED BY ONEIDA COUNTY HEALTH DEPARTMENT WITH COLLABORATION BY VILAS COUNTY HEALTH DEPARTMENT, FOREST COUNTY HEALTH DEPARTMENT, MARSHFIELD CLINIC HEALTH SYSTEM AND ASPIRUS. THE UNIVERSITY OF WISCONSIN-STOUT WAS CONTRACTED FOR SOME OF THE COMMUNITY INPUT OPPORTUNITIES. COMMUNITY SURVEYA COMMUNITY SURVEY WAS CONDUCTED IN WINTER 2022-23. THE SURVEY WAS DEVELOPED AND DISSEMINATED BY THE COMMUNITY PARTNERS LISTED ABOVE. SPECIFIC OUTREACH WAS MADE TO INDIVIDUALS: IN THE LGBTQ+ COMMUNITY; WHO ARE HISPANIC; IN RECOVERY; ACCESSING FOOD PANTRIES; ACCESSING HOMELESS SHELTERS; ACCESSING AGING AND DISABILITY RESOURCE CENTER SERVICES; ATTENDING THE LOCAL COLLEGE; ACCESSING DAY CARE SERVICES; ACCESSING LIBRARY SERVICES; ACCESSING WIC NUTRITION SERVICES; AND OTHERS. KEY INFORMANT INTERVIEWSAPPROXIMATELY 35 KEY INFORMANT INTERVIEWS WERE CONDUCTED IN EARLY 2023. INTERVIEW QUESTIONS FOCUSED ON THE ORGANIZATIONS' LEADERS' PERCEPTIONS OF NEEDS AND BARRIERS FOR THE POPULATION THEY SERVED. KEY INFORMANTS WERE FROM SCHOOLS, LAW ENFORCEMENT, HUMAN SERVICE CENTERS, SUBSTANCE USE RECOVERY ORGANIZATIONS, HEALTH DEPARTMENTS, LIBRARIES, FOOD PANTRIES, JOB SERVICES, HEALTH CARE, ELECTED OFFICIALS AND MORE. LEADERS FROM MULTIPLE BANDS OF AMERICAN INDIANS WERE ALSO INTERVIEWED. FOCUS GROUPS NINE FOCUS GROUPS WERE COMPLETED AND RESULTS WERE ANALYZED BY UW-STOUT, HOWEVER, THE FOCUS GROUP RESULTS WERE NOT AVAILABLE AT THE TIME OF THE HOSPITALS' PRIORITIZATION PROCESS.
ASPIRUS EAGLE RIVER HOSPITALPART V, SECTION B, LINE 6A: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), THE HOSPITAL COLLABORATED WITH ASPIRUS RHINELANDER HOSPITAL, HOWARD YOUNG MEDICAL CENTER (PART OF ASPIRUS), AND MARSHFIELD MEDICAL CENTER-MINOCQUA.
ASPIRUS EAGLE RIVER HOSPITALPART V, SECTION B, LINE 6B: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), ASPIRUS EAGLE RIVER HOSPITAL COLLABORATED WITH THE FOREST COUNTY HEALTH DEPARTMENT, ONEIDA COUNTY HEALTH DEPARTMENT AND VILAS COUNTY HEALTH DEPARTMENT. ASPIRUS EAGLE RIVER HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS EAGLE RIVER HOSPITAL.
ASPIRUS EAGLE RIVER HOSPITALPART 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. THE HOSPITAL IS IN RURAL NORTHERN WISCONSIN. BECAUSE OF THAT SETTING, COMMUNITY HEALTH EFFORTS ARE FREQUENTLY COMPLETED WITH OTHER REGIONAL PARTNERS, INCLUDING OTHER ASPIRUS HOSPITALS. THE FOLLOWING DESCRIPTIONS ARE REFLECTIVE OF ASPIRUS RHINELANDER, ASPIRUS EAGLE RIVER AND HOWARD YOUNG MEDICAL CENTER (ALSO WITH ASPIRUS) UNLESS OTHERWISE INDICATED. IN FY23, ASPIRUS RHINELANDER HOSPITAL'S SIGNIFICANT NEEDS WERE: MENTAL HEALTH; ALCOHOL AND OTHER DRUG USE; CHRONIC DISEASE. THE HOSPITAL ADDRESSED THOSE NEEDS IN THE FOLLOWING WAYS. MENTAL HEALTH AND ALCOHOL AND OTHER DRUG USE IN PART DUE TO THE KNOWLEDGE AND CAPACITY THAT THE RHINELANDER-BASED ASPIRUS KOLLER BEHAVIORAL HEALTH UNIT (PART OF THE HEALTH CARE SYSTEM) BRINGS TO THE AREA, THE HOSPITALS ARE A STRONG AND VALUED RESOURCE FOR COMMUNITY MENTAL HEALTH AND SUBSTANCE USE PREVENTION EFFORTS. STAFF EXPERTISE IS SHARED INTERNALLY AS WELL AS EXTERNALLY. EFFORTS ARE DESCRIBED BELOW. COALITION: ASPIRUS STAFF PARTICIPATED IN THE COMMUNITY OUTREACH PREVENTION EDUCATION (COPE) COALITION, WHICH IS THE REGION'S MENTAL HEALTH PROMOTION AND SUBSTANCE USE PREVENTION COALITION. ASPIRUS KOLLER BEHAVIORAL HEALTH STAFF CO-CHAIR THE MENTAL HEALTH AND SUICIDE PREVENTION SUBCOMMITTEE OF THE COALITION. SUBCOMMITTEE ACTIVITIES ARE DESCRIBED BELOW. - THE SUBCOMMITTEE CONDUCTED A NUMBER OF ACTIVITIES, INCLUDING: DEVELOPING A STRATEGY AROUND REDUCED ACCESS TO SUICIDE MEANS; PROMOTING AWARENESS (E.G., FOR MAY MENTAL HEALTH MONTH, SEPTEMBER SUICIDE PREVENTION WEEK, AND WORLD MENTAL HEALTH DAY (OCTOBER)). - QUESTION, PERSUADE, REFER (QPR) TRAININGS FOCUSED ON SUICIDE PREVENTION WERE COORDINATED BY THE SUBCOMMITTEE. OVER 150 PEOPLE WERE TRAINED IN QPR IN FY23. - THE SUBCOMMITTEE CREATED AND DISTRIBUTED STICKERS PROMOTING THE NEW 988 CRISIS LINE WITH THE QR CODE FOR MENTAL AND HEALTH AND SUBSTANCE USE/ABUSE SUPPORT AVAILABLE 24/7. IN FY23, ASPIRUS KOLLER BEHAVIORAL HEALTH STAFF ALSO: - PROVIDED MEDIA INTERVIEWS ON MENTAL HEALTH ISSUES. - ORGANIZED A MENTAL HEALTH SUMMIT, HELD IN MAY 2023. OVER 65 PEOPLE ATTENDED. THE KEYNOTE SPEAKER FOCUSED ON LGBTQ+. THE SUMMIT FEATURED NATIONAL AND LOCAL PRESENTERS. - PARTICIPATED IN THE ZERO SUICIDE MEETINGS. THE PURPOSE OF ZERO SUICIDE IS TO REDUCE THE RISK OF BEHAVIORAL HEALTH PATIENTS COMMITTING SUICIDE AFTER BEING DISCHARGED. CHRONIC DISEASEPRIOR TO THE PANDEMIC, THE REGION HAD A STRONG CHRONIC DISEA+E134SE PREVENTION COALITION. THE BACKBONE OF THAT COALITION WAS A HEALTH DEPARTMENT. WITH THE PANDEMIC DEMANDS ON THE HEALTH DEPARTMENT, THE COALITION WAS PAUSED AND HAS NOT RESUMED. THE HOSPITALS' OWN EFFORTS ARE OUTLINED BELOW. - ASPIRUS RHINELANDER HOSPITAL BIRTH CENTER STAFF CONTINUED TO SUPPORT BREASTFEEDING. BREASTFEEDING IS KNOWN TO REDUCE THE RISK OF OBESITY AND SOME CHRONIC DISEASES. LACTATION CONSULTANTS ARE ON-STAFF. THE DEPARTMENT MONITORS THE BREASTFEEDING RATE TO ENSURE THEY ARE CONTINUING TO MEET THEIR CORE MEASURE GOAL. DEVELOPMENT OF COMMUNITY EDUCATION IS IN THE PLANNING STAGES, WITH THE HOPE THAT SOME OFFERINGS, ALONG WITH SOME SUPPORT GROUPS, WILL BE AVAILABLE SOON. - EACH OF THE THREE HOSPITALS OFFERED 'FIT FOR LIFE' EXERCISE CLASSES IN A SUPERVISED SETTING FOR CARDIAC REHAB PATIENTS WHO HAVE COMPLETED THEIR TREATMENT PLAN. THE HOSPITALS OFFER THE CLASSES AT A REDUCED RATE, INCURRING LOSSES ON THE OFFERING. EACH HOSPITAL CONTRIBUTED HUNDREDS OF IN-KIND HOURS EVERY YEAR FOR THIS PROGRAM. - ASPIRUS HEALTH, PRIMARILY THROUGH CARE MANAGEMENT, IMPLEMENTS A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM ACROSS THE SYSTEM. PATIENTS WITH CHRONIC DISEASE ARE SCREENED FOR FOOD INSECURITY AND 'PRESCRIBED' FRUITS AND VEGETABLES. THE FVRX CAN BE USED LIKE CASH AT THE LOCAL FARMERS MARKET. (EAGLE RIVER FARMERS MARKET ONLY.)------FOR THE CHNA AND IMPLEMENTATION STRATEGY BEING IMPLEMENTED IN FY23, THE HOSPITAL CHOSE TO FOCUS ITS EFFORTS ON THE PRIORITIES LISTED ABOVE (MENTAL HEALTH, AODA, CHRONIC DISEASE). IN THE PRIORITIZATION PROCESS, THE FOLLOWING HEALTH ISSUES WERE RANKED LOWER: CHILD ABUSE AND GRADUATION RATES. THESE WERE NOT NAMED AS PRIORITIES SO EFFORTS COULD BE FOCUSED ON THE TOP THREE SELECTED. IN ADDITION, IT WAS SUGGESTED THAT THE YOUTH COMPONENTS SHOULD BE WOVEN INTO THE SELECTED PRIORITIES WHEN POSSIBLE, WHICH COULD HAVE AN IMPACT ON CHILD ABUSE AND GRADUATION RATES.
ASPIRUS EAGLE RIVER HOSPITALPART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.

Supplemental Information Detail SupplementalInformationDetail (14 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 $113,152.
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 EVERY OTHER MONTH. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS, INCLUDING FINANCE, EDUCATION, BANKING, GOVERNMENTAL PUBLIC HEALTH, HIGHER EDUCATION AND HEALTH CARE. - REVIEWS FUNDING REQUESTS (TO THE HOSPITAL AND/OR HOSPITAL FOUNDATION) 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 ASPIRUS EAGLE RIVER HOSPITAL IS VILAS COUNTY IN RURAL NORTHERN WISCONSIN. VILAS COUNTY COVERS 857 SQUARE MILES, WITH 26.9 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 23,520 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER AGE 18: 16.8%PERSONS 65 YEARS AND OVER: 30.9%WHITE PERSONS: 86.9%AFRICAN AMERICAN PERSONS: 0.4%AMERICAN INDIAN PERSONS: 10.5%ASIAN PERSONS: 0.6%TWO OR MORE RACES: 1.6%HISPANIC OR LATINO: 2.7%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 3.0%ADULTS AGES 25 AND OVER WITH A HIGH SCHOOL DIPLOMA OR EQUIVALENT: 95.1% PERSONS IN POVERTY: 11.5%MEDIAN HOUSEHOLD INCOME: $56,837PERCENT UNINSURED: 11%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.) 48.0%NUMBER OF HOSPITALS IN VILAS COUNTY: 1 (ASPIRUS EAGLE RIVER HOSPITAL) VILAS COUNTY IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR MENTAL HEALTH, DENTAL HEALTH AND PRIMARY CARE. VILAS COUNTY IS ALSO A DESIGNATED MEDICALLY UNDERSERVED AREA.
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. - PROVIDES ATHLETIC TRAINING TO LOCAL YOUTH ATHLETES. - OFFERS MEETING SPACE TO LOCAL NON-PROFIT ORGANIZATIONS. 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 GENERAL 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 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOWARD YOUNG FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1420 ONEIDA STREET SUITE 100AddressLine1Txt
CityMINOCQUACityNm
State AbbreviationWIStateAbbreviationCd
ZIP54548ZIPCd
FieldValueIRS element (for citing)
Recipient EIN391521169RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$20,778CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantHOLD FUNDS FOR DISBURSEMENT PER VOLUNTEER'S RESTRICTIONS.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationA QUARTERLY REPORT OF THE BALANCE OF THE RESTRICTED FUND IS REVIEWED TO VERIFY ACTIVITY.ExplanationTxt

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 (26 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 F 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$649,844$0$1,057,601$0$204,019$0$20,794$0$123,324$0$2,055,582$0$195,109
JESSE G 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
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
JENNIFER REDMAN-SCHELL
SVP & PRESIDENT-AMG$0$490,009$0$148,789$0$2,350$0$17,929$0$83,797$0$742,874$0$0
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER$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
BOARD MEMBER/SVP-SERV. LINE & PAT. E$0$399,954$0$117,991$0$1,981$0$17,740$0$89,103$0$626,769$0$0
ANDREW WILKE
REGISTERED NURSE$0$530,803$0$16,667$0$17,668$0$10,268$0$34,578$0$609,984$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
HARVEY LANGEE
NURSING DIRECTOR$0$525,254$0$0$0$29,025$0$9,150$0$27,778$0$591,207$0$0
MARIA TILLMAN
PHYSCIAL THERAPIST$0$504,316$0$16,667$0$25,850$0$8,332$0$27,831$0$582,996$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
HEATH MEYER
REGISTERED NURSE$0$448,316$0$0$0$5,616$0$11,459$0$36,162$0$501,553$0$0
DANNY YARGER
REGISTERED NURSE$0$422,258$0$0$0$16,939$0$9,150$0$21,037$0$469,384$0$0
TERESA THEILER
(NV) PRESIDENT - ASPIRUS NORTH DIV.$0$310,350$0$47,497$0$1,351$0$14,314$0$61,183$0$434,695$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
MATTHEW BREWER
VP-OPERATIONS$0$247,654$0$42,650$0$557$0$10,229$0$34,561$0$335,651$0$0
JANELLE KOMMERS-MARKGRAF
VP-HR & OFF CAMPUS SERVICES$0$203,520$0$29,058$0$4,339$0$14,791$0$29,536$0$281,244$0$0
AMY SLETTE
BOARD MEMBER/PHYSICIAN$0$231,159$0$0$0$5,762$0$7,517$0$35,090$0$279,528$0$0
TYLER HACK
VP-FINANCE$0$214,263$0$28,807$0$3,737$0$13,090$0$14,224$0$274,121$0$0
GREG SHAW
VP-FINANCE$0$191,783$0$27,247$0$1,752$0$12,702$0$18,273$0$251,757$0$0
LORI KNITT
VP-PATIENT CARE & CNO$0$212,364$0$0$0$7,979$0$5,771$0$21,509$0$247,623$0$0
JASON TROXELL
VP-CHIEF ADMINSTRATIIVE OFFICER$0$171,834$0$0$0$11,002$0$5,386$0$34,818$0$223,040$0$0
HOLLY BEEDE-MCKINNEY
BOARD MEMBER/NURSE PRACTITIONER$0$152,573$0$0$0$2,015$0$8,111$0$773$0$163,472$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS EAGLE RIVER 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 M. HOLZHUETER $55,822 J. TISCHER $50,242 T. RICHARDSON $39,964 J. MATHESON $32,339 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$6,228,343IssuePriceAmt
PurposeREVENUE BONDS SERIES 2021PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$6,228,343TotalProceedsAmt
Issuance Costs From Proceeds$44,370IssuanceCostsFromProceedsAmt
Unspent$6,183,973UnspentAmt
Substantial Completion2021SubstantialCompletionYr
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 ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00700PrivateBusUseByOthersPct
Total Private Business Use0.00700TotalPrivateBusinessUsePct
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
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 3BASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW 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.
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 (8 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 INFORMATION. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS 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 XI, LINE 9:INTERCOMPANY TRANSFERS - AWH 110,170. INTERCOMPANY TRANSFERS - AI -2,717,000. INTERCOMPANY TRANSFERS - AMG 14,113. INTERCOMPANY TRANSFERS - AOH -32. INTERCOMPANY TRANSFERS - AIW 117. INTERCOMPANY TRANSFERS - ARH 497. INTERCOMPANY TRANSFERS - AMH 529. INTERCOMPANY TRANSFERS - ASP 5,561. INTERCOMPANY TRANSFERS - AMR -5,725. INTERCOMPANY TRANSFERS - ARN -83,425. INTERCOMPANY TRANSFERS - ATH -3,250. INTERCOMPANY TRANSFERS - HYMC 419,135.

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 STANLEY HOSPITAL & CLINICS INC
1120 PINE STREETSTANLEYWI54768390807065HOSPITALWI501 (C) 3LINE 3Yes (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
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 Exchange0AssetExchangeInd
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 (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS INC
M$3,270,583COST
ASPIRUS INC
O$8,820,664COST
ASPIRUS INC
Q$3,178,263COST
ASPIRUS INC
R$1,928,643COST
ASPIRUS MEDICAL GROUP INC
O$70,288COST
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
L$101,220COST
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
O$80,545COST
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
P$140,795COST
THE HOWARD YOUNG MEDICAL CENTER INC
M$74,000COST
HOWARD YOUNG MEDICAL CENTER
O$135,187COST
HOWARD YOUNG MEDICAL CENTER
P$85,740COST
HOWARD YOUNG MEDICAL CENTER
Q$334,011COST