ASPIRUS MERRILL HOSPITAL & CLINICS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS MERRILL HOSPITAL & CLINICS INC (EIN 39-0808503)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-12
- IRS object ID
- 202301329349305545
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-12T13:13:03-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390808503 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS MERRILL HOSPITAL & CLINICS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASPI | BusinessNameControlTxt |
| Phone | 7155365511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 SOUTH CENTER AVENUE | AddressLine1Txt |
| City | MERRILL | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54452 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SIDNEY C SCZYGELSKI | PersonNm |
| Person Title | SENIOR VP OF FINANCE & CFO | PersonTitleTxt |
| Phone | 7158472250 | PhoneNum |
| Signature | 2023-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SIDNEY | PersonFirstNm |
| Person Last | SCZYGELSKI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2023-05-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW HEYWOOD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 WESTWOOD DRIVE | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,544,672 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ASPIRUS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1950 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 78 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,513,142 | PYContributionsGrantsAmt |
| CY Contributions Grants | $426,645 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,864,801 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,977,083 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$137,965 | PYInvestmentIncomeAmt |
| CY Investment Income | $387 | CYInvestmentIncomeAmt |
| PY Other Revenue | $124,536 | PYOtherRevenueAmt |
| CY Other Revenue | $140,193 | CYOtherRevenueAmt |
| PY Total Revenue | $19,364,514 | PYTotalRevenueAmt |
| CY Total Revenue | $21,544,308 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $85,312 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $15,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,287,055 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,646,837 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,223,948 | PYOtherExpensesAmt |
| CY Other Expenses | $13,372,924 | CYOtherExpensesAmt |
| PY Total Expenses | $20,596,315 | PYTotalExpensesAmt |
| CY Total Expenses | $23,034,761 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,231,801 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,490,453 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,334,832 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,709,324 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,584,523 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,454,041 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $750,309 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,255,283 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,514,086 | ExpenseAmt |
| Grant | $15,000 | GrantAmt |
| Revenue | $20,969,536 | RevenueAmt |
| Desc | ASPIRUS MERRILL HOSPITAL & CLINICS INC. PROVIDES HOSPITAL SERVICES FOR RESIDENTS OF MERRILL, WAUSAU, AND SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $16,514,086 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 26 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 78 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SIDNEY C SCZYGELSKI | PersonNm |
| Phone | 7158472250 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 WESTWOOD DRIVE | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| LAWRENCE LEIBERT | |||||||||
| BOARD MEMBER/PHYSICIAN | 1.00 | 40.00 | Yes (X) | $0 | $448,124 | $46,117 | |||
| MICHAEL UMLAND | |||||||||
| BOARD MEMBER/PHYSICIAN | 1.00 | 40.00 | Yes (X) | $0 | $326,592 | $53,282 | |||
| TOU SHOUA LOR | |||||||||
| BOARD MEMBER/PHYSICIAN | 1.00 | 40.00 | Yes (X) | $0 | $288,855 | $48,142 | |||
| JAMIE SCHAEFER | |||||||||
| CHAIR/VICE CHAIR (THRU JULY 2021) | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DAN BURNS | |||||||||
| SECRETARY/TREASURER (THRU JULY 2021) | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BILL ARCISZEWSKI | |||||||||
| BOARD MEMBER (THRU JULY 2021) | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| ANGELA BAILEY | |||||||||
| BOARD MEMBER (THRU JULY 2021) | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| LONDON COOPER DDS | |||||||||
| BOARD MEMBER (THRU JULY 2021) | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| SHERYL JONES | |||||||||
| BOARD MEMBER (THRU JULY 2021) | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH KINSELLA | |||||||||
| BOARD MEMBER (THRU JULY 2021) | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| CLYDE NELSON | |||||||||
| BOARD MEMBER (THRU JULY 2021) | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHY KELSEY FOLEY | |||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEREMY LEWITZKE | |||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHAD RADKE | |||||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES CYGAN | |||||||||
| BOARD MEMBER/PHYSICIAN | 1.00 | 40.00 | Yes (X) | $0 | $1,135,181 | $50,871 | |||
| MARCO ESPINOZA | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KYLE PAGE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KRISTA SCHARER | |||||||||
| BOARD MEMBER/PHYSICIAN | 1.00 | 40.00 | Yes (X) | $0 | $231,782 | $51,696 | |||
| KRISTEN MESKE | |||||||||
| BOARD MEMBER/NURSE PRACTITIONER | 2.00 | 50.00 | $0 | $108,310 | $5,598 | Yes (X) | |||
| SIDNEY C SCZYGELSKI | |||||||||
| SENIOR VP OF FINANCE & CFO | 2.00 | 50.00 | $0 | $915,379 | $141,626 | Yes (X) | |||
| MATTHEW HEYWOOD | |||||||||
| PRESIDENT & CEO-ASPIRUS | 2.00 | 50.00 | $0 | $2,684,221 | $266,094 | Yes (X) | |||
| JENNIFER REDMAN-SCHELL | |||||||||
| BOARD MEMBER/PRESIDENT-AMG | 1.00 | 50.00 | $0 | $572,454 | $92,664 | Yes (X) | |||
| JEFFREY WICKLANDER | |||||||||
| BOARD MEMBER/PRES.-CENTRAL REGION | 1.00 | 50.00 | $0 | $591,196 | $108,445 | Yes (X) | |||
| BENJAMIN BARSOTTI | |||||||||
| VP-CHIEF MEDICAL INFORMATION OFFICER | 2.00 | 50.00 | $0 | $462,446 | $50,766 | Yes (X) | |||
| BRETT DAVIS | |||||||||
| PRESIDENT-ASPIRUS HEALTH PLAN | 2.00 | 50.00 | $0 | $394,127 | $62,857 | Yes (X) | |||
| ERIC ANDERSON | |||||||||
| SVP-SERVICE LINE & PATIENT EXP. | 2.00 | 50.00 | $0 | $495,034 | $104,300 | Yes (X) | |||
| JAMES MATHESON | |||||||||
| SVP-CHIEF STRATEGY OFFICER | 2.00 | 50.00 | $0 | $452,729 | $89,948 | Yes (X) | |||
| JESSE TISCHER | |||||||||
| SVP & PRESIDENT-REGIONAL MARKETS | 2.00 | 50.00 | $0 | $644,385 | $101,649 | Yes (X) | |||
| JOHN HEISLER | |||||||||
| SVP & CHIEF HUMAN RESOURCES OFFICER | 2.00 | 50.00 | $0 | $751,984 | $56,650 | Yes (X) | |||
| LISA ROWE-PEPLINSKI | |||||||||
| VP-CARE QUALITY & PATIENT SAFETY | 2.00 | 50.00 | $0 | $367,202 | $18,878 | Yes (X) | |||
| MICHAEL HOLZHUETER | |||||||||
| SVP & GENERAL COUNSEL | 2.00 | 50.00 | $0 | $449,756 | $89,333 | Yes (X) | |||
| JEANNINE NOSKO | |||||||||
| VP-PATIENT CARE & CNO | 2.00 | 50.00 | $0 | $330,532 | $48,132 | Yes (X) | |||
| PAUL VAN DEN HEUVEL | |||||||||
| VP-NETWORK STRATEGY | 2.00 | 50.00 | $0 | $340,811 | $45,098 | Yes (X) | |||
| RENEE SMITH | |||||||||
| EXECUTIVE DIRECTOR-ANI | 2.00 | 50.00 | $0 | $460,002 | $93,775 | Yes (X) | |||
| RUTH RISLEY-GRAY | |||||||||
| SVP & SYSTEM CNO | 2.00 | 50.00 | $0 | $329,902 | $52,673 | Yes (X) | |||
| TODD RICHARDSON | |||||||||
| SVP & CHIEF INFORMATION OFFICER | 2.00 | 50.00 | $0 | $516,494 | $97,286 | Yes (X) | |||
| WENDY ANGELO | |||||||||
| VP-CMO - POPULATION HEALTH | 2.00 | 50.00 | $0 | $363,857 | $42,762 | Yes (X) | |||
| CRAIG SPANGLER | |||||||||
| PHARMACIST | 40.00 | $55,897 | $88,684 | $37,391 | Yes (X) | ||||
| HEATHER LEVERANCE | |||||||||
| RN-EMERGENCY DEPARTMENT | 40.00 | $71,097 | $84,136 | $19,634 | Yes (X) | ||||
| DANA KLUG | |||||||||
| RN-CHARGE | 40.00 | $63,233 | $83,286 | $5,768 | Yes (X) | ||||
| CHERYL LEININGER | |||||||||
| RN DIR-NURSING | 40.00 | $43,663 | $88,935 | $18,878 | Yes (X) | ||||
| JENNIFER PODEWELTZ | |||||||||
| RN CHARGE | 40.00 | $43,817 | $59,373 | $35,816 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $277,707 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,065,769 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,936,129 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TOTAL MSP LLC (STAFFENCY LLC) | |||||
| 221 W COLLEGE AVE FLOOR 2 | APPLETON | WI | 54911 | CONTRACT LABOR | $583,743 |
| SHARED MEDICAL SERVICES INC | |||||
| 209 LIMESTONE PASS | COTTAGE GROVE | WI | 53527 | MOBILE RADIOLOGY SERVICES | $253,388 |
| MEDICAL STAFFING SOLUTIONS INC | |||||
| PO BOX 101 | RICE LAKE | WI | 54868 | CONTRACT LABOR | $156,962 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $420,762 | GovernmentGrantsAmt |
| All Other Contributions | $5,883 | AllOtherContributionsAmt |
| Total Contributions | $426,645 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $20,950,935 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,950,935 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,148 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,601 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $7,547 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,977,083 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $751 | TotalRevenueColumnAmt |
| Exclusion | $751 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $101,804 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $101,804 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,804 | TotalRevenueColumnAmt |
| Exclusion | $101,804 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $364 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$364 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$364 | TotalRevenueColumnAmt |
| Exclusion | -$364 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA/VENDING REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $38,389 | TotalRevenueColumnAmt |
| Exclusion | $38,389 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $38,389 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,544,308 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,969,536 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $148,127 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,000 | TotalAmt |
| Program Services | $15,000 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,907,664 | TotalAmt |
| Program Services | $7,093,477 | ProgramServicesAmt |
| Management And General | $814,187 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,753 | TotalAmt |
| Program Services | $199,246 | ProgramServicesAmt |
| Management And General | $13,507 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,057,934 | TotalAmt |
| Program Services | $1,043,936 | ProgramServicesAmt |
| Management And General | $13,998 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,486 | TotalAmt |
| Program Services | $422,574 | ProgramServicesAmt |
| Management And General | $45,912 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,001 | TotalAmt |
| Management And General | $5,001 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,260,589 | TotalAmt |
| Program Services | $3,286,277 | ProgramServicesAmt |
| Management And General | $974,312 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,520 | TotalAmt |
| Program Services | $9,566 | ProgramServicesAmt |
| Management And General | $6,954 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,706 | TotalAmt |
| Program Services | $40,202 | ProgramServicesAmt |
| Management And General | $25,504 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699,762 | TotalAmt |
| Program Services | $71,687 | ProgramServicesAmt |
| Management And General | $628,075 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,705 | TotalAmt |
| Program Services | $14,936 | ProgramServicesAmt |
| Management And General | $1,769 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,619 | TotalAmt |
| Program Services | $111,738 | ProgramServicesAmt |
| Management And General | $5,881 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,476,626 | TotalAmt |
| Program Services | $1,250,916 | ProgramServicesAmt |
| Management And General | $225,710 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,480 | TotalAmt |
| Management And General | $73,480 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CORPORATE ALLOCATIONS | $3,017,096 | $218,554 | $2,798,542 |
| MEDICAL SUPPLIES | $1,523,769 | $1,299,485 | $224,284 |
| BAD DEBT EXPENSE | $775,302 | $775,302 | |
| REPAIRS & MAINTENANCE | $567,261 | $340,228 | $227,033 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $757,488 | TotalAmt |
| Program Services | $320,962 | ProgramServicesAmt |
| Management And General | $436,526 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,034,761 | TotalAmt |
| Program Services | $16,514,086 | ProgramServicesAmt |
| Management And General | $6,520,675 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,909 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620 | BOYAmt |
| EOY | $148 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,417 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,273,262 | BOYAmt |
| EOY | $3,468,004 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,811 | BOYAmt |
| EOY | $200,164 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $33,930 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,405,973 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,417,420 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,802,078 | BOYAmt |
| EOY | $7,988,553 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,644 | BOYAmt |
| EOY | $16,616 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,334,832 | BOYAmt |
| EOY | $11,709,324 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $887,528 | BOYAmt |
| EOY | $1,481,939 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,640,162 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,696,995 | BOYAmt |
| EOY | $331,940 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,584,523 | BOYAmt |
| EOY | $7,454,041 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,309 | BOYAmt |
| EOY | $4,255,283 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,309 | BOYAmt |
| EOY | $4,255,283 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,334,832 | BOYAmt |
| EOY | $11,709,324 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,490,453 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $364 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $4,995,063 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $5,001 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,001 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF OUR ANNUAL WISCONSIN HOSPITAL ASSOCIATION (WHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA) DUES ARE USED FOR LOBBYING ACTIVITIES. THE AMOUNTS THAT ARE SPECIFIC TO LOBBYING PURPOSES ARE: WISCONSIN HOSPITAL ASSOCIATION $2,669 AND AMERICAN HOSPITAL ASSOCIATION $2,332. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,370,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,370,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,109,419 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,068,585 | DepreciationAmt |
| Book Value | $5,040,834 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,926,554 | OtherCostOrOtherBasisAmt |
| Depreciation | $348,835 | DepreciationAmt |
| Book Value | $1,577,719 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,988,553 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| LONG TERM INSURANCE LIABILITY | $32,000 |
| ASSET RETIREMENT OBLIGATION | $280,586 |
| RELATED PARTY PAYABLE | $2,771 |
| DEFERRED COMPENSATION | $16,583 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $331,940 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2022. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $380,070 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $380,070 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01710 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,872,324 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,534,952 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,337,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06010 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $684,023 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $575,331 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $108,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,936,417 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,110,283 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,826,134 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08210 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $205,945 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $205,945 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00930 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,954 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $213,036 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $213,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $426,935 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $426,935 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01930 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,363,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,110,283 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,253,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10140 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $418,138 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,721,126 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,683,533 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $37,593 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS MERRILL HOSPITAL & CLINICSINC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 SOUTH CENTER | AddressLine1Txt |
| City | MERRILL | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54452 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ASPIRUS.ORG | WebsiteAddressTxt |
| State License | 1043 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS MERRILL HOSPITAL & CLINICS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ASPIRUS MERRILL HOSPITAL & CLINICS, INC. | PART V, SECTION B, LINE 2: THE HOSPITAL WAS ACQUIRED BY ASPIRUS INC DURING THE FISCAL YEAR. MORE DETAILS ARE PROVIDED THROUGHOUT THE FORM 990. |
| ASPIRUS MERRILL HOSPITAL & CLINICS, INC. | PART V, SECTION B, LINE 5: RECOGNIZING ITS VITAL IMPORTANCE IN UNDERSTANDING THE HEALTH NEEDS AND ASSETS OF THE COMMUNITY, THE HOSPITAL INVITED THE INPUT OF COMMUNITY MEMBERS-AT-LARGE AS WELL AS A RANGE OF PUBLIC HEALTH AND SOCIAL SERVICE PROVIDERS THAT REPRESENT THE BROAD INTERESTS OF LINCOLN COUNTY. A CONCERTED EFFORT WAS MADE TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS REPRESENTED THE NEEDS AND PERSPECTIVES OF: 1) PUBLIC HEALTH PRACTICE; 2) INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, HAVE LOW INCOME, OR ARE CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL; AND 3) THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED. TWO METHODS WERE USED TO GATHER COMMUNITY INPUT: A COMMUNITY SURVEY AND KEY INFORMANT INTERVIEWS. THE PROCESS AND RESULTS ARE OUTLINED BELOW. COMMUNITY SURVEY: AN ELECTRONIC/ONLINE SURVEY WAS CREATED AND DISTRIBUTED VIA EMAIL THROUGH LOCAL NETWORKS IN AUGUST-OCTOBER 2020. INITIAL DISTRIBUTION WAS CONDUCTED THROUGH COMMUNITY COALITION MEMBERS, THE HEALTH DEPARTMENT, THE HOSPITAL FOUNDATIONS AND EXISTING COMMUNITY MEMBER EMAIL LISTS OF THE HOSPITALS' COMMUNITY HEALTH IMPROVEMENT ASSOCIATES. THE SURVEY ASKED COMMUNITY MEMBERS ABOUT THEIR OPINION OF THE COMMUNITY'S TOP HEALTH ISSUES ACROSS MULTIPLE CATEGORIES OF HEALTH FACTORS. MORE THAN 270 INDIVIDUALS RESPONDED. DATA WAS ANALYZED AS A WHOLE AS WELL AS BY HOUSEHOLD INCOME (UNDER $50K ANNUALLY) AND ETHNICITY.KEY INFORMANT INTERVIEWS: ELEVEN KEY INFORMANT INTERVIEWS WERE CONDUCTED VIRTUALLY IN OCTOBER AND NOVEMBER 2020. RESPONDENTS REPRESENTED THE FOLLOWING ORGANIZATIONS:LINCOLN COUNTY HEALTH DEPARTMENT (COUNTY-WIDE)AGING AND DISABILITY RESOURCE CENTER (COUNTY-WIDE)COMMUNIDAD HISPANA (COUNTY-WIDE)*COMMUNITY ACTION PROGRAM (CAP) SERVICES (COUNTY-WIDE)*UW EXTENSION (COUNTY-WIDE)KINSHIP (TOMAHAWK)TOMAHAWK SCHOOL DISTRICTHEAD START (TOMAHAWK)*SENIOR DINING SITE (TOMAHAWK)ST. VINCENT DE PAUL (MERRILL)*MERRILL COMMUNITY FOOD PANTRY** REPRESENTED INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, HAVE LOW-INCOME, OR ARE CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL.INTERVIEWEES WERE ASKED TO REVIEW THE COMMUNITY SURVEY, BE PREPARED TO SPEAK TO THEIR PERCEPTIONS OF THE COMMUNITY'S TOP HEALTH ISSUES AND DESCRIBE THEIR REASONING. THE INTERVIEWS WERE CONDUCTED BY TWO HOSPITAL ASSOCIATES AND ONE STATEWIDE (ASCENSION WISCONSIN) ASSOCIATE WHO LEAD COMMUNITY HEALTH IMPROVEMENT EFFORTS. A QUALITATIVE REVIEW AND RESULTING SUMMARY WAS CONDUCTED BY TWO STATEWIDE (ASCENSION WISCONSIN) COMMUNITY HEALTH IMPROVEMENT ASSOCIATES.COMMUNITY INPUT SUMMARY: THE RESULTS OF THE COMMUNITY SURVEY AND THE KEY INFORMANT INTERVIEWS WERE COMBINED INTO A GRID TO IDENTIFY SIMILARITIES, DIFFERENCES AND PATTERNS. NOTE SOME DATA IS SEPARATED BY INCOME AND BY ETHNICITY AS A WAY TO BETTER UNDERSTAND DIFFERING PRIORITIES. |
| ASPIRUS MERRILL HOSPITAL & CLINICS, INC. | PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITY:ASCENSION SACRED HEART HOSPITAL (NOW ASPIRUS TOMAHAWK HOSPITAL) |
| ASPIRUS MERRILL HOSPITAL & CLINICS, INC. | PART V, SECTION B, LINE 11: THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT EFFORTS IN FY22 WERE SIGNIFICANTLY IMPACTED BY A NUMBER OF FACTORS: - THE TRANSITION OF THE HOSPITAL FROM ASCENSION HEALTH TO ASPIRUS HEALTH IN AUGUST 2021;- THE SUBSEQUENT CHANGES IN PROCESSES, TEAM STRUCTURE AND RELATED IMPACTS; COVID-19 AND ITS RIPPLE EFFECT ON COMMUNITY OUTREACH AND PUBLIC EVENTS / PROGRAMS.NUTRITION AND HEALTHY FOOD ASPIRUS MERRILL ACTIVELY PARTICIPATED IN THE LINCOLN COUNTY NUTRITION COALITION. THE HOSPITAL ALSO FUNDED A NUMBER OF NUTRITION AND HEALTHY FOOD-RELATED EFFORTS, INCLUDING: - TRIPLE-YOUR-BUCKS COUPONS FOR FOODSHARE PARTICIPANT PURCHASES AT THE LOCAL FARMERS MARKET;- ANNUAL ELECTRONIC BENEFIT TRANSFER (EBT) MACHINE FEES, TO ENSURE EASY FARMERS MARKET ACCESS FOR FOODSHARE PARTICIPANTS; - COMMUNITY CARE PARAMEDIC PROGRAM, WHICH UTILIZES PARAMEDICS TO CONDUCT HOME VISITS. IN FY22, THE PROGRAM SERVED INDIVIDUALS WHO WERE DISCHARGED FROM THE HOSPITAL WHO MAY BE AT RISK FOR NUTRITION OR MENTAL HEALTH ISSUES, INCLUDING PATIENTS WHO HAD COVID. THE PROGRAM ALSO SERVED INDIVIDUALS WITH COVID WHO WERE NOT ADMITTED TO THE HOSPITAL BUT WOULD BENEFIT FROM ADDITIONAL MONITORING. PLANS ARE UNDERWAY TO ADD PATIENTS WITH DIABETES TO THE PROGRAM. - IMPROVEMENTS TO AND EXPANSION OF THE COMMUNITY GARDEN. - ASPIRUS MERRILL HOSPITAL ALSO CONTINUED TO IMPLEMENT A FOOD REPURPOSING PROGRAM THAT PACKAGES UNTOUCHED FOOD FROM THE HOSPITAL'S CAFETERIA AND MAKES IT AVAILABLE FOR INDIVIDUALS WHO USE THE FOOD PANTRY. - 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. ORAL HEALTH THROUGH THE TOOTH FAIRY FUND, ASPIRUS MERRILL HOSPITAL CONTINUED TO OFFER FINANCIAL SUPPORT FOR EMERGENCY ORAL HEALTH NEEDS. THE HOSPITAL ALSO FINANCIALLY SUPPORTED THE SEAL-A-SMILE PROGRAM IN THE MERRILL SCHOOL DISTRICT. MENTAL HEALTH AND AODA ASPIRUS MERRILL HOSPITAL IS AN ACTIVE PARTICIPANT IN THE COUNTY'S MENTAL HEALTH AND AODA COALITION. THE COALITION PARTNERS HAVE COMPLETED MANY ACTIVITIES, SOME OF WHICH THE HOSPITAL FUNDED, INCLUDING: - PUBLIC AWARENESS AND SOCIAL NORMS CAMPAIGNS (E.G., HOPELINE, SMALL TALKS, KNOW METH, ADVERSE CHILDHOOD EXPERIENCES [ACES], PARENT PACT, SOCIAL HOST AWARENESS). - COMMUNITY PRESENTATIONS, TOWN HALL EVENTS AND SUMMITS ABOUT MENTAL HEALTH AND SUBSTANCE ABUSE. - THE DISTRIBUTION OF POSTERS, CARDS, AND RELATED VISUAL MATERIALS (E.G., SUICIDE PREVENTION HOTLINE POSTERS). - EVIDENCE-BASED TRAININGS TO INCREASE SKILLS OF RESIDENTS, COALITION MEMBERS AND PROFESSIONALS (E.G., QPR, MENTAL HEALTH FIRST AID). (NOTE: THESE WERE FUNDED THROUGH AN OUTSIDE GRANT.)- THE CONTINUED IMPLEMENTATION OF THE RAISE YOUR VOICE CLUB IN THE MERRILL SCHOOL DISTRICT. RAISE YOUR VOICE WAS DEVELOPED BY NAMI (NATIONAL ALLIANCE ON MENTAL ILLNESS) WISCONSIN TO EMPOWER TEENS "TO CREATE A NEW CONVERSATION ABOUT MENTAL HEALTH THROUGH EDUCATION, LEADERSHIP DEVELOPMENT AND CIVIC ADVOCACY." - 'HIDDEN IN PLAIN SIGHT' DEMONSTRATION SPACES, WHICH HIGHLIGHT POTENTIAL SIGNS OF YOUTH DRUG OR ALCOHOL USE WITHIN THEIR BEDROOM. - FAMILY FUN PACKS THAT PROVIDED FAMILIES WITH ACTIVITIES AND RESOURCES. ORIGINALLY DEVELOPED IN RESPONSE TO SOCIAL ISOLATION NEEDS EARLY IN THE PANDEMIC, THE FAMILY FUN PACKS CONTINUED TO BE IN DEMAND AND WERE DISTRIBUTED IN SUMMER 2022. - ASPIRUS HEALTH CONTRACTS WITH AN OUTSIDE AGENCY TO PROVIDE RECOVERY COACHING SERVICES THROUGHOUT THE SYSTEM'S WISCONSIN FOOTPRINT. ASPIRUS IS WORKING TO BUILD RELATIONSHIPS AND STRUCTURES IN ALL WISCONSIN HOSPITALS TO SUPPORT HAVING A RECOVERY COACH AVAILABLE WITHIN AN HOUR OR TWO TO THOSE PATIENTS INTERESTED IN WORKING WITH A COACH. ASPIRUS MERRILL HOSPITAL ALSO CONTINUED TO FINANCIALLY SUPPORT THE COMMUNITY CARE PARAMEDIC PROGRAM, WHICH UTILIZES PARAMEDICS TO CONDUCT HOME VISITS. AS PART OF THE PROGRAM, INDIVIDUALS WHO WERE DISCHARGED FROM THE HOSPITAL WHO MAY BE AT RISK FOR NUTRITION OR MENTAL HEALTH ISSUES ARE SCREENED IN THEIR HOME BY PARAMEDICS. HOME-VISITED PATIENTS WHO SCREEN POSITIVE FOR DEPRESSION ARE REFERRED TO A PRIMARY CARE PROVIDER. ALL SIGNIFICANT NEEDS IDENTIFIED BY THE HOSPITAL WERE PRIORITIZED. |
| ASPIRUS MERRILL HOSPITAL & CLINICS, INC. | PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION. SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS 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 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSE, LESS MEDICAID PROVIDER TAXES DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE ORGANIZATION. THE ORGANIZATION ALSO PROVIDES DISCOUNTS TO ELIGIBLE UNINSURED OR UNDERINSURED PATIENTS UNDER ITS CHARITABLE CARE POLICY. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED OR UNDERINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE ORGANIZATION. |
| 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 $775,302. |
| SCHEDULE H - GENERAL EXPLANATION | IN AUGUST 2021, THE ORGANIZATION'S PARENT BECAME ASPIRUS INC, WHO IS THE SOLE PARENT MEMBER OF THE ORGANIZATIONS REPORTED ON SCHEDULE R ATTACHED. THE FIRST MONTH OF THE FISCAL YEAR (JULY) THE ORGANIZATION WAS A PART OF A RELATED PARTY STRUCTURE WITH THE OVERARCHING PARENT BEING ASCENSION HEALTH ALLIANCE (45-3358926). FURTHER DETAIL OF THIS IS PROVIDED IN SCHEDULE O AND SCHEDULE R OF THIS ACCOMPANYING 990. AT THE TIME OF THIS CHANGE, THERE WERE MANY CHANGES IMPLEMENTED THAT IMPACTED THE RESPONSES ON SCHEDULE H. FOR 11 OF THE 12 MONTHS, THE RESPONSES AS RECORDED ON SCHEDULE H WERE ACCURATE. FOR CONTEXT OF WHAT THE FIRST MONTH (JULY 2021) WAS, THE 2020 990 CAN PROVIDE MORE DETAIL, BUT SOME HIGHLIGHTS ARE BELOW OF WHAT RESPONSES WOULD BE DURING THAT ONE MONTH:SCHEDULE H, PART I, LINE 3A: 250%SCHEDULE H, PART I, LINE 3B: 400%SCHEDULE H, PART I, LINE 3C: SUBJECT TO THE OTHER PROVISIONS OF THIS FINANCIAL ASSISTANCE POLICY, A PATIENT WITH INCOME GREATER THAN 400% OF THE FPL MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER A "MEANS TEST" FOR SOME DISCOUNT OF PATIENT'S CHARGES FOR SERVICES FROM THE ORGANIZATION BASED ON A PATIENT'S TOTAL MEDICAL DEBT. A PATIENT ELIGIBLE FOR THIS CATEGORY OF FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES.THE HOSPITAL ALSO USES INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE.SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM: PRIOR TO AUGUST 2021, THE HOSPITAL WAS AFFILIATED WITH MINISTRY HEALTH AND ASCENSION HEALTH. |
| 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 3. COLLECTION PHONE CALLS 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 FIRST BILLING TO THE PATIENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. II. BAD DEBT RECOVERIES A. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. B. 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. C. 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 ASPIRUS MERRILL HOSPITAL & CLINICS 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, 2022 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: | UPON A PATIENT'S APPROVAL FOR FINANCIAL ASSISTANCE, THIS IS LOADED AS AN INSURANCE COVERAGE TO THE PATIENT'S ACCOUNT WITH AN EFFECTIVE AND TERMINATION DATE TO ASSURE CAPTURING ALL CHARGES FOR THE PATIENT FOR ADJUSTMENT IN A WORK QUEUE PRIOR TO ANY REMAINING BALANCE BEING MOVED TO PATIENT LIABILITY AND THEREFORE PREVENTING UNDISCOUNTED SERVICES FROM BEING BILLED TO A PATIENT. |
| PART V, LINE 7A | WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES |
| PART VI, LINE 2: | IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, ASPIRUS MERRILL HOSPITAL AND CLINICS, INC. USES BOTH HOSPITAL DATA AND RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES, TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED. ASPIRUS MERRILL HOSPITAL AND CLINICS, INC. UTILIZES THIS INFORMATION TO DETERMINE AND DEVELOP PROGRAMS AND SERVICES TO BE PROVIDED FOR THE COMMUNITY. THESE NEEDS AND INITIATIVES ARE PRESENTED TO SENIOR LEADERSHIP AND BOARD MEMBERS TO ENSURE THE FINDINGS ARE CONSIDERED IN DEVELOPING THE ORGANIZATION'S STRATEGY, POLICY DEVELOPMENT, AND INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. |
| 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 SELF-PAY PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS. |
| PART VI, LINE 4: | LINCOLN COUNTY, WITH A POPULATION OVER 28,000, IS LOCATED IN RURAL NORTHCENTRAL WISCONSIN. GEOGRAPHICALLY, LINCOLN COUNTY HAS 32.7 PEOPLE PER SQUARE MILE AND WISCONSIN HAS 105.0 PEOPLE PER SQUARE MILE.COMPARED TO WISCONSIN, LINCOLN COUNTY:- RESIDENTS ARE OLDER - 22 PERCENT OF THE RESIDENTS OF LINCOLN COUNTY ARE 65 OR OLDER, COMPARED TO 17 PERCENT IN WISCONSIN.- IS PREDOMINANTLY NON-HISPANIC AND WHITE; BETWEEN ONE AND TWO PERCENT OF THE POPULATION IS HISPANIC.- IS PREDOMINANTLY ENGLISH-SPEAKING -- MORE THAN 99 PERCENT OF THE POPULATION SPEAKS ENGLISH.- HAS A LOWER MEDIAN HOUSEHOLD INCOME ($56,600 FOR LINCOLN COUNTY; $60,800 FOR WISCONSIN).- HAS THE SAME PROPORTION OF INDIVIDUALS WHO ARE UNINSURED (SIX PERCENT FOR BOTH LINCOLN COUNTY AND WISCONSIN). |
| PART VI, LINE 5: | THE ORGANIZATION STRIVES TO FURTHER ITS EXEMPT PURPOSES BY THE FOLLOWING:- THE ORGANIZATION'S GOVERNING BOARD CONSISTS PRIMARILY OF PERSONS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA WHO ARE NOT EMPLOYEES OF THE ORGANIZATION.- AS MENTIONED, THE ORGANIZATION PROVIDES SEVERAL SERVICES WHICH ARE NOT OTHERWISE AVAILABLE BEING IN A RURAL SETTING.- BASED ON THE ORGANIZATION'S MISSION, EMERGENCY ROOMS ARE MADE AVAILABLE TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY.- THE ORGANIZATION ALSO PARTICIPATES IN THE EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONAL THROUGH INTERNSHIP PROGRAMS.THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS (MEDICARE, MEDICAID, CHAMPUS, TRICARE). THE HOSPITAL OFFERS VOLUNTEER OPPORTUNITIES TO THE COMMUNITY. VARIOUS FINANCIAL PROGRAMS ARE AVAILABLE TO PATIENTS OF ASPIRUS MERRILL HOSPITAL INC OF MERRILL, WISCONSIN, INC. THEY INCLUDE DISCOUNTED AND/OR FREE CARE DEPENDING ON INDIVIDUAL CIRCUMSTANCES. THE FACILITY ALSO OFFERS PAYMENT PLANS FOR THOSE SELF-PAY PATIENTS. ASPIRUS MERRILL HOSPITAL INC. IS A CRITICAL ACCESS HOSPITAL THAT HAS INPATIENT AND SWING BEDS. THEY ALSO PROVIDE EMERGENCY AND WALK-IN SERVICES. AS A CRITICAL ACCESS HOSPITAL, THE ORGANIZATION SERVES AS A CRITICAL POINT IN STABILIZING PATIENTS FOR TRANSPORT TO OTHER FACILITIES. |
| PART VI, LINE 6: | ASPIRUS MERRILL HOSPITAL & CLINICS IS PART OF THE ASPIRUS HEALTH SYSTEM. ASPIRUS, INC. IS A MULTI-SPECIALTY HEALTH SYSTEM WITH A BASE LOCATION IN WAUSAU, WISCONSIN. ASPIRUS MERRILL HOSPITAL & CLINICS WORKS WITH ASPIRUS TO PROMOTE HEALTH AND WELLNESS INITIATIVES IN THE COMMUNITIES THEY SERVE. AS NOTED PREVIOUSLY IN THE FORM 990, A NUMBER OF REPRESENTATIVES FROM ASPIRUS HAVE ROLES ON THE BOARD OF DIRECTORS OF MERRILL HOSPITAL & CLINICS AND TOGETHER PROMOTE THE MISSION OF ASPIRUS. ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES TO IMPROVING THE HEALTH OF ALL IT SERVES. ASPIRUS WORKS COLLABORATIVELY WITH OTHERS WHO SHARE ITS PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. ASPIRUS AND ASPIRUS MERRILL HOSPITAL & CLINICS WORK COLLABORATIVELY TO STREAMLINE PROCESSES TO CONTINUE PROVIDE HIGH QUALITY CARE TO MEMBERS OF COMMUNITIES WHICH OTHERWISE WITHOUT THE EFFORTS OF A COMBINED PARTNERSHIP MAY NOT HAVE ACCESS TO THIS CARE LOCALLY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF WISCONSIN EXTENSION - LINCOLN CNTY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 N SALES STREET 101 | AddressLine1Txt |
| City | MERRILL | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54452 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 396005714 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | FUNDS FOR HEALTHY MINDS COALITION | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE PROVIDED TO SUPPORT COMMUNITY PARTNERS AND NON-PROFITS THAT THE HOSPITAL AND ASPIRUS INC DETERMINES. GRANTS PROVIDED ARE GENERAL SUPPORT SO THERE IS NOT A FORMAL PROCESS FOR MONITORING USE OF GRANT FUNDS HOWEVER, PRIOR TO PROVIDING ANY GRANT THE HOSPITAL IS AWARE OF WHAT THE INTENDED USE WILL BE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW HEYWOOD | ||||||||||||||
| PRESIDENT & CEO-ASPIRUS | $0 | $1,051,076 | $0 | $1,629,342 | $0 | $3,803 | $0 | $17,346 | $0 | $248,748 | $0 | $2,950,315 | $0 | $0 |
| JAMES CYGAN | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $0 | $1,127,323 | $0 | $600 | $0 | $7,258 | $0 | $17,346 | $0 | $33,525 | $0 | $1,186,052 | $0 | $0 |
| SIDNEY C SCZYGELSKI | ||||||||||||||
| SENIOR VP OF FINANCE & CFO | $0 | $610,115 | $0 | $177,495 | $0 | $127,769 | $0 | $20,196 | $0 | $121,430 | $0 | $1,057,005 | $0 | $112,143 |
| JOHN HEISLER | ||||||||||||||
| SVP & CHIEF HUMAN RESOURCES OFFICER | $0 | $289,961 | $0 | $426,149 | $0 | $35,874 | $0 | $13,626 | $0 | $43,024 | $0 | $808,634 | $0 | $25,179 |
| JESSE TISCHER | ||||||||||||||
| SVP & PRESIDENT-REGIONAL MARKETS | $0 | $501,025 | $0 | $142,821 | $0 | $539 | $0 | $11,714 | $0 | $89,935 | $0 | $746,034 | $0 | $0 |
| JEFFREY WICKLANDER | ||||||||||||||
| BOARD MEMBER/PRES.-CENTRAL REGION | $0 | $472,320 | $0 | $93,354 | $0 | $25,522 | $0 | $8,700 | $0 | $99,745 | $0 | $699,641 | $0 | $0 |
| JENNIFER REDMAN-SCHELL | ||||||||||||||
| BOARD MEMBER/PRESIDENT-AMG | $0 | $405,520 | $0 | $113,119 | $0 | $53,815 | $0 | $17,346 | $0 | $75,318 | $0 | $665,118 | $0 | $51,368 |
| TODD RICHARDSON | ||||||||||||||
| SVP & CHIEF INFORMATION OFFICER | $0 | $357,568 | $0 | $105,424 | $0 | $53,502 | $0 | $17,346 | $0 | $79,940 | $0 | $613,780 | $0 | $50,634 |
| ERIC ANDERSON | ||||||||||||||
| SVP-SERVICE LINE & PATIENT EXP. | $0 | $382,299 | $0 | $111,001 | $0 | $1,734 | $0 | $17,346 | $0 | $86,954 | $0 | $599,334 | $0 | $0 |
| RENEE SMITH | ||||||||||||||
| EXECUTIVE DIRECTOR-ANI | $0 | $315,463 | $0 | $89,914 | $0 | $54,625 | $0 | $17,346 | $0 | $76,429 | $0 | $553,777 | $0 | $53,547 |
| JAMES MATHESON | ||||||||||||||
| SVP-CHIEF STRATEGY OFFICER | $0 | $322,706 | $0 | $94,649 | $0 | $35,374 | $0 | $16,347 | $0 | $73,601 | $0 | $542,677 | $0 | $26,065 |
| MICHAEL HOLZHUETER | ||||||||||||||
| SVP & GENERAL COUNSEL | $0 | $399,152 | $0 | $25,600 | $0 | $25,004 | $0 | $8,700 | $0 | $80,633 | $0 | $539,089 | $0 | $0 |
| BENJAMIN BARSOTTI | ||||||||||||||
| VP-CHIEF MEDICAL INFORMATION OFFICER | $0 | $367,202 | $0 | $65,298 | $0 | $29,946 | $0 | $17,346 | $0 | $33,420 | $0 | $513,212 | $0 | $23,406 |
| LAWRENCE LEIBERT | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $0 | $439,059 | $0 | $600 | $0 | $8,465 | $0 | $18,905 | $0 | $27,212 | $0 | $494,241 | $0 | $0 |
| BRETT DAVIS | ||||||||||||||
| PRESIDENT-ASPIRUS HEALTH PLAN | $0 | $260,587 | $0 | $127,333 | $0 | $6,207 | $0 | $16,557 | $0 | $46,300 | $0 | $456,984 | $0 | $0 |
| WENDY ANGELO | ||||||||||||||
| VP-CMO - POPULATION HEALTH | $0 | $316,829 | $0 | $44,644 | $0 | $2,384 | $0 | $7,418 | $0 | $35,344 | $0 | $406,619 | $0 | $0 |
| LISA ROWE-PEPLINSKI | ||||||||||||||
| VP-CARE QUALITY & PATIENT SAFETY | $0 | $287,310 | $0 | $55,655 | $0 | $24,237 | $0 | $17,283 | $0 | $1,595 | $0 | $386,080 | $0 | $22,695 |
| PAUL VAN DEN HEUVEL | ||||||||||||||
| VP-NETWORK STRATEGY | $0 | $302,649 | $0 | $31,790 | $0 | $6,372 | $0 | $11,252 | $0 | $33,846 | $0 | $385,909 | $0 | $0 |
| RUTH RISLEY-GRAY | ||||||||||||||
| SVP & SYSTEM CNO | $0 | $213,913 | $0 | $91,534 | $0 | $24,455 | $0 | $17,417 | $0 | $35,256 | $0 | $382,575 | $0 | $19,718 |
| MICHAEL UMLAND | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $0 | $318,641 | $0 | $600 | $0 | $7,351 | $0 | $16,755 | $0 | $36,527 | $0 | $379,874 | $0 | $0 |
| JEANNINE NOSKO | ||||||||||||||
| VP-PATIENT CARE & CNO | $0 | $256,019 | $0 | $52,187 | $0 | $22,326 | $0 | $14,957 | $0 | $33,175 | $0 | $378,664 | $0 | $21,708 |
| TOU SHOUA LOR | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $0 | $282,783 | $0 | $600 | $0 | $5,472 | $0 | $14,457 | $0 | $33,685 | $0 | $336,997 | $0 | $0 |
| KRISTA SCHARER | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $0 | $225,710 | $0 | $600 | $0 | $5,472 | $0 | $13,437 | $0 | $38,259 | $0 | $283,478 | $0 | $0 |
| CRAIG SPANGLER | ||||||||||||||
| PHARMACIST | $55,897 | $80,746 | $0 | $0 | $0 | $7,938 | $934 | $2,269 | $16,126 | $18,062 | $72,957 | $109,015 | $0 | $0 |
| HEATHER LEVERANCE | ||||||||||||||
| RN-EMERGENCY DEPARTMENT | $71,097 | $80,597 | $0 | $0 | $0 | $3,539 | $2,158 | $5,283 | $5,313 | $6,880 | $78,568 | $96,299 | $0 | $0 |
| DANA KLUG | ||||||||||||||
| RN-CHARGE | $63,233 | $82,933 | $0 | $353 | $0 | $0 | $1,811 | $2,643 | $59 | $1,255 | $65,103 | $87,184 | $0 | $0 |
| CHERYL LEININGER | ||||||||||||||
| RN DIR-NURSING | $43,014 | $75,674 | $29 | $12,301 | $620 | $960 | $1,133 | $4,753 | $6,444 | $6,548 | $51,240 | $100,236 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | PAUL VAN DEN HEUVEL ($4,050) AND JEFFREY WICKLANDER ($200) EACH HAD A TAXABLE HOUSING ALLOWANCE. |
| PART I, LINE 3 | FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS MERRILL 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 4B | SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGESLSKI $112,143 J. REDMAN-SCHELL $51,368 B. BARSOTTI $23,406 J. MATHESON $26,065 J. HEISLER $25,179 L. ROWE-PEPLINSKI $22,695 J. NOSKO $21,708 R. SMITH $53,547 R. RISLEY-GRAY $19,718 T. RICHARDSON $50,634 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 391337855 | BondIssuerEIN |
| CUSIP | 97712JDN0 | CUSIPNum |
| Bond Issued | 2021-11-10 | BondIssuedDt |
| Issue Price | $5,700,854 | IssuePriceAmt |
| Purpose | REVENUE BONDS SERIES 2021 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $5,700,854 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $40,612 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $5,660,242 | OtherSpentProceedsAmt |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | 0 | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 ASPIRUS MERRILL 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. |
| SCHEDULE K, PART III, LINE 9 | SUPPLEMENTAL 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 (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | IN AUGUST 2021, THE ORGANIZATION'S PARENT BECAME ASPIRUS INC, WHO IS THE SOLE PARENT MEMBER OF THE ORGANIZATIONS REPORTED ON SCHEDULE R ATTACHED. THE FIRST MONTH OF THE FISCAL YEAR (JULY) THE ORGANIZATION WAS A PART OF A RELATED PARTY STRUCTURE WITH THE OVERARCHING PARENT BEING ASCENSION HEALTH ALLIANCE (45-3358926). THE DIRECT PARENT BEING MINISTRY HEALTH CARE INC. (39-1490371) WHO IS OWNED BY ASCENSION HEALTH (31-1662309) WHICH IS OWNED BY ASCENSION HEALTH ALLIANCE (45-3358926). THE BYLAWS AND ARTICLES WERE AMENDED TO REFLECT THIS CHANGE. |
| FORM 990, PART VI, SECTION A, LINE 6 | EFFECTIVE AUGUST 1, 2021, THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. PRIOR TO THAT, MINISTRY HEALTH CARE INC WAS THE CORPORATE MEMBER. FURTHER DETAILS ARE PROVIDED THROUGHOUT THE FORM. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS IS COMPRISED OF TEN DIRECTORS. THERE SHALL BE TWO CLASSES OF VOTING DIRECTORS: THE COMMUNITY CLASS AND THE PROVIDER CLASS. NO LESS THAN FOUR INDEPENDENT COMMUNITY CLASS DIRECTORS, SIX 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 7B | THE 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 11B | THE 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 12C | BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE 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 15 | FOR 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 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | CONTRACT NURSING AND OTHER LABOR: PROGRAM SERVICE EXPENSES 2,479,117. MANAGEMENT AND GENERAL EXPENSES 441,097. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,920,214. FOOD SERVICE FEES: PROGRAM SERVICE EXPENSES 6,058. MANAGEMENT AND GENERAL EXPENSES 8,543. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,601. LAB FEES: PROGRAM SERVICE EXPENSES 225,776. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 225,776. OTHER FEES: PROGRAM SERVICE EXPENSES 575,326. MANAGEMENT AND GENERAL EXPENSES 524,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,099,998. |
| FORM 990, PART XI, LINE 9: | NET ASSET ADJUSTMENT FROM ACQUISITION OF NEW PARENT 4,995,063. |
| FORM 990, PART XII, LINE 2C: | THE HOSPITAL RELIED ON THEIR NEW PARENT MEMBER, ASPIRUS INC, IN THE SELECTION OF THE INDEPENDENT AUDITORS. THEY WERE INCLUDED IN THEIR CONSOLIDATED AUDIT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391328331 | HEALTHCARE | WI | 501 (C) 3 | LINE 12B, II | N/A | 0 | |
| ASPIRUS WAUSAU HOSPITAL INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391138241 | HOSPITAL | WI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS BUILDINGS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391406537 | PROPERTY LEASING | WI | 501 (C) 3 | LINE 10 | Yes (1) | ASPIRUS INC | |
| ASPIRUS EXTENDED SERVICES INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 390782130 | NURSING HOME SERVICES | WI | 501 (C) 3 | LINE 10 | Yes (1) | ASPIRUS INC | |
| ASPIRUS MEDICAL GROUP INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391670223 | MEDICAL SERVICES | WI | 501 (C) 3 | LINE 10 | Yes (1) | ASPIRUS INC | |
| ASPIRUS ONTONAGON INC | |||||||||||
| 601 SEVENTH STREET | ONTONAGON | MI | 49953 | 260806477 | HOSPITAL | MI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS VNA HOME HEALTH INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 390808511 | HOME HEALTH CARE SERVICES | WI | 501 (C) 3 | LINE 10 | Yes (1) | ASPIRUS INC | |
| ASPIRUS VNA EXTENDED CARE INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 391597350 | PERSONAL CARE SERVICES | WI | 501 (C) 3 | LINE 10 | Yes (1) | ASPIRUS VNA HOME HEALTH INC | |
| ASPIRUS HEALTH FOUNDATION INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391256656 | CHARITABLE FOUNDATION | WI | 501 (C) 3 | LINE 7 | Yes (1) | ASPIRUS INC | |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS INC | |||||||||||
| 1400 W ICE LAKE ROAD | IRON RIVER | MI | 49935 | 383236977 | HOSPITAL | MI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 382908586 | HOSPITAL | MI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | |||||||||||
| 410 DEWEY STREET | WISCONSIN RAPIDS | WI | 54494 | 390868982 | HOSPITAL | WI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS KEWEENAW HOSPITAL | |||||||||||
| 205 OSCEOLA STREET | LAURIUM | MI | 49913 | 381443361 | HOSPITAL | MI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| DIVINE SAVIOR HEALTHCARE INC | |||||||||||
| 2817 NEW PINERY ROAD | PORTGAGE | WI | 53901 | 390806250 | HOSPITAL | WI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS MEDFORD HOSPITAL & CLINICS INC | |||||||||||
| 135 S GIBSON STREET | MEDFORD | WI | 54451 | 390964813 | HOSPITAL | WI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS MEDFORD FOUNDATION INC | |||||||||||
| 135 S GIBSON STREET | MEDFORD | WI | 54451 | 391777081 | CHARITABLE FOUNDATION | WI | 501 (C) 3 | LINE 7 | Yes (1) | ASPIRUS INC | |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC | |||||||||||
| 900 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 390808443 | HOSPITAL | WI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC | |||||||||||
| 900 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 391657410 | CHARITABLE FOUNDATION | WI | 501 (C) 3 | LINE 12A, I | Yes (1) | ASPIRUS INC | |
| ASPIRUS STANLEY HOSPITAL & CLINICS INC | |||||||||||
| 1120 PINE STREET | STANLEY | WI | 54768 | 390807065 | HOSPITAL | WI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS MERRILL HOSPITAL FOUNDATION INC | |||||||||||
| 601 S CENTER AVENUE | MERRILL | WI | 54452 | 391627755 | CHARITABLE FOUNDATION | WI | 501 (C) 3 | LINE 12A, I | Yes (1) | ASPIRUS INC | |
| ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC | |||||||||||
| 2251 NORTH SHORE DRIVE | RHINELANDER | WI | 54501 | 391390638 | HOSPITAL | WI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC | |||||||||||
| 201 HOSPITAL ROAD | EAGLE RIVER | WI | 54521 | 390985690 | HOSPITAL | WI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| THE HOWARD YOUNG MEDICAL CENTER INC | |||||||||||
| 240 MAPLE STREET | WOODRUFF | WI | 54568 | 390873606 | HOSPITAL | WI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| HOWARD YOUNG HEALTH CARE INC | |||||||||||
| 240 MAPLE STREET | WOODRUFF | WI | 54568 | 391499115 | HEALTHCARE | WI | 501 (C) 3 | LINE 12B, II | Yes (1) | ASPIRUS INC | |
| ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN | |||||||||||
| 2200 WESTWOOD DRIVE | WAUSAU | WI | 54401 | 391965593 | HOSPITAL | WI | 501 (C) 3 | LINE 3 | Yes (1) | ASPIRUS INC | |
| MINISTRY HEALTH CARE INC | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 391490371 | PARENT (FORMER) | MO | 501 (C) 3 | LINE 12A, I | Yes (1) | ASCENSION HEALTH | |
| ASCENSION HEALTH | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501 (C) 3 | LINE 12A, I | Yes (1) | ASCENSION HEALTH ALLIANCE | |
| ASCENSION HEALTH ALLIANCE | |||||||||||
| C/O TAX DEPARTMENT PO BOX 45998 | ST LOUIS | MO | 631455998 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501 (C) 3 | LINE 12A, I | N/A | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| WESTERN UPPER MICHIGAN EYE CARE LLC | |||||||||
| 131 W GENESEE STREET | IRON RIVER | MI | 49935 | 272324957 | EYE CARE SERVICES | MI | N/A | 0 | 0 |
| THE WESTWOOD CONFERENCE CENTER LLC | |||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 571184256 | REAL ESTATE INVESTMENT | WI | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS NETWORK INC | |||||||||
| 3000 WESTHILL DRIVE 202 | WAUSAU | WI | 54401 | 391931678 | HEALTH CARE SERVICES | WI | N/A | C | 0 |
| ASPIRUS KEWEENAW ENTERPRISES INC | |||||||||
| 205 OSCEOLA STREET | LAURIUM | MI | 49913 | 383390273 | PHARMACY | MI | N/A | C | 0 |
| ASPIRUS HEALTH VENTURES | |||||||||
| 3000 WESTHILL DR SUITE 303 | WAUSAU | WI | 54401 | 474925640 | HEALTH INSURANCE PLAN | WI | N/A | C | 0 |
| ASPIRUS ARISE HEALTH PLAN OF WI INC | |||||||||
| 3000 WESTHILL DR SUITE 303 | WAUSAU | WI | 54401 | 364832569 | HEALTH INSURANCE PLAN | WI | N/A | C | 0 |
| ASPIRUS ARISE HEALTH PLAN OF MI INC | |||||||||
| 3000 WESTHILL DR SUITE 303 | WAUSAU | WI | 54401 | 475448266 | HEALTH INSURANCE PLAN | MI | N/A | C | 0 |
| ASPIRUS CAMPUS PROPERTY CONDOMINIUM OWNERS ASSOCIATION INC | |||||||||
| 2200 WESTWOOD DRIVE | WAUSAU | WI | 54401 | 842513742 | ASSOCIATION | WI | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ASPIRUS WAUSAU HOSPITAL INC | ||
| Q | $251,593 | COST |
| ASPIRUS INC | ||
| L | $2,798,542 | COST |
| ASPIRUS INC | ||
| O | $8,457,223 | COST |
| ASPIRUS INC | ||
| Q | $11,544,304 | COST |
| ASPIRUS STEVENS POINT HOSPITAL INC | ||
| L | $55,635 | COST |
| ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC | ||
| Q | $56,259 | COST |
| HOWARD YOUNG MEDICAL CENTER | ||
| I | $127,697 | COST |
| HOWARD YOUNG MEDICAL CENTER | ||
| P | $171,505 | COST |
| HOWARD YOUNG HEALTH CARE | ||
| Q | $284,202 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II, PART III AND PART IV: | FormAndLineReferenceDesc |
| Explanation | IN AUGUST 2021, THE ORGANIZATION'S PARENT BECAME ASPIRUS INC, WHO IS THE SOLE PARENT MEMBER OF THE ORGANIZATIONS REPORTED ON SCHEDULE R ATTACHED. THE FIRST MONTH OF THE FISCAL YEAR (JULY) THE ORGANIZATION WAS A PART OF A RELATED PARTY STRUCTURE WITH THE OVERARCHING PARENT BEING ASCENSION HEALTH ALLIANCE (45-3358926). THE DIRECT PARENT BEING MINISTRY HEALTH CARE INC. (39-1490371) WHO IS OWNED BY ASCENSION HEALTH (31-1662309) WHICH IS OWNED BY ASCENSION HEALTH ALLIANCE (45-3358926). THE RELATED PARTY STRUCTURE OF ASCENSION HEALTH ALLIANCE/ASCENSION HEALTH/MINISTRY HEALTH CARE CAN BE PROVIDED UPON REQUEST. ALL COMPENSATION FROM BOTH RELATED PARTY STRUCTURES HAS BEEN REPORTED ON THE FORM 990. TRANSACTIONS AS REPORTED ON SCHEDULE R, PART V, LINE 2 TRANSACTIONS ARE NOT INCLUDING TRANSACTIONS WITH ASCENSION HEALTH ENTITIES FOR THE ONE MONTH OF RELATIONSHIP. | ExplanationTxt |