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ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS INC (EIN 39-1390638)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-15
IRS object ID
202521359349305387
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-15T10:51:25-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391390638EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS RHINELANDER & TOMAHAWK HOSPITALSBusinessNameLine1Txt
Business Name Line2& CLINICS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlASPIBusinessNameControlTxt
Phone7153612000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12251 NORTH SHORE DRIVEAddressLine1Txt
CityRHINELANDERCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54501ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJERRY M YANGPersonNm
Person TitleSVP - CHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7158472250PhoneNum
Signature2025-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2025-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATTHEW HEYWOODPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 WESTWOOD DRIVEAddressLine1Txt
CityWAUSAUCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$302,023,264GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASPIRUS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionWE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee1005TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$758,211PYContributionsGrantsAmt
CY Contributions Grants$367,827CYContributionsGrantsAmt
PY Program Service Revenue$232,268,990PYProgramServiceRevenueAmt
CY Program Service Revenue$299,138,812CYProgramServiceRevenueAmt
PY Investment Income-$849,647PYInvestmentIncomeAmt
CY Investment Income-$68,537CYInvestmentIncomeAmt
PY Other Revenue$365,481PYOtherRevenueAmt
CY Other Revenue$406,394CYOtherRevenueAmt
PY Total Revenue$232,543,035PYTotalRevenueAmt
CY Total Revenue$299,844,496CYTotalRevenueAmt
PY Grants And Similar Paid$43,638PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$33,704CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$115,490,766PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$115,781,260CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$125,321,824PYOtherExpensesAmt
CY Other Expenses$179,759,050CYOtherExpensesAmt
PY Total Expenses$240,856,228PYTotalExpensesAmt
CY Total Expenses$295,574,014CYTotalExpensesAmt
PY Revenues Less Expenses-$8,313,193PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,270,482CYRevenuesLessExpensesAmt
Total Assets BOY$133,447,495TotalAssetsBOYAmt
Total Assets EOY$138,612,489TotalAssetsEOYAmt
Total Liabilities BOY$80,866,363TotalLiabilitiesBOYAmt
Total Liabilities EOY$75,537,952TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$52,581,132NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$63,074,537NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$258,096,920ExpenseAmt
Grant$33,704GrantAmt
Revenue$299,138,812RevenueAmt
DescASPIRUS RHINELANDER HOSPITAL IS A 49-BED HOSPITAL CAMPUS, AND ASPIRUS TOMAHAWK HOSPITAL IS A 15-BED CAMPUS, BOTH OF WHICH PROVIDE SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2024, ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS SERVICED THE COMMUNITY THROUGH A TOTAL OF APPROXIMATELY 12,086 PATIENT DAYS OF SERVICE AND 612 SWING BED DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR APPROXIMATELY 239,470 OUTPATIENT VISITS, WHICH INCLUDED APPROXIMATELY 4,552 OUTPATIENT SURGERIES AND APPROXIMATELY 19,474 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.BEGINNING IN DECEMBER OF 2021, THE VARIOUS ASPIRUS CLINICS IN THE REGION WERE ALL REORGANIZED SO THAT THEY WERE INCLUDED UNDER ASPIRUS RHINELANDER HOSPITAL.Desc
Total Program Service Expenses$258,096,920TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1005EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JERRY M YANGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7158472250PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JESSE TISCHER
V.C. (THRU 01/24)/SVP & PRES.-AWH1.0050.00Yes (X)Yes (X)$0$764,397$116,000
ERIC ANDERSON
BOARD MEMBER/CHIEF COMPL. OFFICER1.0050.00Yes (X)$0$498,735$99,668
CONSTANCE BRADLEY
VICE CHAIR/SVP & PRES. REG. MRKTS.1.0050.00Yes (X)Yes (X)$0$489,478$90,167
JEFFREY JONES
SVP-CFO (THRU 04/23)2.0050.00Yes (X)Yes (X)$0$222,942$12,956
AMY SLETTE MD
BOARD MEMBER (THRU 09/23)/PHYSICIAN1.0040.00Yes (X)$0$186,437$32,505
HOLLY BEEDE-MCKINNEY NP
BOARD MEMBER/NURSE PRACTITIONER1.0040.00Yes (X)$0$161,284$5,346
JUDY SMOLAREK
CHAIR1.002.00Yes (X)Yes (X)$0$0$0
KELLY COURT
SECRETARY/TREASURER1.002.00Yes (X)Yes (X)$0$0$0
KATE FERREL
BOARD MEMBER1.002.00Yes (X)$0$0$0
FATHER JIM FOSDICK
BOARD MEMBER (THRU 09/23)1.002.00Yes (X)$0$0$0
ARTHUR C HELGERSON DDS
BOARD MEMBER (THRU 07/23)1.002.00Yes (X)$0$0$0
RYAN HUSEBY
BOARD MEMBER1.002.00Yes (X)$0$0$0
RON PATTERSON
BOARD MEMBER1.002.00Yes (X)$0$0$0
DEAN POLLNOW MD
BOARD MEMBER/PHYSICIAN1.0040.00Yes (X)$394,693$0$38,643
AMY VANNEY
BOARD MEMBER1.002.00Yes (X)$0$0$0
JERRY M YANG
SVP-CHIEF FINANCIAL OFFICER2.0050.00Yes (X)$0$0$0
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS2.0050.00Yes (X)$0$1,618,117$304,186
SIDNEY SCZYGELSKI
SENIOR VP OF FINANCE/CFO2.0050.00Yes (X)$0$1,294,746$134,273
TERESA THEILER
(NV) PRESIDENT-ASPIRUS N. WI DIV.1.0050.00Yes (X)$0$368,058$77,114
MICHAEL HOLZHUETER
SVP-GENERAL COUNSEL2.0050.00$0$688,935$115,911Yes (X)
MICHAEL WALTERS
SVP-SYSTEM CHIEF MEDICAL OFFICER2.0050.00$0$669,631$49,745Yes (X)
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER2.0050.00$0$522,951$102,957Yes (X)
SUSAN SCHNEIDER
VP-SYSTEM SR. PHYSICIAN EXEC.2.0050.00$0$510,162$34,165Yes (X)
TODD RICHARDSON
SVP-CHIEF INFORMATION OFFICER2.0050.00$0$350,449$76,560Yes (X)
CRYSTAL KIRSCHLING
VP-SYSTEM INTEGRATION OFFICER2.0050.00$0$310,701$47,434Yes (X)
WILLIAM CARROLL
VP-INFORMATION TECHNOLOGY2.0050.00$0$316,286$37,986Yes (X)
ANDREA ALLARD
VP-OPERATIONS2.0050.00$0$293,965$10,421Yes (X)
ANTHONY RUTKOWSKI
RADIOLOGIST40.00$1,005,294$0$47,939Yes (X)
STEVEN BROWN
RADIOLOGIST40.00$881,887$0$47,832Yes (X)
JOHNATHAN CURRIE
RADIOLOGIST40.00$854,240$0$49,375Yes (X)
SANDIP GHUGE
MEDICAL DIRECTOR40.00$834,479$0$53,394Yes (X)
ABIGAIL TAUB
PHYSICIAN40.00$841,774$0$35,381Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,812,367TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,267,274TotReportableCompRltdOrgAmt
Total Other Compensation$1,619,958TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K176IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TOTAL MSP LLC
221 W COLLEGE AVE FLOOR 2APPLETONWI54911CONTRACT LABOR$4,377,086
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX753972633PHYSICIAN SERVICES$2,297,604
DAILY CARE LLC
323 N MORRISON ST STE 100APPLETONWI54911PHYSICIAN SERVICES$1,328,227
HAYES LOCUMS LLC
PO BOX 844543DALLASTX752844543PHYSICIAN SERVICES$1,167,093
MEDICAL STAFFING SOLUTIONS INC
PO BOX 101RICE LAKEWI54868CONTRACT LABOR$1,047,715
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Related Organizations$9,000RelatedOrganizationsAmt
Government Grants$312,495GovernmentGrantsAmt
All Other Contributions$46,332AllOtherContributionsAmt
Total Contributions$367,827TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621990$242,846,688$242,846,688
PHARMACY REVENUE456110$55,475,459$55,475,459
CONTRACT SERVICE REVENUE900099$755,724$755,724

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,941TotalRevenueColumnAmt
Related Or Exempt Func Income$60,941RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$299,138,812TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$203,838RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$203,838RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$203,838TotalRevenueColumnAmt
Exclusion$203,838ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,110,231OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,178,768OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$68,537OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$68,537TotalRevenueColumnAmt
Exclusion-$68,537ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA/VENDING REVENUEDesc
Business722514BusinessCd
Total Revenue Column$202,556TotalRevenueColumnAmt
Exclusion$202,556ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$202,556OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$299,844,496TotalRevenueColumnAmt
Related Or Exempt Func Income$299,138,812RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$337,857ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$33,704TotalAmt
Program Services$33,704ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$468,067TotalAmt
Program Services$468,067ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$96,207,184TotalAmt
Program Services$89,280,986ProgramServicesAmt
Management And General$6,926,198ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,910,592TotalAmt
Program Services$2,578,201ProgramServicesAmt
Management And General$332,391ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,960,277TotalAmt
Program Services$9,702,915ProgramServicesAmt
Management And General$1,257,362ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,235,140TotalAmt
Program Services$4,633,130ProgramServicesAmt
Management And General$602,010ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$21,400TotalAmt
Management And General$21,400ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,655,034TotalAmt
Program Services$26,291,533ProgramServicesAmt
Management And General$7,363,501ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$35,022TotalAmt
Program Services$27,979ProgramServicesAmt
Management And General$7,043ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$313,857TotalAmt
Program Services$305,510ProgramServicesAmt
Management And General$8,347ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$122,292TotalAmt
Program Services$98,018ProgramServicesAmt
Management And General$24,274ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,491,192TotalAmt
Program Services$399,671ProgramServicesAmt
Management And General$3,091,521ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$256,920TotalAmt
Program Services$200,772ProgramServicesAmt
Management And General$56,148ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$27,606TotalAmt
Program Services$17,961ProgramServicesAmt
Management And General$9,645ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,430,818TotalAmt
Program Services$642,114ProgramServicesAmt
Management And General$1,788,704ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,498,271TotalAmt
Program Services$5,188,464ProgramServicesAmt
Management And General$6,309,807ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$268,595TotalAmt
Program Services$28,473ProgramServicesAmt
Management And General$240,122ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$77,737,671$76,403,310$1,334,361
CORPORATE ALLOCATIONS$35,278,747$29,138,045$6,140,702
BAD DEBT$5,706,747$5,701,975$4,772
REPAIRS AND MAINTENANCE$4,499,937$3,471,615$1,028,322

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,414,941TotalAmt
Program Services$3,484,477ProgramServicesAmt
Management And General$930,464ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$295,574,014TotalAmt
Program Services$258,096,920ProgramServicesAmt
Management And General$37,477,094ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,507BOYAmt
EOY$11,507EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$483,297BOYAmt
EOY$481,395EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,802,082BOYAmt
EOY$32,802,562EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,078,758BOYAmt
EOY$6,407,640EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$289,761BOYAmt
EOY$114,172EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$108,272,659LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,494,344LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$89,711,623BOYAmt
EOY$85,778,315EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$272,756BOYAmt
EOY$286,973EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,797,711BOYAmt
EOY$12,729,925EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$133,447,495BOYAmt
EOY$138,612,489EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,011,497BOYAmt
EOY$5,644,171EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$69,559,538BOYAmt
EOY$67,914,385EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,295,328BOYAmt
EOY$1,979,396EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$80,866,363BOYAmt
EOY$75,537,952EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$52,308,376BOYAmt
EOY$62,756,449EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$272,756BOYAmt
EOY$318,088EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,581,132BOYAmt
EOY$63,074,537EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$133,447,495BOYAmt
EOY$138,612,489EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,270,482ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$6,222,923OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$21,400OtherActivitiesAmt
Total Lobbying Expenditures$21,400TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. AHA AND WHA HAVE NOTIFIED THE HOSPITAL THAT APPROXIMATELY $21,400 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,037,016OtherCostOrOtherBasisAmt
Book Value$6,037,016BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,995,496OtherCostOrOtherBasisAmt
Depreciation$8,658,718DepreciationAmt
Book Value$69,336,778BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,944OtherCostOrOtherBasisAmt
Depreciation$15,497DepreciationAmt
Book Value$2,447BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,627,782OtherCostOrOtherBasisAmt
Depreciation$13,820,129DepreciationAmt
Book Value$8,807,653BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,594,421OtherCostOrOtherBasisAmt
Book Value$1,594,421BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$85,778,315TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
340B RECEIVABLE$188,549
OPERATING LEASE ASSET$22,320
DUE FROM AFFILIATES$154,303
ESTIMATED THIRD PARTY PAYOR SETTELEMENTS RECEIVABLE$11,110,254
FINANCE LEASE ASSET$1,254,499
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,729,925TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$328,091
ESTIMATED THIRD PARTY PAYOR PAYABLES$332,661
FINANCE LEASE LIABILITY$1,318,644
FieldValueIRS element (for citing)
Total Liability$1,979,396TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2024.ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,015,293TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,015,293NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,663,682TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,304,167DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,359,515NetCommunityBenefitExpnsAmt
Total Expense0.05640TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,678,975TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,304,167DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,374,808NetCommunityBenefitExpnsAmt
Total Expense0.05990TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,233TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$78,233NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,339TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$99,339NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,704TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,704NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$211,276TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$211,276NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,890,251TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,304,167DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,586,084NetCommunityBenefitExpnsAmt
Total Expense0.06060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,927,062BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$31,277,563ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$34,905,544CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,627,981MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndCritical Access HospitalCriticalAccessHospitalInd
ASPIRUS RHINELANDER HOSPITAL
12251 NORTH SHORE DRIVERHINELANDERWI54501WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU138Yes (X)Yes (X)Yes (X)
ASPIRUS TOMAHAWK HOSPITAL
2401 WEST MOHAWK DRIVETOMAHAWKWI54487WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU1016Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back MedicareLookBackMedicareIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
ASPIRUS RHINELANDER HOSPITAL
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDSYes (X)Yes (1)23Yes (1)WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS0Yes (1)Yes (X)200.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCEYes (X)WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCEYes (X)WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCEYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
ASPIRUS TOMAHAWK HOSPITAL
2Yes (1)0Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDSYes (X)Yes (1)23Yes (1)WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS0Yes (1)Yes (X)200.000000000000300.000000000000Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCEYes (X)WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCEYes (X)WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCEYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ASPIRUS RHINELANDER HOSPITALPART V, SECTION B, LINE 5: AS PART OF THE ASPIRUS EAGLE RIVER HOSPITAL, ASPIRUS RHINELANDER HOSPITAL AND HOWARD YOUNG MEDICAL CENTER'S FY23 (SPRING 2023) COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, MULTIPLE OPPORTUNITIES FOR COMMUNITY INPUT WERE CONDUCTED. ALL INPUT OPPORTUNITIES WERE LED BY ONEIDA COUNTY HEALTH DEPARTMENT WITH COLLABORATION BY VILAS COUNTY HEALTH DEPARTMENT, FOREST COUNTY HEALTH DEPARTMENT, MARSHFIELD CLINIC HEALTH SYSTEM AND ASPIRUS. THE UNIVERSITY OF WISCONSIN-STOUT WAS CONTRACTED FOR SOME OF THE COMMUNITY INPUT OPPORTUNITIES. COMMUNITY SURVEYA COMMUNITY SURVEY WAS CONDUCTED IN WINTER 2022-23. THE SURVEY WAS DEVELOPED AND DISSEMINATED BY THE COMMUNITY PARTNERS LISTED ABOVE. SPECIFIC OUTREACH WAS MADE TO INDIVIDUALS: IN THE LGBTQ+ COMMUNITY; WHO ARE HISPANIC; IN RECOVERY; ACCESSING FOOD PANTRIES; ACCESSING HOMELESS SHELTERS; ACCESSING AGING AND DISABILITY RESOURCE CENTER SERVICES; ATTENDING THE LOCAL COLLEGE; ACCESSING DAY CARE SERVICES; ACCESSING LIBRARY SERVICES; ACCESSING WIC NUTRITION SERVICES; AND OTHERS. KEY INFORMANT INTERVIEWSAPPROXIMATELY 35 KEY INFORMANT INTERVIEWS WERE CONDUCTED IN EARLY 2023. INTERVIEW QUESTIONS FOCUSED ON THE ORGANIZATIONS' LEADERS' PERCEPTIONS OF NEEDS AND BARRIERS FOR THE POPULATION THEY SERVED. KEY INFORMANTS WERE FROM SCHOOLS, LAW ENFORCEMENT, HUMAN SERVICE CENTERS, SUBSTANCE USE RECOVERY ORGANIZATIONS, HEALTH DEPARTMENTS, LIBRARIES, FOOD PANTRIES, JOB SERVICES, HEALTH CARE, ELECTED OFFICIALS AND MORE. LEADERS FROM MULTIPLE BANDS OF AMERICAN INDIANS WERE ALSO INTERVIEWED. FOCUS GROUPS NINE FOCUS GROUPS WERE COMPLETED AND RESULTS WERE ANALYZED BY UW-STOUT, HOWEVER, THE FOCUS GROUP RESULTS WERE NOT AVAILABLE AT THE TIME OF THE HOSPITALS' PRIORITIZATION PROCESS.
ASPIRUS TOMAHAWK HOSPITALPART V, SECTION B, LINE 5: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), COMMUNITY MEMBERS FROM LINCOLN COUNTY PROVIDED INPUT ON THE TOP COMMUNITY HEALTH NEEDS THROUGH A COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS, A COMMUNITY FORUM AND A COALITION PRIORITIZATION PROCESS. THE COMMUNITY SURVEY WAS COMPLETED BY 752 ADULTS IN FALL 2022 (SEPTEMBER-OCTOBER). THE SURVEY WAS DISTRIBUTED BY MULTIPLE COMMUNITY PARTNERS INCLUDING THE HEALTH DEPARTMENT, SOCIAL SERVICE AGENCIES, AND MORE. RESPONDENTS WERE ASKED ABOUT THEIR TOP COMMUNITY HEALTH CONCERNS AS WELL AS THE STRENGTHS OF THE COMMUNITY. TO FILL SOME GAPS NOTICED IN THE SURVEY, FIVE KEY INFORMANT INTERVIEW RESULTS WERE CONDUCTED IN NOVEMBER 2022. REPRESENTED SECTORS INCLUDED MANUFACTURING, AGENCIES SERVING VULNERABLE POPULATIONS, COMMUNITY ORGANIZATIONS, YOUTH GROUP, AND COMMUNITY LEADER. INTERVIEW QUESTIONS WERE ABOUT COMMUNITY STRENGTHS, CHALLENGES, OPPORTUNITIES AND THREATS. A COMMUNITY FORM WAS HELD IN JANUARY 2023 TO REVIEW DATA AND ROOT CAUSES OF HEALTH ISSUES. OVER 60 COMMUNITY STAKEHOLDERS WERE INVITED. THE LINCOLN COUNTY HEALTH DEPARTMENT FACILITATED AND CONTRIBUTED TO THE DISCUSSION. LASTLY, THE LIVE WILL LINCOLN PARTNERS LINCOLN COUNTY HEALTH DEPARTMENT, UNIVERSITY OF WISCONSIN-EXTENSION, ASPIRUS, LINCOLN COUNTY DEPARTMENT OF SOCIAL SERVICES AND THE AGING AND DISABILITY RESOURCE CENTER MET REGULARLY TO REVIEW DATA, SHAPE THE PROCESS AND FINALIZE THE RESULTS.
ASPIRUS RHINELANDER HOSPITALPART V, SECTION B, LINE 6A: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), THE HOSPITAL COLLABORATED WITH ASPIRUS EAGLE RIVER HOSPITALS, HOWARD YOUNG MEDICAL CENTER (PART OF ASPIRUS), AND MARSHFIELD MEDICAL CENTER-MINOCQUA.
ASPIRUS TOMAHAWK HOSPITALPART V, SECTION B, LINE 6A: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), ASPIRUS TOMAHAWK HOSPITAL COLLABORATED WITH ASPIRUS MERRILL HOSPITAL.
ASPIRUS RHINELANDER HOSPITALPART V, SECTION B, LINE 6B: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), ASPIRUS RHINELANDER HOSPITAL COLLABORATED WITH THE FOREST COUNTY HEALTH DEPARTMENT, THE ONEIDA COUNTY HEALTH DEPARTMENT AND THE VILAS COUNTY HEALTH DEPARTMENT. ASPIRUS RHINELANDER HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS RHINELANDER HOSPITAL.
ASPIRUS TOMAHAWK HOSPITALPART V, SECTION B, LINE 6B: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), ASPIRUS TOMAHAWK HOSPITAL COLLABORATED WITH THE LINCOLN COUNTY HEALTH DEPARTMENT. ASPIRUS TOMAHAWK HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS TOMAHAWK HOSPITAL.
ASPIRUS RHINELANDER HOSPITALPART V, SECTION B, LINE 11: IN FY24, ASPIRUS STRENGTHENED ITS COMMUNITY HEALTH EFFORTS BY IMPLEMENTING CROSS-ORGANIZATIONAL STRATEGIES ALONG WITH LOCAL STRATEGIES. CROSS-ORGANIZATIONAL STRATEGIES ARE IMPLEMENTED (AS APPROPRIATE) LOCALLY BUT BENEFIT FROM THE EXPERTISE AND STRUCTURE AVAILABLE WITHIN THE SYSTEM. DESCRIPTIONS BELOW REFLECT BOTH CROSS-ORGANIZATIONAL AND LOCAL STRATEGIES. THE HOSPITAL IS IN RURAL NORTHERN WISCONSIN. BECAUSE OF THAT SETTING, COMMUNITY HEALTH EFFORTS ARE FREQUENTLY COMPLETED WITH OTHER REGIONAL PARTNERS, INCLUDING OTHER ASPIRUS HOSPITALS. THE FOLLOWING DESCRIPTIONS ARE REFLECTIVE OF ASPIRUS RHINELANDER, ASPIRUS EAGLE RIVER AND HOWARD YOUNG MEDICAL CENTER (ALSO WITH ASPIRUS) UNLESS OTHERWISE INDICATED. IN FY24, ASPIRUS RHINELANDER'S SIGNIFICANT NEEDS WERE: MENTAL HEALTH; SUBSTANCE USE. THE HOSPITAL ADDRESSED THOSE NEEDS IN THE FOLLOWING WAYS. IN PART DUE TO THE KNOWLEDGE AND CAPACITY THAT THE RHINELANDER-BASED ASPIRUS KOLLER BEHAVIORAL HEALTH UNIT (PART OF THE HEALTH CARE SYSTEM) BRINGS TO THE AREA, THE HOSPITALS ARE A STRONG AND VALUED RESOURCE FOR COMMUNITY MENTAL HEALTH AND SUBSTANCE USE PREVENTION EFFORTS. STAFF EXPERTISE IS SHARED INTERNALLY AS WELL AS EXTERNALLY. EFFORTS ARE DESCRIBED BELOW. COALITION: ASPIRUS STAFF PARTICIPATED IN COMMUNITY OUTREACH PREVENTION EDUCATION (COPE), WHICH IS THE REGION'S MENTAL HEALTH AND SUBSTANCE USE COALITION. ASPIRUS KOLLER BEHAVIORAL HEALTH STAFF CO-CHAIR THE MENTAL HEALTH AND SUICIDE PREVENTION SUBCOMMITTEE OF THE COALITION. SUBCOMMITTEE ACTIVITIES ARE DESCRIBED BELOW. - THE SUBCOMMITTEE CONDUCTED A NUMBER OF ACTIVITIES, INCLUDING: DEVELOPING A STRATEGY AROUND REDUCED ACCESS TO SUICIDE MEANS; PROMOTING AWARENESS (E.G., FOR MAY MENTAL HEALTH MONTH, SEPTEMBER SUICIDE PREVENTION WEEK, AND WORLD MENTAL HEALTH DAY (OCTOBER). - QUESTION, PERSUADE, REFER (QPR) TRAININGS FOCUSED ON SUICIDE PREVENTION WERE COORDINATED BY THE SUBCOMMITTEE. OVER 80 PEOPLE WERE TRAINED IN QPR IN FY24. SOME OF THE PEOPLE TRAINED DURING THIS YEAR INCLUDED PHARMACY STAFF, MEDICAL STAFF, AND COMMUNITY MEMBERS. - THE SUBCOMMITTEE CREATED AND DISTRIBUTED 988 STICKERS TO PHARMACIES IN THE NORTHERN REGION. 988 IS THE NATIONAL MENTAL HEALTH CRISIS LINE NUMBER. THE STICKERS WERE PLACED ON EACH PHARMACY BAG TO PROMOTE THE NEW 988 CRISIS LINE WITH THE QR CODE FOR MENTAL AND HEALTH AND SUBSTANCE USE/ABUSE SUPPORT AVAILABLE 24/7. - THE COALITION LEADERS COLLABORATED WITH HEADS UP GUYS (AN ONLINE PLATFORM WITH TOOLS AND RESOURCES FOCUSED ON MEN'S MENTAL HEALTH) AND THE WISCONSIN 988 MANAGER TO CREATE BAR COASTERS FOR NORTHERN WISCONSIN. THE COASTERS ARE A WAY TO REACH MEN 25 AND OLDER TO PROVIDE THEM WITH A RESOURCE WHEN THEY ARE IN NEED OF SUPPORT. THE COASTERS HAVE A QR CODE FOR HEADS UP GUYS AND WILL BRING THE INDIVIDUALS DIRECTLY TO THE HEADS UP GUYS WEBSITE. PRIOR TO INITIATING THE CAMPAIGN, LEADERS FROM THE COALITION (INCLUDING FROM ASPIRUS) MET WITH EACH OF THE TAVERN LEAGUE PRESIDENTS IN FOREST, ONEIDA, AND VILAS TO SHARE THE IDEA AND OBTAIN THEIR SUPPORT. THE COALITION LEADERS THEN ATTENDED EACH OF THE TAVERN LEAGUE MEETINGS TO DISCUSS THE CAMPAIGN AND THE RESOURCE. THE COALITION LEADERS ALSO SHARED MENTAL HEALTH AND SUICIDE WARNING SIGNS, RISK FACTORS, AND RESOURCES TO SUPPORT ANY PATRON THE TAVERN LEAGUE MEMBERS MAY BE CONCERNED ABOUT. IN FY24, ASPIRUS KOLLER BEHAVIORAL HEALTH STAFF ALSO:- WORKED WITH THE LOCAL AFFILIATE OF A MAJOR NEWS NETWORK TO PROVIDE INTERVIEWS, CREATE A SERIES OF PSAS AND CREATE YOUTUBE REEL ANNOUNCEMENTS ON MENTAL HEALTH CONCERNS.- INTERVIEWED WITH A LOCAL MEDIA AFFILIATE ON MENTAL HEALTH INITIATIVES/TOPICS.- INITIATED PLANNING FOR THE MENTAL HEALTH SUMMIT TO BE HELD IN MAY 2025. THE SUMMIT FEATURES NATIONAL AND LOCAL PRESENTERS. THE SUMMIT IS OPEN TO PROFESSIONALS AND COMMUNITY MEMBERS.- IMPLEMENTED 988 STICKERS ON ASPIRUS PHARMACY BAGS AS A WAY TO OFFER HOPE IN THE EVENT THAT SOMEONE WAS INTENDING TO USE MEDICATIONS AS A MEANS OF SUICIDE. THIS MESSAGE WAS PERMANENTLY BRANDED ON ASPIRUS PHARMACY BAGS IN WISCONSIN.- APPLIED FOR AND RECEIVED A COUNSELING ON ACCESS TO LETHAL MEANS (CALM) GRANT. THE GRANT FOCUSES ON MEN AGED 25 AND OVER. GRANT ACTIVITIES INCLUDE PROVIDING EDUCATION TO BEHAVIORAL HEALTH STAFF IN THE NORTH AND SOUTH REGIONS ON SAFE STORAGE OF WEAPONS. THE GRANT INCLUDED FUNDING FOR LOCK BOXES AND CABLE LOCKS. ASPIRUS WILL APPLY FOR THE SECOND YEAR OF FUNDING. -PROVIDED DIALECTICAL BEHAVIOR THERAPY (DBT) GROUPS TO ADOLESCENTS AND ADULTS AT KOLLER BEHAVIORAL HEALTH AND NOW HAS AN ACTIVE DBT GROUP AT RHINELANDER HIGH SCHOOL FOR STUDENTS.ASPIRUS HEALTH OFFERS THE RAISE YOUR VOICE PROGRAM IN MULTIPLE COMMUNITIES, INCLUDING IN THIS REGION. RAISE YOUR VOICE IS A STUDENT CLUB THAT INCREASES THE AWARENESS OF MENTAL HEALTH. THE PROGRAM IS CO-SPONSORED BY THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI). WITH ASPIRUS FUNDING OVER THE LAST FEW YEARS, MANY CLUBS WERE ACTIVE IN THE REGION DURING THE 2023-24 SCHOOL YEAR. OTHER- EACH OF THE THREE HOSPITALS OFFERED 'FIT FOR LIFE' EXERCISE CLASSES IN A SUPERVISED SETTING FOR CARDIAC REHAB PATIENTS WHO HAVE COMPLETED THEIR TREATMENT PLAN. - ASPIRUS OFFERS A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM FOR ELIGIBLE PATIENTS IN THIS REGION. A VOUCHER IS GIVEN TO PATIENTS TO PURCHASE FRUITS AND VEGETABLES FROM LOCAL FARMERS. THE PROGRAM ALSO PROVIDES NUTRITION INFORMATION AND ACCESS TO RECIPES. DURING THE 2024 SEASON, OVER 700 VOUCHERS WERE DISTRIBUTED ACROSS THE SYSTEM. - HEALTHCARE SYSTEMS AND HOSPITALS HAVE NEW REQUIREMENTS TO SCREEN PATIENTS FOR SOCIAL NEEDS, IDENTIFY ANY NEEDS, AND REFER TO COMMUNITY RESOURCES. ASPIRUS CONTRACTS WITH A RESOURCE PLATFORM TO BETTER CONNECT PATIENTS WITH RESOURCES. - ASPIRUS RHINELANDER HOSPITAL BEGAN DONATING FOOD FROM THE CAFETERIA TO THE FOOD PANTRY. ASPIRUS RHINELANDER HOSPITAL HAS A BIRTHING CENTER. IN ADDITION TO PROVIDING CLINICAL SERVICES, THE BIRTHING CENTER AND CLINIC STAFF ALSO PROVIDE COMMUNITY PROGRAMS.- CAR SEAT SAFETY. TWO STAFF ARE CHILD PASSENGER SAFETY TECHNICIANS (CPST). STAFF PROVIDE CAR SEAT EDUCATION, INSPECTION/INSTALLATION, SAFETY BROCHURES AND SAFETY CHECKS. THE CLINIC AND BIRTHING CENTER ARE ABLE TO PROVIDE FREE CAR SEATS TO THOSE WHO MEET ELIGIBILITY (THIS IS THROUGH A GRANT SHARED WITH THE ONEIDA COUNTY HEALTH DEPARTMENT).- BREASTFEEDING. THE BIRTHING CENTER HAS ONE INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT (IBCLC) AND ONE CERTIFIED LACTATION CONSULTANT (CLC) AVAILABLE TO MEET WITH PATIENTS TO ASSIST WITH LACTATION NEEDS/QUESTIONS. ALL REMAINING BIRTHING CENTER STAFF HAVE BREASTFEEDING EDUCATION AND ARE ABLE TO ASSIST WITH BREASTFEEDING. ALL BIRTHING CENTER PATIENTS ARE PROVIDED WITH AN INJOY BOOKLET ON BREASTFEEDING (ASPIRUS SYSTEM STANDARD). THE BIRTHING CENTER HAS A SUPPLY OF BREAST PUMPS THAT THEY ARE ABLE TO PROVIDE AND SUBMIT TO PATIENT INSURANCE TO ENSURE PATIENTS HAVE THE NECESSARY EQUIPMENT NEEDED FOR LACTATION IF NEEDED. STAFF ATTENDED A COMMUNITY EVENT TO SHARE INFORMATION ON NUTRITION AND BREASTFEEDING TO NEW AND EXPECTING PARENTS. *****************************************OVER THE NEXT THREE YEARS, ASPIRUS EAGLE RIVER, ASPIRUS RHINELANDER AND HOWARD YOUNG MEDICAL CENTER WILL FORMALLY ADDRESS THE FOLLOWING ISSUES THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND CORRESPONDING IMPLEMENTATION STRATEGY: MENTAL HEALTH; SUBSTANCE USE.THE HOSPITAL EXECUTIVE TEAM DISCUSSED TWO ADDITIONAL POTENTIAL PRIORITIES. THESE ISSUES WERE IDENTIFIED AS TOP ISSUES IN THE KEY INFORMANT INTERVIEWS AND THE SURVEY. THE ISSUES WERE: ACCESS TO CARE; AGING ISSUES. THESE ISSUES WERE NOT PRIORITIZED FOR THE FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE FOLLOWING REASONS. - MOMENTUM AND ALIGNMENT. THE TWO AREAS WITH THE HIGHEST MOMENTUM AND ALIGNMENT WITH OTHERS ARE MENTAL HEALTH AND SUBSTANCE USE. - CAPACITY. THE HOSPITALS AND CLINICS HAVE LIMITED CAPACITY. CHOOSING ONLY TWO PRIORITY AREAS ALLOWS ASPIRUS TO FOCUS ITS EFFORTS. ADDITIONALLY, ASPIRUS HAS A STRONG BEHAVIORAL HEALTH SERVICE LINE. - CURRENT ACTIVITY. ACCESS TO CARE IS WHAT ASPIRUS DOES AS ITS MAIN SERVICE. THE HOSPITALS AND CLINICS WILL CONTINUE TO PROVIDE ACCESS TO CARE REGARDLESS OF IT BEING A CHNA PRIORITY. - INTERSECTION. THERE ARE SOME MENTAL HEALTH AND SUBSTANCE USE ISSUES THAT INTERSECT WITH AGING AND ACCESS TO CARE. ASPIRUS WILL CONTINUE TO ADVANCE THOSE EFFORTS.
ASPIRUS TOMAHAWK HOSPITALPART V, SECTION B, LINE 11: IN FY24, ASPIRUS STRENGTHENED ITS COMMUNITY HEALTH EFFORTS BY IMPLEMENTING CROSS-ORGANIZATIONAL STRATEGIES ALONG WITH LOCAL STRATEGIES. CROSS-ORGANIZATIONAL STRATEGIES ARE IMPLEMENTED (AS APPROPRIATE) LOCALLY BUT BENEFIT FROM THE EXPERTISE AND STRUCTURE AVAILABLE WITHIN THE SYSTEM. DESCRIPTIONS BELOW REFLECT BOTH CROSS-ORGANIZATIONAL AND LOCAL STRATEGIES. IN FY24, ASPIRUS TOMAHAWK HOSPITAL'S SIGNIFICANT NEEDS WERE: COMMUNITY-CENTERED RESOURCES FOR THE 55+ POPULATION; HEALTHY LIFESTYLES; MENTAL AND EMOTIONAL WELL-BEING. THESE NEEDS WERE IDENTIFIED THROUGH THE MOST RECENT CHNA, COMPLETED IN JUNE 2023. THE HOSPITAL ADDRESSED THOSE NEEDS IN THE FOLLOWING WAYS. COMMUNITY-CENTERED RESOURCES FOR THE 55+ POPULATION THE HOSPITAL OFFERED 'FIT FOR LIFE' EXERCISE CLASSES IN A SUPERVISED SETTING FOR CARDIAC REHAB PATIENTS WHO HAVE COMPLETED THEIR TREATMENT PLAN. HEALTHY LIFESTYLESASPIRUS TOMAHAWK ACTIVELY PARTICIPATED IN THE LINCOLN COUNTY NUTRITION COALITION. THE HOSPITAL AND/OR COALITION CONDUCTED A NUMBER OF NUTRITION AND HEALTHY FOOD-RELATED EFFORTS IN FY24, INCLUDING TWO HEALTHY COOKING DEMONSTRATIONS. APPROXIMATELY 20 FAMILIES WITH CHILDREN ENROLLED IN HEADSTART AND FAMILIES WHO WERE WIC (WOMEN, INFANT, CHILDREN)-ELIGIBLE, PARTICIPATED. PARTICIPANTS RECEIVED APPLIANCES (E.G., HAND MIXERS) AS PART OF THE DEMONSTRATIONS. A FEW COOKBOOKS WERE ALSO GIVEN AWAY. ASPIRUS TOMAHAWK HOSPITAL CONTINUES TO SUPPORT THE- TRIPLE-YOUR-BUCKS COUPONS AND THE ELECTRONIC BENEFIT TRANSFER (EBT) MACHINE FEES AT THE LOCAL FARMERS MARKET. THE COUPONS ARE SPECIFICALLY FOR INDIVIDUALS WHO PARTICIPATE IN THE FOODSHARE PROGRAM. THE AVAILABILITY OF THE EBT MACHINE INCREASES THE ACCESSIBILITY OF THE MARKET FOR INDIVIDUALS PARTICIPATING IN FOODSHARE. ASPIRUS TOMAHAWK OFFERS A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM FOR ELIGIBLE PATIENTS. A VOUCHER IS GIVEN TO PATIENTS TO PURCHASE FRUITS AND VEGETABLES FROM LOCAL FARMERS. THE PROGRAM ALSO PROVIDES NUTRITION INFORMATION AND ACCESS TO RECIPES. DURING THE 2024 SEASON, OVER 700 VOUCHERS WERE DISTRIBUTED ACROSS THE SYSTEM. MENTAL AND EMOTIONAL WELL-BEINGASPIRUS TOMAHAWK 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. ACTIVITIES INCLUDED: - PUBLIC AWARENESS AND SOCIAL NORMS CAMPAIGNS (E.G., HOPELINE, SMALL TALKS, KNOW METH, ADVERSE CHILDHOOD EXPERIENCES [ACES], PARENT PACT, SOCIAL HOST AWARENESS). THE NEW NATIONAL MENTAL HEALTH HOTLINE 988 WAS PROMOTED. THE HOSPITAL FUNDED THE BILLBOARD PROMOTION OF THE COUNTY MENTAL HEALTH RESOURCE GUIDE. - COMMUNITY PRESENTATIONS ABOUT MENTAL HEALTH AND SUBSTANCE ABUSE. - THE DISTRIBUTION OF POSTERS, CARDS, AND RELATED VISUAL MATERIALS (E.G., SUICIDE PREVENTION HOTLINE POSTERS). - 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, 2023 AND SUMMER 2024. ASPIRUS TOMAHAWK PROVIDED FUNDING:- FOR THE TOMAHAWK SCHOOL DISTRICT'S 6TH AND 8TH GRADERS' GRIT AND RESILIENCE PROGRAM.- TO TRAIN A TOMAHAWK SCHOOL DISTRICT STAFF PERSON TO BE A CERTIFIED YOUTH MENTAL HEALTH FIRST AID TRAINING INSTRUCTOR. - TO START A RAISE YOUR VOICE MENTAL HEALTH CLUB IN THE TOMAHAWK SCHOOL DISTRICT. RAISE YOUR VOICE IS A STUDENT CLUB THAT INCREASES THE AWARENESS OF MENTAL HEALTH. THE PROGRAM IS CO-SPONSORED BY THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI).- FOR THE STRENGTHENING FAMILIES TRAINING AND YOUTH MENTAL HEALTH TRAINING AT KINSHIP. KINSHIP IS A NON-PROFIT ORGANIZATION THAT SUPPORTS AT-RISK YOUTH. - - - - - - - - - - - -FOR THE CHNA COMPLETED IN JUNE 2023 (FY23), THE NEEDS PRIORITIZED BY THE HOSPITAL WERE THE SAME NEEDS LIVE WELL LINCOLN AND THE COMMUNITY STAKEHOLDERS IDENTIFIED.
ASPIRUS RHINELANDER HOSPITALPART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.
ASPIRUS TOMAHAWK HOSPITALPART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.
FieldValueIRS element (for citing)
Facility16FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ASPIRUS STEVENS POINT CLINIC
824 ILLINOIS AVENUESTEVENS POINTWI54481OUTPATIENT PHYSICIAN CLINIC
2 - ASPIRUS RHINELANDER CLINIC
2251 NORTH SHORE DRIVERHINELANDERWI54501OUTPATIENT PHYSICIAN CLINIC
3 - ASPIRUS PLOVER CLINIC-VERN HOLMES DR
5409 VERN HOLMES DRIVESTEVENS POINTWI54482OUTPATIENT PHYSICIAN CLINIC
4 - ASPIRUS RHINELANDER CLINIC-CHIPPEWA DR
1630 CHIPPEWA DRIVERHINELANDERWI54501OUTPATIENT PHYSICIAN CLINIC
5 - ASPIRUS PLOVER CLINIC-PLOVER RD
2401 PLOVER ROADPLOVERWI54467OUTPATIENT PHYSICIAN CLINIC
6 - ASPIRUS KOLLER BEHAVIORAL HEALTH CLINIC
1020 KABEL AVENUERHINELANDERWI54501BEHAVIORAL HEALTH CLINIC
7 - ASPIRUS WOODRUFF CLINIC
240 MAPLE STREETWOODRUFFWI54568OUTPATIENT PHYSICIAN CLINIC
8 - ASPIRUS EAGLE RIVER CLINIC
930 EAST WALL STREETEAGLE RIVERWI54521OUTPATIENT PHYSICIAN CLINIC
9 - ASPIRUS OUTPATIENT THERAPIES-RHINELANDER
2003 EAST WINNEBAGO STREETRHINELANDERWI54501OUTPATIENT REHABILITATION
10 - ASPIRUS CRANDON CLINIC
400 WEST GLEN STREETCRANDONWI54520OUTPATIENT PHYSICIAN CLINIC
11 - ASPIRUS TOMAHAWK CLINIC
401 WEST MOHAWKTOMAHAWKWI54487OUTPATIENT PHYSICIAN CLINIC
12 - ASPIRUS STEVENS POINT CLINIC-HOOVER RD
3500 HOOVER ROADSTEVENS POINTWI54481OUTPATIENT PHYSICIAN CLINIC
13 - ASPIRUS WITTENBERG CLINIC
1660 SUE ALAN DRIVEWITTENBERGWI54499OUTPATIENT PHYSICIAN CLINIC
14 - ASPIRUS OUTPATIENT THERAPIES - TOMAHAWK
202 W MOHAWK DRIVETOMAHAWKWI54487OUTPATIENT REHABILITATION
15 - ASPIRUS IOLA CLINIC
205 S MAIN STREETIOLAWI54945OUTPATIENT PHYSICIAN CLINIC
16 - ASPIRUS AMHERST CLINIC
272 CHRISTY STAMHERSTWI54406OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY). SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS WHERE RETIREMENT WITHDRAWALS HAVE NOT BEGUN AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE.
PART I, LINE 7:THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $5,706,747.
PART III, LINE 2:THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. THE COSTING METHODOLOGY USED WAS THE PATIENT CARE COST TO CHARGE RATIO WHICH WAS DERIVED FROM THE CALCULATION ON IRS WORKSHEET 2.
PART III, LINE 3:THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS.
PART III, LINE 4:THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES.BAD DEBT POLICY AND PROCEDURE:POLICY: I. ASPIRUS' FINANCIAL POLICY REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. II. FAILURE TO MEET THESE REQUIREMENTS IN ASPIRUS POLICY WILL RESULT IN THE ACCOUNT BEING CONSIDERED FOR BAD DEBT ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THE ACCOUNT WILL BE REMOVED FROM ACCOUNTS RECEIVABLE AND TURNED OVER TO AN OUTSIDE AGENCY OR LAW FIRM FOR COLLECTION. PRIOR TO THIS HAPPENING, THE FOLLOWING CRITERIA MUST BE MET: A. PATIENT FINANCIAL SERVICES STAFF WILL MAKE REASONABLE COLLECTION EFFORTS BY WAY OF: 1. MONTHLY STATEMENTS 2. COLLECTION LETTERS INCLUDING PLAIN LANGUAGE SUMMARY (PLS) 3. COLLECTION PHONE CALLS 4. VERIFICATION THAT CHARITY CARE WAS OFFERED WITHIN THE PAST 12-MONTHS AS RECORDED IN THE ELECTRONIC HEALTH RECORD (EMR) WITH STAFF HAVING THE DISCRETION TO OFFER AGAIN WITHIN THE 12-MONTHS. III. ALL COLLECTION ACTIVITY AND PATIENT CONTACTS WILL BE DOCUMENTED ON THE INDIVIDUAL ACCOUNTS. IV. ALL COLLECTION ACCOUNTS ARE TO BE TREATED THE SAME REGARDLESS OF PAYOR TYPE: SELF-PAY, GENERAL INSURANCE, MEDICARE, OR MEDICAL ASSISTANCE. V. PATIENT FINANCIAL SERVICES STAFF WILL USE SOUND BUSINESS JUDGMENT WHEN WORKING WITH THE ACCOUNT. AT THE DISCRETION OF THE FINANCIAL COUNSELOR, CREDIT REPORTS WILL BE REQUESTED FROM THE CREDIT BUREAU AND PROPERTY VERIFICATION OBTAINED THROUGH THE COUNTY TREASURER'S OFFICE. PROCEDURE: VI. THE FINAL STEP IS TO SUBMIT THE ACCOUNT TO A COLLECTION AGENCY OR LAW FIRM. EACH ACCOUNT IS REVIEWED TO DETERMINE IF THE ACCOUNT HAS MET THE BAD DEBT CRITERIA. ONCE IT HAS BEEN DETERMINED THAT ALL REQUIREMENTS HAVE BEEN MET, THE ACCOUNT IS TRANSFERRED FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY THE FINANCIAL COUNSELOR. SPECIFIC PROCEDURES PERTAINING TO THE DETAILED PROCEDURAL STEPS FOR TRANSFERRING TO THE AGENCY CAN BE FOUND IN THE INTERNAL POLICY. A. ADDITIONAL INFORMATION REGARDING MEDICARE BAD DEBTS: 1. THE DEBT MUST BE RELATED TO COVERED SERVICES AND DERIVED FROM DEDUCTIBLE AND COINSURANCE AMOUNTS. 2. THE HOSPITAL MUST PROVIDE REASONABLE COLLECTION EFFORTS. 3. THE DEBT IS NOT COLLECTABLE (AT LEAST 120 DAYS OUTSTANDING FROM THE DATE OF THE LAST PATIENT PAYMENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. B. BAD DEBT RECOVERIES 1. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. 2. PAYMENTS MADE DIRECTLY TO ASPIRUS BUT INTENDED FOR COLLECTION ACCOUNTS WILL BE POSTED TO THE APPROPRIATE ACCOUNT AND REPORTED DAILY/WEEKLY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. 3. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE REVIEWED BY THE FINANCIAL COUNSELOR TEAM LEAD AND APPROVED BY THE MANAGER/DIRECTOR, THEN SUBMITTED TO FISCAL SERVICES FOR CHECK PROCESSING AND PAYMENT TO AGENCIES FOR COMMISSIONS DUE.
PART III, LINE 8:THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2024 AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS.
PART III, LINE 9B:PATIENT FINANCIAL SERVICES (PFS) PROACTIVELY IDENTIFIES UNINSURED PATIENTS AND UNDER-INSURED PATIENTS AND SCREENS THEM FOR FINANCIAL ASSISTANCE AND COUNSELING WITHOUT REGARD TO RACE, ETHNICITY, GENDER, RELIGION, OR NATIONAL ORIGIN. THESE SERVICES ARE PROVIDED AT NO CHARGE. PFS COUNSELORS WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO HELP THEM UNDERSTAND THE SYSTEM'S FINANCIAL ASSISTANCE/DISCOUNTING POLICIES AND HOW THEY CAN QUALIFY FOR ASSISTANCE AND/OR DISCOUNTS INCLUDING A REFERRAL TO PUBLIC AND PRIVATE PROGRAMS TO DETERMINE ELIGIBILITY.
PART VI, LINE 2:IN ADDITION TO ASSESSING NEEDS THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITALS:- SYSTEMATICALLY REVIEW PATIENT EXPERIENCE DATA TO UNDERSTAND OPPORTUNITIES TO ADDRESS PATIENT CONCERNS. - MAINTAIN AN INVOLVED LOCAL BOARD OF DIRECTORS, WHICH MEETS EVERY OTHER MONTH. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS, INCLUDING FINANCE, EDUCATION, BANKING, GOVERNMENTAL PUBLIC HEALTH, HIGHER EDUCATION AND HEALTH CARE. - SUPPORT ITS STAFF IN VOLUNTEERING AT AN AREA FOOD PANTRY (RHINELANDER ONLY). - REVIEW FUNDING REQUESTS (TO THE HOSPITAL AND/OR HOSPITAL FOUNDATION) AS AN INDICATOR OF LOCAL NEEDS.- INITIATED A SOCIAL NEEDS SCREENING PROCESS THAT, OVER TIME, WILL PROVIDE INSIGHT INTO PATIENT NEEDS IN ADDITION TO THEIR IMMEDIATE CARE.
PART VI, LINE 3:ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS FROM CENTRAL BILLING OFFICE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. IF ASPIRUS FINANCIAL COUNSELORS NOTICE THE PATIENT HAS NOT BEEN OFFERED AN APPLICATION WITHIN THE PAST YEAR, THEY WILL ALSO ASK IF THE PATIENT WOULD LIKE ONE MAILED OR IF THE PATIENT SHOWS FINANCIAL DISTRESS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS.
PART VI, LINE 4:ASPIRUS RHINELANDER HOSPITAL AND ASPIRUS TOMAHAWK HOSPITAL PRIMARILY SERVE THE RESIDENTS OF ONEIDA COUNTY (RHINELANDER) AND LINCOLN COUNTY (TOMAHAWK) AND SURROUNDING COUNTIES IN RURAL NORTHERN WISCONSIN.ONEIDA COUNTY COVERS 1113 SQUARE MILES, WITH 34 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 38,259 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER AGE 18: 17.1%PERSONS 65 YEARS AND OVER: 27.3%WHITE PERSONS: 95.9%AFRICAN AMERICAN PERSONS: 0.7%AMERICAN INDIAN PERSONS: 1.3%ASIAN PERSONS: 0.5%TWO OR MORE RACES: 1.6%HISPANIC OR LATINO: 1.8%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 1.6%ADULTS AGES 25 AND OVER WITH A HIGH SCHOOL DIPLOMA OR EQUIVALENT: 94.7% PERSONS IN POVERTY: 9.2%MEDIAN HOUSEHOLD INCOME: $62,660PERCENT WITHOUT HEALTHCARE COVERAGE: 5.0%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 45.2%NUMBER OF HOSPITALS IN ONEIDA COUNTY: 3 (INCLUDING ASPIRUS RHINELANDER HOSPITAL AND (ASPIRUS) HOWARD YOUNG MEDICAL CENTER) ONEIDA COUNTY IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA FOR MENTAL HEALTH. ASPIRUS TOMAHAWK HOSPITAL PRIMARILY SERVES THE RESIDENTS OF LINCOLN COUNTY AND SURROUNDING COUNTIES IN RURAL NORTH CENTRAL WISCONSIN. LINCOLN COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 878 SQUARE MILES, WITH 32.3 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 27,687 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS 14 YEARS AND UNDER: 14.6%PERSONS 65 YEARS AND OVER: 21.6%WHITE PERSONS: 98.4%AFRICAN AMERICAN PERSONS: 1.4%AMERICAN INDIAN PERSONS: 0.9%ASIAN PERSONS: 0.8%HISPANIC OR LATINO: 1.9%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 2.7%ADULTS AGES 25 AND OVER WITH A HIGH SCHOOL DIPLOMA OR EQUIVALENT: 92%HOUSEHOLDS IN POVERTY: 10%MEDIAN HOUSEHOLD INCOME: $61,100PERCENT WITHOUT HEALTHCARE COVERAGE: 4.8%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 40.3%NUMBER OF HOSPITALS IN THE COUNTY: 2 (INCLUDING ASPIRUS MERRILL HOSPITAL AND ASPIRUS TOMAHAWK HOSPITAL) LINCOLN COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR MENTAL HEALTH.
PART VI, LINE 5:THE HOSPITALS PROMOTE THE HEALTH OF THE COMMUNITY THROUGH THEIR COMMUNITY HEALTH AND COMMUNITY BENEFIT WORK. ADDITIONALLY, THE HOSPITALS: - MAINTAIN A BOARD OF DIRECTORS THAT REFLECTS THE COMMUNITY. - BRING EXPERTISE INTO THE COMMUNITY THROUGH PROGRAMS, SCREENINGS, AND COMMUNITY BOARD AND ADVISORY COMMITTEE MEMBERSHIP.- PROVIDE HIGH QUALITY SERVICES AND IMPLEMENTS ONGOING QUALITY IMPROVEMENT INITIATIVES. - BUDGET FOR CUTTING EDGE TECHNOLOGIES AND EQUIPMENT THAT SUPPORT PATIENT HEALTH.- OFFER TRANSPORTATION ASSISTANCE FOR PATIENTS AS APPROPRIATE. - PROVIDE PRECEPTORS FOR HEALTH PROFESSIONS STUDENTS-IN-TRAINING, WHICH ADVANCES THE HEALTH CARE WORKFORCE. - PROVIDE ATHLETIC TRAINING TO LOCAL YOUTH ATHLETES. - OFFER MEETING SPACE TO LOCAL NON-PROFIT ORGANIZATIONS. - SUPPORT PROJECT SEARCH, WHICH ENGAGES YOUNG ADULTS WITH DISABILITIES IN WORKFORCE CAREER EXPLORATION AND TRAINING. (RHINELANDER)- PROVIDE 'STOP THE BLEED' TRAININGS. (RHINELANDER)- PROVIDE CHILD CAR SEAT INSTALLATION AND INSPECTION. (RHINELANDER) AS PART OF A LARGER NETWORK OF ASPIRUS HEALTHCARE FACILITIES, THE HOSPITALS HAVE ACCESS TO: - LOW-COST TEMPORARY LODGING AT ASPIRUS' FLAGSHIP TERTIARY CARE HOSPITAL PARTNER (IN WAUSAU, WI) SO THAT PATIENTS AND/OR THEIR FAMILY NEEDING EXTENDED SPECIALTY CARE HAVE ACCOMMODATIONS. - PROFESSIONAL DEVELOPMENT FOR STAFF, ASSURING THE CARE PROVIDED INCORPORATES THE MOST UP-TO-DATE BEST PRACTICES. - CROSS-TRAINING OPPORTUNITIES. FOR INSTANCE, A WAUSAU-BASED BEREAVEMENT COORDINATOR TRAINS STAFF ACROSS THE SYSTEM ON NORMAL GRIEF RESPONSE, RESILIENCE AND HOSPICE CARE AND SUPPORT. THE COORDINATOR TRAINS THROUGH THE NURSE RESIDENCY PROGRAM AS WELL AS IN UNIT/DEPARTMENT MEETINGS. UNIT/DEPARTMENT LEADERS CAN REQUEST BEREAVEMENT INFORMATION AND SUPPORT FOR THEIR TEAM. SIMILARLY, HOSPITALS HAVE ACCESS TO INJURY PREVENTION EXPERTISE AND RESOURCES THROUGH THE LEVEL 2 TRAUMA CENTER IN WAUSAU. - A MARKETING/COMMUNICATIONS TEAM THAT SUPPORTS THE ONLINE ASPIRUS MEDIA CENTER FEATURING MEDICAL EXPERTS. THE TEAM DEVELOPS AND PROMOTES HEALTH EDUCATION INFORMATION (E.G., ON DIABETES, TICK BITES, SNOWMOBILE SAFETY) FOR PATIENTS AND THE GENERAL PUBLIC.
PART VI, LINE 6:ASPIRUS HEALTH IS A NONPROFIT, COMMUNITY-DIRECTED HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN, SERVING NORTHEASTERN MINNESOTA, NORTHERN AND CENTRAL WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. THE HEALTH SYSTEM OPERATES 18 HOSPITALS AND 130 OUTPATIENT LOCATIONS WITH NEARLY 14,000 TEAM MEMBERS, INCLUDING 1,300 EMPLOYED PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ASPIRUS SERVES COMMUNITIES THROUGH HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND AIR-MEDICAL TRANSPORT, MEDICAL GOODS, AND ADULT LIVING AND CARE FACILITIES. THE COMBINED EFFORTS PROVIDE RURAL COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. FOR MORE INFORMATION, VISIT ASPIRUS.ORG.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SCHOOL DISTRICT OF TOMAHAWKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11048 EAST KING ROADAddressLine1Txt
CityTOMAHAWKCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54487ZIPCd
FieldValueIRS element (for citing)
Recipient EIN390992650RecipientEIN
IRC SectionGOVERNMENTIRCSectionDesc
Cash Grant$11,700CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantMULTIPLE MENTAL HEALTH AND SUBSTANCE USE PROGRAMS AND CLUBS.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationWHEN COMMUNITY BENEFIT FUNDS ARE DONATED TO LOCAL AGENCIES TO COMPLETE COMMUNITY HEALTH IMPROVEMENT EFFORTS, ASPIRUS REQUESTS A FORMAL REPORT AT THE CONCLUSION OF THE FISCAL YEAR.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS$0$1,252,366$0$353,673$0$12,078$0$9,900$0$294,286$0$1,922,303$0$0
SIDNEY SCZYGELSKI
SENIOR VP OF FINANCE/CFO$0$659,271$0$285,397$0$350,078$0$9,900$0$124,373$0$1,429,019$0$337,358
ANTHONY RUTKOWSKI
RADIOLOGIST$999,484$0$0$0$5,810$0$9,900$0$38,039$0$1,053,233$0$0$0
STEVEN BROWN
RADIOLOGIST$870,029$0$0$0$11,858$0$9,900$0$37,932$0$929,719$0$0$0
JOHNATHAN CURRIE
RADIOLOGIST$848,700$0$0$0$5,540$0$9,900$0$39,475$0$903,615$0$0$0
SANDIP GHUGE
MEDICAL DIRECTOR$829,060$0$0$0$5,419$0$9,900$0$43,494$0$887,873$0$0$0
JESSE TISCHER
V.C. (THRU 01/24)/SVP & PRES.-AWH$0$593,684$0$118,969$0$51,744$0$4,185$0$111,815$0$880,397$0$50,242
ABIGAIL TAUB
PHYSICIAN$836,288$0$0$0$5,486$0$9,900$0$25,481$0$877,155$0$0$0
MICHAEL HOLZHUETER
SVP-GENERAL COUNSEL$0$545,744$0$83,740$0$59,451$0$9,440$0$106,471$0$804,846$0$55,822
MICHAEL WALTERS
SVP-SYSTEM CHIEF MEDICAL OFFICER$0$553,897$0$56,638$0$59,096$0$9,900$0$39,845$0$719,376$0$56,806
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER$0$405,912$0$73,047$0$43,992$0$8,193$0$94,764$0$625,908$0$32,339
ERIC ANDERSON
BOARD MEMBER/CHIEF COMPL. OFFICER$0$423,444$0$72,853$0$2,438$0$9,358$0$90,310$0$598,403$0$0
CONSTANCE BRADLEY
VICE CHAIR/SVP & PRES. REG. MRKTS.$0$391,495$0$70,030$0$27,953$0$9,900$0$80,267$0$579,645$0$24,444
SUSAN SCHNEIDER
VP-SYSTEM SR. PHYSICIAN EXEC.$0$450,107$0$55,813$0$4,242$0$9,900$0$24,265$0$544,327$0$0
TERESA THEILER
(NV) PRESIDENT-ASPIRUS N. WI DIV.$0$324,978$0$41,528$0$1,552$0$15,299$0$61,815$0$445,172$0$0
DEAN POLLNOW MD
BOARD MEMBER/PHYSICIAN$386,177$0$0$0$8,516$0$9,090$0$29,553$0$433,336$0$0$0
TODD RICHARDSON
SVP-CHIEF INFORMATION OFFICER$0$216,988$0$69,318$0$64,143$0$6,050$0$70,510$0$427,009$0$39,964
CRYSTAL KIRSCHLING
VP-SYSTEM INTEGRATION OFFICER$0$280,048$0$30,050$0$603$0$9,581$0$37,853$0$358,135$0$0
WILLIAM CARROLL
VP-INFORMATION TECHNOLOGY$0$280,398$0$33,439$0$2,449$0$9,592$0$28,394$0$354,272$0$0
ANDREA ALLARD
VP-OPERATIONS$0$267,134$0$26,259$0$572$0$8,802$0$1,619$0$304,386$0$0
JEFFREY JONES
SVP-CFO (THRU 04/23)$0$220,906$0$0$0$2,036$0$3,492$0$9,464$0$235,898$0$0
AMY SLETTE MD
BOARD MEMBER (THRU 09/23)/PHYSICIAN$0$181,947$0$0$0$4,490$0$5,628$0$26,877$0$218,942$0$0
HOLLY BEEDE-MCKINNEY NP
BOARD MEMBER/NURSE PRACTITIONER$0$159,204$0$0$0$2,080$0$4,552$0$794$0$166,630$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4BSCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $337,358 M. WALTERS $56,806 M. HOLZHUETER $55,822 J. TISCHER $50,242 T. RICHARDSON $39,964 J. MATHESON $32,339 C. BRADLEY $24,444 KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 13% FOR SENIOR VICE PRESIDENT OR PRESIDENT, 15% FOR SVP & CHIEF FINANCIAL OFFICER, AND 20% FOR THE PRESIDENT & CHIEF EXECUTIVE OFFICER. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; 24 MONTHS FROM THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
CUSIP97712JDN0CUSIPNum
Bond Issued2021-11-10BondIssuedDt
Issue Price$69,386,269IssuePriceAmt
PurposeREVENUE BONDS SERIES 2021PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$69,386,269TotalProceedsAmt
Issuance Costs From Proceeds$494,301IssuanceCostsFromProceedsAmt
Other Spent Proceeds$68,891,968OtherSpentProceedsAmt
Substantial Completion2021SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00800PrivateBusUseByOthersPct
Total Private Business Use0.00800TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHERE SHALL BE A MINIMUM OF 10 VOTING DIRECTORS ALLOCATED AS FOLLOWS. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN SIX INDEPENDENT COMMUNITY CLASS DIRECTORS, TWO ASPIRUS CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., AND TWO PROVIDER CLASS DIRECTORS NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE NOTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GPHARMACY FEES: PROGRAM SERVICE EXPENSES 573,937. MANAGEMENT AND GENERAL EXPENSES 143,933. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 717,870. OTHER FEES: PROGRAM SERVICE EXPENSES 6,960,389. MANAGEMENT AND GENERAL EXPENSES 1,779,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,739,848. LAB FEES: PROGRAM SERVICE EXPENSES 2,332,269. MANAGEMENT AND GENERAL EXPENSES 679,456. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,011,725. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 934,861. MANAGEMENT AND GENERAL EXPENSES 270,561. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,205,422. CONTRACT NURSING AND OTHER LABOR: PROGRAM SERVICE EXPENSES 15,490,077. MANAGEMENT AND GENERAL EXPENSES 4,490,092. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,980,169.
FORM 990, PART XI, LINE 9:INTERCOMPANY TRANSFERS 6,222,923.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASPIRUS INC
333 PINE RIDGE BLVDWAUSAUWI54401391328331HEALTHCAREWI501(C)(3)LINE 12B, IIN/A0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVDWAUSAUWI54401391138241HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
333 PINE RIDGE BLVDWAUSAUWI54401390782130NURSING HOME SERVICESWI501(C)(3)LINE 10Yes (1)ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVDWAUSAUWI54401391406537PROPERTY LEASINGWI501(C)(3)LINE 10Yes (1)ASPIRUS INC
ASPIRUS MEDICAL GROUP INC
333 PINE RIDGE BLVDWAUSAUWI54401391670223MEDICAL SERVICESWI501(C)(3)LINE 10Yes (1)ASPIRUS INC
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREETONTONAGONMI49953260806477HOSPITALMI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUEWAUSAUWI54401390808511HOME HEALTH CARE SERVICESWI501(C)(3)LINE 10Yes (1)ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUEWAUSAUWI54401391597350PERSONAL CARE SERVICESWI501(C)(3)LINE 10Yes (1)ASPIRUS VNA HOME HEALTH INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVDWAUSAUWI54401391256656CHARITABLE FOUNDATIONWI501(C)(3)LINE 7Yes (1)ASPIRUS INC
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
1400 W ICE LAKE ROADIRON RIVERMI49935383236977HOSPITALMI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
N 10561 GRAND VIEW LANEIRONWOODMI49938382908586HOSPITALMI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
410 DEWEY STREETWISCONSIN RAPIDSWI54494390868982HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS KEWEENAW HOSPITAL
205 OSCEOLA STREETLAURIUMMI49913381443361HOSPITALMI501(C)(3)LINE 3Yes (1)ASPIRUS INC
DIVINE SAVIOR HEALTHCARE INC
2817 NEW PINERY ROADPORTGAGEWI53901390806250HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
135 S GIBSON STREETMEDFORDWI54451390964813HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS MEDFORD FOUNDATION INC
135 S GIBSON STREETMEDFORDWI54451391777081CHARITABLE FOUNDATIONWI501(C)(3)LINE 7Yes (1)ASPIRUS INC
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
900 ILLINOIS AVENUESTEVENS POINTWI54481390808443HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC
900 ILLINOIS AVENUESTEVENS POINTWI54481391657410CHARITABLE FOUNDATIONWI501(C)(3)LINE 12A, IYes (1)ASPIRUS INC
ASPIRUS STANLEY HOSPITAL & CLINICS INC
1120 PINE STREETSTANLEYWI54768390807065HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS MERRILL HOSPITAL & CLINICS INC
601 S CENTER AVENUEMERRILLWI54452390808503HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS MERRILL HOSPITAL FOUNDATION INC
601 S CENTER AVENUEMERRILLWI54452391627755CHARITABLE FOUNDATIONWI501(C)(3)LINE 12A, IYes (1)ASPIRUS INC
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC
201 HOSPITAL ROADEAGLE RIVERWI54521390985690HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREETWOODRUFFWI54568390873606HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREETWOODRUFFWI54568391499115HEALTHCAREWI501(C)(3)LINE 12B, IIYes (1)ASPIRUS INC
ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN INC
2251 NORTH SHORE DRIVERHINELANDERWI54501391965593MEDICAL SERVICESWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ST LUKE'S HOSPITAL OF DULUTH
915 EAST 1ST STREETDULUTHMN55805410714079HOSPITALMN501(C)(3)LINE 3Yes (1)ASPIRUS INC
ST LUKE'S FOUNDATION
1000 EAST 1ST STREET NO 102DULUTHMN55805411448118CHARITABLE FOUNDATIONMN501(C)(3)LINE 12A, IYes (1)ST LUKE'S HOSPITAL OF DULUTH
LAKE VIEW MEMORIAL HOSPITAL INC
325 11TH AVENUETWO HARBORSMN55616410786046HOSPITALMN501(C)(3)LINE 3Yes (1)ST LUKE'S HOSPITAL OF DULUTH
LAKE VIEW MEMORIAL HOSPITAL FOUNDATION OF NORTHEAST MINNESOTA
325 11TH AVENUETWO HARBORSMN55616411700972CHARITABLE FOUNDATIONMN501(C)(3)LINE 12A, IYes (1)LAKE VIEW MEMORIAL HOSPITAL INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

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

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS INC
M$39,271,984COST
ASPIRUS INC
O$110,985,385COST
ASPIRUS INC
P$129,187,598COST
ASPIRUS INC
R$113,769COST
ASPIRUS INC
S$6,714,280COST
ASPIRUS WAUSAU HOSPITAL INC
L$1,761,219COST
ASPIRUS WAUSAU HOSPITAL INC
M$1,165,148COST
ASPIRUS WAUSAU HOSPITAL INC
P$669,060COST
ASPIRUS WAUSAU HOSPITAL INC
Q$607,644COST
ASPIRUS WAUSAU HOSPITAL INC
R$6,037,530COST
ASPIRUS EAGLE RIVER HOSPITAL INC
L$101,220COST
ASPIRUS MEDICAL GROUP INC
I$236,497COST
ASPIRUS MEDICAL GROUP INC
L$68,587COST
ASPIRUS MEDICAL GROUP INC
O$4,658,742COST
ASPIRUS MEDICAL GROUP INC
P$1,368,896COST
ASPIRUS MEDICAL GROUP INC
Q$581,113COST
ASPIRUS MERRILL HOSPITAL INC
Q$167,101COST
ASPIRUS STANLEY HOSPITAL & CLINICS INC
R$230,630COST
ASPIRUS STANLEY HOSPITAL & CLINICS INC
S$902,964COST
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
M$1,091,072COST
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
O$178,816COST
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
P$1,114,577COST
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
Q$176,694COST
THE HOWARD YOUNG MEDICAL CENTER INC
I$690,000COST
THE HOWARD YOUNG MEDICAL CENTER INC
M$396,645COST