THE HOWARD YOUNG MEDICAL CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: THE HOWARD YOUNG MEDICAL CENTER INC (EIN 39-0873606)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202541359349305489
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T10:50:35-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390873606	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE HOWARD YOUNG MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HOWA	BusinessNameControlTxt
Phone	7153568000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	240 MAPLE STREET	AddressLine1Txt
City	WOODRUFF	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54568	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JERRY M YANG	PersonNm
Person Title	SVP - CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	7158472250	PhoneNum
Signature	2025-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2025-05-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MATTHEW HEYWOOD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 WESTWOOD DRIVE	AddressLine1Txt
City	WAUSAU	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$35,339,569	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ASPIRUS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1948	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	218	TotalEmployeeCnt
Total Volunteers	63	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$407,195	PYContributionsGrantsAmt
CY Contributions Grants	$624,029	CYContributionsGrantsAmt
PY Program Service Revenue	$27,557,268	PYProgramServiceRevenueAmt
CY Program Service Revenue	$34,306,597	CYProgramServiceRevenueAmt
PY Investment Income	$2,781,566	PYInvestmentIncomeAmt
CY Investment Income	-$13,040	CYInvestmentIncomeAmt
PY Other Revenue	$383,550	PYOtherRevenueAmt
CY Other Revenue	$408,943	CYOtherRevenueAmt
PY Total Revenue	$31,129,579	PYTotalRevenueAmt
CY Total Revenue	$35,326,529	CYTotalRevenueAmt
PY Grants And Similar Paid	$24,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$35,012	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$17,593,374	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$17,243,335	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$19,661,382	PYOtherExpensesAmt
CY Other Expenses	$22,789,101	CYOtherExpensesAmt
PY Total Expenses	$37,278,756	PYTotalExpensesAmt
CY Total Expenses	$40,067,448	CYTotalExpensesAmt
PY Revenues Less Expenses	-$6,149,177	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,740,919	CYRevenuesLessExpensesAmt
Total Assets BOY	$84,474,154	TotalAssetsBOYAmt
Total Assets EOY	$92,344,061	TotalAssetsEOYAmt
Total Liabilities BOY	$20,445,889	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$19,412,560	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$64,028,265	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$72,931,501	NetAssetsOrFundBalancesEOYAmt
Mission	WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$26,808,367	ExpenseAmt
Grant	$35,012	GrantAmt
Revenue	$34,306,597	RevenueAmt
Desc	THE HOWARD YOUNG MEDICAL CENTER, INC. IS A 42-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2024, THE HOWARD YOUNG MEDICAL CENTER HAD DISCHARGES OF 1,072 ADULTS AND CHILDREN FOR A TOTAL OF 4,688 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED A VARIETY OF OUTPATIENT SERVICES FOR 53,356 OUTPATIENT TESTS/VISITS, WHICH INCLUDED 1,350 OUTPATIENT SURGERIES AND 4,443 EMERGENCY ROOM VISITS. ALSO INCLUDED WERE A RANGE OF RADIOLOGY TESTS AND THERAPY VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.	Desc
Total Program Service Expenses	$26,808,367	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	218	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JERRY M YANG	PersonNm
Phone	7158472250	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 WESTWOOD DRIVE	AddressLine1Txt
City	WAUSAU	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JESSE TISCHER
V.C. (THRU 01/24)/SVP & PRES.-AWH	1.00	50.00	Yes (X)	Yes (X)	$0	$764,397	$116,000
ERIC ANDERSON
BOARD MEMBER/CHIEF COMPL. OFFICER	1.00	50.00	Yes (X)		$0	$498,735	$99,668
CONSTANCE BRADLEY
VICE CHAIR/SVP & PRES. REG. MRKTS.	1.00	50.00	Yes (X)	Yes (X)	$0	$489,478	$90,167
AMY SLETTE MD
BOARD MEMBER (THRU 09/23)/PHYSICIAN	1.00	40.00	Yes (X)		$0	$186,437	$32,505
HOLLY BEEDE-MCKINNEY NP
BOARD MEMBER/NURSE PRACTITIONER	1.00	40.00	Yes (X)		$0	$161,284	$5,346
JUDY SMOLAREK
CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
KELLY COURT
SECRETARY/TREASURER	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
KATE FERREL
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
FATHER JIM FOSDICK
BOARD MEMBER (THRU 09/23)	1.00	2.00	Yes (X)		$0	$0	$0
ARTHUR C HELGERSON DDS
BOARD MEMBER (THRU 07/23)	1.00	2.00	Yes (X)		$0	$0	$0
RYAN HUSEBY
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
RON PATTERSON
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
DEAN POLLNOW MD
BOARD MEMBER/PHYSICIAN	1.00	40.00	Yes (X)		$0	$394,693	$38,643
AMY VANNEY
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
JERRY M YANG
SVP-CHIEF FINANCIAL OFFICER	2.00	50.00		Yes (X)	$0	$0	$0
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS	2.00	50.00		Yes (X)	$0	$1,618,117	$304,186
SIDNEY SCZYGELSKI
SENIOR VP OF FINANCE/CFO	2.00	50.00		Yes (X)	$0	$1,294,746	$134,273
TERESA THEILER
(NV) PRESIDENT-ASPIRUS N. WI DIV.	1.00	40.00		Yes (X)	$0	$368,058	$77,114
JEFFREY JONES
SVP-CFO (THRU 04/23)	2.00	50.00		Yes (X)	$0	$222,942	$12,956
MICHAEL HOLZHUETER
SVP-GENERAL COUNSEL	2.00	50.00			$0	$688,935	$115,911	Yes (X)
MICHAEL WALTERS
SVP-SYSTEM CHIEF MEDICAL OFFICER	2.00	50.00			$0	$669,631	$49,745	Yes (X)
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER	2.00	50.00			$0	$522,951	$102,957	Yes (X)
SUSAN SCHNEIDER
VP-SYSTEM SR. PHYSICIAN EXEC.	2.00	50.00			$0	$510,162	$34,165	Yes (X)
TODD RICHARDSON
SVP-CHIEF INFORMATION OFFICER	2.00	50.00			$0	$350,449	$76,560	Yes (X)
CRYSTAL KIRSCHLING
VP-SYSTEM INTEGRATION OFFICER	2.00	50.00			$0	$310,701	$47,434	Yes (X)
WILLIAM CARROLL
VP-INFORMATION TECHNOLOGY	2.00	50.00			$0	$316,286	$37,986	Yes (X)
ANDREA ALLARD
VP-OPERATIONS	2.00	50.00			$0	$293,965	$10,421	Yes (X)
JAMES RICHARDS
PHYSICIAN	40.00				$515,622	$0	$49,375		Yes (X)
ANDREW WEBER
DIRECTOR - REG. MED. HOSP SVCS.	40.00				$515,606	$0	$32,918		Yes (X)
HEATH MEYER
PHYSICIAN	40.00				$484,013	$0	$49,644		Yes (X)
ALISON MARCINIAK
PHYSICIAN	40.00				$425,341	$0	$32,873		Yes (X)
RALPH NELSON
PHYSICIAN	40.00				$340,348	$0	$17,282		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,280,930	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,661,967	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,568,129	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	29	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TOTAL MSP LLC
221 W COLLEGE AVE FLOOR 2	APPLETON	WI	54911	MEDICAL STAFFING	$972,463
RENOVO SOLUTIONS LLC
4 EXECUTIVE CIRCLE STE 185	IRVINE	CA	92614	MEDICAL EQUIPMENT SERVICE CONTRACTS	$931,153
CHG COMPANIES INC DBA COMPHEALTH
PO BOX 972651	DALLAS	TX	753972651	MEDICAL STAFFING	$562,154
DAILY CARE LLC DBA DAILY CARE HOSPITAL
323 N MORRISON ST STE 100	APPLETON	WI	54911	MEDICAL STAFFING	$513,363
FOCUSONE SOLUTIONS LLC
1010 102ND ST 300	OMAHA	NE	68114	MEDICAL STAFFING	$407,139

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$624,029	AllOtherContributionsAmt
Total Contributions	$624,029	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621990	$33,664,139	$33,664,139
CONTRACTED SERVICE REVENUE	900099	$496,035	$496,035
PHARMACY REVENUE	456110	$876	$876

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$145,547	TotalRevenueColumnAmt
Related Or Exempt Func Income	$145,547	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$34,306,597	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$339,966	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$339,966	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$339,966	TotalRevenueColumnAmt
Exclusion	$339,966	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$13,040	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$13,040	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$13,040	TotalRevenueColumnAmt
Exclusion	-$13,040	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA/VENDING REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$68,977	TotalRevenueColumnAmt
Exclusion	$68,977	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$68,977	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,326,529	TotalRevenueColumnAmt
Related Or Exempt Func Income	$34,306,597	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$395,903	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$35,012	TotalAmt
Program Services	$35,012	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$14,100,917	TotalAmt
Program Services	$11,734,316	ProgramServicesAmt
Management And General	$2,366,601	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$387,374	TotalAmt
Program Services	$301,509	ProgramServicesAmt
Management And General	$85,865	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,892,855	TotalAmt
Program Services	$1,473,287	ProgramServicesAmt
Management And General	$419,568	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$862,189	TotalAmt
Program Services	$671,077	ProgramServicesAmt
Management And General	$191,112	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,500	TotalAmt
Management And General	$4,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,895	TotalAmt
Management And General	$8,895	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,241,574	TotalAmt
Program Services	$3,383,341	ProgramServicesAmt
Management And General	$2,858,233	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$360	TotalAmt
Program Services	$195	ProgramServicesAmt
Management And General	$165	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,173	TotalAmt
Program Services	$22,548	ProgramServicesAmt
Management And General	$2,625	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,960	TotalAmt
Program Services	$11,872	ProgramServicesAmt
Management And General	$10,088	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,099,716	TotalAmt
Program Services	$9,824	ProgramServicesAmt
Management And General	$1,089,892	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$34,210	TotalAmt
Program Services	$18,495	ProgramServicesAmt
Management And General	$15,715	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$9,883	TotalAmt
Program Services	$5,343	ProgramServicesAmt
Management And General	$4,540	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$544,325	TotalAmt
Management And General	$544,325	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,785,348	TotalAmt
Program Services	$823,078	ProgramServicesAmt
Management And General	$1,962,270	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$79,063	TotalAmt
Program Services	$706	ProgramServicesAmt
Management And General	$78,357	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CORPORATE ALLOCATIONS	$5,184,002	$2,802,600	$2,381,402
MEDICAL SUPPLIES	$3,600,068	$3,224,674	$375,394
REPAIRS AND MAINTENANCE	$1,431,704	$774,015	$657,689
BAD DEBT EXPENSE	$993,805	$992,249	$1,556

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$724,515	TotalAmt
Program Services	$524,226	ProgramServicesAmt
Management And General	$200,289	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$40,067,448	TotalAmt
Program Services	$26,808,367	ProgramServicesAmt
Management And General	$13,259,081	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$550	BOYAmt
EOY	$550	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,895	BOYAmt
EOY	$29,387	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,528,138	BOYAmt
EOY	$5,124,452	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,054,889	BOYAmt
EOY	$1,072,063	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$69,563	BOYAmt
EOY	$15,540	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$30,213,507	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,806,699	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$22,956,238	BOYAmt
EOY	$23,406,808	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$55,804,678	BOYAmt
EOY	$62,610,386	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,203	BOYAmt
EOY	$84,875	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$84,474,154	BOYAmt
EOY	$92,344,061	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,022,713	BOYAmt
EOY	$884,876	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,704,323	BOYAmt
EOY	$17,609,270	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$718,853	BOYAmt
EOY	$918,414	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,445,889	BOYAmt
EOY	$19,412,560	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,223,586	BOYAmt
EOY	$10,321,115	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$55,804,679	BOYAmt
EOY	$62,610,386	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$64,028,265	BOYAmt
EOY	$72,931,501	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$84,474,154	BOYAmt
EOY	$92,344,061	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,740,919	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,601,633	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,042,522	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$8,895	OtherActivitiesAmt
Total Lobbying Expenditures	$8,895	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	MEMBERSHIP DUES ARE PAID TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA). A PORTION OF THOSE DUES ARE COMMITTED TO LOBBYING PURPOSES. WHA INVOICE STATES 16.4% OF $31,075 ($5,096) GOES FOR LOBBYING ON INVOICE COVERING THE PERIOD OF 1/1/24-12/31/24. SIMILARLY, AHA DUES COMMITTED TO LOBBYING WAS 32% OF $11,871 ($3,799).	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$55,804,678	BeginningYearBalanceAmt
Investment Earnings Or Losses	$9,601,633	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,516,025	OtherExpendituresAmt
Administrative Expenses	$279,900	AdministrativeExpensesAmt
End Year Balance	$62,610,386	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,126,797	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,644,739	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,711,440	OtherExpendituresAmt
Administrative Expenses	$255,418	AdministrativeExpensesAmt
End Year Balance	$55,804,678	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$62,364,981	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$5,286,593	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,606,290	OtherExpendituresAmt
Administrative Expenses	$345,301	AdministrativeExpensesAmt
End Year Balance	$54,126,797	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,930,019	BeginningYearBalanceAmt
Investment Earnings Or Losses	$15,137,220	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,393,442	OtherExpendituresAmt
Administrative Expenses	$308,816	AdministrativeExpensesAmt
End Year Balance	$62,364,981	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$51,085,092	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,388,115	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,296,766	OtherExpendituresAmt
Administrative Expenses	$246,422	AdministrativeExpensesAmt
End Year Balance	$49,930,019	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,020,000	OtherCostOrOtherBasisAmt
Book Value	$3,020,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,739,929	OtherCostOrOtherBasisAmt
Depreciation	$3,927,604	DepreciationAmt
Book Value	$16,812,325	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,160,374	OtherCostOrOtherBasisAmt
Depreciation	$2,879,095	DepreciationAmt
Book Value	$3,281,279	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$293,204	OtherCostOrOtherBasisAmt
Book Value	$293,204	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$23,406,808	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS LIABILITY	$135,005
LONG TERM INSURANCE LIABILITY	$583,000
RELATED PARTY PAYABLES	$118,924
FINANCE LEASE LIABILITY	$81,485

Field	Value	IRS element (for citing)
Total Liability	$918,414	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE HOWARD YOUNG TRUST WAS ESTABLISHED BY S. HOWARD YOUNG IN 1975 AS A MECHANISM TO ENSURE THE HOSPITAL CONTINUES TO HAVE ACCESS TO FUNDING FOR CAPITAL NEEDS, MEDICAL SERVICE CONTINUATION AND SERVICE GROWTH TO MEET THE COMMUNITY'S NEEDS.
PART X, LINE 2:	ASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2024.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$202,163	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$202,163	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,401,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,492,293	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,908,857	NetCommunityBenefitExpnsAmt
Total Expense	0.07440	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,603,313	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,492,293	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,111,020	NetCommunityBenefitExpnsAmt
Total Expense	0.07960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,504	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,504	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,642	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,642	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,125	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,125	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,271	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$78,271	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,681,584	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,492,293	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,189,291	NetCommunityBenefitExpnsAmt
Total Expense	0.08150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$390,580	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$6,632,543	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,234,036	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,601,493	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE HOWARD YOUNG MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	240 MAPLE STREET	AddressLine1Txt
City	WOODRUFF	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54568	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ASPIRUS.ORG/FIND-A-LOCATION/HOWARD	WebsiteAddressTxt
State License	201	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE HOWARD YOUNG MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE HOWARD YOUNG MEDICAL CENTER	PART 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.
THE HOWARD YOUNG MEDICAL CENTER	PART V, SECTION B, LINE 6A: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), THE HOSPITAL COLLABORATED WITH ASPIRUS RHINELANDER HOSPITAL, ASPIRUS EAGLE RIVER HOSPITAL, AND MARSHFIELD MEDICAL CENTER-MINOCQUA.
THE HOWARD YOUNG MEDICAL CENTER	PART V, SECTION B, LINE 6B: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), HOWARD YOUNG MEDICAL CENTER COLLABORATED WITH THE FOREST COUNTY HEALTH DEPARTMENT, THE ONEIDA COUNTY HEALTH DEPARTMENT AND THE VILAS COUNTY HEALTH DEPARTMENT. THE HOWARD YOUNG MEDICAL CENTER'S CHNA WAS AUTHORED BY HOWARD YOUNG MEDICAL CENTER.
THE HOWARD YOUNG MEDICAL CENTER	PART 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, HOWARD YOUNG MEDICA CENTER'S SIGNIFICANT NEEDS WERE MENTAL HEALTH AND 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. *****************************************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.
THE HOWARD YOUNG MEDICAL CENTER	PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY). SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS WHERE RETIREMENT WITHDRAWALS HAVE NOT BEGUN AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE.
PART I, LINE 7:	THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN $992,249.
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 HOSPITAL:- SYSTEMATICALLY REVIEWS PATIENT EXPERIENCE DATA TO UNDERSTAND OPPORTUNITIES TO ADDRESS PATIENT CONCERNS. - MAINTAINS AN INVOLVED LOCAL BOARD OF DIRECTORS, WHICH MEETS EVERY OTHER MONTH. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS, INCLUDING FINANCE, EDUCATION, BANKING, GOVERNMENTAL PUBLIC HEALTH, HIGHER EDUCATION AND HEALTH CARE. - SUPPORTS ITS STAFF IN PARTICIPATING ON AND PRESENTING TO COMMUNITY BOARDS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES. - SUPPORTS ITS STAFF IN VOLUNTEERING AT AN AREA FOOD PANTRY. - REVIEWS FUNDING REQUESTS (TO THE HOSPITAL AND/OR HOSPITAL FOUNDATION) AS AN INDICATOR OF LOCAL NEEDS.- INITIATED A SOCIAL NEEDS SCREENING PROCESS THAT, OVER TIME, WILL PROVIDE INSIGHT INTO PATIENT NEEDS IN ADDITION TO THEIR IMMEDIATE CARE.
PART VI, LINE 3:	ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS FROM CENTRAL BILLING OFFICE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. IF ASPIRUS FINANCIAL COUNSELORS NOTICE THE PATIENT HAS NOT BEEN OFFERED AN APPLICATION WITHIN THE PAST YEAR, THEY WILL ALSO ASK IF THE PATIENT WOULD LIKE ONE MAILED OR IF THE PATIENT SHOWS FINANCIAL DISTRESS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS.
PART VI, LINE 4:	HOWARD YOUNG MEDICAL CENTER (PART OF THE ASPIRUS SYSTEM) IS ONE OF THREE ASPIRUS SYSTEM HOSPITALS IN A 3-COUNTY RURAL REGION OF FAR NORTHERN WISCONSIN. THE 3-COUNTY REGION INCLUDES FOREST, ONEIDA AND VILAS COUNTIES. HOWARD YOUNG MEDICAL CENTER IS LOCATED IN ONEIDA COUNTY NEAR THE VILAS COUNTY LINE.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 AREAS (HPSA) FOR MENTAL HEALTH. VILAS COUNTY COVERS 857 SQUARE MILES, WITH 26.9 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 23,520 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER AGE 18: 16.8%PERSONS 65 YEARS AND OVER: 30.9%WHITE PERSONS: 86.9%AFRICAN AMERICAN PERSONS: 0.4%AMERICAN INDIAN PERSONS: 10.5%ASIAN PERSONS: 0.6%TWO OR MORE RACES: 1.6%HISPANIC OR LATINO: 2.7%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 3.0%ADULTS AGES 25 AND OVER WITH A HIGH SCHOOL DIPLOMA OR EQUIVALENT: 95.1% PERSONS IN POVERTY: 11.5%MEDIAN HOUSEHOLD INCOME: $56,837PERCENT WITHOUT HEALTHCARE COVERAGE: 7.1%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.) 48.0%NUMBER OF HOSPITALS IN VILAS COUNTY: 1 (ASPIRUS EAGLE RIVER HOSPITAL) VILAS COUNTY IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR MENTAL HEALTH, DENTAL HEALTH AND PRIMARY CARE.
PART VI, LINE 5:	THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH AND COMMUNITY BENEFIT WORK. ADDITIONALLY, THE HOSPITAL: - MAINTAINS A BOARD OF DIRECTORS THAT REFLECTS THE COMMUNITY. - BRINGS ITS EXPERTISE INTO THE COMMUNITY THROUGH PROGRAMS, SCREENINGS, AND COMMUNITY BOARD AND ADVISORY COMMITTEE MEMBERSHIP.- PROVIDES HIGH QUALITY SERVICES AND IMPLEMENTS ONGOING QUALITY IMPROVEMENT INITIATIVES. - BUDGETS FOR CUTTING EDGE TECHNOLOGIES AND EQUIPMENT THAT SUPPORT PATIENT HEALTH.- OFFERS TRANSPORTATION ASSISTANCE FOR PATIENTS AS APPROPRIATE. - PROVIDES PRECEPTORS FOR HEALTH PROFESSIONS STUDENTS-IN-TRAINING, WHICH ADVANCES THE HEALTH CARE WORKFORCE. - PROVIDES ATHLETIC TRAINING TO LOCAL YOUTH ATHLETES. - OFFERS MEETING SPACE TO LOCAL NON-PROFIT ORGANIZATIONS. - PROVIDES BLOOD PRESSURE CHECKS AT THE LOCAL FOOD PANTRY. - PROVIDES IN-KIND SPACE TO A LOCAL SCHOOL FOR CHILDREN WITH AUTISM- PROVIDES IN-KIND SPACE FOR A SIMULATION LAB FOR LIFE SKILLS FOR CHILDREN WITH AUTISMAS PART OF A LARGER NETWORK OF ASPIRUS HEALTHCARE FACILITIES, THE HOSPITAL HAS ACCESS TO: - LOW-COST TEMPORARY LODGING AT ASPIRUS' FLAGSHIP TERTIARY CARE HOSPITAL PARTNER (IN WAUSAU, WI) SO THAT PATIENTS AND/OR THEIR FAMILY NEEDING EXTENDED SPECIALTY CARE HAVE ACCOMMODATIONS. - PROFESSIONAL DEVELOPMENT FOR STAFF, ASSURING THE CARE PROVIDED INCORPORATES THE MOST UP-TO-DATE BEST PRACTICES. - CROSS-TRAINING OPPORTUNITIES. FOR INSTANCE, A WAUSAU-BASED BEREAVEMENT COORDINATOR TRAINS STAFF ACROSS THE SYSTEM ON NORMAL GRIEF RESPONSE, RESILIENCE AND HOSPICE CARE AND SUPPORT. THE COORDINATOR TRAINS THROUGH THE NURSE RESIDENCY PROGRAM AS WELL AS IN UNIT/DEPARTMENT MEETINGS. UNIT/DEPARTMENT LEADERS CAN REQUEST BEREAVEMENT INFORMATION AND SUPPORT FOR THEIR TEAM. SIMILARLY, HOSPITALS HAVE ACCESS TO INJURY PREVENTION EXPERTISE AND RESOURCES THROUGH THE LEVEL 2 TRAUMA CENTER IN WAUSAU. - A MARKETING/COMMUNICATIONS TEAM THAT SUPPORTS THE ONLINE ASPIRUS MEDIA CENTER FEATURING MEDICAL EXPERTS. THE TEAM DEVELOPS AND PROMOTES HEALTH EDUCATION INFORMATION (E.G., ON DIABETES, TICK BITES, SNOWMOBILE SAFETY) FOR PATIENTS AND THE GENERAL PUBLIC.
PART VI, LINE 6:	ASPIRUS HEALTH IS A 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.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TOWN OF WOODRUFF	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 560	AddressLine1Txt
City	WOODRUFF	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54568	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	GOV	IRCSectionDesc
Cash Grant	$24,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Non Cash Assistance	MUNICIPAL SERVICES DONATION	NonCashAssistanceDesc
Purpose Of Grant	MUNICIPAL SERVICES DONATION	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS	$0	$1,252,366	$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
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
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
JAMES RICHARDS
PHYSICIAN	$492,713	$0	$0	$0	$22,909	$0	$9,900	$0	$39,475	$0	$564,997	$0	$0	$0
ANDREW WEBER
DIRECTOR - REG. MED. HOSP SVCS.	$509,381	$0	$0	$0	$6,225	$0	$9,900	$0	$23,018	$0	$548,524	$0	$0	$0
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
HEATH MEYER
PHYSICIAN	$478,397	$0	$0	$0	$5,616	$0	$9,900	$0	$39,744	$0	$533,657	$0	$0	$0
ALISON MARCINIAK
PHYSICIAN	$403,251	$0	$0	$0	$22,090	$0	$9,900	$0	$22,973	$0	$458,214	$0	$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	$0	$386,177	$0	$0	$0	$8,516	$0	$9,090	$0	$29,553	$0	$433,336	$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
RALPH NELSON
PHYSICIAN	$255,492	$0	$75,000	$0	$9,856	$0	$6,984	$0	$10,298	$0	$357,630	$0	$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 ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

FOR THE PURPOSES OF DETERMINING COMPENSATION, THE HOWARD YOUNG MEDICAL CENTER, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

PART I, LINE 4B

SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. 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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	391337855	BondIssuerEIN
CUSIP	97712JDN0	CUSIPNum
Bond Issued	2021-11-10	BondIssuedDt
Issue Price	$17,990,909	IssuePriceAmt
Purpose	REVENUE BONDS SERIES 2021	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$17,990,909	TotalProceedsAmt
Issuance Costs From Proceeds	$128,165	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$17,862,744	OtherSpentProceedsAmt
Substantial Completion	2021	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.02900	PrivateBusUseByOthersPct
Total Private Business Use	0.02900	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS IS COMPRISED OF TEN DIRECTORS. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS MEMBER CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN SIX INDEPENDENT COMMUNITY CLASS DIRECTORS, CONSISTING OF THREE NOMINATED BY THE NOMINATING COMMITTEE AND THREE NOMINATED BY ASPIRUS, INC. WITH CONSIDERATION TO INPUT FROM THE CORPORATION'S BOARD, AND ELECTED BY ASPIRUS, INC., TWO ASPIRUS MEMBER CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., TWO PROVIDER CLASS DIRECTOR FROM EACH HOSPITAL, CONSISTING OF PHYSICIANS IN THE ACTIVE CATEGORY OF THE MEDICAL STAFF AT THE HOSPITAL, NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS.
FORM 990, PART VI, SECTION B, LINE 11B	THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE NOTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15	FOR THE PURPOSES OF DETERMINING COMPENSATION, THE HOWARD YOUNG MEDICAL CENTER, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	CONTRACT NURSING AND OTHER SERVICES: PROGRAM SERVICE EXPENSES 2,360,641. MANAGEMENT AND GENERAL EXPENSES 2,005,865. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,366,506. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 147,837. MANAGEMENT AND GENERAL EXPENSES 125,619. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 273,456. LAB SERVICES: PROGRAM SERVICE EXPENSES 238,238. MANAGEMENT AND GENERAL EXPENSES 202,433. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 440,671. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 636,625. MANAGEMENT AND GENERAL EXPENSES 524,316. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,160,941.
FORM 990, PART XI, LINE 9:	INTERCOMPANY TRANSFERS 4,042,522.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASPIRUS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391328331	HEALTHCARE	WI	501(C)(3)	LINE 12B, II	N/A	0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391138241	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	390782130	NURSING HOME SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391406537	PROPERTY LEASING	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS MEDICAL GROUP INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391670223	MEDICAL SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREET	ONTONAGON	MI	49953	260806477	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUE	WAUSAU	WI	54401	390808511	HOME HEALTH CARE SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUE	WAUSAU	WI	54401	391597350	PERSONAL CARE SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS VNA HOME HEALTH INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVD	WAUSAU	WI	54401	391256656	CHARITABLE FOUNDATION	WI	501(C)(3)	LINE 7		Yes (1)	ASPIRUS INC
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
1400 W ICE LAKE ROAD	IRON RIVER	MI	49935	383236977	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
N 10561 GRAND VIEW LANE	IRONWOOD	MI	49938	382908586	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
410 DEWEY STREET	WISCONSIN RAPIDS	WI	54494	390868982	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS KEWEENAW HOSPITAL
205 OSCEOLA STREET	LAURIUM	MI	49913	381443361	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
DIVINE SAVIOR HEALTHCARE INC
2817 NEW PINERY ROAD	PORTGAGE	WI	53901	390806250	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
135 S GIBSON STREET	MEDFORD	WI	54451	390964813	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MEDFORD FOUNDATION INC
135 S GIBSON STREET	MEDFORD	WI	54451	391777081	CHARITABLE FOUNDATION	WI	501(C)(3)	LINE 7		Yes (1)	ASPIRUS INC
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
900 ILLINOIS AVENUE	STEVENS POINT	WI	54481	390808443	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC
900 ILLINOIS AVENUE	STEVENS POINT	WI	54481	391657410	CHARITABLE FOUNDATION	WI	501(C)(3)	LINE 12A, I		Yes (1)	ASPIRUS INC
ASPIRUS STANLEY HOSPITAL & CLINICS INC
1120 PINE STREET	STANLEY	WI	54768	390807065	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MERRILL HOSPITAL & CLINICS INC
601 S CENTER AVENUE	MERRILL	WI	54452	390808503	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MERRILL HOSPITAL FOUNDATION INC
601 S CENTER AVENUE	MERRILL	WI	54452	391627755	CHARITABLE FOUNDATION	WI	501(C)(3)	LINE 12A, I		Yes (1)	ASPIRUS INC
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
2251 NORTH SHORE DRIVE	RHINELANDER	WI	54501	391390638	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC
201 HOSPITAL ROAD	EAGLE RIVER	WI	54521	390985690	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREET	WOODRUFF	WI	54568	391499115	HEALTHCARE	WI	501(C)(3)	LINE 12B, II		Yes (1)	ASPIRUS INC
ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN INC
2251 NORTH SHORE DRIVE	RHINELANDER	WI	54501	391965593	MEDICAL SERVICES	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ST LUKE'S HOSPITAL OF DULUTH
915 EAST 1ST STREET	DULUTH	MN	55805	410714079	HOSPITAL	MN	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ST LUKE'S FOUNDATION
1000 EAST 1ST STREET NO 102	DULUTH	MN	55805	411448118	CHARITABLE FOUNDATION	MN	501(C)(3)	LINE 12A, I		Yes (1)	ST LUKE'S HOSPITAL OF DULUTH
LAKE VIEW MEMORIAL HOSPITAL INC
325 11TH AVENUE	TWO HARBORS	MN	55616	410786046	HOSPITAL	MN	501(C)(3)	LINE 3		Yes (1)	ST LUKE'S HOSPITAL OF DULUTH
LAKE VIEW MEMORIAL HOSPITAL FOUNDATION OF NORTHEAST MINNESOTA
325 11TH AVENUE	TWO HARBORS	MN	55616	411700972	CHARITABLE FOUNDATION	MN	501(C)(3)	LINE 12A, I		Yes (1)	LAKE VIEW MEMORIAL HOSPITAL INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
WESTERN UPPER MICHIGAN EYE CARE LLC
131 W GENESEE STREET	IRON RIVER	MI	49935	272324957	EYE CARE SERVICES	MI	N/A	0	0
THE WESTWOOD CONFERENCE CENTER LLC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	571184256	REAL ESTATE INVESTMENT	WI	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
ASPIRUS NETWORK INC
3000 WESTHILL DRIVE 202	WAUSAU	WI	54401	391931678	HEALTH CARE SERVICES	WI	N/A	C	0
ASPIRUS KEWEENAW ENTERPRISES INC
205 OSCEOLA STREET	LAURIUM	MI	49913	383390273	PHARMACY	MI	N/A	C	0
ASPIRUS HEALTH VENTURES
3000 WESTHILL DR SUITE 303	WAUSAU	WI	54401	474925640	HEALTH INSURANCE PLAN	WI	N/A	C	0
ASPIRUS ARISE HEALTH PLAN OF WI INC
3000 WESTHILL DR SUITE 303	WAUSAU	WI	54401	364832569	HEALTH INSURANCE PLAN	WI	N/A	C	0
ASPIRUS ARISE HEALTH PLAN OF MI INC
3000 WESTHILL DR SUITE 303	WAUSAU	WI	54401	475448266	HEALTH INSURANCE PLAN	MI	N/A	C	0
ASPIRUS CAMPUS PROPERTY CONDOMINIUM OWNERS ASSOCIATION INC
2200 WESTWOOD DRIVE	WAUSAU	WI	54401	842513742	ASSOCIATION	WI	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS WAUSAU HOSPITAL INC
J	$164,796	COST
ASPIRUS WAUSAU HOSPITAL INC
M	$176,931	COST
ASPIRUS WAUSAU HOSPITAL INC
Q	$91,758	COST
ASPIRUS INC
M	$6,104,183	COST
ASPIRUS INC
O	$17,465,623	COST
ASPIRUS INC
P	$13,996,877	COST
ASPIRUS INC
S	$5,652,813	COST
ASPIRUS DIVINE SAVIOR HOSPITAL & CLINICS INC
L	$54,000	COST
ASPIRUS STANLEY HOSPITAL & CLINICS INC
L	$68,000	COST
ASPIRUS STANLEY HOSPITAL & CLINICS INC
S	$192,904	COST
ASPIRUS MERRILL HOSPITAL & CLINICS INC
L	$71,000	COST
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
I	$722,841	COST
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
M	$159,931	COST
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
L	$556,576	COST
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC
L	$80,000	COST
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC
Q	$170,986	COST
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC
R	$238,974	COST
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
L	$54,000	COST
ASPIRUS MEDICAL GROUP INC
I	$70,332	COST
ASPIRUS MEDICAL GROUP INC
R	$71,524	COST