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ASPIRUS MEDICAL GROUP INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS MEDICAL GROUP INC (EIN 39-1670223)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-13
IRS object ID
202111339349300511
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-13T06:20:54-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391670223EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS MEDICAL GROUP INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASPIBusinessNameControlTxt
Phone7158472250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 PINE RIDGE BLVDAddressLine1Txt
CityWAUSAUCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSIDNEY C SCZYGELSKIPersonNm
Person TitleSENIOR VP OF FINANCE & CFOPersonTitleTxt
Phone7158472250PhoneNum
Signature2021-05-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2021-05-03PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$95,358,405GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASPIRUS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionWE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee908TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$1,884,434TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$291,856NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$1,593,545CYContributionsGrantsAmt
PY Program Service Revenue$96,763,422PYProgramServiceRevenueAmt
CY Program Service Revenue$93,517,500CYProgramServiceRevenueAmt
PY Investment Income$40,209PYInvestmentIncomeAmt
CY Investment Income$45,109CYInvestmentIncomeAmt
PY Other Revenue$947,302PYOtherRevenueAmt
CY Other Revenue$202,251CYOtherRevenueAmt
PY Total Revenue$97,750,933PYTotalRevenueAmt
CY Total Revenue$95,358,405CYTotalRevenueAmt
PY Grants And Similar Paid$1,982PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$72,609,708PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$74,690,606CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$44,458,040PYOtherExpensesAmt
CY Other Expenses$43,598,896CYOtherExpensesAmt
PY Total Expenses$117,069,730PYTotalExpensesAmt
CY Total Expenses$118,289,502CYTotalExpensesAmt
PY Revenues Less Expenses-$19,318,797PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$22,931,097CYRevenuesLessExpensesAmt
Total Assets BOY$60,018,690TotalAssetsBOYAmt
Total Assets EOY$61,425,419TotalAssetsEOYAmt
Total Liabilities BOY$61,860,218TotalLiabilitiesBOYAmt
Total Liabilities EOY$63,717,009TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,841,528NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,291,590NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$102,266,181ExpenseAmt
Revenue$91,633,066RevenueAmt
DescTO PROVIDE HEALTH CARE AND EDUCATION SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE COMPANY PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS COMMUNITY CARE POLICY WITHOUT CHARGE FROM 7/1/19 TO 6/30/20. THE ESTIMATED COST OF PROVIDING CARE TO PATIENTS UNDER ACI'S COMMUNITY CARE POLICY AGGREGATED APPROXIMATELY $1,175,859 IN FISCAL YEAR 2020. THE COST WAS CALCULATED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR ACI TIMES THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING THE COMMUNITY CARE. THE CLINIC EMPLOYED 126 FTE PROVIDERS WHO HAD 290,355 VISITS FROM PATIENTS. THE CLINIC ALSO PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS WHICH OFTEN REIMBURSE THE CLINIC BASED ON PREDETERMINED FEE SCHEDULES WHICH ARE OFTEN BELOW THE COST OF PROVIDING CARE TO THESE INDIVIDUALS. THESE PROGRAMS REPRESENT A LARGE PORTION OF THE ELDERLY, LOW INCOME, AND DISABLED MEMBERS OF THE COMMUNITY WHO NEED ACCESS TO HIGH QUALITY CARE. DURING FISCAL YEAR 2019, MEDICARE AND MEDICAID PROGRAMS MADE UP APPROXIMATELY 55.8% OF GROSS PATIENT REVENUE.Desc
Total Program Service Expenses$102,266,181TotalProgramServiceExpensesAmt
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 Footnote0IncludeFIN48FootnoteInd
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 Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
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 Document88IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee908EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SIDNEY C SCZYGELSKIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7158472250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 WESTWOOD DRIVEAddressLine1Txt
CityWAUSAUCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54401ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CHRISTOPHER PLATTA
PHYSICIAN40.00Yes (X)$2,147,866$0$50,797
ANDREW BEAUMONT
PHYSICIAN40.00Yes (X)$1,703,107$0$50,599
HAMIED REZAZADEH
PHYSICIAN40.00Yes (X)$1,326,794$0$52,199
HARISH AHUJA
PHYSICIAN40.00Yes (X)$1,313,417$0$49,509
CHRISTOPHER PETERSON
PHYSICIAN40.00Yes (X)$1,187,221$0$50,2631.00
MICHAEL MCGRAIL
SVP & SYSTEM CMO2.00$0$527,876$83,27450.00Yes (X)
RICK NEVERS
SVP- REGIONAL OPERATIONS SIO2.00$0$468,168$87,16350.00Yes (X)
SUSAN SCHNEIDER MD
CHIEF MEDICAL OFFICER2.00$480,605$0$60,25350.00Yes (X)
TODD RICHARDSON
SVP & CHIEF INFORMATION OFFICER2.00$0$443,960$90,92250.00Yes (X)
JESSE TISCHER
SVP & PRESIDENT- REGIONAL MARKETS2.00$0$455,557$71,88450.00Yes (X)
RENEE SMITH
EXECUTIVE DIRECTOR ANI2.00$0$457,632$47,26650.00Yes (X)
JOHN HEISLER
SVP & CHIEF HUMAN RESOURCES OFFICER2.00$0$458,655$41,44350.00Yes (X)
RUTH RISLEY GRAY
SVP & SYSTEM CHIEF NURSING OFFICER2.00$0$454,475$44,14050.00Yes (X)
STEPHEN BREWER
VP- HEART VASCULAR & TERTIARY ACI2.00$0$279,378$67,26240.00Yes (X)
MATTHEW BREWER
VP- OPERATIONS2.00$0$282,020$58,68840.00Yes (X)
SCOTT REMMICH
CHIEF COMPLIANCE OFFICER2.00$0$252,876$49,92340.00Yes (X)
JOHN MONKS
VP- OPERATIONS2.00$0$250,602$45,38040.00Yes (X)
LORI PECK
VP- REVENUE CYCLE2.00$0$261,660$32,86840.00Yes (X)
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS2.00$0$1,351,919$222,22550.00Yes (X)
SIDNEY SCZYGELSKI
SR. VP OF FINANCE/CFO2.00$0$742,406$126,38050.00Yes (X)
CARI LOGEMANN
SR VP & GENERAL COUNSEL2.00$0$527,198$91,25150.00Yes (X)
ERIC ANDERSON
SVP- SERVICE LINE & PATIENT EXP.2.00$0$449,876$93,73950.00Yes (X)
JENNIFER REDMAN SCHELL
SVP & PRESIDENT - ASPIRUS MEDICAL GROUP2.00$0$450,779$79,71650.00Yes (X)
DAVID M HECK
CHAIR1.00$0$0$02.00Yes (X)Yes (X)
RANDY L BALK
VICE CHAIR1.00$0$0$01.00Yes (X)Yes (X)
LISA S WESTPHAL
VICE CHAIR (THUR SEPT)1.00$0$0$01.00Yes (X)Yes (X)
CHAD H RADKE DO
SECRETARY/TREASURER1.00$0$0$03.00Yes (X)Yes (X)
JAMES CYGAN MD
BOARD MEMBER40.00$861,482$0$47,6131.00Yes (X)
LAWERNCE G LEIBERT MD
BOARD MEMBER40.00$528,397$0$44,4971.00Yes (X)
MARY JO WENDLING MD
BOARD MEMBER40.00$273,719$0$15,7291.00Yes (X)
KATHY KELSEY FOLEY
BOARD MEMBER1.00$0$0$02.00Yes (X)
CRAIG A HACKWORTH MD
BOARD MEMBER1.00$0$0$01.00Yes (X)
TODD W NAGEL
BOARD MEMBER1.00$0$0$01.00Yes (X)
KRISTIN RAHN MD
BOARD MEMBER (THRU DEC)40.00$350,550$0$21,9251.00Yes (X)
KRISTA SCHARER MD
BOARD MEMBER1.00$0$0$01.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,173,158TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,115,037TotReportableCompRltdOrgAmt
Total Other Compensation$1,776,908TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K305IndivRcvdGreaterThan100KCnt
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
WAUSAU HEART & LUNG SURGEONS
425 PINE RIDGE BLVD STE 209WAUSAUWI54401PHYSICIAN SERVICES$4,102,202
MMK NEROLOGY SC
2411 SHADOWVIEW CIRCLEPLOVERWI54467PHYSICIAN SERVICES$402,273
ABM ACQUISITION INC
2230 NORTH 14TH AVEWAUSAUWI54401CLEANING/MAINTENANCE SERVICE$345,618
AURORA MEDICAL GROUP
750 WEST VIRGINIA ST PO BOX 341880MILWAUKEEWI532341880PHYSICIAN SERVICES$302,532
SHARED MEDICAL SERVICES
209 LIMESTONE PASSCOTTAGE GROVEWI53527MRI SERVICES$277,950
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Government Grants$1,593,545GovernmentGrantsAmt
Total Contributions$1,593,545TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621110$83,283,274$83,283,274
NET PHARMACY REVENUE621990$6,616,291$5,090,579$1,525,712
MEDICAL DIRECTOR FEES621990$97,134$97,134

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,520,801TotalRevenueColumnAmt
Related Or Exempt Func Income$3,162,079RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$358,722UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$93,517,500TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,109TotalRevenueColumnAmt
Exclusion$45,109ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$202,251RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$202,251RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$202,251TotalRevenueColumnAmt
Exclusion$202,251ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,358,405TotalRevenueColumnAmt
Related Or Exempt Func Income$91,633,066RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,884,434UnrelatedBusinessRevenueAmt
Exclusion$247,360ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,666,698TotalAmt
Program Services$2,666,698ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$60,062,064TotalAmt
Program Services$59,038,793ProgramServicesAmt
Management And General$1,023,271ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,614,426TotalAmt
Program Services$2,614,426ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,291,259TotalAmt
Program Services$6,173,378ProgramServicesAmt
Management And General$117,881ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,056,159TotalAmt
Program Services$2,965,872ProgramServicesAmt
Management And General$90,287ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$44,001TotalAmt
Management And General$44,001ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$203TotalAmt
Management And General$203ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,733,925TotalAmt
Program Services$6,678,386ProgramServicesAmt
Management And General$55,539ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$125,043TotalAmt
Management And General$125,043ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$683,361TotalAmt
Program Services$354,503ProgramServicesAmt
Management And General$328,858ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,042TotalAmt
Program Services$40,042ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,040,529TotalAmt
Program Services$5,007,831ProgramServicesAmt
Management And General$32,698ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$465,102TotalAmt
Program Services$446,372ProgramServicesAmt
Management And General$18,730ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,614,982TotalAmt
Program Services$1,614,982ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$379,963TotalAmt
Program Services$358,938ProgramServicesAmt
Management And General$21,025ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
CORPORATE ALLOCATIONS$14,122,694$14,122,694
MEDICAL SUPPLIES/PHARMA$12,394,680$1,811$12,392,869
BAD DEBT$1,160,264$1,160,264
DUES,LICENSE,FEES$605,243$461$604,782

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$188,864TotalAmt
Program Services$148,045ProgramServicesAmt
Management And General$40,819ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$118,289,502TotalAmt
Program Services$102,266,181ProgramServicesAmt
Management And General$16,023,321ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$762,871BOYAmt
EOY-$7,481EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,826,199BOYAmt
EOY$9,114,045EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,150,613BOYAmt
EOY$1,216,032EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$258,749BOYAmt
EOY$275,002EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,740,071LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,572,205LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,415,215BOYAmt
EOY$10,167,866EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,211,651BOYAmt
EOY$1,330,460EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,761,600BOYAmt
EOY$3,761,600EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$33,157,534BOYAmt
EOY$35,567,895EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$60,018,690BOYAmt
EOY$61,425,419EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,498,668BOYAmt
EOY$22,926,995EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,994,811BOYAmt
EOY$5,854,134EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,366,739BOYAmt
EOY$34,935,880EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,860,218BOYAmt
EOY$63,717,009EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,841,528BOYAmt
EOY-$2,291,590EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,841,528BOYAmt
EOY-$2,291,590EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$60,018,690BOYAmt
EOY$61,425,419EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$22,931,097ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$73,699NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$22,407,336OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,705CurrentTaxYearMinus4YearsAmt
Current Tax Year$1,593,545CurrentTaxYearAmt
Total$1,616,250TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$86,698,131CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$79,772,253CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$78,455,935CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,141,528CurrentTaxYearMinus1YearAmt
Current Tax Year$91,633,066CurrentTaxYearAmt
Total$431,700,913TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$86,720,836CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$79,772,253CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$78,455,935CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,141,528CurrentTaxYearMinus1YearAmt
Current Tax Year$93,226,611CurrentTaxYearAmt
Total$433,317,163TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$433,317,163PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,376,822CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,342,142CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,318,374CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$987,511CurrentTaxYearMinus1YearAmt
Current Tax Year$247,360CurrentTaxYearAmt
Total$5,272,209TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,376,822CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,342,142CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,318,374CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$987,511CurrentTaxYearMinus1YearAmt
Current Tax Year$247,360CurrentTaxYearAmt
Total$5,272,209TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$88,097,658CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$81,114,395CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$79,774,309CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$96,129,039CurrentTaxYearMinus1YearAmt
Current Tax Year$93,473,971CurrentTaxYearAmt
Total$438,589,372TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98800PublicSupportCY509Pct
Public Support PY5090.98510PublicSupportPY509Pct
Investment Income CY0.01200InvestmentIncomeCYPct
Investment Income PY0.01490InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$7,056OtherActivitiesAmt
Total Lobbying Expenditures$7,056TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE PERCENTAGES THAT ARE SPECIFIC FOR LOBBYING PURPOSES ARE : 7% OF THE STATE PORTION OF DUES PAID TO WISCONSIN MEDICAL SOCIETY (WMS) TOTALING $2,136; 12% FOR WISCONSIN PSYCHOLOGICAL ASSOCIATION (WPA) TOTALING $42; 7.3% OF THE SERVICE PORTION OF AMERICAN COLLEGE OF PHYSICIANS (ACP) TOTALING $122; 7.5% FOR AMERICAN COLLEGE OF OSTEOPATHIC FAMILY PHYSICIANS (ACOFP) TOTALING $30; 8% FOR AMERICAN CONGRESS OF OBSTETRICIAN AND GYNECOLOGY (ACOG) TOTALING $194; 60% FOR AMERICAN MEDICAL ASSOCIATIONS (AMA) TOTALING $1151; 3.6% FOR AMERICAN OSTEOPATHIC ASSOCIATION (AOA) TOTALING $21; 5% FOR AMERICAN ASSOCIATION OF NURSE PRACTITIONERS (AANP) TOTALING $35; 2.2% FOR AMERICAN SOCIETY OF PLASTIC SURGERY (ASPS) TOTALING $29; 6.7% AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS (AACE) TOTALING $23; 15.7% AMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP) TOTALING $591; 5.5% AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS (AAPA) TOTALING $210; 31.7% FOR NATIONAL COMMISSION OF CERTIFICATION OF PHYSICIAN ASSISTANTS (NCCPA) TOTALING $143; 31.7% FOR WISCONSIN ACADEMY OF PHYSICIAN ASSISTANTS (WAPA) TOTALING $95; 5.5% FOR AMERICAN ACADEMY OF PEDIATRICS (AAP) TOTALING $477; 13.17% FOR AMERICAN COLLEGE OF CARDIOLOGY (ACC) TOTALING $1,524; 4% FOR AMERICAN PSYCHIATRIC ASSOCIATION (APA) TOTALING $55; 5% FOR AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS (ACFAS) TOTALING $92; 3% FOR AMERICAN COLLEGE OF OSTEOPATHIC SURGEONS (ACOS) TOTALING $22, FOR AMERICAN CONGRESS OF OBSTETRICIAN AND GYNECOLOGY (AGOG) TOTALING $64. THE GRAND TOTAL GOING TOWARDS LOBBYING IS $7,056.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,681,028OtherCostOrOtherBasisAmt
Book Value$1,681,028BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,424,917OtherCostOrOtherBasisAmt
Depreciation$7,160,033DepreciationAmt
Book Value$4,264,884BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$382,970OtherCostOrOtherBasisAmt
Depreciation$351,646DepreciationAmt
Book Value$31,324BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,803,723OtherCostOrOtherBasisAmt
Depreciation$9,041,717DepreciationAmt
Book Value$3,762,006BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$447,433OtherCostOrOtherBasisAmt
Depreciation$18,809DepreciationAmt
Book Value$428,624BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,167,866TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEFERRED COMPENSATION$34,343,767
DUE FROM AFFLIATES$654,102
OTHER$570,026
FieldValueIRS element (for citing)
Total Book Value Other Assets$35,567,895TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$34,343,767
DUE TO AFFILIATES$386,649
LONG TERM INSURANCE LIABILITY$112,549
RETIREE HEALTHCARE BENEFITS$92,915
FieldValueIRS element (for citing)
Total Liability$34,935,880TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 (27 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
CHRISTOPHER PLATTA
PHYSICIAN$1,983,063$0$125,000$0$39,803$0$16,832$0$33,965$0$2,198,663$0$0$0
ANDREW BEAUMONT
PHYSICIAN$1,697,981$0$0$0$5,126$0$16,832$0$33,767$0$1,753,706$0$0$0
HAMIED REZAZADEH
PHYSICIAN$1,321,240$0$0$0$5,554$0$19,582$0$32,617$0$1,378,993$0$0$0
HARISH AHUJA
PHYSICIAN$1,307,708$0$0$0$5,709$0$19,582$0$29,927$0$1,362,926$0$0$0
CHRISTOPHER PETERSON
PHYSICIAN$1,182,095$0$0$0$5,126$0$16,832$0$33,431$0$1,237,484$0$0$0
MICHAEL MCGRAIL
SVP & SYSTEM CMO$0$406,549$0$109,773$0$11,554$0$14,438$0$68,836$0$611,150$0$0
RICK NEVERS
SVP- REGIONAL OPERATIONS SIO$0$339,937$0$83,542$0$44,689$0$19,582$0$67,581$0$555,331$0$38,399
SUSAN SCHNEIDER MD
CHIEF MEDICAL OFFICER$408,023$0$46,948$0$25,634$0$16,832$0$43,421$0$540,858$0$24,018$0
TODD RICHARDSON
SVP & CHIEF INFORMATION OFFICER$0$313,273$0$88,199$0$42,488$0$16,832$0$74,090$0$534,882$0$39,566
JESSE TISCHER
SVP & PRESIDENT- REGIONAL MARKETS$0$374,250$0$80,770$0$537$0$1,971$0$69,913$0$527,441$0$0
RENEE SMITH
EXECUTIVE DIRECTOR ANI$0$359,068$0$65,045$0$33,519$0$16,832$0$30,434$0$504,898$0$32,734
JOHN HEISLER
SVP & CHIEF HUMAN RESOURCES OFFICER$0$317,113$0$85,743$0$55,799$0$16,832$0$24,611$0$500,098$0$41,623
RUTH RISLEY GRAY
SVP & SYSTEM CHIEF NURSING OFFICER$0$291,384$0$78,869$0$84,222$0$19,582$0$24,558$0$498,615$0$76,355
STEPHEN BREWER
VP- HEART VASCULAR & TERTIARY ACI$0$216,847$0$41,275$0$21,256$0$14,216$0$53,046$0$346,640$0$19,731
MATTHEW BREWER
VP- OPERATIONS$0$218,546$0$40,203$0$23,271$0$7,294$0$51,394$0$340,708$0$22,425
SCOTT REMMICH
CHIEF COMPLIANCE OFFICER$0$214,132$0$36,753$0$1,991$0$6,555$0$43,368$0$302,799$0$0
JOHN MONKS
VP- OPERATIONS$0$191,583$0$36,077$0$22,942$0$12,836$0$32,544$0$295,982$0$17,632
LORI PECK
VP- REVENUE CYCLE$0$219,881$0$40,703$0$1,076$0$12,349$0$20,519$0$294,528$0$0
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS$0$920,866$0$410,719$0$20,334$0$16,832$0$205,393$0$1,574,144$0$0
SIDNEY SCZYGELSKI
SR. VP OF FINANCE/CFO$0$536,087$0$132,967$0$73,352$0$19,582$0$106,798$0$868,786$0$60,259
CARI LOGEMANN
SR VP & GENERAL COUNSEL$0$381,456$0$102,648$0$43,094$0$16,832$0$74,419$0$618,449$0$41,199
ERIC ANDERSON
SVP- SERVICE LINE & PATIENT EXP.$0$360,168$0$88,372$0$1,336$0$16,832$0$76,907$0$543,615$0$0
JENNIFER REDMAN SCHELL
SVP & PRESIDENT - ASPIRUS MEDICAL GR$0$384,617$0$62,473$0$3,689$0$8,400$0$71,316$0$530,495$0$0
JAMES CYGAN MD
BOARD MEMBER$856,289$0$0$0$5,193$0$16,832$0$30,781$0$909,095$0$0$0
LAWERNCE G LEIBERT MD
BOARD MEMBER$523,036$0$0$0$5,361$0$19,582$0$24,915$0$572,894$0$0$0
MARY JO WENDLING MD
BOARD MEMBER$268,593$0$0$0$5,126$0$14,063$0$1,666$0$289,448$0$0$0
KRISTIN RAHN MD
BOARD MEMBER (THRU DEC)$334,074$0$10,000$0$6,476$0$15,327$0$6,598$0$372,475$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE, WHEN APPLICABLE, WAS ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE - J. REDMAN-SCHELL- $3,300
PART I, LINE 3FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS MEDICAL GROUP, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER 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 $ 60,259 R. NEVERS $ 38,399 T. RICHARDSON $ 39,566 R. RISLEY GRAY $ 76,355 J. HEISLER $ 41,623 S. SCHNEIDER $ 24,018 M. BREWER $ 22,425 S. BREWER $ 19,731 C. LOGEMANN $ 41,199 R. SMITH $ 32,734 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: 9% FOR VICE PRESIDENT, 13% FOR SENIOR LEADERSHIP COUNCIL, AND 15% FOR THE CEO. 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; 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SARAH HACKWORTH
SPOUSE OF CRAIG HACKWORTH$238,592SARAH HACKWORTH IS A PHYSICIAN EMPLOYED BY ASPIRUS MEDICAL GROUP, INC.0
TIMOTHY LOGEMANN
SPOUSE OF CARI LOGEMANN$422,535TIMOTHY LOGEMANN IS A PHYSICIAN EMPLOYED BY ASPIRUS MEDICAL GROUP, INC.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION CHANGED THEIR NAME FROM ASPIRUS CLINICS, INC. TO ASPIRUS MEDICAL GROUP, INC.
FORM 990, PART VI, SECTION A, LINE 6THE PARENT ORGANIZATION, ASPIRUS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ASEE EXPLANATION FOR FORM 990, PART VI, LINE 7B.
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 BY LAWS, 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, AND 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG RANGE PLANS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBIT CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND THE 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS, OFFICERS, 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 DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15BFOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS MEDICAL GROUP, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH 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 VII, SECTION A, LINE 1A, EXPLANATION FOR HOURS WORKED:SOME OFFICERS, DIRECTORS, AND KEY EMPLOYEES ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS MEDICAL GROUP, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B.
FORM 990, PART XI, LINE 9:ADJUSTMENT IN POSTRETIREMENT BENEFIT OBLIGATION -27,931. EQUITY TRANSFERS - ASPIRUS BUILDINGS, INC. 301,582. EQUITY TRANSFERS - ASPIRUS, INC. 22,133,685.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 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 BLVDWAUSAUWI54401391328331HEALTH CAREWI501(C)(3)LINE 12B, IIN/A0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVDWAUSAUWI54401391138241HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVDWAUSAUWI54401391406537BUILDING LEASINGWI501(C)(3)LINE 10Yes (1)ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
425 PINE RIDGE BLVDWAUSAUWI54401390782130NURSING HOME SERVICESWI501(C)(3)LINE 100ASPIRUS 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 RIVERVIEW HOSPITAL & CLINICS INC
410 DEWEY STREETWISCONSIN RAPIDSWI54494390868982HOSPITALWI501(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 KEWEENAW HOSPITAL
205 OSCEOLALAURIUMMI49913381443361HOSPITALMI501(C)(3)LINE 3Yes (1)ASPIRUS INC
DIVINE SAVIOR HEALTHCARE INC
2817 NEW PINERY ROADPORTAGEWI53901390806250HOSPITALWI501(C)(3)LINE 3Yes (1)ASPIRUS INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WESTERN UPPER MICHIGAN EYE CARE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1131 W GENESEE STREETAddressLine1Txt
CityIRON RIVERCityNm
State AbbreviationWIStateAbbreviationCd
ZIP49935ZIPCd
FieldValueIRS element (for citing)
EIN272324957EIN
Primary ActivitiesEYE CARE SERVICESPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ASPIRUS NETWORK INC
3000 WESTHILL DRIVE 202WAUSAUWI54401391931678HEALTH CARE SERVICESWIN/ACYes (1)
ASPIRUS KEWEENAW ENTERPRISES INC
205 OSCEOLA STREETLAURIUMMI49913383390273PHARMACYMIN/ACYes (1)
ASPIRUS HEALTH VENTURES
3000 WESTHILL DR SUITE 303WAUSAUWI54401474925640HEALTH INSURANCE PLANWIN/ACYes (1)
ASPIRUS ARISE HEALTH PLAN OF WI INC
3000 WESTHILL DR SUITE 303WAUSAUWI54401364832569HEALTH INSURANCE PLANWIN/ACYes (1)
ASPIRUS ARISE HEALTH PLAN OF MI INC
3000 WESTHILL DR SUITE 303WAUSAUWI54401475448266HEALTH INSURANCE PLANMIN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
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 Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS WAUSAU HOSPITAL INC
C$178,055COST
ASPIRUS WAUSAU HOSPITAL INC
J$1,778,452COST
ASPIRUS WAUSAU HOSPITAL INC
K$625,596COST
ASPIRUS WAUSAU HOSPITAL INC
M$385,532COST
ASPIRUS WAUSAU HOSPITAL INC
O$7,670,225COST
ASPIRUS WAUSAU HOSPITAL INC
P$4,163,757COST
ASPIRUS WAUSAU HOSPITAL INC
Q$1,129,962COST
ASPIRUS INC
E$5,750,000COST
ASPIRUS INC
M$14,081,530COST
ASPIRUS INC
O$66,816,324COST
ASPIRUS INC
P$1,575,632COST
ASPIRUS INC
Q$56,520COST
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
K$225,102COST
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
L$140,491COST
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
O$79,477COST
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
Q$495,874COST
ASPIRUS BUILDINGS INC
K$273,094COST
ASPIRUS KEWEENAW HOSPITAL
K$51,250COST