ASPIRUS MEDFORD HOSPITAL & CLINICS INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS MEDFORD HOSPITAL & CLINICS INC (EIN 39-0964813)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202121379349301362
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T08:18:53-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | 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 | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390964813 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS MEDFORD HOSPITAL & CLINICS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASPI | BusinessNameControlTxt |
| Phone | 7157488100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 135 SOUTH GIBSON | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54451 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG SHAW | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7157488100 | PhoneNum |
| Signature | 2021-04-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2021-04-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DALE HUSTEDT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 135 SOUTH GIBSON STREET | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54451 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $95,853,478 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ASPIRUS.ORG/ASPIRUSMEDFORDHOSPITAL | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 718 | TotalEmployeeCnt |
| Total Volunteers | 78 | TotalVolunteersCnt |
| Total Gross UBI | $1,671,657 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $76,364 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,378,339 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $88,955,793 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $88,149,017 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,450,024 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,091,126 | CYInvestmentIncomeAmt |
| PY Other Revenue | $126,761 | PYOtherRevenueAmt |
| CY Other Revenue | $133,022 | CYOtherRevenueAmt |
| PY Total Revenue | $93,608,942 | PYTotalRevenueAmt |
| CY Total Revenue | $93,751,504 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $205,603 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $47,908 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,511,398 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,589,171 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,281,959 | PYOtherExpensesAmt |
| CY Other Expenses | $39,689,121 | CYOtherExpensesAmt |
| PY Total Expenses | $81,998,960 | PYTotalExpensesAmt |
| CY Total Expenses | $81,326,200 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,609,982 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,425,304 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $143,860,673 | TotalAssetsBOYAmt |
| Total Assets EOY | $162,355,211 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,315,645 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,388,138 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $118,545,028 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $128,967,073 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $42,229,406 | ExpenseAmt |
| Grant | $47,908 | GrantAmt |
| Revenue | $59,208,248 | RevenueAmt |
| Desc | HOSPITAL SERVICES - ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL IN MEDFORD, WISCONSIN. DURING THE YEAR ENDED JUNE 30, 2020, THE HOSPITAL HAD 2,290 INPATIENT DAYS AND 78,313 OUTPATIENT VISITS. SURGERY, EMERGENCY CARE, RADIOLOGY, LABORATORY, CHEMOTHERAPY/INFUSION, DIALYSIS, AND THERAPIES ARE JUST SOME OF THE OTHER SERVICES THAT AMHC PROVIDES WITHIN THE HOSPITAL. AS A CRITICAL ACCESS HOSPITAL, AMHC PROVIDES ACCESS TO LOCAL HEALTH CARE FOR THE COMMUNITIES OF WHICH THEY SERVE.AMHC ALSO PROMISES TO THE COMMUNITY TO PROVIDE HEALTH CARE SERVICES TO THOSE IN NEED REGARDLESS OF THEIR ABILITY TO PAY AS DEFINED IN AMHC'S CHARITY AND COMMUNITY CARE POLICIES AND PROGRAMS. DURING FISCAL YEAR 2020, AMHC'S CHARITY CARE PROGRAM AWARDED APPROXIMATELY $2.144,222 IN FINANCIAL ASSISTANCE THROUGH CHARGE REDUCTIONS TO PATIENTS WHO COULD NOT OTHERWISE AFFORD CARE. ADDITIONAL INFORMATION ON THE COST OF PROVIDING CHARITY CARE TO PATIENTS CAN BE FOUND IN SCHEDULE H OF THE FORM 990. IN ADDITION TO PROVIDING CHARITY CARE SERVICES, AMHC ALSO PROVIDES A SIGNIFICANT AMOUNT OF SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS. DURING FISCAL YEAR 2020, APPROXIMATELY 56 PERCENT OF THE PATIENT SERVICES PROVIDED BY AMHC WERE PROVIDED TO MEDICARE AND MEDICAID PROGRAM BENEFICIARIES. THESE SERVICES ARE CONSIDERED A LARGE NEED IN THE COMMUNITY AND AMHC IS OFTEN REIMBURSED AT RATES BELOW THE COST OF PROVIDING THE CARE FOR THESE PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,677,394 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $20,578,617 | RevenueAmt |
| Desc | CLINIC SERVICES - AMHC OPERATES SEVEN OUTPATIENT CLINICS IN THE COMMUNITIES OF ABBOTSFORD, ATHENS, GILMAN, MEDFORD, PHILLIPS, PRENTICE AND RIB LAKE (ALL LOCATED WITHIN THE STATE OF WISCONSIN). DURING THE YEAR ENDED JUNE 30, 2020, THE CLINICS HAD 59,055 VISITS. AMHC PROVIDES ACCESS TO PRIMARY CARE PHYSICIANS IN THESE RURAL AND MEDICALLY UNDERSERVED AREAS.THE CLINICS ALSO SERVES A LARGE PORTION OF ELDERLY, DISABLED, AND LOW-INCOME PATIENTS WHO ARE COVERED UNDER THE MEDICARE AND WISCONSIN MEDICAID PROGRAMS. PATIENTS OF THE AMHC CLINICS ARE ALSO ELIGIBLE FOR CHARITY CARE AS DEFINED BY AMHC'S CHARITY CARE POLICY. CHARITY CARE AMOUNTS FOR THE CLINICS ARE INCLUDED IN THE TOTAL NOTED UNDER 4A ABOVE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,234,488 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,937,014 | RevenueAmt |
| Desc | SENIOR CARE SERVICES - AMHC OPERATES A 50-BED SKILLED NURSING FACILITY (SNF), 10 CBRF APARTMENTS, AND A 28-UNIT RCAC. DURING THE YEAR ENDED JUNE 30, 2020, THE SNF HAD A DAILY CENSUS OF 47.95 AND THE RCAC HAD A DAILY CENSUS OF 22.11. THROUGH THESE SENIOR CARE SERVICES, AMHC PROVIDES CARE AND ASSISTANCE TO THE ELDERLY IN OUR COMMUNITY. A MAJORITY OF THE RESIDENTS RECEIVING SENIOR CARE SERVICES AT AMHC RECEIVE CARE UNDER THE WISCONSIN MEDICAID OR FAMILY CARE PROGRAMS. AMHC RECOGNIZES THAT THE COST OF CARING FOR THESE INDIVIDUALS OFTEN EXTENDS BEYOND THE AMOUNT THAT IS PAID TO AMHC BY THE MEDICAID PROGRAM. ADDITIONAL INFORMATION ON THE COST OF PROVIDING SERVICES TO MEDICAID PROGRAM BENEFICIARIES CAN BE FOUND IN SCHEDULE H OF THE FORM 990. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $61,141,288 | 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 94 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 718 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREG SHAW CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7157488100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 135 SOUTH GIBSON STREET | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54451 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| SUJATHA ROBERTS | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $700,994 | $0 | $44,808 | ||||
| CLINT SEMRAU | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $603,658 | $0 | $38,632 | ||||
| DAVID VANDERKIN | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $587,096 | $0 | $39,714 | ||||
| KEITH BRATULICH | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $450,513 | $0 | $48,279 | ||||
| CARY TAUCHMAN | |||||||||
| PHYSICIAN | 40.00 | Yes (X) | $401,616 | $0 | $43,272 | ||||
| CARI LOGEMANN | |||||||||
| SVP & GENERAL COUNSEL | 2.00 | $0 | $527,198 | $91,251 | 50.00 | Yes (X) | |||
| MICHAEL MCGRAIL | |||||||||
| SVP & SYSTEM CHIEF MEDICAL OFFICER | 2.00 | $0 | $527,876 | $83,274 | 50.00 | Yes (X) | |||
| RICK NEVERS | |||||||||
| SVP- REGIONAL OPERATIONS SYSTEM INTEGRATION OFFICE | 2.00 | $0 | $468,168 | $87,163 | 50.00 | Yes (X) | |||
| ERIC ANDERSON | |||||||||
| SVP- SERVICE LINE & PATIENT EXPERIENCE | 2.00 | $0 | $449,876 | $93,739 | 50.00 | Yes (X) | |||
| TODD RICHARDSON | |||||||||
| SVP & CHIEF INFORMATION OFFICER | 2.00 | $0 | $443,960 | $90,922 | 50.00 | Yes (X) | |||
| JENNIFER REDMAN-SCHELL | |||||||||
| SVP & PRESIDENT- ASPIRUS CLINICS | 2.00 | $0 | $450,779 | $79,716 | 50.00 | Yes (X) | |||
| RENEE SMITH | |||||||||
| EXECUTIVE DIRECTOR ANI | 2.00 | $0 | $457,632 | $47,266 | 50.00 | Yes (X) | |||
| JOHN HEISLER | |||||||||
| SVP & CHIEF HUMAN RESOURCES OFFICER | 2.00 | $0 | $458,655 | $41,443 | 50.00 | Yes (X) | |||
| LORI PECK | |||||||||
| VP- REVENUE CYCLE | 2.00 | $0 | $261,660 | $32,868 | 40.00 | Yes (X) | |||
| JOHN MONKS | |||||||||
| VP- OPERATIONS | 2.00 | $0 | $250,602 | $45,380 | 40.00 | Yes (X) | |||
| ROBERT MIDDLETON | |||||||||
| DIRECTOR- PHARMACY | 40.00 | $178,168 | $0 | $33,636 | Yes (X) | ||||
| SIDNEY SCZYGELSKI | |||||||||
| SR. VP OF FINANCE/CFO | 2.00 | $0 | $742,406 | $126,380 | 50.00 | Yes (X) | |||
| GREG SHAW | |||||||||
| CFO | 40.00 | $192,250 | $0 | $42,735 | 2.00 | Yes (X) | |||
| RUTH RISLEY-GRAY | |||||||||
| VICE CHAIRPERSON/SVP NURSING SYSTEM | 2.00 | $0 | $454,475 | $44,140 | 50.00 | Yes (X) | Yes (X) | ||
| DALE HUSTEDT | |||||||||
| PRESIDENT | 40.00 | $306,806 | $0 | $38,598 | 2.00 | Yes (X) | Yes (X) | ||
| LEONARD HAMMAN | |||||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | 2.00 | Yes (X) | Yes (X) | ||
| DEBBIE WOODS | |||||||||
| TREASURER | 1.00 | $0 | $0 | $0 | 2.00 | Yes (X) | Yes (X) | ||
| MATTHEW HEYWOOD | |||||||||
| BOARD MEMBER/CEO ASPIRUS | 2.00 | $0 | $1,351,919 | $222,225 | 50.00 | Yes (X) | |||
| JESSE TISCHER | |||||||||
| SVP-PRES REG MARKETING | 1.00 | $0 | $455,557 | $71,884 | 50.00 | Yes (X) | |||
| MATTHEW BREWER | |||||||||
| VP OF OPERATIONS | 2.00 | $0 | $282,020 | $58,688 | 40.00 | Yes (X) | |||
| SUSAN FRAIZER | |||||||||
| PHYSICIAN | 32.00 | $282,021 | $0 | $31,264 | 2.00 | Yes (X) | |||
| RACHEL DIXON | |||||||||
| PHYSICIAN | 40.00 | $72,063 | $0 | $34,091 | 0.00 | Yes (X) | |||
| RANDY JUEDES | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | 2.00 | Yes (X) | |||
| MICHAEL PLOOY | |||||||||
| BOARD MEMBER (THRU OCTOBER) | 1.00 | $0 | $0 | $0 | 2.00 | Yes (X) | |||
| MICHAEL RIGGLE | |||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | 2.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,775,185 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,582,783 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,611,368 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 57 | 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 |
|---|---|---|---|---|---|
| FOCUSONE SOLUTIONS LLC | |||||
| 13609 CALIFORNIA STREET | OMAHA | NE | 68154 | CONTRACTED LABOR SERVICES | $1,050,477 |
| AMERICAN RADIOLOGY SC | |||||
| 372 E16TH PL | LOMBARD | IL | 60148 | CONTRACTED LABOR SERVICES | $448,846 |
| SYSTEMS TECHNOLOGIES | |||||
| W4618 COUNTY ROAD G | MERRILL | WI | 54452 | CONTRACTED SERVICES | $386,179 |
| WOODLAND LOGCRAFTERS LLC | |||||
| W6788 CENTER AVENUE | MEDFORD | WI | 54451 | CONTRACTED CONSTRUCTION COMPANY | $360,600 |
| ASSOCIATES IN PATHOLOGY SC | |||||
| 2800 WESTHILL DRIVE 208 | WAUSAU | WI | 54401 | CONTRACTED LABOR SERVICES | $311,179 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $214,713 | RelatedOrganizationsAmt |
| Government Grants | $2,064,283 | GovernmentGrantsAmt |
| All Other Contributions | $99,343 | AllOtherContributionsAmt |
| Total Contributions | $2,378,339 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $79,890,044 | $79,889,323 | $721 | |
| PHARMACY REVENUE | 446110 | $7,505,492 | $5,834,556 | $1,670,936 | |
| CONTRACT SERVICE REVENUE | 621110 | $425,975 | $425,975 | ||
| CAFETERIA | 621990 | $190,180 | $190,180 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $137,326 | TotalRevenueColumnAmt |
| Exclusion | $137,326 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $88,149,017 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,920,475 | TotalRevenueColumnAmt |
| Exclusion | $2,920,475 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $146,721 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,105 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $130,616 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $130,616 | TotalRevenueColumnAmt |
| Exclusion | $130,616 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,250,020 | SecuritiesAmt |
| Other | $6,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,008,855 | SecuritiesAmt |
| Other | $77,014 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $241,165 | SecuritiesAmt |
| Other | -$70,514 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $170,651 | TotalRevenueColumnAmt |
| Exclusion | $170,651 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,406 | TotalRevenueColumnAmt |
| Exclusion | $2,406 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,406 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,751,504 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,723,879 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,671,657 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,977,629 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,908 | TotalAmt |
| Program Services | $47,908 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,179,175 | TotalAmt |
| Program Services | $951,322 | ProgramServicesAmt |
| Management And General | $227,853 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,331,594 | TotalAmt |
| Program Services | $25,981,006 | ProgramServicesAmt |
| Management And General | $5,350,588 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,487,625 | TotalAmt |
| Program Services | $1,223,572 | ProgramServicesAmt |
| Management And General | $264,053 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,495,277 | TotalAmt |
| Program Services | $4,183,056 | ProgramServicesAmt |
| Management And General | $1,312,221 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,095,500 | TotalAmt |
| Program Services | $1,720,892 | ProgramServicesAmt |
| Management And General | $374,608 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,828,000 | TotalAmt |
| Management And General | $1,828,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,312 | TotalAmt |
| Management And General | $4,312 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,417 | TotalAmt |
| Management And General | $13,417 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,039,911 | TotalAmt |
| Program Services | $4,978,073 | ProgramServicesAmt |
| Management And General | $61,838 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,887 | TotalAmt |
| Program Services | $5,772 | ProgramServicesAmt |
| Management And General | $105,115 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $474,524 | TotalAmt |
| Program Services | $379,436 | ProgramServicesAmt |
| Management And General | $95,088 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,653 | TotalAmt |
| Program Services | $123,237 | ProgramServicesAmt |
| Management And General | $26,416 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,244,313 | TotalAmt |
| Program Services | $1,030,094 | ProgramServicesAmt |
| Management And General | $1,214,219 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,532 | TotalAmt |
| Program Services | $123,652 | ProgramServicesAmt |
| Management And General | $32,880 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,370 | TotalAmt |
| Program Services | $68,467 | ProgramServicesAmt |
| Management And General | $25,903 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550,021 | TotalAmt |
| Program Services | $18,432 | ProgramServicesAmt |
| Management And General | $531,589 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,403,325 | TotalAmt |
| Program Services | $3,234,097 | ProgramServicesAmt |
| Management And General | $1,169,228 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,314 | TotalAmt |
| Program Services | $70,159 | ProgramServicesAmt |
| Management And General | $140,155 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $11,736,710 | $11,340,541 | $396,169 |
| CORPORATE ALLOCATIONS | $10,724,719 | $3,943,720 | $6,780,999 |
| BAD DEBT EXPENSE | $1,305,015 | $1,305,015 | |
| LICENSES AND FEES | $386,736 | $313,360 | $73,376 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,362 | TotalAmt |
| Program Services | $99,477 | ProgramServicesAmt |
| Management And General | $156,885 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,326,200 | TotalAmt |
| Program Services | $61,141,288 | ProgramServicesAmt |
| Management And General | $20,184,912 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,069,954 | BOYAmt |
| EOY | $45,025,284 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,875,104 | BOYAmt |
| EOY | $9,478,711 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,283,393 | BOYAmt |
| EOY | $1,490,384 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,392,673 | BOYAmt |
| EOY | $2,668,603 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $72,562,068 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $42,459,590 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,327,310 | BOYAmt |
| EOY | $30,102,478 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,359,407 | BOYAmt |
| EOY | $68,448,870 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,833,003 | BOYAmt |
| EOY | $1,727,790 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,719,829 | BOYAmt |
| EOY | $3,413,091 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,860,673 | BOYAmt |
| EOY | $162,355,211 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,021,468 | BOYAmt |
| EOY | $15,797,694 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,671,481 | BOYAmt |
| EOY | $14,342,788 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,622,696 | BOYAmt |
| EOY | $3,247,656 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,315,645 | BOYAmt |
| EOY | $33,388,138 | 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 | $116,712,026 | BOYAmt |
| EOY | $127,239,283 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,833,002 | BOYAmt |
| EOY | $1,727,790 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,545,028 | BOYAmt |
| EOY | $128,967,073 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,860,673 | BOYAmt |
| EOY | $162,355,211 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,425,304 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,040,829 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $37,570 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $9,252 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,252 | 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(I), OTHER LOBBYING ACTIVITIES: | FormAndLineReferenceDesc |
| Explanation | ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE AHA AND WHA HAVE NOTIFIED AMHC THAT A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTH CARE ENVIRONMENT. THE PERCENTAGES OF DUES ATTRIBUTED TO LOBBYING ARE 23.32% FOR THE AHA AND 16.7% FOR WHA FOR DOLLAR AMOUNTS OF $3,358 AND $2,929, RESPECTIVELY. AMHC IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). THE RWHC PROVIDES SUPPORT SERVICES FOR SEVERAL ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE AIDING ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO PROVIDES ANALYSIS ON CURRENT HEALTH CARE ISSUES TO PROMOTE AND IMPROVE HEALTH CARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS INCLUDES SOME LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. $2,965 OR 13.6% OF THESE DUES WERE RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTH CARE ENVIRONMENT IN THE STATE OF WISCONSIN. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $143,319 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,407 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $139,912 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,984 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11,335 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $143,319 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $124,340 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,644 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $131,984 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $121,904 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,436 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $124,340 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,113 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$9,209 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $121,904 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.86000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.14000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $227,478 | OtherCostOrOtherBasisAmt |
| Book Value | $227,478 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,847,241 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,324,724 | DepreciationAmt |
| Book Value | $22,522,517 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,844,479 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,993,460 | DepreciationAmt |
| Book Value | $5,851,019 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,642,870 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,141,406 | DepreciationAmt |
| Book Value | $1,501,464 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,102,478 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $2,658,945 |
| LONG-TERM INSURANCE LIABILITY | $345,406 |
| FINANCE LEASE OBLIGATIONS | $243,305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,247,656 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $90,322,956 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,040,829 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$2,040,829 | RevenueNotReportedAmt |
| Revenue Subtotal | $92,363,785 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,387,719 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,387,719 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $93,751,504 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $80,153,194 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $86,619 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $86,619 | ExpensesNotReportedAmt |
| Expenses Subtotal | $80,066,575 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,259,625 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,259,625 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $81,326,200 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TERM-ENDOWMENT FUNDS HELD BY ASPIRUS MEDFORD FOUNDATION, INC.; ANY AMOUNT ABOVE $120,000 MAY BE USED TO PURCHASE ITEMS FOR THE COUNTRY GARDENS ASSISTED LIVING FACILITY AT ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN FOUNDATION 92,213. LOSS ON SALE OF FIXED ASSETS -70,514. PROVISION FOR BAD DEBTS 1,259,625. RENTAL EXPENSES -16,105. CONTRIBUTIONS RECORDED TO NET ASSETS 122,500. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON SALE OF FIXED ASSETS 70,514. RENT EXPENSE 16,105. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 1,259,625. |
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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $1,057,869 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,057,869 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,777,782 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,583,104 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,194,678 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03980 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,309,031 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,978,791 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $330,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,144,682 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,561,895 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,582,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05710 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $252,427 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $252,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,631 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,631 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,686,483 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,419,346 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,267,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01580 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,291 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $61,291 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,007,832 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,419,346 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,588,486 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01980 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,152,514 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,981,241 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,171,273 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07690 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $123 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $123 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $643,839 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $19,313,375 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,160,837 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $152,538 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS MEDFORD HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 135 SOUTH GIBSON STREET | AddressLine1Txt |
| City | MEDFORD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54451 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 1027 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS MEDFORD HOSPITAL | 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 | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | 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-RESOURCES | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.ASPIRUS.ORG/FINANCIALAID | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.ASPIRUS.ORG/FINANCIALAID | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.ASPIRUS.ORG/FINANCIALAID | 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ASPIRUS MEDFORD HOSPITAL | PART V, SECTION B, LINE 5: YES, DURING THE COURSE OF 2018, THE TAYLOR COUNTY HEALTH DEPARTMENT, PRICE COUNTY HEALTH DEPARTMENT AND ASPIRUS MEDFORD HOSPITAL & CLINICS EMBARKED ON A COLLABORATIVE EFFORT TO ASSESS AND PRIORITIZE THE HEALTH NEEDS OF THE REGION AND, IN TURN, CREATE AN ACTION PLAN TO CREATE REAL AND SUSTAINED CHANGE WITHIN THE COMMUNITIES WE SERVE.WE TURNED TO RESIDENTS WITHIN THE THREE COUNTIES TO UNDERSTAND THE IMPACT THESE ISSUES HAD WITHIN OUR LOCAL COMMUNITIES. THIS INCLUDED FEEDBACK COLLECTED DURING OUR COMMUNITY HEALTH IMPROVEMENT PLANNING SESSION HELD ON JANUARY 25, 2019. WE COMPILED THIS DATA AND PARTNERED WITH STATE EXPERTS FOR ADDITIONAL QUANTIFIABLE DATA ON THESE ISSUES. THIS INFORMATION WAS SHARED WITH LOCAL STAKEHOLDERS DURING A HALF-DAY SESSION THAT INCLUDED ANALYZING WHAT SERVICES ARE CURRENTLY AVAILABLE AND GAPS IN SERVICES, AND PRIORITIZING KEY HEALTH CONCERNS WITHIN TAYLOR AND PRICE COUNTIES. THE COLLABORATIVE ALSO CONSIDERED THE LOCAL ASSETS AND RESOURCES CURRENTLY AVAILABLE IN THE COUNTIES THAT CAN BE MOBILIZED TO ADDRESS HEALTH. THESE INCLUDED BOTH PHYSICAL AND NON-PHYSICAL ASSETS AND RESOURCES. PHYSICAL ASSETS INCLUDE PARKS, OPEN SPACE, MARKETS, CLINICS AND OTHER ASPECTS OF A COMMUNITY THAT CAN AFFECT A PERSON'S OPPORTUNITY TO ACHIEVE HEALTH. NON-PHYSICAL ASSETS INCLUDE THE SKILLS OF RESIDENTS; THE POWER OF LOCAL ASSOCIATIONS LIKE SERVICE OR PROFESSIONAL GROUPS; LOCAL INSTITUTIONS LIKE FAITH-BASED GROUPS, LOCAL FOUNDATIONS, GOVERNMENT INSTITUTIONS AND INSTITUTIONS OF HIGHER LEARNING; SOCIAL CAPITAL; COMMUNITY RESILIENCE; AND A STRONG BUSINESS COMMUNITY.COMMUNITY STAKEHOLDERS INCLUDED (TAYLOR COUNTY): NAME TITLE ORGANIZATIONALLEN LANG PHARMACIST HEALTHMART PHARMACYJUDY LANG EMPLOYEE HEALTHMART PHARMACYRACHEL DIXON PHYSICIAN ASSISTANT ASPIRUS MEDFORD HOSPITAL & CLINICSDIANE ALBRECHT BOARD MEMBER TAYLOR COUNTY PUBLIC HEALTHCATHERINE LEMKE BOARD MEMBER TAYLOR COUNTYJUDY LEMASTER DISTRICT SCHOOL NURSE RIB LAKE SCHOOL DISTRICTTAMMY TOM-STEINMETZ DIRECTOR OF HUMAN SERVICES TAYLOR COUNTY HUMAN SERVICES DEPT.ANDRIA FARRAND COUNTY CLERK TAYLOR COUNTYCOLLEEN HANDRICK TAYLOR COUNTY EMERGENCY MANAGEMENT DIRECTOR TAYLOR COUNTYMIKE WELLNER MAYOR CITY OF MEDFORDMICHELE ARMBRUST PUBLIC HEALTH COORDINATOR TAYLOR COUNTY HEALTH DEPARTMENTINGRID PURVIS PUBLIC HEALTH NURSE TAYLOR COUNTY HEALTH DEPARTMENTDERRICK FRITZ TAYLOR COUNTY DRUG OPPOSITION PARTNERS PROJECT DIRECTOR TAYLOR COUNTY HUMAN SERVICESKRISTA BLOMBERG ASSISTANT DIRECTOR RIB LAKE PUBLIC LIBRARYNATHANAEL BROWN DIRECTOR TAYLOR COUNTY COMMISSION ON AGINGJOSEPH GREGET DIRECTOR OF SPECIAL EDUCATION AND STUDENT SERVICES MEDFORD PUBLIC SCHOOL DISTRICTDALE HUSTEDT PRESIDENT ASPIRUS MEDFORD HOSPITAL & CLINICSPATRICIA MERTENS BOARD MEMBER TAYLOR COUNTY PUBLIC HEALTHMICHELLE GRIMM COMMUNITY DEVELOPMENT UW-EXTENSIONJUSTINE THICKE OUTREACH COORDINATOR HEALTHFIRSTJOHN LANGE AVP RETAIL BANKING OFFICER NICOLET NATIONAL BANKPATTY KRUG HEALTH OFFICER TAYLOR COUNTY HEALTH DEPARTMENTAMANDA LANGE DIRECTOR OF COMMUNITY HEALTH & FOUNDATION ASPIRUS MEDFORD HOSPITAL & CLINICSCOMMUNITY STAKEHOLDERS INCLUDED (PRICE COUNTY): ASCENSION WISCONSINCHEQUAMEGON SCHOOL DISTRICTCOMMUNITY MEMBERSEMBRACE (DOMESTIC VIOLENCE AND SEXUAL ASSAULT PROGRAM FOR WASHBURN, RUSK & PRICE COUNTIES)UW EXTENSION- PRICE COUNTYFLAMBEAU HOME HEALTH AND HOSPICEFLAMBEAU HOSPITALLIMBERG & ASSOCIATES COUNSELING, LLCMARSHFIELD CLINIC HEALTH SYSTEMNEW HORIZONS NORTH (NOT FOR PROFIT SOCIAL SERVICES & SUPPORT AGENCY)PARK FALLS POLICE DEPARTMENTPHILLIPS PUBLIC LIBRARYPHILLIPS SCHOOL DISTRICTPRICE COUNTY AGING AND DISABILITY RESOURCE CENTER UNITPRICE COUNTY BEHAVIORAL HEALTH UNITPRICE COUNTY BOARD OF SUPERVISORSPRICE COUNTY CHILDREN AND YOUTH UNITPRICE COUNTY PUBLIC HEALTH UNITPRICE COUNTY SHERRIFF DEPARTMENT |
| ASPIRUS MEDFORD HOSPITAL | PART V, SECTION B, LINE 6B: TAYLOR COUNTY HEALTH DEPARTMENTPRICE COUNTY HEALTH DEPARTMENT |
| ASPIRUS MEDFORD HOSPITAL | PART V, SECTION B, LINE 11: ASPIRUS MEDFORD HOSPITAL & CLINICS HAS IDENTIFIED OUR TOP 3 HEALTH PRIORITIES VIA OUR COMMUNITY HEALTH NEEDS ASSESSMENT: ALCOHOL & OTHER DRUG USE (AODA), MENTAL HEALTH AND HEALTH CARE ACCESS. AODA INITIATIVES INCLUDE A MEDICATION TAKE BACK BOX, A CHRONIC OPIOID USE MONITORING PROGRAM, YOUTH AND COMMUNITY EDUCATION CAMPAIGNS, AND TOBACCO CESSATION CLASSES. THE MENTAL HEALTH PRIORITY CONTINUES TO BE ADDRESSED VIA THE CARES MODEL IN OUR LOCAL SCHOOLS, INITIATIVES TARGETING INCREASED ACCESS TO BEHAVIORAL HEALTH SERVICES INCLUDING TELEMEDICINE, AND RESOURCES SHARED THROUGHOUT THE COMMUNITY. HEALTHCARE ACCESS IS SUPPORTED VIA CONTINUING SAME DAY ACCESS INITIATIVES IN OUR CLINIC, INTERPRETATION SERVICES, TELEHEALTH SERVICES, AS WELL AS COMMUNITY PRESENTATIONS AND EDUCATION ON TIMELY HEALTH TOPICS. AMHC HAS ADOPTED OUR IMPLEMENTATION A PLAN TO ADDRESS THESE PRIORITIES THROUGH THE ESTABLISHMENT OF GOALS, OBJECTIVES AND STRATEGIES THAT TARGET SPECIFIC ISSUES IDENTIFIED BY THE PRIORITIES. MORE DETAILED INFORMATION REGARDING THESE GOALS, OBJECTIVES AND STRATEGIES CAN BE FOUND IN OUR COMMUNITY HEALTH IMPLEMENTATION PLAN LOCATED HERE: HTTPS://WWW.ASPIRUS.ORG/UPLOAD/PUBLIC/DOCUMENTS/CHNAS/AMH-CHNA-2109.PDF |
| ASPIRUS MEDFORD HOSPITAL | PART V, SECTION B, LINE 13H: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ASPIRUS MEDFORD CLINIC | ||||
| 143 SOUTH GIBSON STREET | MEDFORD | WI | 54451 | OUTPATIENT CLINIC |
| 2 - ASPIRUS CARE & REHAB | ||||
| 135 SOUTH GIBSON STREET | MEDFORD | WI | 54451 | SKILLED NURSING FACILITY |
| 3 - ASPIRUS PHARMACY - MEDFORD | ||||
| 139 SOUTH GIBSON STREET | MEDFORD | WI | 54451 | RETAIL PHARMACY |
| 4 - ASPIRUS THERAPY & FITNESS - MEDFORD | ||||
| 103 SOUTH GIBSON STREET | MEDFORD | WI | 54451 | THERAPY FITNESS CENTER |
| 5 - ASPIRUS COUNTRY GARDENS | ||||
| 635 WEST CEDAR STREET | MEDFORD | WI | 54451 | ASSISTED LIVING FACILITY |
| 6 - ASPIRUS KIDNEY CARE - MEDFORD | ||||
| 111 SOUTH GIBSON STREET | MEDFORD | WI | 54451 | DIALYSIS CENTER |
| 7 - ASPIRUS PRENTICE CLINIC | ||||
| 1511 RAILROAD AVENUE | PRENTICE | WI | 54456 | OUTPATIENT CLINIC |
| 8 - ASPIRUS PHILLIPS CLINIC | ||||
| 625 PETERSON AVENUE | PHILLIPS | WI | 54555 | OUTPATIENT CLINIC |
| 9 - ASPIRUS THERAPY - PRENTICE | ||||
| 619 BRIDGE STREET | PRENTICE | WI | 54456 | THERAPY FITNESS CENTER |
| 10 - ASPIRUS RIB LAKE CLINIC | ||||
| 1121 HIGHWAY 102 | RIB LAKE WI | WI | 54451 | OUTPATIENT CLINIC |
| 11 - ASPIRUS GILMAN CLINIC | ||||
| 320 EAST MAIN STREET | MEDFORD | WI | 54433 | OUTPATIENT CLINIC |
| 12 - ASPIRUS ATHENS CLINIC | ||||
| 729 PINE STREET | ATHENS | WI | 54411 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF: PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% OF FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200%, THE 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 THE EXCESS OF $4,000 AT THE TIME OF APPLICATION. SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE. |
| PART I, LINE 7: | THE COSTING METHODOLOGY USED ON FORM 990, 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, LINE 7G: | DIALYSIS HAD COSTS OF $1,229,841 WITH DIRECT OFFSETTING REVENUE OF $1,029,063EMERGENCY ROOM HAD COSTS OF $4,456,642 WITH DIRECT OFFSETTING REVENUE OF $3,390,283 |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,129,843. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ONE OF THE LARGER COMMUNITY BUILDING ACTIVITIES ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) IS INVOLVED IN IS GETTING PHYSICIANS AND HEALTH CARE WORKERS TO THE AREA TO IMPROVE THE ACCESS TO HEALTH CARE NEEDS IN THE SERVICE AREA. AMHC ALSO PROMOTES HEALTH CARE RELATED JOBS AND EDUCATION TO THE STUDENTS IN THE COMMUNITY. |
| PART III, LINE 2: | THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON AMHC'S TOTAL OPERATING EXPENSES, EXCLUDING THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO AMHC. AMHC ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO AMHC. |
| PART III, LINE 3: | MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS FOR WHICH PATIENTS ARE PERSONALLY RESPONSIBLE, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY: IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, AMHC ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OR REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, AMHC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE AMOUNTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), AMHC RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. |
| 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 AMHC 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, RADIOLOGY, AMBULANCE, AND REHABILITATION SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, CLINICAL PHYSICIAN PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, SURGICAL, AND CLINICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT AMHC PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2019 AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICES REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). |
| PART III, LINE 9B: | UPON A PATIENTS APPROVAL FOR FINANCIAL ASSISTANCE, THIS IS LOADED AS AN INSURANCE COVERAGE TO THE PATIENTS ACCOUNT WITH AN EFFECTIVE AND TERMINATION DATE TO ASSURE CAPTURING ALL CHARGES FOR THE PATIENT FOR ADJUSTMENT IN A WORK QUEUE PRIOR TO ANY REMAINING BALANCE BEING MOVED TO PATIENT LIABILITY AND THEREFORE PREVENTING UNDISCOUNTED SERVICES FROM BEING BILLED TO A PATIENT. |
| PART VI, LINE 2: | ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) UTILIZES SEVERAL METHODS IN ASSESSING COMMUNITY HEALTH CARE NEEDS. SOME OF THEM ARE AS FOLLOWS: WORKING CLOSELY WITH THE LOCAL HEALTH DEPARTMENT, SCHOOL DISTRICT, COUNTY AGING DEPARTMENT, AND OTHER ORGANIZATIONS IN THE COMMUNITY; DEMOGRAPHIC DATA FROM SURROUNDING COMMUNITIES; AND EXTERNAL REPORTS, PARTICULARLY THOSE PUBLISHED BY THE LOCAL DEPARTMENT OF HEALTH. AMHC, AT THE END OF FISCAL YEAR 2016, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND WILL USE THE DATA AND FINDINGS OF THIS REPORT TO GUIDE AMHC IN THE FUTURE TO BE ABLE TO RESPOND TO THOSE NEEDS. |
| 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. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. CARDON OUTREACH IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS. |
| PART VI, LINE 4: | ALTHOUGH ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) IS LOCATED IN MEDFORD, WISCONSIN, WE HAVE HISTORICALLY DEFINED OUR "COMMUNITY" AS A MUCH BROADER AREA, INCLUDING ALL OF TAYLOR COUNTY, THE SOUTHERN AREA OF PRICE COUNTY, THE NORTHEAST PORTION OF CLARK COUNTY, AND THE NORTHWEST CORNER OF MARATHON COUNTY. WITHIN THIS AREA OUR PRIMARY SERVICE AREA CONSISTS OF A 5 TO 20 MILE RADIUS AROUND MEDFORD. APPROXIMATELY 80% OF OUR PATIENT VOLUME COMES FROM OUR PRIMARY AREA. TAYLOR AND PRICE COUNTIES ARE LARGELY CAUCASIAN AND ARE ALMOST EXCLUSIVELY RURAL WITH 14% OF ADULTS BEING UNINSURED AND 24% OF CHILDREN IN THE MEDFORD SCHOOL DISTRICT ARE ELIGIBLE FOR FREE OR REDUCED SCHOOL LUNCHES. FROM AN EDUCATIONAL STAND POINT, 59% OF OUR SERVICE AREA ONLY HAS A HIGH SCHOOL DIPLOMA OR LESS. THE MEDIAN HOUSEHOLD INCOME IS BELOW THE STATE AVERAGE, WHILE THE STATE AVERAGE IS ALSO BELOW THE NATIONAL AVERAGE. THE MAJOR OCCUPATIONS IN THE COMMUNITY ARE MANUFACTURING, AGRICULTURE, HEALTHCARE, AND SALES/OFFICE POSITIONS. |
| PART VI, LINE 5: | ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) IS IN A PHYSICIAN SHORTAGE AREA AND WORKS HARD TO RECRUIT PROVIDERS TO OUR AREA TO FILL THE NEEDS OF OUR COMMUNITY. WE ALSO HAVE EMPLOYEES THAT ARE REPRESENTING AMHC AND ARE ACTIVE IN OTHER GROUPS TO HELP IN BUILDING COMMUNITY EFFORTS TO IMPROVE HEALTHCARE IN OUR SERVICE AREA. AMHC ALSO GIVES CASH DONATIONS TO PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS IN THE COMMUNITY.ONE-THIRD OF AMHC'S GOVERNING BODY IS COMPRISED OF RESIDENTS THAT ARE IN AMHC'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE FAMILY MEMBERS THEREOF. AMHC ALSO EXTENDS MEDICAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY TO INSURE THAT OUR SERVICE AREA HAS THE HEALTHCARE NEEDED. |
| PART VI, LINE 6: | ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) IS A PARTNER WITH ASPIRUS, INC. A MULTI-SPECIALTY HEALTH SYSTEM WITH A BASE LOCATION IN WAUSAU, WISCONSIN. AMHC WORKS WITH ASPIRUS TO PROMOTE HEALTH AND WELLNESS INITIATIVES IN THE COMMUNITIES THEY SERVE. AS NOTED PREVIOUSLY IN THE FORM 990, A NUMBER OF REPRESENTATIVES FROM ASPIRUS HAVE ROLES ON THE BOARD OF DIRECTORS OF AMHC AND TOGETHER PROMOTE THE MISSION OF ASPIRUS. ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES TO IMPROVING THE HEALTH OF ALL IT SERVES. ASPIRUS WORKS COLLABORATIVELY WITH OTHERS WHO SHARE ITS PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. ASPIRUS AND AMHC WORK COLLABORATIVELY TO STREAMLINE PROCESSES TO CONTINUE TO PROVIDE HIGH QUALITY CARE TO MEMBERS OF COMMUNITIES WHICH OTHERWISE WITHOUT THE EFFORTS OF A COMBINED PARTNERSHIP MAY NOT HAVE ACCESS TO THIS CARE LOCALLY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (24 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUJATHA ROBERTS | ||||||||||||||
| PHYSICIAN | $693,715 | $0 | $0 | $0 | $7,279 | $0 | $16,832 | $0 | $27,976 | $0 | $745,802 | $0 | $0 | $0 |
| CLINT SEMRAU | ||||||||||||||
| PHYSICIAN | $558,125 | $0 | $40,000 | $0 | $5,533 | $0 | $8,400 | $0 | $30,232 | $0 | $642,290 | $0 | $0 | $0 |
| DAVID VANDERKIN | ||||||||||||||
| PHYSICIAN | $564,787 | $0 | $15,000 | $0 | $7,309 | $0 | $16,832 | $0 | $22,882 | $0 | $626,810 | $0 | $0 | $0 |
| KEITH BRATULICH | ||||||||||||||
| PHYSICIAN | $404,575 | $0 | $40,000 | $0 | $5,938 | $0 | $17,071 | $0 | $31,208 | $0 | $498,792 | $0 | $0 | $0 |
| CARY TAUCHMAN | ||||||||||||||
| PHYSICIAN | $387,796 | $0 | $0 | $0 | $13,820 | $0 | $15,946 | $0 | $27,326 | $0 | $444,888 | $0 | $0 | $0 |
| CARI LOGEMANN | ||||||||||||||
| SVP & GENERAL COUNSEL | $0 | $381,456 | $0 | $102,648 | $0 | $43,094 | $0 | $16,832 | $0 | $74,419 | $0 | $618,449 | $0 | $41,199 |
| MICHAEL MCGRAIL | ||||||||||||||
| SVP & SYSTEM CHIEF MEDICAL OFFICER | $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 SYSTEM INTE | $0 | $339,937 | $0 | $83,542 | $0 | $44,689 | $0 | $19,582 | $0 | $67,581 | $0 | $555,331 | $0 | $38,399 |
| ERIC ANDERSON | ||||||||||||||
| SVP- SERVICE LINE & PATIENT EXPERIEN | $0 | $360,168 | $0 | $88,372 | $0 | $1,336 | $0 | $16,832 | $0 | $76,907 | $0 | $543,615 | $0 | $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 |
| JENNIFER REDMAN-SCHELL | ||||||||||||||
| SVP & PRESIDENT- ASPIRUS CLINICS | $0 | $384,617 | $0 | $62,473 | $0 | $3,689 | $0 | $8,400 | $0 | $71,316 | $0 | $530,495 | $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 |
| 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 |
| 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 |
| ROBERT MIDDLETON | ||||||||||||||
| DIRECTOR- PHARMACY | $162,280 | $0 | $14,762 | $0 | $1,126 | $0 | $7,666 | $0 | $25,970 | $0 | $211,804 | $0 | $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 |
| GREG SHAW | ||||||||||||||
| CFO | $160,964 | $0 | $29,579 | $0 | $1,707 | $0 | $10,673 | $0 | $32,062 | $0 | $234,985 | $0 | $0 | $0 |
| RUTH RISLEY-GRAY | ||||||||||||||
| VICE CHAIRPERSON/SVP NURSING SYSTEM | $0 | $291,384 | $0 | $78,869 | $0 | $84,222 | $0 | $19,582 | $0 | $24,558 | $0 | $498,615 | $0 | $76,355 |
| DALE HUSTEDT | ||||||||||||||
| PRESIDENT | $227,490 | $0 | $63,699 | $0 | $15,617 | $0 | $8,400 | $0 | $30,198 | $0 | $345,404 | $0 | $0 | $0 |
| MATTHEW HEYWOOD | ||||||||||||||
| BOARD MEMBER/CEO ASPIRUS | $0 | $920,866 | $0 | $410,719 | $0 | $20,334 | $0 | $16,832 | $0 | $205,393 | $0 | $1,574,144 | $0 | $0 |
| JESSE TISCHER | ||||||||||||||
| SVP-PRES REG MARKETING | $0 | $374,250 | $0 | $80,770 | $0 | $537 | $0 | $1,971 | $0 | $69,913 | $0 | $527,441 | $0 | $0 |
| MATTHEW BREWER | ||||||||||||||
| VP OF OPERATIONS | $0 | $218,546 | $0 | $40,203 | $0 | $23,271 | $0 | $7,294 | $0 | $51,394 | $0 | $340,708 | $0 | $22,425 |
| SUSAN FRAIZER | ||||||||||||||
| PHYSICIAN | $274,571 | $0 | $0 | $0 | $7,450 | $0 | $16,069 | $0 | $15,195 | $0 | $313,285 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | HOUSING 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 - INCLUDED IN INCOME: J. REDMAN-SCHELL - $3,300 |
| PART I, LINE 4B | AMHC SPONSORS A NONQUALIFIED TAX EQUALIZED ANNUITY PLAN COVERING EMPLOYED PHYSICIANS. PHYSICIANS ARE ELIGIBLE TO PARTICIPATE IN THE PLAN AFTER ONE YEAR OF SERVICE. PARTICIPANTS IN THE PLAN ARE IMMEDIATELY 100% VESTED. SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: M. BREWER $22,425 R. RISLEY-GRAY $76,355 S. SCZYGELSKI $60,259 J. HEISLER $41,623 C. LOGEMANN $41,199 J. MONKS $17,632 R. NEVERS $38,399 T. RICHARDSON $39,566 R. SMITH $32,734 |
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 | WI HEALTH & EDUCATION FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 391337855 | BondIssuerEIN |
| CUSIP | 97710B7X4 | CUSIPNum |
| Bond Issued | 2013-04-12 | BondIssuedDt |
| Issue Price | $16,902,595 | IssuePriceAmt |
| Purpose | CONSTRUCT, RENOVATE, AND EQUIP FACILITIES | 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 |
| Retired | $2,010,000 | RetiredAmt |
| Total Proceeds | $16,902,595 | TotalProceedsAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | 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 | 0 | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00890 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00100 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00990 | 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 | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | 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 |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: WI HEALTH & EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/05/2018 |
| PART VI | THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2013 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (EIN 39-0964813); ASPIRUS GRAND VIEW (EIN 38-2908586); AND LANGLADE HOSPITAL HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429). INFORMATION REGARDING THE SERIES 2013 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 2013 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS.] |
| PART III, LINES 3A AND 3B | ASPIRUS, INC., A MEMBER OF ASPIRUS MEDFORD HOSPITAL & CLINICS, INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW MANAGEMENT AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCE PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | MATTHEW HEYWOOD, JESSE TISCHER, RUTH RISLEY-GREY, AND MATTHEW BREWER HAVE A BUSINESS RELATIONSHIP. THESE BOARD MEMBERS ARE EMPLOYED BY ASPIRUS, INC. AND IT'S AFFILIATES. (SEE INFORMATION RELATED TO ASPIRUS, INC. DESCRIBED IN FORM 990, PART VI, SECTION A, LINES 6 AND 7.) |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS TWO CORPORATE MEMBERS: MEMORIAL MEMBER ASSOCIATION, INC. (50%) AND ASPIRUS, INC. (50%), BOTH WISCONSIN NONSTOCK CORPORATIONS. |
| FORM 990, PART VI, SECTION A, LINE 7A | AMHC'S BOARD OF DIRECTORS IS ELECTED AS FOLLOWS: (A) FOUR DIRECTORS ARE APPOINTED BY MEMORIAL MEMBER ASSOCIATION. (B) FOUR DIRECTORS ARE APPOINTED BY ASPIRUS, INC. (C) TWO DIRECTORS REPRESENT PROVIDERS ASSOCIATED WITH THE CORPORATION AS FOLLOWS: TWO PROVIDER CLASS DIRECTORS, CONSISTING OF LICENSED HEALTH PROFESSIONALS IN THE ACTIVE MEDICAL OR ALLIED HEALTH CATEGORIES OF THE MEDICAL STAFF OF THE HOSPITAL, WITH CONSIDERATION TO INPUT FROM THE CORPORATION'S BOARD, AND ELECTED JOINTLY BY MMA & ASPIRUS INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | POWERS RESERVED TO THE CORPORATE MEMBERS: IN ADDITION TO DOING ALL THINGS REQUIRED BY LAW AND EXCEPT AS OTHERWISE PROVIDED, THE CORPORATE MEMBERS HAVE THE FOLLOWING SPECIFIC RIGHTS AND RESPONSIBILITIES: (A) INITIATE AND APPROVE ANY CHANGE IN THE PHILOSOPHY, CHARACTER, OR MISSION OF THE CORPORATION AND ITS STRATEGIC PLANS. (B) APPROVE ANY CHANGES TO THE USE OF THE HOSPITAL'S NAME AND BRANDING OF THE HOSPITAL. (C) INITIATE AND APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION. (D) AMEND THE BYLAWS OF THE CORPORATION AND ALL SUBSIDIARIES. (E) TAKE ANY ACTION ABLE TO BE TAKEN BY THE JOINT MEMBERS COUNCIL. (F) INITIATE AND APPROVE THE ADDITION OF NEW MEMBERS OF THE CORPORATION. (G) INITIATE AND APPROVE BORROWING OF MONEY AND OTHER FORMS OF INDEBTEDNESS. (H) INITIATE AND APPROVE THE PURCHASE, SALE, LEASE, DISPOSITION, ENCUMBRANCE OR ALIENATION OF PROPERTY WITH A VALUE IN EXCESS OF $1,000,000. (I) APPROVE THE ESTABLISHMENT, TRANSFER OF OWNERSHIP AND/OR DISSOLUTION OF ANY SUBSIDIARY CORPORATIONS. (J) INITIATE AND APPROVE ANY PLAN OF DISSOLUTION OR MERGER, CONSOLIDATION. (K) APPROVES STRATEGIC ALLIANCES AND AFFILIATIONS OF CORPORATION WITH OTHER HOSPITALS AND HEALTH SYSTEMS. (L) SELECTION AND RETENTION OF THE PRESIDENT/CEO. (M) FINAL APPROVAL OF OPERATING AND CAPITAL BUDGETS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND THE 990-T ARE REVIEWED 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 | EACH BOARD MEMBER AND EMPLOYEE SHALL DISCLOSE TO THE APPROPRIATE LEVEL OF MANAGEMENT ANY CIRCUMSTANCE UNDER WHICH THE BOARD MEMBER, EMPLOYEE, OR AN IMMEDIATE FAMILY MEMBER, BY VIRTUE OF A FINANCIAL INTEREST, MAY BE INFLUENCED, OR MAY APPEAR TO BE INFLUENCED, EITHER IN WHOLE OR IN PART, BY ANY PURPOSE OR MOTIVE OTHER THAN THE SUCCESS AND WELL BEING OF AMHC AND ITS SUBSIDIARIES AND THE ACHIEVEMENT OF ITS PUBLIC CHARITABLE PURPOSES. PRIOR TO ENTERING INTO ANY ARRANGEMENT WITH AN OUTSIDE ORGANIZATION, INDIVIDUALS MUST DISCLOSE POTENTIAL CONFLICTS OF INTEREST TO THEIR RESPECTIVE SUPERVISOR; BOARD MEMBERS TO THE BOARD PRESIDENT. EACH CIRCUMSTANCE OF A POTENTIAL CONFLICT OF INTEREST WILL BE REVIEWED ON AN INDIVIDUAL BASIS. THE MANAGER WILL RESPOND IN WRITING (WITH A COPY TO THE PERSONNEL FILE) AFTER CONSULTATION WITH THE APPROPRIATE VICE PRESIDENT AS TO WHETHER THE ARRANGEMENT IS OR IS NOT ACCEPTABLE. |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | AMHC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII, SECTION A, EXPLANATION OF HOURS WORKED: | SOME OFFICERS AND DIRECTORS ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN FOUNDATION 37,570. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT COMMITTEE OF THE ASPIRUS, INC. BOARD PROVIDES OVERSIGHT OF THE AUDIT PROCESS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS MEDFORD FOUNDATION INC | |||||||||||
| 135 SOUTH GIBSON STREET | MEDFORD | WI | 54451 | 391777081 | CHARITABLE FOUNDATION | WI | 501(C)(3) | LINE 7 | MEMORIAL MEMBER ASSOCIATION INC | Yes (1) | |
| CEDAR COURT APARTMENTS INC | |||||||||||
| 135 SOUTH GIBSON STREET | MEDFORD | WI | 54451 | 391412339 | LOW INCOME HOUSING | WI | 501(C)(3) | LINE 7 | MEMORIAL MEMBER ASSOCIATION INC | Yes (1) | |
| ASPIRUS CLINICS INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391670223 | MEDICAL SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | 0 | |
| ASPIRUS ONTONAGON HOSPITAL INC | |||||||||||
| 601 SEVENTH ST | ONTONAGON | MI | 49953 | 260806477 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS VNA HOME HEALTH INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 390808511 | HOME HEALTHCARE CENTER | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | Yes (1) | |
| ASPIRUS VNA EXTENDED CARE INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 391597350 | PERSONAL CARE SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS VNA HOME HEALTH INC | Yes (1) | |
| ASPIRUS HEALTH FOUNDATION INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391256656 | CHARITABLE FOUNDATION | WI | 501(C)(3) | LINE 7 | ASPIRUS INC | Yes (1) | |
| ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 382908586 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS INC | |||||||||||
| 1400 W ICE LAKE ROAD | IRON RIVER | MI | 49935 | 383236977 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS | |||||||||||
| 410 DEWEY STREET | WISCONSIN RAPIDS | WI | 54494 | 390868982 | HOSPITAL | WI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391328331 | HOSPITAL | WI | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| ASPIRUS WAUSAU HOSPITAL INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391138241 | HOSPITAL | WI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS BUILDINGS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391406537 | PROPERTY LEASING | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | Yes (1) | |
| ASPIRUS EXTENDED SERVICES INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 390782130 | NURSING HOME SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | Yes (1) | |
| ASPIRUS KEWEENAW HOSPITAL | |||||||||||
| 205 OSCEOLA | LAURIUM | MI | 49913 | 381443361 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| MEMORIAL MEMBER ASSOCIATION INC | |||||||||||
| 135 S GIBSON ST | MEDFORD | WI | 54451 | 392016505 | MEMBER ASSOCIATION | WI | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| DIVINE SAVIOR HEALTHCARE INC | |||||||||||
| 2817 NEW PINERY ROAD | PORTGAGE | WI | 53901 | 390806250 | HOSPITAL | WI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN UPPER MICHIGAN EYE CARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 131 W GENESEE STREET | AddressLine1Txt |
| City | IRON RIVER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49935 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272324957 | EIN |
| Primary Activities | EYE CARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 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 | Yes (1) |
| ASPIRUS KEWEENAW ENTERPRISES INC | |||||||||
| 205 OSCEOLA STREET | LAURIUM | MI | 49913 | 383390273 | PHARMACY | MI | N/A | C | Yes (1) |
| ASPIRUS HEALTH VENTURES INC | |||||||||
| 3000 WESTHILL DRIVE 303 | WAUSAU | WI | 54401 | 474925640 | OTHER INS RELATED - INS HOLDING COMPANY | WI | N/A | C | Yes (1) |
| ASPIRUS ARISE HEALTH PLAN OF WI INC | |||||||||
| 3000 WESTHILL DRIVE 303 | WAUSAU | WI | 54401 | 364832569 | HEALTH INSURANCE PLANS | WI | N/A | C | Yes (1) |
| ASPIRUS ARISE HEALTH PLAN OF MI INC | |||||||||
| 3000 WESTHILL DRIVE 303 | WAUSAU | WI | 54401 | 475448266 | HEALTH INSURANCE PLANS | MI | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | 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 | 0 | 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ASPIRUS WAUSAU HOSPITAL | ||
| M | $687,269 | COST |
| ASPIRUS WAUSAU HOSPITAL | ||
| O | $4,331,256 | COST |
| ASPIRUS WAUSAU HOSPITAL | ||
| P | $245,228 | COST |
| ASPIRUS INC | ||
| M | $12,553,287 | COST |
| ASPIRUS INC | ||
| O | $36,884,783 | COST |
| ASPIRUS INC | ||
| P | $1,155,600 | COST |
| ASPIRUS CLINICS INC | ||
| J | $51,910 | COST |
| ASPIRUS MEDFORD FOUNDATION INC | ||
| C | $214,713 | COST |