2020-06-04T10:20:01-05:00 2019-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2018-07-01 390808511 ASPIRUS VNA HOME HEALTH INC ASPI 7158472600 520 N 32ND AVENUE WAUSAU WI 54401 SIDNEY C SCZYGELSKI SENIOR VP OF FINANCE & CFO 7158472600 2020-06-01 1 MICHAEL J PETERSON CPA P01833529 2187224705 2020-06-01 71.13.38.61 2020-06-01 13:26:33 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05 2018 2020-09-23 17:36:50Z MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 19743402 0 X WWW.ASPIRUS.ORG X 1947 WI WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. 7 5 315 5 1671857 57522 0 50 10026341 12183194 104 1354 4308971 4071741 14335416 16256339 0 0 0 0 11407103 13202394 0 0 0 5294680 5351563 16701783 18553957 -2366367 -2297618 5855846 6964110 3245588 1492967 2610258 5471143 WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. 0 0 12993125 13515629 THE ORGANIZATION (ALONG WITH THE RELATED ASPIRUS VNA EXTENDED CARE,INC.) PROVIDED A WIDE RANGE OF HEALTHCARE SERVICES TO THE RESIDENTS OFFIFTEEN COUNTIES IN NORTHERN AND CENTRAL WISCONSIN AND THE UPPERPENINSULA OF MICHIGAN. THESE SERVICES INCLUDE HIGHLY SPECIALIZED ACUTENURSING CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY,HOME HEALTH AIDE SERVICES, PRIVATE DUTY NURSING, PERSONAL CARE WORKERS,AND SUPPORTIVE HOMECARE SERVICES. THE PROGRAMS ARE DESIGNED TO HELPPEOPLE CARE FOR THEMSELVES AND OTHERS IN THEIR HOME ENVIRONMENT WHERETHEY ARE MOST COMFORTABLE AND SECURE. DURING THE YEAR ENDED JUNE 30,2019 THE ORGANIZATION PROVIDED MORE THAN 77,000 VISITS. 12993125 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 30 0 315 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X SIDNEY C SCZYGELSKI 7158472250 2200 WESTWOOD DRIVE WAUSAU WAUSAU WI 54401 X LORRAINE ZOROMSKI CHAIR 1.00 0.00 X X 0 0 0 ED JENICH VICE CHAIR 1.00 0.00 X X 0 0 0 LORI PECK SECRETARY/TREASURER 1.00 50.00 X X 0 252335 30889 ASHLEY HAWLEY MEMBER 1.00 0.00 X 0 0 0 MARY L WILLIAMS MEMBER 1.00 0.00 X 0 0 0 MARIE BECKER MEMBER 1.00 0.00 X 0 0 0 ERIC ANDERSON MEMBER / SVP SERVICE LINE & PT 1.00 50.00 X 0 334002 80130 MATTHEW HEYWOOD PRESIDENT AND CEO ASPIRUS 2.00 50.00 X 0 1156743 195564 SIDNEY SCZYGELSKI SVP OF FINANCE AND CFO ASPIRUS 2.00 50.00 X 0 654883 117668 CARI LOGEMANN SVP & GENERAL COUNSEL 2.00 50.00 X 0 452398 81636 JOHN HEISLER SVP & CHIEF HR OFFICER 2.00 50.00 X 0 416068 40142 F DEAN DANNER JR TERM 618 SVP AMBULATORY SVCS & PRESIDENT ACI 2.00 50.00 X 0 386225 27706 MICHAEL MCGRAIL SVP SYSTEM CMO 2.00 50.00 X 0 485524 80747 TODD RICHARDSON SVP & CIO 2.00 50.00 X 0 395288 88380 RICK NEVERS SVP REG OPS SYSTEM INT OFF 2.00 50.00 X 0 456553 79281 RENEE SMITH EXECUTIVE DIRECTOR ANI 2.00 50.00 X 0 455493 45608 RUTH RISELY-GRAY SVP NURSING CN/PRESIDENT 2.00 50.00 X 0 392122 77261 JANET HASTREITER DIRECTOR OF HOME HEALTH 28.00 12.00 X 163945 0 17785 163945 5837634 962797 1 0 1 0 FOCUSONE SOLUTIONS LLC PO BOX 3037 OMAHA NE 68103 STAFFING AGENCY 536014 THERAPY AND MORE LLC 6250 GLAD AVE CINCINNATI OH 45230 HOME HEALTH CLAIM AND OASIS REVIEW 330689 DELTA HEALTHCARE PO BOX 202940 DALLAS TX 75320 STAFFING AGENCY 138990 8 50 50 NET HOME HEALTH REVENUE 621110 12158810 12158810 OTHER OPERATING REV 621110 24384 24384 12183194 604 604 2260664 0 2260664 2260664 1332435 928229 750 0 750 750 750 5298140 3487063 1811077 743628 1067449 16256339 13515629 1671857 1068803 9879496 6945286 2934210 399573 280900 118673 2302460 1618629 683831 620865 436468 184397 6878 4835 2043 1617071 1136802 480269 2098 1475 623 446791 314094 132697 2673 1879 794 402767 283145 119622 738028 518834 219194 19278 13552 5726 1802636 1267253 535383 77040 3852 73188 96443 67799 28644 EQUIPMENT RENTAL AND MA 119749 84184 35565 DUES AND SUBSCRIPTIONS 20111 14138 5973 18553957 12993125 5560832 0 633796 23050 3989334 3999609 418340 378310 41005 49517 1620616 1286719 281019 333897 492352 2179727 5855846 6964110 1201532 1484250 2044056 8717 3245588 1492967 X 2610258 5471143 2610258 5471143 5855846 6964110 X -2297618 5158503 X X 0 1 X 1 0 X 2240 1240 50 3530 9664501 12472640 12354245 11242460 13515629 59249475 3140873 3718447 3885212 3125539 3122724 16992795 12807614 16192327 16239457 14367999 16638403 76245800 0 0 0 76245800 4752 7865 1127 104 604 14452 156152 29610 0 144550 58522 388834 160904 37475 1127 144654 59126 403286 12968518 16229802 16240584 14512653 16697529 76649086 0.99470 0.99390 0.00530 0.00610 X 152430 82647 69783 1468186 1204072 264114 333897 DUE FROM AFFILIATES 2179727 2179727 DUE TO AFFILIATES 2317 LONG TERM INSURANCE LIABILITY 6400 8717 X 0 0 0 1 0 0 0 0 0 0 0 LORI PECK SECRETARY/TREASURER 0 204731 0 25003 0 22601 0 11067 0 19822 0 283224 0 21417 ERIC ANDERSON MEMBER / SVP SERVICE LINE & PT 0 274871 0 45840 0 13291 0 15344 0 64786 0 414132 0 11262 MATTHEW HEYWOOD PRESIDENT AND CEO ASPIRUS 0 869672 0 267317 0 19754 0 16506 0 179058 0 1352307 0 0 SIDNEY SCZYGELSKI SVP OF FINANCE AND CFO ASPIRUS 0 514118 0 87791 0 52974 0 16506 0 101162 0 772551 0 49137 CARI LOGEMANN SVP & GENERAL COUNSEL 0 372200 0 58440 0 21758 0 16506 0 65130 0 534034 0 19856 JOHN HEISLER SVP & CHIEF HR OFFICER 0 304853 0 56609 0 54606 0 16506 0 23636 0 456210 0 40214 F DEAN DANNER JR TERM 618 SVP AMBULATORY SVCS & PRESIDENT ACI 0 161114 0 111152 0 113959 0 14413 0 13293 0 413931 0 66173 MICHAEL MCGRAIL SVP SYSTEM CMO 0 400085 0 73833 0 11606 0 14262 0 66485 0 566271 0 0 TODD RICHARDSON SVP & CIO 0 297875 0 56000 0 41413 0 16506 0 71874 0 483668 0 38563 RICK NEVERS SVP REG OPS SYSTEM INT OFF 0 356162 0 55425 0 44966 0 16506 0 62775 0 535834 0 38383 RENEE SMITH EXECUTIVE DIRECTOR ANI 0 348917 0 64382 0 42194 0 16506 0 29102 0 501101 0 33431 RUTH RISELY-GRAY SVP NURSING CN/PRESIDENT 0 286934 0 52327 0 52861 0 16506 0 60755 0 469383 0 45015 JANET HASTREITER DIRECTOR OF HOME HEALTH 118583 0 25019 0 20343 0 6803 0 10982 0 181730 0 14335 0 PART I, LINE 1A TRAVEL FOR COMPANIONS, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. TRAVEL FOR COMPANIONS- M. HEYWOOD- $177; S. SCZYGELSKI- $273; E. ANDERSON- $237; L. PECK- $135; C. RIDER- $100; R. NEVERS- $273; R. RISLEY-GRAY- $199; J. HEISLER- $177; PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS VNA HOME HEALTH, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(B) DISTRIBUTION: R. RISLEY- GRAY $ 45,015 S. SCZYGELSKI $ 49,137 F. DANNER $ 66,173 T. RICHARDSON $ 38,563 R. NEVERS $ 38,383 C. LOGEMANN $ 19,856 R. SMITH $ 33,431 J. HEISLER $ 40,214 E. ANDERSON $ 11,262 L. PECK $ 21,417 J. HASTREITER $ 14,335 KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 9% FOR VICE PRESIDENT, 13% FOR SENIOR LEADERSHIP COUNCIL, AND 15% FOR THE CEO. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE; OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ASPIRUS, INC. AS THE PARENT ORGANIZATION APPROVES THE RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS OF ASPIRUS VNA HOME HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE MEMBERS OF THE ORGANIZATION 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICER; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND THE 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS VNA HOME HEALTH, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, LINE 1A, EXPLANATION FOR HOURS WORKED: SOME OFFICERS AND DIRECTORS ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS VNA HOME HEALTH, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 5,158,503. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC., THE PARENT ORGANIZATION, OF ASPIRUS VNA HOME HEALTH, INC., ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THE PROCESS IN THE PAST YEAR. ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTH CARE SYSTEM MANAGEMENT WI 501(C)(3) LINE 12B, II N/A 0 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391138241 HOSPITAL WI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391406537 PROPERTY LEASING WI 501(C)(3) LINE 10 ASPIRUS INC 1 ASPIRUS EXTENDED SERVICES INC 425 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501(C)(3) LINE 10 ASPIRUS INC 0 ASPIRUS ONTONAGON HOSPITAL INC 601 SEVENTH STREET ONTONAGON MI 49953 260806477 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS CLINICS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391670223 MEDICAL SERVICES WI 501(C)(3) LINE 10 ASPIRUS INC 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 1 ASPIRUS HEALTH FOUNDATION INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391256656 CHARITABLE FOUNDATION WI 501(C)(3) LINE 7 ASPIRUS INC 1 ASPIRUS IRONWOOD HOSPITAL AND CLINICS INC N10561 GRAND VIEW LANE IRONWOOD MI 49938 382908586 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 1 GRAND VIEW HOSPITAL AUXILIARY N10561 GRAND VIEW LANE IRONWOOD MI 49938 237178363 SUPPORTING ORGANIZATION TO HOSPITAL AND LIFELINE EMERGENCY SYSTEM MI 501(C)(3) LINE 10 ASPIRUS IRONWOOD HOSPITAL AND CLINICS INC 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 1 ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 390868982 HOSPITAL WI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS KEWEENAW HOSPITAL 205 OSCEOLA LAURIUM MI 49913 381443361 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 1 WESTERN UPPER MICHIGAN EYE CARE LLC 131 W GENESEE STREET IRON RIVER MI 49935 272324957 EYE CARE SERVICES MI N/A ASPIRUS NETWORK INC 3000 WESTHILL DRIVE 202 WAUSAU WI 54401 391931678 HEALTH CARE SERVICES WI N/A C 1 ASPIRUS KEWEENAW ENTERPRISES INC 205 OSCEOLA STREET LAURIUM MI 49913 383390273 PHARMACY MI N/A C 1 ASPIRUS HEALTH VENTURES 3000 WESTHILL DR SUITE 303 WAUSAU WI 54401 474925640 HEALTH INSURANCE PLAN WI N/A C 1 ASPIRUS ARISE HEALTH PLAN OF WI INC 3000 WESTHILL DR SUITE 303 WAUSAU WI 54401 364832569 HEALTH INSURANCE PLAN WI N/A C 1 ASPIRUS ARISE HEALTH PLAN OF MI INC 3000 WESTHILL DR SUITE 303 WAUSAU WI 54401 475448266 HEALTH INSURANCE PLAN MI N/A C 1 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 1 1 0 0 ASPIRUS WAUSAU HOSPITAL INC J 128047 COST ASPIRUS WAUSAU HOSPITAL INC K 176011 COST ASPIRUS WAUSAU HOSPITAL INC O 4524253 COST ASPIRUS WAUSAU HOSPITAL INC Q 78475 COST ASPIRUS WAUSAU HOSPITAL INC P 125000 COST ASPIRUS INC M 2060688 COST ASPIRUS INC O 6346027 COST ASPIRUS INC P 616559 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC O 444763 COST ASPIRUS BUILDINGS INC K 155302 COST SCHEDULE R, PART V, LINE 1D ALL OUTSTANDING OBLIGATED GROUP DEBT IS GUARANTEED BY ALL MEMBERS OF THE OBLIGATED GROUP.