LANGLADE HOSPITAL-HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: LANGLADE HOSPITAL-HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-04
IRS object ID: 202031569349300423
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-04T10:25:08-05:00	ReturnTs
Tax Period End	2019-06-30	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	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390806429	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LANGLADE HOSPITAL - HOTEL DIEU OF	BusinessNameLine1Txt
Business Name Line2	ST JOSEPH OF ANTIGO WISCONSIN	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	LANG	BusinessNameControlTxt
Phone	7156232331	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	112 EAST FIFTH AVENUE	AddressLine1Txt
City	ANTIGO	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54409	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TYLER HACK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7156232331	PhoneNum
Signature	2020-06-01	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	2020-06-01	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	71.13.38.61	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-06-01	IPDt
IP Tm	11:02:01	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS LANGLADE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	TYLER HACK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	112 EAST FIFTH AVENUE	AddressLine1Txt
City	ANTIGO	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54409	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$117,263,984	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ASPIRUS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1933	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	THE COMMUNITY BENEFIT CONTRIBUTION OF ASPIRUS LANGLADE HOSPITAL INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	599	TotalEmployeeCnt
Total Volunteers	154	TotalVolunteersCnt
Total Gross UBI	$374,040	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$92,928	PYContributionsGrantsAmt
CY Contributions Grants	$55,723	CYContributionsGrantsAmt
PY Program Service Revenue	$106,958,885	PYProgramServiceRevenueAmt
CY Program Service Revenue	$113,932,005	CYProgramServiceRevenueAmt
PY Investment Income	$5,836,351	PYInvestmentIncomeAmt
CY Investment Income	$3,139,373	CYInvestmentIncomeAmt
PY Other Revenue	$98,909	PYOtherRevenueAmt
CY Other Revenue	$77,713	CYOtherRevenueAmt
PY Total Revenue	$112,987,073	PYTotalRevenueAmt
CY Total Revenue	$117,204,814	CYTotalRevenueAmt
PY Grants And Similar Paid	$234,339	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$406,342	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$44,392,575	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$45,863,877	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$50,800,879	PYOtherExpensesAmt
CY Other Expenses	$53,970,554	CYOtherExpensesAmt
PY Total Expenses	$95,427,793	PYTotalExpensesAmt
CY Total Expenses	$100,240,773	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,559,280	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$16,964,041	CYRevenuesLessExpensesAmt
Total Assets BOY	$195,860,107	TotalAssetsBOYAmt
Total Assets EOY	$215,754,676	TotalAssetsEOYAmt
Total Liabilities BOY	$32,154,428	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$32,646,601	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$163,705,679	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$183,108,075	NetAssetsOrFundBalancesEOYAmt
Mission	AS A MINISTRY OF JESUS WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$69,680,206	ExpenseAmt
Grant	$406,342	GrantAmt
Revenue	$113,557,965	RevenueAmt
Desc	ACUTE GENERAL CARE HOSPITAL WITH BOTH INPATIENT AND OUTPATIENT RELATED SERVICES ALONG WITH A HOSPICE PROGRAM. INPATIENTS - 1,238 ADMISSIONS WITH 4,070 PATIENT DAYS AND 261 BIRTHS; OUTPATIENTS - 10,630 EMERGENCY VISITS, 12,024 URGENT CARE VISITS, 29,202 IMAGING PROCEDURES, 265,212 LAB TESTS, 38,946 THERAPY TREATMENTS, AND 10,911 SPECIALTY CLINIC VISITS; SURGICAL SERVICES - 3,686 TOTAL PATIENTS TREATED; HOSPICE - 3,894 VISITS	Desc
Total Program Service Expenses	$69,680,206	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	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	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	101	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	599	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	9	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TYLER HACK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7156239215	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	112 EAST FIFTH AVENUE	AddressLine1Txt
City	ANTIGO	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54409	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MIKE WINTER
CHAIRMAN	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
RICK NEVERS
VICE CHAIRMAN/SVP REGIONAL	1.00	50.00	Yes (X)	Yes (X)	$0	$456,553	$79,281
KRISTINE FLOWERS MD
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$277,371	$45,102
SID SCZYGELSKI
BOARD MEMBER/SVP OF FINANC	1.00	50.00	Yes (X)		$0	$654,883	$117,668
NOEL DEEP MD
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$475,691	$50,536
CHUCK HOLLAND
BOARD MEMBER (TERM 6/18/19)	1.00	0.00	Yes (X)		$0	$0	$0
MIKE OLSON DO
BOARD MEMBER/PHYSICIAN RAD	40.00	0.00	Yes (X)		$648,591	$0	$39,527
CHARLIE ZANAYED
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
ANN ROLLER
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JOHN REETZ
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
PATRICK TINCHER
CFO ALH	40.00	0.00		Yes (X)	$240,841	$0	$38,653
ANDREW BARTH
CEO ALH	40.00	1.00		Yes (X)	$320,138	$0	$37,027
MATT HEYWOOD
PRESDIENT & CEO AI	1.00	50.00		Yes (X)	$0	$1,156,743	$195,564
CARI LOGEMANN
SVP & GENERAL COUNSEL	1.00	50.00		Yes (X)	$0	$452,398	$81,636
JANELLE MARKGRAF
DIRECTOR HR & OFF CAMPUS S	40.00	0.00			$194,838	$0	$29,726	Yes (X)
SHERRY BUNTEN
DIRECTOR OF PATIENT CARE S	40.00	0.00			$202,566	$0	$36,697	Yes (X)
TODD RICHARDSON
SVP & CIO	1.00	50.00			$0	$395,288	$88,380	Yes (X)
JOHN HEISLER
SVP & CHIEF HR OFFICER	1.00	50.00			$0	$416,068	$40,142	Yes (X)
RUTH RISLEY-GRAY
SVP NURSING, SYSTEM CNO	1.00	50.00			$0	$392,122	$77,261	Yes (X)
F DEAN DANNER JR TERMED 618
SVP AMBULATORY SERVICES &	1.00	50.00			$0	$386,225	$27,706	Yes (X)
MICHAEL MCGRAIL MD
SVP SYSTEM CMO	1.00	50.00			$0	$485,524	$80,747	Yes (X)
ERIC ANDERSON
SVP SERVICE LINE & PATIENT	1.00	50.00			$0	$334,002	$80,130	Yes (X)
RENEE SMITH
EXECUTIVE DIRECTOR ANI	1.00	40.00			$0	$455,560	$45,608	Yes (X)
BESSANT PARKER
ALH CMO (TERM 9/2/18)	40.00	0.00			$283,805	$0	$20,517	Yes (X)
DOUGLAS ARMATO MD
PHYSICIAN RADIOLOGIST	40.00	0.00			$500,159	$0	$35,152		Yes (X)
KENNETH BOWMAN MD
PHYSICIAN RADIOLOGIST	40.00	0.00			$546,511	$0	$32,442		Yes (X)
STACY KOLZ
DIRECTOR - PHARMACY	40.00	1.00			$155,145	$0	$33,443		Yes (X)
LYNNE DAFOE
DIRECTOR - CLINICS	40.00	0.00			$128,288	$0	$34,402		Yes (X)
DEBORAH KITCH
PHARMACIST	40.00	0.00			$125,897	$0	$27,952		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,346,779	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,338,428	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,375,299	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	24	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
PROGRESSIVE ANESTHESIA SOLUTIONS
PO BOX 290	ANTIGO	WI	54409	CLINICAL SERVICES	$1,043,068
FOCUSONE SOLUTIONS
13609 CALIFORNIA STREET	OMAHA	NE	68154	CLINICAL SERVICES	$859,746
CHG COMPANIES INC
PO BOX 972651	DALLAS	TX	75397	CLINICAL SERVICES	$781,933
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	CLINICAL SERVICES	$737,035
ARAMARK UNIFORM SERVICES INC
5330 INDUSTRIAL BLVD NE SUITE 616	FRIDLEY	MN	55421	CLINICAL SERVICES	$489,508

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	43	CntrctRcvdGreaterThan100KCnt
Related Organizations	$39,293	RelatedOrganizationsAmt
Government Grants	$14,660	GovernmentGrantsAmt
All Other Contributions	$1,770	AllOtherContributionsAmt
Total Contributions	$55,723	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
HOSPITAL SERVICES	621990	$87,369,262	$87,369,262
PHYSICIAN PRIMARY CARE CLINICS	621110	$16,855,831	$16,855,831
OTHER OPERATING REVENUE	621990	$7,749,645	$7,375,605	$374,040
ASSISTED LIVING	623000	$1,385,673	$1,385,673
INDEPENDENT LIVING	623990	$571,594	$571,594

Field	Value	IRS element (for citing)
Total Program Service Revenue	$113,932,005	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,139,373	TotalRevenueColumnAmt
Exclusion	$3,139,373	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$136,883	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$59,170	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$77,713	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$77,713	TotalRevenueColumnAmt
Exclusion	$77,713	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$117,204,814	TotalRevenueColumnAmt
Related Or Exempt Func Income	$113,557,965	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$374,040	UnrelatedBusinessRevenueAmt
Exclusion	$3,217,086	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$406,342	TotalAmt
Program Services	$406,342	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,761,300	TotalAmt
Program Services	$29,171,829	ProgramServicesAmt
Management And General	$6,589,471	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,752,400	TotalAmt
Program Services	$1,752,400	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,167,625	TotalAmt
Program Services	$3,989,529	ProgramServicesAmt
Management And General	$2,178,096	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,182,552	TotalAmt
Program Services	$2,182,552	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$25,370	TotalAmt
Management And General	$25,370	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$14,300	TotalAmt
Management And General	$14,300	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$33,752	TotalAmt
Management And General	$33,752	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,166,665	TotalAmt
Program Services	$11,734,901	ProgramServicesAmt
Management And General	$13,431,764	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$199,623	TotalAmt
Program Services	$16,944	ProgramServicesAmt
Management And General	$182,679	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$296,207	TotalAmt
Program Services	$156,598	ProgramServicesAmt
Management And General	$139,609	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,312,934	TotalAmt
Program Services	$43,357	ProgramServicesAmt
Management And General	$2,269,577	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,493,523	TotalAmt
Program Services	$544,212	ProgramServicesAmt
Management And General	$949,311	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$83,081	TotalAmt
Program Services	$61,073	ProgramServicesAmt
Management And General	$22,008	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$105,568	TotalAmt
Program Services	$68,515	ProgramServicesAmt
Management And General	$37,053	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,009,804	TotalAmt
Management And General	$1,009,804	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,084,187	TotalAmt
Program Services	$2,617,798	ProgramServicesAmt
Management And General	$2,466,389	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$241,841	TotalAmt
Program Services	$89,392	ProgramServicesAmt
Management And General	$152,449	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$13,571,900	$12,729,861	$842,039
BAD DEBT EXPENSE	$3,348,006	$3,348,006
EQUIPMENT	$343,057	$288,751	$54,306
DUES AND SUBSCRIPTIONS	$322,126	$196,307	$125,819

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$318,610	TotalAmt
Program Services	$281,839	ProgramServicesAmt
Management And General	$36,771	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$100,240,773	TotalAmt
Program Services	$69,680,206	ProgramServicesAmt
Management And General	$30,560,567	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$17,769,971	BOYAmt
EOY	$33,162,029	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,106,230	BOYAmt
EOY	$15,911,280	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,439,325	BOYAmt
EOY	$14,779,334	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,871,583	BOYAmt
EOY	$2,133,295	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,091,219	BOYAmt
EOY	$1,422,821	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$101,661,675	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$49,333,863	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$56,066,513	BOYAmt
EOY	$52,327,812	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$78,437,446	BOYAmt
EOY	$88,530,712	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,950,129	BOYAmt
EOY	$3,953,686	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,127,691	BOYAmt
EOY	$3,533,707	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$195,860,107	BOYAmt
EOY	$215,754,676	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,346,072	BOYAmt
EOY	$7,490,968	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,935,000	BOYAmt
EOY	$23,450,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,873,356	BOYAmt
EOY	$1,705,633	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,154,428	BOYAmt
EOY	$32,646,601	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$163,182,823	BOYAmt
EOY	$183,108,075	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$522,856	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$163,705,679	BOYAmt
EOY	$183,108,075	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$195,860,107	BOYAmt
EOY	$215,754,676	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$16,964,041	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,460,685	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$22,330	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	$6,175	OtherActivitiesAmt
Total Lobbying Expenditures	$6,175	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ASPIRUS LANGLADE HOSPITAL PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE WHA HAS NOTIFIED ASPIRUS LANGLADE HOSPITAL THAT APPROXIMATELY $2,868 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTH CARE ENVIRONMENT. ASPIRUS LANGLADE HOSPITAL IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, ASPIRUS LANGLADE HOSPITAL PAYS MEMBERSHIP FEES TO THE RWHC. THE RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO 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 IN AN EFFORT TO PROMOTE AND IMPROVE HEALTH CARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. THE RWHC DETERMINED THAT APPROXIMATELY $3,307 OF THE FEES PAID BY ASPIRUS LANGLADE HOSPITAL IN FY2019 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTH CARE ENVIRONMENT IN THE STATE OF WISCONSIN.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,382,049	OtherCostOrOtherBasisAmt
Book Value	$1,382,049	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,184,221	OtherCostOrOtherBasisAmt
Depreciation	$22,718,272	DepreciationAmt
Book Value	$40,465,949	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,381,790	OtherCostOrOtherBasisAmt
Depreciation	$2,483,132	DepreciationAmt
Book Value	$2,898,658	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,352,034	OtherCostOrOtherBasisAmt
Depreciation	$24,132,459	DepreciationAmt
Book Value	$7,219,575	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$361,581	OtherCostOrOtherBasisAmt
Book Value	$361,581	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$52,327,812	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
UNAMORTIZED BOND PREMIUM	$689,218
DEFERRED COMPENSATION	$1,236,277
OTHER LONG-TERM LIABILITIES	$32,000
DEFERRED BOND ISSURANCE COSTS	-$251,862

Field	Value	IRS element (for citing)
Total Liability	$1,705,633	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$116,310,044	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,460,685	NetUnrealizedGainsInvstAmt
Other Revenue	-$3,355,455	OtherRevenueAmt
Revenue Not Reported	-$894,770	RevenueNotReportedAmt
Revenue Subtotal	$117,204,814	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$117,204,814	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$96,885,318	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$59,170	OtherExpensesIncludedAmt
Expenses Not Reported	$59,170	ExpensesNotReportedAmt
Expenses Subtotal	$96,826,148	ExpensesSubtotalAmt
Other Expenses Not Included	$3,414,625	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,414,625	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$100,240,773	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE ORGANIZATION IS ALSO ENGAGED, TO A LIMITED EXTENT, IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). INCOME TAXES ON UBI ARE NOT SIGNIFICANT.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES NET AGAINST REVENUE ON FORM 990 59,170. BAD DEBT EXPENSE -3,264,625. DONATION EXPENSE -150,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES NET AGAINST REVENUE ON FORM 990 59,170.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 3,264,625. DONATION EXPENSE 150,000.

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	$1,027,423	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,027,423	NetCommunityBenefitExpnsAmt
Total Expense	0.01060	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,864,424	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,754,774	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,109,650	NetCommunityBenefitExpnsAmt
Total Expense	0.03210	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,891,847	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,754,774	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,137,073	NetCommunityBenefitExpnsAmt
Total Expense	0.04270	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,581,154	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,096,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$484,834	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$299,038	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$299,038	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,368,557	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,197,157	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$171,400	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,060	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,060	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,276,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,293,477	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$983,332	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,168,656	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,048,251	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,120,405	NetCommunityBenefitExpnsAmt
Total Expense	0.05290	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$484,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$347,725	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$136,993	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$484,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$347,725	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$136,993	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,469,081	BadDebtExpenseAmt
Reimbursed By Medicare	$24,606,891	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$24,465,476	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$141,415	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	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 LANGLADE HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	112 E 5TH AVENUE	AddressLine1Txt
City	ANTIGO	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54409	ZIPCd

Field	Value	IRS element (for citing)
State License	1055	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
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 LANGLADE 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	SEE LINE 7 D FOR EXPLANATION	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE LINE 7D FOR EXPLANATION	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	ASPIRUS.ORG/FINANCIALAID	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	ASPIRUS.ORG/FINANCIALAID	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASPIRUS LANGLADE HOSPITAL	PART V, SECTION B, LINE 5: KEY INFORMANT INTERVIEWS WERE CONDUCTED, THE LISTING INCLUDES INDIVIDUALS FROM THE VARIOUS TWELVE SECTORS. (YOUTH, PARENTS, BUSINESSES, MEDIA, SCHOOLS, YOUTH SERVING ORGANIZATIONS, LAW ENFORCEMENT, RELIGIOUS/FRATERNAL ORGANIZATIONS, CIVIC OR VOLUNTEER GROUPS HEALTHCARE PROFESSIONS, STATE OR LOCAL GOVERNMENTAL AGENCIES). ALL COMMUNITY MEMBERS HAD THE OPPORTUNITY TO TAKE A PUBLIC OPINION SURVEY BY AN ONLINE LINK OR PAPER. OVER 600 COMMUNITY MEMBERS TOOK THE SURVEY THAT WAS REFERENCED ABOVE.
ASPIRUS LANGLADE HOSPITAL	PART V, SECTION B, LINE 6B: IT WAS COMPLETED IN COLLABORATION WITH THE LANGLADE COUNTY HEALTH DEPARTMENT.
ASPIRUS LANGLADE HOSPITAL	PART V, SECTION B, LINE 7D: CHNA: HTTPS://WWW.ASPIRUS.ORG/UPLOADS/PUBLIC/DOCUMENTS/CHNAS/ALH-CHNA%202019-22.PIMPLEMENTATION STRATEGY: HTTP://ASPIRUS.ORG/UPLOADS/PUBLIC/DOCUMENTS/ALH/CHNA%202016%20REPORT.PDF
ASPIRUS LANGLADE HOSPITAL	PART V, SECTION B, LINE 11: THE CAUSES OF COMMUNITY HEALTH PROBLEMS ARE ALL ENCOMPASSING, AND ONE AGENCY CANNOT IMPROVE THEM INDEPENDENTLY. BECAUSE OF THESE COMPLEXITIES, THESE PROBLEMS REQUIRE A SYSTEM PERSPECTIVE AND MULTI-PERSPECTIVE AND MULTI-FACETED APPROACH. THE ABILITY TO PARTNER EFFECTIVELY WITH OTHER INDIVIDUALS AND ORGANIZATIONS, BOTH INSIDE AND OUTSIDE THE COMMUNITY, IS ESSENTIAL TO DOING THE WORK OF BUILDING HEALTHY COMMUNITIES. COLLABORATING ACROSS THE COMMUNITY ALLOWS THE COMMUNITY TO 1) LEVERAGE EXISTING ASSETS IN THE COMMUNITY CREATING THE OPPORTUNITY FOR BROADER IMPACT 2) AVOID UNNECESSARY DUPLICATION OF PROGRAMS OR SERVICES THEREBY MAXIMIZING THE USES OF RESOURCES 3) INCREASE THE CAPACITY OF COMMUNITY MEMBERS TO ENGAGE IN CIVIL DIALOGUE AND COLLABORATIVE PROBLEM SOLVING TO POSITION THE COMMUNITY TO BUILD ON AND SUSTAIN HEALTH IMPROVEMENT ACTIVITIES. THE FOLLOWING TOP HEALTH PRIORITIES WERE IDENTIFIED FOR LANGLANDE COUNTY: 1. SUBSTANCE ABUSE AND MENTAL HEALTH 2. CHRONIC DISEASE PREVENTION AND MANAGEMENT 3. ACCESS AND AFFORDABILITY OF HEALTHCARE SERVICES THE STRATEGIES LISTED BELOW ARE EXAMPLES OF HOW THE HOSPITAL IS ADDRESSING TOP NEEDS IDENTIFIED. AT THIS TIME, THERE ARE NO STRATEGIES THAT HAVE BEEN ASSIGNED TO ASPIRUS LANGLADE HOSPITAL (PLEASE SEE FULL IMPLEMENTATION STRATEGY FOR COMPLETE LISTING OF COMMUNITY STRATEGIES).- SUBSTANCE ABUSE AND MENTAL HEALTH: 1. ADVANCE SOBER LIVING FACILITY PILOT PROGRAM IN LANGLADE COUNTY: ASPIRUS LANGLADE HOSPITAL HAS PLEDGED FUNDING FOR THIS INITIATIVE THROUGH THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH'S MISSION FUND AND THROUGH THE COMMUNITY HEALTH FOUNDATION. 2. EXPLORE RECOVERY COACHING PRACTICES FOR THE LANGLADE COUNTY AREA: BY PARTNERING WITH THE MARSHFIELD CLINIC AMERICORPS PROGRAM, ASPIRUS LANGLADE HOSPITAL AND ASPIRUS WAUSAU HOSPITAL INTEGRATED A PILOT PROGRAM OF FOUR RECOVERY COACHES ACROSS THREE COUNTIES TO WORK WITH IDENTIFIED PATIENT POPULATIONS AND COMMUNITY MEMBERS. THE PROGRAM RUNS THROUGH AUGUST 2020 AT WHICH TIME IT WILL BE ASSESSED ON ITS SUCCESS AND MEASURES. 3. CONTINUE "WRITTEN OFF" SCREENINGS IN LANGLADE COUNTY TO FURTHER EDUCATE ON ADDICTION AND RECOVERY: ASPIRUS LANGLADE HOSPITAL HAS BEEN A PUBLIC SCREENING SITE FOR THE DOCUMENTARY AND HOSTED, ON MULTIPLE OCCASIONS, A PANEL DISCUSSION ON ADDICTION AND RECOVERY IN ADDITION WITH THE SHOWING. - ACCESS AND AFFORDABILITY OF HEALTHCARE SERVICES 1. CONTINUE PREVENTION FUND, A PROGRAM TO ASSIST PATIENTS WITH AN IMMEDIATE MEDICAL NEED WHO DO NOT HAVE FINANCIAL RESOURCES AT TIME OF SERVICE (I.E. MEDICATION, INHALERS, ETC): ASPIRUS LANGLADE HOSPITAL HAS COMMITTED $10,000 EACH YEAR TO ADDRESS IMMEDIATE NEEDS OF PATIENTS WHO CANNOT AFFORD THE MATERIALS AND OR SERVICES. EACH PATIENT AND FINANCIAL NEED IS TRACKED AND FOLLOWED UP ON THROUGHOUT ONE YEAR WITH THE GOAL TO PREVENT AND DECREASE READMISSIONS DUE TO UNMET MEDICAL NEEDS. 2. COLLABORATION WITH THE PUBLIC TRANSPORTATION SYSTEM TO INCREASE UTILIZATION OF RIDES PERTAINING TO SOCIAL DETERMINANTS OF HEALTH: WITH FUNDING PROVIDED BY THE ASPIRUS LANGLADE HOSPITAL RELIGIOUS HOSPITALLERS OF ST. JOSEPH MISSION FUND, THE NEED FOR INCREASED PUBLIC TRANSPORTATION ADDRESSED A GAP FOUND IN THE 2013 CHNA. WITH THE CONTRIBUTION OF APPROXIMATELY $117,000, HOURS, DRIVERS AND ROUTES WERE INCREASED THROUGHOUT LANGLADE COUNTY. EACH ROUTE IS TRACKED AND REPORTED ON A QUARTERLY BASIS - LOCATIONS OF INTEREST TO THE NEED INCLUDE GROCERY STORES, EMPLOYMENT, MEDICAL APPOINTMENTS, PHARMACIES, AND SOCIAL EMOTIONAL ACTIVITIES (ALL THOSE THAT PERTAIN TO THE SOCIAL DETERMINANTS OF HEALTH). - CHRONIC DISEASE PREVENTION AND MANAGEMENT: 1. CONTINUE WEEKEND BACKPACK PROGRAM WITH FAMILIES AND YOUTH: PRIMARILY FUNDED AND STAFFED WITH EMPLOYEES FROM ASPIRUS LANGLADE HOSPITAL, THIS PROGRAM CONTINUES TO ADDRESS CHILDHOOD FOOD INSECURITY WITHIN LANGLADE COUNTY. THE PROGRAM RUNS OUT OF THE FOOD PANTRY BUILDING OWNED BY THE HOSPITAL. WITHOUT THE PARTNERSHIP OF ASPIRUS LANGLADE HOSPITAL, THIS PROGRAM WOULD NOT CONTINUE TO RUN AND SERVE THE NEED IDENTIFIED IN THE COMMUNITY. EACH WEEK THROUGHOUT THE SCHOOL YEAR, APPROXIMATELY 350 CHILDREN ARE SERVED FOR 29 WEEKENDS.
ASPIRUS LANGLADE HOSPITAL	PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ASPIRUS ANTIGO CLINIC
110 E 5TH AVE	ANTIGO	WI	54409	CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES
2 - ASPIRUS BIRNAMWOOD CLINIC
400 RAILROAD	BIRNAMWOOD	WI	54414	CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES
3 - ASPIRUS ELCHO CLINIC
W10618 CLINIC ST	ELCHO	WI	54428	CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES
4 - PINE MEADOWS
525 FLIGHT RD	ANTIGO	WI	54409	SENIOR HOUSING
5 - ROSALIA GARDENDS
525 FLIGHT RD	ANTIGO	WI	54409	ASSISTED LIVING

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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:	THE COST OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE HOSPICE AND DIALYSIS PROGRAMS OF ASPIRUS LANGLADE HOSPITAL. ASPIRUS LANGLADE USED A COST TO CHARGE RATIO TO ESTIMATE THE COST OF EACH DEPARTMENT AND USED INTERNAL DEPARTMENT REPORTS TO DETERMINE THE DIRECT REVENUE OFFSET. THE DIALYSIS PROGRAM HAD AN ESTIMATED COST OF $1,368,557 WITH DIRECT REVENUE OFFSET OF $1,197,156.
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 $ 3,264,625.
PART II, COMMUNITY BUILDING ACTIVITIES:	WHILE THERE IS A GROWING ARGUMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT," THESE EFFORTS CONTINUE TO BE A WORK IN PROGRESS. ASPIRUS LANGLADE HOSPITAL PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE HOSPITAL BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT COMMUNITY BENEFIT WHICH IS NOT QUANTIFIED. ASPIRUS LANGLADE HOSPITAL, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY. BEYOND INPATIENT HOSPITALIZATIONS, THE HOSPITAL PROVIDES LOCAL ACCESS TO MANY OTHER HEALTH SERVICES. THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES FOCUS ON EFFORTS TO ENRICH THE LIVES OF COMMUNITY MEMBERS WHO ARE STRUGGLING WITH ISSUES THAT MAY HAVE A NEGATIVE IMPACT ON THEIR HEALTH.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY:IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, ASPIRUS LANGLADE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, ASPIRUS LANGLADE HOSPITAL 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 AND PATIENTS 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), ASPIRUS LANGLADE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF 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:	WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTH CARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. ANY SHORTFALL IS TREATED AS A COMMUNITY BENEFIT SINCE THE HOSPITAL IS PROVIDING SERVICES AT A LOSS WHICH ARE ESSENTIAL TO THE COMMUNITY. THE AMOUNTS OF MEDICARE ALLOWANCE COSTS ARE DETERMINED USING THE PRINCIPLES OF MEDICARE REIMBURSEMENT.
PART III, LINE 9B:	UPON A PATIENT'S 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:	KEY INFORMANT INTERVIEWS, COMMUNITY SURVEY, HEALTH AND SOCIAL DATA AND TRENDS TO DETERMINE WHETHER THERE IS AN UNMET NEED WITHIN THE COMMUNITY.
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:	ASPIRUS LANGLADE HOSPITAL SERVES THE POPULATION OF LANGLADE COUNTY AND SURROUNDING COUNTIES. LANGLADE COUNTY IS A RURAL COUNTY WITH NO TOWNS OF ANY SIGNIFICANT SIZE. THE POPULATION IS AGING AND PROJECTIONS INDICATE 50% OF THE POPULATION WILL BE OVER 64 YEARS OF AGE BY 2019. VERY LITTLE GROWTH IS PROJECTED FOR THE SERVICE AREA IN THE COMING YEARS. LANGLADE COUNTY HAS TRADITIONALLY SEEN HIGH RATES OF UNEMPLOYMENT. THERE ARE NO OTHER HOSPITALS IN THE IMMEDIATE AREA THAT SERVE LANGLADE COUNTY. THERE ARE HOSPITALS IN RHINELANDER AND IN WAUSAU; HOWEVER, DEPENDING UPON LOCATION IN LANGLADE COUNTY, THESE FACILITIES WOULD BE FAIRLY FAR AWAY.
PART VI, LINE 5:	THE BOARD OF DIRECTORS IS COMPRISED OF 9 INDIVIDUALS FROM THE SURROUNDING AREA. OF THESE 10 BOARD MEMBERS, 6 ARE INDEPENDENT. THE HOSPITAL DOES EXTEND PRIVILEGES TO ALL QUALIFIED LOCAL PHYSICIANS. THE HOSPITAL PARTICIPATES IN LOCAL HEALTH FAIRS AND PROVIDES FREE SCREENINGS THROUGH THESE HEALTH FAIRS.
PART VI, LINE 6:	ASPIRUS LANGLADE HOSPITAL IS A PARTNER WITH ASPIRUS, INC. (ASPIRUS) A MULTI-SPECIALTY HEALTH SYSTEM WITH A BASE LOCATION IN WAUSAU, WISCONSIN. LANGLADE HOSPITAL WORKS WITH ASPIRUS TO PROMOTE HEALTH AND WELLNESS INITIATIVES IN THE COMMUNITIES THEY SERVE. A NUMBER OF REPRESENTATIVES FROM ASPIRUS HAVE ROLES ON THE BOARD OF DIRECTORS OF LANGLADE HOSPITAL AND TOGETHER PROMOTE THE MISSION OF ASPIRUS. ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTH CARE 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 LANGLADE HOSPITAL 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 I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	IRC SectionIRCSectionDesc	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
MENOMINEE INDIAN TRIBE OF WISCONSIN
PO BOX 910	KESHENA	WI	54409	391205576	$119,999	RED ROBIN/MENOMINEE TRANSIT SERVICES
MEMORIAL HOSPITAL AND COMMUNITY HEALTH FOUNDATION INC
112 E 5TH AVE	ANTIGO	WI	54409	391304761		INKIND FOR ACCOUNTING AND MANAGEMENT SERVICES	501(C)(3)	$22,119	OTHER	WAGES AND BENEFITS
BOYS AND GIRLS CLUB OF LANGLADE COUNTY
411 SUPERIOR ST	ANTIGO	WI	54499	391980025	$65,600	EXPENSES FOR ONGOING ACTIVITIES/ FOOD FOR CHILDREN	501(C)(3)
CITY OF ANTIGO
700 EDISON STREET	ANTIGO	WI	54409	396005380	$25,000	TRAIL EXPANSION PROJECT
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVD	WAUSAU	WI	54401	391256656	$150,000	FAMILY HOUSE CONTRIBUTION	501(C)(3)

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PROVIDES BOARD APPROVED CAPITAL DISTRIBUTIONS, WAGES AND BENEFITS TO RELATED ENTITIES AND NON-RELATED ENTITIES; NO FORMAL MONITORING IS REQUIRED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
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
RICK NEVERS
VICE CHAIRMAN/SVP REGIONAL	$0	$356,162	$0	$55,425	$0	$44,966	$0	$16,506	$0	$62,775	$0	$535,834	$0	$38,383
KRISTINE FLOWERS MD
BOARD MEMBER	$0	$270,819	$0	$0	$0	$6,552	$0	$12,736	$0	$32,366	$0	$322,473	$0	$0
SID SCZYGELSKI
BOARD MEMBER/SVP OF FINANC	$0	$514,118	$0	$87,791	$0	$52,974	$0	$16,506	$0	$101,162	$0	$772,551	$0	$49,137
NOEL DEEP MD
BOARD MEMBER	$0	$469,215	$0	$0	$0	$6,476	$0	$16,506	$0	$34,030	$0	$526,227	$0	$0
MIKE OLSON DO
BOARD MEMBER/PHYSICIAN RAD	$637,899	$0	$5,084	$0	$5,608	$0	$8,250	$0	$31,277	$0	$688,118	$0	$0	$0
PATRICK TINCHER
CFO ALH	$209,422	$0	$26,506	$0	$4,913	$0	$6,637	$0	$32,016	$0	$279,494	$0	$0	$0
ANDREW BARTH
CEO ALH	$269,002	$0	$50,405	$0	$731	$0	$7,935	$0	$29,092	$0	$357,165	$0	$0	$0
MATT HEYWOOD
PRESDIENT & CEO AI	$0	$869,672	$0	$267,317	$0	$19,754	$0	$16,506	$0	$179,058	$0	$1,352,307	$0	$0
CARI LOGEMANN
SVP & GENERAL COUNSEL	$0	$372,200	$0	$58,440	$0	$21,758	$0	$16,506	$0	$65,130	$0	$534,034	$0	$19,856
JANELLE MARKGRAF
DIRECTOR HR & OFF CAMPUS S	$168,486	$0	$21,039	$0	$5,313	$0	$5,314	$0	$24,412	$0	$224,564	$0	$0	$0
SHERRY BUNTEN
DIRECTOR OF PATIENT CARE S	$178,871	$0	$22,680	$0	$1,015	$0	$5,585	$0	$31,112	$0	$239,263	$0	$0	$0
TODD RICHARDSON
SVP & CIO	$0	$297,875	$0	$56,000	$0	$41,413	$0	$16,506	$0	$71,874	$0	$483,668	$0	$38,563
JOHN HEISLER
SVP & CHIEF HR OFFICER	$0	$304,853	$0	$56,609	$0	$54,606	$0	$16,506	$0	$23,636	$0	$456,210	$0	$40,214
RUTH RISLEY-GRAY
SVP NURSING, SYSTEM CNO	$0	$286,934	$0	$52,327	$0	$52,861	$0	$16,506	$0	$60,755	$0	$469,383	$0	$45,015
F DEAN DANNER JR TERMED 618
SVP AMBULATORY SERVICES &	$0	$161,114	$0	$111,152	$0	$113,959	$0	$14,413	$0	$13,293	$0	$413,931	$0	$66,173
MICHAEL MCGRAIL MD
SVP SYSTEM CMO	$0	$400,085	$0	$73,833	$0	$11,606	$0	$14,262	$0	$66,485	$0	$566,271	$0	$0
ERIC ANDERSON
SVP SERVICE LINE & PATIENT	$0	$274,871	$0	$45,840	$0	$13,291	$0	$15,344	$0	$64,786	$0	$414,132	$0	$11,262
RENEE SMITH
EXECUTIVE DIRECTOR ANI	$0	$348,984	$0	$64,382	$0	$42,194	$0	$16,506	$0	$29,102	$0	$501,168	$0	$33,431
BESSANT PARKER
ALH CMO (TERM 9/2/18)	$246,038	$0	$37,450	$0	$317	$0	$6,567	$0	$13,950	$0	$304,322	$0	$0	$0
DOUGLAS ARMATO MD
PHYSICIAN RADIOLOGIST	$492,753	$0	$84	$0	$7,322	$0	$8,250	$0	$26,902	$0	$535,311	$0	$0	$0
KENNETH BOWMAN MD
PHYSICIAN RADIOLOGIST	$537,863	$0	$84	$0	$8,564	$0	$8,250	$0	$24,192	$0	$578,953	$0	$0	$0
STACY KOLZ
DIRECTOR - PHARMACY	$154,742	$0	$78	$0	$325	$0	$4,805	$0	$28,638	$0	$188,588	$0	$0	$0
LYNNE DAFOE
DIRECTOR - CLINICS	$127,653	$0	$80	$0	$555	$0	$4,025	$0	$30,377	$0	$162,690	$0	$0	$0
DEBORAH KITCH
PHARMACIST	$125,719	$0	$76	$0	$102	$0	$4,052	$0	$23,900	$0	$153,849	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

TRAVEL FOR COMPANIONS, WHEN APPLICABLE, WAS ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. M. HEYWOOD - $177 S. SCZYGELSKI - $273 E. ANDERSON - $237 R. NEVERS - $273 R. RISLEY-GRAY - $199 J. HEISLER - $177 R. SMITH - $135 A. BARTH - $267 S. BUNTEN - $199

PART I, LINE 4B

SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $ 49,137 R. NEVERS $ 38,383 T. RICHARDSON $ 38,563 R. RISLEY-GRAY $ 45,015 C. LOGEMANN $ 19,856 R. SMITH $ 33,431 E. ANDERSON $ 11,262 J. HEISLER $ 40,214 D.DANNER $66,173 KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 9% FOR VICE PRESIDENT, 13% FOR SENIOR LEADERSHIP COUNCIL, AND 15% FOR THE CEO. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE; OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH.

Schedule 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
Bond Issued	2013-04-12	BondIssuedDt
Issue Price	$27,000,592	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	$2,680,000	RetiredAmt
Total Proceeds	$27,000,592	TotalProceedsAmt
Substantial Completion	2013	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	0	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Concerning UBI	0.00200	PrivateBusConcerningUBIPct
Total Private Business Use	0.00200	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	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART VI	THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 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 - LINE 3 AND 3B	ASPIRUS, INC., A MEMBER OF ASPIRUS LANGLADE HOSPITAL, HAS A POLICY 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.
PART III - LINE 9	SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAUREEN WINTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF MIKE WINTER, BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$34,322	TransactionAmt
Transaction	EMPLOYMENT COMPENSATION	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE HOSPITAL HAS TWO MEMBERS, THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH HEALTH CORPORATION (55%) AND ASPIRUS, INC. (45%).
FORM 990, PART VI, SECTION A, LINE 7A	SEE EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7B.
FORM 990, PART VI, SECTION A, LINE 7B	THE HOSPITAL OPERATES UNDER THE CONTROL AND DIRECTION OF THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH HEALTH CORPORATION (RHSJ), A RELIGIOUS CONGREGATION OF THE ROMAN CATHOLIC CHURCH AND ASPIRUS, INC. EACH OF WHICH APPOINT 3 BOARD MEMBERS AND JOINTLY APPROVE THE REMAINING MEMBERS.
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 HOSPITAL'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE NOTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15	FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS LANGLADE HOSPITAL RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	LAB PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 933,768. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 933,768. PROVIDER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 5,211,293. MANAGEMENT AND GENERAL EXPENSES 31,725. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,243,018. LAUNDRY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 61,117. MANAGEMENT AND GENERAL EXPENSES 256,900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 318,017. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 1,229,928. MANAGEMENT AND GENERAL EXPENSES 129,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,358,959. CORPORATE ALLOCATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,754,450. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,754,450. PHARMACY DISPENSING FEES: PROGRAM SERVICE EXPENSES 1,678,106. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,678,106. RECRUITMENT: PROGRAM SERVICE EXPENSES 74,478. MANAGEMENT AND GENERAL EXPENSES 28,393. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,871. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,546,211. MANAGEMENT AND GENERAL EXPENSES 231,265. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,777,476.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -22,330.
FORM 990, PART XII, LINE 2C, AUDIT PROCESS:	THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
RELIGIOUS HOSPITALLERS OF ST JOSEPH HEALTH CORP
411 E WIS AVE STE 700	MILWAUKEE	WI	53202	271341591	HEALTH CARE	WI	501(C)(3)	LINE 1	N/A	0
ASPIRUS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391328331	HEALTH CARE	WI	501(C)(3)	LINE 12B, II	N/A	0

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	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	0	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 (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
ASPIRUS INC
L	$12,754,450
ASPIRUS INC
O	$18,829,131
ASPIRUS INC
Q	$151,853
ASPIRUS INC
P	$705,386
ASPIRUS HEALTH FOUNDATION
B	$150,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 1D	FormAndLineReferenceDesc
Explanation	ALL OUTSTANDING GROUP DEBT IS GUARANTEED BY ALL MEMBERS OF THE OBLIGATED GROUP	ExplanationTxt