ASPIRUS MEDICAL GROUP INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS MEDICAL GROUP INC (EIN 39-1670223)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-11-13
- IRS object ID
- 201323179349301997
- Schema version
- 2012v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-13T11:22:39-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8010 | AddressLine1 |
| City | WAUSAU | City |
| State | WI | State |
| ZIP Code | 544028010 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391670223 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS CLINICS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ASPI | NameControl |
| Phone | 7158472250 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 PINE RIDGE BLVD | AddressLine1 |
| City | WAUSAU | City |
| State | WI | State |
| ZIP Code | 54401 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SIDNEY C SCZYGELSKI | Name |
| Title | CFO/SENIOR VP OF FINANCE | Title |
| Phone | 7158472250 | Phone |
| Date Signed | 2013-11-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KATHLEEN J LABRAKE CPA | Name |
| PTIN | P00164006 | PTIN |
| Phone | 7158453111 | Phone |
| Date Prepared | 2013-11-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MATTHEW HEYWOOD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 PINE RIDGE BLVD | AddressLine1 |
| City | WAUSAU | City |
| State | WI | State |
| ZIP Code | 54401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 120232122 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ASPIRUS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1990 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTH CARE AND EDUCATION SERVICES TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1008 | TotalNbrEmployees |
| Total Nbr Volunteers | 4 | TotalNbrVolunteers |
| Total Gross UBI | 58869 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -12538 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 12182341 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 15014245 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 102056655 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 103911713 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 99784 | InvestmentIncomePriorYear |
| Investment Income Current Year | 94932 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1255087 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1211232 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 115593867 | TotalRevenuePriorYear |
| Total Revenue Current Year | 120232122 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 462959 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 341623 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 76825290 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 75213959 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 40462514 | OtherExpensePriorYear |
| Other Expenses Current Year | 43481066 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 117750763 | TotalExpensesPriorYear |
| Total Expenses Current Year | 119036648 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2156896 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1195474 | RevenuesLessExpensesCY |
| Total Assets BOY | 55638762 | TotalAssetsBOY |
| Total Assets EOY | 57532139 | TotalAssetsEOY |
| Total Liabilities BOY | 38260496 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 38873320 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 17378266 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18658819 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES DEDICATED TO IMPROVING THE HEALTH OF ALL WE SERVE. WE WORK COLLABORATIVELY WITH OTHERS WHO SHARE OUR PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 107948755 | Expense |
| Grants | 341623 | Grants |
| Revenue | 103852844 | Revenue |
| Description | TO PROVIDE HEALTH CARE AND EDUCATION SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE COMPANY PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS COMMUNITY CARE POLICY WITHOUT CHARGE FROM 7/1/12 TO 6/30/13. THE ESTIMATED COST OF PROVIDING CARE TO PATIENTS UNDER ACI'S COMMUNITY CARE POLICY AGGREGATED APPROXIMATELY $1,774,000 IN 2013. THE COST WAS CALCULATED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR ACI TIMES THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING THE COMMUNITY CARE. THE CLINIC EMPLOYED 93.1 FTE PHYSICIANS WHO HAD 319,228 VISITS FROM PATIENTS.THE CLINIC ALSO PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS WHICH OFTEN REIMBURSE THE CLINIC BASED ON PREDETERMINED FEE SCHEDULES WHICH ARE OFTEN BELOW THE COST OF PROVIDING CARE TO THESE INDIVIDUALS. THESE PROGRAMS REPRESENT A LARGE PORTION OF THE ELDERLY, LOW INCOME, AND DISABLED MEMBERS OF THE COMMUNITY WHO NEED ACCESS TO HIGH QUALITY CARE. DURING 2013 MEDICARE AND MEDICAID PROGRAMS MADE UP APPROXIMATELY 50% OF GROSS PATIENT REVENUE. | Description |
| Total Program Service Expense | 107948755 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 149 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1008 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIDNEY C SCZYGELSKI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7158472250 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 PINE RIDGE BLVD | AddressLine1 |
| City | WAUSAU | City |
| State | WI | State |
| ZIP Code | 54401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| SUSAN M SCHNEIDER | |||||||||
| PHYSICIAN/BOARD CHAIR | 36.00 | X | X | 289268 | 0 | 43128 | |||
| CHRISTIAN LEE | |||||||||
| PHYSICIAN/BOARD MEMBER | 40.00 | X | 209684 | 0 | 45164 | ||||
| STEPHEN L SAEGER | |||||||||
| PHYSICIAN/BOARD MEMBER | 40.00 | X | 158876 | 0 | 33057 | ||||
| BRIAN D SMITH | |||||||||
| PHYSICIAN/VICE CHAIR | 40.00 | X | X | 329723 | 0 | 48416 | |||
| JOHN HUGUS | |||||||||
| PHYSICIAN/BOARD MEMBER | 40.00 | X | 1121146 | 0 | 47192 | ||||
| LAWRENCE LEIBERT | |||||||||
| PHYSICIAN/BOARD MEMBER | 40.00 | X | 398298 | 0 | 44927 | ||||
| MARK A VOSS | |||||||||
| BOARD MEMBER (THRU 09/2012) | 1.00 | X | 0 | 0 | 0 | ||||
| TODD RICHARDSON | |||||||||
| VP OF IT/CIO AI | 1.00 | X | 0 | 234425 | 6765 | 39.00 | |||
| SARAH HACKWORTH | |||||||||
| PHYSICIAN/BOARD MEMBER | 40.00 | X | 185376 | 0 | 32660 | ||||
| MARITA HATTEM | |||||||||
| INTERIM PRESIDENT AWH/SEC/TREAS | 1.00 | X | X | 0 | 247460 | 41037 | 39.00 | ||
| KRISTEN RAHN | |||||||||
| PHYSICIAN/VICE CHAIR (THRU 09/2012) | 1.00 | X | X | 267319 | 0 | 50228 | |||
| LISA WESTPHAL | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| DUANE L ERWIN | |||||||||
| CEO AI/BOARD MEMBER (THRU 12/2012) | 1.00 | X | X | 0 | 807484 | 134626 | 51.00 | ||
| DIANE POSTLER-SLATTERY | |||||||||
| COO AWH/SEC./TREAS. (THRU 11/2012) | 1.00 | X | X | 0 | 458465 | 81546 | 44.00 | ||
| SIDNEY C SCZYGELSKI | |||||||||
| CFO AI | 1.00 | X | 0 | 390057 | 79956 | 51.00 | |||
| F DEAN DANNER | |||||||||
| COO ACI | 40.00 | 307442 | 0 | 42541 | X | ||||
| CLYDE CHUMBLEY | |||||||||
| PRESIDENT ACI | 20.00 | 0 | 580564 | 81920 | 20.00 | X | |||
| ORESTES ALVEREZ-JACINTO | |||||||||
| PHYSICIAN | 40.00 | 1073260 | 0 | 40754 | X | ||||
| ANDREW BEAUMONT | |||||||||
| PHYSICIAN | 40.00 | 1461652 | 0 | 44697 | X | ||||
| HARISH AHUJA | |||||||||
| PHYSICIAN | 40.00 | 1156277 | 0 | 45871 | X | ||||
| HAMIED REZAZADEH | |||||||||
| PHYSICIAN | 40.00 | 1034477 | 0 | 45371 | X | ||||
| TODD FAIRCHILD | |||||||||
| PHYSICIAN | 40.00 | 950827 | 0 | 48982 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8943625 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2718455 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1038838 | TotalOtherCompensation |
| Number Individuals GT100 K | 192 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ASPIRUS INC | |||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | BILLING SERVICES, MANAGEMENT FEES | 8298894 |
| ASPIRUS WAUSAU HOSPITAL INC | |||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | MANAGEMENT FEES, PAYROLL, VARIOUS PURCHA | 5478646 |
| WAUSAU HEART & LUNG SURGEONS | |||||
| 425 PINE RIDGE BLVD STE 209 | WAUSAU | WI | 54401 | PHYSICIAN SERVICES | 3553731 |
| RIVERVIEW HOSPITAL ASSOCIATION | |||||
| 410 DEWEY ST | WISCONSIN RAPIDS | WI | 54495 | PHYSICIAN SERVICES | 898114 |
| NEW MOMS OF GREEN BAY SC | |||||
| 704 S WEBSTER AVE STE 110 | GREEN BAY | WI | 54301 | PHYSICIAN SERVICES | 774418 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Related Organizations | 15014245 | RelatedOrganizations |
| Total Contributions | 15014245 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 94205967 | 94147098 | 58869 |
| NET PHARMACY REVENUE | 621990 | 4965759 | 4965759 | |
| OTHER PATIENT SERVICE REVENUE | 621110 | 3101110 | 3101110 | |
| MEDICAL DIRECTOR FEES | 621990 | 1078579 | 1078579 | |
| MANAGEMENT FEE REVENUE | 561000 | 205140 | 205140 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 355158 | TotalRevenueColumn |
| Related Or Exempt Function Income | 355158 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 103911713 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 94932 | TotalRevenueColumn |
| Exclusion | $94,932 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | 1211232 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | 1211232 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1211232 | TotalRevenueColumn |
| Exclusion | $1,211,232 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 120232122 | TotalRevenueColumn |
| Related Or Exempt Function Income | 103852844 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 58869 | UnrelatedBusinessRevenue |
| Exclusion | $1,306,164 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 341623 | Total |
| Program Services | 341623 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3654445 | Total |
| Program Services | 3304462 | ProgramServices |
| Management And General | 349983 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57670773 | Total |
| Program Services | 55294344 | ProgramServices |
| Management And General | 2376429 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3833517 | Total |
| Program Services | 3630519 | ProgramServices |
| Management And General | 202998 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7035746 | Total |
| Program Services | 6633533 | ProgramServices |
| Management And General | 402213 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3019478 | Total |
| Program Services | 2848183 | ProgramServices |
| Management And General | 171295 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5336827 | Total |
| Program Services | -220204 | ProgramServices |
| Management And General | 5557031 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9210 | Total |
| Management And General | 9210 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17644 | Total |
| Management And General | 17644 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10019835 | Total |
| Program Services | 9839232 | ProgramServices |
| Management And General | 180603 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 499476 | Total |
| Program Services | 483281 | ProgramServices |
| Management And General | 16195 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2308261 | Total |
| Program Services | 1406430 | ProgramServices |
| Management And General | 901831 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59493 | Total |
| Program Services | 59196 | ProgramServices |
| Management And General | 297 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8649443 | Total |
| Program Services | 8538565 | ProgramServices |
| Management And General | 110878 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 559464 | Total |
| Program Services | 421834 | ProgramServices |
| Management And General | 137630 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1771 | Total |
| Management And General | 1771 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2579693 | Total |
| Program Services | 2576199 | ProgramServices |
| Management And General | 3494 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 935645 | Total |
| Program Services | 842455 | ProgramServices |
| Management And General | 93190 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES/PHARMA | 9626048 | 9626048 | |
| BAD DEBT EXPENSE | 1492938 | 1492938 | |
| DUES,LICENSE,FEES | 761808 | 731988 | 29820 |
| COLLECTIONS EXPENSES | 375273 | 375273 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248237 | Total |
| Program Services | 98129 | ProgramServices |
| Management And General | 150108 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119036648 | Total |
| Program Services | 107948755 | ProgramServices |
| Management And General | 11087893 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6623515 | BOY |
| EOY | 7277253 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11834188 | BOY |
| EOY | 11725600 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1914216 | BOY |
| EOY | 876968 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1320775 | BOY |
| EOY | 1294504 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 525307 | BOY |
| EOY | 539689 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 27772908 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 14235028 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15491047 | BOY |
| EOY | 13537880 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 996374 | BOY |
| EOY | 1008351 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3806820 | BOY |
| EOY | 3798883 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13126520 | BOY |
| EOY | 17473011 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55638762 | BOY |
| EOY | 57532139 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13079793 | BOY |
| EOY | 12911869 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7350000 | BOY |
| EOY | 7200000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24895 | BOY |
| EOY | 5254 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17805808 | BOY |
| EOY | 18756197 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38260496 | BOY |
| EOY | 38873320 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17378266 | BOY |
| EOY | 18658819 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17378266 | BOY |
| EOY | 18658819 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55638762 | BOY |
| EOY | 57532139 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1195474 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -50773 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 135852 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6016766 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2000281 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12600000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12182341 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15014245 | CurrentTaxYear |
| Total | 47813633 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 70461288 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 53534680 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 63629920 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 102056655 | CurrentTaxYearMinus1Year |
| Current Tax Year | 103852844 | CurrentTaxYear |
| Total | 393535387 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 76478054 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 55534961 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 76229920 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 114238996 | CurrentTaxYearMinus1Year |
| Current Tax Year | 118867089 | CurrentTaxYear |
| Total | 441349020 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6000010 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2000000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12600000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12182341 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15014245 | CurrentTaxYear |
| Total | 47796596 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6000010 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2000000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12600000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12182341 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15014245 | CurrentTaxYear |
| Total | 47796596 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 393552424 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 930047 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1176416 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1213732 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1354871 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1306164 | CurrentTaxYear |
| Total | 5981230 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 930047 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1176416 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1213732 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1354871 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1306164 | CurrentTaxYear |
| Total | 5981230 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 77408101 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 56711377 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 77443652 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 115593867 | CurrentTaxYearMinus1Year |
| Current Tax Year | 120173253 | CurrentTaxYear |
| Total | 447330250 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.87980 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.88430 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01340 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01380 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1681028 | OtherCostOrOtherBasis |
| Book Value | 1681028 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10015868 | OtherCostOrOtherBasis |
| Depreciation | 4728931 | Depreciation |
| Book Value | 5286937 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 943811 | OtherCostOrOtherBasis |
| Depreciation | 826001 | Depreciation |
| Book Value | 117810 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15127251 | OtherCostOrOtherBasis |
| Depreciation | 8680096 | Depreciation |
| Book Value | 6447155 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4950 | OtherCostOrOtherBasis |
| Book Value | 4950 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13537880 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED COMPENSATION | 15112670 |
| DUE FROM AFFLIATES | 2360341 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 17473011 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION | $15,112,669 |
| DUE TO AFFILIATES | $2,323,180 |
| LONG TERM INSURANCE LIABILITY | $884,740 |
| RETIREE HEALTHCARE BENEFITS | $435,608 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 18756197 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 105169977 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -50773 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -50773 | RevenueNotRptdF990 |
| Revenue Subtotal | 105220750 | RevenueSubtotal |
| Other Revenues Not Included | 15011372 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 15011372 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 120232122 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 118711648 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 118711648 | ExpensesSubtotal |
| Other Expenses Not Included | 325000 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 325000 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 119036648 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASPIRUS CLINICS, INC. (ACI) ASSESSES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. ACI'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE WHEN INCURRED. AS OF AND FOR THE YEARS ENDED JUNE 30, 2013 AND 2012, THERE WAS NO INCOME TAX EXPENSE, TAX PENALTIES, OR INTEREST RELATED TO TAX PENALTIES RECORDED BY ACI IN THE FINANCIAL STATEMENTS. ACI RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2013 OR 2012. FEDERAL RETURNS FOR THE YEARS ENDED JUNE 30, 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EQUITY TRANSFER FROM ASPIRUS, INC. 15,000,000. EQUITY TRANSFER FROM ASPIRUS DOCTORS CLINIC, INC. 11,372. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | DEBT FORGIVENESS TO LANGLADE HOSPITAL 325,000. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANGLADE HOSPITAL | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 EAST FIFTH AVENUE | AddressLine1 |
| City | ANTIGO | City |
| State | WI | State |
| ZIP Code | 54409 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 390806429 | EINOfRecipient |
| IRC Section | N/A | IRCSection |
| Amount Of Cash Grant | 0 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 325000 | AmountOfNonCashAssistance |
| Method Of Valuation | BOOK | MethodOfValuation |
| Description Of Non Cash Assistance | FORGIVENESS OF DEBT | DescriptionOfNonCashAssistance |
| Purpose Of Grant | FORGIVENESS OF DEBT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | SCHEDULE I, PART I, LINE 2: THE ORGANIZATION PROVIDES BOARD APPROVED CAPITAL CONTRIBUTIONS TO RELATED ENTITIES, NO FORMAL MONITORING IS REQUIRED. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN M SCHNEIDER | ||||||||||||||
| PHYSICIAN/BOARD CHAIR | 271754 | 0 | 250 | 0 | 17264 | 0 | 17512 | 0 | 25616 | 0 | 332396 | 0 | 0 | 0 |
| CHRISTIAN LEE | ||||||||||||||
| PHYSICIAN/BOARD MEMBER | 195018 | 0 | 0 | 0 | 14666 | 0 | 15098 | 0 | 30066 | 0 | 254848 | 0 | 0 | 0 |
| STEPHEN L SAEGER | ||||||||||||||
| PHYSICIAN/BOARD MEMBER | 149578 | 0 | 0 | 0 | 9298 | 0 | 10870 | 0 | 22187 | 0 | 191933 | 0 | 0 | 0 |
| BRIAN D SMITH | ||||||||||||||
| PHYSICIAN/VICE CHAIR | 310273 | 0 | 0 | 0 | 19450 | 0 | 17632 | 0 | 30784 | 0 | 378139 | 0 | 0 | 0 |
| JOHN HUGUS | ||||||||||||||
| PHYSICIAN/BOARD MEMBER | 1005054 | 0 | 100000 | 0 | 16092 | 0 | 17632 | 0 | 29560 | 0 | 1168338 | 0 | 0 | 0 |
| LAWRENCE LEIBERT | ||||||||||||||
| PHYSICIAN/BOARD MEMBER | 389287 | 0 | 0 | 0 | 9011 | 0 | 17512 | 0 | 27415 | 0 | 443225 | 0 | 0 | 0 |
| TODD RICHARDSON | ||||||||||||||
| VP OF IT/CIO AI | 0 | 67707 | 0 | 160000 | 0 | 6718 | 0 | 923 | 0 | 5842 | 0 | 241190 | 0 | 0 |
| SARAH HACKWORTH | ||||||||||||||
| PHYSICIAN/BOARD MEMBER | 179535 | 0 | 0 | 0 | 5841 | 0 | 13669 | 0 | 18991 | 0 | 218036 | 0 | 0 | 0 |
| MARITA HATTEM | ||||||||||||||
| INTERIM PRESIDENT AWH/SEC/TREAS | 0 | 192870 | 0 | 28777 | 0 | 25813 | 0 | 6159 | 0 | 34878 | 0 | 288497 | 0 | 0 |
| KRISTEN RAHN | ||||||||||||||
| PHYSICIAN/VICE CHAIR (THRU 09/2012) | 250472 | 0 | 0 | 0 | 16847 | 0 | 17512 | 0 | 32716 | 0 | 317547 | 0 | 0 | 0 |
| DUANE L ERWIN | ||||||||||||||
| CEO AI/BOARD MEMBER (THRU 12/2012) | 0 | 575926 | 0 | 216804 | 0 | 14754 | 0 | 11512 | 0 | 123114 | 0 | 942110 | 0 | 0 |
| DIANE POSTLER-SLATTERY | ||||||||||||||
| COO AWH/SEC./TREAS. (THRU 11/2012) | 0 | 281162 | 0 | 132064 | 0 | 45239 | 0 | 13716 | 0 | 67830 | 0 | 540011 | 0 | 0 |
| SIDNEY C SCZYGELSKI | ||||||||||||||
| CFO AI | 0 | 302883 | 0 | 85154 | 0 | 2020 | 0 | 13716 | 0 | 66240 | 0 | 470013 | 0 | 0 |
| F DEAN DANNER | ||||||||||||||
| COO ACI | 212676 | 0 | 67919 | 0 | 26847 | 0 | 16036 | 0 | 26505 | 0 | 349983 | 0 | 0 | 0 |
| CLYDE CHUMBLEY | ||||||||||||||
| PRESIDENT ACI | 0 | 397915 | 0 | 68712 | 0 | 113937 | 0 | 3535 | 0 | 78385 | 0 | 662484 | 0 | 0 |
| ORESTES ALVEREZ-JACINTO | ||||||||||||||
| PHYSICIAN | 1037470 | 0 | 25000 | 0 | 10790 | 0 | 17632 | 0 | 23122 | 0 | 1114014 | 0 | 0 | 0 |
| ANDREW BEAUMONT | ||||||||||||||
| PHYSICIAN | 1353637 | 0 | 100000 | 0 | 8015 | 0 | 17632 | 0 | 27065 | 0 | 1506349 | 0 | 0 | 0 |
| HARISH AHUJA | ||||||||||||||
| PHYSICIAN | 1139901 | 0 | 0 | 0 | 16376 | 0 | 17632 | 0 | 28239 | 0 | 1202148 | 0 | 0 | 0 |
| HAMIED REZAZADEH | ||||||||||||||
| PHYSICIAN | 1016643 | 0 | 0 | 0 | 17834 | 0 | 17632 | 0 | 27739 | 0 | 1079848 | 0 | 0 | 0 |
| TODD FAIRCHILD | ||||||||||||||
| PHYSICIAN | 876334 | 0 | 0 | 0 | 74493 | 0 | 17632 | 0 | 31350 | 0 | 999809 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | TRAVEL, HEALTH INSURANCE, DUES AND HOUSING ALLOWANCE GROSS UPS, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. HEALTH INSURANCE GROSS-UP PAYMENTS - S. SCHNEIDER $9,199; K. RAHN $7,799; C. LEE $8,076; S. SAEGER $4,221; B. SMITH $9,476; J. HUGUS $7,733; L. LEIBERT $878; M. HATTEM $723; O. ALVAREZ-JACINTO $2,657; H. AHUJA $8,076; H. REZAZADEH $9,476; T. FAIRCHILD $601 - INCLUDED IN INCOME; HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - T. RICHARDSON $225; M. HATTEM $588; D. ERWIN $826; D. DANNER $1,078 - INCLUDED IN INCOME; HOUSING ALLOWANCE - T. RICHARDSON $6,400; C. CHUMBLEY $1,350 - INCLUDED IN INCOME; TRAVEL FOR COMPANIONS - B. SMITH $125; D. ERWIN $450; S. SCZYGELSKI $235; C. CHUMBLEY $325 - INCLUDED IN INCOME. | |
| PART I, LINE 4B | 457F PLAN DISTRIBUTION ADMINISTERED BY A RELATED ORGANIZATION - M. HATTEM $15,671; D. POSTLER-SLATTERY $43,117; D. DANNER $20,160 KEY EMPLOYEES OF THE COMPANY OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. 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. | |
| PART I, LINE 5 | THE ORGANIZATION'S PHYSICIANS RECEIVE BONUS PAYMENTS BASED ON THE NUMBER OF PROFESSIONAL WRVU'S PER PROVIDER MULTIPLIED BY A CONVERSION FACTOR THAT IS DETERMINED QUARTERLY. | |
| PART III | PART I, LINE 3: FOR THE PURPOSES OF DETERMING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE PARENT ORGANIZATION, ASPIRUS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE EXPLANATION FOR FORM 990, PART VI, LINE 7B. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BY LAWS, 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION, 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS, 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION, AND 5)APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG RANGE PLANS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S MANAGEMENT. THE FORM 990 IS PROVIDED TO BOARD MEMBERS FOR REVIEW AND APPROVAL PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION HAD AN INDEPENDENT AUDIT FOR EXECUTIVE COMPENSATION WHICH INCLUDED BASE SALARY, INCENTIVE PLANS, AND BENEFITS FOR ALL OFFICE AND EXECUTIVE POSITIONS. THE REVIEW WAS COMMISSIONED BY THE COMPENSATION COMMITTEE OF THE BOARD AND WAS CONDUCTED BY AN INDEPENDENT CONSULTING FIRM. THE MARKET ANALYSIS WAS COMPLETED IN MARCH/APRIL OF 2013 AND PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD IN AUGUST FOR FINAL COMPENSATION DETERMINATION. | |
| 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 | DUANE L. ERWIN AND SIDNEY C. SCZYGELSKI ARE EMPLOYED BY ASPIRUS, INC., A RELATED ORGANIZATION. ASPIRUS, INC.'S PURPOSE IS TO SERVE AS A SUPPORTING ORGANIZATION TO MULTIPLE SUBSIDIARY TAX EXEMPT ENTITIES. DUANE L. ERWIN AND SIDNEY C. SCZYGELSKI DEVOTE THEIR TIME PROVIDING MANAGEMENT SERVICES TO THE RELATED TAX EXEMPT ENTITIES. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. IN ADDITION, SOME OFFICERS, DIRECTORS, AND KEY EMPLOYEES ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS CLINICS, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. | EXPLANATION FOR HOURS WORKED: |
| FORM 990, PART XI, LINE 9: | ADDITIONAL POSTRETIREMENT BENEFIT OBLIGATION 135,852. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS CLINICS, ASSUMES THE RESPONSIBIILTY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS IN THE PAST YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391328331 | HEALTH CARE SYSTEM MANAGEMENT | WI | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| ASPIRUS WAUSAU HOSPITAL INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391138241 | HOSPITAL | WI | 501(C)(3) | LINE 3 | 0 | ASPIRUS INC | |
| ASPIRUS BUILDINGS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391406537 | PROPERTY LEASING | WI | 501(C)(3) | LINE 9 | 0 | ASPIRUS INC | |
| ASPIRUS SPECIALISTS INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391945080 | MEDICAL SPECIALIST SERVICES | WI | 501(C)(3) | LINE 9 | 0 | ASPIRUS INC | |
| ASPIRUS EXTENDED SERVICES | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 390782130 | NURSING HOME SERVICES | WI | 501(C)(3) | LINE 9 | 0 | ASPIRUS INC | |
| ASPIRUS ONTONAGON HOSPITAL INC | |||||||||||
| 601 SEVENTH STREET | ONTONAGON | MI | 49953 | 260806477 | HOSPITAL | WI | 501(C)(3) | LINE 3 | 0 | ASPIRUS INC | |
| ASPIRUS VNA HOME HEALTH INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 390808511 | HOME HEALTHCARE SERVICES | WI | 501(C)(3) | LINE 9 | 0 | ASPIRUS INC | |
| ASPIRUS VNA EXTENDED CARE INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 391597350 | PERSONAL CARE SERVICES | WI | 501(C)(3) | LINE 9 | 0 | ASPIRUS VNA HOME HEALTH INC | |
| ASPIRUS DOCTOR'S CLINIC INC | |||||||||||
| 2031 PEACH STREET | WISCONSIN RAPIDS | WI | 54494 | 391972671 | MEDICAL SERVICES | WI | 501(C)(3) | LINE 9 | 0 | ASPIRUS INC | |
| ASPIRUS HEALTH FOUNDATION INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391256656 | CHARITABLE FOUNDATION | WI | 501(C)(3) | LINE 7 | 0 | ASPIRUS INC | |
| ASPIRUS GRAND VIEW | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 382908586 | HOSPITAL | MI | 501(C)(3) | LINE 3 | 0 | ASPIRUS INC | |
| GRAND VIEW HOSPITAL AUXILIARY | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 237178363 | LIFELINE EMERGENCY SYSTEM | MI | 501(C)(3) | LINE 9 | 0 | ASPIRUS GRAND VIEW | |
| ASPIRUS GRAND VIEW SERVICE CORP | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 383005582 | PHYSICIAN SERVICES | MI | 501(C)(3) | LINE 3 | 0 | ASPIRUS GRAND VIEW | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS NETWORK INC | |||||||||
| 3000 WESTHILL DRIVE 202 | WAUSAU | WI | 54401 | 391931679 | HEALTH CARE NETWORK | WI | N/A | C | 0 |
| ASPIRUS GRAND VIEW CARING CAREGIVERS INC | |||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 382902754 | PERSONAL NEEDS SERVICES | MI | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |