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ASPIRUS DOCTORS CLINIC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS DOCTORS CLINIC INC (EIN 39-1972671)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-14
IRS object ID
201203199349306285
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T16:38:09-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8010AddressLine1
CityWAUSAUCity
StateWIState
ZIP Code544028010ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391972671EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS DOCTORS CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlASPINameControl
Phone7158472250Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12031 PEACH STREETAddressLine1
CityWISCONSIN RAPIDSCity
StateWIState
ZIP Code54494ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSIDNEY C SCZYGELSKIName
TitleCFO/SENIOR VP OF FINANCETitle
Phone7158472250Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKATHLEEN J LABRAKE CPAName
PTINP00164006PTIN
Phone7158453111Phone
Date Prepared2012-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDUANE L ERWINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1333 PINE RIDGE BLVDAddressLine1
CityWAUSAUCity
StateWIState
ZIP Code54401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3811697GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ASPIRUS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH CARE AND EDUCATION SERVICES TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees127TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1500000ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14299351ProgramServiceRevenuePriorYear
Program Service Revenue CY3811510ProgramServiceRevenueCY
Investment Income Prior Year-24136InvestmentIncomePriorYear
Investment Income Current Year187InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15775215TotalRevenuePriorYear
Total Revenue Current Year3811697TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year18431GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY825000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10905909SalariesEtcPriorYear
Salaries Etc Current Year3697204SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5002562OtherExpensePriorYear
Other Expenses Current Year379098OtherExpensesCurrentYear
Total Expenses Prior Year15926902TotalExpensesPriorYear
Total Expenses Current Year4901302TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-151687RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1089605RevenuesLessExpensesCY
Total Assets BOY2234382TotalAssetsBOY
Total Assets EOY88284TotalAssetsEOY
Total Liabilities BOY1061786TotalLiabilitiesBOY
Total Liabilities EOY5293TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1172596NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY82991NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionASPRIUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM, WHICH LEADS BY ADVANCING INTIATIVES 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 Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense4848173Expense
Grants825000Grants
Revenue3811510Revenue
DescriptionTO PROVIDE HEALTH CARE AND EDUCATION SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE COMPANY PROVIDES HEALTHCARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS COMMUNITY CARE POLICY. SEE SCHEDULE N TO THE FORM 990 FOR ADDITIONAL INFORMATION ON THE OPERATIONS OF ASPIRUS DOCTORS CLINIC, INC. IN FISCAL YEAR 2012.Description
Total Program Service Expense4848173TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation1PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees127NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSIDNEY C SCZYGELSKINamePerson
Telephone Number7158472250TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1333 PINE RIDGE BLVDAddressLine1
CityWAUSAUCity
StateWIState
ZIP Code54401ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
THOMAS A VOELKER
PHYSICIAN/BOARD CHAIR40.00XX270100043594
LAWRENCE LEIBERT
PHYSICIAN/BOARD VICE CHAIR40.00XX346964042855
F DEAN DANNER
COO ACI/BOARD TREASURER1.00XX028911840202
BRAD BOETTCHER
PHYSICIAN/BOARD MEMBER40.00X253437039034
SCOTT DICKMAN
PHYSICIAN/BOARD MEMBER40.00X361741042522
TIMOTHY WOGAHN
PHYSICIAN/BOARD MEMBER40.00X297542045468
LISA HAMILTON
DIR OF FISCAL SERVICES/BOARD MEMBER1.00XX011829327828
DUANE L ERWIN
CEO AI1.00X0750625126367
SIDNEY C SCZYGELSKI
CFO AI/ ASST SECR-TREAS1.00X037772476760
DONG JOON CHUNG
PHYSICIAN40.00347010046026X
FLOYD DAUENHAUER
PHYSICIAN40.00343701038591X
SEAN CASHIN
PHYSICIAN40.00310777041507X
JEFFREY KOSZCZUK
PHYSICIAN40.00305170045590X
BRENT FLETCHER
PHYSICIAN40.00294779046694X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3131221TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1535760TotalReportableCompFrmRltdOrgs
Total Other Compensation703038TotalOtherCompensation
Number Individuals GT100 K28NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RIVERVIEW HOSPITAL ASSOCIATIONBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1410 DEWEY ST PO BOX 8080AddressLine1
CityWISCONSIN RAPIDSCity
StateWIState
ZIP Code54495ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLAB AND HOUSEKEEPING SERVICESDescriptionOfServices
Compensation300000Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER OPERATING REV62111037025133702513
NET PATIENT REVENUE621110108997108997
FieldValueIRS element (for citing)
Total Program Service Revenue3811510TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column187TotalRevenueColumn
Exclusion$187ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3811697TotalRevenueColumn
Related Or Exempt Function Income3811510RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$187ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total825000Total
Program Services825000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total871629Total
Program Services871629ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2270233Total
Program Services2270233ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total555342Total
Program Services555342ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total23758Total
Management And General23758ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1500Total
Management And General1500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total308693Total
Program Services308693ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6375Total
Program Services6375ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total118Total
Program Services118ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total273Total
Program Services273ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
COLLECTION EXPENSES2787127871
OTHER85428542
EQUIPMENT RENTAL/MAINTE14121412
DUES AND SUBSCRIPTIONS556556

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4901302Total
Program Services4848173ProgramServices
Management And General53129ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY223412BOY
EOY87810EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1057734BOY
EOY474EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7793BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY945443BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2234382BOY
EOY88284EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY203896BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY857890BOY
EOY5293EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1061786BOY
EOY5293EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1172596BOY
EOY82991EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1172596BOY
EOY82991EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2234382BOY
EOY88284EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1089605ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1200000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1500000CurrentTaxYearMinus1Year
Total2700000Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13268203CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12957950CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14107502CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14299351CurrentTaxYearMinus1Year
Current Tax Year3881510CurrentTaxYear
Total58514516Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13268203CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12957950CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15307502CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15799351CurrentTaxYearMinus1Year
Current Tax Year3881510CurrentTaxYear
Total61214516Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1200000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1500000CurrentTaxYearMinus1Year
Current Tax Year3701816CurrentTaxYear
Total6401816Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1200000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1500000CurrentTaxYearMinus1Year
Current Tax Year3701816CurrentTaxYear
Total6401816Total
FieldValueIRS element (for citing)
Public Support Total50954812700PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43129CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11497CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year101CurrentTaxYearMinus1Year
Current Tax Year187CurrentTaxYear
Total56656Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43129CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11497CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year101CurrentTaxYearMinus1Year
Current Tax Year187CurrentTaxYear
Total56656Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13311332CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12969447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15309244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15799452CurrentTaxYearMinus1Year
Current Tax Year3881697CurrentTaxYear
Total61271172Total
FieldValueIRS element (for citing)
Public Support Percentage5090.89460PublicSupportPercentage509
Prior Year Support Percentage0.96390PriorYearSupportPercentage
Investment Income Percentage0.00090InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00160PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$5,293Amount
FieldValueIRS element (for citing)
Total Of Amounts5293TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationIN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (OR CURRENT ACCOUNTING GUIDANCE OR GAAP) REQUIRES ASPIRUS DOCTORS CLINIC, INC. TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TEHNICAL 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. ASPIRUS DOCTORS CLINIC, INC. POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE WHEN INCURRED. AS OF AND FOR THE YEAR ENDED JUNE 30, 2012, THERE WAS NO INCOME TAX EXPENSE, TAX PENALTIES, OR INTEREST RELATED TO TAX PENALTIES RECORDED BY ASPIRUS DOCTORS CLINIC IN THE FINANCIAL STATEMENTS. ASPIRUS DOCTORS CLINIC, INC. RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS UNRECONGIZED TAX BENEFITS IN 2012. FEDERAL RETURNS FOR THE YEARS ENDED JUNE 30, 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1333 PINE RIDGE BLVDAddressLine1
CityWAUSAUCity
StateWIState
ZIP Code54401ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient391328331EINOfRecipient
IRC Section501(C)3IRCSection
Amount Of Cash Grant825000AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantEQUITY TRANSFERPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION PROVIDES BOARD APPROVED CONTRIBUTIONS TO RELATED ENTITIES; NO FORMAL MONITORING IS REQUIRED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs1CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS A VOELKER
26179500083050170560265380313694000
LAWRENCE LEIBERT
33889000080740170560257990389819000
F DEAN DANNER
0206433057789024896015557024645032932000
BRAD BOETTCHER
24535800080790170560219780292471000
SCOTT DICKMAN
35391400078270170560254660404263000
TIMOTHY WOGAHN
28969700078450170560284120343010000
DUANE L ERWIN
054470001912210147040101930116174087699200
SIDNEY C SCZYGELSKI
029291707974205065013428063332045448400
DONG JOON CHUNG
324164015000078460170560289700393036000
FLOYD DAUENHAUER
33526100084400170560215350382292000
SEAN CASHIN
276384000343930170560244510352284000
JEFFREY KOSZCZUK
29673000084400170560285340350760000
BRENT FLETCHER
28633900084400170560296380341473000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATRAVEL AND HEALTH INSURANCE GROSS UPS, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. HEALTH INSURANCE GROSS-UP PAYMENTS - S. CASHIN $3,165 - INCLUDED IN INCOME; HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - F. DANNER $1,078 - INCLUDED IN INCOME. PART I, LINE 4B: 457F PLAN DISTRIBUTION ADMINISTERED BY A RELATED ORGANIZATION - F. DANNER $18,844
PART I, LINE 5THE ORGANIZATION'S PHYSICIANS RECEIVE A PORTION OF THEIR COMPENSATION BASED ON WORK RVU'S EARNED AT ASPIRUS CLINICS, INC. MULTIPLIED BY A PHYSICIAN COMPENSATION CONVERSION FACTOR WHICH IS CALCULATED QUARTERLY.
PART IIIPART I, LINE 3: FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS DOCTORS CLINIC, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.SUPPLEMENTAL INFORMATION

Schedule N IRS990ScheduleN

Disposition Table DispositionTable (3 entries)

Description Of AssetDescriptionOfAssetDate Of DistributionDateOfDistributionFMV Of AssetFMVOfAssetMethod Of FMV DeterminationMethodOfFMVDeterminationEINEINAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSection
ASPIRUS CLINICS INC
ALL ASSETS AND LIABILITES RELATED TO ADC EMPLOYEES AND CLINIC OPERATIONS2011-07-01130233NET BOOK VALUE391670223425 PINE RIDGE BLVDWAUSAUWI54401501(C)(3)
ASPIRUS INC
EQUITY TRANSFER OF CASH BALANCE2012-02-01700000BOOK VALUE391328331333 PINE RIDGE BLVDWAUSAUWI54401501(C)(3)
ASPIRUS INC
EQUITY TRANSFER OF CASH BALANCE2012-04-02125000BOOK VALUE391328331333 PINE RIDGE BLVDWAUSAUWI54401501(C)(3)
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2
Employee Of Successor21EmployeeOfSuccessor2
Owner Of Successor20OwnerOfSuccessor2
Receive Compensation20ReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII

FieldValueIRS element (for citing)
ExplanationPART II, LINE 2E: LAWRENCE LEIBERT WAS A DIRECTOR, F. DEAN DANNER, AND SIDNEY C. SCZYGELSKI WERE OFFICERS OF ASPIRUS CLINICS, INC. PRIOR TO ASPIRUS DOCTORS CLINIC, INC.'S DECISION TO TRANSFER ASSETS TO THE RELATED PARTY.THE PHYSICIAN EMPLOYEES OF ASPIRUS DOCTORS CLINIC, INC. TRANSFERRED EMPLOYMENT TO ASPIRUS CLINICS, INC. DURING FISCAL YEAR 2012. ASPIRUS CLINICS, INC. IS A RELATED PARTY UNDER THE COMMON CONTROL OF ASPIRUS, INC.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3ASPIRUS DOCTORS CLINIC, INC. TRANSFERRED OPERATIONS OF THE CLINIC ON JUNE 6, 2011 TO ASPIRUS CLINICS, INC. (AN AFFILIATED ORGANIZATION). THE TRANSFER OF OPERATIONS OF THE NEW CLINIC WAS DONE IN CONJUNCTION WITH OPENING AND MOVING TO A NEW MODERN CLINIC FACILITY IN WISCONSIN RAPIDS, WI IN AN EFFORT TO PROVIDE MORE COORDINATED CARE AND SERVICES TO PATIENTS WITHIN THE ASPIRUS SYSTEM AND IN THE COMMUNITY. TNE NEW CLINIC ALSO PROVIDES SERVICES THAT WERE NOT OFFERED AT THE OLD CLINIC SUCH AS ADVANCED DIAGNOSTIC MRI SERVICES AND INHOUSE SURGICAL SERVICES.
FORM 990, PART VI, SECTION A, LINE 6THE PARENT ORGANIZATION, ASPIRUS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ASEE FORM 990, PART VI, LINE 7B FOR EXPLANATION
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 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; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, IN ADDITION TO APPROVAL OF STRATEGIC AND LONG RANGE PLANS.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CBOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION HAD AN INDEPENDENT AUDIT FOR EXECUTIVE COMPENSATION WHICH INCLUDED BASE SALARY, INCENTIVE PLANS, AND BENEFITS FOR ALL OFFICERS 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 JUNE AND JULY OF 2009 AND PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD IN AUGUST 2009 FOR FINAL COMPENSATION DETERMINATION. THE ORGANIZATION CONTINUES TO USE THESE RECOMMENDATIONS IN FISCAL YEAR 2012 AND EXECUTIVE COMPENSATION ADJUSTMENTS FOR NEW AND EXISTING EMPLOYEES MUST BE APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
EXPLANATION FOR HOURS WORKEDFORM 990, PART VII, LINE 1ADUANE L. ERWIN, SIDNEY C. SCZYGELSKI, AND LISA HAMILTON 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, SIDNEY C. SCZYGELSKI, AND LISA HAMILTON DEVOTE THEIR TIME PROVIDING MANAGEMENT SERVICES TO THE RELATED TAX EXEMPT ENTITIES. F. DEAN DANNER DEVOTES APPROXIMATELY 43 HOURS PER WEEK AS FOLLOWS: ASPIRUS CLINICS, INC. - 40 HOURS ASPIRUS GENERAL CLINIC LLC. - 1 HOUR ASPIRUS SPECIALISTS, INC. - 1 HOUR ASPIRUS DOCTORS CLINIC, INC. - 1 HOUR THOMAS VOELKER DEVOTES APPROXIMATELY 42 HOURS PER WEEK AS FOLLOWS: ASPIRUS CLINICS, INC. - 40 HOURS ASPIRUS DOCTORS CLINIC, INC. - 1 HOUR ASPIRUS, INC. - 1 HOUR ASPIRUS WAUSAU HOSPITAL - 1 HOUR LAWRENCE LEIBERT DEVOTES APPROXIMATELY 41 HOURS PER WEEK AS FOLLOWS: ASPIRUS CLINICS, INC. - 40 HOURS ASPIRUS DOCTORS CLINIC, INC. - 1 HOUR
990 PART XII LINE 2CTHE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC., THE PARENT ORGANIZATION, ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT OF THE FINANCIAL STATEMENTS AND SELECTIONS OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE TO THIS PROCESS IN THE PAST YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ASPIRUS INC
333 PINE RIDGE BLVDWAUSAUWI54401391328331HEALTH CARE SYSTEM MANAGEMENTWI501(C)(3)LINE 11B, IIN/A0
ASPIRUS WAUSAU HOSPITAL
333 PINE RIDGE BLVDWAUSAUWI54401391138241HOSPITALWI501(C)(3)LINE 30ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVDWAUSAUWI54401391406537PROPERTY LEASINGWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS SPECIALISTS INC
333 PINE RIDGE BLVDWAUSAUWI54401391945080MEDICAL SPECIALIST SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS EXTENDED SERVICES
425 PINE RIDGE BLVDWAUSAUWI54401390782130NURSING HOME SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS CLINICS INC
425 PINE RIDGE BLVDWAUSAUWI54401391670223MEDICAL SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREETONTONAGONMI49953260806477HOSPITALMI501(C)(3)LINE 30ASPIRUS INC
ASPIRUS VNA HOME HEALTH
520 N32ND AVENUEWAUSAUWI54401390808511HOME HEALTHCARE SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N32ND AVENUEWAUSAUWI54401391597350PERSONAL CARE SERVICESWI501(C)(3)LINE 90ASPIRUS VNA HOME HEALTH INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVDWAUSAUWI54401391256656CHARITABLE FOUNDATIONWI501(C)(3)LINE 70ASPIRUS INC
ASPIRUS GRAND VIEW
N 10561 GRAND VIEW LANEIRONWOODMI49932382908536HOSPITALMI501(C)(3)LINE 30ASPIRUS INC
GRAND VIEW HOSPITAL AUXILIARY
N 10561 GRAND VIEW LANEIRONWOODMI49932237178363LIFELINE EMERGENCY SYSTEMMI501(C)(3)LINE 90ASPIRUS GRAND VIEW
ASPIRUS GRAND VIEW SERVICE CORP
N 10561 GRAND VIEW LANEIRONWOODMI49932383005582PHYSICIAN SERVICESMI501(C)(3)LINE 30ASPIRUS GRAND VIEW

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
ASPIRUS NETWORK INC
3000 WESTHILL DR 202WAUSAUWI54401391931679HEALTH CARE NETWORKWIN/AC
ASPIRUS GRAND VIEW CARING CAREGIVERS
N 10561 GRAND VIEW LANEIRONWOODMI49938382902754PERSONAL NEEDS SERVICESMIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg