ASPIRUS HEALTH FOUNDATION INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRUS HEALTH FOUNDATION INC (EIN 39-1256656)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-06-04
- IRS object ID
- 202021569349300027
- 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 D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-06-04T10:11:04-05:00 | 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 | 391256656 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS HEALTH FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASPI | BusinessNameControlTxt |
| Phone | 7158472250 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 PINE RIDGE BLVD | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SIDNEY C SCZYGELSKI | PersonNm |
| Person Title | SENIOR VP OF FINANCE & CFO | PersonTitleTxt |
| Phone | 7158472250 | 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 | 11:33:50 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW HEYWOOD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 WESTWOOD DR | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,865,565 | 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 | 1976 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,310,304 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,890,566 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $941,595 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,818,763 | CYInvestmentIncomeAmt |
| PY Other Revenue | $143,032 | PYOtherRevenueAmt |
| CY Other Revenue | $170,335 | CYOtherRevenueAmt |
| PY Total Revenue | $2,394,931 | PYTotalRevenueAmt |
| CY Total Revenue | $5,879,664 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $939,917 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,521,962 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $282,674 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $297,740 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $109,843 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $299,997 | PYOtherExpensesAmt |
| CY Other Expenses | $308,314 | CYOtherExpensesAmt |
| PY Total Expenses | $1,522,588 | PYTotalExpensesAmt |
| CY Total Expenses | $4,128,016 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $872,343 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,751,648 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,452,334 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,913,378 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,525,226 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,677,435 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,927,108 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,235,943 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,133,519 | ExpenseAmt |
| Grant | $3,133,519 | GrantAmt |
| Desc | DONOR DESIGNATED CONTRIBUTIONS ACTIVITY:THROUGH ITS PHILANTHROPIC ACTIVITIES THE FOUNDATION ADVANCESEXTRAORDINARY HEALTH CARE BY PROVIDING FUNDS FOR RESEARCH, EDUCATION,INFORMATION, CLINICAL PROGRAMS AND CARE DELIVERY, HEALTH SERVICES, AND SCREENING. DONOR DESIGNATED CONTRIBUTIONS PROVIDE SUPPORT FOR THE DESIGNATED FUNDS OF ASPIRUS WAUSAU HOSPITAL. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $669,353 | ExpenseAmt |
| Grant | $388,443 | GrantAmt |
| Revenue | $85,508 | RevenueAmt |
| Desc | UNRESTRICTED CONTRIBUTIONS ACTIVITY:THROUGH ITS PHILANTHROPIC ACTIVITIES THE FOUNDATION ADVANCESEXTRAORDINARY HEALTH CARE BY PROVIDING FUNDS FOR RESEARCH, EDUCATION,INFORMATION, PROGRAMS, SERVICES AND SCREENINGS, COMMUNITY HEALTH INITIATIVES, AND WORKFORCE DEVELOPMENT SCHOLARSHIPS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,802,872 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | SIDNEY C SCZYGELSKI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7158472250 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 WESTWOOD DRIVE | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|---|
| PAUL LAPREE | ||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BEN REIF | ||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KAY GRULING MD | ||||||||
| SECRETARY/TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAUL DOBBRATZ | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| STEWART ETTEN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBORAH KANE | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRAD PECK | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLIE PETH | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ELLIE ROCK REINECK | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN TUBBS | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER PETERSON MD | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $1,128,589 | $48,616 | ||
| CHAD RADKE DO | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| NOEL SONNEK MD | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $336,758 | $21,802 | ||
| STEVE WEILAND MD | ||||||||
| DIRECTOR (TERM 9/18) | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| MATT HEYWOOD | ||||||||
| PRESIDENT & CEO AI | 1.00 | 50.00 | Yes (X) | $0 | $1,156,743 | $195,564 | ||
| KALYNN PEMPEK | ||||||||
| EXECUTIVE DIRECTOR - AHF | 30.00 | 10.00 | Yes (X) | $0 | $159,591 | $19,718 | ||
| SIDNEY SCZYGELSKI | ||||||||
| CFO AI/ASSISTANT TREASURER | 1.00 | 50.00 | Yes (X) | $0 | $654,883 | $117,668 | ||
| CARI LOGEMANN | ||||||||
| SVP & GENERAL COUNSEL | 1.00 | 50.00 | Yes (X) | $0 | $452,398 | $81,636 | ||
| JOHN HEISLER | ||||||||
| SVP & CHIEF HR OFFICER | 1.00 | 50.00 | $0 | $416,068 | $40,142 | Yes (X) | ||
| F DEAN DANNER JR TERM 618 | ||||||||
| SVP OF AMBUL SVCS & PRES. ACI | 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) | ||
| RUTH RISLEY-GRAY | ||||||||
| SVP NURSING & SYSTEM CNO | 1.00 | 50.00 | $0 | $392,122 | $77,261 | Yes (X) | ||
| TODD RICHARDSON | ||||||||
| SVP & CHIEF INFORMATION OF | 1.00 | 50.00 | $0 | $395,288 | $88,380 | Yes (X) | ||
| RICK NEVERS | ||||||||
| SVP REG OPS SYSTEM INT OFF | 1.00 | 50.00 | $0 | $456,553 | $79,281 | 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 | 50.00 | $0 | $455,560 | $45,608 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,210,304 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,004,259 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $160,150 | FundraisingAmt |
| Related Organizations | $797,140 | RelatedOrganizationsAmt |
| All Other Contributions | $2,933,276 | AllOtherContributionsAmt |
| Total Contributions | $3,890,566 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,310,391 | TotalRevenueColumnAmt |
| Exclusion | $1,310,391 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,426,094 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,917,722 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $508,372 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $508,372 | TotalRevenueColumnAmt |
| Exclusion | $508,372 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $127,067 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $160,150 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $56,470 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,597 | TotalRevenueColumnAmt |
| Exclusion | $70,597 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $25,939 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $11,709 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,230 | TotalRevenueColumnAmt |
| Exclusion | $14,230 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADMINISTRATIVE FEE | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $85,508 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,508 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $85,508 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,879,664 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,508 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,903,590 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,521,962 | TotalAmt |
| Program Services | $3,521,962 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,962 | TotalAmt |
| Program Services | $61,777 | ProgramServicesAmt |
| Management And General | $15,444 | ManagementAndGeneralAmt |
| Fundraising | $25,741 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,836 | TotalAmt |
| Program Services | $54,426 | ProgramServicesAmt |
| Management And General | $25,949 | ManagementAndGeneralAmt |
| Fundraising | $47,461 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,942 | TotalAmt |
| Program Services | $33,704 | ProgramServicesAmt |
| Management And General | $12,006 | ManagementAndGeneralAmt |
| Fundraising | $21,232 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,461 | TotalAmt |
| Management And General | $138,461 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,713 | TotalAmt |
| Management And General | $9,713 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,948 | TotalAmt |
| Management And General | $1,948 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,394 | TotalAmt |
| Program Services | $24,113 | ProgramServicesAmt |
| Management And General | $202 | ManagementAndGeneralAmt |
| Fundraising | $11,079 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,148 | TotalAmt |
| Program Services | $16,926 | ProgramServicesAmt |
| Management And General | $5,444 | ManagementAndGeneralAmt |
| Fundraising | $2,778 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,097 | TotalAmt |
| Program Services | $1,264 | ProgramServicesAmt |
| Management And General | $770 | ManagementAndGeneralAmt |
| Fundraising | $63 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,364 | TotalAmt |
| Management And General | $5,364 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| BAD DEBT | $58,269 | $58,269 | |
| MISCELLANEOUS OTHER | $25,961 | $25,961 | |
| ANNUAL EDUCATION FORUM | $5,959 | $4,470 | $1,489 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,128,016 | TotalAmt |
| Program Services | $3,802,872 | ProgramServicesAmt |
| Management And General | $215,301 | ManagementAndGeneralAmt |
| Fundraising | $109,843 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,549 | BOYAmt |
| EOY | $2,129,967 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,605 | BOYAmt |
| EOY | $803,337 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $314,086 | BOYAmt |
| EOY | $538,840 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,867 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,867 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,889,094 | BOYAmt |
| EOY | $31,441,234 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,452,334 | BOYAmt |
| EOY | $34,913,378 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,010 | BOYAmt |
| EOY | $226,307 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,321,216 | BOYAmt |
| EOY | $9,451,128 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,525,226 | BOYAmt |
| EOY | $9,677,435 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,548,553 | BOYAmt |
| EOY | $17,374,312 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,253,641 | BOYAmt |
| EOY | $7,861,631 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,124,914 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,927,108 | BOYAmt |
| EOY | $25,235,943 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,452,334 | BOYAmt |
| EOY | $34,913,378 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,751,648 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$442,813 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $982,421 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,273,261 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,651,052 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,310,304 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,890,566 | CurrentTaxYearAmt |
| Total | $14,107,604 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $982,421 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,273,261 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,651,052 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,310,304 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,890,566 | CurrentTaxYearAmt |
| Total | $14,107,604 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,839,274 | SubstantialContributorsTotAmt |
| Public Support Total170 | $12,268,330 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $246,436 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $251,655 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $595,442 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $893,815 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,310,391 | CurrentTaxYearAmt |
| Total | $3,297,739 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,092 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59,812 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $72,142 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,231 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,508 | CurrentTaxYearAmt |
| Total | $362,785 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $17,768,128 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $579,402 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.69050 | PublicSupportCY170Pct |
| Public Support PY170 | 0.41440 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,935,369 | BeginningYearBalanceAmt |
| Contributions | $300,000 | ContributionsAmt |
| Investment Earnings Or Losses | $994,543 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $220,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $71,832 | OtherExpendituresAmt |
| Administrative Expenses | $19,832 | AdministrativeExpensesAmt |
| End Year Balance | $17,918,248 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,742,001 | BeginningYearBalanceAmt |
| Contributions | $302,011 | ContributionsAmt |
| Investment Earnings Or Losses | $1,247,047 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | -$336,267 | GrantsOrScholarshipsAmt |
| Administrative Expenses | -$19,423 | AdministrativeExpensesAmt |
| End Year Balance | $16,935,369 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,335,036 | BeginningYearBalanceAmt |
| Contributions | $802,177 | ContributionsAmt |
| Investment Earnings Or Losses | $1,722,766 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | -$100,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | -$17,978 | AdministrativeExpensesAmt |
| End Year Balance | $15,742,001 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $282,419 | BeginningYearBalanceAmt |
| Contributions | $13,052,232 | ContributionsAmt |
| Investment Earnings Or Losses | $385 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,335,036 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $265,006 | BeginningYearBalanceAmt |
| Contributions | $10,706 | ContributionsAmt |
| Investment Earnings Or Losses | $6,707 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $282,419 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.57900 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.42100 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,867 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,867 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DONOR IMPOSED LIABILITIES | Desc |
| Amt | $9,451,128 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,451,128 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,303,330 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$442,815 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$442,815 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,746,145 | RevenueSubtotalAmt |
| Other Revenues Not Included | $3,133,519 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,133,519 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,879,664 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $994,497 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $994,497 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,133,519 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,133,519 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,128,016 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENTS ARE MAINTAINED TO SUPPORT QUALITY OF LIFE PROGRAMS FOR HOSPICE AND PALLIATIVE CARE PATIENTS AND FAMILIES, CANCER PATIENTS, HEART PATIENTS, AND THE SCHOLARSHIP PROGRAM. |
| PART X, LINE 2: | THE FOUNDATION 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 FOUNDATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DESIGNATED CONTRIBUTIONS RAISED FOR OTHERS 3,133,519. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | DESIGNATED CONTRIBUTIONS RAISED FOR OTHERS 3,133,519. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FESTIVAL OF TREES | Event1Nm |
| Gross Receipts Event1 | $200,001 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $100,204 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $99,797 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $595 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $14,947 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $595 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $17,274 | OtherDirectExpensesEvent1Amt |
| Event2 | WOMEN'S HEALTH GOLF | Event2Nm |
| Gross Receipts Event2 | $87,216 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $59,946 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $27,270 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $9,993 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $7,233 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $5,833 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $287,217 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $160,150 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $127,067 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $10,588 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $22,180 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $595 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $23,107 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $56,470 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $70,597 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $25,939 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $500 | CashPrizesOtherGamingAmt |
| Non Cash Prizes Other Gaming | $602 | NonCashPrizesOtherGamingAmt |
| Rent Fclty Costs Other Gaming | $1,868 | RentFcltyCostsOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $8,739 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (1) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 1.00000 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $25,939 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $500 | CashPrizesTotalGamingAmt |
| Non Cash Prizes Total Gaming | $602 | NonCashPrizesTotalGamingAmt |
| Rent Fclty Costs Total Gaming | $1,868 | RentFcltyCostsTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $8,739 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $11,709 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $14,230 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | WI | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Individual With Books | ELIZABETH HAHN | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 WESTWOOD DRIVE | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | KALYNN PEMPEK | GamingManagerPersonNm |
| Gaming Manager Compensation | $2,549 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | RESP. FOR SPECIAL EVENT FUNDRAISERS AND ANNUAL GIVING PROGRAMS INCLUDING COORDINATING RAFFLES AS AN INTEGRAL COMPONENT OF EVENTS AND CHARITABLE GIVING PROGRAMS. | GamingManagerServicesProvTxt |
| Gaming Manager Is Employee | Yes (X) | GamingManagerIsEmployeeInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| MARATHON COUNTY ALCOHOL & OTHER DRUG PARTNERSHIP COUNCIL | |||||||||
| PO BOX 2145 | WAUSAU | WI | 54402 | 391699560 | 501(C)(3) | $15,000 | N/A | N/A | TO FUND COMMUNITY ASSESSMENT ON THE PREVALENCE AND PERCEPTION OF MEDICATION ABUSE |
| THE MEDICAL COLLEGE OF WISCONSIN INC | |||||||||
| 8701 WATERTOWN PLANK ROAD | MILWAUKEE | WI | 53226 | 390806261 | 501(C)(3) | $525,000 | N/A | N/A | SCHOLARSHIPS FOR HEALTH CARE PROFESSIONALS |
| UNIVERSITY OF WISCONSIN SYSTEMS | |||||||||
| 780 REGENT STREET | MADISON | WI | 53706 | 391805963 | N/A | $14,510 | N/A | N/A | SCHOLARSHIPS FOR HEALTH CARE PROFESSIONALS |
| ASPIRUS WAUSAU HOSPITAL | |||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391138241 | 501(C)(3) | $472,927 | TO FUND HOSPITAL PROGRAMS | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ALL PAYMENTS ARE MONITORED BY THE GRANT ADMINISTRATOR TO ENSURE ADHERENCE TO THE STATED GRANT PURPOSE. ANY UNUSED OR UNSPENT FUNDS ARE RETURNED TO THE GRANTOR. | 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 | Yes (1) | SubstantiationRequiredInd |
| 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER PETERSON MD | ||||||||||||||
| DIRECTOR | $0 | $1,123,363 | $0 | $0 | $0 | $5,226 | $0 | $16,506 | $0 | $32,110 | $0 | $1,177,205 | $0 | $0 |
| NOEL SONNEK MD | ||||||||||||||
| DIRECTOR | $0 | $331,595 | $0 | $0 | $0 | $5,163 | $0 | $7,826 | $0 | $13,976 | $0 | $358,560 | $0 | $0 |
| MATT HEYWOOD | ||||||||||||||
| PRESIDENT & CEO AI | $0 | $869,672 | $0 | $267,317 | $0 | $19,754 | $0 | $16,506 | $0 | $179,058 | $0 | $1,352,307 | $0 | $0 |
| KALYNN PEMPEK | ||||||||||||||
| EXECUTIVE DIRECTOR - AHF | $0 | $137,941 | $0 | $14,013 | $0 | $7,637 | $0 | $7,557 | $0 | $12,161 | $0 | $179,309 | $0 | $0 |
| SIDNEY SCZYGELSKI | ||||||||||||||
| CFO AI/ASSISTANT TREASURER | $0 | $514,118 | $0 | $87,791 | $0 | $52,974 | $0 | $16,506 | $0 | $101,162 | $0 | $772,551 | $0 | $49,137 |
| 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 |
| 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 |
| F DEAN DANNER JR TERM 618 | ||||||||||||||
| SVP OF AMBUL SVCS & PRES. ACI | $0 | $161,114 | $0 | $111,152 | $0 | $113,959 | $0 | $14,416 | $0 | $13,290 | $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 |
| 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 |
| TODD RICHARDSON | ||||||||||||||
| SVP & CHIEF INFORMATION OF | $0 | $297,875 | $0 | $56,000 | $0 | $41,413 | $0 | $16,506 | $0 | $71,874 | $0 | $483,668 | $0 | $38,563 |
| RICK NEVERS | ||||||||||||||
| SVP REG OPS SYSTEM INT OFF | $0 | $356,162 | $0 | $55,425 | $0 | $44,966 | $0 | $16,506 | $0 | $62,775 | $0 | $535,834 | $0 | $38,383 |
| 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 |
Supplemental Information Detail SupplementalInformationDetail (3 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 C. PETERSON - $100 E. ANDERSON - $237 R. NEVERS - $273 R. RISLEY-GRAY - $199 J. HEISLER - $177 R. SMITH - $135 |
| PART I, LINE 3 | FOR THE PURPOSES OF DETERMINING COMPENSATION FOR THE FILING ORGANIZATION, ASPIRUS HEALTH FOUNDATION, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PART I, LINE 4B | SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIRMENT 457 (F) DISTRIBUTION: S. SCZYGELSKI $49,137, D. DANNER $66,173, R. RISLEY-GRAY $45,015, T. RICHARDSON $38,563, R. NEVERS $38,383, C. LOGEMANN $19,856, R. SMITH $33,431, J. HEISLER $40,214, E. ANDERSON $11,262. 457(F) RETIREMENT PLAN PROFILE: KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1ST 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 THE 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 MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT, TO 12. 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 M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | HOLIDAY DECORATIONS | 286 | $49,201 | FMV |
| Yes (X) | GIFT BASKETS | 129 | $25,775 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 32B: | FormAndLineReferenceDesc |
| Explanation | PART I, TYPES OF PROPERTY - DONATED ITEMS HAVE BEEN GROUPED INTO BROAD CATEGORIES WHICH CAN BE SUPPORTED BY A DETAILED DESCRIPTION OF ITEMS CONTRIBUTED. PART 1 COLUMN (B) REFLECTS THE NUMBER OF CONTRIBUTIONS. ASPIRUS HEALTH FOUNDATION POLICY MAINTAINS THAT THE FAIR MARKET VALUE OF AN ITEM EQUATES TO THE CASH VALUE RECEIVED FOR THOSE SPECIFIED GOODS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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, AND 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS 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, 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 | FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS HEALTH FOUNDATION, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII, EXPLANATION FOR HOURS WORKED: | SOME OFFICERS AND DIRECTORS ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS HEALTH FOUNDATION, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS HEALTH FOUNDATION, INC., ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS IN THE PAST YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GRAND VIEW HOSPITAL AUXILIARY | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 237173363 | SUPPORTING ORG TO HOSPITAL'S LIFELINE EMERGENCY SYSTEM | MI | 501(C)(3) | LINE 10 | ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | Yes (1) | |
| ASPIRUS KEWEENAW HOSPITAL | |||||||||||
| 205 OSCEOLA STREET | LAURIUM | MI | 49913 | 381443361 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPRIUS INC | Yes (1) | |
| ASPIRUS INC | |||||||||||
| 2200 WESTWOOD DR | WAUSAU | WI | 54401 | 391328331 | HEALTH CARE SYSTEM MANAGEMENT | WI | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| ASPIRUS WAUSAU HOSPITAL INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391138241 | HOSPITAL | WI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS VNA HOME HEALTH INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 390808511 | HOME HEALTHCARE SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | Yes (1) | |
| ASPIRUS VNA EXTENDED CARE INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 391597350 | PERSONAL CARE SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS VNA HOME HEALTH INC | Yes (1) | |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | |||||||||||
| 410 DEWEY STREET | WISCONSIN RAPIDS | WI | 54494 | 390868982 | HOSPITAL | WI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS ONTONAGON HOSPITAL INC | |||||||||||
| 601 SEVENTH STREET | ONTONAGON | MI | 49953 | 260806477 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS IRON RIVER HOSPTIAL & CLINICS INC | |||||||||||
| 1400 W ICE LAKE ROAD | IRON RIVER | MI | 49935 | 383236977 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS IRONWOOD HOSPITAL & CLINICS INC | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 382908586 | HOSPITAL | MI | 501(C)(3) | LINE 3 | ASPIRUS INC | Yes (1) | |
| ASPIRUS EXTENDED SERVICES INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 390782130 | NURSING HOME SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | 0 | |
| ASPIRUS CLINICS INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391670223 | MEDICAL SERVICES | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | Yes (1) | |
| ASPIRUS BUILDINGS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391406537 | PROPERTY LEASING | WI | 501(C)(3) | LINE 10 | ASPIRUS INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN UPPER MICHIGAN EYE CARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 131 W GENESEE STREET | AddressLine1Txt |
| City | IRON RIVER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49935 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272324957 | EIN |
| Primary Activities | EYE CARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS NETWORK INC | |||||||||
| 3000 WESTHILL DRIVE 202 | WAUSAU | WI | 54401 | 391931678 | HEALTH CARE SERVICES | WI | N/A | C | Yes (1) |
| ASPIRUS KEWEENAW ENTERPRISES INC | |||||||||
| 205 OSCEOLA STREET | LAURIUM | MI | 49913 | 383390273 | PHARMACY | MI | N/A | C | Yes (1) |
| ASPIRUS HEALTH VENTURES | |||||||||
| 3000 WESTHILL DR SUITE 303 | WAUSAU | WI | 54401 | 474925640 | HEALTH INSURANCE PLAN | WI | N/A | C | Yes (1) |
| ASPIRUS ARISE HEALTH PLAN OF WI INC | |||||||||
| 3000 WESTHILL DR SUITE 303 | WAUSAU | WI | 54401 | 364832569 | HEALTH INSURANCE PLAN | WI | N/A | C | Yes (1) |
| ASPIRUS ARISE HEALTH PLAN OF MI INC | |||||||||
| 3000 WESTHILL DR SUITE 303 | WAUSAU | WI | 54401 | 475448266 | HEALTH INSURANCE PLAN | MI | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| ASPIRUS WAUSAU HOSPITAL INC | |
| C | $327,140 |
| ASPIRUS WAUSAU HOSPITAL INC | |
| B | $312,812 |
| ASPIRUS WAUSAU HOSPITAL INC | |
| O | $176,946 |
| ASPIRUS INC | |
| O | $110,936 |
| ASPIRUS INC | |
| M | $138,461 |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | |
| C | $170,000 |
| ASPIRUS MEDFORD HOSPITAL & CLINICS INC | |
| C | $150,000 |
| ASPIRUS LANGLADE HOSPITAL | |
| C | $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 OBLIGATED GROUP DEBT IS GUARANTEED BY ALL MEMBERS OF THE OBLIGATED GROUP. | ExplanationTxt |
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