LANGLADE HOSPITAL-HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- LANGLADE HOSPITAL-HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-15
- IRS object ID
- 201901359349308130
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-15T13:38:21-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | 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 | PO BOX 8010 | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 544028010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390806429 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANGLADE HOSPITAL - HOTEL DIEU OF | BusinessNameLine1Txt |
| Business Name Line2 | ST JOSEPH OF ANTIGO WISCONSIN | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LANG | BusinessNameControlTxt |
| Phone | 7156232331 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 EAST FIFTH AVENUE | AddressLine1Txt |
| City | ANTIGO | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54409 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAT TINCHER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7156232331 | PhoneNum |
| Signature | 2019-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL M TRACZEK CPA | PreparerPersonNm |
| PTIN | P01368830 | PTIN |
| Phone | 7158323407 | PhoneNum |
| Preparation | 2019-05-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 137.26.200.211 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-10 | IPDt |
| IP Tm | 12:48:37 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E4255D669FE7A429B540D12C0E645A16D05D3497 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS LANGLADE HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAT TINCHER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 EAST FIFTH AVENUE | AddressLine1Txt |
| City | ANTIGO | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54409 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $161,760,887 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ASPIRUS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1933 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | THE COMMUNITY BENEFIT CONTRIBUTION OF ASPIRUS LANGLADE HOSPITAL INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 566 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $392,217 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$105,671 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $40,664 | PYContributionsGrantsAmt |
| CY Contributions Grants | $92,928 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $103,392,353 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $106,958,885 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,511,524 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,836,351 | CYInvestmentIncomeAmt |
| PY Other Revenue | $93,721 | PYOtherRevenueAmt |
| CY Other Revenue | $98,909 | CYOtherRevenueAmt |
| PY Total Revenue | $106,038,262 | PYTotalRevenueAmt |
| CY Total Revenue | $112,987,073 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $123,433 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $234,339 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,488,975 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,392,575 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,836,627 | PYOtherExpensesAmt |
| CY Other Expenses | $50,800,879 | CYOtherExpensesAmt |
| PY Total Expenses | $90,449,035 | PYTotalExpensesAmt |
| CY Total Expenses | $95,427,793 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,589,227 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,559,280 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $180,928,333 | TotalAssetsBOYAmt |
| Total Assets EOY | $195,860,107 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,452,291 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $32,154,428 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $147,476,042 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $163,705,679 | NetAssetsOrFundBalancesEOYAmt |
| Mission | AS A MINISTRY OF JESUS WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $65,069,402 | ExpenseAmt |
| Grant | $234,339 | GrantAmt |
| Revenue | $106,991,804 | RevenueAmt |
| Desc | ACUTE GENERAL CARE HOSPITAL WITH BOTH INPATIENT AND OUTPATIENT RELATED SERVICES ALONG WITH A HOSPICE PROGRAM. INPATIENTS - 1,309 ADMISSIONS WITH 4,271 PATIENT DAYS AND 242 BIRTHS; OUTPATIENTS - 10,826 EMERGENCY VISITS, 13,004 URGENT CARE VISITS, 27,239 IMAGING PROCEDURES, 162,642 LAB TESTS, 39,583 THERAPY TREATMENTS, AND 8,828 SPECIALTY CLINIC VISITS; SURGICAL SERVICES - 2,404 TOTAL PATIENTS TREATED; HOSPICE - 4,020 PATIENT DAYS | Desc |
| Total Program Service Expenses | $65,069,402 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 120 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 566 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | PAT TINCHER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7156232331 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 EAST FIFTH AVENUE | AddressLine1Txt |
| City | ANTIGO | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54409 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MIKE WINTER | ||||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| RICK NEVERS | ||||||||||
| VICE CHAIRMAN/SVP REGIONAL | 1.00 | Yes (X) | Yes (X) | $0 | $422,587 | $79,085 | 50.00 | |||
| KRISTINE FLOWERS MD | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||||
| SID SCZYGELSKI | ||||||||||
| BOARD MEMBER/SVP OF FINANC | 1.00 | Yes (X) | $0 | $644,952 | $106,596 | 50.00 | ||||
| NOEL DEEP MD | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||||
| CHUCK HOLLAND | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| MIKE OLSON DO | ||||||||||
| BOARD MEMBER/PHYSICIAN RAD | 40.00 | Yes (X) | $545,946 | $0 | $46,056 | |||||
| CHARLIE ZANAYED | ||||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| ANN ROLLER | ||||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| JOHN REETZ | ||||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| MIKE TURNEY | ||||||||||
| BOARD MEMBER (TERMED 9/16/17) | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| PAUL PAYANT | ||||||||||
| BOARD MEMBER (TERMED 4/25/18) | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| RICHARD HIGLEY | ||||||||||
| BOARD MEMBER (TERMED 9/30/17) | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| PATRICK TINCHER | ||||||||||
| CFO ALH | 40.00 | Yes (X) | $284,167 | $0 | $44,747 | |||||
| ANDREW BARTH | ||||||||||
| CEO ALH | 40.00 | Yes (X) | $148,068 | $0 | $21,222 | 1.00 | ||||
| MATT HEYWOOD | ||||||||||
| CEO AI | 1.00 | Yes (X) | $0 | $1,118,732 | $163,184 | 50.00 | ||||
| JANELLE MARKGRAF | ||||||||||
| DIRECTOR HR & OFF CAMPUS S | 40.00 | $219,621 | $0 | $31,310 | Yes (X) | |||||
| SHERRY BUNTEN | ||||||||||
| DIRECTOR OF PATIENT CARE S | 40.00 | $241,885 | $0 | $38,387 | Yes (X) | |||||
| JOHN HEISLER | ||||||||||
| SVP & CHIEF HR OFFICER | 1.00 | $0 | $369,321 | $76,970 | 50.00 | Yes (X) | ||||
| DEAN DANNER | ||||||||||
| SVP AMBULATORY SERVICES & PRESIDENT ACI | 1.00 | $0 | $388,969 | $44,042 | 50.00 | Yes (X) | ||||
| MICHAEL MCGRAIL MD | ||||||||||
| SVP SYSTEM CMO | 1.00 | $0 | $486,338 | $77,636 | 50.00 | Yes (X) | ||||
| RUTH RISLEY-GRAY | ||||||||||
| SVP NURSING, SYSTEM CNO | 1.00 | $0 | $377,496 | $77,201 | 50.00 | Yes (X) | ||||
| TODD RICHARDSON | ||||||||||
| SVP & CIO | 1.00 | $0 | $392,900 | $87,961 | 50.00 | Yes (X) | ||||
| ERIC ANDERSON | ||||||||||
| SVP SERVICE LINE & PATIENT EXPERIENCE | 1.00 | $0 | $274,164 | $64,677 | 40.00 | Yes (X) | ||||
| RENEE SMITH | ||||||||||
| EXECUTIVE DIRECTOR ANI | 1.00 | $0 | $431,396 | $46,277 | 40.00 | Yes (X) | ||||
| BESSANT PARKER | ||||||||||
| ALH CMO | 40.00 | $373,986 | $0 | $28,139 | Yes (X) | |||||
| CARI LOGEMANN | ||||||||||
| SVP & GENERAL COUNSEL | 1.00 | $0 | $421,450 | $85,137 | 50.00 | Yes (X) | ||||
| DOUGLAS ARMATO MD | ||||||||||
| PHYSICIAN RADIOLOGIST | 40.00 | $464,169 | $0 | $38,594 | Yes (X) | |||||
| KENNETH BOWMAN MD | ||||||||||
| PHYSICIAN RADIOLOGIST | 40.00 | $448,610 | $0 | $35,869 | Yes (X) | |||||
| STACY KOLZ | ||||||||||
| MANAGER PHARMACY | 40.00 | $163,760 | $0 | $26,286 | 1.00 | Yes (X) | ||||
| DIANE PETERSON | ||||||||||
| MANAGER OF REHAB SERVICES | 40.00 | $133,785 | $0 | $27,481 | Yes (X) | |||||
| DEBORAH KITCH | ||||||||||
| PHARMACIST | 40.00 | $125,334 | $0 | $28,724 | Yes (X) | |||||
| DAVID SCHNEIDER | ||||||||||
| CEO ALH (TERMED 6/30/17) | 40.00 | $427,206 | $0 | $24,321 | 1.00 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,576,537 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,328,305 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,299,902 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 26 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ASPIRUS INC | |||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | ADMINISTRATIVE AND SUPPORT SERVICES | $9,700,070 |
| ASPIRUS CLINICS INC | |||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | CLINICAL SERVICES | $8,183,773 |
| ASPIRUS WAUSAU HOSPITAL INC | |||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | CLINICAL SERVICES | $6,353,917 |
| MIRON CONSTRUCTION | |||||
| 500 FIRST ST SUIT 4000 | WAUSAU | WI | 54403 | CONSTRUCTION | $4,017,618 |
| COMMUNITY LIVING SOLUTIONS | |||||
| 2801 E ENTERPRISE AVENUE 202 | APPLETON | WI | 54913 | CONSTRUCTION | $2,888,421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 51 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $53,106 | GovernmentGrantsAmt |
| All Other Contributions | $39,822 | AllOtherContributionsAmt |
| Total Contributions | $92,928 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| ACUTE HOSPITAL SERVICES-INPATIENT | 621990 | $81,893,209 | $81,893,209 | |
| PHYSICIAN CLINICS | 621110 | $14,543,128 | $14,543,128 | |
| OTHER OPERATING REVENUE | 621990 | $8,878,483 | $8,486,266 | $392,217 |
| ASSISTED LIVING | 623000 | $1,080,657 | $1,080,657 | |
| INDEPENDENT LIVING | 623990 | $563,408 | $563,408 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $106,958,885 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,138,031 | TotalRevenueColumnAmt |
| Exclusion | $2,138,031 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $159,097 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $60,188 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $98,909 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,909 | TotalRevenueColumnAmt |
| Exclusion | $98,909 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $52,411,946 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $48,713,626 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,698,320 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,698,320 | TotalRevenueColumnAmt |
| Exclusion | $3,698,320 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $112,987,073 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $106,566,668 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $392,217 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,935,260 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,339 | TotalAmt |
| Program Services | $234,339 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,343,778 | TotalAmt |
| Program Services | $603,558 | ProgramServicesAmt |
| Management And General | $1,740,220 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,700,118 | TotalAmt |
| Program Services | $28,106,886 | ProgramServicesAmt |
| Management And General | $4,593,232 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,649,998 | TotalAmt |
| Program Services | $1,649,998 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,499,634 | TotalAmt |
| Program Services | $3,501,695 | ProgramServicesAmt |
| Management And General | $1,997,939 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,199,047 | TotalAmt |
| Program Services | $2,199,047 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,666 | TotalAmt |
| Management And General | $93,666 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,863 | TotalAmt |
| Management And General | $20,863 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,045 | TotalAmt |
| Management And General | $65,045 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,744,985 | TotalAmt |
| Program Services | $11,171,222 | ProgramServicesAmt |
| Management And General | $13,573,763 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,183 | TotalAmt |
| Program Services | $15,729 | ProgramServicesAmt |
| Management And General | $165,454 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,189 | TotalAmt |
| Program Services | $177,892 | ProgramServicesAmt |
| Management And General | $175,297 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,203,103 | TotalAmt |
| Program Services | $52,622 | ProgramServicesAmt |
| Management And General | $2,150,481 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,370,879 | TotalAmt |
| Program Services | $429,927 | ProgramServicesAmt |
| Management And General | $940,952 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,286 | TotalAmt |
| Program Services | $44,414 | ProgramServicesAmt |
| Management And General | $30,872 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,456 | TotalAmt |
| Program Services | $90,538 | ProgramServicesAmt |
| Management And General | $56,918 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $980,986 | TotalAmt |
| Management And General | $980,986 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,387,300 | TotalAmt |
| Program Services | $2,646,552 | ProgramServicesAmt |
| Management And General | $2,740,748 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,109 | TotalAmt |
| Program Services | $89,606 | ProgramServicesAmt |
| Management And General | $119,503 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $13,120,689 | $12,386,755 | $733,934 |
| BAD DEBT EXPENSE | $780,159 | $780,159 | |
| EQUIPMENT | $472,988 | $429,553 | $43,435 |
| DUES AND SUBSCRIPTIONS | $311,087 | $173,629 | $137,458 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,906 | TotalAmt |
| Program Services | $285,281 | ProgramServicesAmt |
| Management And General | -$2,375 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,427,793 | TotalAmt |
| Program Services | $65,069,402 | ProgramServicesAmt |
| Management And General | $30,358,391 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,285,456 | BOYAmt |
| EOY | $17,769,971 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,449,560 | BOYAmt |
| EOY | $20,106,230 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,567,894 | BOYAmt |
| EOY | $14,439,325 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,634,676 | BOYAmt |
| EOY | $1,871,583 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,006,222 | BOYAmt |
| EOY | $1,091,219 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $100,722,798 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $44,656,285 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,419,977 | BOYAmt |
| EOY | $56,066,513 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,427,889 | BOYAmt |
| EOY | $78,437,446 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,082,080 | BOYAmt |
| EOY | $3,950,129 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,054,579 | BOYAmt |
| EOY | $2,127,691 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,928,333 | BOYAmt |
| EOY | $195,860,107 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,455,971 | BOYAmt |
| EOY | $6,346,072 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,405,000 | BOYAmt |
| EOY | $23,935,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,591,320 | BOYAmt |
| EOY | $1,873,356 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,452,291 | BOYAmt |
| EOY | $32,154,428 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,927,792 | BOYAmt |
| EOY | $163,182,823 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,250 | BOYAmt |
| EOY | $522,856 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,476,042 | BOYAmt |
| EOY | $163,705,679 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,928,333 | BOYAmt |
| EOY | $195,860,107 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $17,559,280 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,584,652 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $255,009 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $5,870 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,870 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ASPIRUS LANGLADE HOSPITAL PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE WHA HAS NOTIFIED ASPIRUS LANGLADE HOSPITAL THAT APPROXIMATELY $2,810 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTH CARE ENVIRONMENT. ASPIRUS LANGLADE HOSPITAL IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, ASPIRUS LANGLADE HOSPITAL PAYS MEMBERSHIP FEES TO THE RWHC. THE RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO PROVIDES ANALYSIS ON CURRENT HEALTH CARE ISSUES IN AN EFFORT TO PROMOTE AND IMPROVE HEALTH CARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. THE RWHC DETERMINED THAT APPROXIMATELY $3,060 OF THE FEES PAID BY ASPIRUS LANGLADE HOSPITAL IN FY2018 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTH CARE ENVIRONMENT IN THE STATE OF WISCONSIN. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,365,163 | OtherCostOrOtherBasisAmt |
| Book Value | $1,365,163 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,098,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,014,511 | DepreciationAmt |
| Book Value | $43,083,612 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,363,094 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,236,826 | DepreciationAmt |
| Book Value | $3,126,268 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,837,644 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,404,948 | DepreciationAmt |
| Book Value | $8,432,696 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,774 | OtherCostOrOtherBasisAmt |
| Book Value | $58,774 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $56,066,513 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| UNAMORTIZED BOND PREMIUM | $718,238 |
| DEFERRED COMPENSATION | $1,385,566 |
| OTHER LONG-TERM LIABILITIES | $32,000 |
| DEFERRED BOND ISSURANCE COSTS | -$262,448 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,873,356 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $110,682,451 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,584,651 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$719,971 | OtherRevenueAmt |
| Revenue Not Reported | -$2,304,622 | RevenueNotReportedAmt |
| Revenue Subtotal | $112,987,073 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $112,987,073 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $94,707,822 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $60,188 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $60,188 | ExpensesNotReportedAmt |
| Expenses Subtotal | $94,647,634 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $780,159 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $780,159 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $95,427,793 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE ORGANIZATION IS ALSO ENGAGED, TO A LIMITED EXTENT, IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). INCOME TAXES ON UBI ARE NOT SIGNIFICANT. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NET AGAINST REVENUE ON FORM 990 60,188. BAD DEBT EXPENSE -780,159. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NET AGAINST REVENUE ON FORM 990 60,188. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 780,159. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,414,338 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,414,338 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02550 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,724,103 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,254,753 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,469,350 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03670 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,138,441 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,254,753 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,883,688 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06220 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,556,787 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,096,319 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $460,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $197,077 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $197,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,252,971 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $985,912 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $267,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,363 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,363 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,021,198 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,082,231 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $938,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,159,639 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,336,984 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,822,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07220 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $459,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $369,477 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89,868 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $459,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $369,477 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89,868 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $351,072 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $22,933,596 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,212,805 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $720,791 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS LANGLADE HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 E 5TH AVENUE | AddressLine1Txt |
| City | ANTIGO | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54409 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 1055 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRUS LANGLADE HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.ASPIRUS.ORG/ COMMUNITY-RESOURCES | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.ASPIRUS.ORG/ COMMUNITY-RESOURCES | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | ASPIRUS.ORG/FINANCIALAID | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | ASPIRUS.ORG/FINANCIALAID | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | ASPIRUS.ORG/FINANCIALAID | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ASPIRUS LANGLADE HOSPITAL | PART V, SECTION B, LINE 5: THE LANGLADE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT LED BY ASPIRUS LANGLADE HOSPITAL AND INVOLVING COMMUNITY PARTNERS INCLUDING HEALTH ORGANIZATIONS, SOCIAL SERVICE AGENCIES, SCHOOLS AND OTHER EDUCATIONAL ORGANIZATIONS, LAW ENFORCEMENT AS WELL AS COUNTY AND LOCAL GOVERNMENT, AND OTHER LOCAL PARTNERS. A NUMBER OF LISTENING SESSIONS WERE HELD THROUGHOUT THE SERVICE AREA AND ALL MEMBERS OF THE COMMUNITY WERE WELCOME AT THESE LISTENING SESSIONS. ADDITIONALLY, SURVEYS WITH RETURN POSTAGE WERE MAILED TO RESIDENTS OF THE SERVICE AREA AND RESIDENTS WERE ALSO INVITED TO TAKE AN ONLINE SURVEY TO SHARE THEIR INPUT. |
| ASPIRUS LANGLADE HOSPITAL | PART V, SECTION B, LINE 6B: UNIFIED SCHOOL DISTRICT OF ANTIGOUNIVERSITY OF WISCONSIN- LANGLADE COUNTY EXTENSIONLANGLADE COUNTY HEALTH DEPARTMENTLANGLADE COUNTY SOCIAL SERVICESANTIGO POLICE DEPARTMENT, WHITE LAKE COUNTY CLERK OFFICE, ACTION ALLIANCE OF LANGLADE COUNTY, ANTIGO HEAD START, LANGLADE COUNTY SHERRIFF'S DEPARTMENT |
| ASPIRUS LANGLADE HOSPITAL | PART V, SECTION B, LINE 7D: A COPY OF THE CHNA AND IMPLEMENTATION STRATEGY IS ATTACHED TO THE FORM 990. |
| ASPIRUS LANGLADE HOSPITAL | PART V, SECTION B, LINE 11: AS A RESULT OF THE JUNE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, THE LANGLADE HEALTH COALITION, A LOCAL COMMUNITY TEAM OF GOVERNMENT, SOCIAL SERVICE AND HEALTH CARE ORGANIZATIONS, WAS ESTABLISHED. THE HOSPITAL WILL CONTINUE TO BE A LARGE PLAYER AND SUPPORTER WITHIN THE COMMUNITY COALITION IN COLLABORATION WITH MANY COMMUNITY PARTNERS TO WORK ON IDENTIFIED HEALTH PRIORITIES IDENTIFIED BY 2015 CHNA. RESEARCH AND FINDINGS OF THE 2015 CHNA INDICATE THE FOLLOWING HEALTH ISSUES WERE IDENTIFIED AS TOP PRIORITIES FOR THE JUNE 2016-2019 ASSESSMENT:1. WELLNESS & PREVENTION AND NUTRITIONAL & PHYSICAL ACTIVITY 2. SUBSTANCE ABUSE3. AFFORDABILITY OF HEALTHCARE AND PRESCRIPTION MEDICATION COSTS(MENTAL HEALTH/ BEHAVIORAL HEALTH ISSUES WERE IDENTIFIED AS AN INHERENT FACTOR IN EACH OF THE ABOVE THREE HEALTH PRIORITIES AND ARE INCORPORATED WITHIN EACH PRIORITY.)THE HOSPITAL WILL CONTINUE TO SUPPORT AND EXECUTE THE FOLLOWING INITIATIVES; MENTAL HEALTH AWARENESS AND COMMUNITY EDUCATION, THE 100 MILE CLUB DESIGNED TO ENCOURAGE KIDS TO WALK OR RUN DURING THE SCHOOL YEAR, THE WEEKEND BACKPACK PROGRAM FOR CHILDREN AND FAMILY LIVING IN POVERTY, AND THE ASPIRUS LANGLADE HOSPITAL PREVENTION FUND TO SUPPORT LOCAL COMMUNITY HEALTH NEEDS AND EMERGENCIES, ARE JUST TO NAME A FEW. FOR A FULL DESCRIPTION OF THE 2015 CHNA ACTION PLANS AND IMPLEMENTATION STRATEGIES, PLEASE REFERENCE THE FULL REPORT OR THE CHNA 2015 EXECUTIVE SUMMARY FOR A SUMMARIZED VERSION. AS FOR THOSE INITIATIVES NOT YET ADDRESSED, COMMUNITY PROJECTS ARE CHOSEN BY FACILITATED LOGIC MODELS TO DETERMINE PRIORITY AND GAUGE INTEREST OF COMMUNITY COALITION WORK GROUPS ALONG WITH ATTAINABLE TIMELINES. ASPIRUS LANGLADE HOSPITAL STILL PLANS TO WORK ON INITIATIVES IDENTIFIED IN THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT WITH SUFFICIENT DATA STILL INDICATING A NEED IN THE 2015 DATA COLLECTION PROCESS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ASPIRUS ANTIGO CLINIC | ||||
| 110 E 5TH AVE | ANTIGO | WI | 54409 | CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES |
| 2 - ASPIRUS BIRNAMWOOD CLINIC | ||||
| 400 RAILROAD | BIRNAMWOOD | WI | 54414 | CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES |
| 3 - ASPIRUS ELCHO CLINIC | ||||
| W10618 CLINIC ST | ELCHO | WI | 54428 | CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES |
| 4 - PINE MEADOWS | ||||
| 525 FLIGHT RD | ANTIGO | WI | 54409 | SENIOR HOUSING |
| 5 - ROSALIA GARDENDS | ||||
| 525 FLIGHT RD | ANTIGO | WI | 54409 | ASSISTED LIVING |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990. |
| PART I, LINE 7G: | THE COST OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE HOSPICE AND DIALYSIS PROGRAMS OF ASPIRUS LANGLADE HOSPITAL. ASPIRUS LANGLADE USED A COST TO CHARGE RATIO TO ESTIMATE THE COST OF EACH DEPARTMENET AND USED INTERNAL DEPARTMENT REPORTS TO DETERMINE THE DIRECT REVENUE OFFSET. THE DIALYSIS PROGRAM HAD AN ESTIMATED COST OF $1,316,231 WITH DIRECT REVENUE OFFSET OF $985,912. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 780,159. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | WHILE THERE IS A GROWING ARGUMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT," THESE EFFORTS CONTINUE TO BE A WORK IN PROGRESS. ASPIRUS LANGLADE HOSPITAL PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE HOSPITAL BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT COMMUNITY BENEFIT WHICH IS NOT QUANTIFIED. ASPIRUS LANGLADE HOSPITAL, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY. BEYOND INPATIENT HOSPITALIZATIONS, THE HOSPITAL PROVIDES LOCAL ACCESS TO MANY OTHER HEALTH SERVICES. THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES FOCUS ON EFFORTS TO ENRICH THE LIVES OF COMMUNITY MEMBERS WHO ARE STRUGGLING WITH ISSUES THAT MAY HAVE A NEGATIVE IMPACT ON THEIR HEALTH. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY:IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, ASPIRUS LANGLADE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, ASPIRUS LANGLADE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE AMOUNTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), ASPIRUS LANGLADE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. |
| PART III, LINE 8: | WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTH CARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. ANY SHORTFALL IS TREATED AS A COMMUNITY BENEFIT SINCE THE HOSPITAL IS PROVIDING SERVICES AT A LOSS WHICH ARE ESSENTIAL TO THE COMMUNITY. THE AMOUNTS OF MEDICARE ALLOWANCE COSTS ARE DETERMINED USING THE PRINCIPLES OF MEDICARE REIMBURSEMENT. |
| PART III, LINE 9B: | UPON A PATIENT'S APPROVAL FOR FINANCIAL ASSISTANCE, THIS IS LOADED AS AN INSURANCE COVERAGE TO THE PATIENTS ACCOUNT WITH AN EFFECTIVE AND TERMINATION DATE TO ASSURE CAPTURING ALL CHARGES FOR THE PATIENT FOR ADJUSTMENT IN A WORKQUEUE PRIOR TO ANY REMAINING BALANCE BEING MOVED TO PATIENT LIABILITY AND THEREFORE PREVENTING UNDISCOUNTED SERVICES FROM BEING BILLED TO A PATIENT. |
| PART VI, LINE 2: | MANAGEMENT REVIEWS HEALTH AND SOCIAL DATA AND TRENDS TO DETERMINE WHETHER THERE IS AN UNMET NEED WITHIN THE COMMUNITY. |
| PART VI, LINE 3: | ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINACIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS FROM CENTRAL BILLING OFFICE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. CARDON OUTREACH IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS. |
| PART VI, LINE 4: | ASPIRUS LANGLADE HOSPITAL SERVES THE POPULATION OF LANGLADE COUNTY AND SURROUNDING COUNTIES. LANGLADE COUNTY IS A RURAL COUNTY WITH NO TOWNS OF ANY SIGNIFICANT SIZE. THE POPULATION IS AGING AND PROJECTIONS INDICATE 50% OF THE POPULATION WILL BE OVER 64 YEARS OF AGE BY 2018. VERY LITTLE GROWTH IS PROJECTED FOR THE SERVICE AREA IN THE COMING YEARS. LANGLADE COUNTY HAS TRADITIONALLY SEEN HIGH RATES OF UNEMPLOYMENT. THERE ARE NO OTHER HOSPITALS IN THE IMMEDIATE AREA THAT SERVE LANGLADE COUNTY. THERE ARE HOSPITALS IN RHINELANDER AND IN WAUSAU; HOWEVER, DEPENDING UPON LOCATION IN LANGLADE COUNTY, THESE FACILITIES WOULD BE FAIRLY FAR AWAY. |
| PART VI, LINE 5: | THE BOARD OF DIRECTORS IS COMPRISED OF 10 VOTING MEMBERS FROM THE SURROUNDING AREA. OF THESE 10 VOTING BOARD MEMBERS, 7 ARE INDEPENDENT. THE HOSPITAL DOES EXTEND PRIVILEGES TO ALL QUALIFIED LOCAL PHYSICIANS. THE HOSPITAL PARTICIPATES IN LOCAL HEALTH FAIRS AND PROVIDES FREE SCREENINGS THROUGH THESE HEALTH FAIRS. |
| PART VI, LINE 6: | ASPIRUS LANGLADE HOSPITAL IS A PARTNER WITH ASPIRUS, INC. (ASPIRUS) A MULTI-SPECIALTY HEALTH SYSTEM WITH A BASE LOCATION IN WAUSAU, WISCONSIN. ASPIRUS LANGLADE HOSPITAL WORKS WITH ASPIRUS TO PROMOTE HEALTH AND WELLNESS INITIATIVES IN THE COMMUNITIES THEY SERVE. A NUMBER OF REPRESENTATIVES FROM ASPIRUS HAVE ROLES ON THE BOARD OF DIRECTORS OF ASPIRUS LANGLADE HOSPITAL AND TOGETHER PROMOTE THE MISSION OF ASPIRUS. ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTH CARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES TO IMPROVING THE HEALTH OF ALL IT SERVES. ASPIRUS WORKS COLLABORATIVELY WITH OTHERS WHO SHARE ITS PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. ASPIRUS AND ASPIRUS LANGLADE HOSPITAL WORK COLLABORATIVELY TO STREAMLINE PROCESSES TO CONTINUE TO PROVIDE HIGH QUALITY CARE TO MEMBERS OF COMMUNITIES WHICH OTHERWISE WITHOUT THE EFFORTS OF A COMBINED PARTNERSHIP MAY NOT HAVE ACCESS TO THIS CARE LOCALLY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| MENOMINEE INDIAN TRIBE OF WISCONSIN | ||||||||||
| PO BOX 910 | KESHENA | WI | 54409 | 391205576 | $82,327 | PROVIDE MORE ACCESS TO BUSING SERVICES FOR COMMUNITY MEMBERS | ||||
| MEMORIAL HOSPITAL AND COMMUNITY HEALTH FOUNDATION INC | ||||||||||
| 112 E 5TH AVE | ANTIGO | WI | 54409 | 391304761 | INKIND FOR ACCOUNTING AND MANAGEMENT SERVICES | 501(C)(3) | $28,015 | OTHER | WAGES AND BENEFITS | |
| BOYS AND GIRLS CLUB OF LANGLADE COUNTY | ||||||||||
| 411 SUPERIOR ST | ANTIGO | WI | 54499 | 391980025 | $14,000 | PROVIDE HEALTHY MEALS TO MEMBERS AND EDUCATE FAMILIES ON PROPER NUTRITION AND EXERCISE | 501(C)(3) | |||
| ANTIGO AREA FOOD PANTRY | ||||||||||
| 2120 PROGRESS BLVD | ANTIGO | WI | 54135 | 454834406 | $22,900 | FUNDING FOR A WEEKEND MEAL PROGRAM FOR SCHOOL-AGE CHILDREN | 501(C)(3) | |||
| LANGLADE COUNTY SHERIFF DEPT | ||||||||||
| 3800 CLERMONT STREET | ANTIGO | WI | 54409 | 396005713 | $30,000 | MENTAL HEALTH SERVICES EXPANSION | 501(C)(3) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | 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 | THE ORGANIZATION PROVIDES BOARD APPROVED CAPTIAL DISTRIBUTIONS, WAGES AND BENEFITS TO RELATED ENTITIES AND NON-RELATED ENTITIES; NO FORMAL MONITORING IS REQUIRED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICK NEVERS | ||||||||||||||
| VICE CHAIRMAN/SVP REGIONAL | $0 | $322,120 | $0 | $61,986 | $0 | $38,481 | $0 | $19,030 | $0 | $60,055 | $0 | $501,672 | $0 | $0 |
| SID SCZYGELSKI | ||||||||||||||
| BOARD MEMBER/SVP OF FINANC | $0 | $500,272 | $0 | $97,238 | $0 | $47,442 | $0 | $19,030 | $0 | $87,566 | $0 | $751,548 | $0 | $0 |
| MIKE OLSON DO | ||||||||||||||
| BOARD MEMBER/PHYSICIAN RAD | $545,459 | $0 | $0 | $0 | $487 | $0 | $13,250 | $0 | $32,806 | $0 | $592,002 | $0 | $0 | $0 |
| PATRICK TINCHER | ||||||||||||||
| CFO ALH | $224,138 | $0 | $35,580 | $0 | $24,449 | $0 | $14,802 | $0 | $29,945 | $0 | $328,914 | $0 | $0 | $0 |
| ANDREW BARTH | ||||||||||||||
| CEO ALH | $147,696 | $0 | $0 | $0 | $372 | $0 | $7,510 | $0 | $13,712 | $0 | $169,290 | $0 | $0 | $0 |
| MATT HEYWOOD | ||||||||||||||
| CEO AI | $0 | $822,805 | $0 | $293,232 | $0 | $2,695 | $0 | $19,030 | $0 | $144,154 | $0 | $1,281,916 | $0 | $0 |
| JANELLE MARKGRAF | ||||||||||||||
| DIRECTOR HR & OFF CAMPUS S | $171,510 | $0 | $27,444 | $0 | $20,667 | $0 | $8,971 | $0 | $22,339 | $0 | $250,931 | $0 | $0 | $0 |
| SHERRY BUNTEN | ||||||||||||||
| DIRECTOR OF PATIENT CARE S | $193,653 | $0 | $30,460 | $0 | $17,772 | $0 | $9,727 | $0 | $28,660 | $0 | $280,272 | $0 | $0 | $0 |
| JOHN HEISLER | ||||||||||||||
| SVP & CHIEF HR OFFICER | $0 | $292,124 | $0 | $63,187 | $0 | $14,010 | $0 | $18,924 | $0 | $58,046 | $0 | $446,291 | $0 | $0 |
| DEAN DANNER | ||||||||||||||
| SVP AMBULATORY SERVICES & PRESIDENT | $0 | $291,709 | $0 | $50,695 | $0 | $46,565 | $0 | $19,030 | $0 | $25,012 | $0 | $433,011 | $0 | $0 |
| MICHAEL MCGRAIL MD | ||||||||||||||
| SVP SYSTEM CMO | $0 | $391,427 | $0 | $82,975 | $0 | $11,936 | $0 | $12,004 | $0 | $65,632 | $0 | $563,974 | $0 | $0 |
| RUTH RISLEY-GRAY | ||||||||||||||
| SVP NURSING, SYSTEM CNO | $0 | $275,808 | $0 | $58,636 | $0 | $43,052 | $0 | $19,030 | $0 | $58,171 | $0 | $454,697 | $0 | $0 |
| TODD RICHARDSON | ||||||||||||||
| SVP & CIO | $0 | $292,477 | $0 | $62,933 | $0 | $37,490 | $0 | $19,030 | $0 | $68,931 | $0 | $480,861 | $0 | $0 |
| ERIC ANDERSON | ||||||||||||||
| SVP SERVICE LINE & PATIENT EXPERIENC | $0 | $233,292 | $0 | $40,147 | $0 | $725 | $0 | $4,819 | $0 | $59,858 | $0 | $338,841 | $0 | $0 |
| RENEE SMITH | ||||||||||||||
| EXECUTIVE DIRECTOR ANI | $0 | $344,370 | $0 | $42,139 | $0 | $44,887 | $0 | $19,030 | $0 | $27,247 | $0 | $477,673 | $0 | $0 |
| BESSANT PARKER | ||||||||||||||
| ALH CMO | $325,406 | $0 | $48,113 | $0 | $467 | $0 | $12,455 | $0 | $15,684 | $0 | $402,125 | $0 | $0 | $0 |
| CARI LOGEMANN | ||||||||||||||
| SVP & GENERAL COUNSEL | $0 | $319,704 | $0 | $64,915 | $0 | $36,831 | $0 | $19,030 | $0 | $66,107 | $0 | $506,587 | $0 | $0 |
| DOUGLAS ARMATO MD | ||||||||||||||
| PHYSICIAN RADIOLOGIST | $461,842 | $0 | $0 | $0 | $2,327 | $0 | $13,265 | $0 | $25,329 | $0 | $502,763 | $0 | $0 | $0 |
| KENNETH BOWMAN MD | ||||||||||||||
| PHYSICIAN RADIOLOGIST | $445,038 | $0 | $0 | $0 | $3,572 | $0 | $13,250 | $0 | $22,619 | $0 | $484,479 | $0 | $0 | $0 |
| STACY KOLZ | ||||||||||||||
| MANAGER PHARMACY | $163,440 | $0 | $0 | $0 | $320 | $0 | $8,333 | $0 | $17,953 | $0 | $190,046 | $0 | $0 | $0 |
| DIANE PETERSON | ||||||||||||||
| MANAGER OF REHAB SERVICES | $132,472 | $0 | $0 | $0 | $1,313 | $0 | $6,880 | $0 | $20,601 | $0 | $161,266 | $0 | $0 | $0 |
| DEBORAH KITCH | ||||||||||||||
| PHARMACIST | $125,233 | $0 | $0 | $0 | $101 | $0 | $6,683 | $0 | $22,041 | $0 | $154,058 | $0 | $0 | $0 |
| DAVID SCHNEIDER | ||||||||||||||
| CEO ALH (TERMED 6/30/17) | $320,323 | $0 | $103,284 | $0 | $3,599 | $0 | $12,174 | $0 | $12,147 | $0 | $451,527 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: R. NEVERS $32,268 S. SCZYGELSKI $38,440 R. RISLEY-GRAY $38,590 T. RICHARDSON $35,685 A. TINCHER $ 23,403 B. BUNTEN $17,236 J. MARKGRAF $16,391 D. DANNER $35,422 C. LOGEMANN $34,955 R. SMITH $10,121 KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 9% FOR VICE PRESIDENT, 13% FOR SENIOR LEADERSHIP COUNCIL, AND 15% FOR THE CEO. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE; OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WI HEALTH & EDUCATION FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 391337855 | BondIssuerEIN |
| Bond Issued | 2013-04-12 | BondIssuedDt |
| Issue Price | $27,000,592 | IssuePriceAmt |
| Purpose | CONSTRUCT, RENOVATE, AND EQUIP FACILITIES | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,195,000 | RetiredAmt |
| Total Proceeds | $27,000,592 | TotalProceedsAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | 0 | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Concerning UBI | 0.00200 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00200 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI | THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2013 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (EIN 39-0964813); ASPIRUS GRAND VIEW (EIN 38-2908586); AND LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429). INFORMATION REGARDING THE SERIES 2013 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2013 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS.] |
| PART III - LINE 3 AND 3B | ASPIURS, INC., A MEMBER OF ASPIRUS LANGLADE HOSPITAL, HAS A POLICY AND PROCEDURES IN PLACE TO REVIEW MANAGEMENT AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCE PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY. |
| PART III - LINE 9 | SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAUREEN WINTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF MIKE WINTER, BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $47,287 | TransactionAmt |
| Transaction | EMPLOYMENT COMPENSATION | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE HOSPITAL HAS TWO MEMBERS, THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH HEALTH CORPORATION (55%) AND ASPIRUS, INC. (45%). |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7B. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE HOSPITAL OPERATES UNDER THE CONTROL AND DIRECTION OF THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH HEALTH CORPORATION (RHSJ), A RELIGIOUS CONGREGATION OF THE ROMAN CATHOLIC CHURCH AND ASPIRUS, INC. EACH OF WHICH APPOINT 3 BOARD MEMBERS AND JOINTLY APPROVE THE REMAINING MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND THE 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE HOSPITAL'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DTERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE NOTED IN THE MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS LANGLADE HOSPITAL RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | LAB PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 746,497. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 746,497. PROVIDER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 5,122,730. MANAGEMENT AND GENERAL EXPENSES 14,544. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,137,274. LAUNDRY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 37,584. MANAGEMENT AND GENERAL EXPENSES 356,198. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 393,782. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 1,216,037. MANAGEMENT AND GENERAL EXPENSES 72,273. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,288,310. CORPORATE ALLOCATION: PROGRAM SERVICE EXPENSES 59,441. MANAGEMENT AND GENERAL EXPENSES 12,822,717. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,882,158. PHARMACY DISPENSING FEES: PROGRAM SERVICE EXPENSES 1,849,534. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,849,534. RECRUITMENT: PROGRAM SERVICE EXPENSES 47,022. MANAGEMENT AND GENERAL EXPENSES 19,769. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,791. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,092,377. MANAGEMENT AND GENERAL EXPENSES 288,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,380,639. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 30. CONTRIBUTIONS FOR PROPERTY AND EQUIPMENT 254,978. ROUNDING 1. |
| FORM 990, PART XII, LINE 2C, AUDIT PROCESS: | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RELIGIOUS HOSPITALLERS OF ST JOSEPH HEALTH CORP | ||||||||||
| 411 E WIS AVE STE 700 | MILWAUKEE | WI | 53202 | 271341591 | HEALTH CARE | WI | 501(C)(3) | LINE 1 | N/A | 0 |
| ASPIRUS INC | ||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391328331 | HEALTH CARE | WI | 501(C)(3) | LINE 12B, II | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| ASPIRUS INC | |
| B | $2,140,000 |
| ASPIRUS INC | |
| M | $12,870,249 |
| ASPIRUS INC | |
| O | $195,942 |
| ASPIRUS INC | |
| Q | $135,799 |
| ASPIRUS INC | |
| P | $93,815 |
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 |
Comments