ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC (EIN 39-0868982)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201931359349308518
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 G
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-15T13:44:04-05:00	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	4890 OWEN AYRES COURT SUITE 200	AddressLine1Txt
City	EAU CLAIRE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	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	390868982	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS RIVERVIEW HOSPITAL	BusinessNameLine1Txt
Business Name Line2	& CLINICS INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ASPI	BusinessNameControlTxt
Phone	7154229292	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	410 DEWEY STREET	AddressLine1Txt
City	WISCONSIN RAPIDS	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54494	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SIDNEY C SCZYGELSKI	PersonNm
Person Title	CFO OF AI/SENIOR VP OF FINANCE	PersonTitleTxt
Phone	7154229292	PhoneNum
Signature	2019-05-13	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	2019-05-13	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	2019-05-13	IPDt
IP Tm	08:51:47	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	558C6F47C777A73CECB93EB9107DCB0C387663C8	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SIDNEY C SCZYGELSKI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	410 DEWEY STREET	AddressLine1Txt
City	WISCONSIN RAPIDS	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54494	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$147,481,682	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	1912	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	724	TotalEmployeeCnt
Total Volunteers	280	TotalVolunteersCnt
Total Gross UBI	$1,091,909	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$36,837	PYContributionsGrantsAmt
CY Contributions Grants	$47,332	CYContributionsGrantsAmt
PY Program Service Revenue	$118,864,594	PYProgramServiceRevenueAmt
CY Program Service Revenue	$139,141,721	CYProgramServiceRevenueAmt
PY Investment Income	$2,488,046	PYInvestmentIncomeAmt
CY Investment Income	$3,216,777	CYInvestmentIncomeAmt
PY Other Revenue	$544,209	PYOtherRevenueAmt
CY Other Revenue	$307,966	CYOtherRevenueAmt
PY Total Revenue	$121,933,686	PYTotalRevenueAmt
CY Total Revenue	$142,713,796	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,195	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$48,205,191	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$56,389,469	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$58,682,872	PYOtherExpensesAmt
CY Other Expenses	$66,799,271	CYOtherExpensesAmt
PY Total Expenses	$106,892,258	PYTotalExpensesAmt
CY Total Expenses	$123,189,240	CYTotalExpensesAmt
PY Revenues Less Expenses	$15,041,428	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$19,524,556	CYRevenuesLessExpensesAmt
Total Assets BOY	$169,175,282	TotalAssetsBOYAmt
Total Assets EOY	$197,025,509	TotalAssetsEOYAmt
Total Liabilities BOY	$61,684,920	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$70,642,377	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$107,490,362	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$126,383,132	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$93,435,964	ExpenseAmt
Grant	$500	GrantAmt
Revenue	$137,559,798	RevenueAmt
Desc	ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. OWNS AND OPERATES THE FOLLOWING ENTITIES: (1) ASPIRUS RIVERVIEW HOSPITAL, ESTABLISHED IN 1912; (2) THE OUTPATIENT ASPIRUS RIVERVIEW THERAPIES; (3) ASPIRUS RIVERVIEW CLINICS - THIS SERVICE INCLUDES CLINICS IN WISCONSIN RAPIDS, NEKOOSA, AND THE ROME-LAKES AREA; (4) THE ASPIRUS UW CANCER CENTER. ASPIRUS RIVERVIEW CANCER CENTER OPENED IN 2003 IN COOPERATION WITH UW COMPREHENSIVE CANCER CENTER, MADISON; (5) ASPIRUS RIVERVIEW DENTAL CLINIC. ASPIRUS RIVERVIEW ESTABLISHED THIS CLINIC IN 2009 TO SERVE RESIDENTS OF SOUTH WOOD COUNTY WHO ARE COVERED BY BADGER CARE/MEDICAID; (6) ASPIRUS RIVERVIEW WOUND AND HYPERBARIC CENTER. THE CENTER OPENED IN 2010 AND IS MANAGED BY HEALOGICS; (7) ASPIRUS HEART & VASCULAR CLINIC. ASPIRUS RIVERVIEW ESTABLISHED THE CLINIC IN 2016, STAFFING IT WITH A FULL TIME CARDIOLOGIST AND NURSE PRACTITIONER; (8) ASPIRUS DOCTORS CLINIC WAS PURCHASED AS OF 1/1/17. (9) ASPIRUS RIVERVIEW BEHAVIORAL HEALTH CLINIC WAS ESTABLISHED IN 2018. IT PROVIDES MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES AND IS STAFFED BY PSYCHIATRISTS, NURSE PRACTITIONERS AND LICENSED CLINICAL SOCIAL WORKERS.ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES THAT ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS REGARDLESS OF SOURCE OR AVAILABILITY OF PAYMENT, AND IT PROVIDES MEASURABLE IMPROVEMENT IN HEALTH ACCESS, HEALTH STATUS, AND THE USE OF HEALTH CARE RESOURCES. IN ADDITION, THE PROGRAMS AND SERVICES CONSIDERED COMMUNITY BENEFITS SHOULD MEET ONE OR MORE OF THE FOLLOWING CRITERIA: SUPPORTS THE ORGANIZATION'S COMMUNITY-BASED MISSION TARGETS THE PROBLEMS OF THE POOR OR MEDICALLY UNDERSERVED IMPACTS THE HEALTH STATUS OF THE IDENTIFIED COMMUNITY REDUCES COMMUNITY HEALTH COSTS IS ACCESSIBLE TO THE ENTIRE TARGET COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY STIMULATES EXTERNAL COMMUNITY PARTNERSHIPS *IMPROVES THE ACCESS TO NEEDED HEALTH CARE SERVICESFONEMED IS A FREE, CONFIDENTIAL TELEPHONE SERVICE THE COMMUNITY CAN CALL AFTER THE CLINICS ARE CLOSED TO GET ROUTINE HEALTH ADVICE OR GENERAL HEALTH INFORMATION FROM A REGISTERED NURSE. APPROXIMATELY 1,520 PERSONS BENEFITED FROM THIS PROGRAM.COALITION BUILDING: THE HEALTHY PEOPLE WOOD COUNTY OBESITY PREVENTION TEAM IS FOCUSING EFFORTS ON BUILDING ENVIRONMENTS AND POLICIES WHICH CAN SUPPORT HEALTHY BEHAVIOR CHANGE IN TERMS OF DIET AND EXERCISE. REPRESENTATIVES FROM ASPIRUS RIVERVIEW SERVE ON THE SAFE KIDS COALITION, WORKING TO PREVENT INJURY AND DEATH IN CHILDREN AGED 0-14. THE COMMUNITY RELATIONS ASSISTANT REPRESENTS ASPIRUS RIVERVIEW ON THE 3-0 DAY COMMITTEE (OUR BODIES, OUR RESPONSIBILITIES). THE COMMITTEE ORGANIZES A TEEN CONFERENCE ANNUALLY FOCUSING ON REDUCING AT-RISK BEHAVIOR IN JUNIOR AND SENIOR HIGH STUDENTS. APPROXIMATELY 355 PERSONS BENEFITED FROM THESE COALITIONS. ASPIRUS RIVERVIEW DENTAL CLINIC IN WISCONSIN RAPIDS IS OPEN TO PATIENTS WHO HAVE MEDICAID OR BADGER CARE INSURANCE COVERAGE. THIS INSURANCE IS NOT TYPICALLY ACCEPTED BY INDEPENDENT DENTAL CLINICS. APPROXIMATELY 3,401 PERSONS BENEFITED FROM THIS PROGRAM IN 2018. THE LIFELINE PROGRAM IS A 24 HOUR A DAY PERSONAL RESPONSE SYSTEM. A LIFELINE UNIT IS INSTALLED IN THE "SUBSCRIBER'S" HOME AND OPERATES THROUGH THEIR PHONE LINE. HE/SHE WEARS A "PERSONAL HELP BUTTON", WHICH THEY USE TO ALERT LIFELINE SIMPLY BY PRESSING THE BUTTON. THERE IS ALSO AN AUTO ALERT PERSONAL HELP BUTTON, WHICH ALERTS LIFELINE AUTOMATICALLY IF THE SUBSCRIBER FALLS. A LIFELINE "MONITOR" ANSWERS THE CALL THROUGH THE LIFELINE UNIT AND THEY CALL THE SUBSCRIBER. AFTER THEY DETERMINE WHAT KIND OF HELP IS NEEDED, THEY CALL THE SUBSCRIBER'S "RESPONDERS", WHICH ARE FRIENDS, NEIGHBORS, OR RELATIVES THAT CAN CHECK ON THE SUBSCRIBER, OR IF THE SUBSCRIBER NEEDS MORE PROFESSIONAL HELP THE MONITOR WILL CALL FOR IT IMMEDIATELY. THE LIFELINE PROGRAM HELPS PEOPLE THAT WOULD OTHERWISE BE UNABLE TO REMAIN IN THEIR HOMES. IT PROVIDES THEM WITH FREEDOM AND SECURITY TO DO SO, WHILE ALSO PUTTING THEIR FAMILY AT EASE. OUR PROGRAM HELPS MANY PEOPLE IN WISCONSIN RAPIDS AND THE SURROUNDING AREA. THIS PAST YEAR APPROXIMATELY 209 PEOPLE BENEFITED FROM THE LIFELINE PROGRAM THAT ASPIRUS RIVERVIEW HOSPITAL OFFERS.VULNERABLE PEOPLE OF ALL AGES INCLUDING THE ELDERLY CAN REMAIN IN THEIR HOME AND BE SELF-SUFFICIENT BY RECEIVING A HOME DELIVERED MEAL THAT MEETS THEIR SPECIFIC NUTRITION REQUIREMENTS. HEALTH CONDITIONS OR PHYSICAL DISABILITIES RESTRICT THE ABILITY OF INDIVIDUALS TO REMAIN INDEPENDENT. THE HOME DELIVERED MEALS PROGRAM PROVIDES NUTRITION THAT IS MEDICALLY THERAPEUTIC TO ADDRESS THE SPECIAL NEEDS OF CLIENTS DIAGNOSED WITH DIABETES, CARDIAC AND PULMONARY ISSUES, RETINAL DISEASE, GLUTEN INTOLERANCE, WEIGHT LOSS DUE TO CANCER AND CHEWING AND SWALLOWING PROBLEMS. THE PROGRAM ALSO MEETS THE NEEDS OF CARETAKERS OF THE MENTALLY AND PHYSICALLY HANDICAPPED OR ALZHEIMER'S OR OTHER DEMENTIA DISORDERS BY PROVIDING MEALS TO ALLOW THEM TO CARE FOR THEIR LOVED ONES. NUTRITION EDUCATION IS ALSO OFFERED. COMMUNITY VOLUNTEERS DELIVER HOT LUNCHES MONDAY - FRIDAY AS WELL AS BROWN BAG MEALS FOR WEEKENDS. FOOD IS PREPARED WITH CONSIDERATION FOR EACH CLIENT'S PERSONAL PREFERENCES AS WELL AS DIETARY RESTRICTIONS. IN 2018, 16,877 MEALS WERE DELIVERED. IN AN EFFORT TO MEET THE COMMUNITY NEEDS OF STUDENTS IN THE WISCONSIN RAPIDS AREA, ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. OFFERS THE OPPORTUNITY FOR INTERESTED STUDENTS TO EXPERIENCE A GLIMPSE OF THE ROLE OF ITS PROFESSIONAL STAFF. THIS SERVICE IS MADE AVAILABLE TO STUDENTS WHO ARE INTERESTED IN LEARNING MORE ABOUT HEALTH CAREERS. IN 2018, ASPIRUS RIVERVIEW HAD 35 JOB SHADOW PARTICIPANTS.ASPIRUS RIVERVIEW OFFERS A FREE SEMINAR ENTITLED UNDERSTAND YOUR JOINT PAIN. THIS SEMINAR DISCUSSED WHAT YOU CAN DO ABOUT KNEE, HIP, AND OTHER JOINT PAIN. ATTENDANTS ALSO LEARNED ABOUT ARTHRITIS, THE CAUSES AND SYMPTOMS, AND TREATMENT OPTIONS INCLUDING MEDICATIONS, NUTRITION, EXERCISE, ALTERNATIVE TREATMENTS, AND NEW CONCEPTS IN JOINT REPLACEMENT. ASPIRUS RIVERVIEW OFFERS MONTHLY EVENTS TO ALL WOMEN IN THE SURROUNDING COMMUNITIES. THE EVENTS ARE FREE OF CHARGE AND EDUCATE WOMEN ON VARIOUS HEALTH TOPICS THAT COULD AFFECT THEM AND/OR MEMBERS OF THEIR FAMILIES. VARIOUS HEALTH TOPICES COVERED WERE CANCER, DIABETES, JOINT REPLACEMENT, AND IMMUNIZATIONS. IN 2018, NEARLY 1,517 INDIVIDUALS BENEFITED FROM THESE EVENTS.ASPIRUS RIVERVIEW COORDINATES AND FACILITATES SEVERAL SUPPORT GROUPS FOR INDIVIDUALS AND THEIR LOVED ONES WHO ARE DEALING WITH CHRONIC DISEASE, CANCER OR LOSS. THE SUPPORT GROUPS INCLUDE BOTH MEN'S AND WOMEN'S CANCER, DIABETES, CELIAC DISEASE, ARTHRITIS AND LOSS. IN ADDITION, LACTATION SPECIALISTS FROM THE ASPIRUS RIVERVIEW FAMILY BIRTHPLACE OFFER BREASTFEEDING SUPPORT TO NEW MOTHERS. APPROXIMATELY, 753 INDIVIDUALS BENEFITED FROM THESE PROGRAMS.ASPIRUS RIVERVIEW OFFERS PRECEPTORSHIP OPPORTUNITIES TO STUDENTS ENROLLED IN AREA NURSING PROGRAMS. THIS STRUCTURED PROGRAM PROVIDES INSTRUCTION, DIRECTION AND GUIDANCE TO STUDENTS WHO ARE NOT EMPLOYEES OF ASPIRUS RIVERVIEW. THE PROGRAM MEETS THE REQUIREMENTS FOR COURSE CREDIT IN A HEALTHCARE SETTING. IN 2018, 55 STUDENTS BENEFITED FROM PRECEPTORSHIP OPPORTUNITIES.ASPIRUS RIVERVIEW HELD MONTHLY WORKSHOPS ON HOW TO COMPLETE AN ADVANCED DIRECTIVE AND APPOINT A HEALTHCARE POWER OF ATTORNEY. ADDITIONAL PRESENTATIONS WERE GIVEN TO THE WISCONSIN RAPIDS ROTARY CLUB IN AN EVENING SEMINAR. IN 2018, 326 PEOPLE RECEIVED THIS EDUCATION.ASPIRUS RIVERVIEW IS A BUSINESS SITE FOR PROJECT SEARCH - AN INTERNATIONAL PROGRAM THAT PROVIDES YOUNG ADULTS WITH COGNITIVE AND PHYSICAL DISABILITIES WITH ON-SITE INTERNSHIPS. ASPIRUS RIVERVIEW PROVIDES CLASSROOM SPACE AND 10-WEEK INTERNSHIPS IN VARIOUS DEPARTMENTS. AT THE END OF THE YEAR, STUDENTS HAVE GAINED VALUABLE SOCIAL AND EMPLOYMENT SKILLS THAT WILL HELP THEM FIND GAINFUL EMPLOYMENT IN THE COMMUNITY. IN 2018, 10 STUDENTS BENEFITED FROM THIS PROGRAM.ASPIRUS RIVERVIEW BELIEVES THAT BREAST FEEDING IS IMPORTANT AND OFFERS FREE BREAST FEEDING SUPPORT TO NEW MOTHERS. THIS SUPPORT IS AVAILABLE SEVEN DAYS A WEEKS AND NEW MOTHERS ARE ALSO INVITED TO RECEIVE ONE-ON-ONE COUNSELING FROM CERTIFIED LACTATION SPECIALISTS.	Desc
Total Program Service Expenses	$93,435,964	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	0	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	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	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	0	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	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	60	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	724	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	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SIDNEY 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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
FORREST DEAN DANNER JR
BOARD CHAIR / PRESIDENT ACI	1.00	40.00	Yes (X)	Yes (X)	$0	$388,969	$44,042
DAVID STARK
BOARD VICE CHAIR	1.00		Yes (X)	Yes (X)	$0	$0	$0
SIDNEY C SCZYGELSKI
BOARD TREASURER	1.00	50.00	Yes (X)	Yes (X)	$0	$644,952	$106,596
MARY JO CARSON
BOARD SECRETARY	1.00		Yes (X)	Yes (X)	$0	$0	$0
MICHAEL BOVEE
DIRECTOR	1.00		Yes (X)		$0	$0	$0
STEVEN BERLYN
DIRECTOR	1.00		Yes (X)		$0	$0	$0
BONITA KOLRUD
DIRECTOR	1.00	40.00	Yes (X)		$0	$434,904	$43,112
MARY IRONSIDE
DIRECTOR	1.00		Yes (X)		$0	$0	$0
CRAIG R FLINDERS DO
DIRECTOR	1.00	40.00	Yes (X)		$0	$315,244	$38,922
MARTIN J LOY
DIRECTOR	1.00		Yes (X)		$0	$0	$0
MATT HEYWOOD
CEO OF ASPIRUS INC.	1.00	50.00		Yes (X)	$0	$1,118,732	$163,184
NANCY ROTH-MALLEK
VP OF FINANCE	40.00			Yes (X)	$191,168	$0	$43,047
TODD BURCH
PRESIDENT OF ASPIRUS RIVERVIEW	1.00	40.00		Yes (X)	$0	$320,086	$76,164
ERIC ANDERSON
SVP OF SERVICE LINE & PT EXP	1.00	40.00			$0	$274,164	$64,677	Yes (X)
KIMBERLY JOHNSON
V.P. - PATIENT SERVICES	40.00				$184,082	$0	$25,057	Yes (X)
THOMAS VOELKER
PRESIDENT OF MEDICAL AFFAIRS	20.00	20.00			$180,032	$180,030	$74,514	Yes (X)
RUTH RISLEY-GRAY
SVP NURSING, CNO	1.00	50.00			$0	$377,496	$77,201	Yes (X)
JOHN HEISLER
SVP & CHIEF HR OFFICER	1.00	50.00			$0	$369,321	$76,970	Yes (X)
MICHAEL MCGRAIL MD
SVP SYSTEM CMO	1.00	50.00			$0	$486,338	$77,636	Yes (X)
CARI LOGEMANN
SVP & GENERAL COUNSEL	1.00	50.00			$0	$421,450	$85,137	Yes (X)
RENEE SMITH
ANI EXECUTIVE DIRECTOR	1.00	50.00			$0	$431,396	$46,277	Yes (X)
TODD RICHARDSON
SVP & CIO	1.00	50.00			$0	$392,900	$87,961	Yes (X)
RICK NEVERS
SVP REG OPS SYSTEM INT OFF	1.00	50.00			$0	$422,587	$79,085	Yes (X)
REBECCA PHILLIP
DIRECTOR OF PHARMACY	40.00				$198,643	$0	$21,789		Yes (X)
MATTHEW MALOOLY
PHARMACIST	40.00				$167,092	$0	$17,665		Yes (X)
MARJORIE TELL
V.P. - ANCILLARY SERVICES-TERMED	40.00				$140,232	$0	$28,198		Yes (X)
STACI SOVA
NURSE PRACTITIONER	40.00				$135,322	$0	$33,576		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,196,571	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,578,569	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,310,810	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	26	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ASPIRUS CLINICS INC
425 PINE RIDGE BLVD	WAUSAU	WI	54401	CLINICAL SERVICES	$18,218,311
ASPIRUS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	ADMINISTRATIVE & SUPPORT SERVICES	$17,561,186
ASPIRUS WAUSAU HOSPITAL
333 PINE RIDGE BLVD	WAUSAU	WI	54401	ADMINISTRATIVE & SUPPORT SERVICES	$8,385,275
MIDWEST GROUP MEA EMERGENCY MGMT
PO BOX 634850	CINCINNATI	OH	452634850	ER SERVICE	$4,171,343
PARK & ASSOCIATES
3610 DEER ROAD	WISCONSIN RAPIDS	WI	54494	PATHOLOGY FEE	$729,980

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	18	CntrctRcvdGreaterThan100KCnt
Fundraising	$34,495	FundraisingAmt
All Other Contributions	$12,837	AllOtherContributionsAmt
Total Contributions	$47,332	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICES	900099	$137,367,846	$137,367,846
LAB SERVICE FOR NON PATIENTS	621500	$797,720		$797,720
OTHER	900099	$490,343		$294,189	$196,154
FOOD	900099	$293,860			$293,860
HEALTH INCENTIVE PROGRAMS	900099	$80,984	$80,984

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$110,968	TotalRevenueColumnAmt
Related Or Exempt Func Income	$110,968	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$139,141,721	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$141,048	TotalRevenueColumnAmt
Exclusion	$141,048	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$618,814	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$310,848	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$307,966	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$307,966	TotalRevenueColumnAmt
Exclusion	$307,966	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,528,325	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$4,452,596	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,075,729	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,075,729	TotalRevenueColumnAmt
Exclusion	$3,075,729	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$4,442	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$34,495	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$4,442	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$142,713,796	TotalRevenueColumnAmt
Related Or Exempt Func Income	$137,559,798	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,091,909	UnrelatedBusinessRevenueAmt
Exclusion	$4,014,757	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	$500	TotalAmt
Program Services	$500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$695,000	TotalAmt
Management And General	$695,000	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$43,957,203	TotalAmt
Program Services	$37,417,986	ProgramServicesAmt
Management And General	$6,539,217	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,197,661	TotalAmt
Program Services	$2,175,050	ProgramServicesAmt
Management And General	$22,611	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,709,102	TotalAmt
Program Services	$4,454,784	ProgramServicesAmt
Management And General	$2,254,318	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,830,503	TotalAmt
Program Services	$2,812,895	ProgramServicesAmt
Management And General	$17,608	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$315,776	TotalAmt
Program Services	$315,776	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$238,522	TotalAmt
Management And General	$238,522	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$32,195	TotalAmt
Management And General	$32,195	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$18,150	TotalAmt
Management And General	$18,150	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,818,059	TotalAmt
Program Services	$11,426,092	ProgramServicesAmt
Management And General	$1,391,967	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$278,901	TotalAmt
Program Services	$16,415	ProgramServicesAmt
Management And General	$262,486	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$861,523	TotalAmt
Program Services	$596,650	ProgramServicesAmt
Management And General	$264,873	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$435,666	TotalAmt
Program Services	$168,461	ProgramServicesAmt
Management And General	$267,205	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,020,072	TotalAmt
Program Services	$2,689,106	ProgramServicesAmt
Management And General	$2,330,966	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$221,564	TotalAmt
Program Services	$114,174	ProgramServicesAmt
Management And General	$107,390	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$9,699	TotalAmt
Management And General	$9,699	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,289,245	TotalAmt
Management And General	$1,289,245	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,586,529	TotalAmt
Program Services	$3,537,211	ProgramServicesAmt
Management And General	$2,049,318	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$240,349	TotalAmt
Program Services	$122,512	ProgramServicesAmt
Management And General	$117,837	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$19,720,170	$18,639,290	$1,080,880
CORPORATE ALLOCATION	$14,306,856	$5,142,116	$9,164,740
BAD DEBT	$3,351,172	$3,351,172
HOSPITAL TAX	$1,823,558		$1,823,558

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$231,265	TotalAmt
Program Services	$455,774	ProgramServicesAmt
Management And General	-$224,509	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$123,189,240	TotalAmt
Program Services	$93,435,964	ProgramServicesAmt
Management And General	$29,753,276	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$28,026	BOYAmt
EOY	$22,775	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$47,978,849	BOYAmt
EOY	$72,177,641	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,941,200	BOYAmt
EOY	$20,091,712	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,269,646	BOYAmt
EOY	$2,396,275	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$527,409	BOYAmt
EOY	$539,593	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$165,412,967	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$96,602,673	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$63,629,521	BOYAmt
EOY	$68,810,294	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$34,889,147	BOYAmt
EOY	$32,194,251	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$911,484	BOYAmt
EOY	$792,968	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$169,175,282	BOYAmt
EOY	$197,025,509	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,757,931	BOYAmt
EOY	$12,624,846	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,215,989	BOYAmt
EOY	$2,129,462	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,664,684	BOYAmt
EOY	$55,833,004	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$46,316	BOYAmt
EOY	$55,065	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$61,684,920	BOYAmt
EOY	$70,642,377	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$106,868,344	BOYAmt
EOY	$125,524,497	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$622,018	BOYAmt
EOY	$858,635	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$107,490,362	BOYAmt
EOY	$126,383,132	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$169,175,282	BOYAmt
EOY	$197,025,509	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$19,524,556	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,374,772	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,006,559	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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	$9,700	OtherActivitiesAmt
Total Lobbying Expenditures	$9,700	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	THE PERCENTAGES THAT ARE SPECIFIC FOR LOBBYING PURPOSES ARE AS FOLLOWS: 22.98% OF THE AMERICAN HOSPITAL ASSOCIATION TOTALING $3,993.23, 14.3% OF THE WISCONSIN HOSPITAL ASSOCIATION TOTALING $3,813.81, AND OTHER MINOR ACTIVITY OF $1,892.61 MAKING THE GRAND TOTAL OF DUES DIRECTED TOWARDS LOBBYING $9,699.65.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,764,622	OtherCostOrOtherBasisAmt
Book Value	$3,764,622	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,982,636	OtherCostOrOtherBasisAmt
Depreciation	$37,045,054	DepreciationAmt
Book Value	$43,937,582	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,006,780	OtherCostOrOtherBasisAmt
Depreciation	$1,923,337	DepreciationAmt
Book Value	$1,083,443	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,258,925	OtherCostOrOtherBasisAmt
Depreciation	$57,055,064	DepreciationAmt
Book Value	$13,203,861	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,400,004	OtherCostOrOtherBasisAmt
Depreciation	$579,218	DepreciationAmt
Book Value	$6,820,786	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$68,810,294	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
RETIREE HEALTHCARE BENEFITS	$19,865
LONG TERM INSURANCE	$35,200

Field	Value	IRS element (for citing)
Total Liability	$55,065	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ALL SUBISIDIARIES, EXCEPT FOR ANI, ARE TAX-EXEMPT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 509(A)(2) OF THE CODE. THEY ARE ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. ASPIRUS IS ALSO ENGAGED, TO A LIMITED EXTENT, IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME(UBI). INCOME TAXES FOR ANI, A NOT-FOR-PROFIT TAXABLE CORPORATION, WERE IMMATERIAL FOR THE YEAR ENDED JUNE 30, 2018 AND 2017.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	LOVE LIGHTS	Event1Nm
Gross Receipts Event1	$24,839	GrossReceiptsEvent1Amt
Charitable Contri Event1	$24,720	CharitableContriEvent1Amt
Gross Revenue Event1	$119	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$119	OtherDirectExpensesEvent1Amt
Event2	CHRISTMAS AT THE RIDGES	Event2Nm
Gross Receipts Event2	$14,098	GrossReceiptsEvent2Amt
Charitable Contri Event2	$9,775	CharitableContriEvent2Amt
Gross Revenue Event2	$4,323	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$4,323	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$38,937	GrossReceiptsTotalAmt
Charitable Contributions Tot	$34,495	CharitableContributionsTotAmt
Gross Revenue Total Events	$4,442	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$4,442	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$4,442	DirectExpenseSummaryEventsAmt
Net Income Summary	$0	NetIncomeSummaryAmt

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 Own Facility	1.00000	GamingOwnFacilityPct
Individual With Books	ELAINE SEMROW	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	5774 SCHUDY ROAD	AddressLine1Txt
City	WISCONSIN RAPIDS	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54495	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	ELAINE SEMROW	GamingManagerPersonNm
Gaming Manager Services Prov	TREASURER OF AUXILIARY FUNDRAISING EVENTS	GamingManagerServicesProvTxt
Gaming Manager Is Director Ofcr	Yes (X)	GamingManagerIsDirectorOfcrInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,335,044	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$111,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,223,474	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,617,348	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,769,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,847,743	NetCommunityBenefitExpnsAmt
Total Expense	0.04880	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,952,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,881,175	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,071,217	NetCommunityBenefitExpnsAmt
Total Expense	0.05900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$205,751	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$88,812	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$386,683	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$386,683	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,611,271	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,004,137	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$607,134	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,328	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$127	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,210,160	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,127,404	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,082,756	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,162,552	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,008,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,153,973	NetCommunityBenefitExpnsAmt
Total Expense	0.06770	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	10	PersonsServedCnt
Total Community Benefit Expns	$8,825	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	10	PersonsServedCnt
Total Community Benefit Expns	$8,825	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,277,245	BadDebtExpenseAmt
Reimbursed By Medicare	$17,992,004	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$21,221,692	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,229,688	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 RIVERVIEW HOSPITAL & CLINICS INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	410 DEWEY STREET	AddressLine1Txt
City	WISCONSIN RAPIDS	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54495	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.ASPIRUS.ORG/MAIN/HOME.ASPX	WebsiteAddressTxt
State License	WI #11	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
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 RIVERVIEW HOSPITAL & CLINICS IN	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	Yes (1)	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
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	WWW.ASPIRUS.ORG/FINANCIALAID	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ASPIRUS.ORG/FINANCIALAID	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.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
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 RIVERVIEW HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 5: INPUT WAS GATHERED FROM PERSONS WHO REPRESENT THE COMMUNITY IN THE FOLLOWING WAYS: 1) A COMMUNITY-WIDE SURVEY 2) FOCUS GROUPS WITH DISENFRANCHISED POPULATIONS 3) A FORUM WITH COMMUNITY STAKEHOLDERS.
ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 6A: MINISTRY SAINT JOSEPH'S HOSPITAL AND MARSHFIELD CLINIC
ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 6B: WOOD COUNTY HEALTH DEPARTMENT AND THE LEGACY FOUNDATION
ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 11: ASPIRUS RIVERVIEW HOSPITAL IS WORKING WITH THE WOOD COUNTY HEALTH DEPARTMENT, AS WELL AS OTHER COMMUNITY STAKEHOLDERS ON A COLLABORATIVE IMPROVEMENT PLAN. SEVERAL TASK FORCES HAVE BEEN PUT IN PLACE AND ARE MOVING FORWARD ON IMPROVEMENT STRATEGIES THAT HAVE MEASURABLE OUTCOMES. IN ADDITION, ASPIRUS RIVERVIEW ESTABLISHED AN OUTPATIENT BEHAVIORAL HEALTH CLINIC IN AUGUST 2018, STAFFED WITH PSYCHIATRISTS, PSYCHIATRIC NURSE PRACTITIONERS AND LICENSED COUNSELORS. THE BEHAVIORAL HEALTH CLINIC WILL HELP ADDRESS THE FIRST TWO PRIORITIES, MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES, IDENTIFIED IN THE CHNA.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ASPIRUS UW CANCER CENTER
410 DEWEY STREET	WISCONSIN RAPIDS	WI	54495	CANCER CENTER
2 - ASPIRUS RIVERVIEW FAMILY CLINIC - WR
420 DEWEY STREET PO BOX 8080	WISCONSIN RAPIDS	WI	54495	CLINIC
3 - ASPIRUS RIVERVIEW FAMILY CLINIC NEKOOSA
1015 ANGELUS DRIVE	NEKOOSA	WI	54457	CLINIC
4 - ASPIRUS RIVERVIEW FAMILY CLINIC - LAKES
1160 ROME CENTER DRIVE TOWN OF ROME	NEKOOSA	WI	54457	CLINIC
5 - ASPIRUS RIVERVIEW COMMUNITY DENTAL CLINI
820 TWO MILE AVENUE	WISCONSIN RAPIDS	WI	54494	DENTAL CLINIC
6 - ASPIRUS DOCTORS CLINIC
2031 PEACH STREET	WISCONSIN RAPIDS	WI	54494	CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF: 1) PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. 2) CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION. SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS AND IRREVOCABLE BURIAL TRUST FUNDS. 3) TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE.
PART I, LINE 7:	THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSE, EXCLUDING THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE ORGANIZATION. THE ORGANIZATION ALSO PROVIDES DISCOUNTS TO ELIGIBLE UNINSURED OR UNDERINSURED PATIENTS UNDER ITS CHARITABLE CARE POLICY. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED OR UNDERINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE ORGANIZATION.
PART I, LINE 7G:	THE ABOVE COSTS OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE BREASTFEEDING SUPPORT, PALLIATIVE CARE, AND LAKES FAMILY CLINIC. ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. UTILIZED AN INTERNAL DEPARTMENTAL FINANCIAL STATEMENT TO REPORT THE COST AND DIRECT OFFSETTING REVENUE THAT CALCULATES THE COMMUNITY BENEFIT EXPENSE. THE BREASTFEEDING SUPPORT REPORTED COSTS OF $100,100. THE PALLIATIVE CARE REPORTED COSTS OF $170,602 WITH OFFSETTING REVENUE OF $13,946. THE LAKES FAMILY CLINIC REPORTED COSTS OF $1,340,569 WITH OFFSETTING REVENUE OF $990,191.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24C, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $3,351,172.
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 RIVERVIEW HOSPITAL & CLINICS, INC. PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT COMMUNITY BENEFIT WHICH IS NOT QUANTIFIED. ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC., 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 ORGANIZATION PROVIDES LOCAL ACCESS TO MANY HEALTH SERVICES INCLUDING: CARDIOLOGY, CANCER CENTER, CLINIC SERVICES, DENTAL SERVICES, DIAGNOSTIC IMAGING, BIRTHING CENTER, LABORATORY SERVICES, RESPIRATORY CARE, SLEEP LAB, WOMENS SERVICES, SURGICAL SERVICES, AND REHABILITATION SERVICES.
PART III, LINE 2:	THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATIONS TOTAL OPERATING EXPENSES, EXCLUDING THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUES. 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 THE FORM 990.
PART III, LINE 4:	MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE ORGANIZATION HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. SOMETIMES PATIENTS ARE UNABLE TO COMPLETE THE REQUIRED FINANCIAL ASSISTANCE APPLICATION AND ARE SCREENED THROUGH THE PRESUMPTIVE ELIGIBILITY PROCESS BUT MAY BE TRANSFERRED TO THE COLLECTION AGENCY REGARDLESS OF ALL THESE EFFORTS.
PART III, LINE 8:	THE AMOUNT OF MEDICARE ALLOWABLE COSTS WAS TAKEN DIRECTLY FROM THE MEDICARE COST REPORT.WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES TO MEDICARE BENEFICIARIES, THESE PATIENTS, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD HAVE THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. THE TOTAL MEDICARE REVENUE SHOWN ON SCHEDULE H IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY THE CHARGES FROM MEDICARE PROGRAM BENEFICIARIES THAT ARE REPORTED ON THE HOSPITAL'S MEDICARE COST REPORT. THE AMOUNT LISTED FOR MEDICARE REVENUE DOES NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT ASPIRUS RIVERVIEW HOSPITAL, PHYSICIAN SERVICES PROVIDED AT THE OUTLYING CLINIC LOCATIONS, AND A SIGNIFICANT PORTION OF LAB SERVICES WHICH ARE REIMBURSED BY THE MEDICARE PROGRAM UNDER ANOTHER METHODOLOGY. PHYSICIAN COVERAGE AND OUTPATIENT LAB SERVICES ARE REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT ASPIRUS RIVERVIEW HOSPITAL PROVIDES TO THE COMMUNITY AND THE SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE OVERALL AVERAGE COST TO CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE DIVIDED BY THE HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). THIS RATIO IS THEN MULTIPLIED BY TOTAL MEDICARE SERVICES, WHICH ARE REIMBURSED BASED ON MEDICARE REGULATIONS. INCLUDING THE FEE SCHEDULE ITEMS, SUCH AS PHYSICIAN SERVICES, WOULD PRODUCE A LARGER LOSS OR SHORTFALL ON THESE SERVICES TO BE REPORTED ON THE FORM 990 IN ANY GIVEN YEAR.
PART III, LINE 9B:	UPON A PATIENT'S APPROVAL FOR FINANCIAL ASSISTANCE, THIS IS LOADED AS AN INSURANCE COVERAGE TO THE PATIENT'S 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:	REPRESENTATIVES FROM ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. ACTIVELY PARTICIPATE IN HEALTHY PEOPLE WOOD COUNTY (HPWC). THE PURPOSE OF HPWC IS TO ESTABLISH PRIORITIES AND RECOMMEND STRATEGIES TO ENHANCE THE QUALITY OF LIFE, HEALTH STATUS, AND THE ENVIRONMENT IN WOOD COUNTY. IN ORDER TO ACCOMPLISH THIS, MULTIPLE PARTNERS WORK TOGETHER TO ANALYZE HEALTH DATA, QUALITY OF LIFE INDICATORS AND THE COMMUNITY'S PERCEPTION OF HEALTH. IN MARCH 2015, ASPIRUS RIVERVIEW BEGAN COLLABORATING WITH THE WOOD COUNTY PUBLIC HEALTH DEPARTMENT, MINISTRY SAINT JOSEPHS HOSPITAL AND MARSHFIELD CLINIC ON A COMPREHENSIVE HEALTH NEEDS ASSESSMENT. HEALTH NEEDS ARE BEING DETERMINED AND PRIORITIZED THROUGH COMMUNITY SURVEYS, STAKEHOLDER FOCUS GROUPS AND RECENT HEALTH DATA.
PART VI, LINE 3:	ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATON 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 AS 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 RIVERVIEW HOSPITAL AND CLINCS OWNS AND OPERATES THE FOLLOWING ENTITIES: (1) ASPIRUS RIVERVIEW HOSPITAL; (2) THE OUTPATIENT ASPIRUS RIVERVIEW THERAPIES; (3) ASPIRUS RIVERVIEW CLINIC, THIS SERVICE INCLUDES CLINICS IN WISCONSIN RAPIDS, NEKOOSA, AND THE ROME-LAKES AREA (4) THE ASPIRUS UW CANCER CENTER; AND (5) ASPIRUS RIVERVIEW DENTAL CLINIC. ASPIRUS RIVERVIEW ESTABLISHED THIS CLINIC IN 2009 TO SERVE RESIDENTS OF SOUTH WOOD COUNTY. RIVERVIEW DENTAL CLINIC IN WISCONSIN RAPIDS IS OPEN TO PATIENTS WHO HAVE MEDICAID OR BADGER CARE INSURANCE COVERAGE. THIS INSURANCE IS NOT TYPICALLY ACCEPTED BY INDEPENDENT DENTAL CLINICS. APPROXIMATELY 3,401 PERSONS BENEFITED FROM THIS PROGRAM IN FISCAL YEAR 2018. WHILE MANY RIVERVIEW PATIENTS COME FROM WOOD COUNTY, AN INCREASING NUMBER ARE COMING TO US FROM SURROUNDING COUNTIES - SPECIFICALLY THOSE ALONG THE INTERSTATE 39 CORRIDOR: MARATHON, PORTAGE, WAUPACA, ADAMS, JUNEAU, WAUSHARA, MARQUETTE, COLUMBIA, AND DANE. FOR THE UW CANCER CENTER-RIVERVIEW IN 2018, OVER 18% OF ALL PATIENTS CAME FROM THESE SAME COUNTIES-NOT INCLUDING OUR "HOME"COUNTY OF WOOD. IN THE RIVERVIEW "SERVICE AREA" THERE ARE SEVERAL FEDERALLY DESIGNATED "MEDICALLY UNDERSERVED AREAS." THEY ARE WOOD COUNTY (THE CENTRAL PART BETWEEN MARSHFIELD AND WISC. RAPIDS), PORTAGE COUNTY (PART), ADAMS COUNTY (ALL), WAUSHARA COUNTY (ALL), MARQUETTE COUNTY (ALL), JUNEAU COUNTY (THE NORTHERN HALF), MARATHON COUNTY (PART), AND CLARK COUNTY (ALL). THERE ARE SCATTERED INDIAN TRIBAL LANDS IN WOOD COUNTY, JUNEAU COUNTY, AND ADAMS COUNTY (ALL HO CHUNK). THESE WOULD BE CONSIDERED "MEDICALLY UNDERSERVED POPULATIONS" PER FEDERAL DESIGNATION. OTHER HOSPITALS IN OUR SERVICE AREA INCLUDE: MINISTRY - ST. JOSEPH'S HOSPITAL IN MARSHFIELD, MINISTRY - ST. MICHAEL'S HOSPITAL IN STEVENS POINT, MOUNDVIEW MEMORIAL HOSPITAL IN FRIENDSHIP, AND HESS MEMORIAL HOSPITAL IN MAUSTON.
PART VI, LINE 5:	AS A COMMUNITY-BASED ORGANIZATION, ASPIRUS RIVERVIEW HOSPITAL & CLINICS PROVIDES SERVICES AND EDUCATIONAL OPPORTUNITIES EITHER FREE OF CHARGE OR AT A NOMINAL FEE IN AN ATTEMPT TO PROVIDE THESE OPPORTUNITIES TO THOSE MEMBERS OF THE COMMUNITIES WHO OTHERWISE MAY NOT BE ABLE TO AFFORD OR HAVE LOCAL ACCESS TO THESE PROGRAMS. THESE EFFORTS ARE PROVIDED THROUGH A VARIETY OF EDUCATIONAL SPEAKER FORUMS, SUPPORT GROUPS, HEALTH EDUCATION FORUMS, AND OTHER EDUCATIONAL OPPORTUNITIES FOR STUDENTS.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 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
FORREST DEAN DANNER JR
BOARD CHAIR / PRESIDENT ACI	$0	$291,709	$0	$50,695	$0	$46,565	$0	$19,030	$0	$25,012	$0	$433,011	$0	$0
SIDNEY C SCZYGELSKI
BOARD TREASURER	$0	$500,272	$0	$97,238	$0	$47,442	$0	$19,030	$0	$87,566	$0	$751,548	$0	$0
BONITA KOLRUD
DIRECTOR	$0	$389,978	$0	$0	$0	$44,926	$0	$12,722	$0	$30,390	$0	$478,016	$0	$0
CRAIG R FLINDERS DO
DIRECTOR	$0	$306,172	$0	$1,012	$0	$8,060	$0	$8,725	$0	$30,197	$0	$354,166	$0	$0
MATT HEYWOOD
CEO OF ASPIRUS INC.	$0	$822,805	$0	$293,232	$0	$2,695	$0	$19,030	$0	$144,154	$0	$1,281,916	$0	$0
NANCY ROTH-MALLEK
VP OF FINANCE	$161,215	$0	$29,301	$0	$652	$0	$14,665	$0	$28,382	$0	$234,215	$0	$0	$0
TODD BURCH
PRESIDENT OF ASPIRUS RIVERVIEW	$0	$250,681	$0	$65,613	$0	$3,792	$0	$12,617	$0	$63,547	$0	$396,250	$0	$0
ERIC ANDERSON
SVP OF SERVICE LINE & PT EXP	$0	$233,292	$0	$40,147	$0	$725	$0	$4,819	$0	$59,858	$0	$338,841	$0	$0
KIMBERLY JOHNSON
V.P. - PATIENT SERVICES	$167,468	$0	$16,146	$0	$468	$0	$100	$0	$24,957	$0	$209,139	$0	$0	$0
THOMAS VOELKER
PRESIDENT OF MEDICAL AFFAIRS	$151,917	$151,917	$25,647	$25,646	$2,468	$2,467	$9,515	$9,515	$27,742	$27,742	$217,289	$217,287	$0	$0
RUTH RISLEY-GRAY
SVP NURSING, CNO	$0	$275,808	$0	$58,636	$0	$43,052	$0	$19,030	$0	$58,171	$0	$454,697	$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
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
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
RENEE SMITH
ANI EXECUTIVE DIRECTOR	$0	$344,370	$0	$42,139	$0	$44,887	$0	$19,030	$0	$27,247	$0	$477,673	$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
RICK NEVERS
SVP REG OPS SYSTEM INT OFF	$0	$322,120	$0	$61,986	$0	$38,481	$0	$19,030	$0	$60,055	$0	$501,672	$0	$0
REBECCA PHILLIP
DIRECTOR OF PHARMACY	$171,479	$0	$17,112	$0	$10,052	$0	$10,672	$0	$11,117	$0	$220,432	$0	$0	$0
MATTHEW MALOOLY
PHARMACIST	$167,005	$0	$0	$0	$87	$0	$7,078	$0	$10,587	$0	$184,757	$0	$0	$0
MARJORIE TELL
V.P. - ANCILLARY SERVICES-TERMED	$112,233	$0	$27,024	$0	$975	$0	$12,020	$0	$16,178	$0	$168,430	$0	$0	$0
STACI SOVA
NURSE PRACTITIONER	$114,300	$0	$600	$0	$20,422	$0	$4,778	$0	$28,798	$0	$168,898	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	TAX GROSS-UP PAYMENTS: S.SOVA $20,325 - INCLUDED IN INCOME.
PART I, LINE 3	FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. RELIED ON THE 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 RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI - $38,440 R. NEVERS - $32,268 D. DANNER - $35,422 R. RISLEY-GRAY - $38,590 T. RICHARDSON- $35,685 R. SMITH - $10,121 C. LOGEMANN - $34,955 457(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 1 TO DECEMBER 31. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 9% FOR VICE PRESIDENT, 13% FOR SENIOR LEADERSHIP COUNCIL, AND 15% FOR THE CEO. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE; OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
A	391337855	97712DMG8	2015-05-07	$26,748,065	REFINANCE 2008 BOND	Yes (1)	0	0
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
B	391337855	97712DMG9	2015-05-07	$18,738,269	REFINANCE 2010 BOND	Yes (1)	0	0
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
C	391337855	97712DC53	2017-11-02	$15,000,000	NEW CONSTRUCRTION	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$970,000	$26,748,065	$26,748,065	Yes (1)	Yes (1)	Yes (1)
B	$1,830,000	$18,738,269	$18,738,269	Yes (1)	Yes (1)	Yes (1)
C		$15,000,000		0	0	Yes (1)	$15,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct
A	0	Yes (1)
B	Yes (1)	Yes (1)	0.00310	0.00310
C	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)		Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

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 2015 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982), ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. (EIN 38-3236977), AND ASPIRUS KEWEENAW HOSPITAL (EIN 38-1443361). INFORMATION REGARDING THE SERIES 2015 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION, RESPECTIVELY. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2015 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2015 BONDS.]
PART III - LINE 3A AND 3B	ASPIRUS, INC. THE PARENT ORGANIZATION OF ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. HAS POLICY AND PROCEDURES IN PLACE TO REVIEW MANAGEMENT AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY.
PART VI	THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. (EIN 38-2908586); AND ASPIRUS ONTONAGON HOSPITAL, INC. (EIN 26-0806477). INFORMATION REGARDING THE SERIES 2017 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 2017 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2017 BONDS.]

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE MEMBER OF THE ORGANIZATION.
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; 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 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 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 NOTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15	FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS RIVERVIEW HOSPITAL & CLINIC, 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	AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,279,263. MANAGEMENT AND GENERAL EXPENSES 911,885. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,191,148. CONTRACT/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,240,790. MANAGEMENT AND GENERAL EXPENSES 379,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,620,305. CONSULTING: PROGRAM SERVICE EXPENSES 5,750. MANAGEMENT AND GENERAL EXPENSES 72,026. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,776. CREDENTIALING: PROGRAM SERVICE EXPENSES 800. MANAGEMENT AND GENERAL EXPENSES 28,541. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,341. LAB PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 2,879,744. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,879,744. LINEN CONTRACT: PROGRAM SERVICE EXPENSES 16,625. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,625. PATIENT TRANSPORTATION: PROGRAM SERVICE EXPENSES 3,120. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,120.
FORM 990, PART XI, LINE 9:	INTERCOMPANY NET ASSET TRANSFERS -2,729,000. RETIREE MEDICAL BENEFITS -16,117. TEMP NET ASSET CONTRIBUTIONS AND OTHER CHANGES 738,558.
FORM 990, PART XII, LINE 2C	THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC., THE PARENT ORGANIZATION, OF ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC., ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS IN THE PAST YEAR.

Schedule R IRS990ScheduleR

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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASPIRUS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391328331	HEALTHCARE	WI	501 (C) 3	LINE 12B, II	N/A	0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391138241	HOSPITAL	WI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391406537	PROPERTY LEASING	WI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
425 PINE RIDGE BLVD	WAUSAU	WI	54401	390782130	NURSING HOME SERVICES	WI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS CLINICS INC
425 PINE RIDGE BLVD	WAUSAU	WI	54401	391670223	MEDICAL SERVICES	WI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREET	ONTONAGON	MI	49953	260806477	HOSPITAL	MI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUE	WAUSAU	WI	54401	390808511	HOME HEALTH CARE SERVICES	WI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUE	WAUSAU	WI	54401	391597350	PERSONAL CARE SERVICES	WI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS VNA HOME HEALTH INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVD	WAUSAU	WI	54401	391256656	CHARITABLE FOUNDATION	WI	501 (C) 3	LINE 7		Yes (1)	ASPIRUS INC
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
1400 W ICE LAKE ROAD	IRON RIVER	MI	49935	383236977	HOSPITAL	MI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
N 10561 GRAND VIEW LANE	IRONWOOD	MI	49938	382908586	HOSPITAL	MI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC
GRAND VIEW HOSPITAL AUXILIARY
N 10561 GRAND VIEW LANE	IRONWOOD	MI	49938	237178363	LIFELINE EMERGENCY SYSTEM	MI	501 (C) 3	LINE 10		Yes (1)	ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
ASPIRUS KEWEENAW HOSPITAL
205 OSCEOLA STREET	LAURIUM	MI	49913	381443361	HOSPITAL	MI	501 (C) 3	LINE 3		Yes (1)	ASPIRUS INC

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 (2 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 DR 11202	WAUSAU	WI	54401	391931679	HEALTH CARE NETWORK	WI	N/A	C	Yes (1)
ASPIRUS KEWEENAW ENTERPRISES INC
205 OSCEOLA STREET	LAURIUM	MI	49913	383390273	PHARMACY	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	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	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	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 (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS WAUSAU HOSPITAL INC
J	$77,453	COST
ASPIRUS WAUSAU HOSPITAL INC
K	$67,712	COST
ASPIRUS WAUSAU HOSPITAL INC
O	$7,183,553	COST
ASPIRUS WAUSAU HOSPITAL INC
P	$417,990	COST
ASPIRUS INC
C	$2,729,000	COST
ASPIRUS INC
M	$14,292,662	COST
ASPIRUS INC
O	$1,940,714	COST
ASPIRUS INC
P	$3,263,530	COST
ASPIRUS INC
Q	$241,201	COST
ASPIRUS CLINICS INC
J	$168,804	COST
ASPIRUS CLINICS INC
M	$350,375	COST
ASPIRUS CLINICS INC
O	$16,014,468	COST
ASPIRUS CLINICS INC
P	$396,766	COST
ASPIRUS KEWEENAW HOSPTIAL INC
O	$152,166	COST

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