2017-02-10T13:34:37-06:00 2016-06-30 390758449 WIPFLI LLP 11 SCOTT ST WAUSAU WI 54401 990 2015-07-01 391256656 Aspirus Health Foundation Inc ASPI 7158472250 425 Pine Ridge Blvd Wausau WI 54401 Sidney C Sczygelski CFO/SENIOR VP OF FINANCE 7158472250 2017-01-20 1 Kathleen J LaBrake CPA P00164006 7158453111 2017-01-20 2015 2021-01-29 14:40:06Z Matthew Heywood 333 PINE RIDGE BLVD WAUSAU WI 54401 8058747 0 X WWW.ASPIRUS.ORG X 1976 WI TO DEVELOP RESOURCES TO ADVANCE THE HEALTH OF OUR COMMUNITIES AND INCREASE REGIONAL HEALTH SERVICES. 13 10 0 500 0 0 982421 6273261 0 0 282326 310662 128807 116374 1393554 6700297 679091 730137 0 0 287927 286445 0 0 93841 136701 191134 1103719 1207716 289835 5492581 12040738 24215379 5906734 5046581 6134004 19168798 X ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM, WHICHLEADS BY ADVANCING INITIATIVES DEDICATED TO IMPROVING THE HEALTH OFALL WE SERVE. WE WORK COLLABORATIVELY WITH OTHERS WHO SHARE OURPASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. 1 0 637211 637211 DONOR DESIGNATED CONTRIBUTIONS ACTIVITY:THROUGH ITS PHILANTHROPIC ACTIVITIES THE FOUNDATION ADVANCESEXTRAORDINARY HEALTH CARE BY PROVIDING FUNDS FOR RESEARCH, EDUCATION,INFORMATION, CLINICAL PROGRAMS AND CARE DELIVERY, HEALTH SERVICES, AND SCREENING. DONOR DESIGNATED CONTRIBUTIONS PROVIDE SUPPORT FOR THE DESIGNATED FUNDS OF ASPIRUS WAUSAU HOSPITAL. 292421 92926 59812 UNRESTRICTED CONTRIBUTIONS ACTIVITY:THROUGH ITS PHILANTHROPIC ACTIVITIES THE FOUNDATION ADVANCESEXTRAORDINARY HEALTH CARE BY PROVIDING FUNDS FOR RESEARCH, EDUCATION,INFORMATION, PROGRAMS, SERVICES AND SCREENINGS, COMMUNITY HEALTH INITIATIVES, AND WORKFORCE DEVELOPMENT SCHOLARSHIPS. 929632 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 19 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 13 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WI X SIDNEY C SCZYGELSKI 7158472250 333 PINE RIDGE BLVD WAUSAU WI 54401 X JOHN TUBBS Chair 1.00 X X 0 0 0 Paul M LaPree Vice Chair 1.00 X X 0 0 0 Deborah Kane Secretary/Treasurer 1.00 X X 0 0 0 Kay Gruling MD Director 1.00 X 0 0 0 Chad Radke DO Director 1.00 3.00 X 0 0 0 BILL BECKER DIRECTOR 1.00 X 0 0 0 BRAD PECK DIRECTOR 1.00 X 0 0 0 BEN REIF DIRECTOR 1.00 X 0 0 0 STEVEN WEILAND MD DIRECTOR 1.00 40.00 X 0 0 0 Lyn Krohn DireCTOR 1.00 X 0 0 0 Charles Peth DireCTOR 1.00 X 0 0 0 Noel Sonnek DIRECTOR / PHYSICIAN 1.00 40.00 X 0 325351 26409 Stewart Etten director 1.00 X 0 0 0 MATTHEW HEYWOOD CEO AI 1.00 50.00 X 0 884848 132937 KALYNN PEMPEK EXECUTIVE DIRECTOR 40.00 X 140463 0 18611 SIDNEY C SCZYGELSKI CFO AI/ASST TREAS 1.00 50.00 X 0 580594 89459 Cari Logemann SVP & General Counsel/Asst 1.00 50.00 X 0 324135 70669 Duane L Erwin Former CEO AI 0.00 0.00 X 0 988906 1308 140463 3103834 339393 1 1 1 0 0 209894 314425 5748942 6273261 251655 251655 1333088 1274081 59007 59007 59007 113954 209894 68294 45660 45660 26977 16075 10902 10902 ADMINISTRATIVE FEE 561000 59812 59812 59812 6700297 59812 0 367224 730137 730137 96627 57976 19326 19325 125656 53653 26129 45874 64162 32222 13120 18820 97329 97329 787 787 8600 8600 6016 6016 3265 3265 10725 7471 195 3059 26709 13690 8626 4393 141 141 1646 1136 178 332 672 672 Miscellaneous other 27093 27093 ANNUAL EDUCATION FORUM 8151 6113 2038 1207716 929632 184243 93841 281454 420422 4175 459963 26196 25695 21867 21867 0 0 11716910 23301869 12003 7430 12040738 24215379 48006 55574 5858728 4991007 5906734 5046581 X 5727131 13513913 221363 312326 185510 5342559 6134004 19168798 12040738 24215379 X 5492581 -352970 7895183 X X 0 1 X 1 0 X 1369963 1113558 1071644 982421 6273261 10810847 1369963 1113558 1071644 982421 6273261 10810847 4237081 6573766 97681 84992 154785 246436 251655 835549 599 599 43983 49767 55573 60092 59812 269227 11916222 553527 0.55170 0.84180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 282419 13052232 385 13335036 265006 10706 6707 282419 214273 12537 38196 265006 174306 15000 24967 214273 149304 15000 10002 174306 0.59210 0.40060 0.00730 0 0 21867 21867 0 0 DONOR IMPOSED LIABILITIES 4991007 4991007 X 5710116 -352970 -352970 6063086 637211 637211 6700297 570505 0 570505 637211 637211 1207716 Part V, Line 4: THE ENDOWMENTS ARE MAINTAINED TO SUPPORT QUALITY OF LIFE PROGRAMS FOR HOSPICE AND PALLIATIVE CARE PATIENTS AND FAMILIES, CANCER PATIENTS, HEART PATIENTS, AND THE SCHOLARSHIP PROGRAM. Part X, Line 2: The Foundation IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE FOUNDATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. Part XI, Line 4b - Other Adjustments: DESIGNATED CONTRIBUTIONS RAISED FOR OTHERS 637,211. Part XII, Line 4b - Other Adjustments: DESIGNATED CONTRIBUTIONS RAISED FOR OTHERS 637,211. FESTIVAL OF TREES 145600 76225 69375 354 11926 375 15196 WOMEN'S HEALTH GOLF 106549 87943 18606 10432 6591 8977 2 71699 45726 25973 5806 2729 830 5078 323848 209894 113954 16592 21246 1205 29251 68294 45660 26977 2333 1230 12512 1 1.00000 26977 2333 1230 12512 16075 10902 WI 1 0 1 0 1.00000 Kristin Phillips 425 PINE RIDGE BLVD WAUSAU WI 54401 0 KALYNN PEMPEK 2223 RESP. FOR SPECIAL EVENT FUNDRAISERS AND ANNUAL GIVING PROGRAMS INCLUDING COORDINATING RAFFLES AS AN INTEGRAL COMPONENT OF EVENTS AND CHARITABLE GIVING PROGRAMS. X 0 1 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391138241 501(C)(3) 338797 N/A N/A Cancer program, Cardiac program, Women's health fund including NICU, breast cancer awareness, breast center, Women's golf classic special event, the run for Hospice special event, hospice programs including music therapy, grief center, respite garden, FOT special event, diabetes program, volunteers program, volunteer scholarship fund, hospital department fund and the AES fund. North Central Health Foundation Inc 1100 Lake View Drive Wausau WI 54403 930838179 501(C)(3) 5000 N/A N/A To fund health care workforce scholarships Marathon County alcohol & other drug partnership council po box 2145 WaUSAU WI 54402 391699560 501(C)(3) 7000 N/A N/A to fund assessment on prevalence and perceptions of medical abuse North central Health Foundation Inc 811 n 3rd ave Wausau WI 54401 930838179 501(C)(3) 10000 N/A N/A to fund community corner wellness initiative Hope life center 605 south 24th avenue ste 20 wausau WI 54401 450474297 501(C)(3) 8500 N/A N/A to fund a program for sexually transmittal infection testing and treatment Faith in action of marathon county 630 adams st waUSAU WI 54403 203244315 501(C)(3) 5000 n/A n/A to fund senior home safety program childrens hospital of wisconsin 9000 west wisconsin ave milwaukee WI 53226 390812532 501(C)(3) 20750 n/A n/A to fund the reach out and read program WI Area health education centers 750 highland ave 4th floor madison WI 53705 396006492 501(C)(3) 10000 n/A n/A to aid funding for ahec community health internship program 8 0 Part I, Line 2: ALL PAYMENTS ARE MONITORED BY THE GRANT ADMINISTRATOR TO ENSURE ADHERENCE TO THE STATED GRANT PURPOSE. ANY UNUSED OR UNSPENT FUNDS ARE RETURNED TO THE GRANTOR. 1 1 0 0 0 0 0 0 0 Noel Sonnek DIRECTOR / PHYSICIAN 0 316711 0 0 0 8640 0 16350 0 10059 0 351760 0 0 MATTHEW HEYWOOD CEO AI 0 649912 0 232922 0 2014 0 13360 0 119577 0 1017785 0 0 KALYNN PEMPEK EXECUTIVE DIRECTOR 123653 0 10963 0 5847 0 2663 0 15948 0 159074 0 0 0 SIDNEY C SCZYGELSKI CFO AI/ASST TREAS 0 376534 0 157197 0 46863 0 18660 0 70799 0 670053 0 0 Cari Logemann SVP & General Counsel/Asst 0 253718 0 69397 0 1020 0 15593 0 55076 0 394804 0 0 Duane L Erwin Former CEO AI 0 0 0 0 0 988906 0 0 0 1308 0 990214 0 0 Part I, Line 3 FOR THE PURPOSES OF DETERMINING COMPENSATIOn FOR THE FILING ORGANIZATION, ASPIRUS HEALTH FOUNDATION, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Part I, Lines 4a-b SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENT: D. ERWIN $67,610 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIRMENT 457 (F) DISTRIBUTION: D. ERWIN $921,521 ; S. SCZYGELSKI $40,323 457(F) RETIREMENT PLAN PROFILE: KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1ST TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 9% FOR VICE PRESIDENT; 13% FOR SENIOR LEADERSHIP COUNCIL; AND 15% FOR THE CEO. IF THE PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT, TO 12. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE; OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH. Form 990, Part III, line 2 Beginning in FY 2016, the Aspirus Health Foundation established an endowed fund to support a new program called the "Aspirus Scholars Program." This program will provide medical students and advanced practice provider students with scholarships for future employment at Aspirus in an effort to prepare for an adequate workforce to meet the needs of patients and communities within the entire Aspirus service area. The Aspirus Health Foundation will administer the program. Form 990, Part VI, Section A, line 6 THE PARENT ORGANIZATION, ASPIRUS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Section A, line 7a See explanation for Form 990, Part VI, Line 7B. Form 990, Part VI, Section A, line 7b THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, Aspirus Inc.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS, 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION, 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS, 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION, and 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS. Form 990, Part VI, Section B, line 11 THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS REVIEWED BY OTHER SENIOR MANAGEMENT prior to submission to the internal revenue service AND are MADE AVAILABLE TO THE BOARD OF DIRECTORS through director's desk or other means of electronic retrieval. Form 990, Part VI, Section B, line 12c BOARD MEMBERS, Officers, AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES. Form 990, Part VI, Section B, line 15 For purposes of determining compensation, Aspirus Health Foundation, Inc. relied on related organizations to establish the compensation of the CEO, other officers, and key employees. The related organizations used the following practices for establishing compensation for such individuals: Compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Form 990, Part VI, Section C, line 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, EXPLANATION FOR HOURS WORKED: Some officers and directors also provided service to other related organizations other than Aspirus Health Foundation, Inc. These hours are reflected in Line 2 of Column B. Form 990, Part XI, line 9: Equity Transfers from Aspirus Affilates 7,895,183. FORM 990, PART XII, LINE 2C: The audit committee of the Board of Directors of Aspirus, Inc., the parent organization of Aspirus Health Foundation, Inc., assumes the responsibility for the oversight of the consolidated audit of the financial statements and selection of the independent accountant. There was no change in this process in the past year. GREATER IRON COUNTY EMS INC 1400 w iCE LAKE ROAD iroN RIVER MI 49935 383491283 emergency medical care and transportation MI 501(c)(3) Line 3 aspirus iron river hospital & clinics inc 1 GRAND VIEW HOSPITAL AUXILIARY N 10561 GRAND VIEW LANE IRONWOOD MI 49938 237173363 SUPPORTING ORG TO HOSPITAL'S LIFELINE EMERGENCY SYSTEM MI 501(c)(3) Line 9 ASPIRUS GRAND VIEW 1 ASPIRUS KEWEENAW HOSPITAL 205 OSCEOLA STREET laurium MI 49913 381443361 hosPITAL MI 501(c)(3) Line 3 asprius inc 1 ASPIRUS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTH CARE SYSTEM MANAGEMENT WI 501(c)(3) Line 11b, II N/A 0 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391138241 HOSPITAL WI 501(c)(3) Line 3 ASPIRUS INC 1 ASPIRUS VNA HOME HEALTH INC 520 N 32ND AVENUE WAUSAU WI 54401 390808511 HOME HEALTHCARE SERVICES WI 501(c)(3) Line 9 ASPIRUS INC 1 ASPIRUS VNA EXTENDED CARE INC 520 N 32ND AVENUE WAUSAU WI 54401 391597350 PERSONAL CARE SERVICES WI 501(c)(3) Line 9 ASPIRUS VNA HOME HEALTH INC 1 ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 390868982 HOSPITAL WI 501(c)(3) Line 3 ASPIRUS INC 1 ASPIRUS ONTONAGON HOSPITAL INC 601 SEVENTH STREET ONTONAGON MI 49953 260806477 HOSPITAL MI 501(c)(3) Line 3 ASPIRUS INC 1 ASPIRUS IRON RIVER HOSPTIAL & CLINICS Inc 1400 W ICE LAKE ROAD IRON RIVER MI 49935 383236977 HOSPITAL MI 501(c)(3) Line 3 ASPIRUS INC 1 ASPIRUS GRAND VIEW SERVICE CORP N 10561 GRAND VIEW LANE IRONWOOD MI 49938 383005582 PHYSICIAN SERVICES MI 501(c)(3) Line 3 ASPIRUS GRAND VIEW 1 ASPIRUS GRAND VIEW N 10561 GRAND VIEW LANE IRONWOOD MI 49938 382908586 HOSPITAL MI 501(c)(3) Line 3 ASPIRUS INC 1 ASPIRUS EXTENDED SERVICES INC 425 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501(c)(3) Line 9 ASPIRUS INC 1 ASPIRUS CLINICS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391670223 MEDICAL SERVICES WI 501(c)(3) Line 9 ASPIRUS INC 1 ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391406537 PROPERTY LEASING WI 501(c)(3) Line 9 ASPIRUS INC 1 Western Upper Michigan Eye Care LLC 131 W Genesee Street Iron River MI 49935 272324957 Eye Care Services MI N/A ASPIRUS NETWORK INC 3000 WESTHILL DR 202 WAUSAU WI 54401 391931679 HEALTH CARE NETWORK WI N/A C 1 ASPIRUS GRAND VIEW CARING CAREGIVERS INC N 10561 GRANDVIEW LANE IRONWOOD MI 49938 382902754 PERSONAL NEEDS SERVICES MI N/A C 1 Aspirus Keweenaw Enterprise 205 osceola street laurium MI 49913 383390273 Pharmacy MI N/A C 1 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 Aspirus Wausau Hospital Inc C 314425 Aspirus Wausau Hospital Inc B 338797 Aspirus Wausau Hospital Inc O 286445 Aspirus Inc M 97329 aspirus inc C 7895183