ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC (EIN 39-0868982)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-10
IRS object ID
201740419349301099
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-02-10T13:34:14-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8010AddressLine1Txt
CityWAUSAUCityNm
State AbbreviationWIStateAbbreviationCd
ZIP544028010ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390868982EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Aspirus Riverview HospitalBusinessNameLine1Txt
Business Name Line2& Clinics IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlASPIBusinessNameControlTxt
Phone7154229292PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1410 Dewey StreetAddressLine1Txt
CityWisconsin RapidsCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54494ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSidney C SczygelskiPersonNm
Person TitleCFO of AI/Senior VP of FinancePersonTitleTxt
Phone7154229292PhoneNum
Signature2017-01-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKathleen J LaBrake CPAPreparerPersonNm
PTINP00164006PTIN
Phone7158453111PhoneNum
Preparation2017-01-19PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSidney C SczygelskiPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1410 Dewey StreetAddressLine1Txt
CityWisconsin RapidsCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54494ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$173,144,939GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.aspirus.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1912FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionAspirus Riverview Hospital & Clinics, Inc. is an integrated, community-governed healthcare system which leads by advancing initiatives dedicated to improving the health of all we serve. We work collaboratively with others who share our passion for excellence and compassion for people.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee723TotalEmployeeCnt
Total Volunteers385TotalVolunteersCnt
Total Gross UBI$989,031TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$90,365NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$143,991PYContributionsGrantsAmt
CY Contributions Grants$77,542CYContributionsGrantsAmt
PY Program Service Revenue$75,676,763PYProgramServiceRevenueAmt
CY Program Service Revenue$98,022,071CYProgramServiceRevenueAmt
PY Investment Income$18,021,588PYInvestmentIncomeAmt
CY Investment Income$9,939,129CYInvestmentIncomeAmt
PY Other Revenue$547,440PYOtherRevenueAmt
CY Other Revenue$898,900CYOtherRevenueAmt
PY Total Revenue$94,389,782PYTotalRevenueAmt
CY Total Revenue$108,937,642CYTotalRevenueAmt
PY Grants And Similar Paid$31,332,362PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$39,410,615PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$43,359,965CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,859,532PYOtherExpensesAmt
CY Other Expenses$41,403,102CYOtherExpensesAmt
PY Total Expenses$103,602,509PYTotalExpensesAmt
CY Total Expenses$84,763,067CYTotalExpensesAmt
PY Revenues Less Expenses-$9,212,727PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$24,174,575CYRevenuesLessExpensesAmt
Total Assets BOY$146,374,906TotalAssetsBOYAmt
Total Assets EOY$151,551,408TotalAssetsEOYAmt
Total Liabilities BOY$61,650,328TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,563,198TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$84,724,578NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$92,988,210NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAspirus Riverview Hospital & Clinics, Inc. is an integrated, community-governed healthcare system which leads by advancing initiatives dedicated to improving the health of all we serve. We work collaboratively with others who share our passion for excellence and compassion for people.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$64,231,699ExpenseAmt
Revenue$96,581,732RevenueAmt
DescAspirus 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; and (5) Aspirus Riverview Dental Clinic. Aspirus Riverview established this clinic in 2009 to serve residents of South Wood County.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 servicesAsk a Nurse 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 1,400 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 form 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 350 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 3700 persons benefited from this program in 2016. 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's. 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 by 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 270 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 2016, 15,875 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 2016, Aspirus Riverview had 35 job shadow participants.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, diebetes, joint replacement, and immunizations. In 2016, nearly 1,950 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, celliac disease, arthritis and loss. In addition, lactation specialists from the Riverview Family Birthplace offer breastfeeding support to new mothers. Approximately, 480 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 2016, 56 students benefited from preceptorship opportunities.Aspirus Riverview held workshops on how to complete an advanced directive and appoint a healthcare power of attorney. In 2016, 80 people received this education.Desc
Total Program Service Expenses$64,231,699TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document78IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee723EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SIDNEY SCZYGELSKIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7158472250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 PINE RIDGE BLVDAddressLine1Txt
CityWAUSAUCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54401ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
FORREST DEAN DANNER JR
BOARD CHAIR / PRESIDENT ACI & SVP AMBULATORY SERVI1.0048.00Yes (X)Yes (X)$0$333,863$69,073
CRAIG R FLINDERS DO
BOARD VICE CHAIR40.00Yes (X)Yes (X)$297,913$0$54,132
SIDNEY C SCZYGELSKI
SECRETARY1.0050.00Yes (X)Yes (X)$0$580,594$89,460
CHESTON E PRICE MD
DIRECTOR1.0040.00Yes (X)$0$214,934$29,944
MICHAEL BOVEE
DIRECTOR / FORMER CFO OF ARH1.00Yes (X)$113,678$0$13,605
MARY JO CARSON
DIRECTOR1.00Yes (X)$0$0$0
NELSON DAHL
DIRECTOR1.00Yes (X)$0$0$0
JASON DEITZ
DIRECTOR1.00Yes (X)$0$0$0
DAVID STARK
DIRECTOR1.00Yes (X)$0$0$0
MARTIN J LOY
DIRECTOR1.00Yes (X)$0$0$0
THOMAS A VOELKER MD
DIRECTOR - TERMED 1/2016 / PRESIDENT OF MEDICAL AF40.0041.00Yes (X)$0$346,678$41,097
MATT HEYWOOD
CEO OF ASPIRUS INC.1.0050.00Yes (X)$0$884,848$132,937
NANCY ROTH-MALLEK
VP OF FINANCE40.00Yes (X)$137,583$0$31,952
TODD BURCH
PRESIDENT OF ASPIRUS RIVERVIEW / CEO40.00Yes (X)$0$0$0
RICHARD BAILEY MD FACP
PRESIDENT OF MEDICAL AFFAIRS ENDING 12/201540.00$357,708$0$54,046Yes (X)
PEGGY OSE
V.P. - PATIENT SERVICES40.00$225,790$0$38,207Yes (X)
RUTH RISLEY-GREY
SVP NURSING, CNO1.0049.00$0$307,360$65,088Yes (X)
JOHN HEILSER
SVP & CHIEF HR OFFICER1.0049.00$0$336,213$63,612Yes (X)
MCHAEAL MCGRAIL
SVP SYSTEM CMO1.0050.00$0$439,142$69,729Yes (X)
CARI LOGEMANN
SVP & GENERAL COUNSEL1.0050.00$0$324,135$70,669Yes (X)
KATHRYNE MCGOWAN
ANI EXECUTIVE DIRECTOR, SVP POPULATION HEALTH1.0050.00$0$288,000$61,581Yes (X)
TODD RICHARDSON
SVP & CIO1.0050.00$0$334,322$77,297Yes (X)
RICK NEVERS
SVP REG OPS SYSTEM INT OFFICER1.0050.00$0$391,429$71,338Yes (X)
RONNIE KIRSCHLING MD
PHYSICIAN40.00$1,219,137$0$51,571Yes (X)
JAMES TORHORST DPM
PHYSICIAN40.00$860,661$0$54,494Yes (X)
KEVIN FERREIRA MD
PHYSICIAN40.00$496,736$0$53,778Yes (X)
THEODORE REAHM DO
PHYSICIAN40.00$427,382$0$53,268Yes (X)
RIDHWI MUKERJI MD
PHYSICIAN40.00$369,631$0$51,216Yes (X)
CELSE BERARD
FORMER PRESIDENT / CEO40.00$430,473$0$39,990Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,936,692TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,781,518TotReportableCompRltdOrgAmt
Total Other Compensation$1,338,084TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K41IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ASPIRUS INC
333 PINE RIDGE BLVDWAUSAUWI54401INTERCOMPANY TRANSACTIONS$2,202,217
COAST TO COAST HEALTHCARE SERVICES
5195 HAMPSTED VILLAGE CENTER SUITENEW ALBANYOH43054ER SERVICES$806,350
PARK & ASSOCIATES
3610 DEER ROADWISCONSIN RAPIDSWI54494PATHOLOGY FEE$592,164
HEALOGICS WOUND CARE & HYPERBARIC SERVIC
3087 MOMENTUM PLACECHICAGOIL606895330WOUND CARE$465,275
QUARLES & BRADY LLP
411 EAST WISCONSIN AVENUEMILWUAKEEWI53202LEGAL$465,056
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K21CntrctRcvdGreaterThan100KCnt
Fundraising$37,153FundraisingAmt
Related Organizations$40,389RelatedOrganizationsAmt
Total Contributions$77,542TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICES900099$96,055,262$96,055,262
LAB SERVICE FOR NON PATIENTS621500$738,717$738,717
HEALTH INCENTIVE PROGRAMS900099$509,203$509,203
OTHER900099$425,518$250,314$175,204
FOOD900099$276,104$276,104

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,267TotalRevenueColumnAmt
Related Or Exempt Func Income$17,267RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$98,022,071TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,243TotalRevenueColumnAmt
Exclusion$12,243ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,437,920RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$539,020RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$898,900RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$898,900TotalRevenueColumnAmt
Exclusion$898,900ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$73,591,285SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$63,664,399SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,926,886SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,926,886TotalRevenueColumnAmt
Exclusion$9,926,886ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$3,878FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$37,153ContriRptFundraisingEventAmt
Fundraising Direct Expenses$3,878FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$108,937,642TotalRevenueColumnAmt
Related Or Exempt Func Income$96,581,732RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$989,031UnrelatedBusinessRevenueAmt
Exclusion$11,289,337ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,051,868TotalAmt
Program Services$872,511ProgramServicesAmt
Management And General$179,357ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$32,802,457TotalAmt
Program Services$29,064,637ProgramServicesAmt
Management And General$3,737,820ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,287,281TotalAmt
Program Services$1,141,896ProgramServicesAmt
Management And General$145,385ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,000,527TotalAmt
Program Services$5,321,628ProgramServicesAmt
Management And General$678,899ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,217,832TotalAmt
Program Services$1,839,663ProgramServicesAmt
Management And General$378,169ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$46,519TotalAmt
Program Services$2,431ProgramServicesAmt
Management And General$44,088ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$98,530TotalAmt
Program Services$28,167ProgramServicesAmt
Management And General$70,363ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$13,522TotalAmt
Program Services$3,778ProgramServicesAmt
Management And General$9,744ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,006,365TotalAmt
Program Services$193,761ProgramServicesAmt
Management And General$2,812,604ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$259,701TotalAmt
Program Services$53ProgramServicesAmt
Management And General$259,648ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$209,903TotalAmt
Program Services$169,650ProgramServicesAmt
Management And General$40,253ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,460,249TotalAmt
Management And General$1,460,249ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$186,873TotalAmt
Program Services$130,083ProgramServicesAmt
Management And General$56,790ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,379,732TotalAmt
Management And General$1,379,732ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,845,654TotalAmt
Management And General$4,845,654ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$219,347TotalAmt
Program Services$37,678ProgramServicesAmt
Management And General$181,669ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$9,163,928$7,027,058$2,136,870
SUPPLIES$8,841,213$8,762,172$79,041
DRUGS$6,833,599$6,806,195$27,404
HOSPITAL ASSESSMENT$1,939,400$1,939,400

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,898,567TotalAmt
Program Services$2,830,338ProgramServicesAmt
Management And General$68,229ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$84,763,067TotalAmt
Program Services$64,231,699ProgramServicesAmt
Management And General$20,531,368ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$55,854BOYAmt
EOY$19,037EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,299,443BOYAmt
EOY$38,498,689EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,474,643BOYAmt
EOY$13,966,673EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,915,501BOYAmt
EOY$1,912,971EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,364,714BOYAmt
EOY$495,132EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$149,177,289LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$83,478,833LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$58,956,428BOYAmt
EOY$65,698,456EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$55,659,269BOYAmt
EOY$30,488,897EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$649,054BOYAmt
EOY$471,553EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$146,374,906BOYAmt
EOY$151,551,408EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,631,627BOYAmt
EOY$12,269,144EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,061,551BOYAmt
EOY$2,069,129EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,953,150BOYAmt
EOY$44,224,925EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,000BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,650,328BOYAmt
EOY$58,563,198EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$84,091,455BOYAmt
EOY$92,469,662EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$633,123BOYAmt
EOY$518,548EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$84,724,578BOYAmt
EOY$92,988,210EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$146,374,906BOYAmt
EOY$151,551,408EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$24,174,575ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$9,918,516NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,992,427OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$13,522OtherActivitiesAmt
Total Lobbying Expenditures$13,522TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationPercentage of AHA dues used for lobbying in fiscal year 2016 - 22.12% Percentage of WHA dues used for lobbying in fiscal year 2016 - 15.5%ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,684,940OtherCostOrOtherBasisAmt
Book Value$3,684,940BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,479,279OtherCostOrOtherBasisAmt
Depreciation$31,279,696DepreciationAmt
Book Value$48,199,583BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,841,887OtherCostOrOtherBasisAmt
Depreciation$1,680,680DepreciationAmt
Book Value$1,161,207BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,193,113OtherCostOrOtherBasisAmt
Depreciation$50,070,383DepreciationAmt
Book Value$12,122,730BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$978,070OtherCostOrOtherBasisAmt
Depreciation$448,074DepreciationAmt
Book Value$529,996BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$65,698,456TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationALL 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, 2016 AND 2015.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Love LightsEvent1Nm
Gross Receipts Event1$27,526GrossReceiptsEvent1Amt
Charitable Contri Event1$27,451CharitableContriEvent1Amt
Gross Revenue Event1$75GrossRevenueEvent1Amt
Other Direct Expenses Event1$75OtherDirectExpensesEvent1Amt
Event2Christmas at the RidgesEvent2Nm
Gross Receipts Event2$13,505GrossReceiptsEvent2Amt
Charitable Contri Event2$9,702CharitableContriEvent2Amt
Gross Revenue Event2$3,803GrossRevenueEvent2Amt
Other Direct Expenses Event2$3,803OtherDirectExpensesEvent2Amt
Gross Receipts Total$41,031GrossReceiptsTotalAmt
Charitable Contributions Tot$37,153CharitableContributionsTotAmt
Gross Revenue Total Events$3,878GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$3,878OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$3,878DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedWIStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Own Facility1.00000GamingOwnFacilityPct
Individual With BooksElaine SemrowIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line15774 Schudy RoadAddressLine1Txt
CityWisconsin RapidsCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54495ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonElaine SemrowGamingManagerPersonNm
Gaming Manager Services ProvTreasurer of Auxiliary Fundraising EventsGamingManagerServicesProvTxt
Gaming Manager Is Director OfcrYes (X)GamingManagerIsDirectorOfcrInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,163,823TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$183,735DirectOffsettingRevenueAmt
Net Community Benefit Expns$980,088NetCommunityBenefitExpnsAmt
Total Expense0.01160TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,467,338TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,145,273DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,322,065NetCommunityBenefitExpnsAmt
Total Expense0.06320TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,631,161TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,329,008DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,302,153NetCommunityBenefitExpnsAmt
Total Expense0.07480TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$288,485TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$131,123DirectOffsettingRevenueAmt
Net Community Benefit Expns$157,362NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$500,870TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$500,870NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,288,177TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,822,492DirectOffsettingRevenueAmt
Net Community Benefit Expns$465,685NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,621TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$42,621NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$129,930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$85,443DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,487NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,250,083TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,039,058DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,211,025NetCommunityBenefitExpnsAmt
Total Expense0.01430TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,881,244TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,368,066DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,513,178NetCommunityBenefitExpnsAmt
Total Expense0.08910TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Persons Served12PersonsServedCnt
Total Community Benefit Expns$10,852TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,852NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served12PersonsServedCnt
Total Community Benefit Expns$10,852TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,852NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$206,495BadDebtExpenseAmt
Reimbursed By Medicare$16,992,094ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$20,118,104CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,126,010MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Aspirus Riverview Hospital & Clinics IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1410 Dewey StreetAddressLine1Txt
CityWisconsin RapidsCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54495ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.aspirus.org/Main/Home.aspxWebsiteAddressTxt
State LicenseWI #11StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Aspirus Riverview Hospital & Clinics InBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section C, for line 5dOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://aspirus.org/Main/Community-Resources.aspx?srcaud=MainStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://aspirus.org/Main/Pay-My-Bill.aspx?srcaud=Main#tab2FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://aspirus.org/Main/Pay-My-Bill.aspx?srcaud=Main#tab2FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://aspirus.org/Main/Pay-My-Bill.aspx?srcaud=Main#tab2FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
Aspirus Riverview Hospital & Clinics, Inc.Part V, Section B, Line 22d: THE LOOK BACK METHOD USING TRADITIONAL MEDICARE RATES UNDER REG. 501(R) IS UTILIZED TO CALCULATE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Aspirus UW Cancer Center
410 Dewey StreetWisconsin RapidsWI54495Cancer Center
2 - Aspirus Riverview Family Clinic - WR
420 Dewey Street PO Box 8080Wisconsin RapidsWI54495Clinic
3 - Aspirus Riverview Family Clinic Nekoosa
1015 Angelus DriveNekossaWI54457Clinic
4 - Aspirus Riverview Family Clinic - Lakes
1160 Rome Center Drive Town of RomeNekossaWI54457Clinic
5 - Aspirus Riverview Community Dental
820 Two Mile AvenueWisconsin RapidsWI54494Dental Clinic

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, exclude 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 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, Lakes Family Clinic, and Nekoosa 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 & Respite Care reported costs of $51,620. The Palliative Care reported costs of $312,052 with offsetting revenue of $147,668. The Lakes Family Clinic reported costs of $1,147,443 with offsetting revenue of $961,294. The Nekoosa Family Clinic reported costs of $1,777,062 with offsetting revenue of $1,713,530.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 523,797.
Part II, Community Building Activities:While there is a growing argument in the United States about what constitutes a non-profit hospitals "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: 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 Organization's 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 patient 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: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, 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 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 patients approval for financial assistance, this is loaded as an insurance coverage to the patients account with an effective and termination date to assure capturing all charges for the patient for adjustment in a workqueue prior to any remaining balance being moved to patient liability and therefore preventing undiscounted services from being billed to a patient.
Part VI, Line 2: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 Joseph's 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 (FAP). This includes a telephone number to request in-person assistance, information about the program as well as to request an application. The statement also provides the web address which directs patients to our financial aid policy as well as the application and plain language summary. Letters from Central Billing Office staff inform patients that Aspirus has a FAP. The FAP is offered at the time of registration annually to all patients. Financial Counselors offer FAP to patients during collection calls. Aspirus has Certified Application Counselors that are available to assist with Marketplace enrollment 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 Clinics 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 3,781 persons benefited from this program in 2016. 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 2016, over 20% 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 StatesWI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FORREST DEAN DANNER JR
BOARD CHAIR / PRESIDENT ACI & SVP AM$0$232,445$0$63,986$0$37,432$0$17,028$0$52,045$0$402,936$0$0
CRAIG R FLINDERS DO
BOARD VICE CHAIR$218,818$0$78,659$0$436$0$33,786$0$20,346$0$352,045$0$0$0
SIDNEY C SCZYGELSKI
SECRETARY$0$376,534$0$157,197$0$46,863$0$18,661$0$70,799$0$670,054$0$0
CHESTON E PRICE MD
DIRECTOR$0$204,140$0$4,574$0$6,220$0$8,431$0$21,513$0$244,878$0$0
THOMAS A VOELKER MD
DIRECTOR - TERMED 1/2016 / PRESIDENT$0$336,104$0$0$0$10,574$0$18,660$0$22,437$0$387,775$0$0
MATT HEYWOOD
CEO OF ASPIRUS INC.$0$649,912$0$232,922$0$2,014$0$13,360$0$119,577$0$1,017,785$0$0
NANCY ROTH-MALLEK
VP OF FINANCE$132,398$0$5,038$0$147$0$11,606$0$20,346$0$169,535$0$0$0
RICHARD BAILEY MD FACP
PRESIDENT OF MEDICAL AFFAIRS ENDING$319,358$0$37,744$0$606$0$34,450$0$19,596$0$411,754$0$0$0
PEGGY OSE
V.P. - PATIENT SERVICES$207,038$0$15,873$0$2,879$0$18,611$0$19,596$0$263,997$0$0$0
RUTH RISLEY-GREY
SVP NURSING, CNO$0$237,122$0$67,504$0$2,734$0$14,872$0$50,216$0$372,448$0$0
JOHN HEILSER
SVP & CHIEF HR OFFICER$0$256,725$0$70,436$0$9,052$0$12,179$0$51,433$0$399,825$0$0
MCHAEAL MCGRAIL
SVP SYSTEM CMO$0$370,677$0$58,414$0$10,051$0$3,750$0$65,979$0$508,871$0$0
CARI LOGEMANN
SVP & GENERAL COUNSEL$0$253,718$0$69,397$0$1,020$0$15,593$0$55,076$0$394,804$0$0
KATHRYNE MCGOWAN
ANI EXECUTIVE DIRECTOR, SVP POPULATI$0$245,256$0$41,541$0$1,203$0$4,662$0$56,919$0$349,581$0$0
TODD RICHARDSON
SVP & CIO$0$261,084$0$71,992$0$1,246$0$18,113$0$59,184$0$411,619$0$0
RICK NEVERS
SVP REG OPS SYSTEM INT OFFICER$0$291,780$0$68,268$0$31,381$0$18,145$0$53,193$0$462,767$0$0
RONNIE KIRSCHLING MD
PHYSICIAN$1,209,108$0$7,150$0$2,879$0$31,734$0$19,837$0$1,270,708$0$0$0
JAMES TORHORST DPM
PHYSICIAN$299,484$0$560,741$0$436$0$34,148$0$20,346$0$915,155$0$0$0
KEVIN FERREIRA MD
PHYSICIAN$490,300$0$6,000$0$436$0$34,450$0$19,328$0$550,514$0$0$0
THEODORE REAHM DO
PHYSICIAN$421,007$0$4,500$0$1,875$0$34,450$0$18,818$0$480,650$0$0$0
RIDHWI MUKERJI MD
PHYSICIAN$363,295$0$6,000$0$336$0$31,686$0$19,530$0$420,847$0$0$0
CELSE BERARD
FORMER PRESIDENT / CEO$167,356$0$0$0$263,117$0$20,268$0$19,722$0$470,463$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTRAVEL FOR COMPANIONS: M. HEYWOOD $174; J. HEISLER $184; R. RISLEY-GREY $175; S. SCZYGELSKI $166; R. NEVERS $202; T. RICHARDSON $105; D. DANNER $105; K. MCGOWAN $120; T. VOELKER $184 - INCLUDED IN INCOME. TAX GROSS-UP PAYMENTS: C. PRICE $438; T. VOELKER $640 - INCLUDED IN INCOME. HOUSING ALLOWANCE: M. MCGRAIL $1,200 - INCLUDED IN INCOME.
Part I, Line 3FOR 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 OFFICES, 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-bSCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENT C. BERARD - $262,770 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI - $40,323 R. NEVERS - $29,240 D. DANNER - $31,730 457(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 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 9% FOR VICE PRESIDENT, 13% FOR SENIOR LEADERSHIP COUNCIL, AND 15% FOR THE CEO. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE; OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Wisconsin Health and Educational Facilities Authority
A39133785597712DMG82015-05-07$26,748,065Refinance 2008 BondYes (1)00
Wisconsin Health and Educational Facilities Authority
B39133785597712DMG92015-05-07$18,738,269Refinance 2010 BondYes (1)00

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$120,000$26,748,0650Yes (1)Yes (1)Yes (1)
B$18,738,2690Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePct
A00Yes (1)00000
B0Yes (1)Yes (1)000000.014300.01430

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VIThe 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 3bAspirus, 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 an contract by contract basis, Aspirus, Inc. will seek help from Bond Counsel as management deems necessary.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WOOD TRUST BANKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionJASON DIETZ IS A BOARD MEMBER AND SENIOR VICE PRESIDENT AT WOOD TRUST BANKRelationshipDescriptionTxt
Transaction$72,807TransactionAmt
TransactionASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PAID INVESTMENT MANAGEMENT FEES TO WOOD TRUST BANK.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The parent organization, Aspirus, Inc., is the sole corporate member of the organization.
Form 990, Part VI, Section A, line 7aThe parent organization, Aspirus, Inc., is the sole member of the organization.
Form 990, Part VI, Section A, line 7bThe following actions must be approved by the sole member of the organization, Aspirus Inc.: 1) Change or amend the Articles of Incorporation or Bylaws; 2) Change the mission, purpose, or scope of the corporation; 3) Ratification or removal of directors or officers; 4) Change the formula or methodology for determining physician compensation; 5) Approval of annual operating and capital expenditure budgets, strategic and long-range plans.
Form 990, Part VI, Section B, line 11The 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 12cBoard members and key employees are required to sign annual conflict of interest statements and all managers ae 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 be determined to exist. All conflicts are proceedings are noted in the meeting minutes.
Form 990, Part VI, Section B, line 15For 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 19Available upon request.
FORM 990, PART VIIMicheal Bovee was compensated by Aspirus Riverview Hospital & Clinics, Inc. during calendar year 2015 while he served as the Chief Financial Officer. Michael is not compensated for his role as a board member of Aspirus Riverview Hospital & Clinics, Inc.
Form 990, Part XI, line 9:Intercompany Net Asset Transfers -5,941,585. Temp net asset contributions and other changes -50,842.
Form 990, Part XII, Line 2cThe 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 (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASPIRUS RIVERVIEW FOUNDATION INC
PO BOX 8080WISCONSIN RAPIDSWI544958080391509239THE FOUNDATION IS OPERATED PRIMARILY FOR THE BENEFIT OF ASPIRUS RIVERVIEWWI501 (C) 3Line 11c, III-FIN/A0
ASPIRUS INC
333 PINE RIDGE BLVDWAUSAUWI54401391328331HEALTHCAREWI501 (C) 3Line 11b, IIN/A0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVDWAUSAUWI54401391138241HOSPITALWI501 (C) 3Line 3Yes (1)ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVDWAUSAUWI54401391406537PROPERTY LEASINGWI501 (C) 3Line 9Yes (1)ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
425 PINE RIDGE BLVDWAUSAUWI54401390782130NURSING HOME SERVICESWI501 (C) 3Line 9Yes (1)ASPIRUS INC
ASPIRUS CLINICS INC
425 PINE RIDGE BLVDWAUSAUWI54401391670223MEDICAL SERVICESWI501 (C) 3Line 9Yes (1)ASPIRUS INC
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREETONTONAGONMI49953260806477HOSPITALMI501 (C) 3Line 3Yes (1)ASPIRUS INC
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUEWAUSAUWI54401390808511HOME HEALTH CARE SERVICESWI501 (C) 3Line 9Yes (1)ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUEWAUSAUWI54401391597350PERSONAL CARE SERVICESWI501 (C) 3Line 9Yes (1)ASPIRUS VNA HOME HEALTH INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVDWAUSAUWI54401391256656CHARITABLE FOUNDATIONWI501 (C) 3Line 7Yes (1)ASPIRUS INC
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
1400 W ICE LAKE ROADIRON RIVERMI49935383236977HOSPITALMI501 (C) 3Line 3Yes (1)ASPIRUS INC
ASPIRUS GRAND VIEW
N 10561 GRAND VIEW LANEIRONWOODMI49938382908586HOSPITALMI501 (C) 3Line 3Yes (1)ASPIRUS INC
GRAND VIEW HOSPITAL AUXILIARY
N 10561 GRAND VIEW LANEIRONWOODMI49938237178363LIFELINE EMERGENCY SystemMI501 (C) 3Line 9Yes (1)ASPIRUS GRAND VIEW
ASPIRUS GRAND VIEW SERVICE CORPORATION
N 10561 GRAND VIEW LANEIRONWOODMI49938383005582PHYSICIAN SERVICESMI501 (C) 3Line 3Yes (1)ASPIRUS GRAND VIEW
Greater Iron County EMS Inc
1400 W ICE LAKE ROADIRON RIVERMI49935383491283Emergency medical care and transportationMI501 (C) 3Line 11a, IYes (1)Aspirus Iron RIver Hospital & Clinics Inc
ASPIRUS KEWEENAW HOSPITAL
205 OSCEOLA STREETLAURIUMMI49913381443361HOSPITALMI501 (C) 3Line 3Yes (1)ASPIRUS INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Western Upper Michigan Eye Care LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1131 W Genesee StreetAddressLine1Txt
CityIron RiverCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49935ZIPCd
FieldValueIRS element (for citing)
EIN272324957EIN
Primary ActivitiesEye Care ServicesPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ASPIRUS NETWORK INC
3000 WESTHILL DR 11202WAUSAUWI54401391931679HEALTH CARE NETWORKWIN/ACYes (1)
ASPIRUS GRAND VIEW CARING CAREGIVERS INC
N 10561 GRAND VIEW LANEIRONWOODMI49938382902754PERSONAL NEEDS SERVICESMIN/ACYes (1)
ASPIRUS KEWEENAW ENTERPRISES INC
205 OSCEOLA STREETLAURIUMMI49913383390273PHARMACYMIN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS WAUSAU HOSPITAL INC
O$2,244,684COST
ASPIRUS WAUSAU HOSPITAL INC
P$150,060COST
ASPIRUS INC
B$2,000,000COST
ASPIRUS INC
G$67,670COST
ASPIRUS INC
H$119,695COST
ASPIRUS CLINICS INC
J$550,040COST
ASPIRUS INC
M$3,383,235COST
ASPIRUS INC
Q$71,485COST
ASPIRUS INC
O$826,891COST
ASPIRUS INC
P$967,106COST
ASPIRUS CLINICS INC
O$3,792,946COST
ASPIRUS WAUSAU HOSPITAL INC
S$3,941,585COST

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