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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-02-10T13:34:14-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8010 | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 544028010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390868982 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Aspirus Riverview Hospital | BusinessNameLine1Txt |
| Business Name Line2 | & Clinics Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASPI | BusinessNameControlTxt |
| Phone | 7154229292 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 Dewey Street | AddressLine1Txt |
| City | Wisconsin Rapids | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54494 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Sidney C Sczygelski | PersonNm |
| Person Title | CFO of AI/Senior VP of Finance | PersonTitleTxt |
| Phone | 7154229292 | PhoneNum |
| Signature | 2017-01-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kathleen J LaBrake CPA | PreparerPersonNm |
| PTIN | P00164006 | PTIN |
| Phone | 7158453111 | PhoneNum |
| Preparation | 2017-01-19 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Sidney C Sczygelski | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 Dewey Street | AddressLine1Txt |
| City | Wisconsin Rapids | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54494 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $173,144,939 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.aspirus.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | Aspirus 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 Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 723 | TotalEmployeeCnt |
| Total Volunteers | 385 | TotalVolunteersCnt |
| Total Gross UBI | $989,031 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$90,365 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $143,991 | PYContributionsGrantsAmt |
| CY Contributions Grants | $77,542 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $75,676,763 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $98,022,071 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,021,588 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,939,129 | CYInvestmentIncomeAmt |
| PY Other Revenue | $547,440 | PYOtherRevenueAmt |
| CY Other Revenue | $898,900 | CYOtherRevenueAmt |
| PY Total Revenue | $94,389,782 | PYTotalRevenueAmt |
| CY Total Revenue | $108,937,642 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $31,332,362 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $39,410,615 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,359,965 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,859,532 | PYOtherExpensesAmt |
| CY Other Expenses | $41,403,102 | CYOtherExpensesAmt |
| PY Total Expenses | $103,602,509 | PYTotalExpensesAmt |
| CY Total Expenses | $84,763,067 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$9,212,727 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $24,174,575 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $146,374,906 | TotalAssetsBOYAmt |
| Total Assets EOY | $151,551,408 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $61,650,328 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $58,563,198 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $84,724,578 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $92,988,210 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Aspirus 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $64,231,699 | ExpenseAmt |
| Revenue | $96,581,732 | RevenueAmt |
| Desc | Aspirus Riverview Hospital & Clinics, Inc. owns and operates the following entities: (1) Aspirus Riverview Hospital, established in 1912; (2) the outpatient Aspirus Riverview Therapies; (3) Aspirus Riverview Clinics - this service includes clinics in Wisconsin Rapids, Nekoosa, and the Rome-Lakes area; (4) the Aspirus UW Cancer Center. Aspirus Riverview Cancer Center opened in 2003 in cooperation with UW Comprehensive Cancer Center, Madison; 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 | $64,231,699 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (1) | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 78 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 723 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIDNEY SCZYGELSKI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7158472250 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 PINE RIDGE BLVD | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FORREST DEAN DANNER JR | ||||||||||
| BOARD CHAIR / PRESIDENT ACI & SVP AMBULATORY SERVI | 1.00 | 48.00 | Yes (X) | Yes (X) | $0 | $333,863 | $69,073 | |||
| CRAIG R FLINDERS DO | ||||||||||
| BOARD VICE CHAIR | 40.00 | Yes (X) | Yes (X) | $297,913 | $0 | $54,132 | ||||
| SIDNEY C SCZYGELSKI | ||||||||||
| SECRETARY | 1.00 | 50.00 | Yes (X) | Yes (X) | $0 | $580,594 | $89,460 | |||
| CHESTON E PRICE MD | ||||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $214,934 | $29,944 | ||||
| MICHAEL BOVEE | ||||||||||
| DIRECTOR / FORMER CFO OF ARH | 1.00 | Yes (X) | $113,678 | $0 | $13,605 | |||||
| MARY JO CARSON | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| NELSON DAHL | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| JASON DEITZ | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| DAVID STARK | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| MARTIN J LOY | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| THOMAS A VOELKER MD | ||||||||||
| DIRECTOR - TERMED 1/2016 / PRESIDENT OF MEDICAL AF | 40.00 | 41.00 | Yes (X) | $0 | $346,678 | $41,097 | ||||
| MATT HEYWOOD | ||||||||||
| CEO OF ASPIRUS INC. | 1.00 | 50.00 | Yes (X) | $0 | $884,848 | $132,937 | ||||
| NANCY ROTH-MALLEK | ||||||||||
| VP OF FINANCE | 40.00 | Yes (X) | $137,583 | $0 | $31,952 | |||||
| TODD BURCH | ||||||||||
| PRESIDENT OF ASPIRUS RIVERVIEW / CEO | 40.00 | Yes (X) | $0 | $0 | $0 | |||||
| RICHARD BAILEY MD FACP | ||||||||||
| PRESIDENT OF MEDICAL AFFAIRS ENDING 12/2015 | 40.00 | $357,708 | $0 | $54,046 | Yes (X) | |||||
| PEGGY OSE | ||||||||||
| V.P. - PATIENT SERVICES | 40.00 | $225,790 | $0 | $38,207 | Yes (X) | |||||
| RUTH RISLEY-GREY | ||||||||||
| SVP NURSING, CNO | 1.00 | 49.00 | $0 | $307,360 | $65,088 | Yes (X) | ||||
| JOHN HEILSER | ||||||||||
| SVP & CHIEF HR OFFICER | 1.00 | 49.00 | $0 | $336,213 | $63,612 | Yes (X) | ||||
| MCHAEAL MCGRAIL | ||||||||||
| SVP SYSTEM CMO | 1.00 | 50.00 | $0 | $439,142 | $69,729 | Yes (X) | ||||
| CARI LOGEMANN | ||||||||||
| SVP & GENERAL COUNSEL | 1.00 | 50.00 | $0 | $324,135 | $70,669 | Yes (X) | ||||
| KATHRYNE MCGOWAN | ||||||||||
| ANI EXECUTIVE DIRECTOR, SVP POPULATION HEALTH | 1.00 | 50.00 | $0 | $288,000 | $61,581 | Yes (X) | ||||
| TODD RICHARDSON | ||||||||||
| SVP & CIO | 1.00 | 50.00 | $0 | $334,322 | $77,297 | Yes (X) | ||||
| RICK NEVERS | ||||||||||
| SVP REG OPS SYSTEM INT OFFICER | 1.00 | 50.00 | $0 | $391,429 | $71,338 | Yes (X) | ||||
| RONNIE KIRSCHLING MD | ||||||||||
| PHYSICIAN | 40.00 | $1,219,137 | $0 | $51,571 | Yes (X) | |||||
| JAMES TORHORST DPM | ||||||||||
| PHYSICIAN | 40.00 | $860,661 | $0 | $54,494 | Yes (X) | |||||
| KEVIN FERREIRA MD | ||||||||||
| PHYSICIAN | 40.00 | $496,736 | $0 | $53,778 | Yes (X) | |||||
| THEODORE REAHM DO | ||||||||||
| PHYSICIAN | 40.00 | $427,382 | $0 | $53,268 | Yes (X) | |||||
| RIDHWI MUKERJI MD | ||||||||||
| PHYSICIAN | 40.00 | $369,631 | $0 | $51,216 | Yes (X) | |||||
| CELSE BERARD | ||||||||||
| FORMER PRESIDENT / CEO | 40.00 | $430,473 | $0 | $39,990 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,936,692 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,781,518 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,338,084 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ASPIRUS INC | |||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | INTERCOMPANY TRANSACTIONS | $2,202,217 |
| COAST TO COAST HEALTHCARE SERVICES | |||||
| 5195 HAMPSTED VILLAGE CENTER SUITE | NEW ALBANY | OH | 43054 | ER SERVICES | $806,350 |
| PARK & ASSOCIATES | |||||
| 3610 DEER ROAD | WISCONSIN RAPIDS | WI | 54494 | PATHOLOGY FEE | $592,164 |
| HEALOGICS WOUND CARE & HYPERBARIC SERVIC | |||||
| 3087 MOMENTUM PLACE | CHICAGO | IL | 606895330 | WOUND CARE | $465,275 |
| QUARLES & BRADY LLP | |||||
| 411 EAST WISCONSIN AVENUE | MILWUAKEE | WI | 53202 | LEGAL | $465,056 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $37,153 | FundraisingAmt |
| Related Organizations | $40,389 | RelatedOrganizationsAmt |
| Total Contributions | $77,542 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICES | 900099 | $96,055,262 | $96,055,262 | ||
| LAB SERVICE FOR NON PATIENTS | 621500 | $738,717 | $738,717 | ||
| HEALTH INCENTIVE PROGRAMS | 900099 | $509,203 | $509,203 | ||
| OTHER | 900099 | $425,518 | $250,314 | $175,204 | |
| FOOD | 900099 | $276,104 | $276,104 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,267 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,267 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $98,022,071 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,243 | TotalRevenueColumnAmt |
| Exclusion | $12,243 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,437,920 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $539,020 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $898,900 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $898,900 | TotalRevenueColumnAmt |
| Exclusion | $898,900 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $73,591,285 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $63,664,399 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,926,886 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,926,886 | TotalRevenueColumnAmt |
| Exclusion | $9,926,886 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $3,878 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $37,153 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $3,878 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $108,937,642 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $96,581,732 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $989,031 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,289,337 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,051,868 | TotalAmt |
| Program Services | $872,511 | ProgramServicesAmt |
| Management And General | $179,357 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,802,457 | TotalAmt |
| Program Services | $29,064,637 | ProgramServicesAmt |
| Management And General | $3,737,820 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,287,281 | TotalAmt |
| Program Services | $1,141,896 | ProgramServicesAmt |
| Management And General | $145,385 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000,527 | TotalAmt |
| Program Services | $5,321,628 | ProgramServicesAmt |
| Management And General | $678,899 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,217,832 | TotalAmt |
| Program Services | $1,839,663 | ProgramServicesAmt |
| Management And General | $378,169 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,519 | TotalAmt |
| Program Services | $2,431 | ProgramServicesAmt |
| Management And General | $44,088 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,530 | TotalAmt |
| Program Services | $28,167 | ProgramServicesAmt |
| Management And General | $70,363 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,522 | TotalAmt |
| Program Services | $3,778 | ProgramServicesAmt |
| Management And General | $9,744 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,006,365 | TotalAmt |
| Program Services | $193,761 | ProgramServicesAmt |
| Management And General | $2,812,604 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,701 | TotalAmt |
| Program Services | $53 | ProgramServicesAmt |
| Management And General | $259,648 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,903 | TotalAmt |
| Program Services | $169,650 | ProgramServicesAmt |
| Management And General | $40,253 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,460,249 | TotalAmt |
| Management And General | $1,460,249 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,873 | TotalAmt |
| Program Services | $130,083 | ProgramServicesAmt |
| Management And General | $56,790 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,379,732 | TotalAmt |
| Management And General | $1,379,732 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,845,654 | TotalAmt |
| Management And General | $4,845,654 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,347 | TotalAmt |
| Program Services | $37,678 | ProgramServicesAmt |
| Management And General | $181,669 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,898,567 | TotalAmt |
| Program Services | $2,830,338 | ProgramServicesAmt |
| Management And General | $68,229 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,763,067 | TotalAmt |
| Program Services | $64,231,699 | ProgramServicesAmt |
| Management And General | $20,531,368 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,854 | BOYAmt |
| EOY | $19,037 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,299,443 | BOYAmt |
| EOY | $38,498,689 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,474,643 | BOYAmt |
| EOY | $13,966,673 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,915,501 | BOYAmt |
| EOY | $1,912,971 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,364,714 | BOYAmt |
| EOY | $495,132 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $149,177,289 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $83,478,833 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,956,428 | BOYAmt |
| EOY | $65,698,456 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,659,269 | BOYAmt |
| EOY | $30,488,897 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $649,054 | BOYAmt |
| EOY | $471,553 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,374,906 | BOYAmt |
| EOY | $151,551,408 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,631,627 | BOYAmt |
| EOY | $12,269,144 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,061,551 | BOYAmt |
| EOY | $2,069,129 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,953,150 | BOYAmt |
| EOY | $44,224,925 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,650,328 | BOYAmt |
| EOY | $58,563,198 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,091,455 | BOYAmt |
| EOY | $92,469,662 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $633,123 | BOYAmt |
| EOY | $518,548 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,724,578 | BOYAmt |
| EOY | $92,988,210 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,374,906 | BOYAmt |
| EOY | $151,551,408 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $24,174,575 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$9,918,516 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,992,427 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,522 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,522 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Percentage 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,684,940 | OtherCostOrOtherBasisAmt |
| Book Value | $3,684,940 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $79,479,279 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,279,696 | DepreciationAmt |
| Book Value | $48,199,583 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,841,887 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,680,680 | DepreciationAmt |
| Book Value | $1,161,207 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,193,113 | OtherCostOrOtherBasisAmt |
| Depreciation | $50,070,383 | DepreciationAmt |
| Book Value | $12,122,730 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $978,070 | OtherCostOrOtherBasisAmt |
| Depreciation | $448,074 | DepreciationAmt |
| Book Value | $529,996 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $65,698,456 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | ALL SUBISIDIARIES, EXCEPT FOR ANI, ARE TAX-EXEMPT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 509(A)(2) OF THE CODE. THEY ARE ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. ASPIRUS IS ALSO ENGAGED, TO A LIMITED EXTENT, IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME(UBI). INCOME TAXES FOR ANI, A NOT-FOR-PROFIT TAXABLE CORPORATION, WERE IMMATERIAL FOR THE YEAR ENDED JUNE 30, 2016 AND 2015. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Love Lights | Event1Nm |
| Gross Receipts Event1 | $27,526 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $27,451 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $75 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $75 | OtherDirectExpensesEvent1Amt |
| Event2 | Christmas at the Ridges | Event2Nm |
| Gross Receipts Event2 | $13,505 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $9,702 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $3,803 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $3,803 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $41,031 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $37,153 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $3,878 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,878 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $3,878 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | WI | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 1.00000 | GamingOwnFacilityPct |
| Individual With Books | Elaine Semrow | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5774 Schudy Road | AddressLine1Txt |
| City | Wisconsin Rapids | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54495 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | Elaine Semrow | GamingManagerPersonNm |
| Gaming Manager Services Prov | Treasurer of Auxiliary Fundraising Events | GamingManagerServicesProvTxt |
| Gaming Manager Is Director Ofcr | Yes (X) | GamingManagerIsDirectorOfcrInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,163,823 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $183,735 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $980,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01160 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,467,338 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,145,273 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,322,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,631,161 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,329,008 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,302,153 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $288,485 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $131,123 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $157,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $500,870 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $500,870 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,288,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,822,492 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $465,685 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,621 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $42,621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $129,930 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $85,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,487 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,250,083 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,039,058 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,211,025 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01430 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,881,244 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,368,066 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,513,178 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08910 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12 | PersonsServedCnt |
| Total Community Benefit Expns | $10,852 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,852 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12 | PersonsServedCnt |
| Total Community Benefit Expns | $10,852 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,852 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $206,495 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $16,992,094 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,118,104 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,126,010 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Aspirus Riverview Hospital & Clinics Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 Dewey Street | AddressLine1Txt |
| City | Wisconsin Rapids | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54495 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.aspirus.org/Main/Home.aspx | WebsiteAddressTxt |
| State License | WI #11 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Aspirus Riverview Hospital & Clinics In | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C, for line 5d | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://aspirus.org/Main/Community-Resources.aspx?srcaud=Main | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://aspirus.org/Main/Pay-My-Bill.aspx?srcaud=Main#tab2 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://aspirus.org/Main/Pay-My-Bill.aspx?srcaud=Main#tab2 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://aspirus.org/Main/Pay-My-Bill.aspx?srcaud=Main#tab2 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Aspirus Riverview Hospital & Clinics, Inc. | Part V, Section B, Line 5: Input was gathered from persons who represent the community in the following ways: 1) A community-wide survey 2) Focus groups with disenfranchised populations 3) A forum with community stakeholders. |
| Aspirus Riverview Hospital & Clinics, Inc. | Part V, Section B, Line 6a: MINISTRY SAINT JOSEPH'S HOSPITAL AND MARSHFIELD CLINIC |
| Aspirus Riverview Hospital & Clinics, Inc. | Part V, Section B, Line 6b: WOOD COUNTY HEALTH DEPARTMENT AND THE LEGACY FOUNDATION |
| Aspirus Riverview Hospital & Clinics, Inc. | Part V, Section B, Line 11: Aspirus Riverview Hospital is working with the Wood County health department, as well as other community stakeholders on a collaborative improvement plan. Several task forces have been put in place and are moving forward on improvement strategies that have measurable outcomes. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Aspirus UW Cancer Center | ||||
| 410 Dewey Street | Wisconsin Rapids | WI | 54495 | Cancer Center |
| 2 - Aspirus Riverview Family Clinic - WR | ||||
| 420 Dewey Street PO Box 8080 | Wisconsin Rapids | WI | 54495 | Clinic |
| 3 - Aspirus Riverview Family Clinic Nekoosa | ||||
| 1015 Angelus Drive | Nekossa | WI | 54457 | Clinic |
| 4 - Aspirus Riverview Family Clinic - Lakes | ||||
| 1160 Rome Center Drive Town of Rome | Nekossa | WI | 54457 | Clinic |
| 5 - Aspirus Riverview Community Dental | ||||
| 820 Two Mile Avenue | Wisconsin Rapids | WI | 54494 | Dental Clinic |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The patient/guarantor, husband or wife, and dependents may not have property in excess of: 1) Primary residence is exempt for patients under 200% federal poverty guidelines. For those over 200% equity allowance is $75,000 (financial statements and tax bills are required). Income producing land (e.g., dairy farm) is evaluated individually on a case-by-case basis. 2) Cash assets in excess of $4,000 at the time of application. Specifically excluded from consideration are IRA and Pension Plans and Irrevocable Burial Trust Funds. 3) Total net assets cannot exceed 800% of federal poverty guidelines. This includes all assets including cash assets above. |
| Part I, Line 7: | The costing methodology used on form 990 is based on a cost to charge ratio which is developed based on the Organization's total operating expense, 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 States | WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FORREST DEAN DANNER JR | ||||||||||||||
| BOARD CHAIR / PRESIDENT ACI & 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | TRAVEL 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 3 | FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. RELIED ON THE RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER 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-b | SCHEDULE 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Wisconsin Health and Educational Facilities Authority | ||||||||
| A | 391337855 | 97712DMG8 | 2015-05-07 | $26,748,065 | Refinance 2008 Bond | Yes (1) | 0 | 0 |
| Wisconsin Health and Educational Facilities Authority | ||||||||
| B | 391337855 | 97712DMG9 | 2015-05-07 | $18,738,269 | Refinance 2010 Bond | Yes (1) | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|
| A | $120,000 | $26,748,065 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $18,738,269 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | ||
| B | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0.01430 | 0.01430 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part VI | The proceeds of the Wisconsin Health and Educational Facilities Authority Revenue Bonds, Series 2015 (Aspirus, Inc. Obligated Group) were borrowed by the following organizations: Aspirus Riverview Hospital & Clinics, Inc. (EIN 39-0868982), Aspirus Iron River Hospital & Clinics, Inc. (EIN 38-3236977), and Aspirus Keweenaw Hospital (EIN 38-1443361). Information regarding the Series 2015 Bonds is reported in the Schedule K for each organization, respectively. [The information reported in Part I, Part II and Part III relates only to the portion of the Series 2015 Bonds loaned to the Organization. The information reported in Part IV relates to the entire issue of the Series 2015 Bonds.] |
| Part III - Line 3a and 3b | Aspirus, Inc. the parent organization of Aspirus Riverview Hospital & Clinics, Inc. has policy and procedures in place to review management and service contracts to identify agreements that may result in private business use of bond-financed property. On 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WOOD TRUST BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | JASON DIETZ IS A BOARD MEMBER AND SENIOR VICE PRESIDENT AT WOOD TRUST BANK | RelationshipDescriptionTxt |
| Transaction | $72,807 | TransactionAmt |
| Transaction | ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PAID INVESTMENT MANAGEMENT FEES TO WOOD TRUST BANK. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The parent organization, Aspirus, Inc., is the sole corporate member of the organization. |
| Form 990, Part VI, Section A, line 7a | The parent organization, Aspirus, Inc., is the sole member of the organization. |
| Form 990, Part VI, Section A, line 7b | The following actions must be approved by the sole member of the organization, Aspirus Inc.: 1) Change or amend the Articles of Incorporation or Bylaws; 2) Change the mission, purpose, or scope of the corporation; 3) Ratification or removal of directors or officers; 4) Change the formula or methodology for determining physician compensation; 5) Approval of annual operating and capital expenditure budgets, strategic and long-range plans. |
| Form 990, Part VI, Section B, line 11 | The accounting department accumulates all 990 and 990-T information, including the UBI calculations. These documents are reviewed by the CFO. The 990 and the 990-T are reviewed by other senior management prior to submission to the Internal Revenue Service and are made available to the Board of Directors through Director's Desk or other means of electronic retrieval. |
| Form 990, Part VI, Section B, line 12c | Board members and key employees are required to sign annual conflict of interest statements and all managers 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 15 | For purposes of determining compensation, Aspirus Riverview Hospital & Clinic, Inc. relied on related organizations to establish the compensation of the CEO, other officers, and key employees. The related organizations used the following practices for establishing compensation for such individuals: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the Board or compensation committee. |
| Form 990, Part VI, Section C, line 19 | Available upon request. |
| FORM 990, PART VII | Micheal 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 2c | The audit committee of the Board of Directors of Aspirus, Inc., the parent organization, of Aspirus Riverview Hospital & Clinics, Inc., assumes the responsibility for the oversight of the audit of the financial statements and selection of the independent accountant. There was no change in this process in the past year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS RIVERVIEW FOUNDATION INC | |||||||||||
| PO BOX 8080 | WISCONSIN RAPIDS | WI | 544958080 | 391509239 | THE FOUNDATION IS OPERATED PRIMARILY FOR THE BENEFIT OF ASPIRUS RIVERVIEW | WI | 501 (C) 3 | Line 11c, III-FI | N/A | 0 | |
| ASPIRUS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391328331 | HEALTHCARE | 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 | Yes (1) | ASPIRUS INC | |
| ASPIRUS BUILDINGS INC | |||||||||||
| 333 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391406537 | PROPERTY LEASING | WI | 501 (C) 3 | Line 9 | Yes (1) | ASPIRUS INC | |
| ASPIRUS EXTENDED SERVICES INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 390782130 | NURSING HOME SERVICES | WI | 501 (C) 3 | Line 9 | Yes (1) | ASPIRUS INC | |
| ASPIRUS CLINICS INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391670223 | MEDICAL SERVICES | WI | 501 (C) 3 | Line 9 | Yes (1) | ASPIRUS INC | |
| ASPIRUS ONTONAGON HOSPITAL INC | |||||||||||
| 601 SEVENTH STREET | ONTONAGON | MI | 49953 | 260806477 | HOSPITAL | MI | 501 (C) 3 | Line 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS VNA HOME HEALTH INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 390808511 | HOME HEALTH CARE SERVICES | WI | 501 (C) 3 | Line 9 | Yes (1) | ASPIRUS INC | |
| ASPIRUS VNA EXTENDED CARE INC | |||||||||||
| 520 N 32ND AVENUE | WAUSAU | WI | 54401 | 391597350 | PERSONAL CARE SERVICES | WI | 501 (C) 3 | Line 9 | Yes (1) | ASPIRUS VNA HOME HEALTH INC | |
| ASPIRUS HEALTH FOUNDATION INC | |||||||||||
| 425 PINE RIDGE BLVD | WAUSAU | WI | 54401 | 391256656 | CHARITABLE FOUNDATION | WI | 501 (C) 3 | Line 7 | Yes (1) | ASPIRUS INC | |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS INC | |||||||||||
| 1400 W ICE LAKE ROAD | IRON RIVER | MI | 49935 | 383236977 | HOSPITAL | MI | 501 (C) 3 | Line 3 | Yes (1) | ASPIRUS INC | |
| ASPIRUS GRAND VIEW | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 382908586 | HOSPITAL | MI | 501 (C) 3 | Line 3 | Yes (1) | ASPIRUS INC | |
| GRAND VIEW HOSPITAL AUXILIARY | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 237178363 | LIFELINE EMERGENCY System | MI | 501 (C) 3 | Line 9 | Yes (1) | ASPIRUS GRAND VIEW | |
| ASPIRUS GRAND VIEW SERVICE CORPORATION | |||||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 383005582 | PHYSICIAN SERVICES | MI | 501 (C) 3 | Line 3 | Yes (1) | ASPIRUS GRAND VIEW | |
| 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 11a, I | Yes (1) | Aspirus Iron RIver Hospital & Clinics Inc | |
| ASPIRUS KEWEENAW HOSPITAL | |||||||||||
| 205 OSCEOLA STREET | LAURIUM | MI | 49913 | 381443361 | HOSPITAL | MI | 501 (C) 3 | Line 3 | Yes (1) | ASPIRUS INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Western Upper Michigan Eye Care LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 131 W Genesee Street | AddressLine1Txt |
| City | Iron River | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49935 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272324957 | EIN |
| Primary Activities | Eye Care Services | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ASPIRUS NETWORK INC | |||||||||
| 3000 WESTHILL DR 11202 | WAUSAU | WI | 54401 | 391931679 | HEALTH CARE NETWORK | WI | N/A | C | Yes (1) |
| ASPIRUS GRAND VIEW CARING CAREGIVERS INC | |||||||||
| N 10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 382902754 | PERSONAL NEEDS SERVICES | MI | N/A | C | Yes (1) |
| ASPIRUS KEWEENAW ENTERPRISES INC | |||||||||
| 205 OSCEOLA STREET | LAURIUM | MI | 49913 | 383390273 | PHARMACY | MI | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ASPIRUS WAUSAU HOSPITAL INC | ||
| O | $2,244,684 | COST |
| ASPIRUS WAUSAU HOSPITAL INC | ||
| P | $150,060 | COST |
| ASPIRUS INC | ||
| B | $2,000,000 | COST |
| ASPIRUS INC | ||
| G | $67,670 | COST |
| ASPIRUS INC | ||
| H | $119,695 | COST |
| ASPIRUS CLINICS INC | ||
| J | $550,040 | COST |
| ASPIRUS INC | ||
| M | $3,383,235 | COST |
| ASPIRUS INC | ||
| Q | $71,485 | COST |
| ASPIRUS INC | ||
| O | $826,891 | COST |
| ASPIRUS INC | ||
| P | $967,106 | COST |
| ASPIRUS CLINICS INC | ||
| O | $3,792,946 | COST |
| ASPIRUS WAUSAU HOSPITAL INC | ||
| S | $3,941,585 | COST |
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