2016-02-10T11:21:41-06:00 2015-06-30 390758449 WIPFLI LLP 11 SCOTT ST WAUSAU WI 54401 990 2014-07-01 391256656 ASPIRUS HEALTH FOUNDATION INC ASPI 7158472250 425 PINE RIDGE BLVD WAUSAU WI 54401 SIDNEY C SCZYGELSKI CFO/SENIOR VP OF FINANCE 7158472250 2016-01-23 1 KATHLEEN J LABRAKE CPA P00164006 7158453111 2016-01-23 2014 2016-08-17 19:52:53Z MATTHEW HEYWOOD 333 PINE RIDGE BLVD WAUSAU WI 54401 2778325 0 X WWW.ASPIRUS.ORG X 1976 WI TO DEVELOP RESOURCES TO ADVANCE THE HEALTH OF OUR COMMUNITIES AND INCREASE REGIONAL HEALTH SERVICES. 13 11 0 500 0 0 1071644 982421 0 0 174460 282326 102047 128807 1348151 1393554 780220 679091 0 0 246484 287927 0 0 95647 120663 136701 1147367 1103719 200784 289835 11671711 12040738 5704361 5906734 5967350 6134004 ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM, WHICHLEADS BY ADVANCING INITIATIVES DEDICATED TO IMPROVING THE HEALTH OFALL WE SERVE. WE WORK COLLABORATIVELY WITH OTHERS WHO SHARE OURPASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. 0 0 595308 595308 DONOR DESIGNATED CONTRIBUTIONS ACTIVITY:THROUGH ITS PHILANTHROPIC ACTIVITIES THE FOUNDATION ADVANCESEXTRAORDINARY HEALTH CARE BY PROVIDING FUNDS FOR RESEARCH, EDUCATION,INFORMATION, CLINICAL PROGRAMS AND CARE DELIVERY, HEALTH SERVICES, AND SCREENING. DONOR DESIGNATED CONTRIBUTIONS PROVIDE SUPPORT FOR THE DESIGNATED FUNDS OF ASPIRUS WAUSAU HOSPITAL. 253762 83783 60092 UNRESTRICTED CONTRIBUTIONS ACTIVITY:THROUGH ITS PHILANTHROPIC ACTIVITIES THE FOUNDATION ADVANCESEXTRAORDINARY HEALTH CARE BY PROVIDING FUNDS FOR RESEARCH, EDUCATION,INFORMATION, PROGRAMS, SERVICES AND SCREENINGS, COMMUNITY HEALTH INITIATIVES, AND WORKFORCE DEVELOPMENT SCHOLARSHIPS. 849070 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 18 0 0 0 0 0 0 0 1 1 0 0 0 0 X 13 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WI X SIDNEY C SCZYGELSKI 7158472250 333 PINE RIDGE BLVD WAUSAU WI 54401 X KAY GRULING MD DIRECTOR 1.00 X 0 0 0 CHAD RADKE DO DIRECTOR 1.00 X 0 0 0 BILL BECKER DIRECTOR 1.00 X 0 0 0 JOHN A JOHNKOSKI MD DIRECTOR 1.00 X 0 0 0 BRAD PECK DIRECTOR 1.00 X 0 0 0 BEN REIF DIRECTOR 1.00 X 0 0 0 STEVEN WEILAND MD DIRECTOR 1.00 X 0 0 0 DEBORAH KANE DIRECTOR 1.00 X 0 0 0 LYN KROHN DIRECTOR 1.00 X 0 0 0 CHARLES PETH DIRECTOR 1.00 X 0 0 0 JOHN TUBBS CHAIR 1.00 X X 0 0 0 PAUL M LAPREE VICE CHAIR 1.00 X X 0 0 0 LISA MACCO SECRETARY/TREASURER 1.00 X X 0 0 0 MATTHEW HEYWOOD CEO AI 1.00 50.00 X 0 875945 124428 KALYNN PEMPEK EXECUTIVE DIRECTOR 40.00 X 131914 0 25385 SIDNEY C SCZYGELSKI CFO AI/ASST TREAS 1.00 51.00 X 0 445401 99296 CARI LOGEMANN SVP & GENERAL COUNSEL/ASST SECR 1.00 50.00 X 0 294114 66833 DUANE L ERWIN FORMER CEO AI 0.00 0.00 X 0 576532 28814 131914 2191992 344756 1 1 1 0 0 141247 327495 513679 982421 246436 246436 1335654 1299764 35890 35890 35890 121724 141247 63735 57989 57989 31998 21272 10726 10726 ADMINISTRATIVE FEE 561000 60092 60092 60092 1393554 60092 0 351041 679091 679091 94164 56498 18833 18833 121343 51592 24355 45396 72420 36324 14513 21583 75529 75529 7500 7500 5678 5678 3973 3973 7520 5072 80 2368 26201 13078 8194 4929 1975 832 140 1003 675 675 207 207 ANNUAL EDUCATION FORUM 6140 4605 1535 MISCELLANEOUS OTHER 1303 1303 1103719 849070 159002 95647 259372 281454 16326 4175 25112 26196 21867 21867 676 0 11351685 11716910 18540 12003 11671711 12040738 49175 48006 5655186 5858728 5704361 5906734 X 5625745 5727131 166801 221363 174804 185510 5967350 6134004 11671711 12040738 289835 -123181 0 X X 0 1 X 1 0 X 1176389 1369963 1113558 1071644 982421 5713975 1176389 1369963 1113558 1071644 982421 5713975 132485 5581490 83396 97681 84992 154785 246436 667290 599 599 38977 43983 49767 55573 60092 248392 6630256 564672 0.84180 0.86080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 265006 10706 6707 282419 214273 12537 38196 265006 174306 15000 24967 214273 149304 15000 10002 174306 120376 16148 12780 149304 0.65690 0.34310 0 0 21867 21867 0 0 DONOR IMPOSED LIABILITIES 5858728 5858728 X 675065 -123181 -123181 798246 595308 595308 1393554 508411 0 508411 595308 595308 1103719 PART V, LINE 4: THE ENDOWMENTS ARE MAINTAINED TO SUPPORT QUALITY OF LIFE PROGRAMS FOR HOSPICE AND PALLIATIVE CARE PATIENTS AND FAMILIES, CANCER PATIENTS, AND HEART PATIENTS. PART X, LINE 2: THE FOUNDATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE FOUNDATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. PART XI, LINE 4B - OTHER ADJUSTMENTS: DESIGNATED CONTRIBUTIONS RAISED FOR OTHERS 595,308. PART XII, LINE 4B - OTHER ADJUSTMENTS: DESIGNATED CONTRIBUTIONS RAISED FOR OTHERS 595,308. FESTIVAL OF TREES 142865 70995 71870 356 11267 188 18602 WOMEN'S HEALTH GOLF 46140 34333 11807 8075 7130 6091 3 73966 35919 38047 3638 3196 455 4737 262971 141247 121724 12069 21593 643 29430 63735 57989 31998 2118 2186 16968 1 1.00000 31998 2118 2186 16968 21272 10726 WI 1 0 1 0 1.00000 LYNN PLEVAK 425 PINE RIDGE BLVD WAUSAU WI 54401 0 KALYNN PEMPEK 2209 RESP. FOR SPECIAL EVENT FUNDRAISERS AND ANNUAL GIVING PROGRAMS INCLUDING COORDINATING RAFFLES AS AN INTEGRAL COMPONENT OF EVENTS AND CHARITABLE GIVING PROGRAMS. X 0 1 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391138241 501(C)(3) 355928 N/A N/A CANCER PROGRAM, CARDIAC PROGRAM, WOMEN'S HEALTH FUND INCLUDING NICU, BREAST CANCER AWARENESS, BREAST CENTER, WOMEN'S GOLF CLASSIC SPECIAL EVENT, THE RUN FOR HOSPICE SPECIAL EVENT, HOSPICE PROGRAMS INCLUDING MUSIC THERAPY, GRIEF CENTER, RESPITE GARDEN, FOT SPECIAL EVENT, DIABETES PROGRAM, VOLUNTEERS PROGRAM, VOLUNTEER SCHOLARSHIP FUND, HOSPITAL DEPARTMENT FUND AND THE AES FUND. NORTHCENTRAL TECHNICAL COLLEGE FOUNDATION INC 1100 LAKE VIEW DRIVE WAUSAU WI 54403 930838179 501(C)(3) 5000 N/A N/A TO FUND HEALTH CARE WORKFORCE SCHOLARSHIPS. MARATHON COUNTY CHILD DEVELOPMENT AGENCY 1000 LAKE VIEW DRIVE STE 100 WAUSAU WI 54403 391077239 501(C)(3) 10000 N/A N/A TO FUND 2015 START RIGHT PROGRAM HMONG AMERICAN CENTER 1109 6TH STREET WAUSAU WI 54403 391459824 501(C)(3) 10000 N/A N/A TO FUND "THE SURVEY OF THE HEALTH OF THE WAUSAU AREA HMONG POPULATION" RHINELANDER AREA FOOD PANTRY C/O 627 COON STREET RHINELANDER WI 54501 331141966 501(C)(3) 5000 N/A N/A FUNDS WILL BE USED TO PROVIDE PREPACKAGED, NON-PERISHABLE, HEALTHY FOODS ON WEEKENDS TO ELEMENTARY SCHOOL STUDENTS WHO ARE ELIGIBLE FOR THE REDUCED AND FREE LUNCH PROGRAM. 5 0 PART I, LINE 2: ALL PAYMENTS ARE MONITORED BY THE GRANT ADMINISTRATOR TO ENSURE ADHERENCE TO THE STATED GRANT PURPOSE. ANY UNUSED OR UNSPENT FUNDS ARE RETURNED TO THE GRANTOR. 1 1 0 0 0 0 0 0 0 MATTHEW HEYWOOD CEO AI 0 572243 0 233564 0 70138 0 10300 0 114128 0 1000373 0 0 KALYNN PEMPEK EXECUTIVE DIRECTOR 117835 0 12210 0 1869 0 5496 0 19889 0 157299 0 0 0 SIDNEY C SCZYGELSKI CFO AI/ASST TREAS 0 335544 0 103558 0 6299 0 15500 0 83796 0 544697 0 0 CARI LOGEMANN SVP & GENERAL COUNSEL/ASST SECR 0 223552 0 69542 0 1020 0 11968 0 54865 0 360947 0 0 DUANE L ERWIN FORMER CEO AI 0 0 0 0 0 576532 0 5100 0 23714 0 605346 0 0 PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION FOR THE FILING ORGANIZATION, ASPIRUS HEALTH FOUNDATION, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENT: D. ERWIN $585,957 457(F) RETIREMENT PLAN PROFILE: KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1ST TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 9% FOR VICE PRESIDENT; 13% FOR SENIOR LEADERSHIP COUNCIL; AND 15% FOR THE CEO. IF THE PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT, TO 12. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE; OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A SEE EXPLANATION FOR FORM 990, PART VI, LINE 7B. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE MEMBERS OF THE ORGANIZATION0: 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 INFORMATION. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS REVIEWED BY OTHER SENIOR MANAGEMENT AND IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS HEALTH FOUNDATION, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, EXPLANATION FOR HOURS WORKED: SOME OFFICERS AND DIRECTORS ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS HEALTH FOUNDATION, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS HEALTH FOUNDATION, INC., ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS IN THE PAST YEAR. ASPIRUS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTH CARE SYSTEM MANAGEMENT WI 501(C)(3) LINE 11B, II N/A 0 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391138241 HOSPITAL WI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391406537 PROPERTY LEASING WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS SPECIALISTS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391945080 MEDICAL SPECIALIST SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS EXTENDED SERVICES INC 425 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS CLINICS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391670223 MEDICAL SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS ONTONAGON HOSPITAL INC 601 SEVENTH STREET ONTONAGON MI 49953 260806477 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS VNA HOME HEALTH INC 520 N 32ND AVENUE WAUSAU WI 54401 390808511 HOME HEALTHCARE SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS VNA EXTENDED CARE INC 520 N 32ND AVENUE WAUSAU WI 54401 391597350 PERSONAL CARE SERVICES WI 501(C)(3) LINE 9 ASPIRUS VNA HOME HEALTH INC 1 ASPIRUS RIVERVIEW HOSPITALS & CLINICS 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 390868982 HOSPITAL WI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS GRAND VIEW N 10561 GRAND VIEW LANE IRONWOOD MI 49938 382908586 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 1 GRAND VIEW HOSPITAL AUXILIARY N 10561 GRAND VIEW LANE IRONWOOD MI 49938 237173363 SUPPORTING ORG TO HOSPITAL'S LIFELINE EMERGENCY SYSTEM MI 501(C)(3) LINE 9 ASPIRUS GRAND VIEW 1 ASPIRUS GRAND VIEW SERVICE CORP N 10561 GRAND VIEW LANE IRONWOOD MI 49938 383005582 PHYSICIAN SERVICES MI 501(C)(3) LINE 3 ASPIRUS GRAND VIEW 1 ASPIRUS IRON RIVER HOSPTIAL & CLINICS INC 1400 W ICE LAKE ROAD IRON RIVER MI 49935 383236977 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 1 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 ASPIRUS IRON RIVER HOSPITAL & CLINICS INC 1 ASPIRUS NETWORK INC 3000 WESTHILL DR 202 WAUSAU WI 54401 391931679 HEALTH CARE NETWORK WI N/A C 1 ASPIRUS GRAND VIEW CARING CAREGIVERS INC N 10561 GRANDVIEW LANE IRONWOOD MI 49938 382902754 PERSONAL NEEDS SERVICES MI N/A C 1 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 ASPIRUS WAUSAU HOSPITAL INC C 327495 ASPIRUS WAUSAU HOSPITAL INC B 334159 ASPIRUS WAUSAU HOSPITAL INC O 287927 ASPIRUS INC M 75529