2013-11-13T11:22:39-06:00 2013-06-30 390758449 WIPFLI LLP 11 SCOTT ST WAUSAU WI 54401 990 2012-07-01 391256656 ASPIRUS HEALTH FOUNDATION INC ASPI 7158472250 425 PINE RIDGE BLVD WAUSAU WI 54401 SIDNEY C SCZYGELSKI 7158472250 2013-11-12 1 KATHLEEN J LABRAKE CPA P00164006 7158453111 2013-11-11 2012 2016-02-24 21:20:13Z MATTHEW HEYWOOD 333 PINE RIDGE BLVD WAUSAU WI 54401 3084121 0 X WWW.ASPIRUS.ORG X 1976 WI TO DEVELOP RESOURCES TO ADVANCE THE HEALTH OF OUR COMMUNITIES AND INCREASE REGIONAL HEALTH SERVICES. 13 9 5 500 599 0 1369963 1113558 0 0 79271 881300 75269 83086 1524503 2077944 771224 930350 0 0 289085 300668 0 0 83408 140853 136146 1201162 1367164 323341 710780 8905553 9880329 4276666 4865871 4628887 5014458 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 730426 730426 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. 277248 72916 49767 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. 127008 127008 KOHL'S CARES FOR KIDS COMMUNITY ACTIVITY:THE KOHL'S CARES FOR KIDS PARTNERSHIP PROVIDES ANNUAL SUPPORT TO SPECIAL INITIATIVES THAT PROTECT AND ADVANCE THE HEALTH OF CHILDREN. IN 2013, THIS GIFT WAS DIRECTED TO AN INTERACTIVE ONLINE OBESITY AWARENESS AND EDUCATION PROGRAM ALONG WITH PROMOTING HEALTHY ACTIVITY THROUGH AREA SCHOOLS AND COMMUNITY ORGANIZATIONS. 1134682 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 0 0 0 1 12 0 1 5 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X SIDNEY C SCZYGELSKI 7158472250 333 PINE RIDGE BLVD WAUSAU WI 54401 X DUANE L ERWIN 2.00 50.00 X X 0 807484 134626 G LANE WARE 1.00 X 0 0 0 A BRENDA DAVIS 1.00 X 0 0 0 BILL BECKER 1.00 X 0 0 0 JOHN A JOHNKOSKI MD 1.00 X 0 0 0 BARBARA JUEDES 1.00 X 0 0 0 PAUL M LAPREE 1.00 X 0 0 0 CINDY HERMEL 1.00 X 0 0 0 BRAD PECK 1.00 X 0 0 0 BEN REIF 1.00 X 0 0 0 JOHN TUBBS 1.00 X 0 0 0 STEVEN WEILAND MD 1.00 X 0 0 0 DEBORAH KANE 1.00 X 0 0 0 LISA MACCO 1.00 X 0 0 0 CHARLES PETH 1.00 X 0 0 0 ROGER V LUCAS 2.00 45.00 X 0 265458 54232 SIDNEY C SCZYGELSKI 2.00 50.00 X 0 390057 79956 KALYNN PEMPEK 40.00 X 102213 0 22608 102213 1462999 291422 1 0 1 0 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 RENT, PAYROLL, AND SHARED SERVICES 332561 1 138429 342164 632965 1113558 84992 84992 1703005 906697 796308 796308 796308 107149 138429 74429 32720 32720 25650 25051 599 599 ADMINISTRATIVE FEE 561000 49767 49767 49767 2077944 49767 599 914020 930350 930350 71825 43095 14365 14365 155856 89059 25657 41140 72987 42364 12830 17793 71433 71433 7200 7200 8719 8719 2563 150 2413 7742 4115 96 3531 25780 16367 6036 3377 2208 1204 10 994 1354 1354 315 315 ANNUAL EDUCATION FORUM 8832 6624 2208 1367164 1134682 149074 83408 390488 285081 2736 67214 6103 37455 31126 21867 19783 3438 2084 8320078 9528916 84144 27019 8905553 9880329 62646 95285 3468 0 4210552 4770586 4276666 4865871 X 4257553 4724141 224067 128050 147267 162267 4628887 5014458 8905553 9880329 710780 -325209 0 X X 0 1 X 1 0 X 1724956 1131251 1176389 1369963 1113558 6516117 1724956 1131251 1176389 1369963 1113558 6516117 221450 6294667 100607 83758 83396 97681 84992 450434 599 599 39951 37742 38977 43983 49767 210420 7177570 609235 0.87700 0.84970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 174306 15000 24967 214273 149304 15000 10002 174306 120376 16148 12780 149304 103053 10070 7253 120376 60049 46000 2004 108053 0.00000 0.75730 0.24270 0 0 21867 19783 2084 2084 DONOR IMPOSED LIABILITIES 4770586 4770586 X 1022309 -325209 -325209 1347518 730426 730426 2077944 636738 0 636738 730426 730426 1367164 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE FOUNDATION ASSESSES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE FOUNDATION IS ALSO ENGAGED, TO A LIMITED EXTENT, IN ACTIVITIES THAT THE INTERNAL REVENUE SERVICE CONSIDERS UNRELATED TO ITS EXEMPT PURPOSE AND, THEREFORE, TAXABLE. THESE ACTIVITIES, HOWEVER, ANNUALLY RESULT IN NET OPERATING LOSSES FOR INCOME TAX PURPOSES. THE FOUNDATION DOES NOT PRESENTLY ANTICIPATE THAT A TAX BENEFIT FROM THESE NET OPERATING LOSSES WILL BE REALIZED IN THE FUTURE. ACCORDINGLY, ANY POTENTIAL DEFERRED TAX ASSET RESULTING FROM THE AVAILABILITY OF NET OPERATING LOSS CARRYFORWARDS IS OFFSET BY A VALUATION ALLOWANCE OF EQUAL AMOUNT. NO DEFERRED TAX ASSET AND LIABILITIES HAVE BEEN RECOGNIZED SINCE NO OTHER DIFFERENCES EXIST BETWEEN THE FINANCIAL TAX BASES OF REPORTING THE FOUNDATION'S ASSETS AND LIABILITIES. THE FOUNDATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE WHEN INCURRED. AS OF AND FOR THE YEARS ENDED JUNE 30, 2013 AND 2012, THERE WAS NO INCOME TAX EXPENSE, TAX PENALTIES, OR INTEREST RELATED TO TAX PENALITIES RECORDED BY THE FOUNDATION IN THE FINANCIAL STATEMENTS. THE FOUNDATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2013 OR 2012. FEDERAL RETURNS FOR THE YEARS ENDED JUNE 30, 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: DESIGNATED CONTRIBUTIONS RAISED FOR OTHERS 730,426. PART XII, LINE 4B - OTHER ADJUSTMENTS: DESIGNATED CONTRIBUTIONS RAISED FOR OTHERS 730,426. FESTIVAL OF TREES 141195 66227 74968 10386 450 19624 WOMEN'S HEALTH GOLF 54249 38160 16089 9911 9276 13471 2 50134 34042 16092 1736 3987 1212 4376 245578 138429 107149 11647 23649 1662 37471 74429 32720 25650 3386 2183 19482 1 0.90000 25650 3386 2183 19482 25051 599 WI 1 0 1 0 1.00000 LYNN PLEVAK 425 PINE RIDGE BLVD WAUSAU WI 54401 0 CHRISTINE TERKELSON 766 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) 422935 N/A N/A CANCER PROGRAM, HEART 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. ICE AGE TRAIL ALLIANCE INC 2110 MAIN STREET CROSS PLAINS WI 53528 396076028 501(C)(3) 6000 N/A N/A TO HELP COMBAT CHILDHOOD OBESITY AND PREVENT SUMMER LEARNING LOSS HUMAN SERVICES BOARD 1100 LAKE VIEW DRIVE WAUSAU WI 54403 391267785 GOVERNMENT 10000 N/A N/A TO HELP EXPAND ITS WELLNESS INITIATIVES FOR INDIVIDUALS WHO HAVE SERIOUS, PERSISTENT AND CHRONIC MENTAL HEALTH ILLNESSES AND PROBLEMS WITH OVERWEIGHT AND OBESITY. 3 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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. 0 1 0 0 0 0 0 0 0 DUANE L ERWIN 0 575926 0 216804 0 14754 0 11512 0 123114 0 942110 0 0 ROGER V LUCAS 0 191292 0 53812 0 20354 0 10340 0 43892 0 319690 0 0 SIDNEY C SCZYGELSKI 0 302883 0 85154 0 2020 0 13716 0 66240 0 470013 0 0 PART I, LINE 4B KEY EMPLOYEES OF THE COMPANY OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. THE CONTRIBUTION MADE BY THE EMPLOYEE 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 CLOSES TO THE CHANGE OR TERMINATION OF EMPLOYMENT. 457F PLAN DISTRIBUTION ADMINISTERED BY A RELATED PARTY ORGANIZATION - R. LUCAS $16,647 SUPPLEMENTAL INFORMATION PART III 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. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A SEE EXPLANATION FOR FORM 990, PART VI, LINE 7B. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; AND 4) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, AND STRATEGIC AND LONG RANGE PLANS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S MANAGEMENT. THE FORM 990 IS PROVIDED TO THE BOARD MEMBERS FOR REVIEW AND APPROVAL PRIOR TO FILING. 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 15A THE ORGANIZATION HAD AN INDEPENDENT AUDIT FOR EXECUTIVE COMPENSATION WHICH INCLUDED BASE SALARY, INCENTIVE PLANS, AND BENEFITS FOR ALL OFFICER AND EXECUTIVE POSITIONS. THE REVIEW WAS COMMISSIONED BY THE COMPENSATION COMMITTEE OF THE BOARD AND WAS CONDUCTED BY AN INDEPENDENT CONSULTING FIRM. THE MARKET ANALYSIS WAS COMPLETED IN MARCH AND APRIL OF 2013 AND PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF ASPIRUS, INC. IN AUGUST FOR FINAL COMPENSATION DETERMINATION. 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. EXPLANATION FOR HOURS WORKED: FORM 990, PART VII DUANE L. ERWIN, SIDNEY C. SCZYGELSKI, AND ROGER V. LUCAS ARE EMPLOYED BY ASPIRUS,INC., A RELATED ORGANIZATION. ASPIRUS, INC.'S PURPOSE IS TO SERVE AS A SUPPORTING ORGANIZATION TO MULTIPLE SUBSIDIARY ORGANIZATIONS. DUANE L. ERWIN, SIDNEY C. SCZYGELSKI, AND ROGER V. LUCAS WORK ON AVERAGE IN EXCESS OF 40 HOURS PER WEEK PROVIDING SERVICES TO ASPIRUS AND ITS AFFILIATES. THESE ADDITIONAL 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 0 ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391406537 PROPERTY LEASING WI 501(C)(3) LINE 9 ASPIRUS INC 0 ASPIRUS SPECIALISTS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391945080 MEDICAL SPECIALIST SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 0 ASPIRUS EXTENDED SERVICES INC 425 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 0 ASPIRUS CLINICS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391670223 MEDICAL SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 0 ASPIRUS ONTONAGON HOSPITAL INC 601 SEVENTH STREET ONTONAGON MI 49953 260806477 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 0 ASPIRUS VNA HOME HEALTH INC 520 N 32ND AVENUE WAUSAU WI 54401 390808511 HOME HEALTHCARE SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 0 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 0 ASPIRUS DOCTOR'S CLINIC INC 420 DEWEY STREET WISCONSIN RAPIDS WI 54495 391972671 MEDICAL SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 0 ASPIRUS GRAND VIEW N 10561 GRAND VIEW LANE IRONWOOD MI 49938 382908586 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 0 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 0 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 0 ASPIRUS NETWORK INC 3000 WESTHILL DR 202 WAUSAU WI 54401 391931679 HEALTH CARE NETWORK WI ASPIRUS INC C 1.00000 0 ASPIRUS GRAND VIEW CARING CAREGIVERS INC N 10561 GRANDVIEW LANE IRONWOOD MI 49938 382902754 PERSONAL NEEDS SERVICES MI ASPIRUS GRAND VIEW C 1.00000 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0