ASPIRUS HEALTH FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS HEALTH FOUNDATION INC (EIN 39-1256656)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-14
IRS object ID
201203199349304910
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T14:27:59-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line111 SCOTT STAddressLine1
CityWAUSAUCity
StateWIState
ZIP Code54401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391256656EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ASPIRUS HEALTH FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlASPINameControl
Phone7158472250Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 PINE RIDGE BLVDAddressLine1
CityWAUSAUCity
StateWIState
ZIP Code54401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSIDNEY C SCZYGELSKIName
TitleCFO/SENIOR VP OF FINANCETitle
Phone7158472250Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKATHLEEN J LABRAKE CPAName
PTINP00164006PTIN
Phone7158453111Phone
Date Prepared2012-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDUANE L ERWINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1333 PINE RIDGE BLVDAddressLine1
CityWAUSAUCity
StateWIState
ZIP Code54401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1664235GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ASPIRUS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO DEVELOP RESOURCES TO ADVANCE THE HEALTH OF OUR COMMUNITIES AND INCREASE REGIONAL HEALTH SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers500TotalNbrVolunteers
Total Gross UBI-402TotalGrossUBI
Net Unrelated Business Txbl Income-402NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1176389ContributionsGrantsPriorYear
Contributions Grants Current Year1369963ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year83396InvestmentIncomePriorYear
Investment Income Current Year79271InvestmentIncomeCurrentYear
Other Revenue Prior Year67523OtherRevenuePriorYear
Other Revenue Current Year75269OtherRevenueCurrentYear
Total Revenue Prior Year1327308TotalRevenuePriorYear
Total Revenue Current Year1524503TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year821237GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY771224GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year332572SalariesEtcPriorYear
Salaries Etc Current Year289085SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year116294TotalFundrsngExpCurrentYear
Other Expense Prior Year146381OtherExpensePriorYear
Other Expenses Current Year140853OtherExpensesCurrentYear
Total Expenses Prior Year1300190TotalExpensesPriorYear
Total Expenses Current Year1201162TotalExpensesCurrentYear
Revenues Less Expenses Prior Year27118RevenuesLessExpensesPriorYear
Revenues Less Expenses CY323341RevenuesLessExpensesCY
Total Assets BOY8667626TotalAssetsBOY
Total Assets EOY8905553TotalAssetsEOY
Total Liabilities BOY4345663TotalLiabilitiesBOY
Total Liabilities EOY4276666TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4321963NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4628887NetAssetsOrFundBalancesEOY
Mission DescriptionASPIRUS 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense610032Expense
Grants610032Grants
Revenue0Revenue
DescriptionDONOR 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense284087Expense
Grants161192Grants
Revenue43983Revenue
DescriptionUNRESTRICTED 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense40411Expense
Grants0Grants
Revenue0Revenue
DescriptionKOHL'S CARES FOR KIDS COMMUNITY ACTIVITY:THE KOHL'S CARES FOR KIDS PARTNERSHIP PROVIDES ANNUAL SUPPORT TOSPECIAL INITIATIVES THAT PROTECT AND ADVANCE THE HEALTH OF CHILDREN. IN2011, THIS GIFT WAS DIRECTED TO CREATING AN INTERACTIVE ONLINE OBESITY AWARENESS AND EDUCATION PROGRAM. THE FOUNDATION RECEIVED A TOTAL OF $66,854 FROM THE KOHL'S CARES FOR KIDS PARTNERSHIP IN 2011 TO SUPPORT THESE PURPOSES.Description
FieldValueIRS element (for citing)
Total Program Service Expense934530TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees5NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SIDNEY C SCZYGELSKIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7158472250TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1333 PINE RIDGE BLVDAddressLine1
CityWAUSAUCity
StateWIState
ZIP Code54401ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DUANE L ERWIN
CEO AI/BOARD CHAIR2.00XX0750625126366
G LANE WARE
CHAIR1.00X000
A BRENDA DAVIS
SECRETARY/TREASURER1.00X000
BILL BECKER
DIRECTOR1.00X000
JEN NIEUWENHUIS GUSTAFSON
DIRECTOR1.00X000
JOHN A JOHNKOSKI MD
DIRECTOR1.00X000
BARBARA JUEDES
DIRECTOR1.00X000
PAUL M LAPREE
DIRECTOR1.00X000
CINDY HERMEL
VOLUNTEER PRESIDENT/EX OFFICIO1.00X000
BRAD PECK
DIRECTOR1.00X000
BEN REIF
DIRECTOR1.00X000
JOHN TUBBS
VICE CHAIR1.00X000
STEVEN WEILAND MD
DIRECTOR1.00X000
ROGER V LUCAS
VP HR AI/ASST SECR2.00X026331447800
SIDNEY C SCZYGELSKI
CFO AI/ASST TREAS2.00X037772476760
KALYNN PEMPEK
EXEC DIR - BEG 6/28/1040.00X96952019828
FieldValueIRS element (for citing)
Total Reportable Comp From Org96952TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1391663TotalReportableCompFrmRltdOrgs
Total Other Compensation270754TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events151673FundraisingEvents
Related Organizations390775RelatedOrganizations
All Other Contributions827515AllOtherContributions
Total Contributions1369963TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column97681TotalRevenueColumn
Exclusion$97,681ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities18144Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities36554Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-18410Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-18410TotalRevenueColumn
Exclusion-$18,410ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events103823GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events151673CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses72135FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column31688TotalRevenueColumn
Exclusion$31,688ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming30641GrossIncomeGaming
Gaming Direct Expenses31043GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column-402TotalRevenueColumn
Unrelated Business Revenue-402UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionADMINISTRATIVE FEEDescription
Business Code561000BusinessCode
Total Revenue Column43983TotalRevenueColumn
Related Or Exempt Function Income43983RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue43983TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1524503TotalRevenueColumn
Related Or Exempt Function Income43983RelatedOrExemptFunctionIncome
Unrelated Business Revenue-402UnrelatedBusinessRevenue
Exclusion$110,959ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total771224Total
Program Services771224ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total67258Total
Program Services40355ProgramServices
Management And General13452ManagementAndGeneral
Fundraising13451Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total152870Total
Program Services62618ProgramServices
Management And General24065ManagementAndGeneral
Fundraising66187Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total68957Total
Program Services32257ProgramServices
Management And General11753ManagementAndGeneral
Fundraising24947Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total71859Total
Management And General71859ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7000Total
Management And General7000ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total12523Total
Management And General12523ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2557Total
Program Services25ProgramServices
Management And General2532ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8360Total
Program Services5269ProgramServices
Management And General70ManagementAndGeneral
Fundraising3021Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total26085Total
Program Services14319ProgramServices
Management And General6634ManagementAndGeneral
Fundraising5132Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2428Total
Program Services775ProgramServices
Management And General101ManagementAndGeneral
Fundraising1552Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1677Total
Program Services1677ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total349Total
Management And General349ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionANNUAL EDUCATION FORUMDescription
Total8015Total
Program Services6011ProgramServices
Fundraising2004Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1201162Total
Program Services934530ProgramServices
Management And General150338ManagementAndGeneral
Fundraising116294Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY284348BOY
EOY390488EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10899BOY
EOY2736EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY187607BOY
EOY67214EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY33415BOY
EOY37455EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21867LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18429LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5116BOY
EOY3438EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7932494BOY
EOY8320078EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY213747BOY
EOY84144EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8667626BOY
EOY8905553EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY66122BOY
EOY62646EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY3468EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4279541BOY
EOY4210552EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4345663BOY
EOY4276666EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4018877BOY
EOY4257553EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY170819BOY
EOY224067EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY132267BOY
EOY147267EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4321963BOY
EOY4628887EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8667626BOY
EOY8905553EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses323341ReconcilationRevenueExpenses
Reconcilation Other Changes-16417ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years655755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1724956CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1131251CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1176389CurrentTaxYearMinus1Year
Current Tax Year1369963CurrentTaxYear
Total6058314Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years655755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1724956CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1131251CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1176389CurrentTaxYearMinus1Year
Current Tax Year1369963CurrentTaxYear
Total6058314Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total283974AmountsSubstContributorsTotal
Public Support Total1705774340PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years165606CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100607CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years83758CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83396CurrentTaxYearMinus1Year
Current Tax Year97681CurrentTaxYear
Total531048Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45455CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39951CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38977CurrentTaxYearMinus1Year
Current Tax Year43983CurrentTaxYear
Total206108Total
FieldValueIRS element (for citing)
Total Support6795470TotalSupport
Gross Receipts From Admissions Etc502086GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.84970PublicSupportPertcentage170
Public Support Pertcent Prior Year0.85150PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance149304BeginningOfYearBalance
Contributions15000Contributions
Investment Earnings Or Losses10002InvestmentEarningsOrLosses
End Of Year Balance174306EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance120376BeginningOfYearBalance
Contributions16148Contributions
Investment Earnings Or Losses12780InvestmentEarningsOrLosses
End Of Year Balance149304EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance103053BeginningOfYearBalance
Contributions10070Contributions
Investment Earnings Or Losses7253InvestmentEarningsOrLosses
End Of Year Balance120376EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance60049BeginningOfYearBalance
Contributions46000Contributions
Investment Earnings Or Losses2004InvestmentEarningsOrLosses
End Of Year Balance108053EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.84490PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.15510TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis21867OtherCostOrOtherBasis
Depreciation18429Depreciation
Book Value3438BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3438TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDONOR IMPOSED LIABILITIESDescription
Amount$4,210,552Amount
FieldValueIRS element (for citing)
Total Of Amounts4210552TotalOfAmounts
Total Revenue1524503TotalRevenue
Total Expenses1201162TotalExpenses
Excess Or Deficit For Year323341ExcessOrDeficitForYear
Net Unrealized GL On Investments-16417NetUnrealizedGLOnInvestments
Total Adjustments-16417TotalAdjustments
Excess Or Deficit Per FS306924ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt898054TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-16417NetUnrealizedGainsInvestments
Revenue Not Rptd F990-16417RevenueNotRptdF990
Revenue Subtotal914471RevenueSubtotal
Other Revenues Not Included610032OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt610032RevenueNotRptdOnFinStmt
Total Revenue Per Form9901524503TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt591130TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal591130ExpensesSubtotal
Other Expenses Not Included610032OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt610032ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901201162TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ENDOWMENT IS 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:PART X, LINE 2B: ASPIRUS HEALTH FOUNDATION, INC 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, 2012 AND 2011, THERE WAS NO INCOME TAX EXPENSE, TAX PENALTIES, OR INTEREST RELATED TO TAX PENALITIES RECORDED BY THE FOUNDATION IN THE FINANCIAL STATEMENTS. ASPIRUS HEALTH FOUNDATION, INC RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2012 OR 2011. FEDERAL RETURNS FOR THE YEARS ENDED JUNE 30, 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS.
PART XII, LINE 4B - OTHER ADJUSTMENTS: DESIGNATED CONTRIBUTIONS RAISED FOR OTHERS: 610,032. PART XIII, LINE 4B - OTHER ADJUSTMENTS: DESIGNATED CONTRIBUTIONS RAISED FOR OTHERS: 610,032.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FESTIVAL OF TREESNameOfEvent1
Gross Receipts Event1120293GrossReceiptsEvent1
Charitable Contributions Event157116CharitableContributionsEvent1
Gross Revenue Event163177GrossRevenueEvent1
Rent Facility Costs Event1372RentFacilityCostsEvent1
Food And Beverage Event111800FoodAndBeverageEvent1
Entertainment Event11875EntertainmentEvent1
Other Direct Expenses Event117056OtherDirectExpensesEvent1
Name Of Event2WOMEN'S HEALTH GOLFNameOfEvent2
Gross Receipts Event289665GrossReceiptsEvent2
Charitable Contributions Event263956CharitableContributionsEvent2
Gross Revenue Event225709GrossRevenueEvent2
Rent Facility Costs Event210990RentFacilityCostsEvent2
Food And Beverage Event29154FoodAndBeverageEvent2
Other Direct Expenses Event210118OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events45538GrossReceiptsOtherEvents
Charitable Contrib Other Events30601CharitableContribOtherEvents
Gross Revenue Other Events14937GrossRevenueOtherEvents
Rent Facility Costs Other Events1341RentFacilityCostsOtherEvents
Food And Beverage Other Events3898FoodAndBeverageOtherEvents
Entertainment Other Events1180EntertainmentOtherEvents
Other Direct Expenses Other Events4351OtherDirectExpensesOtherEvents
Gross Receipts Total255496GrossReceiptsTotal
Charitable Contributions Total151673CharitableContributionsTotal
Gross Revenue Total Events103823GrossRevenueTotalEvents
Rent Facility Costs Total Events12703RentFacilityCostsTotalEvents
Food And Beverage Total Events24852FoodAndBeverageTotalEvents
Entertainment Total Events3055EntertainmentTotalEvents
Other Direct Expenses Total Events31525OtherDirectExpensesTotalEvents
Direct Expense Summary Events72135DirectExpenseSummaryEvents
Net Income Summary31688NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming30641GrossRevenueOtherGaming
Non Cash Prizes Other Gaming4979NonCashPrizesOtherGaming
Rent Facility Costs Other Gaming2474RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming23590OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming0.90000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming30641GrossRevenueTotalGaming
Non Cash Prizes Total Gaming4979NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming2474RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming23590OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming31043DirectExpenseSummaryGaming
Net Gaming Income Summary-402NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedWIStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers1GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonDORIS BEISNERNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1425 PINE RIDGE BLVDAddressLine1
CityWAUSAUCity
StateWIState
ZIP Code54401ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Gaming Manager Name PersonKALYNN PEMPEKGamingManagerNamePerson
Gaming Manager Compensation1684GamingManagerCompensation
Gaming Manager Services ProvidedRESP. FOR SPECIAL EVENT FUNDRAISERS AND ANNUAL GIVING PROGRAMS INCLUDING COORDINATING RAFFLES AS AN INTEGRAL COMPONENT OF EVENTS AND CHARITABLE GIVING PROGRAMS.GamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib Required0CharitableDistribRequired

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
ASPIRUS CLINICS INC
425 PINE RIDGE BLVDWAUSAUWI54401391670223501(C)(3)32500N/AN/ASUPPORT OF OPERATIONS PREVIOUSLY PROVIDED BY CARE FOUNDATION, INC. GENERAL OPERATING SUPPORT
CARE FOUNDATION INC
500 WIND RIDGE DRIVE 100WAUSAUWI54401391858393501(C)(3)32500N/AN/AGENERAL OPERATING SUPPORT
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVDWAUSAUWI54401391138241501(C)(3)305336N/AN/AWOMEN'S HEALTH FUND, CANCER PROGRAM, WOMEN'S HEALTH SPECIAL EVENT: GOLF OUTING, RESTRICTED FOR WOMEN'S HEALTH FUND FOR BREAST CANCER SCREENING, WAUSAU HOSPITAL DEPT FUND, FOT SPECIAL EVENT, DIABETES PROGRAM, HEART PROGRAM, ARTS ALIVE 2011 EVENT, VOLUNTEER SCHOLARSHIP FUND, CANCER PROGRAM FROM KOMEN GRANT, WOMEN'S HEALTH NICU FUND, HOSPICE RESPITE GARDEN, HOSPICE MUSIC THERAPY PROGRAM, INJURY PREVENTION FUND, RAINBOW'S END, KOHL'S CARES FOR KIDS.
FOREST COUNTY POTAWATOMI COMMUNITY
PO BOX 340CRANDONWI54520391225059N/A9000N/AN/AKIDS AND COMMUNITY ON THE MOVE PROGRAM
MEMORIAL HEALTH CENTER INC
135 SOUTH GIBSONMEDFORDWI54451390964813501(C)(3)9000N/AN/AMOVE TO IMPROVE FAMILIES PROGRAM FOR THERAPY AND FITNESS CENTER.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: ALL PAYMENTS ARE MONITORED BY GRANT ADMINISTRATOR TO ENSURE ADHERENCE TO STATED GRANT PURPOSE. ANY UNUSED OR UNSPENT FUNDS ARE RETURNED TO THE GRANTOR.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DUANE L ERWIN
054470001912210147040101930116174087699200
ROGER V LUCAS
018515805637202178404817042984031111500
SIDNEY C SCZYGELSKI
029291707974205065013428063332045448400

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BROGER V. LUCAS RECEIVED A DISTRIBUTION FROM 457B DEFERRED COMPENSATION PLAN IN 2011: $16,647
PART IIIPART 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.SUPPLEMENTAL INFORMATION
PART IIISCHEDULE J, PART II: TRAVEL AND HEALTH INSURANCE GROSS UPS, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUALS'S COMPENSATION AT FAIR MARKET VALUE.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE PARENT ORGANIZATION, ASPIRUS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ASEE FORM 990, PART VI, SECTION A, LINE 7B EXPLANATION
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; AND 4) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, AND STRATEGIC AND LONG RANGE PLANS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S MANAGEMENT. ASPIRUS HEALTH FOUNDATION, INC.'S BOARD OF DIRECTORS RECEIVED A COPY OF THE FINAL RETURN PRIOR TO FILING WITH THE IRS, AND REVIEWED THE RETURN AT ITS BOARD MEETING IN OCTOBER 2012.
FORM 990, PART VI, SECTION B, LINE 12CBOARD 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 15ATHE 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 JUNE AND JULY OF 2009 AND PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD IN AUGUST FOR FINAL COMPENSATION DETERMINATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VIIDUANE L. ERWIN AND SIDNEY C. SCZYGELSKI 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 AND SIDNEY C. SCZYGELSKI WORK IN AVERAGE ON EXCESS OF 40 HOURS PER WEEK PROVIDING SERVICES TO ASPIRUS AND ITS AFFILIATES. ROGER V. LUCAS IS ALSO AN EMPLOYEE OF ASPIRUS, INC. AND WORKS ON AVERAGE IN EXCESS OF 40 HOURS PER WEEK PROVIDING SERVICES TO ASPIRUS AND ITS AFFILIATES.EXPLANATION FOR HOURS WORKED
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -16,417.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CASPIRUS HEALTH FOUNDATION IS PROVIDED OVERSIGHT OF ITS AUDIT PROCESS AND SELECTION OF THE INDEPENDENT ACCOUNTANT THROUGH THE AUDIT COMMITTEE OF ITS PARENT ORGANIZATION ASPIRUS, INC. THERE WAS NO CHANGE IN THIS PROCESS DURING THE YEAR JUNE 30, 2012.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ASPIRUS INC
425 PINE RIDGE BLVDWAUSAUWI54401391328331HEALTH CARE SYSTEM MANAGEMENTWI501(C)(3)LINE 11B, IIN/A0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVDWAUSAUWI54401391138241HOSPITALWI501(C)(3)LINE 30ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVDWAUSAUWI54401391406537PROPERTY LEASINGWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS SPECIALISTS INC
425 PINE RIDGE BLVDWAUSAUWI54401391945080MEDICAL SPECIALIST SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
425 PINE RIDGE BLVDWAUSAUWI54401390782130NURSING HOME SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS CLINICS INC
425 PINE RIDGE BLVDWAUSAUWI54401391670223MEDICAL SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREETONTONAGONMI49953260806477HOSPITALMI501(C)(3)LINE 30ASPIRUS INC
ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUEWAUSAUWI54401390808511HOME HEALTHCARE SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUEWAUSAUWI54401391597350PERSONAL CARE SERVICESWI501(C)(3)LINE 90ASPIRUS VNA HOME HEALTH INC
ASPIRUS DOCTOR'S CLINIC INC
420 DEWEY STREETWISCONSIN RAPIDSWI54495391972671MEDICAL SERVICESWI501(C)(3)LINE 90ASPIRUS INC
ASPIRUS GRAND VIEW
N 10561 GRAND VIEW LANEIRONWOODMI49938382908586HOSPITALMI501(C)(3)LINE 30ASPIRUS INC
GRAND VIEW HOSPITAL AUXILIARY
N 10561 GRAND VIEW LANEIRONWOODMI49938237173363SUPPORTING ORG TO HOSPITAL'S LIFELINE EMERGENCY SYSTEMMI501(C)(3)LINE 90ASPIRUS GRAND VIEW
ASPIRUS GRAND VIEW SERVICE CORP
N 10561 GRAND VIEW LANEIRONWOODMI49938383005582PHYSICIAN SERVICESMI501(C)(3)LINE 30ASPIRUS GRAND VIEW

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
ASPIRUS NETWORK INC
3000 WESTHILL DR 202WAUSAUWI54401391931679HEALTH CARE NETWORKWIASPIRUS INCC1.00000
ASPIRUS GRAND VIEW CARING CAREGIVERS INC
N 10561 GRANDVIEW LANEIRONWOODMI49938382902754PERSONAL NEEDS SERVICESMIASPIRUS GRAND VIEWC1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.