2012-05-15T09:23:13-05:00 2011-06-30 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2010-07-01 390782130 ASPIRUS EXTENDED SERVICES INC ASPI 7158472250 425 PINE RIDGE BLVD WAUSAU WI 54401 SIDNEY C SCZYGELSKI 7158472250 2012-05-15 1 KATHLEEN J LABRAKE CPA 7158453111 2012-05-08 2010 2016-02-24 21:20:13Z DUANE L ERWIN 333 PINE RIDGE BLVD WAUSAU WI 54401 7648038 0 X WWW.ASPIRUS.ORG X 1999 WI TO PROVIDE HEALTH CARE AND EDUCATION SERVICES TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. 8 5 328 0 985753 -253459 11851 24795 9011107 7569939 -432236 -241234 1388966 21191 9979688 7374691 20564 477 0 0 6710596 4859100 0 0 0 4278663 3490128 11009823 8349705 -1030135 -975014 6753321 5235794 1021063 485596 5732258 4750198 X 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 1 6500023 6584186 ASPIRUS EXTENDED SERVICES, INC. (AES) A WHOLLY OWNED SUBSIDIARY OF ASPIRUS, INC. (ASPIRUS), OPERATES A 66-BED SKILLED NURSING FACILITY (PLEASANT VIEW), A SENIOR APARTMENT COMPLEX, A 16-UNIT CBRF (COMMUNITY BASED RESIDENTIAL CARE FACILITY), TWO ADULT FAMILY HOMES, AND AN ADULT DAY CARE IN PHILLIPS, WISCONSIN.ASPIRUS EXTENDED SERVICES, INC. OPERATED A 64-BED SKILLED NURSING FACILITY(LILLIAN KERR NURSING CARE AND REHABILITATION CENTER) AND A PHARMACY IN PHELPS, WISCONSIN ACROSS FROM NORTH TWIN LAKE. IN JUNE OF 2010, THE LILLIAN KERR NURSING CARE AND REHABILIATION CENTER AND PHARMACY IN PHELPS CEASED OPERATIONS. ON NOVEMBER 1, 2010, LILLIAN KERR AND THE PHARMACY WAS SOLD TO AN UNRELATED ORGANIZATION, RENNES. 6500023 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 46 0 1 328 1 1 1 0 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X SIDNEY C SCZYGELSKI 7158472250 333 PINE RIDGE BLVD WAUSAU WI 54401 X NJEAN BURGENER 1.00 X X 0 200160 23517 JEANNE SCINTO 1.00 X 0 180664 46397 LBRUCE LORENZ 1.00 X X 0 128320 20965 GREGG OLSON 1.00 X X 0 0 0 JOHN REARDON 1.00 X X 0 0 0 DEBRA WOODS 1.00 X X 0 0 0 ALAN BARKSTROM 1.00 X 0 0 0 DEBBIE L VOLD 1.00 X 0 0 0 SIDNEY C SCZYGELSKI 1.00 X 0 351316 60480 DUANE L ERWIN 1.00 X 0 637421 113417 0 1497881 264776 0 0 1 0 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 PHARMACEUTICALS, INSURANCE, PAYROLL 2371165 ASPIRUS INC PO BOX 90 WAUSAU WI 54401 MANAGEMENT FEES 383092 SYSCO BARABOO PO BOX 90 BARABOO WI 53913 FOOD SERVICES 285627 MEDLINE INDUSTRIES DEPT CH 14400 PALATINE IL 60055 MEDICAL SUPPLIES 120352 XCEL ENERGY PO BOX 9477 MINNEAPOLIS MN 55484 XCEL ENERGY 113786 7 24795 24795 NET PATIENT REVENUE 623000 6417044 6417044 PHARMACY 446110 1105685 119932 985753 OTHER OPERATING REVENU 623000 41337 41337 SENIOR CENTER 623000 5873 5873 7569939 17672 17672 21191 21191 21191 21191 14441 273347 14441 -273347 -258906 -258906 7374691 6584186 985753 -220043 477 477 3968991 3054178 914813 37884 30309 7575 606638 462902 143736 245587 203065 42522 243793 243793 23667 23667 6785 6785 168884 101783 67101 7802 907 6895 144903 121517 23386 34398 34398 269655 114621 155034 48378 33981 14397 26714 17368 9346 8565 3292 5273 673043 568515 104528 32247 16878 15369 DIETARY/MEDICAL EXPENSE 1500072 1500072 WMAP ASSESSMENT 178544 178544 BAD DEBT EXPENSE 58249 58249 PENALTIES 31064 31064 INCOME TAX EXPENSE 4475 4475 28890 28890 8349705 6500023 1849682 0 1333716 1741646 295148 321036 1001816 441478 172761 20789 20706 6365 4361055 1887855 3759287 2473200 129572 122833 40315 108447 6753321 5235794 561036 335823 235441 102952 224586 46821 1021063 485596 X 5732258 4750198 5732258 4750198 6753321 5235794 X -975014 -7046 X X 0 1 1 X 0 X 28863 79688 13295 11851 24795 158492 4065104 5585962 9568726 9322943 6584186 35126921 4093967 5665650 9582021 9334794 6608981 35285413 0 0 0 35285413 61324 77445 83504 64061 38863 325197 61324 77445 83504 64061 38863 325197 4155291 5743095 9665525 9398855 6647844 35610610 0.99090 0.97800 0.00910 0.01010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 326736 326736 3573640 1655894 1917746 155403 45527 109876 305276 186434 118842 2473200 ASBESTOS LIABILITY 11000 DUE TO AFFILIATES 24099 LONG TERM INSURANCE LIABILITY 11722 46821 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ASPIRUS EXTENDED SERVICES, INC. (AES) 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. AES IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, AES 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. AES IS ALSO ENGAGED, TO A LIMITED EXTENT, IN ACTIVITIES THAT THE INTERNAL REVENUE SERVICE (IRS) CONSIDERS UNRELATED TO ITS EXEMPT PURPOSE AND, THEREFORE, TAXABLE. THESE ACTIVITIES, HOWEVER, ANNUALLY RESULT IN NET OPERATING LOSSES FOR INCOME TAX PURPOSES. AES 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 ASSETS AND LIABILITIES HAVE BEEN RECOGNIZED SINCE NO OTHER DIFFERENCES EXIST BETWEEN THE FINANCIAL TAX BASES OF REPORTING AESS ASSETS AND LIABILITIES. AES'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, 2011 AND 2010, THERE WAS NO INCOME TAX EXPENSE, TAX PENALTIES, OR INTEREST RELATED TO TAX PENALTIES RECORDED BY AES IN THE FINANCIAL STATEMENTS. AES RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2011 OR 2010. FEDERAL RETURNS FOR THE YEARS ENDED JUNE 30, 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS. X X X 0 1 0 0 0 0 0 0 0 NJEAN BURGENER 0 141615 0 28525 0 30020 0 7244 0 16273 0 223677 0 0 JEANNE SCINTO 0 151379 0 25725 0 3560 0 3253 0 43144 0 227061 0 0 SIDNEY C SCZYGELSKI 0 277510 0 68937 0 4869 0 13332 0 47148 0 411796 0 0 DUANE L ERWIN 0 493111 0 129735 0 14575 0 11140 0 102277 0 750838 0 0 PART I, LINE 4B TRAVEL AND HEALTH INSURANCE GROSS UPS, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. 457F PLAN DISTRIBUTION ADMINISTERED BY A RELATED ORGANIZATION - BURGENER $23,443 SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS EXTENDED SERVICES, 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. CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 LILLIAN KERR WAS SOLD TO RENNES EFFECTIVE NOVEMBER 1, 2010. THE LILLIAN KERR PHARMACY CEASED OPERATIONS IN JUNE 2011. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS: THE PARENT ORGANIZATION, ASPIRUS, INC. (80%), AND MEMORIAL MEMBER ASSOCIATION, INC. (20%). FORM 990, PART VI, SECTION A, LINE 7A SEE COMMENTS 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 ORGANIZATION: 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 FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S MANAGEMENT. THE FORM 990 IS PROVIDED TO 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 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 L. BRUCE LORENZ ARE EMPLOYED BY ASPIRUS, INC. A RELATED ORGANAIZATION. ASPIRUS, INC.'S PURPOSE IS TO SERVE AS A SUPPORTING ORGANIZATION TO MULTIPLE SUBSIDIARY ORGANIZATIONS. DUANE L. ERWIN AND SIDNEY C. SCZYGELSKI WORK APPROXIMATELY 52 HOURS PER WEEK PROVIDING MANAGEMENT SERVICES TO ASPIRUS AND ITS AFFILIATES. L BRUCE LORENZ WORKS AN AVERAGE OF 42 HOURS PER WEEK PROVIDING ADMINISTRATIVE SUPPORT TO ASPIRUS AND ITS AFFILIATES. JEAN N. BURGENER DEVOTES APPROXIMATELY 42 HOURS PER WEEK AS FOLLOWS: ASPIRUS EXTENDED SERVICES, INC. - 40 HOURS ASPIRUS VNA HOME HEALTH, INC. - 1 HOUR ASPIRUS VNA EXTENDED CARE, INC. - 1 HOUR JEANNE SCINTO DEVOTES APPROXIMATELY 41 HOURS PER WEEK AS FOLLOWS: ASPIRUS WAUSAU HOSPITAL, INC. - 40 HOURS ASPIRUS EXTENDED SERVICES, INC. - 1 HOUR CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -7,046. FORM 990, PART XII, LINE 2C THERES WAS NO CHANGE TO THIS PROCESS IN THE CURRENT 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 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 HEALTH FOUNDATION INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391256656 CHARITABLE FOUNDATION WI 501(C)(3) LINE 7 ASPIRUS INC 0 ASPIRUS GENERAL CLINIC LLC 110 E FIFTH STREET ANTIGO WI 54409 383741338 MEDICAL SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 0 ASPIRUS CLINICS INC 425 PINE RIDGE BLVD WAUSAU WI 54001 391670223 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 237178363 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 ASPRISU GRAND VIEW 0 ASPIRUS NETWORK INC 3000 WESTHILL DRIVE 202 WAUSAU WI 54401 391931679 HEALTH CARE NETWORK WI N/A C ASPIRUS GRAND VIEW CARING CAREGIVERS INC N 10561 GRANDVIEW LANE IRONWOOD MI 49938 382902754 PERSONAL NEEDS SERVICES MI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0