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Nonprofiteer
← ASPIRUS MEDICAL GROUP NORTHERN WISCONSIN INC

Form 990 for tax year 2023

Filed by ASPIRUS MEDICAL GROUP NORTHERN WISCONSIN INC.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$443,858
Total liabilities, end of year
$123,937
Net assets or fund balances, end of year
$319,921
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $445,718 · end of year $441,304

  • 4 · Accounts receivable

    beginning of year $0 · end of year $2,554

  • 19 · Deferred revenue

    beginning of year $123,937 · end of year $123,937

  • 27 · Net assets without donor restrictions

    beginning of year $321,781 · end of year $319,921

Mission and programs · 2023

Mission

WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.

  • TO PROVIDE HEALTH CARE AND EDUCATION SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE COMPANY PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS COMMUNITY CARE POLICY. THE CLINIC ALSO PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS WHICH OFTEN REIMBURSE THE CLINIC BASED ON PREDETERMINED FEE SCHEDULES WHICH ARE OFTEN BELOW THE COST OF PROVIDING CARE TO THESE INDIVIDUALS. THESE PROGRAMS REPRESENT A LARGE PORTION OF THE ELDERLY, LOW INCOME, AND DISABLED MEMBERS OF THE COMMUNITY WHO NEED ACCESS TO HIGH QUALITY CARE. IN FISCAL YEAR 2024, THE ORGANIZATION HAD NO ACTIVITY.

As filed on the 2023 return.

Listed in Part VII

  • JEREMY A LEWITZKE

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • KYLE N PAGE

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • MARCO A ESPINOZA

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • BRYAN BORRELL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • JAMES M CYGAN MD

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $999,350
    From this org
    $0
    From related orgs
    $953,637
    Other
    $45,713
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $946,315 related
    Bonus
    $0
    Other
    $0 + $7,322 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $35,813 related
    Filer's total
    $0 + $999,350 related

  • ELIZABETH RENAKER-JANSEN DO

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $808,013
    From this org
    $0
    From related orgs
    $760,881
    Other
    $47,132
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $710,341 related
    Bonus
    $0 + $5,000 related
    Other
    $0 + $45,540 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $37,232 related
    Filer's total
    $0 + $808,013 related

  • LAWRENCE G LEIBERT MD

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $518,187
    From this org
    $0
    From related orgs
    $480,959
    Other
    $37,228
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $472,395 related
    Bonus
    $0
    Other
    $0 + $8,564 related
    Deferred
    $0 + $7,257 related
    Nontaxable benefits
    $0 + $29,971 related
    Filer's total
    $0 + $518,187 related

  • TOU SHOUA LOR MD

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $328,955
    From this org
    $0
    From related orgs
    $286,715
    Other
    $42,240
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $281,233 related
    Bonus
    $0
    Other
    $0 + $5,482 related
    Deferred
    $0 + $5,789 related
    Nontaxable benefits
    $0 + $36,451 related
    Filer's total
    $0 + $328,955 related

  • MICHAEL A UMLAND MD

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $330,265
    From this org
    $0
    From related orgs
    $284,382
    Other
    $45,883
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $277,560 related
    Bonus
    $0
    Other
    $0 + $6,822 related
    Deferred
    $0 + $6,794 related
    Nontaxable benefits
    $0 + $39,089 related
    Filer's total
    $0 + $330,265 related

  • JENNIFER ENMAN-BOURGAN DO

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $438,465
    From this org
    $0
    From related orgs
    $393,526
    Other
    $44,939
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $364,309 related
    Bonus
    $0 + $8,731 related
    Other
    $0 + $20,486 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $35,039 related
    Filer's total
    $0 + $438,465 related

  • JERRY M YANG

    SVP-CHIEF FINANCIAL OFFICER

    Total calculated
    $0
    Hours/week
    2 + 50 related

  • MATTHEW HEYWOOD

    PRESIDENT & CEO ASPIRUS

    Total calculated
    $1,922,303
    From this org
    $0
    From related orgs
    $1,618,117
    Other
    $304,186
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,252,366 related
    Bonus
    $0 + $353,673 related
    Other
    $0 + $12,078 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $294,286 related
    Filer's total
    $0 + $1,922,303 related

  • SIDNEY SCZYGELSKI

    SENIOR VP OF FINANCE/CFO

    Total calculated
    $1,429,019
    From this org
    $0
    From related orgs
    $1,294,746
    Other
    $134,273
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $659,271 related
    Bonus
    $0 + $285,397 related
    Other
    $0 + $350,078 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $124,373 related
    Filer's total
    $0 + $1,429,019 related

  • JEFFREY WICKLANDER

    SVP & CENTRAL REGION PRESIDENT

    Total calculated
    $811,583
    From this org
    $0
    From related orgs
    $684,346
    Other
    $127,237
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $544,955 related
    Bonus
    $0 + $68,729 related
    Other
    $0 + $70,662 related
    Deferred
    $0 + $9,152 related
    Nontaxable benefits
    $0 + $118,085 related
    Filer's total
    $0 + $811,583 related

  • JENNIFER REDMAN-SCHELL

    (NV) BM/PRESIDENT-AMG

    Total calculated
    $702,198
    From this org
    $0
    From related orgs
    $607,634
    Other
    $94,564
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $509,155 related
    Bonus
    $0 + $94,839 related
    Other
    $0 + $3,640 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $84,664 related
    Filer's total
    $0 + $702,198 related

  • JEFFREY JONES

    SVP-CFO (THRU 04/23)

    Total calculated
    $235,898
    From this org
    $0
    From related orgs
    $222,942
    Other
    $12,956
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $220,906 related
    Bonus
    $0
    Other
    $0 + $2,036 related
    Deferred
    $0 + $3,492 related
    Nontaxable benefits
    $0 + $9,464 related
    Filer's total
    $0 + $235,898 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
FOR THE PURPOSES OF DETERMINING COMPENSATION, THE ORGANIZATION RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $337,358 J. WICKLANDER $68,358 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: 13% FOR SENIOR VICE PRESIDENT OR PRESIDENT, 15% FOR SVP & CHIEF FINANCIAL OFFICER, AND 20% FOR THE PRESIDENT & CHIEF EXECUTIVE OFFICER. 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; 24 MONTHS FROM 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202521359349304412

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