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Nonprofiteer
← DIVINE SAVIOR HEALTHCARE INC

Form 990 for tax year 2022

Filed by DIVINE SAVIOR HEALTHCARE INC.

Totals

Total revenue
$80,736,809
Total expenses
$92,576,474
Contributions and grants received
$906,324
Grants paid
$35,253
Program service revenue
$78,891,194
Investment income
$854,881
Other revenue
$84,410
Total assets, end of year
$86,627,338
Total liabilities, end of year
$36,629,079
Net assets or fund balances, end of year
$49,998,259
Program services expenses (Part IX)
$83,497,315
Management and general expenses
$9,079,159
Fundraising expenses
$0
Program service expenses (Part III)
$83,497,315

Program services were 90.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $850,605

  • 1f · All other contributions, gifts and grants

    $55,719

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $61,808,378 · related or exempt $61,808,378

  • 2b · Program service revenue: CLINIC REVENUE

    total $12,442,200 · related or exempt $12,442,200

  • 2c · Program service revenue: EXTENDED CARE FACILITY REVENUE

    total $3,345,031 · related or exempt $3,345,031

  • 2f · All other program service revenue

    total $1,295,585 · related or exempt $1,295,585

  • 3 · Investment income

    total $1,137,110 · excluded $1,137,110

  • 6a · Gross rents

    real property $13,000

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $13,000

  • 6d · Net rental income or loss

    total $13,000 · excluded $13,000

  • 7b · Less cost or other basis and sales expenses

    securities $275,907 · other assets $6,322

  • 7c · Gain or loss

    securities -$275,907 · other assets -$6,322

  • 7d · Net gain or loss

    total -$282,229 · excluded -$282,229

  • 11a · Other revenue: CAFETERIA REVENUE

    total $71,410 · excluded $71,410

  • 11e · Other revenue, total

    $71,410

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $35,253 · program services $35,253

  • 5 · Compensation of officers, directors and key employees

    total $563,937 · management and general $563,937

  • 7 · Other salaries and wages

    total $30,682,491 · program services $26,786,720 · management and general $3,895,771

  • 8 · Pension plan contributions

    total $757,564 · program services $708,099 · management and general $49,465

  • 9 · Other employee benefits

    total $3,846,197 · program services $2,916,911 · management and general $929,286

  • 10 · Payroll taxes

    total $1,896,558 · program services $1,617,919 · management and general $278,639

  • 11d · Fees: lobbying

    total $10,875 · management and general $10,875

  • 11f · Fees: investment management

    total $5,660 · management and general $5,660

  • 11g · Fees: other

    total $15,166,745 · program services $13,621,685 · management and general $1,545,060

  • 12 · Advertising and promotion

    total $99,551 · management and general $99,551

  • 13 · Office expenses

    total $134,504 · program services $62,077 · management and general $72,427

  • 14 · Information technology

    total $80,359 · program services $22,506 · management and general $57,853

  • 16 · Occupancy

    total $1,875,600 · program services $838 · management and general $1,874,762

  • 17 · Travel

    total $167,083 · program services $137,023 · management and general $30,060

  • 19 · Conferences, conventions and meetings

    total $97,608 · program services $97,608

  • 20 · Interest

    total $624,281 · management and general $624,281

  • 22 · Depreciation, depletion and amortization

    total $5,880,788 · program services $2,045,541 · management and general $3,835,247

  • 23 · Insurance

    total $212,210 · program services $36,044 · management and general $176,166

  • 24a · Other expenses: CORPORATE ALLOCATIONS

    total $13,753,781 · program services $24,855,897 · management and general -$11,102,116

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $9,362,447 · program services $9,084,834 · management and general $277,613

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $2,712,565 · management and general $2,712,565

  • 24d · Other expenses: REPAIRS AND MAINTENANCE

    total $2,484,942 · program services $1,291,328 · management and general $1,193,614

  • 24e · All other expenses

    total $2,125,475 · program services $177,032 · management and general $1,948,443

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $961,292 · end of year $1,361,679

  • 2 · Savings and temporary cash investments

    beginning of year $5,435,352

  • 4 · Accounts receivable

    beginning of year $13,605,299 · end of year $10,578,985

  • 8 · Inventories for sale or use

    beginning of year $1,398,492 · end of year $1,283,612

  • 9 · Prepaid expenses and deferred charges

    beginning of year $614,181 · end of year $355,858

  • 10a · Land, buildings and equipment: cost or other basis

    $145,746,555

  • 10b · Land, buildings and equipment: accumulated depreciation

    $79,299,989

  • 10c · Land, buildings and equipment, net

    beginning of year $69,231,180 · end of year $66,446,566

  • 11 · Investments: publicly traded securities

    beginning of year $42,105,546 · end of year $525,258

  • 15 · Other assets

    beginning of year $5,136,240 · end of year $6,075,380

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,867,850 · end of year $3,209,130

  • 19 · Deferred revenue

    beginning of year $664,096 · end of year $54,615

  • 20 · Tax-exempt bond liabilities

    beginning of year $34,914,514 · end of year $32,434,039

  • 25 · Other liabilities

    beginning of year $7,780,057 · end of year $931,295

  • 27 · Net assets without donor restrictions

    beginning of year $90,230,825 · end of year $49,913,627

  • 28 · Net assets with donor restrictions

    beginning of year $30,240 · end of year $84,632

Mission and programs · 2022

Mission

WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES.

  • ASPIRUS DIVINE SAVIOR HOSPITAL & CLINICS, INC. IS A 73-BED HOSPITAL CAMPUS, LOCATED IN PORTAGE, WI, PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2023, ASPIRUS DIVINE SAVIOR HOSPITAL & CLINICS, INC. TREATED APPROXIMATELY 1,074 ADULTS AND CHILDREN FOR A TOTAL OF APPROXIMATELY 3,911 PATIENT DAYS OF SERVICE. ASPIRUS DIVINE SAVIOR HOSPITAL & CLINICS, INC. ALSO OFFERS A WIDE ARRAY OF OUTPATIENT SERVICES TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. EMERGENCY ROOM, URGENT CARE, SURGERY, AMBULANCE, RENAL DIALYSIS, AND REHABILITATION SERVICES ARE AMONG MANY OF THE OUTPATIENT SERVICES PROVIDED. THE HOSPITAL AND ASSOCIATED CLINICS ALSO PROVIDED SERVICES FOR APPROXIMATELY 91,107 OUTPATIENT VISITS, WHICH INCLUDED APPROXIMATELY 2,743 OUTPATIENT SURGERIES AND APPROXIMATELY 15,396 EMERGENCY ROOM VISITS DURING FISCAL YEAR 2023. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.

    Expenses $58,184,909 · Grants $35,253 · Revenue $63,103,963

  • TOTAL CLINIC VISITS FOR FISCAL YEAR 2023 WERE 52,845. THESE CLINICS PROVIDE FAMILY PRACTICE, INTERNAL MEDICINE, PHYSIATRY, OB, ORTHOPEDICS, AND SURGICAL SERVICES, AMONG MANY OTHER CLINICAL SERVICES OFFERED TO PATIENTS IN THE COMMUNITY, AND WORK TOGETHER WITH THE HOSPITAL SERVICES OF ADS IN AN EFFORT TO COORDINATE HOSPITAL AND CLINICAL CARE TO PROVIDE CONVENIENT, COST-EFFECTIVE CARE TO MEMBERS OF THE COMMUNITY. THE RURAL OXFORD CLINIC IS IN A HEALTH SHORTAGE AREA TO BETTER MEET THE RESIDENTS OF THIS COMMUNITY CLOSER TO THEIR HOMES.THE CLINICS SERVICE A LARGE PORTION OF ELDERLY, DISABLED, AND LOW-INCOME PATIENTS WHO ARE COVERED UNDER THE MEDICARE AND WISCONSIN MEDICAL ASSISTANCE PROGRAMS. THE CLINICS ARE OFTEN REIMBURSED FROM THESE PROGRAMS AT RATES WELL BELOW THE COST OF CARING FOR THESE PATIENTS, HOWEVER, IT IS ADS'S MISSION IN THE COMMUNITY TO PROVIDE CARE TO THESE PATIENTS.PATIENTS OF THE ADS CLINICS ARE ALSO ELIGIBLE FOR THE ORGANIZATION'S CHARITY AND COMMUNITY CARE PROGRAMS WHICH PROVIDE FREE OR REDUCED CARE TO INDIVIDUALS AND FAMILIES BASED ON INCOME AND ASSET GUIDELINES. THE FIGURES PRESENTED IN STATEMENT 4A OF THE HOSPITAL PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE CHARITY CARE AMOUNTS PROVIDED TO CLINIC PATIENTS AS WELL. ADDITIONAL INFORMATION ON THE CHARITY CARE POLICIES CAN ALSO BE FOUND IN SCHEDULE H (HOSPITALS) OF THE FORM 990.

    Expenses $19,541,215 · Revenue $12,442,200

  • ADS OWNS AND OPERATES AN 83-BED EXTENDED CARE FACILITY AND 40-BED ASSISTED LIVING FACILITY. THE EXTENDED CARE FACILITY OFFERS SKILLED AND INTERMEDIATE CARE NURSING FOR RESIDENTS WHO REQUIRE SHORT-TERM REHABILITATION PROGRAMS OR LONG-TERM CARE. THE FACILITY ALSO OFFERS MEDICATION MANAGEMENT, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, IV THERAPY, AND NUTRITION SERVICES, AS WELL AS ACCESS TO OTHER HEALTHCARE AND HOSPITAL SERVICES OFFERED BY ADS'S HOSPITAL PROGRAMS. IN 2023, 5,841 RESIDENT DAYS OF CARE AND 7,775 ASSISTED LIVING DAYS WERE PROVIDED BY THE EXTENDED CARE FACILITY. A MAJORITY OF THE RESIDENTS RECEIVE CARE UNDER THE WISCONSIN MEDICAL ASSISTANCE OR FAMILY CARE PROGRAMS. ADS RECOGNIZES THAT THE COST OF CARING FOR THESE INDIVIDUALS OFTEN EXTENDS BEYOND THE AMOUNT THAT IS PAID TO THE FACILITY BY THE MEDICAL ASSISTANCE PROGRAM. RESIDENTS OF THE EXTENDED CARE FACILITY AT ADS WHO HAVE EXHAUSTED ALL OTHER PROGRAMS SUCH AS MEDICAL ASSISTANCE OR THE WISCONSIN FAMILY CARE PROGRAM ARE ALSO ABLE TO APPLY FOR DISCOUNTED OR FREE CARE FOR HOSPITAL OR CLINICAL SERVICES UNDER THE ORGANIZATION'S CHARITY AND COMMUNITY CARE PROGRAMS AS DESCRIBED EARLIER NOTING THE HOSPITAL AND CLINIC PROGRAM SERVICE ACCOMPLISHMENTS. SINCE MOST EXTENDED CARE CHARGES ARE COVERED UNDER WISCONSIN MEDICAL ASSISTANCE PROGRAMS WHEN INCOME LEVELS ARE BELOW ESTABLISHED GOVERNMENT STANDARDS, THESE PROGRAMS ARE MOST OFTEN UTILIZED AS A SOURCE OF PAYMENTS FOR MANY RESIDENTS. IF THESE MEDICAL ASSISTANCE PROGRAMS ARE NOT AVAILABLE DUE TO A UNIQUE CIRCUMSTANCE, THE RESIDENT'S STAY MAY BE EVALUATED FOR CHARITY OR COMMUNITY CARE ON A CASE BY CASE BASIS BY ADMINISTRATION OF THE ORGANIZATION. THE EXTENDED CARE PROGRAM ENDED FEBRUARY 2023.

    Expenses $5,771,191 · Revenue $3,345,031

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • ERIC ANDERSON

    CHAIR/SVP-SERVICE & PATIENT EXP.

    Total calculated
    $626,769
    From this org
    $0
    From related orgs
    $519,926
    Other
    $106,843
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $399,954 related
    Bonus
    $0 + $117,991 related
    Other
    $0 + $1,981 related
    Deferred
    $0 + $17,740 related
    Nontaxable benefits
    $0 + $89,103 related
    Filer's total
    $0 + $626,769 related

  • JESSE TISCHER

    VICE CHAIR/SVP & PRES. REG. MKTS.

    Total calculated
    $910,170
    From this org
    $0
    From related orgs
    $781,575
    Other
    $128,595
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $580,082 related
    Bonus
    $0 + $150,199 related
    Other
    $0 + $51,294 related
    Deferred
    $0 + $18,561 related
    Nontaxable benefits
    $0 + $110,034 related
    Filer's total
    $0 + $910,170 related

  • JOSHUA M POGORELEC DO

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $737,426
    From this org
    $0
    From related orgs
    $687,218
    Other
    $50,208
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $661,553 related
    Bonus
    $0 + $20,000 related
    Other
    $0 + $5,665 related
    Deferred
    $0 + $15,184 related
    Nontaxable benefits
    $0 + $35,024 related
    Filer's total
    $0 + $737,426 related

  • SUSAN H KRECKMAN MD

    BOARD MEMBER/PHYSICIAN

    Total calculated
    $398,313
    From this org
    $0
    From related orgs
    $347,629
    Other
    $50,684
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $341,512 related
    Bonus
    $0
    Other
    $0 + $6,117 related
    Deferred
    $0 + $18,710 related
    Nontaxable benefits
    $0 + $31,974 related
    Filer's total
    $0 + $398,313 related

  • TRAVIS HAMELE

    CHAIRPERSON (THRU 09/22)

    Total calculated
    $0
    Hours/week
    3

  • LYNN M VOGT

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ROBERT CRAWFORD

    BOARD MEMBER (THRU 09/22)

    Total calculated
    $0
    Hours/week
    1

  • LOUIS HEITKE

    BOARD MEMBER (THRU 09/22)

    Total calculated
    $0
    Hours/week
    2.5

  • ROBIN KVALO

    BOARD MEMBER (THRU 09/22)

    Total calculated
    $0
    Hours/week
    1

  • CHAD STEVENSON

    BOARD MEMBER (THRU 09/22)

    Total calculated
    $0
    Hours/week
    1

  • ROB WALZ

    BOARD MEMBER (THRU 10/22)

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL HOLZHUETER

    ASSIST. SEC./SVP-GENERAL COUNSEL

    Total calculated
    $796,592
    From this org
    $0
    From related orgs
    $672,916
    Other
    $123,676
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $479,018 related
    Bonus
    $0 + $135,622 related
    Other
    $0 + $58,276 related
    Deferred
    $0 + $18,672 related
    Nontaxable benefits
    $0 + $105,004 related
    Filer's total
    $0 + $796,592 related

  • CRYSTAL KIRSCHLING

    INTERIM PRESIDENT/VP-REGIONAL INTEGRATION OFFICER

    Total calculated
    $139,656
    From this org
    $0
    From related orgs
    $120,187
    Other
    $19,469
    Hours/week
    1 + 40 related

  • SIDNEY SCZYGELSKI

    SR. VP OF FINANCE/CFO

    Total calculated
    $2,055,582
    From this org
    $0
    From related orgs
    $1,911,464
    Other
    $144,118
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $649,845 related
    Bonus
    $0 + $1,057,600 related
    Other
    $0 + $204,019 related
    Deferred
    $0 + $20,794 related
    Nontaxable benefits
    $0 + $123,324 related
    Filer's total
    $0 + $2,055,582 related

  • BRIAN KIEF

    (NV) BOARD MEMBER/PRESIDENT-ADS

    Total calculated
    $349,985
    From this org
    $0
    From related orgs
    $311,163
    Other
    $38,822
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $308,548 related
    Bonus
    $0
    Other
    $0 + $2,615 related
    Deferred
    $0 + $9,472 related
    Nontaxable benefits
    $0 + $29,350 related
    Filer's total
    $0 + $349,985 related

  • MATTHEW HEYWOOD

    PRESIDENT & CEO ASPIRUS

    Total calculated
    $2,111,048
    From this org
    $0
    From related orgs
    $1,799,938
    Other
    $311,110
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,228,335 related
    Bonus
    $0 + $567,185 related
    Other
    $0 + $4,418 related
    Deferred
    $0 + $18,619 related
    Nontaxable benefits
    $0 + $292,491 related
    Filer's total
    $0 + $2,111,048 related

  • JAMES MATHESON

    SVP-CHIEF STRATEGY OFFICER

    Total calculated
    $650,294
    From this org
    $0
    From related orgs
    $539,401
    Other
    $110,893
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $386,985 related
    Bonus
    $0 + $110,566 related
    Other
    $0 + $41,850 related
    Deferred
    $0 + $17,683 related
    Nontaxable benefits
    $0 + $93,210 related
    Filer's total
    $0 + $650,294 related

  • WILLIAM CARROLL

    VP-INFORMATION TECHNOLOGY

    Total calculated
    $370,543
    From this org
    $0
    From related orgs
    $321,116
    Other
    $49,427
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $267,466 related
    Bonus
    $0 + $51,102 related
    Other
    $0 + $2,548 related
    Deferred
    $0 + $18,436 related
    Nontaxable benefits
    $0 + $30,991 related
    Filer's total
    $0 + $370,543 related

  • CONSTANCE BRADLEY

    SVP-SYSTEM CHIEF NURSING EXECUTIVE

    Total calculated
    $597,582
    From this org
    $0
    From related orgs
    $502,032
    Other
    $95,550
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $385,875 related
    Bonus
    $0 + $113,420 related
    Other
    $0 + $2,737 related
    Deferred
    $0 + $16,421 related
    Nontaxable benefits
    $0 + $79,129 related
    Filer's total
    $0 + $597,582 related

  • DEBRA BALL

    SVP & CHIEF HR OFFICER

    Total calculated
    $562,392
    From this org
    $0
    From related orgs
    $458,839
    Other
    $103,553
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $349,805 related
    Bonus
    $0 + $106,987 related
    Other
    $0 + $2,047 related
    Deferred
    $0 + $13,179 related
    Nontaxable benefits
    $0 + $90,374 related
    Filer's total
    $0 + $562,392 related

  • KIMBERLY JOHNSON

    VP-PATIENT CARE & CNO

    Total calculated
    $286,850
    From this org
    $0
    From related orgs
    $245,213
    Other
    $41,637
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $211,632 related
    Bonus
    $0 + $32,803 related
    Other
    $0 + $778 related
    Deferred
    $0 + $13,955 related
    Nontaxable benefits
    $0 + $27,682 related
    Filer's total
    $0 + $286,850 related

  • SCOTT REMMICH

    VP-CHIEF COMPLIANCE OFFICER

    Total calculated
    $349,829
    From this org
    $0
    From related orgs
    $304,493
    Other
    $45,336
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $251,612 related
    Bonus
    $0 + $49,272 related
    Other
    $0 + $3,609 related
    Deferred
    $0 + $17,778 related
    Nontaxable benefits
    $0 + $27,558 related
    Filer's total
    $0 + $349,829 related

  • TODD RICHARDSON

    SVP & CHIEF INFORMATION OFFICER

    Total calculated
    $639,306
    From this org
    $0
    From related orgs
    $534,868
    Other
    $104,438
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $378,807 related
    Bonus
    $0 + $112,026 related
    Other
    $0 + $44,035 related
    Deferred
    $0 + $18,079 related
    Nontaxable benefits
    $0 + $86,359 related
    Filer's total
    $0 + $639,306 related

  • JANIS BAUMAN

    VP-PATIENT CARE & CNO

    Total calculated
    $324,447
    From this org
    $291,825
    From related orgs
    $0
    Other
    $32,622
    Hours/week
    50 + 2 related

    Schedule J breakdown matched by us

    Base
    $236,800
    Bonus
    $24,740
    Other
    $30,285
    Deferred
    $17,528
    Nontaxable benefits
    $15,094
    Filer's total
    $324,447

  • JOESPH MUELLER

    PHYSICIAN

    Total calculated
    $686,762
    From this org
    $0
    From related orgs
    $634,797
    Other
    $51,965
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $589,365 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $5,432 related
    Deferred
    $0 + $17,894 related
    Nontaxable benefits
    $0 + $34,071 related
    Filer's total
    $0 + $686,762 related

  • DOUGLAS ARNOLD

    PHYSICIAN

    Total calculated
    $660,712
    From this org
    $0
    From related orgs
    $601,492
    Other
    $59,220
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $595,952 related
    Bonus
    $0
    Other
    $0 + $5,540 related
    Deferred
    $0 + $17,894 related
    Nontaxable benefits
    $0 + $41,326 related
    Filer's total
    $0 + $660,712 related

  • WALTER KAO

    PHYSICIAN

    Total calculated
    $529,466
    From this org
    $0
    From related orgs
    $519,632
    Other
    $9,834
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $508,019 related
    Bonus
    $0
    Other
    $0 + $11,613 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $684 related
    Filer's total
    $0 + $529,466 related

  • BRAD ROGOWSKI

    PHYSICIAN

    Total calculated
    $577,157
    From this org
    $0
    From related orgs
    $523,937
    Other
    $53,220
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $497,695 related
    Bonus
    $0 + $20,000 related
    Other
    $0 + $6,242 related
    Deferred
    $0 + $17,894 related
    Nontaxable benefits
    $0 + $35,326 related
    Filer's total
    $0 + $577,157 related

  • MICHAEL KUKLINSKI

    PHYSICIAN

    Total calculated
    $542,205
    From this org
    $0
    From related orgs
    $487,299
    Other
    $54,906
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $441,804 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $5,495 related
    Deferred
    $0 + $17,894 related
    Nontaxable benefits
    $0 + $37,012 related
    Filer's total
    $0 + $542,205 related

  • MICHAEL WALTERS

    FORMER KE/VP-SEN. SYS. PHYS. EXEC.

    Total calculated
    $754,492
    From this org
    $0
    From related orgs
    $699,878
    Other
    $54,614
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $516,368 related
    Bonus
    $0 + $106,505 related
    Other
    $0 + $77,005 related
    Deferred
    $0 + $17,894 related
    Nontaxable benefits
    $0 + $36,720 related
    Filer's total
    $0 + $754,492 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 FILING ORGANIZATION RELIED ON THE 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
MICHAEL DECKER RECEIVED A SEVERANCE PLAN PAYMENT OF $412,205 DURING CALENDAR YEAR 2022. SCHEDULE J, PART I, LINE 4B FILING ORGANIZATION INFORMATION - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: J. BAUMAN $23,371 SCHEDULE J, PART I, LINE 4B RELATED PARTY INFORMATION - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $195,109 J. TISCHER $50,242 J. MATHESON $32,339 M. HOLZHUETER $55,822 T. RICHARDSON $39,963 M. WALTERS $75,493 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

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.

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

  • ASPIRUS INC

    $81,890,068

    Disposition · INVESTMENT ACCOUNT (EQUITY SECURITIES, FIXED INCOME, ETC) · Jan 1, 2023 · 501(C)(3)

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202411369349305786

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