SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
THE HOWARD YOUNG MEDICAL CENTER INC
 
Employer identification number

39-0873606
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)ASPIRUS INC
333 PINE RIDGE BLVD

WAUSAU,WI54401
39-1328331
HEALTHCARE WI 501 (C) 3 LINE 12B, II N/A
 
No
(2)ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVD

WAUSAU,WI54401
39-1138241
HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(3)ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVD

WAUSAU,WI54401
39-1406537
PROPERTY LEASING WI 501 (C) 3 LINE 10 ASPIRUS INC
 
Yes
 
(4)ASPIRUS EXTENDED SERVICES INC
333 PINE RIDGE BLVD

WAUSAU,WI54401
39-0782130
NURSING HOME SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC
 
Yes
 
(5)ASPIRUS MEDICAL GROUP INC
333 PINE RIDGE BLVD

WAUSAU,WI54401
39-1670223
MEDICAL SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC
 
Yes
 
(6)ASPIRUS ONTONAGON INC
601 SEVENTH STREET

ONTONAGON,MI49953
26-0806477
HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(7)ASPIRUS VNA HOME HEALTH INC
520 N 32ND AVENUE

WAUSAU,WI54401
39-0808511
HOME HEALTH CARE SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC
 
Yes
 
(8)ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUE

WAUSAU,WI54401
39-1597350
PERSONAL CARE SERVICES WI 501 (C) 3 LINE 10 ASPIRUS VNA HOME HEALTH INC
 
Yes
 
(9)ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVD

WAUSAU,WI54401
39-1256656
CHARITABLE FOUNDATION WI 501 (C) 3 LINE 7 ASPIRUS INC
 
Yes
 
(10)ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
1400 W ICE LAKE ROAD

IRON RIVER,MI49935
38-3236977
HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(11)ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
N 10561 GRAND VIEW LANE

IRONWOOD,MI49938
38-2908586
HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(12)ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
410 DEWEY STREET

WISCONSIN RAPIDS,WI54494
39-0868982
HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(13)ASPIRUS KEWEENAW HOSPITAL
205 OSCEOLA STREET

LAURIUM,MI49913
38-1443361
HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(14)DIVINE SAVIOR HEALTHCARE INC
2817 NEW PINERY ROAD

PORTGAGE,WI53901
39-0806250
HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(15)ASPIRUS MEDFORD HOSPITAL & CLINICS INC
135 S GIBSON STREET

MEDFORD,WI54451
39-0964813
HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(16)ASPIRUS MEDFORD FOUNDATION INC
135 S GIBSON STREET

MEDFORD,WI54451
39-1777081
CHARITABLE FOUNDATION WI 501 (C) 3 LINE 7 ASPIRUS INC
 
Yes
 
(17)ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
900 ILLINOIS AVENUE

STEVENS POINT,WI54481
39-0808443
HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(18)ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC
900 ILLINOIS AVENUE

STEVENS POINT,WI54481
39-1657410
CHARITABLE FOUNDATION WI 501 (C) 3 LINE 12A, I ASPIRUS INC
 
Yes
 
(19)ASPIRUS STANLEY HOSPITAL & CLINICS INC
1120 PINE STREET

STANLEY,WI54768
39-0807065
HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(20)ASPIRUS MERRILL HOSPITAL & CLINICS INC
601 S CENTER AVENUE

MERRILL,WI54452
39-0808503
HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(21)ASPIRUS MERRILL HOSPITAL FOUNDATION INC
601 S CENTER AVENUE

MERRILL,WI54452
39-1627755
CHARITABLE FOUNDATION WI 501 (C) 3 LINE 12A, I ASPIRUS INC
 
Yes
 
(22)ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
2251 NORTH SHORE DRIVE

RHINELANDER,WI54501
39-1390638
HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(23)ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC
201 HOSPITAL ROAD

EAGLE RIVER,WI54521
39-0985690
HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(24)HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREET

WOODRUFF,WI54568
39-1499115
HEALTHCARE WI 501 (C) 3 LINE 12B, II ASPIRUS INC
 
Yes
 
(25)ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN
2200 WESTWOOD DRIVE

WAUSAU,WI54401
39-1965593
HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC
 
Yes
 
(26)MINISTRY HEALTH CARE INC
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
39-1490371
PARENT (FORMER) MO 501 (C) 3 LINE 12A, I ASCENSION HEALTH
 
Yes
 
(27)ASCENSION HEALTH
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
31-1662309
NATIONAL HEALTH SYSTEM MO 501 (C) 3 LINE 12A, I ASCENSION HEALTH ALLIANCE
 
Yes
 
(28)ASCENSION HEALTH ALLIANCE
C/O TAX DEPARTMENT PO BOX 45998

ST LOUIS,MO631455998
45-3358926
NATIONAL HEALTH SYSTEM MO 501 (C) 3 LINE 12A, I N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Page 2
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) WESTERN UPPER MICHIGAN EYE CARE LLC

131 W GENESEE STREET
IRON RIVER,MI49935
27-2324957
EYE CARE SERVICES MI N/A
        No     No  
(2) THE WESTWOOD CONFERENCE CENTER LLC

333 PINE RIDGE BLVD
WAUSAU,WI54401
57-1184256
REAL ESTATE INVESTMENT WI N/A
        No     No  










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ASPIRUS NETWORK INC

3000 WESTHILL DRIVE 202
WAUSAU,WI54401
39-1931678
HEALTH CARE SERVICES WI N/A
C         No
(2) ASPIRUS KEWEENAW ENTERPRISES INC

205 OSCEOLA STREET
LAURIUM,MI49913
38-3390273
PHARMACY MI N/A
C         No
(3) ASPIRUS HEALTH VENTURES

3000 WESTHILL DR SUITE 303
WAUSAU,WI54401
47-4925640
HEALTH INSURANCE PLAN WI N/A
C         No
(4) ASPIRUS ARISE HEALTH PLAN OF WI INC

3000 WESTHILL DR SUITE 303
WAUSAU,WI54401
36-4832569
HEALTH INSURANCE PLAN WI N/A
C         No
(5) ASPIRUS ARISE HEALTH PLAN OF MI INC

3000 WESTHILL DR SUITE 303
WAUSAU,WI54401
47-5448266
HEALTH INSURANCE PLAN MI N/A
C         No
(6) ASPIRUS CAMPUS PROPERTY CONDOMINIUM OWNERS ASSOCIATION INC

2200 WESTWOOD DRIVE
WAUSAU,WI54401
84-2513742
ASSOCIATION WI N/A
C         No


Schedule R (Form 990) 2021
Page 3
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) ASPIRUS WAUSAU HOSPITAL

I 121,258 COST
(2) ASPIRUS WAUSAU HOSPITAL

O 302,802 COST
(3) ASPIRUS WAUSAU HOSPITAL

P 72,402 COST
(4) ASPIRUS INC

M 4,267,078 COST
(5) ASPIRUS INC

O 16,931,405 COST
(6) ASPIRUS INC

P 84,778,577 COST
(7) ASPIRUS MEDICAL GROUP

Q 91,263 COST
(8) ASPIRUS STEVENS POINT HOSPITAL

I 157,802 COST
(9) ASPIRUS STEVENS POINT HOSPITAL

P 128,766 COST
(10) ASPIRUS STANLEY HOSPITAL

I 162,768 COST
(11) ASPIRUS MERRILL HOSPITAL

I 127,697 COST
(12) ASPIRUS MERRILL HOSPITAL

Q 171,505 COST
(13) ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL

O 89,316 COST
(14) ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL

P 88,793 COST
(15) ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL

I 61,232 COST
(16) ASPIRUS EAGLE RIVER

L 62,000 COST
(17) ASPIRUS EAGLE RIVER

O 160,288 COST
(18) ASPIRUS EAGLE RIVER

Q 260,919 COST
Schedule R (Form 990) 2021
Page 4
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Page 5
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
SCHEDULE R, PART II, PART III AND PART IV: IN AUGUST 2021, THE ORGANIZATION'S PARENT BECAME ASPIRUS INC, WHO IS THE SOLE PARENT MEMBER OF THE ORGANIZATIONS REPORTED ON SCHEDULE R ATTACHED. THE FIRST MONTH OF THE FISCAL YEAR (JULY) THE ORGANIZATION WAS A PART OF A RELATED PARTY STRUCTURE WITH THE OVERARCHING PARENT BEING ASCENSION HEALTH ALLIANCE (45-3358926). THE DIRECT PARENT BEING MINISTRY HEALTH CARE INC. (39-1490371) WHO IS OWNED BY ASCENSION HEALTH (31-1662309) WHICH IS OWNED BY ASCENSION HEALTH ALLIANCE (45-3358926). THE RELATED PARTY STRUCTURE OF ASCENSION HEALTH ALLIANCE/ASCENSION HEALTH/MINISTRY HEALTH CARE CAN BE PROVIDED UPON REQUEST. ALL COMPENSATION FROM BOTH RELATED PARTY STRUCTURES HAS BEEN REPORTED ON THE FORM 990. TRANSACTIONS AS REPORTED ON SCHEDULE R, PART V, LINE 2 TRANSACTIONS ARE NOT INCLUDING TRANSACTIONS WITH ASCENSION HEALTH ENTITIES FOR THE ONE MONTH OF RELATIONSHIP.
Schedule R (Form 990) 2021

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