ASPIRUS MERRILL HOSPITAL & CLINICS INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ASPIRUS MERRILL HOSPITAL & CLINICS INC (EIN 39-0808503)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-14
IRS object ID: 202641349349300339
Schema version: 2024v5.5
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-14T10:24:37-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	393647910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI ADVISORY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390808503	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS MERRILL HOSPITAL & CLINICS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ASPI	BusinessNameControlTxt
Phone	7155365511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 SOUTH CENTER AVENUE	AddressLine1Txt
City	MERRILL	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54452	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LORI PECK	PersonNm
Person Title	INTERIM CFO	PersonTitleTxt
Phone	7158472118	PhoneNum
Signature	2026-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2026-04-21	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MATTHEW HEYWOOD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 WESTWOOD DRIVE	AddressLine1Txt
City	WAUSAU	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$36,869,957	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ASPIRUS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	125	TotalEmployeeCnt
Total Volunteers	35	TotalVolunteersCnt
Total Gross UBI	$2,430	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$949	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$54,496	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$32,898,077	PYProgramServiceRevenueAmt
CY Program Service Revenue	$36,731,583	CYProgramServiceRevenueAmt
PY Investment Income	-$1,156	PYInvestmentIncomeAmt
CY Investment Income	-$7,974	CYInvestmentIncomeAmt
PY Other Revenue	$138,653	PYOtherRevenueAmt
CY Other Revenue	$138,374	CYOtherRevenueAmt
PY Total Revenue	$33,090,070	PYTotalRevenueAmt
CY Total Revenue	$36,861,983	CYTotalRevenueAmt
PY Grants And Similar Paid	$31,550	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$32,858	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$11,581,113	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$12,944,848	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$15,127,306	PYOtherExpensesAmt
CY Other Expenses	$16,313,745	CYOtherExpensesAmt
PY Total Expenses	$26,739,969	PYTotalExpensesAmt
CY Total Expenses	$29,291,451	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,350,101	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,570,532	CYRevenuesLessExpensesAmt
Total Assets BOY	$13,921,170	TotalAssetsBOYAmt
Total Assets EOY	$15,052,072	TotalAssetsEOYAmt
Total Liabilities BOY	$8,909,192	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$7,143,099	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,011,978	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,908,973	NetAssetsOrFundBalancesEOYAmt
Mission	WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$20,259,582	ExpenseAmt
Grant	$32,858	GrantAmt
Revenue	$36,729,153	RevenueAmt
Desc	ASPIRUS MERRILL HOSPITAL & CLINICS INC. PROVIDES HOSPITAL SERVICES FOR RESIDENTS OF MERRILL, WAUSAU, AND SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY.	Desc
Total Program Service Expenses	$20,259,582	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	125	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LORI PECK	PersonNm
Phone	7158472118	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 WESTWOOD DRIVE	AddressLine1Txt
City	WAUSAU	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JEREMY LEWITZKE
CHAIR	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
KYLE PAGE
VICE CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
MARCO ESPINOZA
SECRETARY/TREASURER	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
BRYAN BORRELL
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
CRAIG DESTREE MD
BOARD MEMBER/PHYSICIAN	1.00	2.00	Yes (X)		$0	$407,638	$36,520
JAMES CYGAN MD
BOARD MEMBER (THRU 09/24)/PHYSICIAN	1.00	40.00	Yes (X)		$0	$936,829	$47,664
ELIZABETH RENAKER-JANSEN DO
BOARD MEMBER/PHYSICIAN	1.00	40.00	Yes (X)		$0	$791,725	$43,647
LAWRENCE LEIBERT MD
BOARD MEMBER (THRU 09/24)/PHYSICIAN	1.00	40.00	Yes (X)		$0	$531,218	$38,249
JENNIFER ENMAN-BOURGON DO
BOARD MEMBER/PHYSICIAN	1.00	40.00	Yes (X)		$0	$432,600	$12,300
MICHAEL UMLAND MD
BOARD MEMBER/PHYSICIAN	1.00	40.00	Yes (X)		$0	$327,184	$48,178
TOU SHOUA LOR MD
BOARD MEMBER/PHYSICIAN	1.00	40.00	Yes (X)		$0	$369,828	$46,176
ERIKA CROCKFORD DO
BOARD MEMBER/PHYSICIAN	1.00	40.00	Yes (X)		$0	$442,007	$10,775
JERRY M YANG
SVP-CHIEF FINANCIAL OFFICER	2.00	50.00		Yes (X)	$0	$677,240	$138,394
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS	2.00	50.00		Yes (X)	$0	$3,868,734	$361,440
JEFFREY WICKLANDER
(NV) PRESIDENT-ASPIRUS CENT. REG.	1.00	50.00		Yes (X)	$0	$898,029	$116,688
JENNIFER REDMAN-SCHELL
(NV) SVP & PRESIDENT-AMG	1.00	50.00		Yes (X)	$0	$727,379	$105,151
MICHAEL HOLZHUETER
SVP-CHIEF HR OFFICER	2.00	50.00			$0	$879,825	$136,340	Yes (X)
MICHAEL WALTERS
SVP-SYSTEM CHIEF MEDICAL OFFICER	2.00	50.00			$0	$763,486	$117,666	Yes (X)
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER	2.00	50.00			$0	$745,188	$115,516	Yes (X)
SUSAN SCHNEIDER
VP-SYSTEM SR. PHYSICIAN EXEC.	2.00	50.00			$0	$580,755	$35,907	Yes (X)
ERIC ANDERSON
CHIEF COMPLIANCE OFFICER	2.00	50.00			$0	$565,843	$99,581	Yes (X)
LORI PECK
VP-FINANCE	2.00	50.00			$0	$539,795	$11,487	Yes (X)
DAVID BITTNER
SVP-ENTERPRISE DEVELOPMENT	2.00	50.00			$0	$443,682	$120,822	Yes (X)
CONSTANCE BRADLEY
SVP-PRES. REG. MARKETS	2.00	50.00			$0	$786,524	$125,769	Yes (X)
RYAN ANDREWS
VP-SYSTEM SR. PHYSICIAN EXEC.	2.00	50.00			$0	$617,541	$52,433	Yes (X)
WILL WEIDER
SVP-CHIEF INFORMATION OFFICER	2.00	50.00			$0	$660,670	$105,795	Yes (X)
WILLIAM CARROLL
VP-INFORMATION TECHNOLOGY	1.00	40.00			$0	$455,617	$41,886		Yes (X)
CHOON P'NG
REGIONAL MEDICAL DIRECTOR	40.00				$544,380	$0	$48,308		Yes (X)
STEPHEN HUBBARD
PHYSICIAN	40.00				$522,967	$0	$9,287		Yes (X)
JOSEPH ROBERTS
PHYSICIAN	40.00				$493,569	$0	$48,605		Yes (X)
MICHAEL CLARK
PHYSICIAN	40.00				$470,208	$0	$48,847		Yes (X)
SIDNEY SCZYGELSKI
SVP OF FINANCE/CFO (FORMER)	2.00	50.00			$0	$1,470,041	$37,990			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,031,124	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$18,919,378	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,161,421	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	21	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TOTAL MSP LLC
221 W COLLEGE AVENUE FLOOR 2	APPLETON	WI	54911	CONTRACT LABOR	$696,365
ECKERT WRECKING INC
4743 COUNTY P	RHINELANDER	WI	54501	CONSTRUCTION SERVICES	$473,000
HAMMEL GREEN & ABRAHMSON INC
420 NORTH 5TH STREET SUITE 100	MINNEAPOLIS	MN	55401	INFRASTRUCTURE	$356,479
AJES EMERGENCY PHYSICIANS
145 CLINTON STREET	NEW YORK	NY	10002	CONTRACT LABOR	$277,155
VYSOTSKI LLC
264 LAKESHORE AVENUE	NEENAH	WI	54956	CONTRACT LABOR - LOCUMS	$268,481

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621990	$36,719,404	$36,719,404
CONTRACT SERVICE REVENUE	621990	$9,749	$9,749
LAB REVENUE	621500	$2,430		$2,430

Field	Value	IRS element (for citing)
Total Program Service Revenue	$36,731,583	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$99,453	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$99,453	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$99,453	TotalRevenueColumnAmt
Exclusion	$99,453	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$7,974	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$7,974	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$7,974	TotalRevenueColumnAmt
Exclusion	-$7,974	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA/VENDING REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$38,921	TotalRevenueColumnAmt
Exclusion	$38,921	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$38,921	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,861,983	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,729,153	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,430	UnrelatedBusinessRevenueAmt
Exclusion	$130,400	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$30,858	TotalAmt
Program Services	$30,858	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,000	TotalAmt
Program Services	$2,000	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$10,684,695	TotalAmt
Program Services	$9,080,773	ProgramServicesAmt
Management And General	$1,603,922	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$303,367	TotalAmt
Program Services	$244,954	ProgramServicesAmt
Management And General	$58,413	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,273,440	TotalAmt
Program Services	$1,028,242	ProgramServicesAmt
Management And General	$245,198	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$683,346	TotalAmt
Program Services	$551,769	ProgramServicesAmt
Management And General	$131,577	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,980	TotalAmt
Management And General	$4,980	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,474,271	TotalAmt
Program Services	$2,622,460	ProgramServicesAmt
Management And General	$851,811	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,850	TotalAmt
Program Services	$807	ProgramServicesAmt
Management And General	$1,043	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,076	TotalAmt
Program Services	$31,819	ProgramServicesAmt
Management And General	$2,257	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,009	TotalAmt
Program Services	$3,929	ProgramServicesAmt
Management And General	$5,080	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$700,474	TotalAmt
Program Services	$19,933	ProgramServicesAmt
Management And General	$680,541	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$18,824	TotalAmt
Program Services	$8,208	ProgramServicesAmt
Management And General	$10,616	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$41,351	TotalAmt
Program Services	$18,032	ProgramServicesAmt
Management And General	$23,319	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$156,272	TotalAmt
Management And General	$156,272	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,582,312	TotalAmt
Program Services	$600,516	ProgramServicesAmt
Management And General	$981,796	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$58,012	TotalAmt
Program Services	$1,651	ProgramServicesAmt
Management And General	$56,361	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CORPORATE ALLOCATIONS	$4,102,630	$753,141	$3,349,489
MEDICAL SUPPLIES	$2,907,510	$2,714,931	$192,579
BAD DEBT EXPENSE	$2,022,365	$2,022,365
REPAIRS & MAINTENANCE	$997,994	$435,190	$562,804

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$201,815	TotalAmt
Program Services	$88,004	ProgramServicesAmt
Management And General	$113,811	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$29,291,451	TotalAmt
Program Services	$20,259,582	ProgramServicesAmt
Management And General	$9,031,869	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$620	BOYAmt
EOY	$820	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,330	BOYAmt
EOY	$1,813	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,748,791	BOYAmt
EOY	$4,915,820	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$191,001	BOYAmt
EOY	$175,957	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$17,021	BOYAmt
EOY	$17,919	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$15,957,542	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,043,995	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$8,911,629	BOYAmt
EOY	$9,913,547	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$50,778	BOYAmt
EOY	$26,196	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,921,170	BOYAmt
EOY	$15,052,072	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,434,547	BOYAmt
EOY	$702,867	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,579,923	BOYAmt
EOY	$5,549,803	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,894,722	BOYAmt
EOY	$890,429	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,909,192	BOYAmt
EOY	$7,143,099	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,011,978	BOYAmt
EOY	$7,908,973	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,011,978	BOYAmt
EOY	$7,908,973	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$13,921,170	BOYAmt
EOY	$15,052,072	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,570,532	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$4,673,537	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$4,980	OtherActivitiesAmt
Total Lobbying Expenditures	$4,980	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF OUR ANNUAL WISCONSIN HOSPITAL ASSOCIATION (WHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA) DUES ARE USED FOR LOBBYING ACTIVITIES. THE AMOUNTS THAT ARE SPECIFIC TO LOBBYING PURPOSES ARE: WISCONSIN HOSPITAL ASSOCIATION $3,018 AND AMERICAN HOSPITAL ASSOCIATION $1,962.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,370,000	OtherCostOrOtherBasisAmt
Book Value	$1,370,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,226,117	OtherCostOrOtherBasisAmt
Depreciation	$3,341,299	DepreciationAmt
Book Value	$3,884,818	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,981,520	OtherCostOrOtherBasisAmt
Depreciation	$2,702,696	DepreciationAmt
Book Value	$2,278,824	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,379,905	OtherCostOrOtherBasisAmt
Book Value	$2,379,905	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$9,913,547	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ASBESTOS LIABILITY	$666,051
COST REPORT PAYABLE	$197,118
FINANCE LEASE LIABILITY	$27,260

Field	Value	IRS element (for citing)
Total Liability	$890,429	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2025.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$372,259	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$372,259	NetCommunityBenefitExpnsAmt
Total Expense	0.01370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,840,315	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,458,077	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,382,238	NetCommunityBenefitExpnsAmt
Total Expense	0.05070	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,452,128	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,345,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$106,523	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,664,702	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,803,682	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,861,020	NetCommunityBenefitExpnsAmt
Total Expense	0.06830	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,698	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$77,698	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,195	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,195	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,216	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$61,216	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$167,109	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$167,109	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,831,811	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,803,682	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,028,129	NetCommunityBenefitExpnsAmt
Total Expense	0.07430	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$615,452	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$3,986,779	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,991,940	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,161	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS MERRILL HOSPITAL & CLINICS INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 SOUTH CENTER	AddressLine1Txt
City	MERRILL	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54452	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ASPIRUS.ORG	WebsiteAddressTxt
State License	1043	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS MERRILL HOSPITAL & CLINICS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASPIRUS MERRILL HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 5: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), COMMUNITY MEMBERS FROM LINCOLN COUNTY PROVIDED INPUT ON THE TOP COMMUNITY HEALTH NEEDS THROUGH A COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS, A COMMUNITY FORUM AND A COALITION PRIORITIZATION PROCESS. THE COMMUNITY SURVEY WAS COMPLETED BY 752 ADULTS IN FALL 2022 (SEPTEMBER-OCTOBER). THE SURVEY WAS DISTRIBUTED BY MULTIPLE COMMUNITY PARTNERS INCLUDING THE HEALTH DEPARTMENT, SOCIAL SERVICE AGENCIES, AND MORE. RESPONDENTS WERE ASKED ABOUT THEIR TOP COMMUNITY HEALTH CONCERNS AS WELL AS THE STRENGTHS OF THE COMMUNITY. TO FILL SOME GAPS NOTICED IN THE SURVEY, FIVE KEY INFORMANT INTERVIEW RESULTS WERE CONDUCTED IN NOVEMBER 2022. REPRESENTED SECTORS INCLUDED MANUFACTURING, AGENCIES SERVING VULNERABLE POPULATIONS, COMMUNITY ORGANIZATIONS, YOUTH GROUP, AND COMMUNITY LEADER. INTERVIEW QUESTIONS WERE ABOUT COMMUNITY STRENGTHS, CHALLENGES, OPPORTUNITIES AND THREATS. A COMMUNITY FORUM WAS HELD IN JANUARY 2023 TO REVIEW DATA AND ROOT CAUSES OF HEALTH ISSUES. OVER 60 COMMUNITY STAKEHOLDERS WERE INVITED. THE LINCOLN COUNTY HEALTH DEPARTMENT FACILITATED AND CONTRIBUTED TO THE DISCUSSION. LASTLY, THE LIVE WELL LINCOLN PARTNERS LINCOLN COUNTY HEALTH DEPARTMENT, UNIVERSITY OF WISCONSIN-EXTENSION, ASPIRUS, LINCOLN COUNTY DEPARTMENT OF SOCIAL SERVICES AND THE AGING AND DISABILITY RESOURCE CENTER MET REGULARLY TO REVIEW DATA, SHAPE THE PROCESS AND FINALIZE THE RESULTS.
ASPIRUS MERRILL HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 6A: FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, THE HOSPITAL COLLABORATED WITH ASPIRUS TOMAHAWK HOSPITAL. ASPIRUS MERRILL HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS MERRILL HOSPITAL.
ASPIRUS MERRILL HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 6B: FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, ASPIRUS MERRILL HOSPITAL COLLABORATED WITH THE LINCOLN COUNTY HEALTH DEPARTMENT. ASPIRUS MERRILL HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS MERRILL HOSPITAL.
ASPIRUS MERRILL HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 11: IN FY25, ASPIRUS CONTINUED TO IMPLEMENT BOTH CROSS-ORGANIZATIONAL AND LOCAL COMMUNITY HEALTH STRATEGIES. CROSS-ORGANIZATIONAL STRATEGIES ARE IMPLEMENTED (AS APPROPRIATE) LOCALLY BUT BENEFIT FROM THE EXPERTISE AND STRUCTURE AVAILABLE WITHIN THE SYSTEM. DESCRIPTIONS BELOW REFLECT BOTH CROSS-ORGANIZATIONAL AND LOCAL STRATEGIES. IN FY25, ASPIRUS MERRILL HOSPITAL'S SIGNIFICANT NEEDS WERE: COMMUNITY-CENTERED RESOURCES FOR THE 55+ POPULATION; HEALTHY LIFESTYLES; MENTAL AND EMOTIONAL WELL-BEING. THESE NEEDS WERE IDENTIFIED THROUGH THE MOST RECENT CHNA, COMPLETED IN JUNE 2023. THE HOSPITAL ADDRESSED THOSE NEEDS IN THE FOLLOWING WAYS. COMMUNITY-CENTERED RESOURCES FOR THE 55+ POPULATIONTHE HOSPITAL FUNDS AND FACILITATES THE COMMUNITY CARE PARAMEDIC PROGRAM, WHICH UTILIZES PARAMEDICS TO CONDUCT HOME VISITS. THE PROGRAM SERVED INDIVIDUALS WHO WERE DISCHARGED FROM THE HOSPITAL WHO MAY BE AT RISK FOR NUTRITION OR MENTAL HEALTH ISSUES, INCLUDING PATIENTS WHO HAD COVID. THE PROGRAM ALSO SERVED INDIVIDUALS WITH COVID WHO WERE NOT ADMITTED TO THE HOSPITAL BUT WOULD BENEFIT FROM ADDITIONAL MONITORING. IN FY24, THE PROGRAM EXPANDED TO INCLUDE DISCHARGED PATIENTS WITH DIABETES AND REACH MERRILL RESIDENTS WHO WERE AT THE WAUSAU HOSPITAL. WORK IN FY24 ALSO LED TO THE FY25 IMPLEMENTATION OF THE COMMUNITY CARE PARAMEDIC PROGRAM IN A NEIGHBORING COUNTY (MARATHON COUNTY, WHERE ASPIRUS WAUSAU HOSPITAL IS). IN FY25 IN MERRILL, AFTER BEING ON HOLD FOR THE FIRST HALF OF THE YEAR, NINE PEOPLE WERE SERVED THROUGH THE COMMUNITY CARE PARAMEDIC PROGRAM. ASPIRUS MERRILL PROVIDED FUNDING FOR THE STEPPING ON PROGRAM THROUGH THE AGING AND DISABILITY RESOURCE CENTER (ADRC). THE STEPPING ON PROGRAM HAS BEEN RESEARCHED AND PROVEN TO HELP DECREASE FALLS BY 31%. THOSE WHO COMPLETE THE PROGRAM SHOW FEWER INJURIES, FEWER VISITS TO THE EMERGENCY ROOM, FEWER HOSPITALIZATIONS AND FEWER DEATHS DUE TO A FALL. THIRTEEN PEOPLE PARTICIPATED IN THE PROGRAM. HEALTHY LIFESTYLES ASPIRUS MERRILL HOSPITAL ACTIVELY PARTICIPATED IN THE LINCOLN COUNTY HEALTHY LIFESTYLES COALITION. THE HOSPITAL AND/OR COALITION CONDUCTED A NUMBER OF NUTRITION AND HEALTHY FOOD-RELATED EFFORTS. AFTER BEING ON PAUSE FOR THE THREE YEARS OF THE PANDEMIC, HEALTHY COOKING DEMONSTRATIONS WERE AGAIN CONDUCTED IN FY24 AND FY25. WITH THE LOSS OF FUNDING FOR LOCAL UW-EXTENSION STAFFING HOWEVER, ONLY ONE DEMONSTRATION WAS ABLE TO BE HELD IN FY25. OVER 20 FAMILIES WITH CHILDREN ENROLLED IN HEAD START PARTICIPATED IN EARLY CALENDAR 2025 DEMONSTRATION. EACH FAMILY RECEIVED A GRIDDLE TO TAKE HOME AND USE FOR THE NEW RECIPE. ASPIRUS MERRILL HOSPITAL CONTINUES TO PROVIDE FUNDING TO INCREASE ACCESS TO FRESH FRUITS AND VEGETABLES. FUNDING SUPPORTED: - TRIPLE-YOUR-BUCKS COUPONS AND THE ELECTRONIC BENEFIT TRANSFER (EBT) MACHINE FEES AT THE LOCAL FARMERS MARKET. THE COUPONS ARE SPECIFICALLY FOR INDIVIDUALS WHO PARTICIPATE IN THE FOODSHARE PROGRAM. - ELECTRONIC BENEFIT TRANSFER (EBT) AVAILABILITY. THE AVAILABILITY OF THE EBT MACHINE INCREASES THE ACCESSIBILITY OF THE FARMERS MARKET FOR INDIVIDUALS PARTICIPATING IN FOODSHARE. - A FRUIT AND VEGETABLE PRESCRIPTION PROGRAM. ASPIRUS OFFERS A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM FOR ELIGIBLE PATIENTS. A VOUCHER IS GIVEN TO PATIENTS TO PURCHASE FRUITS AND VEGETABLES FROM LOCAL FARMERS. THE PROGRAM ALSO PROVIDES NUTRITION INFORMATION AND ACCESS TO RECIPES. DURING THE 2025 SEASON, OVER 800 VOUCHERS WERE DISTRIBUTED ACROSS THE SYSTEM.ASPIRUS (AT THE SYSTEM LEVEL) INITIATED A HEALTHY FOOD HOME-DELIVERY PROGRAM THAT HELPS PEOPLE MANAGE DIABETES THROUGH HEALTHY EATING. THE PROGRAM, NOURISHEDRX, IS BEING IMPLEMENTED THROUGH ASPIRUS AT HOME (HOME HEALTH). NOURISHEDRX UTILIZES THE CONCEPT OF "FOOD AS MEDICINE," RECOGNIZING THAT HEALTHY EATING CAN SIGNIFICANTLY IMPACT HEALTH OUTCOMES. IN FY25, 72 PATIENTS PARTICIPATED. ASPIRUS MERRILL HOSPITAL PROVIDED FUNDING TO THE SCHOOL DISTRICT'S SPARK PROGRAM. SPARK IS THE DISTRICT'S ALTERNATIVE EDUCATION PROGRAM. THE ASPIRUS FUNDING SUPPORTED GARDENING, RAISED BEDS, AND LIFE SKILLS COOKING PROGRAM. ASPIRUS MERRILL ALSO PROVIDED SUPPORT FOR THE DISTRICT'S GREEN TEAM. ASPIRUS PROVIDED FUNDING FOR: - HEALTHY NUTRITION RESOURCES. FUNDING (FOR THE HEALTH DEPARTMENT) WAS USED TO PURCHASE PROFESSIONAL PRINTED AND IN HOUSE PRINTED HEALTHY NUTRITION RESOURCES TO INCREASE KNOWLEDGE AND ACCESS TO FOOD, PURCHASING INSULATED TOTES, AND IMPROVING LIFE SKILLS THAT PROMOTE HEALTHY NUTRITION THROUGH EDUCATION AND CONNECTION TO RESOURCES. EIGHT HUNDRED BROCHURE GUIDES WERE PRINTED. THE GUIDES WERE DISTRIBUTED THROUGH COMMUNITY EVENTS AND COMMUNITY PARTNERS (LIBRARIES, SCHOOLS, BACKPACK PROGRAMS, CLINICIANS/HOSPITALS, SENIOR CENTERS, FOOD PANTRIES, ETC.). MENTAL AND EMOTIONAL WELL-BEINGASPIRUS MERRILL IS AN ACTIVE PARTICIPANT IN THE COUNTY'S MENTAL HEALTH AND AODA COALITION. THE COALITION PARTNERS HAVE COMPLETED MANY ACTIVITIES, SOME OF WHICH THE HOSPITAL FUNDED. ACTIVITIES INCLUDED: - A CONNECTEDNESS CAMPAIGN. THE CAMPAIGN, HELD IN MAY AND JUNE 2025, CHALLENGED INDIVIDUALS WITH A LIST OF WAYS TO BE MORE CONNECTED. ONE HUNDRED SIXTEEN PEOPLE COMPLETED THE CHALLENGE, WITH 59% FROM MERRILL. NEARLY ONE-THIRD SAID THE CHALLENGE HELPED IMPROVE THEIR MENTAL HEALTH, AND OVER 60% SAID THE CHALLENGE HELPED IMPROVE THEIR CONNECTIONS WITH OTHERS. - PUBLIC AWARENESS AND SOCIAL NORMS CAMPAIGNS (E.G., HOPELINE, SMALL TALKS, KNOW METH, ADVERSE CHILDHOOD EXPERIENCES [ACES], PARENT PACT, SOCIAL HOST AWARENESS). THE NEW NATIONAL MENTAL HEALTH HOTLINE 988 WAS PROMOTED. THE HOSPITAL FUNDED THE BILLBOARD PROMOTION OF THE COUNTY MENTAL HEALTH RESOURCE GUIDE. - COMMUNITY PRESENTATIONS ABOUT MENTAL HEALTH AND SUBSTANCE ABUSE. - THE DISTRIBUTION OF POSTERS, CARDS, AND RELATED VISUAL MATERIALS (E.G., SUICIDE PREVENTION HOTLINE POSTERS). - FAMILY FUN PACKS THAT PROVIDED FAMILIES WITH ACTIVITIES AND RESOURCES. ORIGINALLY DEVELOPED IN RESPONSE TO SOCIAL ISOLATION NEEDS EARLY IN THE PANDEMIC, THE FAMILY FUN PACKS COORDINATED BY THE LIBRARY CONTINUED TO BE IN DEMAND. THE PACK ACTIVITIES/CRAFTS FOCUS ON STEAM, LITERACY, AND A HEALTHY LIFESTYLE. THE PACK ALSO INCLUDES HEALTHY, KID-FRIENDLY RECIPES, ALONG WITH ACTIVITIES AND CRAFTS TO GET CHILDREN OUTSIDE, READING, AND USING CREATIVE THOUGHT. THE FUN PACKS HAVE BEEN DISTRIBUTED IN SUMMER 2022, 2023, 2024 AND 2025; ASPIRUS MERRILL PROVIDED FINANCIAL SUPPORT FOR THE PACKS. TWO HUNDRED ACTIVITY BAGS WERE DISTRIBUTED IN SUMMER 2025. THE COALITION, LED BY THE HEALTH DEPARTMENT, DISTRIBUTED NEARLY 2000 MENTAL HEALTH RESOURCES (E.G., WALLET CARDS, GRIEF SUPPORT GUIDES, ETC.). THE RESOURCES WERE DISTRIBUTED AT BUSINESSES AND COMMUNITY EVENTS. AS PART OF THE DISTRIBUTION, THE HEALTH DEPARTMENT ASKED WHAT ADDITIONAL TOPICS WOULD BE BENEFICIAL. RESPONSES INCLUDED: ANXIETY; POST-PARTUM DEPRESSION; ISOLATION; YOUTH MENTAL HEALTH AND MORE. ASPIRUS MERRILL HOSPITAL PROVIDED FUNDING TO THE COUNTY'S DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR PROTECTIVE FACTOR AND CAPACITY FRAMEWORK AWARENESS. THE DEPARTMENT PURCHASED PROMOTIONAL / INFORMATIONAL MATERIALS FOR COUNTY-WIDE DISTRIBUTION. MATERIALS FOCUS ON RAISING AWARENESS OF THE PROTECTIVE FACTOR FRAMEWORK FOR STRENGTHENING FAMILIES. CHILDREN THAT LIVE IN HOMES AND COMMUNITIES WITH ENHANCED PROTECTIVE FACTORS HAVE BETTER MENTAL HEALTH OUTCOMES. INFORMATION PROVIDED FOCUSED ON WHAT PROTECTIVE FACTORS ARE AND HOW INDIVIDUALS AND BUSINESSES IN THE COMMUNITY CAN HELP. 1,250 INFORMATIONAL PACKETS WERE ASSEMBLED WITH INFORMATIONAL MATERIALS AND SHARED AT BUSINESSES AND AT COMMUNITY EVENTS. ASPIRUS MERRILL HOSPITAL SUPPORTED THE SCHOOL DISTRICT IN ITS EFFORTS TO ENCOURAGE POSITIVE MENTAL HEALTH. FINANCIAL SUPPORT WAS PROVIDED FOR: BOTVIN LIFE SKILLS PROGRAM AND A POSITIVE BEHAVIOR PROGRAM. ASPIRUS HEALTH OFFERS THE RAISE YOUR VOICE PROGRAM IN MULTIPLE COMMUNITIES, INCLUDING IN MERRILL. RAISE YOUR VOICE IS A STUDENT CLUB THAT INCREASES THE AWARENESS OF MENTAL HEALTH. THE PROGRAM IS CO-SPONSORED BY THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI). WITH ASPIRUS FUNDING OVER THE LAST FEW YEARS, 18 CLUBS WERE ACTIVE IN THE REGION DURING THE 2024-25 SCHOOL YEAR. DESCRIPTION CONTINUES BELOW.
ASPIRUS MERRILL HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.
ASPIRUS MERRILL HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 13H: THE FINANCIAL ASSISTANCE POLICY ALSO ALLOWS FOR AN ADMINSTRATIVE REVIEW FOR CATASTROPHIC OR UNIQUE CIRCUMSTANCES. THIS ADDITIONAL PROVISION ALLOWS FOR ADMINSTRATION TO MAKE A DETERMINATION THAT MAY ASSIST A PATIENT IN A UNIQUE TIME OF FINANCIAL NEED.
PART V, SECTION B, LINE 11 (CONTINUED):	ASPIRUS CONTRACTS WITH THREE BRIDGES RECOVERY TO PROVIDE PEER SUPPORT SPECIALIST SERVICES, WHICH INCLUDES RECOVERY COACHING FOR PATIENTS IN NEED OF SUBSTANCE USE SUPPORT. IN FY25, THE PROGRAM WAS IMPLEMENTED AT THE MERRILL HOSPITAL AND THE HOSPITAL PROVIDED SOME FINANCIAL SUPPORT. THESE SERVICES INCREASE BOTH AVAILABILITY AND ACCESSIBILITY TO VARIOUS PATHWAYS OF SUBSTANCE USE RECOVERY THROUGH COACHING, MENTORING, ACCOUNTABILITY, AND PEER BEHAVIOR MODELING AT NO COST TO THOSE THEY SERVE. COACHES ARE AVAILABLE 24/7 TO RESPOND TO CALLS AND ARE ADVOCATES FOR VULNERABLE INDIVIDUALS TO HELP THEM RECEIVE THE TREATMENT THEY WANT AND NEED. FOR JULY 1, 2024 THROUGH JUNE 30, 2025, WITH ASPIRUS FUNDS, THREE BRIDGES RECOVERY SERVED 243 PEOPLE. OF THOSE, 100 WERE REFERRED FROM ASPIRUS HOSPITALS. THOSE HOSPITALS INCLUDED: DIVINE SAVIOR; LANGLADE; MERRILL; STEVENS POINT; WISCONSIN RAPIDS AND WAUSAU. OTHER THE HOSPITAL ALSO FINANCIALLY SUPPORTED THE SEAL-A-SMILE PROGRAM IN THE MERRILL SCHOOL DISTRICT. IN THE 2024-25 SCHOOL YEAR, THE SEAL-A-SMILE PROGRAM PROVIDED 470 FLUORIDE VARNISH APPLICATIONS, SEALED 549 TEETH AND IDENTIFIED 78 CHILDREN WITH UNTREATED DECAY (AND SHARED THAT INFORMATION WITH THEIR PARENTS). FY25 ASPIRUS MERRILL HOSPITAL ALSO CONTINUED TO IMPLEMENT A FOOD REPURPOSING PROGRAM THAT PACKAGES UNTOUCHED FOOD FROM THE HOSPITAL'S CAFETERIA AND MAKES IT AVAILABLE FOR INDIVIDUALS WHO USE THE FOOD PANTRY. IN FY23, NEARLY 2600 POUNDS WERE DONATED. IN FY24, OVER 1200 POUNDS WERE DONATED. IN FY25, OVER 1100 POUNDS WERE DONATED. THE HOSPITAL PROVIDED FUNDING FOR A NUMBER OF ADDITIONAL SERVICES AND PROGRAMS, INCLUDING: - COUPONS FOR SAFETY LADDERS, GIVEN OUT AT THE EMERGENCY SERVICES NIGHT OUT (AUGUST 2024). - AN AED FOR THE MERRILL LIBRARY. - - - - - - - - - - - -FOR THE CHNA COMPLETED IN JUNE 2023 (FY23), THE NEEDS PRIORITIZED BY THE HOSPITAL WERE THE SAME NEEDS LIVE WELL LINCOLN AND THE COMMUNITY STAKEHOLDERS IDENTIFIED.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY). SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS WHERE RETIREMENT WITHDRAWALS HAVE NOT BEGUN AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE.
PART I, LINE 7:	THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $2,022,365.
PART III, LINE 2:	THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. THE COSTING METHODOLOGY USED WAS THE PATIENT CARE COST TO CHARGE RATIO WHICH WAS DERIVED FROM THE CALCULATION ON IRS WORKSHEET 2.
PART III, LINE 3:	THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS.
PART III, LINE 4:	THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES.BAD DEBT POLICY AND PROCEDURE:POLICY: I. ASPIRUS' FINANCIAL POLICY REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. II. FAILURE TO MEET THESE REQUIREMENTS IN ASPIRUS POLICY WILL RESULT IN THE ACCOUNT BEING CONSIDERED FOR BAD DEBT ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THE ACCOUNT WILL BE REMOVED FROM ACCOUNTS RECEIVABLE AND TURNED OVER TO AN OUTSIDE AGENCY OR LAW FIRM FOR COLLECTION. PRIOR TO THIS HAPPENING, THE FOLLOWING CRITERIA MUST BE MET: A. PATIENT FINANCIAL SERVICES STAFF WILL MAKE REASONABLE COLLECTION EFFORTS BY WAY OF: 1. MONTHLY STATEMENTS 2. COLLECTION LETTERS INCLUDING PLAIN LANGUAGE SUMMARY (PLS) 3. COLLECTION PHONE CALLS 4. VERIFICATION THAT CHARITY CARE WAS OFFERED WITHIN THE PAST 12-MONTHS AS RECORDED IN THE ELECTRONIC HEALTH RECORD (EMR) WITH STAFF HAVING THE DISCRETION TO OFFER AGAIN WITHIN THE 12-MONTHS. III. ALL COLLECTION ACTIVITY AND PATIENT CONTACTS WILL BE DOCUMENTED ON THE INDIVIDUAL ACCOUNTS. IV. ALL COLLECTION ACCOUNTS ARE TO BE TREATED THE SAME REGARDLESS OF PAYOR TYPE: SELF-PAY, GENERAL INSURANCE, MEDICARE, OR MEDICAL ASSISTANCE. V. PATIENT FINANCIAL SERVICES STAFF WILL USE SOUND BUSINESS JUDGMENT WHEN WORKING WITH THE ACCOUNT. AT THE DISCRETION OF THE FINANCIAL COUNSELOR, CREDIT REPORTS WILL BE REQUESTED FROM THE CREDIT BUREAU AND PROPERTY VERIFICATION OBTAINED THROUGH THE COUNTY TREASURER'S OFFICE. PROCEDURE: VI. THE FINAL STEP IS TO SUBMIT THE ACCOUNT TO A COLLECTION AGENCY OR LAW FIRM. EACH ACCOUNT IS REVIEWED TO DETERMINE IF THE ACCOUNT HAS MET THE BAD DEBT CRITERIA. ONCE IT HAS BEEN DETERMINED THAT ALL REQUIREMENTS HAVE BEEN MET, THE ACCOUNT IS TRANSFERRED FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY THE FINANCIAL COUNSELOR. SPECIFIC PROCEDURES PERTAINING TO THE DETAILED PROCEDURAL STEPS FOR TRANSFERRING TO THE AGENCY CAN BE FOUND IN THE INTERNAL POLICY. A. ADDITIONAL INFORMATION REGARDING MEDICARE BAD DEBTS: 1. THE DEBT MUST BE RELATED TO COVERED SERVICES AND DERIVED FROM DEDUCTIBLE AND COINSURANCE AMOUNTS. 2. THE HOSPITAL MUST PROVIDE REASONABLE COLLECTION EFFORTS. 3. THE DEBT IS NOT COLLECTABLE (AT LEAST 120 DAYS OUTSTANDING FROM THE DATE OF THE LAST PATIENT PAYMENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. B. BAD DEBT RECOVERIES 1. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. 2. PAYMENTS MADE DIRECTLY TO ASPIRUS BUT INTENDED FOR COLLECTION ACCOUNTS WILL BE POSTED TO THE APPROPRIATE ACCOUNT AND REPORTED DAILY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. 3. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED TWO TIMES MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE SUBMITTED TO ACCOUNTS PAYABLE AND APPROVED BY THE DIRECTOR FOR CHECK PROCESSING AND PAYMENT TO AGENCIES FOR COMMISSIONS DUE.
PART III, LINE 8:	THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2025, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS.
PART III, LINE 9B:	PATIENT FINANCIAL SERVICES (PFS) PROACTIVELY IDENTIFIES UNINSURED PATIENTS AND UNDER-INSURED PATIENTS AND SCREENS THEM FOR FINANCIAL ASSISTANCE AND COUNSELING WITHOUT REGARD TO RACE, ETHNICITY, GENDER, RELIGION, OR NATIONAL ORIGIN. THESE SERVICES ARE PROVIDED AT NO CHARGE. PFS COUNSELORS WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO HELP THEM UNDERSTAND THE SYSTEM'S FINANCIAL ASSISTANCE/DISCOUNTING POLICIES AND HOW THEY CAN QUALIFY FOR ASSISTANCE AND/OR DISCOUNTS INCLUDING A REFERRAL TO PUBLIC AND PRIVATE PROGRAMS TO DETERMINE ELIGIBILITY.
PART VI, LINE 2:	IN ADDITION TO ASSESSING NEEDS THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL:- SYSTEMATICALLY REVIEWS PATIENT EXPERIENCE DATA TO UNDERSTAND OPPORTUNITIES TO ADDRESS PATIENT CONCERNS. - MAINTAINS AN INVOLVED REGIONAL BOARD OF DIRECTORS, WHICH MEETS NEARLY MONTHLY. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS (E.G., MEDICINE, INDUSTRY AND LEGAL). - SUPPORTS ITS STAFF IN PARTICIPATING ON COMMUNITY BOARDS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES.- REVIEWS FUNDING REQUESTS (TO THE HOSPITAL AND/OR HOSPITAL FOUNDATION) AS AN INDICATOR OF LOCAL NEEDS.- INITIATED A SOCIAL NEEDS SCREENING PROCESS THAT, OVER TIME, WILL PROVIDE INSIGHT INTO PATIENT NEEDS IN ADDITION TO THEIR IMMEDIATE CARE. - INVOLVES CARE COORDINATION IN PATIENT DISCHARGE PLANNING (WHICH, OVER TIME, BUILDS AN UNDERSTANDING OF PATIENTS' NEEDS).
PART VI, LINE 3:	ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS HOW TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS SENT FROM THE FINANCIAL CLEARANCE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS WHEN REQUESTED ORDURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO ASSIST ALL UNINSURED PATIENTS WITHSCREENING AND APPLYING FOR MEDICAL ASSISTANCE.
PART VI, LINE 4:	THE PRIMARY SERVICE AREA OF THE HOSPITAL IS LINCOLN COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES. LINCOLN COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 878 SQUARE MILES, WITH 32.3 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 27,687 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS 14 YEARS AND UNDER: 14.6%PERSONS 65 YEARS AND OVER: 21.6%WHITE PERSONS: 98.4%AFRICAN AMERICAN PERSONS: 1.4%AMERICAN INDIAN PERSONS: 0.9%ASIAN PERSONS: 0.8%HISPANIC OR LATINO: 1.9%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 2.7%ADULTS AGES 25 AND OVER WITH A HIGH SCHOOL DIPLOMA OR EQUIVALENT: 92%HOUSEHOLDS IN POVERTY: 10%MEDIAN HOUSEHOLD INCOME: $61,100PERCENT WITHOUT HEALTHCARE COVERAGE: 4.8%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 40.3%NUMBER OF HOSPITALS IN THE COUNTY: 2 (INCLUDING ASPIRUS MERRILL HOSPITAL AND ASPIRUS TOMAHAWK HOSPITAL) LINCOLN COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR MENTAL HEALTH.
PART VI, LINE 5:	THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH AND COMMUNITY BENEFIT WORK. ADDITIONALLY, THE HOSPITAL: - MAINTAINS A BOARD OF DIRECTORS THAT REFLECTS THE COMMUNITY. - BRINGS ITS EXPERTISE INTO THE COMMUNITY THROUGH PROGRAMS, SCREENINGS, AND COMMUNITY BOARD AND ADVISORY COMMITTEE MEMBERSHIP.- PROVIDES HIGH QUALITY SERVICES AND IMPLEMENTS ONGOING QUALITY IMPROVEMENT INITIATIVES. - BUDGETS FOR CUTTING EDGE TECHNOLOGIES AND EQUIPMENT THAT SUPPORT PATIENT HEALTH.- OFFERS TRANSPORTATION ASSISTANCE FOR PATIENTS AS APPROPRIATE. - PROVIDES PRECEPTORS FOR HEALTH PROFESSIONS STUDENTS-IN-TRAINING, WHICH ADVANCES THE HEALTH CARE WORKFORCE. AS PART OF A LARGER NETWORK OF ASPIRUS HEALTHCARE FACILITIES, THE HOSPITAL HAS ACCESS TO: - LOW-COST TEMPORARY LODGING AT ASPIRUS' FLAGSHIP TERTIARY CARE HOSPITAL PARTNER (IN WAUSAU, WI) SO THAT PATIENTS AND/OR THEIR FAMILY NEEDING EXTENDED SPECIALTY CARE HAVE ACCOMMODATIONS. - PROFESSIONAL DEVELOPMENT FOR STAFF, ASSURING THE CARE PROVIDED INCORPORATES THE MOST UP-TO-DATE BEST PRACTICES. - CROSS-TRAINING OPPORTUNITIES. FOR INSTANCE, A WAUSAU-BASED BEREAVEMENT COORDINATOR TRAINS STAFF ACROSS THE SYSTEM ON NORMAL GRIEF RESPONSE, RESILIENCE AND HOSPICE CARE AND SUPPORT. THE COORDINATOR TRAINS THROUGH THE NURSE RESIDENCY PROGRAM AS WELL AS IN UNIT/DEPARTMENT MEETINGS. UNIT/DEPARTMENT LEADERS CAN REQUEST BEREAVEMENT INFORMATION AND SUPPORT FOR THEIR TEAM. SIMILARLY, HOSPITALS HAVE ACCESS TO INJURY PREVENTION EXPERTISE AND RESOURCES THROUGH THE LEVEL 2 TRAUMA CENTER IN WAUSAU. - A MARKETING/COMMUNICATIONS TEAM THAT SUPPORTS THE ONLINE ASPIRUS MEDIA CENTER FEATURING MEDICAL EXPERTS. THE TEAM DEVELOPS AND PROMOTES HEALTH EDUCATION INFORMATION (E.G., ON DIABETES, TICK BITES, SNOWMOBILE SAFETY) FOR PATIENTS AND THE GENERAL PUBLIC.
PART VI, LINE 6:	ASPIRUS HEALTH IS A NONPROFIT, COMMUNITY-DIRECTED HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN, SERVING NORTHEASTERN MINNESOTA, NORTHERN AND CENTRAL WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. THE HEALTH SYSTEM OPERATES 17 HOSPITALS AND 130 OUTPATIENT LOCATIONS WITH NEARLY 14,000 TEAM MEMBERS, INCLUDING 1,300 EMPLOYED PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ASPIRUS SERVES COMMUNITIES THROUGH HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND AIR-MEDICAL TRANSPORT, MEDICAL GOODS, AND ADULT LIVING AND CARE FACILITIES. THE COMBINED EFFORTS PROVIDE RURAL COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. FOR MORE INFORMATION, VISIT ASPIRUS.ORG.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
LINCOLN COUNTY HEALTH DEPARTMENT
607 N SALES ST SUITE 101	MERRILL	WI	54452	396005714	GOVERNMENT	$14,358	$0	THE COMMUNITY MENTAL HEALTH COALITION PROGRAMS AND ACTIVITIES (E.G., BILLBOARDS); ORAL HEALTH IMPROVEMENT (SEAL-A-SMILE).
MERRILL AREA PUBLIC SCHOOLS
1111 N SALES ST	MERRILL	WI	54452	391421865	GOVERNMENT	$6,500	$0	FUNDS SUPPORTED MULTIPLE YOUTH PREVENTION AND INTERVENTION PROGRAMS. EXAMPLES INCLUDE: SUBSTANCE USE INTERVENTION/EDUCATION (HIGH SCHOOL); PRE-K THROUGH 12TH GRADE SOCIAL-EMOTIONAL LEARNING CURRICULUM; TRUANCY SUPPORT (SUPPLIES AND RELATED RESOURCES THAT ECONOMICALLY AND SOCIALLY SUPPORT STUDENTS TO INCREASE THEIR ATTENDANCE AT SCHOOL) AND LEARNING TO BREATHE (L2B) (MINDFULNESS) INITIATIVES IN A MIDDLE SCHOOL. THE HOSPITAL ALSO PROVIDED FUNDING FOR PERSONAL HYGIENE KITS FOR STUDENTS.

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANTS ARE PROVIDED TO SUPPORT COMMUNITY PARTNERS AND NON-PROFITS THAT THE HOSPITAL AND ASPIRUS INC DETERMINES. GRANTS PROVIDED ARE GENERAL SUPPORT SO THERE IS NOT A FORMAL PROCESS FOR MONITORING USE OF GRANT FUNDS HOWEVER, PRIOR TO PROVIDING ANY GRANT THE HOSPITAL IS AWARE OF WHAT THE INTENDED USE WILL BE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS	$0	$1,523,574	$0	$2,122,736	$0	$222,424	$0	$10,350	$0	$351,090	$0	$4,230,174	$0	$198,152
SIDNEY SCZYGELSKI
SVP OF FINANCE/CFO (FORMER)	$0	$418,918	$0	$474,490	$0	$576,633	$0	$9,284	$0	$28,706	$0	$1,508,031	$0	$481,861
MICHAEL HOLZHUETER
SVP-CHIEF HR OFFICER	$0	$632,337	$0	$239,983	$0	$7,505	$0	$10,350	$0	$125,990	$0	$1,016,165	$0	$0
JEFFREY WICKLANDER
(NV) PRESIDENT-ASPIRUS CENT. REG.	$0	$601,670	$0	$214,609	$0	$81,750	$0	$10,350	$0	$106,338	$0	$1,014,717	$0	$79,128
JAMES CYGAN MD
BOARD MEMBER (THRU 09/24)/PHYSICIAN	$0	$929,507	$0	$0	$0	$7,322	$0	$10,350	$0	$37,314	$0	$984,493	$0	$0
CONSTANCE BRADLEY
SVP-PRES. REG. MARKETS	$0	$557,181	$0	$172,222	$0	$57,121	$0	$10,350	$0	$115,419	$0	$912,293	$0	$52,586
MICHAEL WALTERS
SVP-SYSTEM CHIEF MEDICAL OFFICER	$0	$508,507	$0	$193,167	$0	$61,812	$0	$10,350	$0	$107,316	$0	$881,152	$0	$56,910
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER	$0	$486,205	$0	$186,599	$0	$72,384	$0	$8,565	$0	$106,951	$0	$860,704	$0	$58,001
ELIZABETH RENAKER-JANSEN DO
BOARD MEMBER/PHYSICIAN	$0	$776,703	$0	$0	$0	$15,022	$0	$10,350	$0	$33,297	$0	$835,372	$0	$0
JENNIFER REDMAN-SCHELL
(NV) SVP & PRESIDENT-AMG	$0	$524,479	$0	$198,502	$0	$4,398	$0	$10,350	$0	$94,801	$0	$832,530	$0	$0
JERRY M YANG
SVP-CHIEF FINANCIAL OFFICER	$0	$616,776	$0	$25,000	$0	$35,464	$0	$10,350	$0	$128,044	$0	$815,634	$0	$0
WILL WEIDER
SVP-CHIEF INFORMATION OFFICER	$0	$472,935	$0	$180,578	$0	$7,157	$0	$2,778	$0	$103,017	$0	$766,465	$0	$0
RYAN ANDREWS
VP-SYSTEM SR. PHYSICIAN EXEC.	$0	$485,773	$0	$119,991	$0	$11,777	$0	$10,350	$0	$42,083	$0	$669,974	$0	$0
ERIC ANDERSON
CHIEF COMPLIANCE OFFICER	$0	$454,003	$0	$109,647	$0	$2,193	$0	$2,636	$0	$96,945	$0	$665,424	$0	$0
SUSAN SCHNEIDER
VP-SYSTEM SR. PHYSICIAN EXEC.	$0	$459,962	$0	$116,101	$0	$4,692	$0	$10,350	$0	$25,557	$0	$616,662	$0	$0
CHOON P'NG
REGIONAL MEDICAL DIRECTOR	$532,649	$0	$0	$0	$11,731	$0	$10,350	$0	$37,958	$0	$592,688	$0	$0	$0
LAWRENCE LEIBERT MD
BOARD MEMBER (THRU 09/24)/PHYSICIAN	$0	$522,654	$0	$0	$0	$8,564	$0	$7,555	$0	$30,694	$0	$569,467	$0	$0
DAVID BITTNER
SVP-ENTERPRISE DEVELOPMENT	$0	$402,065	$0	$25,000	$0	$16,617	$0	$10,350	$0	$110,472	$0	$564,504	$0	$0
LORI PECK
VP-FINANCE	$0	$360,993	$0	$151,157	$0	$27,645	$0	$9,303	$0	$2,184	$0	$551,282	$0	$25,874
JOSEPH ROBERTS
PHYSICIAN	$488,167	$0	$0	$0	$5,402	$0	$10,350	$0	$38,255	$0	$542,174	$0	$0	$0
STEPHEN HUBBARD
PHYSICIAN	$517,967	$0	$0	$0	$5,000	$0	$9,287	$0	$0	$0	$532,254	$0	$0	$0
MICHAEL CLARK
PHYSICIAN	$464,944	$0	$0	$0	$5,264	$0	$9,952	$0	$38,895	$0	$519,055	$0	$0	$0
WILLIAM CARROLL
VP-INFORMATION TECHNOLOGY	$0	$244,957	$0	$149,328	$0	$61,332	$0	$10,350	$0	$31,536	$0	$497,503	$0	$0
ERIKA CROCKFORD DO
BOARD MEMBER/PHYSICIAN	$0	$436,575	$0	$0	$0	$5,432	$0	$7,675	$0	$3,100	$0	$452,782	$0	$0
JENNIFER ENMAN-BOURGON DO
BOARD MEMBER/PHYSICIAN	$0	$394,480	$0	$17,582	$0	$20,538	$0	$10,350	$0	$1,950	$0	$444,900	$0	$0
CRAIG DESTREE MD
BOARD MEMBER/PHYSICIAN	$0	$402,105	$0	$0	$0	$5,533	$0	$10,350	$0	$26,170	$0	$444,158	$0	$0
TOU SHOUA LOR MD
BOARD MEMBER/PHYSICIAN	$0	$364,291	$0	$0	$0	$5,537	$0	$7,465	$0	$38,711	$0	$416,004	$0	$0
MICHAEL UMLAND MD
BOARD MEMBER/PHYSICIAN	$0	$320,371	$0	$0	$0	$6,813	$0	$6,724	$0	$41,454	$0	$375,362	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS MERRILL HOSPITAL & CLINICS, INC. 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, LINES 4A-B	SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENTS W. CARROLL $41,555 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: M. HEYWOOD $198,152 S. SCZYGELSKI $481,861 J. WICKLANDER $79,128 J. MATHESON $58,001 M. WALTERS $56,910 C. BRADLEY $52,586 L. PECK $25,874 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, LINE 7	SHORT-TERM AND LONG-TERM INCENTIVE BONUSES ARE CALCULATED USING AN OBJECTIVE FORMULA THAT INCLUDES FISCAL YEAR MEASURES APPROVED BY THE BOARD IN AREAS OF CLINICAL QUALITY AND SERVICE, EMPLOYEE SATISFACTION, AND FINANCIAL PERFORMANCE. IN ADDITION, TARGETED RETENTION BONUSES MAY BE IMPLEMENTED TO ENSURE KEY TALENT REMAINS IN PLACE TO MEET STRATEGIC DEMANDS. ALL INCENTIVE PAYMENTS ARE EXAMINED FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD FOR DISQUALIFIED PERSONS OR THROUGH EXECUTIVE MANAGEMENT AND ASPIRUS' HUMAN RESOURCE FUNCTION (FOR NON-DISQUALIFIED PERSONS).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	391337855	BondIssuerEIN
CUSIP	97712JDN0	CUSIPNum
Bond Issued	2021-11-10	BondIssuedDt
Issue Price	$5,700,854	IssuePriceAmt
Purpose	REVENUE BONDS SERIES 2021	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$5,700,854	TotalProceedsAmt
Issuance Costs From Proceeds	$40,612	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$5,660,242	OtherSpentProceedsAmt
Substantial Completion	2024	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	0	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART VI:	THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2021 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL & CLINICS, INC. (EIN 39-1138241); ASPIRUS BUILDINGS, INC. (EIN 39-1406537); ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. (EIN 39-0808443); ASPIRUS STANLEY HOSPITAL & CLINICS, INC. (EIN 39-0807065); ASPIRUS MERRILL HOSPITAL & CLINICS, INC. (EIN 39-0808503); ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS, INC. (EIN 39-1390638); ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC. (EIN 39-0985690); AND THE HOWARD YOUNG MEDICAL CENTER, INC. (EIN 39-0873606). INFORMATION REGARDING THE SERIES 2021 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2021 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2021 BONDS.
PART III, LINES 3A AND 3B:	ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS MERRILL HOSPITAL & CLINICS, INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW MANAGEMENT AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY.
SCHEDULE K, PART III, LINE 9	SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS IS COMPRISED OF TEN DIRECTORS. THERE SHALL BE TWO CLASSES OF VOTING DIRECTORS: THE COMMUNITY CLASS AND THE PROVIDER CLASS. NO LESS THAN FOUR INDEPENDENT COMMUNITY CLASS DIRECTORS, SIX PROVIDER CLASS DIRECTOR FROM EACH HOSPITAL, CONSISTING OF PHYSICIANS IN THE ACTIVE CATEGORY OF THE MEDICAL STAFF AT THE HOSPITAL, NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC.
FORM 990, PART VI, SECTION A, LINE 7B	THE 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; 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 11B	THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL.
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 NOTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15	FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS MERRILL HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE 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.
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.
FORM 990, PART IX, LINE 11G	CONTRACT NURSING AND OTHER LABOR: PROGRAM SERVICE EXPENSES 1,778,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,778,364. FOOD SERVICE FEES: PROGRAM SERVICE EXPENSES 53,975. MANAGEMENT AND GENERAL EXPENSES 69,802. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,777. LAB FEES: PROGRAM SERVICE EXPENSES 176,599. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,599. OTHER FEES: PROGRAM SERVICE EXPENSES 477,714. MANAGEMENT AND GENERAL EXPENSES 606,377. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,084,091. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 135,808. MANAGEMENT AND GENERAL EXPENSES 175,632. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,440.
FORM 990, PART XI, LINE 9:	INTERCOMPANY TRANSFERS -4,673,537.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASPIRUS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391328331	HEALTHCARE	WI	501(C)(3)	LINE 12B, II	N/A	0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391138241	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	390782130	NURSING HOME SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391406537	PROPERTY LEASING	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS MEDICAL GROUP INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391670223	MEDICAL SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREET	ONTONAGON	MI	49953	260806477	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS AT HOME INC
520 N 32ND AVENUE	WAUSAU	WI	54401	390808511	HOME HEALTH CARE SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUE	WAUSAU	WI	54401	391597350	PERSONAL CARE SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS AT HOME INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVD	WAUSAU	WI	54401	391256656	CHARITABLE FOUNDATION	WI	501(C)(3)	LINE 7		Yes (1)	ASPIRUS INC
ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
1400 W ICE LAKE ROAD	IRON RIVER	MI	49935	383236977	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
N 10561 GRAND VIEW LANE	IRONWOOD	MI	49938	382908586	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
410 DEWEY STREET	WISCONSIN RAPIDS	WI	54494	390868982	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS KEWEENAW HOSPITAL
205 OSCEOLA STREET	LAURIUM	MI	49913	381443361	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
DIVINE SAVIOR HEALTHCARE INC
2817 NEW PINERY ROAD	PORTGAGE	WI	53901	390806250	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
135 S GIBSON STREET	MEDFORD	WI	54451	390964813	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
900 ILLINOIS AVENUE	STEVENS POINT	WI	54481	390808443	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS STANLEY HOSPITAL & CLINICS INC
1120 PINE STREET	STANLEY	WI	54768	390807065	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
2251 NORTH SHORE DRIVE	RHINELANDER	WI	54501	391390638	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC
201 HOSPITAL ROAD	EAGLE RIVER	WI	54521	390985690	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREET	WOODRUFF	WI	54568	390873606	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREET	WOODRUFF	WI	54568	391499115	HEALTHCARE	WI	501(C)(3)	LINE 12B, II		Yes (1)	ASPIRUS INC
ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN INC
2251 NORTH SHORE DRIVE	RHINELANDER	WI	54501	391965593	MEDICAL SERVICES	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ST LUKE'S HOSPITAL OF DULUTH
915 EAST 1ST STREET	DULUTH	MN	55805	410714079	HOSPITAL	MN	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ST LUKE'S FOUNDATION
1000 EAST 1ST STREET NO 102	DULUTH	MN	55805	411448118	CHARITABLE FOUNDATION	MN	501(C)(3)	LINE 12A, I		Yes (1)	ST LUKE'S HOSPITAL OF DULUTH
LAKE VIEW MEMORIAL HOSPITAL INC
325 11TH AVENUE	TWO HARBORS	MN	55616	410786046	HOSPITAL	MN	501(C)(3)	LINE 3		Yes (1)	ST LUKE'S HOSPITAL OF DULUTH
LAKE VIEW MEMORIAL HOSPITAL FOUNDATION OF NORTHEAST MINNESOTA
325 11TH AVENUE	TWO HARBORS	MN	55616	411700972	CHARITABLE FOUNDATION	MN	501(C)(3)	LINE 12A, I		Yes (1)	LAKE VIEW MEMORIAL HOSPITAL INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
WESTERN UPPER MICHIGAN EYE CARE LLC
131 W GENESEE STREET	IRON RIVER	MI	49935	272324957	EYE CARE SERVICES	MI	N/A	0	0
THE WESTWOOD CONFERENCE CENTER LLC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	571184256	REAL ESTATE INVESTMENT	WI	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
ASPIRUS NETWORK INC
3000 WESTHILL DRIVE 202	WAUSAU	WI	54401	391931678	HEALTH CARE SERVICES	WI	N/A	C	0
ASPIRUS KEWEENAW ENTERPRISES INC
205 OSCEOLA STREET	LAURIUM	MI	49913	383390273	PHARMACY	MI	N/A	C	0
ASPIRUS HEALTH VENTURES
3000 WESTHILL DR SUITE 303	WAUSAU	WI	54401	474925640	HEALTH INSURANCE PLAN	WI	N/A	C	0
ASPIRUS ARISE HEALTH PLAN OF WI INC
3000 WESTHILL DR SUITE 303	WAUSAU	WI	54401	364832569	HEALTH INSURANCE PLAN	WI	N/A	C	0
ASPIRUS ARISE HEALTH PLAN OF MI INC
3000 WESTHILL DR SUITE 303	WAUSAU	WI	54401	475448266	HEALTH INSURANCE PLAN	MI	N/A	C	0
ASPIRUS CAMPUS PROPERTY CONDOMINIUM OWNERS ASSOCIATION INC
2200 WESTWOOD DRIVE	WAUSAU	WI	54401	842513742	ASSOCIATION	WI	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS WAUSAU HOSPITAL INC
I	$1,845,619	COST
ASPIRUS WAUSAU HOSPITAL INC
M	$92,770	COST
ASPIRUS WAUSAU HOSPITAL INC
P	$2,639,664	COST
ASPIRUS WAUSAU HOSPITAL INC
S	$678,620	COST
ASPIRUS INC
I	$2,197,208	COST
ASPIRUS INC
M	$4,582,264	COST
ASPIRUS INC
O	$12,409,045	COST
ASPIRUS INC
P	$9,080,562	COST
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
P	$50,800	COST
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
S	$50,800	COST
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
P	$50,718	COST
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
Q	$93,754	COST
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
R	$93,754	COST