2026-05-14T10:17:56-05:00 2025-06-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-07-01 390868982 ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC ASPI 7154229292 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 LORI PECK INTERIM CFO 7158472118 2026-05-12 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2026-04-25 2024 2025-03-06 01:10:19Z ASPIRUS WISCONSIN RAPIDS HOSPITAL MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 196479973 0 X WWW.ASPIRUS.ORG X 1912 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 12 7 705 139 96760 0 597781 195949 174440904 195150691 2610777 19622 534213 698508 178183675 196064770 7500 13440 0 0 60186676 63028752 0 0 0 95138275 105540556 155332451 168582748 22851224 27482022 179314426 107620900 36741810 42561788 142572616 65059112 X WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 1 0 138007928 13440 195122928 ASPIRUS WISCONSIN RAPIDS HOSPITAL & CLINICS IS A 38-STAFF BED HOSPITAL CAMPUS, LOCATED IN WISCONSIN RAPIDS, WI, PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2025, ASPIRUS RIVERVIEW HOSPITAL & CLINICS TREATED APPROXIMATELY 2,697 ADULTS AND CHILDREN FOR A TOTAL OF APPROXIMATELY 10,620 PATIENT DAYS OF SERVICE. THE HOSPITAL AND ASSOCIATED CLINICS ALSO PROVIDED SERVICES FOR APPROXIMATELY 246,938 OUTPATIENT VISITS, WHICH INCLUDED APPROXIMATELY 5,594 OUTPATIENT SURGERIES AND APPROXIMATELY 17,894 EMERGENCY ROOM VISITS DURING FISCAL YEAR 2025. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 138007928 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 705 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X LORI PECK 7158472118 2200 WESTWOOD DRIVE WAUSAU WI 54401 CONSTANCE BRADLEY SEC. & TREAS./SVP-PRES REG MKTS 1.00 50.00 X X 0 786524 125769 SUSAN KRECKMAN MD BOARD MEMBER/PHYSICIAN (THRU 12/24) 1.00 40.00 X 0 363350 36377 TRINA DANIELS MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 521755 40564 BONITA KOLRUD MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 440865 44170 JOSHUA POGORELEC DO BOARD MEMBER/REGIONAL MED. 1.00 40.00 X 0 733030 48308 JENNIFER REDMAN-SCHELL BOARD MEMBER/SVP & PRESIDENT-AMG 1.00 40.00 X 0 727379 105151 REBECCA SOMMER PHD CHAIR 1.00 2.00 X X 0 0 0 DANIEL J BURNS VICE CHAIR 1.00 2.00 X X 0 0 0 MICHAEL J BOVEE BOARD MEMBER 1.00 2.00 X 0 0 0 JUSTIN HUEBNER BOARD MEMBER (THRU 09/24) 1.00 2.00 X 0 0 0 MARY D IRONSIDE BOARD MEMBER 1.00 2.00 X 0 0 0 SHELLY MONDEIK EDD BOARD MEMBER 1.00 2.00 X 0 0 0 KLAY VEHRING BOARD MEMBER 1.00 2.00 X 0 0 0 LYNN M VOGT BOARD MEMBER 1.00 2.00 X 0 0 0 ROBERT SMITH (NV) PRES.-ASPIRUS SE (THRU 09/24) 1.00 40.00 X 0 428885 7542 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 677240 138394 BRIAN KIEF (NV) PRES.-ADS & ARH (THRU 09/24) 1.00 40.00 X 0 406305 43172 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 3868734 361440 CARRIE PENOVICH (NV) PRESIDENT-ASPIRUS SE DIVISION 1.00 40.00 X 0 307610 10720 CHRIS SQUIRE (NV) PRESIDENT-ASPIRUS S AND SW DIV 40.00 2.00 X 145018 0 9752 DAVID BITTNER SVP-ENTERPRISE DEVELOPMENT 2.00 50.00 X 0 443682 120822 MICHAEL HOLZHUETER SVP-CHIEF HR OFFICER 2.00 50.00 X 0 879825 136340 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 2.00 50.00 X 0 660670 105795 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 2.00 50.00 X 0 763486 117666 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 2.00 50.00 X 0 745188 115516 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 2.00 50.00 X 0 565843 99581 SUSAN SCHNEIDER VP-SYSTEM SR. PHYSICIAN EXEC. 2.00 50.00 X 0 580755 35907 JOEL CARLSON PHYSICIAN 40.00 X 569200 0 37906 THOMAS FERK PHYSICIAN 40.00 X 557898 0 42105 SEAN CASHIN PHYSICIAN 40.00 X 802269 0 46981 ANNA OLSON PHYSICIAN 40.00 X 707569 0 47003 TODD STORCH PHYSICIAN 40.00 X 560400 0 36525 SIDNEY SCZYGELSKI SVP OF FINANCE/CFO (FORMER) 2.00 50.00 X 0 1470041 37990 JESSE TISCHER SVP & PRESIDENT-AWH (FORMER) 0.00 0.00 X 0 732979 5855 3342354 16104146 1957351 87 1 1 0 MEA EMERGENCY MANAGEMENT PO BOX 634850 CINCINNATI OH 452634850 ER PROFESSIONAL SERVICES 7492194 BOLDT CONSTRUCTION APPLETON PO BOX 419 APPLETON WI 54912 GENERAL CONTRACTOR 4540732 TOTAL MSP LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 CONTRACT LABOR 3784882 LOCUMSMART LLC PO BOX 736389 DALLAS TX 753736389 CONTRACTED LOCUMS 3641485 SYNERGY SURGICALISTS LLC 440 STEVENS AVENUE STE 370 SOLANA BEACH CA 92075 CONTRACTED PROVIDERS 1791565 29 70234 109844 15871 195949 PATIENT SERVICES 621500 175235284 175235284 LAB REVENUE 621500 19538573 19515160 23413 376834 372484 4350 195150691 4467 4467 926449 415203 511246 511246 511246 15155 0 15155 15155 15155 CAFETERIA 722514 187262 68997 118265 187262 196064770 195122928 96760 649133 X 13440 13440 359382 359382 51472443 45940573 5531870 1428421 1197676 230745 6560951 5470728 1090223 3207555 2672153 535402 20969 20969 18030 18030 26344143 19588861 6755282 42957 30542 12415 180269 178120 2149 88655 63033 25622 2285369 287968 1997401 176001 125135 50866 26105 18560 7545 2029409 3990 2025419 6911460 4204068 2707392 316453 39875 276578 MEDICAL SUPPLIES 33330348 32933017 397331 CORPORATE ALLOCATIONS 22927051 16300927 6626124 BAD DEBT EXPENSE 4838298 4838298 REPAIRS & MAINTENANCE 3308253 2352138 956115 2696786 1748826 947960 168582748 138007928 30574820 0 76585 74982 716042 780380 21663738 23659279 3364607 2904330 261922 371189 205855843 135276667 70470266 70579176 82168084 103695 593182 9147869 179314426 107620900 5034582 5650773 35020303 33985320 10085000 0 -13398075 2925695 36741810 42561788 X 141441529 63867189 1131087 1191923 142572616 65059112 179314426 107620900 X 27482022 681012 -105676538 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 18030 18030 0 PART II-B, LINE 1: ASPIRUS RIVERVIEW HOSPITAL & CLINICS PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA), THE WISCONSIN HOSPITAL ASSOCIATION (WHA) AND RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. AHA HAS NOTIFIED THE HOSPITAL THAT APPROXIMATELY $12,528 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES. WHA HAS NOTIFIED THE HOSPITAL THAT APPROXIMATELY $4,919 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES. RWHC HAS NOTIFIED THE HOSPITAL THAT APPROXIMATELY $583 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES. IN TOTAL, $18,030 OF THE ANNUAL DUES THE HOSPITAL PAID WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. 3720872 3720872 113713623 63769728 49943895 84288455 70468719 13819736 4132893 1038220 3094673 70579176 LONG TERM PREPAID EXPENSE 261459 FINANCE LEASE LIABILITIES 230848 ESTIMATED THIRD-PART PAYOR SETTLEMENTS 8655562 9147869 RETIREE HEALTHCARE BENEFITS 1995 DEFERRED COMPENSATION 103695 FINANCE LEASE LIABILITY 240224 ASBESTOS LIABILITY 2579781 2925695 X PART X, LINE 2: 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 729560 729560 0.00450 24362244 16823439 7538805 0.04600 25091804 16823439 8268365 0.05050 33687 33687 0.00020 168976 168976 0.00100 5459372 2053375 3405997 0.02080 55976 68997 0 0.00000 5718011 2122372 3608660 0.02200 30809815 18945811 11877025 0.07250 1 8 5252 5252 0.00000 1 8 5252 5252 0.00000 1 1380694 0 20930307 20877080 53227 X 1 1 1 1 ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC 410 DEWEY STREET WISCONSIN RAPIDS WI 54495 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU WI #11 X X X ASPIRUS RIVERVIEW HOSPITAL & CLINICS IN 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS X 1 23 1 WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS 0 1 X 200.000000000000 300.000000000000 X X X X X X X 1 1 X X X X 1 X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 5: FOR THE CHNA COMPLETED IN FY24 (SPRING 2024), WOOD COUNTY COMMUNITY MEMBERS PROVIDED THEIR VOICE TO THE COMMUNITY HEALTH NEEDS THROUGH (1) A COMMUNITY SURVEY AND (2) KEY STAKEHOLDER INPUT. A CONCERTED EFFORT WAS MADE TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS REPRESENTED THE NEEDS AND PERSPECTIVES OF: PUBLIC HEALTH PRACTICE; INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, HAVE LOW INCOME, OR ARE CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL; AND THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED. (1) COMMUNITY SURVEY: THE COMMUNITY SURVEY WAS DEVELOPED BY THE THREE CORE PARTNERS WOOD COUNTY HEALTH DEPARTMENT, MARSHFIELD CLINIC HEALTH SYSTEM AND ASPIRUS. THE SURVEY DEVELOPMENT PROCESS INCLUDED REVIEWING OTHER HEALTH DEPARTMENTS' SURVEYS, IDENTIFYING THE DATA FROM PREVIOUS SURVEYS THAT WAS MOST UTILIZED AND DETERMINING WHAT KINDS OF RESULTS WOULD BE MOST BENEFICIAL FOR NEXT STEPS. SURVEY DISTRIBUTION IN FALL 2023 WAS LED BY THE HEALTH DEPARTMENT. THE SURVEY WAS DISTRIBUTED ELECTRONICALLY AND ON PAPER. IN ORDER TO HELPS ASSURE THAT OFTEN-UNDER-REPRESENTED VOICES WERE HEARD THROUGH THE SURVEY, INTENTIONAL OUTREACH WAS MADE TO INDIVIDUALS WHO ARE: YOUNGER; INDIGENOUS / NATIVE AMERICAN; HISPANIC/LATINX; LGBTQ+; FORMERLY INCARCERATED; EXPERIENCING HOMELESSNESS. INTENTIONAL OUTREACH WAS ALSO MADE TO FAMILIES WITH CHILDREN AND INDIVIDUALS WITH LOW INCOME. OVER 3000 PEOPLE RESPONDED TO THE SURVEY. TOP-IDENTIFIED ISSUES INCLUDED: DRUG USE; MENTAL HEALTH AND SUICIDE; NOT ENOUGH JOBS WITH LIVABLE WAGES; NOT ENOUGH MENTAL HEALTH PROVIDERS; DENTAL CARE. (2) KEY STAKEHOLDER MEETINGS: IN JANUARY 2024, OVER 140 COMMUNITY STAKEHOLDERS WERE INVITED TO PRIORITIZATION MEETINGS. INVITATIONS WERE EXTENDED TO REPRESENTATIVES FROM MULTIPLE SECTORS, INCLUDING PUBLIC HEALTH, LAW ENFORCEMENT, HEALTHCARE, K-12 EDUCATION AND MORE. COMMUNITY SURVEY AND SECONDARY DATA WERE PRESENTED TO THE ATTENDEES. ATTENDEES WERE ASKED TO RESPOND TO THREE QUESTIONS: TOP ISSUE; MOMENTUM; STRATEGIES. TOP ISSUES WERE: MENTAL HEALTH; SUBSTANCE USE; POVERTY AND FINANCIAL STABILITY; HOUSING. ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 6A: FOR THE CHNA COMPLETED IN FY24 (SPRING 2024), THE HOSPITAL COLLABORATED WITH MARSHFIELD CLINIC HEALTH SYSTEM (MARSHFIELD MEDICAL CENTER - MARSHFIELD). ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 6B: FOR THE CHNA COMPLETED IN FY24 (SPRING 2024), ASPIRUS RIVERVIEW HOSPITAL COLLABORATED WITH THE WOOD COUNTY HEALTH DEPARTMENT. ASPIRUS RIVERVIEW HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS RIVERVIEW HOSPITAL. ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 11: IN FY25, ASPIRUS CONTINUED TO IMPLEMENT CROSS-ORGANIZATIONAL STRATEGIES ALONG WITH LOCAL 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 RIVERVIEW HOSPITAL'S SIGNIFICANT NEEDS (FROM THE CHNA AND IMPLEMENTATION STRATEGY APPROVED IN FY24 AND INITIATED/EFFECTIVE IN FY25) WERE: MENTAL HEALTH AND SUBSTANCE USE. THE HOSPITAL ADDRESSED THOSE NEEDS IN THE FOLLOWING WAYS. SUBSTANCE USE AND MENTAL HEALTHIN FY25, THE ASPIRUS BEHAVIORAL HEALTH CLINIC IN WISCONSIN RAPIDS CONTINUED TO GROW, AND THE CLINIC IS AT FULL CAPACITY FOR PROVIDERS. THE CLINIC INCLUDES AN ADULT PSYCHIATRIST, CHILD PSYCHIATRIST, ADULT PSYCHOLOGIST (PROVIDING COUNSELING AND PSYCHOLOGICAL TESTING), TWO ADVANCE PRACTICE PROVIDERS, ONE FULL-TIME PEDIATRIC THERAPIST, ONE FULL-TIME ADULT THERAPIST, ONE PART-TIME ADULT THERAPIST, ONE ALCOHOL AND DRUG COUNSELOR AND ONE PSYCHOMETRIST WHO SUPPORTS OUR PSYCHOLOGIST. IN TERMS OF SERVICES:- ASPIRUS BEHAVIORAL HEALTH CONTINUES TO SEE A HIGH NUMBER OF REFERRALS DAILY; ON AVERAGE THE ASPIRUS SYSTEM IN A YEARS' TIME HAS INCREASED FROM AN AVERAGE OF 100 REFERRALS A DAY (MONDAY-FRIDAY; MINIMAL AMOUNTS ON THE WEEK) TO ON AVERAGE 150 REFERRALS A DAY IN FY25.- THE ASPIRUS BEHAVIORAL HEALTH CLINIC AND THE WOOD COUNTY JAIL'S CONTRACT CAME TO AN END ON DECEMBER 31, 2025. THE WOOD COUNTY JAIL DECIDED TO UTILIZE WOOD COUNTY HUMAN SERVICES FOR THEIR MENTAL HEALTH SERVICES AND GAVE AN UNEXPECTED NOTICE TO ASPIRUS REGARDING THEIR CONTRACT.- ASPIRUS WIS. RAPIDS CONTINUES TO OFFER PATIENT TELEHEALTH APPOINTMENTS AND MYASPIRUS VIDEO VISITS TO PATIENTS.- THE BEHAVIORAL HEALTH CLINIC IS CONTINUING TO GROW THE MEDICATION ASSISTED TREATMENT (MAT) PROGRAM. OVER FY26 WE HOPE TO BUILD A WEEKLY SUBOXONE CLINIC AT WIS. RAPIDS; THE NEW AODA COUNSELOR, THE MEDICATION ASSISTED TREATMENT NURSE (MAT) AND OUR ADULT PSYCHIATRIST HAVE SIGNIFICANT INTEREST IN BUILDING THIS SERVICE; THAT WILL BE A GOAL DURING 2026. -DURING FY25 ASPIRUS ADDED A PSYCHOMETRIST TO THE SYSTEM TEAM AND THIS INDIVIDUAL IS BASED OUT OF WISCONSIN RAPIDS; THE PSYCHOMETRIST ASSISTS THE PSYCHOLOGISTS WITH ADMINISTERING PSYCHOLOGICAL TESTS AND MANAGEMENT OF THE PSYCHOLOGIST'S PRACTICE. ASPIRUS CONTRACTS WITH THREE BRIDGES RECOVERY TO PROVIDE PEER SUPPORT SPECIALIST SERVICES, WHICH INCLUDES RECOVERY COACHING FOR PATIENTS IN NEED OF SUBSTANCE USE 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. THE HOSPITAL PROVIDED FUNDING FOR THE BOYS AND GIRLS CLUB OF THE WISCONSIN RAPIDS AREA. THE CLUB SUCCESSFULLY DEVELOPED AND IMPLEMENTED A NEW SOCIAL EMOTIONAL LEARNING (SEL) PROGRAM, ALONG WITH THE BUSY BEES AND HELPFUL HORNETS LEADERSHIP INITIATIVES. THESE PROGRAMS ARE DESIGNED TO SUPPORT THE GROWTH AND DEVELOPMENT OF YOUTH AND TEENS BY ENHANCING THEIR SOCIAL-EMOTIONAL SKILLS, PROMOTING POSITIVE BEHAVIOR, AND STRENGTHENING OVERALL WELL-BEING AND MENTAL HEALTH. OVER THE COURSE OF THE YEAR, THE CLUB DELIVERED 314 SESSIONS OF PROGRAMING THAT HAVE SEL COMPONENTS, TOTALING 622 HOURS OF DIRECT INSTRUCTION AND REACHING 468 CLUB MEMBERS. THE HOSPITAL FINANCIALLY SUPPORTED THE FAMILIES AND SCHOOLS TOGETHER (FAST) PROGRAM IN THE 2024-25 SCHOOL YEAR. FAST IS AN EVIDENCE-BASED PROGRAM THAT PROMOTES CHILDREN'S SUCCESS THROUGH STRENGTHENED FAMILY RELATIONSHIPS. FAST WAS HELD AT TWO DIFFERENT SCHOOLS, WITH TWELVE FAMILIES GRADUATING FROM THE PROGRAM. EVALUATION RESULTS SHOWED MULTIPLE IMPROVEMENTS, INCLUDING STATISTICALLY SIGNIFICANT IMPROVEMENTS FOR FAMILY SATISFACTION AND ACCESS TO RESOURCES. OTHERASPIRUS 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 PROVIDES FUNDING AND IN-KIND TIME FOR TWO COMMUNITY MEALS PER YEAR THROUGH FOCUS, FEEDING OUR COMMUNITY THROUGH UNITED SERVICES. AS ONE STRATEGY TO ADDRESS FOOD INSECURITY, THE PROGRAM PROVIDES A COMMUNITY MEAL ONCE A WEEK AND SERVES APPROXIMATELY 120 PEOPLE EACH WEEK. ASPIRUS ALSO PROVIDED FUNDING FOR RUBY'S PANTRY IN WISCONSIN RAPIDS. RUBY'S PANTRY PROVIDES FOOD (INCLUDING A COMMITMENT TO PROVIDING MEAT PROTEIN AROUND THE HOLIDAYS) TO OVER 400 FAMILIES AT THEIR POP-UP PANTRY EVENTS. THE HOSPITAL'S NUTRITION SERVICES PROVIDED OVER 1300 MEALS TO COMMUNITY MEMBERS EACH MONTH. THE FOOD IS PREPARED BY THE HOSPITAL'S FOOD AND NUTRITION SERVICES DEPARTMENT AND IS DELIVERED BY VOLUNTEERS FROM THE COMMUNITY. MEALS ARE CHARGED AT A NOMINAL FEE. HEALTHCARE SYSTEMS AND HOSPITALS HAVE NEW REQUIREMENTS TO SCREEN PATIENTS FOR SOCIAL NEEDS, IDENTIFY ANY NEEDS, AND REFER TO COMMUNITY RESOURCES. ASPIRUS CONTRACTS WITH A RESOURCE PLATFORM TO BETTER CONNECT PATIENTS WITH RESOURCES. OVER TIME, THE RESULTS OF THE SCREENING PROCESS WILL PROVIDE INSIGHT INTO PATIENT NEEDS (BEYOND THEIR IMMEDIATE CARE).- - - - - - - - - - - - - - - - -FOR THE CHNA AND IS THAT WERE EFFECTIVE JULY 1, 2024 (FOR FY25 AND THE SUBSEQUENT YEARS), THE HOSPITAL'S PRIORITIES ARE MENTAL HEALTH AND SUBSTANCE USE. THE HEALTH DEPARTMENT PRIORITIES ARE: MENTAL HEALTH; SUBSTANCE USE; ACCESS TO CARE; BUILT ENVIRONMENT (E.G., HOUSING, TRANSPORTATION); FINANCIAL STABILITY. ASPIRUS RIVERVIEW IS NOT ADDRESSING THE FOLLOWING NEEDS FOR THE FOLLOWING REASONS: ACCESS TO CARE (MENTAL, MEDICAL AND DENTAL) ACCESS TO CARE WAS NOT SELECTED AS A FORMAL PRIORITY BECAUSE MAINTAINING HIGH QUALITY CARE AND IMPROVING ACCESS TO CARE IS ALREADY THE CORE BUSINESS ASPIRUS IMPLEMENTS TO LIVE OUR MISSION TO HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. BUILT ENVIRONMENT AND FINANCIAL STABILITY BUILT ENVIRONMENT AND FINANCIAL STABILITY WERE NOT SELECTED BECAUSE THE HOSPITAL DOES NOT HAVE EXPERTISE IN THOSE AREAS. ALTHOUGH ASPIRUS WILL NOT BE LEADING INITIATIVES IN THESE AREAS, ASPIRUS IS COMMITTED TO BEING A COMMUNITY PARTNER AT THE TABLE TO CONTRIBUTE TO SOLUTIONS. ONE WAY ASPIRUS WILL CONTRIBUTE IS BY SCREENING FOR HEALTH-RELATED SOCIAL NEEDS. ASPIRUS IS MONITORING THE RESULTS OF SCREENING AND USING THE FINDHELP PLATFORM TO REFER PATIENTS. OVER TIME, DATA WILL BE ANALYZED AND INCORPORATED INTO THE CHNA IN IDENTIFYING TOP HEALTH PRIORITIES AND CORRESPONDING STRATEGIES. ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. ASPIRUS RIVERVIEW 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. 7 1 - ASPIRUS DOCTORS CLINIC 2031 PEACH STREET WISCONSIN RAPIDS WI 54494 OUTPATIENT PHYSICIAN CLINIC 2 - ASPIRUS CANCER CARE WISCONSIN RAPIDS 410 DEWEY STREET WISCONSIN RAPIDS WI 54495 CANCER CENTER 3 - ASPIRUS RIVERVIEW CLINIC WI RAPIDS 420 DEWEY STREET PO BOX 8080 WISCONSIN RAPIDS WI 54495 OUTPATIENT PHYSICIAN CLINIC 4 - ASPIRUS RIVERVIEW WOUND CLINIC 410 DEWEY STREET WISCONSIN RAPIDS WI 54495 OUTPATIENT PHYSICIAN CLINIC 5 - APIRUS RIVERVIEW CLINIC NEKOOSA 1015 ANGELUS DRIVE NEKOOSA WI 54457 OUTPATIENT PHYSICIAN CLINIC 6 - ASPIRUS RIVERVIEW CLINIC MARSHFIELD 146 N CENTRAL AVENUE MARSHFIELD WI 54449 OUTPATIENT PHYSICIAN CLINIC 7 - ASPIRUS RIVERVIEW CLINIC ADAMS 419 N OAK STREET ADAMS WI 53910 OUTPATIENT PHYSICIAN CLINIC 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, LINE 7G: THE ABOVE COSTS OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE ASPIRUS RIVERVIEW CLINIC ADAMS, ASPIRUS RIVERVIEW CLINIC NEKOOSA, AND BEHAVIORAL HEALTH CLINIC. ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. UTILIZED AN INTERNAL DEPARTMENTAL FINANCIAL STATEMENT TO REPORT THE COST AND DIRECT OFFSETTING REVENUE THAT CALCULATES THE COMMUNITY BENEFIT EXPENSE. THE ASPIRUS RIVERVIEW CLINIC ADAMS REPORTED COSTS OF $741,469 WITH OFFSETTING REVENUE OF $441,846. THE ASPIRUS RIVERVIEW CLINIC NEKOOSA REPORTED COSTS OF $1,914,401 WITH OFFSETTING REVENUE OF $1,497,494. THE BEHAVIORAL HEALTH CLINIC REPORTED COSTS OF $2,803,502 WITH OFFSETTING REVENUE OF $114,035. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24E, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $4,822,831. PART II, COMMUNITY BUILDING ACTIVITIES: PROJECT SEARCH IS "A BUSINESS LED COLLABORATION THAT ENABLES YOUNG ADULTS WITH DISABILITIES TO GAIN AND MAINTAIN EMPLOYMENT THROUGH TRAINING AND CAREER EXPLORATION." (HTTPS://DWD.WISCONSIN.GOV/DVR/PROGRAMS/PROJECT-SEARCH/) THE HOSPITAL SUPPORTS ON-SITE PROJECT SEARCH EFFORTS, THEREBY INCREASING THE CAPACITY OF THE LOCAL WORKFORCE AND ALSO HELPING INDIVIDUALS GAIN SKILLS THAT CAN LEAD TO GAINFUL EMPLOYMENT. EMPLOYMENT AND INCOME ARE ECONOMIC DETERMINANTS OF HEALTH. 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, WITH LOCAL REPRESENTATION. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS (E.G., ACADEMIA, INDUSTRY/BUSINESS, PHILANTHROPY, FINANCE, AND HEALTHCARE).- 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. 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 OR DURING 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 WITH SCREENING AND APPLYING FOR MEDICAL ASSISTANCE. PART VI, LINE 4: THE PRIMARY SERVICE AREA OF THE HOSPITAL IS WOOD COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES. WOOD COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 793 SQUARE MILES, WITH 93.6 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 74,516 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER 14 YEARS OLD: 17.3%PERSONS 65 YEARS AND OVER: 21.6%WHITE PERSONS: 95.4%AFRICAN AMERICAN PERSONS: 1.4%AMERICAN INDIAN PERSONS: 1.1%ASIAN PERSONS: 2.1%HISPANIC OR LATINO: 3.4%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 4.6%HIGH SCHOOL GRADUATE OR HIGHER: 92.7%PERSONS BELOW POVERTY LEVEL: 9.4%MEDIAN HOUSEHOLD INCOME: $54,913PERCENT WITHOUT HEALTHCARE COVERAGE: 3.8%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 41.6%NUMBER OF HOSPITALS IN THE COUNTY: 2 (INCLUDING ASPIRUS RIVERVIEW HOSPITAL)WOOD COUNTY HAS THE FOLLOWING DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS): DENTAL; MENTAL HEALTH; PRIMARY CARE. 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.- PROVIDES HEALTH CAREER EXPLORATION OPPORTUNITIES (E.G., SHADOWING, VOLUNTEERING) AND PRESENTATIONS TO AREA YOUTH.- SUPPORTS PROJECT SEARCH, WHICH ENGAGES YOUNG ADULTS WITH DISABILITIES IN WORKFORCE CAREER EXPLORATION AND TRAINING.- PROMOTES AREA BLOOD DRIVES.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 18 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 1 HOLA INC (HEALTHY OPPORTUNITIES FOR LATIN AMERICANS) 1109 NORTH SIXTH STREET WAUSAU WI 54403 933015015 501(C)(3) 8440 0 THE FUNDS SUPPORTED TRAINING OF FACILITATORS FOR HEALTHY LIVING WITH DIABETES ALONG WITH THE COSTS OF THE PROGRAM BEING CONDUCTED. THE FACILITATORS ARE BILINGUAL IN SPANISH/ENGLISH AND HMONG/ENGLISH. THIS ENABLES THEM TO REACH PARTICIPANTS ENGLISH-ONLY FACILITATORS ARE UNABLE TO REACH. 1 0 PART I, LINE 2: WHEN COMMUNITY BENEFIT FUNDS ARE DONATED TO LOCAL AGENCIES TO COMPLETE COMMUNITY HEALTH IMPROVEMENT EFFORTS, ASPIRUS REQUESTS A FORMAL REPORT AT THE CONCLUSION OF THE FISCAL YEAR. X 1 1 1 1 0 0 0 0 0 1 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 0 1523574 0 2122736 0 222424 0 10350 0 351090 0 4230174 0 198152 SIDNEY SCZYGELSKI SVP OF FINANCE/CFO (FORMER) 0 418918 0 474490 0 576633 0 9284 0 28706 0 1508031 0 481861 MICHAEL HOLZHUETER SVP-CHIEF HR OFFICER 0 632337 0 239983 0 7505 0 10350 0 125990 0 1016165 0 0 CONSTANCE BRADLEY SEC. & TREAS./SVP-PRES REG MKTS 0 557181 0 172222 0 57121 0 10350 0 115419 0 912293 0 52586 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 0 508507 0 193167 0 61812 0 10350 0 107316 0 881152 0 56910 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 0 486205 0 186599 0 72384 0 8565 0 106951 0 860704 0 58001 SEAN CASHIN PHYSICIAN 796471 0 0 0 5798 0 8726 0 38255 0 849250 0 0 0 JENNIFER REDMAN-SCHELL BOARD MEMBER/SVP & PRESIDENT-AMG 0 524479 0 198502 0 4398 0 10350 0 94801 0 832530 0 0 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 0 616776 0 25000 0 35464 0 10350 0 128044 0 815634 0 0 JOSHUA POGORELEC DO BOARD MEMBER/REGIONAL MED. 0 707220 0 0 0 25810 0 10350 0 37958 0 781338 0 0 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 0 472935 0 180578 0 7157 0 2778 0 103017 0 766465 0 0 ANNA OLSON PHYSICIAN 669770 0 0 0 37799 0 8748 0 38255 0 754572 0 0 0 JESSE TISCHER SVP & PRESIDENT-AWH (FORMER) 0 29283 0 73104 0 630592 0 2566 0 3289 0 738834 0 0 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 0 454003 0 109647 0 2193 0 2636 0 96945 0 665424 0 0 SUSAN SCHNEIDER VP-SYSTEM SR. PHYSICIAN EXEC. 0 459962 0 116101 0 4692 0 10350 0 25557 0 616662 0 0 JOEL CARLSON PHYSICIAN 560580 0 0 0 8620 0 10350 0 27556 0 607106 0 0 0 THOMAS FERK PHYSICIAN 550609 0 0 0 7289 0 650 0 41455 0 600003 0 0 0 TODD STORCH PHYSICIAN 551884 0 8516 0 0 0 10350 0 26175 0 596925 0 0 0 DAVID BITTNER SVP-ENTERPRISE DEVELOPMENT 0 402065 0 25000 0 16617 0 10350 0 110472 0 564504 0 0 TRINA DANIELS MD BOARD MEMBER/PHYSICIAN 0 516148 0 0 0 5607 0 10350 0 30214 0 562319 0 0 BONITA KOLRUD MD BOARD MEMBER/PHYSICIAN 0 429134 0 0 0 11731 0 10350 0 33820 0 485035 0 0 BRIAN KIEF (NV) PRES.-ADS & ARH (THRU 09/24) 0 316089 0 71635 0 18581 0 10350 0 32822 0 449477 0 15365 ROBERT SMITH (NV) PRES.-ASPIRUS SE (THRU 09/24) 0 261134 0 96614 0 71137 0 6025 0 1517 0 436427 0 43276 SUSAN KRECKMAN MD BOARD MEMBER/PHYSICIAN (THRU 12/24) 0 356028 0 0 0 7322 0 6163 0 30214 0 399727 0 0 CARRIE PENOVICH (NV) PRESIDENT-ASPIRUS SE DIVISION 0 262528 0 43871 0 1211 0 9192 0 1528 0 318330 0 0 CHRIS SQUIRE (NV) PRESIDENT-ASPIRUS S AND SW DIV 109407 0 15000 0 20611 0 3150 0 6602 0 154770 0 0 0 PART I, LINE 1A CHRIS SQUIRE RECEIVED A HOUSING ALLOWANCE BENEFIT. THIS WAS INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. RELIED ON THE RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENTS: J. TISCHER $569,088 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $481,861 M. HEYWOOD $198,152 R. SMITH $43,276 C. BRADLEY $52,586 B. KIEF $15,365 J. MATHESON $58,001 M. WALTERS $56,910 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). A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97712DC53 2017-11-02 15000000 NEW CONSTRUCTION 0 0 0 B WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97712DMG8 2015-05-07 26748065 REFINANCE 2008 BOND 1 0 0 A 1340000 15000000 167011 14832989 2019 0 0 0 1 B 4545000 26748065 26380444 367621 2011 0 1 1 1 A 0 0 1 0 0 0 0 1 B 0 0 1 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PART III - LINE 3A AND 3B: ASPIRUS, INC. THE PARENT ORGANIZATION OF ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. HAS POLICY 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. PART III, LINE 9 SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015A (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); AND ASPIRUS KEWEENAW HOSPITAL (EIN 38-1443361). PROCEEDS OF THE SERIES 2015A BONDS WERE USED TO REFINANCE THE ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC SERIES 2010 BONDS (REFINANCING OF SERIES 2008 BONDS). INFORMATION REGARDING THE SERIES 2015 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2015 BONDS LOANED TO THE ORGANIZATION, RESPECTIVELY. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2015 BONDS. PART IV: FOR BOND A, THE DATE THE LAST REBATE COMPUTATION WAS PERFORMED WAS 05/01/2021. PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241), ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982), ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. (EIN 38-2908586), AND ASPIRUS ONTONAGON HOSPITAL, INC. (EIN 26-0806477). INFORMATION REGARDING THE SERIES 2017 BONDS IS REPORTED IN SCHEDULE K FOR THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II, AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2017 BONDS LOANED TO THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED THE FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2017 BOND. FORM 990, PART III, LINE 2 DURING FISCAL YEAR 2025 THE ORGANIZATION OPENED AN INTERMEDIATE CARE DEPARTMENT. 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 THERE SHALL BE A MINIMUM OF 11 VOTING DIRECTORS ALLOCATED AS FOLLOWS. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN SIX INDEPENDENT COMMUNITY CLASS DIRECTORS, TWO ASPIRUS CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., THREE PROVIDER CLASS DIRECTOR 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 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 OFFICER; 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 AND FORM 990-T INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE FORM 990 AND FORM 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND IS 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 DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G LAB FEES: PROGRAM SERVICE EXPENSES 1,741,776. MANAGEMENT AND GENERAL EXPENSES 708,010. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,449,786. FOOD SERVICE: PROGRAM SERVICE EXPENSES 127,710. MANAGEMENT AND GENERAL EXPENSES 51,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 179,623. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 124,499. MANAGEMENT AND GENERAL EXPENSES 50,607. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,106. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,243,004. MANAGEMENT AND GENERAL EXPENSES 110,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,353,899. CONTRACTED NURSING AND OTHER LABOR: PROGRAM SERVICE EXPENSES 14,351,872. MANAGEMENT AND GENERAL EXPENSES 5,833,857. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,185,729. FORM 990, PART XI, LINE 9: POSTRETIREMENT BENEFIT ADJUSTMENT -3,510. INTERCOMPANY TRANSFERS -105,673,028. 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