2024-05-15T10:30:29-05:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 391138241 ASPIRUS WAUSAU HOSPITAL INC ASPI 7158472988 333 PINE RIDGE BLVD WAUSAU WI 54401 JERRY M YANG SVP - CHIEF FINANCIAL OFFICER 7158472250 2024-05-14 1 JERRY YANG 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 683090436 0 X WWW.ASPIRUS.ORG X 1970 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. X 9 5 3361 184 165801 0 10375095 3130798 673044211 674885981 16059680 1254533 2990192 2005554 702469178 681276866 281000 167662 0 0 225105663 209761158 0 0 0 405748194 422647631 631134857 632576451 71334321 48700415 624604688 412195101 229925539 213121506 394679149 199073595 WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 488348202 167662 674720180 ASPIRUS WAUSAU HOSPITAL, INC. PROVIDES HOSPITAL SERVICES FOR RESIDENTS OF WAUSAU, STEVENS POINT AND THE SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. 488348202 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 1 0 1 1 1 0 0 1 0 0 3361 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JERRY M YANG 7158472250 2200 WESTWOOD DRIVE WAUSAU WI 54401 KATHY KELSEY FOLEY CHAIR (THRU 09/22) 1.00 2.00 X X 0 0 0 JEREMY A LEWITZKE CHAIR 1.00 2.00 X X 0 0 0 CHAD H RADKE DO SECRETARY/TREASURER (THRU 09/22) 1.00 2.00 X X 0 0 0 BRYAN BORRELL BOARD MEMBER 1.00 2.00 X 0 0 0 MARCO A ESPINOZA BOARD MEMBER 1.00 2.00 X 0 0 0 KYLE N PAGE BOARD MEMBER 1.00 2.00 X 0 0 0 ELIZABETH RENAKER-JANSEN DO BOARD MEMBER 1.00 2.00 X 0 739239 54117 JAMES M CYGAN MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 933860 52947 LAWRENCE G LEIBERT MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 461810 49120 KRISTA SCHARER MD BOARD MEMBER/PHYSICIAN (THRU 02/23) 1.00 40.00 X 0 276862 52577 MICHAEL A UMLAND BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 286688 54919 TOU SHOUA LOR MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 301125 50262 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 1.00 50.00 X 0 1799938 311110 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 1.00 50.00 X 0 1911464 144118 JENNIFER REDMAN-SCHELL (NV) SVP & PRESIDENT-AMG 1.00 50.00 X 0 641148 101726 JEFFREY WICKLANDER (NV) PRESIDENT-CENTRAL WI REGION 35.00 15.00 X 712205 0 128532 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 2.00 50.00 X 0 672916 123676 JESSE TISCHER SVP & PRESIDENT-REG. MARKETS 2.00 50.00 X 0 781575 128595 CHRISTINE HARFF PRESIDENT - REGIONAL UP 2.00 50.00 X 0 459422 103257 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 2.00 50.00 X 0 539401 110893 LORI PECK VP-REVENUE CYCLE 2.00 50.00 X 0 376502 21541 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 2.00 50.00 X 0 534868 104438 RYAN ANDREWS VP- PHYS. EXEC. TERTIARY CARE 50.00 2.00 X 561708 0 56744 DEBRA BALL SVP & CHIEF HR OFFICER 2.00 50.00 X 0 458839 103553 CONSTANCE BRADLEY SVP-SYSTEM CHIEF NURSING EXECUTIVE 2.00 50.00 X 0 502032 95550 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 2.00 50.00 X 0 519926 106843 CRYSTAL KIRSCHLING VP-REGIONAL INTEGRATION OFFICER 2.00 50.00 X 0 348443 48718 PATRICK TINCHER JR VP FINANCE REGIONAL OPERATIONS 2.00 50.00 X 0 336475 56521 HARISH AHUJA PHYSICIAN 40.00 X 0 876184 24380 ANDREW HUANG PHYSICIAN 40.00 X 0 1862016 54793 CHRISTOPHER PLATTA PHYSICIAN 40.00 X 0 1982536 56537 BRET SYSLY PHYSICIAN 40.00 X 0 1293092 55041 AGNIESZKA THOMPSON PHYSICIAN 40.00 X 0 1172597 53220 MARY JO WENDLING MD FORMER BOARD MEMBER/PHYSICIAN 2.00 50.00 X 0 516698 24331 1273913 20585656 2328059 148 1 1 0 TOTAL MSP LLCSTAFFENCY LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 CONTRACT LABOR 29426109 WISCONSIN EMERGENCY MEDICAL SERVICE ASSO 333 PINE RIDGE BLVD WAUSAU WI 54401 EMERGENCY ROOM PROVIDER COVERAGE 12910581 MIRON CONSTRUCTION CO INC PO BOX 1372 GREEN BAY WI 54305 CONSTRUCTION SERVICES 5941062 FOCUSONE SOLUTIONS INC PO BOX 850861 MINNEAPOLIS MN 554850861 CONTRACT LABOR 4733857 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 MEDICAL EQUIPMENT MAINTENANCE 3888730 249 682031 2445725 3042 3130798 PATIENT SERVICE REVENUE 621400 633590197 633590197 LAB REVENUE 621400 18748471 18582670 165801 CONTRACT SERVICE REVENUE 621400 17915351 17915351 RENTAL REVENUE 532000 3959448 3959448 PHARMACY REVENUE 456110 233872 233872 438642 438642 674885981 2538252 2538252 431701 98150 0 1813570 431701 -1715420 -1283719 -1283719 INVESTMENT IN WESTWOOD 523000 1283329 1283329 CAFETERIA AND VENDING 721000 722225 722225 2005554 681276866 674720180 165801 3260087 X 167662 167662 1306227 1306227 169319442 147704133 21615309 4246644 3670624 576020 23414216 20146548 3267668 11474629 9835312 1639317 17100 7500 9600 149530 149530 6652 6652 33017 33017 18221 18221 100396663 95660680 4735983 39114 2079 37035 8607907 5653871 2954036 426712 53622 373090 18569247 12130564 6438683 2069561 1959087 110474 193005 15209 177796 4838387 4604384 234003 24045041 21779398 2265643 1073484 152224 921260 MEDICAL SUPPLIES 146510796 143388218 3122578 CORPORATE ALLOCATION 99199227 14357081 84842146 HOSPITAL TAX 9829660 533700 9295960 BAD DEBT EXPENSE 6543823 6526306 17517 80484 80484 632576451 488348202 144228249 0 11411878 3452752 4427196 4477981 113694451 117109037 10923490 10425117 3579802 4175290 573195402 310991685 263315648 262203717 201821089 9467729 1083456 656786 14347678 226692 624604688 412195101 41932954 38303543 118224 59406 377213 462380 160801099 156705312 26696049 17590865 229925539 213121506 X 394679149 199073595 394679149 199073595 624604688 412195101 X 48700415 10236 -244316205 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 33017 33017 0 PART II-B, LINE 1: 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 $11,731 AND AMERICAN HOSPITAL ASSOCIATION $21,286. 17428806 17428806 360555508 180904822 179650686 4517807 845710 3672097 172639819 128583009 44056810 18053462 658144 17395318 262203717 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 3123715 RETIREE HEALTHCARE BENEFITS 2025767 INTEREST RATE SWAP 965400 DEFERRED COMPENSATION ACCRUAL 1393883 ASBESTOS LIABILITY 9640000 CAPITAL AND OPERATING LEASES 356517 MEDICARE ACCELERATED PAYMENTS 19518 RELATED PARTY PAYABLES 66065 17590865 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, 2023. 1 1 X 1 X 1 X 1 1 0 1 1 2819816 2819816 0.00450 80028426 29759563 50268863 0.08030 27242655 22449414 4793241 0.00770 110090897 52208977 57881920 0.09250 13991274 8208135 5783139 0.00920 1839645 1839645 0.00290 12804099 6955789 5848310 0.00930 185476 78674 106802 0.00020 167662 167662 0.00030 28988156 15242598 13745558 0.02190 139079053 67451575 71627478 0.11440 3 3711 3711 0.00000 1 871 871 0.00000 4 4582 4582 0.00000 1 1977047 0 99080174 110296566 -11216392 X 1 1 1 1 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 188, 324 X X X X ASPIRUS WAUSAU HOSPITAL INC 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS X 1 21 1 WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS 0 1 X 200.000000000000 300.000000000000 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 WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 5: ASPIRUS WAUSAU HOSPITAL:FOR THE CHNA COMPLETED IN FY22 (SPRING 2022), ASPIRUS WAUSAU WORKED COLLABORATIVELY WITH THE UNITED WAY OF MARATHON COUNTY, THE MARATHON COUNTY HEALTH DEPARTMENT AND MARSHFIELD CLINIC HEALTH SYSTEM TO LEAD THE LIFE PROCESS. LIFE STANDS FOR LEADING INDICATORS FOR EXCELLENCE. THE LIFE PROCESS IS CONDUCTED APPROXIMATELY EVERY TWO YEARS IN MARATHON COUNTY. THE UNITED WAY, TWO HEALTHCARE SYSTEMS AND THE HEALTH DEPARTMENT COMPRISE THE LIFE EXECUTIVE COMMITTEE. THE LIFE STEERING COMMITTEE INCLUDES THE EXECUTIVE COMMITTEE MEMBERS, COMMUNITY MEMBERS AND SUBJECT MATTER EXPERTS IN SEVEN AREAS / DOMAINS OF LIVING. REPRESENTATIVES WERE FROM A VARIETY OF SECTORS, INCLUDING: YOUTH-FOCUSED ORGANIZATIONS (E.G., GIRL SCOUTS), AGING (E.G., AGING AND DISABILITY RESOURCE CENTER), BUSINESSES, WORKFORCE DEVELOPMENT AND LAW ENFORCEMENT. AS PART OF THE LIFE PROCESS, ASPIRUS WAUSAU AND ITS PARTNERS CONDUCTED A COMMUNITY SURVEY DEVELOPED AND IMPLEMENTED BY THE UNIVERSITY OF WISCONSIN - RIVER FALLS SURVEY RESEARCH CENTER. THE 2019 SURVEY OVERSAMPLED INDIVIDUALS IN GROUPS WHO GENERALLY HAVE A LOWER RESPONSE RATE, INCLUDING INDIVIDUALS UNDER AGE 35, INDIVIDUALS WHO HAVE LOW INCOME AND INDIVIDUALS OF COLOR. OVER 400 RESPONSES WERE RECEIVED. RESULTS WERE USED TO INFORM THE PRIORITIES.- - - - - - - - - - - - - - - - PLOVER LOCATION:FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), ASPIRUS COLLABORATED WITH THE UNITED WAY OF PORTAGE COUNTY, THE PORTAGE COUNTY HEALTH DEPARTMENT, THE COMMUNITY FOUNDATION OF CENTRAL WISCONSIN AND THE MARSHFIELD CLINIC HEALTH SYSTEM ON THE ASSESSMENT PROCESS. THIS GROUP IS THE EXECUTIVE COMMITTEE OF THE LIFE LEADING INDICATORS OF EXCELLENCE PROCESS AND REPORT. COMMUNITY MEMBERS FROM PORTAGE COUNTY PROVIDED INPUT ON THE TOP COMMUNITY HEALTH NEEDS THROUGH A LIFE SURVEY AS WELL AS FACILITATED COMMUNITY STAKEHOLDER DISCUSSIONS. - COMMUNITY SURVEY. TO GARNER COMMUNITY INPUT ON THE TOP ISSUES IN THE COMMUNITY, THE LIFE EXECUTIVE COMMITTEE CONTRACTED FOR A COMMUNITY SURVEY TO BE COMPLETED. IN SPRING 2022, THE SURVEY WAS SENT TO A RANDOM SAMPLE OF PEOPLE IN THE COUNTY. IN ADDITION, AS A WAY TO HELP ASSURE VOICES THAT MAY BE MORE VULNERABLE COULD BE HEARD BETTER, THE LIFE PROCESS LEADERS DELIBERATELY REACHED OUT TO INDIVIDUALS WHO LIKELY HAD LOW INCOME, WHO WERE RENTERS AND/OR WHO ARE INDIVIDUALS OF COLOR. OVER 500 INDIVIDUALS RESPONDED, WHICH EXCEEDED THE SAMPLE SIZE NEEDED FOR A STATISTICALLY RELIABLE ESTIMATE. - COMMUNITY STAKEHOLDER DISCUSSION VIRTUAL MEETINGS BY TOPIC AREA (FALL 2022). DATA FOR SIX DOMAINS (WITH A TOTAL OF 16 TOPICS AND 70 INDICATORS) WERE COMPILED. COMMUNITY STAKEHOLDERS WITH DEEP UNDERSTANDING OF THOSE TOPIC AREAS (INCLUDING THE PORTAGE COUNTY HEALTH DEPARTMENT) WERE CONVENED TO PROVIDE FEEDBACK ON THE DATA. THERE WERE FOUR DIFFERENT MEETINGS; STAKEHOLDERS ATTENDED THE MEETINGS RELEVANT TO THEIR TOPIC AREA(S). - COMMUNITY STAKEHOLDER PRIORITIZATION MEETING (JANUARY 2023). ALL OF THE STAKEHOLDERS WHO WERE INVITED TO THE VIRTUAL DATA MEETINGS WERE INVITED TO A LARGE GROUP PRIORITIZATION MEETING. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 6A: ASPIRUS WAUSAU HOSPITAL:FOR THE CHNA COMPLETED IN FY22 (SPRING 2022), THE HOSPITAL PARTNERED WITH MARSHFIELD CLINIC HEALTH SYSTEM. ASPIRUS WAUSAU HOSPITAL'S CHNA REPORT WAS AUTHORED BY ASPIRUS WAUSAU HOSPITAL. - - - - - - - - - - - - - - - - PLOVER LOCATION:FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, ASPIRUS PLOVER COLLABORATED WITH ASPIRUS STEVENS POINT HOSPITAL AND MARSHFIELD MEDICAL CENTER-RIVER REGION STEVENS POINT CAMPUS. ASPIRUS PLOVER HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS PLOVER HOSPITAL. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 6B: ASPIRUS WAUSAU HOSPITAL:FOR THE CHNA COMPLETED IN FY22 (SPRING 2022), THE HOSPITAL PARTNERED WITH THE UNITED WAY OF MARATHON COUNTY AND THE MARATHON COUNTY HEALTH DEPARTMENT. ASPIRUS WAUSAU'S CHNA WAS AUTHORED BY ASPIRUS WAUSAU HOSPITAL. - - - - - - - - - - - - - - - - PLOVER LOCATION:FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, ASPIRUS PLOVER HOSPITAL COLLABORATED WITH THE UNITED WAY OF PORTAGE COUNTY, THE PORTAGE COUNTY HEALTH DEPARTMENT AND THE COMMUNITY FOUNDATION OF CENTRAL WISCONSIN. ASPIRUS PLOVER HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS PLOVER HOSPITAL. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 11: IN FY23, ASPIRUS HEALTH CONTINUED TO COME TOGETHER AS A SYSTEM. THE ADDITION OF SEVEN HOSPITALS IN FY22 RESULTED IN CHANGES IN PROCESSES, TEAM STRUCTURE AND RELATED IMPACTS. ASPIRUS HEALTH IS WORKING TO STRATEGICALLY BUILD STRONG, EFFECTIVE COMMUNITY HEALTH EFFORTS THAT MEET LOCAL NEEDS WHILE ACCOMMODATING ECONOMIC AND OTHER PRESSURES FACING HEALTH SYSTEMS. ASPIRUS WAUSAU HOSPITALMENTAL HEALTH AND SUBSTANCE USEASPIRUS WAUSAU HOSPITAL PROVIDED FUNDING AND IN-KIND TIME (EXPERTISE, TECHNICAL ASSISTANCE) FOR THE FOLLOWING ACTIVITIES: - RAISE YOUR VOICE CLUBS. RAISE YOUR VOICE (RYV) IS A SCHOOL CLUB DEVELOPED BY NAMI (NATIONAL ALLIANCE ON MENTAL ILLNESS) TO INCREASE THE DISCUSSION AROUND MENTAL HEALTH. ASPIRUS PROVIDED FUNDING FOR FIVE LOCAL SCHOOLS TO IMPLEMENT THE PROGRAM. IN 2022-23, 205 STUDENTS FROM THREE HIGH SCHOOLS IN THE REGION PARTICIPATED. - MENTAL HEALTH AWARENESS. ASPIRUS SUPPORTED A MENTAL HEALTH SERIES IN PARTNERSHIP WITH THE LOCAL TV STATION. ASPIRUS MENTAL HEALTH PROFESSIONALS PROVIDED EXPERTISE. - RISE UP. RISE UP IS A NON-PROFIT WITH A MISSION TO HEAL, STRENGTHEN AND UNIFY THE COMMUNITY THROUGH ART WORKING WITH THOSE EXPERIENCING ADDICTION AND OTHER MENTAL HEALTH ISSUES. RISE UP USES A MULTI-MONTH MURAL DEVELOPMENT PROCESS TO ENGAGE AND INSPIRE INDIVIDUALS. ASPIRUS HELPS FUND THE PROGRAM AND ALSO GIVES IN-KIND TIME TO HELP BUILD AND SUSTAIN THE ORGANIZATION. ASPIRUS PROVIDED FUNDING FOR:- A MENTAL HEALTH ROOM AT A SMALL RURAL SCHOOL. THE ROOM PROVIDES STUDENTS WITH A SAFE, SOOTHING SPACE TO DECOMPRESS DURING THE SCHOOL DAY. - SUBSTANCE USE RECOVERY SERVICES (IN ANOTHER REGION OF THE STATE).ASPIRUS WAUSAU HOSPITAL PROVIDES IN-KIND TIME AND EXPERTISE FOR THE FOLLOWING ACTIVITIES: - MARATHON COUNTY ALCOHOL AND OTHER DRUG PARTNERSHIP. ASPIRUS IS ON THE PARTNERSHIP BOARD AND PARTICIPATES IN EDUCATIONAL EVENTS. - FATAL OVERDOSE DEATH REVIEW TEAM. ASPIRUS CONTRIBUTES ITS EXPERTISE TO THE COUNTY'S FATAL OVERDOSE DEATH REVIEW TEAM. THE TEAM REVIEWS DEATHS AS A WAY TO IDENTIFY OPPORTUNITIES FOR PREVENTION.DIVERSITY, INCLUSION AND BELONGINGASPIRUS WAUSAU HOSPITAL HELPED FUND A DOCUMENTARY ABOUT AFGHAN REFUGEES. ADDITIONALLY, FOR THE DOCUMENTARY, ASPIRUS PHYSICIANS SHARED WHY THEY (PERSONALLY) SUPPORTED REFUGEE FAMILIES AND WHY THEY (PROFESSIONALLY) COMMITTED TO PROVIDING HEALTH CARE FOR REFUGEE FAMILIES IN A CULTURALLY APPROPRIATE WAY. SOCIAL DETERMINANTS OF HEALTHASPIRUS WAUSAU HOSPITAL PROVIDED FUNDING AND IN-KIND TIME (EXPERTISE, TECHNICAL ASSISTANCE) FOR THE FOLLOWING ACTIVITIES: - ACCESS TO HEALTHY FOODS. ASPIRUS WAUSAU HOSPITAL SUPPORTS AN ON-SITE FARMERS MARKET DURING THE SUMMER MONTHS. ASPIRUS IMPLEMENTS A FRUIT AND VEGGIE PRESCRIPTION PROGRAM FOR ELIGIBLE PATIENTS WITH CHRONIC DISEASES. - ASSOCIATION OF HISPANIC AMERICANS. ASPIRUS HELPED FUND AND WORKED WITH THE ASSOCIATION OF HISPANIC AMERICANS TO UNDERSTAND AND ADDRESS THE NEEDS WITHIN THE HISPANIC POPULATION INCLUDING FOOD, TRANSPORTATION AND PREVENTIVE CARE. - FINDHELP. FINDHELP IS A COMMUNITY RESOURCE PLATFORM. IT IS AVAILABLE PUBLICLY TO COMMUNITY MEMBERS AND IT IS ALSO ACCESSIBLE THROUGH THE ELECTRONIC HEALTH RECORD. STILL IN THE EARLY STAGES OF DEVELOPMENT, THE PLATFORM WILL ENABLE PROVIDERS TO CONNECT PATIENTS TO AVAILABLE LOW OR NO-COST COMMUNITY RESOURCES. ASPIRUS WAUSAU HOSPITAL PROVIDED FUNDING FOR THE FOLLOWING ACTIVITIES: - START RIGHT PROGRAM. LED BY CHILDREN'S OF WISCONSIN, THE START RIGHT PROGRAM PROVIDES TRANSPORTATION, FOOD, UTILITY SUPPORT AND OTHER NEEDED SERVICES / RESOURCES TO FAMILIES WITH LOW INCOME.- NURSE-FAMILY PARTNERSHIP. LED BY THE COUNTY HEALTH DEPARTMENT, THE PROGRAM FOCUSES ON BUILDING STRONG FAMILIES WITH CHILDREN WHO ARE AGES 0 TO 3. - WALKING ART PATH. THE WALKING ART PATH IN DOWNTOWN WAUSAU PROMOTES WALKABILITY AND HIGHLIGHTS ART AS A COMMUNITY ASSET. - AUDIBLE WALK SIGN. THE AUDIBLE WALK SIGN INCREASES PEDESTRIAN SAFETY FOR INDIVIDUALS WITH VISUAL IMPAIRMENT. - WOMEN'S SHELTER. THE WOMEN'S COMMUNITY OPERATES A SAFE SHELTER FOR INDIVIDUALS EXPERIENCING ABUSE. - FOOD INSECURITY. ASPIRUS ADDRESSED FOOD INSECURITY THROUGH FUNDING OF MULTIPLE ENTITIES, INCLUDING: ST. BERNARD FOOD PANTRY IN ABBOTSFORD; THE NEIGHBOR'S PLACE (FOOD PANTRY IN WAUSAU); WAUSAU AREA MOBILE MEALS (FOOD DELIVERY TO SENIORS).- MIDWEST RENEWABLE ENERGY ASSOCIATION. SUPPORTING SUSTAINABILITY AND RENEWABLE ENERGY. OTHERASPIRUS WAUSAU HOSPITAL ALSO PROVIDED FUNDING FOR A VARIETY OF OTHER INITIATIVES, INCLUDING INITIATIVES THAT SUPPORT INDIVIDUALS WITH AUTISM, YOUTH WHO ARE INTERESTED IN ART, INDIVIDUALS WHO ARE HMONG AND INTERESTED IN NURSING, FLU VACCINES FOR OUTREACH EFFORTS AND A DATA PLATFORM FOR READY-ACCESS TO COMMUNITY HEALTH DATA. ASPIRUS WAUSAU HOSPITAL IS ADDRESSING THE FOLLOWING ISSUES THROUGH ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND CORRESPONDING IMPLEMENTATION STRATEGY: MENTAL HEALTH; SUBSTANCE USE; DIVERSITY, INCLUSION AND BELONGING.THE FOUR NEEDS THAT WERE NOT PRIORITIZED BY THE HOSPITAL ARE: CHILDCARE; HOUSING; WATER QUALITY; WORKFORCE DEVELOPMENT.- CHILDCARE ALTHOUGH ASPIRUS WILL NOT BE LEADING THIS INITIATIVE, ASPIRUS IS COMMITTED TO BEING A COMMUNITY PARTNER AT THE TABLE IN DISCUSSIONS ON HOW TO MAKE CHILDCARE MORE AFFORDABLE AND ACCESSIBLE FOR ALL.- HOUSING ASPIRUS WILL NOT BE LEADING THIS INITIATIVE, BUT IS A PARTNER AT THE TABLE IN FINDING SOLUTIONS TO AFFORDABLE, SAFE HOUSING FOR THE COMMUNITY. - WATER QUALITY ASPIRUS IS COMMITTED TO DOING ITS PART TO BE GOOD STEWARDS OF RESOURCES. THROUGH INTERNAL SUSTAINABILITY EFFORTS, ASPIRUS WILL BE A PARTNER IN THIS WORK. - WORKFORCE DEVELOPMENT ALTHOUGH THIS IS NOT IDENTIFIED AS A TOP HEALTH PRIORITY, ASPIRUS CONTINUES TO PROVIDE INTERNSHIPS, MENTORSHIP PROGRAMS, SCHOLARSHIPS, AND PIPELINE RESOURCE TO BUILD A STRONG WORKFORCE. SEE SCHEDULE H, PART VI, SECTION C FOR CONTINUED DESCRIPTION OF THE PLOVER LOCATION. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. PART V, SECTION B, LINE 11 (CONTINUED): PLOVER LOCATION:THE SIGNIFICANT HEALTH PRIORITIES IDENTIFIED IN THE CHNA AND IMPLEMENTATION STRATEGY IN FY23 WERE: MENTAL HEALTH; SUBSTANCE USE. MENTAL HEALTH - ASPIRUS STAFF CO-CHAIR THE PREVENT SUICIDE PORTAGE COUNTY COALITION. THE HOSPITAL ALSO PROVIDED SOME FUNDING FOR THE COALITION. THE COALITION HAS OVER 50 MEMBERS. THE MISSION OF THE COALITION IS TO 'PREVENT SUICIDE IN PORTAGE COUNTY BY PROVIDING HOPE, CREATING AWARENESS AND FACILITATING CHANGE IN THE COMMUNITY TO SUPPORT MENTAL HEALTH.' ITS VISION IS A SUICIDE-FREE PORTAGE COUNTY. COALITION MEMBERS INCLUDE ORGANIZATIONS FROM SCHOOLS, CHURCHES, HEALTH CARE, GOVERNMENT, NON-PROFITS, LAW ENFORCEMENT AND MORE. SOME OF THE ACTIVITIES/STRATEGIES OF THE COALITION IN 2022 (PORTION OF FY23) INCLUDED: * WALK FOR HOPE. THIS IS AN ANNUAL WALK TO RAISE FUNDS AND AWARENESS FOR SUICIDE PREVENTION. IN 2022, 272 PEOPLE PARTICIPATED IN THE WALK AND OVER $11,000 WAS RAISED. * AWARENESS. MAY MENTAL HEALTH MONTH PROMOTION INCLUDED: A DISPLAY IN THE LIBRARY WINDOWS; YARD SIGNS; A SAFETY FAIR; COMMUNITY MENTAL HEALTH NIGHT AT THE HIGH SCHOOL; POSTER CONTEST. * AWARENESS. SEPTEMBER SUICIDE AWARENESS MONTH PROMOTION INCLUDED: A DISPLAY IN THE LIBRARY WINDOWS; 'MAKE IT OK' PRESENTATION; MAYORAL PROCLAMATION; STICKERS AT COFFEE SHOPS AND PHARMACIES. * SUICIDE DEATH REVIEW. A MEMBER OF THE COALITION PARTICIPATES ON A DEATH REVIEW TEAM THAT CONSIDERS THE CONTRIBUTING FACTORS TO A SUICIDE. THIS IS A WAY TO UNDERSTAND WHAT CAN BE DONE TO PREVENT FUTURE SUICIDES. * RESOURCES. THE COALITION'S WEBSITE INCLUDES DIRECT LINKS TO COMMUNITY MENTAL HEALTH RESOURCES. A REGULAR NEWSLETTER IS ALSO SHARED WITH PAST SPONSORS OF WALK FOR HOPE AND ALL ACTIVE MEMBERS OF THE COALITION. WITH FUNDS RECEIVED FROM ASPIRUS FOUNDATION, THE COALITION PURCHASED GUN LOCKS. * TRAININGS/INFORMATION SESSIONS. THE COALITION FACILITATED QPR TRAININGS QUESTION, PERSUADE, REFER WITH YOUTH IN SCHOOLS. A SUICIDE AWARENESS PRESENTATION WAS ALSO GIVEN TO OLDER ADULTS. * DATA. THE COALITION WORKS WITH LOCAL HEALTH CARE SYSTEMS TO TRACK AGGREGATED DATA AROUND YOUTH PRESENTING TO EMERGENCY DEPARTMENTS WITH A RISK FOR SUICIDE. THE DATA COLLECTED WITH THE SPREADSHEETS HAS BEEN USED TO CREATE MATERIALS/RESOURCES THAT THE EMERGENCY DEPARTMENTS CAN GIVE TO YOUTH AND FAMILY MEMBERS. THOSE DATA HAVE ALSO BEEN USED FOR GRANT WRITING. ADDITIONALLY, THE COALITION TRACKS AGGREGATED DATA RELATED TO ADULT COMPLETED SUICIDES IN ORDER TO IDENTIFY OPPORTUNITIES FOR PREVENTION. SUBSTANCE USE- THE COUNTY AODA COALITION MET HOWEVER ASPIRUS HAD LIMITED PARTICIPATION. - ASPIRUS HEALTH CONTRACTS WITH AN OUTSIDE AGENCY TO PROVIDE RECOVERY COACHING SERVICES THROUGHOUT THE SYSTEM'S WISCONSIN FOOTPRINT. ASPIRUS IS WORKING TO BUILD RELATIONSHIPS AND STRUCTURES IN ALL WISCONSIN HOSPITALS TO SUPPORT HAVING A RECOVERY COACH AVAILABLE WITHIN AN HOUR OR TWO TO THOSE PATIENTS INTERESTED IN WORKING WITH A COACH. OTHER- STARTING IN FY22 AND CONTINUING INTO FY23, THE HOSPITAL PARTICIPATED IN A REGIONAL GROUP/COALITION THAT RECEIVED A U.S. DEPARTMENT OF AGRICULTURE PLANNING GRANT TO EXPAND EBT ACCESS AT FARMERS MARKETS AND IMPROVE THE MARKETS' INFRASTRUCTURE. ASPIRUS PARTICIPATED IN THOSE MEETINGS AND ALSO PROVIDED SOME GRANTWRITING ASSISTANCE WHEN THE GROUP WROTE FOR AN IMPLEMENTATION GRANT. - ASPIRUS HEALTH, PRIMARILY THROUGH CARE MANAGEMENT, IMPLEMENTED A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM ACROSS THE SYSTEM. PATIENTS WITH CHRONIC DISEASE WERE SCREENED FOR FOOD INSECURITY AND 'PRESCRIBED' FRUITS AND VEGETABLES. THE FVRX CAN BE USED LIKE CASH SOME FARMERS MARKETS AND AT THE LOCAL FOOD COOPERATIVE.FOR THE ASSESSMENT COMPLETED IN FY23, ASPIRUS PLOVER HOSPITAL PRIORITIZED MENTAL HEALTH AND SUBSTANCE USE. ISSUES NOT CHOSEN WERE SHELTER/HOUSING AND EARLY CHILDHOOD EDUCATION. SHELTER AND HOUSING WAS NOT SELECTED BECAUSE THE HOSPITAL DOES NOT HAVE THAT EXPERTISE. THE NEIGHBORING ASPIRUS STEVENS POINT HOSPITAL DID PRIORITIZE CHILDHOOD WELLNESS (A COMBINATION OF EARLY CHILDHOOD EDUCATION AND PREVENTIVE CARE). ASPIRUS PLOVER HOSPITAL DID NOT PRIORITIZE CHILDHOOD WELLNESS BECAUSE OF CAPACITY. 2 1 - PINE RIDGE SURGERY CENTER 2500 PINE RIDGE BLVD WAUSAU WI 54401 GENERAL MEDICAL & SURGICAL 2 - NORTHWOODS SURGERY CENTER LLC 611 VETERANS PARKWAY WOODRUFF WI 54568 GENERAL MEDICAL & SURGICAL 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 COSTS OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE EMERGENCY AND TRAUMA UNIT, OUTPATIENT PALLIATIVE (COMFORT CARE) UNIT, AND RENAL DIALYSIS UNIT. ASPIRUS WAUSAU HOSPITAL UTILIZED AN INTERNAL DEPARTMENTAL FINANCIAL STATEMENT TO REPORT THE COST AND DIRECT OFFSETTING REVENUE THAT CALCULATES THE COMMUNITY BENEFIT EXPENSE. THE EMERGENCY AND TRAUMA UNIT REPORTED COSTS OF 3,236,909 WITH OFFSETTING REVENUE OF 1,644,922. THE OUTPATIENT PALLIATIVE CARE UNIT REPORTED COSTS OF 5,177,291 WITH OFFSETTING REVENUE OF 1,585,261. THE RENAL DIALYSIS UNIT REPORTED COSTS OF 4,389,899 WITH OFFSETTING REVENUE OF 3,725,606. 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 $6,543,823 . PART II, COMMUNITY BUILDING ACTIVITIES: ASPIRUS' ACTIVE PARTICIPATION ON LOCAL NON-PROFIT BOARDS AND COMMITTEES (E.G., UNITED WAY, BIG BROTHERS/BIG SISTERS) CONTRIBUTES TO THE HEALTH OF THE COMMUNITY IN MULTIPLE WAYS. FIRST, ASPIRUS CAN BRING RESOURCES. ASPIRUS LEADERS HAVE A STRONG UNDERSTANDING OF WORKFORCE TRENDS, HEALTH CARE TRENDS, AND HUMAN RESOURCE ISSUES (AS AN EMPLOYER). IN ADDITION, ASPIRUS LEADERS SERVING ON BOARDS ARE CONNECTED TO PROVIDERS AND OTHERS WITH EXPERTISE THAT CAN BE OFFERED TO AREA NON-PROFITS. LASTLY, CONNECTING WITH LOCAL NON-PROFITS HELPS ASPIRUS IDENTIFY OPPORTUNITIES FOR INTERNAL SYSTEM IMPROVEMENTS AS WELL AS EXTERNAL COMMUNITY HEALTH IMPROVEMENT PROGRAMS.OVERDOSE FATALITIES ARE INCREASING ACROSS WISCONSIN. THE LOSS OF LIFE, THE IMPACT ON FAMILIES AND FRIENDS, AND THE ECONOMIC WEIGHT OF ADDICTION ARE RIPPLING ACROSS COMMUNITIES. ASPIRUS' PARTICIPATION ON THE OVERDOSE FATALITY REVIEW TEAM HELPS CONNECT THE CLINICAL WITH THE COMMUNITY. ASPIRUS WORKS WITH COMMUNITY PARTNERS TO IDENTIFY TRENDS AND POTENTIAL SOLUTIONS TO REDUCE THE INCIDENCE OF OVERDOSE FATALITIES.EVERY COMMUNITY DESERVES STRONG HEALTH CARE SERVICES. IN ORDER TO HAVE A STRONG HEALTH CARE SYSTEM, A STRONG HEALTH CARE WORKFORCE IS NEEDED. ONE WAY TO EXPAND THE PIPELINE OF HEALTH CARE WORKERS IS TO OFFER OPPORTUNITIES ABOUT HEALTH CARE CAREERS TO YOUTH STILL IN SCHOOL. HEALTH CAREERS INFORMATION CAN INCREASE YOUNG PEOPLE'S INTEREST IN HEALTH CAREERS AND INCREASE THE NUMBER OF NEW HEALTH CARE WORKERS IN THE FIELD. 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/WEEKLY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. 3. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE REVIEWED BY THE FINANCIAL COUNSELOR TEAM LEAD AND APPROVED BY THE MANAGER/DIRECTOR, THEN SUBMITTED TO FISCAL SERVICES 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, 2023 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, INCLUDING 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.- ACCESSED REPORTS AND DATA PROVIDED BY THIRD PARTY ENTITIES (E.G., WISCONSIN COLLABORATIVE FOR HEALTHCARE QUALITY). - CONDUCTS ONGOING MARKET ANALYSIS TO ASSESS LOCAL DEMAND FOR DIFFERENT SERVICE LINES. 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 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 FROM CENTRAL BILLING OFFICE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. IF ASPIRUS FINANCIAL COUNSELORS NOTICE THE PATIENT HAS NOT BEEN OFFERED AN APPLICATION WITHIN THE PAST YEAR, THEY WILL ALSO ASK IF THE PATIENT WOULD LIKE ONE MAILED OR IF THE PATIENT SHOWS FINANCIAL DISTRESS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS. PART VI, LINE 4: ASPIRUS WAUSAU HOSPITAL:ASPIRUS WAUSAU HOSPITAL IS THE FLAGSHIP OF THE ASPIRUS SYSTEM THAT SERVES PATIENTS IN 14 COUNTIES ACROSS NORTHERN AND CENTRAL WISCONSIN, AS WELL AS THE UPPER PENINSULA OF MICHIGAN. FOR PURPOSES OF THE CHNA, THE HOSPITAL'S SERVICE AREA INCLUDES MARATHON COUNTY AS WELL AS PORTIONS OF SURROUNDING COUNTIES. A RANGE OF HEALTH ISSUES WERE EXAMINED FOR THE IDENTIFIED AREA AS WELL AS SOCIAL DETERMINANTS KNOWN TO IMPACT THE HEALTH OF A POPULATION SUCH AS SOCIOECONOMIC, ENVIRONMENTAL, AND CULTURAL CONDITIONS. ACCORDING TO THE U.S. CENSUS BUREAU, MARATHON COUNTY HAD A POPULATION OF 137,201. ASIDE FROM WAUSAU, THE COUNTY SEAT CLASSIFIED BY THE U.S. CENSUS BUREAU AS A "METROPOLITAN STATISTICAL AREA," MARATHON COUNTY IS LARGELY RURAL. WITH A TOTAL AREA OF 1,576 SQUARE MILES, IT IS THE LARGEST COUNTY IN WISCONSIN BY LAND AREA. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS PER SQUARE MILE: 89.3PERSONS UNDER 5 YEARS OLD: 5.6%PERSONS UNDER 18 YEARS OLD: 22.7%PERSONS 65 YEARS AND OVER: 18.6%WHITE PERSONS: 89.6%ASIAN PERSONS: 6.15%HISPANIC OR LATINO: 3.3%PERSONS PER HOUSEHOLD: 2.42PERSONS BELOW POVERTY LEVEL: 6.7%MEDIAN HOUSEHOLD INCOME: $71,307PERCENT UNINSURED: 7%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 21.2%NUMBER OF HOSPITALS IN THE COUNTY: 2 (INCLUDING ASPIRUS WAUSAU HOSPITAL)- - - - - - - - - - - - - - - - PLOVER LOCATION:THE PRIMARY SERVICE AREA OF THE HOSPITAL IS PORTAGE COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES. PORTAGE COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 800 SQUARE MILES, WITH 87.9 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 70,468 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER 18 YEARS: 19.0%PERSONS 65 YEARS AND OVER: 18.0%WHITE PERSONS: 93.5%AFRICAN AMERICAN PERSONS: 1.0%AMERICAN INDIAN PERSONS: 0.5%ASIAN PERSONS: 3.3%PERSONS OF TWO OR MORE RACES: 1.6%HISPANIC OR LATINO: 3.8%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 5.0%HIGH SCHOOL GRADUATE OR HIGHER: 94.8%PERSONS BELOW POVERTY LEVEL: 10.4%MEDIAN HOUSEHOLD INCOME: $65,550PERCENT UNINSURED: 7%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 31.5%NUMBER OF HOSPITALS IN THE COUNTY: 3 (INCLUDING ASPIRUS STEVENS POINT HOSPITAL AND ASPIRUS PLOVER HOSPITAL) TWO POST-SECONDARY INSTITUTIONS ARE LOCATED IN PORTAGE COUNTY. THE TECHNICAL COLLEGE AND A 4-YEAR UNIVERSITY BRING AN INFLUX OF THOUSANDS OF NON-RESIDENT STUDENTS INTO THE AREA ANNUALLY. THIS CAN IMPACT THE HEALTH CARE SYSTEM. PORTAGE COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR 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.THE PLOVER LOCATION PROMOTES THE HEALTH OF COMMUNITY IN THE SAME WAYS AS ASPIRUS WAUSAU HOSPITAL AND, IN ADDITION, CREATED A JOB PERFORMANCE GOAL FOR STAFF TO CONTRIBUTE A PORTION OF THEIR WORK TIME TO COMMUNITY PROGRAMS.AS THE FLAGSHIP TERTIARY CENTER FOR ASPIRUS, WAUSAU HOSPITAL PROVIDES: - LOW-COST TEMPORARY LODGING SO THAT PATIENTS AND/OR THEIR FAMILY NEEDING EXTENDED SPECIALTY CARE HAVE ACCOMMODATIONS. - AN ON-SITE (SEASONAL) FARMERS MARKET AVAILABLE TO EMPLOYEES AND THE COMMUNITY. THIS INCREASES ACCESS TO FRESH FRUIT AND VEGETABLES.- 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, AS A LEVEL 2 TRAUMA CENTER, WAUSAU HOSPITAL PROVIDES LOCAL AND CROSS-SYSTEM ACCESS TO INJURY PREVENTION EXPERTISE AND RESOURCES. A SYSTEM-LEVEL MARKETING/COMMUNICATIONS TEAM 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. ASPIRUS HEALTH ALSO PROVIDES CONTRACTED EMPLOYEE HEALTH/WELLNESS SERVICES FOR BUSINESSES (INCLUDING ON-SITE CLINICS FOR EMPLOYERS). THIS INCREASES EMPLOYEES' ACCESS TO CARE, PARTICULARLY PREVENTION SERVICES AND PROGRAMS. THE PLOVER LOCATION HAS ACCESS TO THE SAME RESOURCES AS MENTIONED ABOVE. PART VI, LINE 6: ASPIRUS HEALTH IS A NON-PROFIT, COMMUNITY-DIRECTED HEALTHCARE SYSTEM BASED IN WAUSAU, WISCONSIN. ITS 11,000 EMPLOYEES ARE FOCUSED ON IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT WISCONSIN AND UPPER MICHIGAN. ASPIRUS SERVES COMMUNITIES THROUGH FOUR HOSPITALS IN MICHIGAN AND 13 HOSPITALS IN WISCONSIN, 75 CLINICS, HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND AIR-MEDICAL TRANSPORT, MEDICAL GOODS, NURSING HOMES AND A BROAD NETWORK OF PHYSICIANS. THE COMBINED EFFORTS ARE ABLE TO PROVIDE SMALLER COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. FOR MORE INFORMATION, VISIT ASPIRUS.ORG. 1 HODAG FACILITIES FOUNDATION 84 W DAVENPORT STREET SUITE 222 RHINELANDER WI 54501 050572723 501(C)(3) 60000 0 SPONSORSHIP UNITED WAY OF MARATHON COUNTY 705 S 24TH AVENUE STE 400B WAUSAU WI 54401 390935496 501(C)(3) 30000 0 SPONSORSHIP WOODSON YMCA 707 N THIRD ST WAUSAU WI 54403 390808463 501(C)(3) 17500 0 SPONSORSHIP COMMUNITY PARTNERS CAMPUS INC 500 FIRST STREET SUITE 5 10TH FLOOR WAUSAU WI 54403 844514613 501(C)(3) 15000 0 SPONSORSHIP PERFORMING ARTS FOUNDATION 401 N 4TH ST WAUSAU WI 54403 237240695 501(C)(3) 15000 0 SPONSORSHIP WAUSAU AREA MOBILE MEALS 609 SCOTT STREET STE G WAUSAU WI 54403 391238060 501(C)(3) 11000 0 SPONSORSHIP 6 0 PART I, LINE 2: THE EXECUTIVE DIRECTOR OF ASPIRUS HEALTH FOUNDATION ADMINISTERS THE FUNDS IN THE ASPIRUS COMMUNITY PARTNER FUND (CPF). THE FUNDS FROM CPF ARE GIVEN TO COMMUNITY PROGRAMS TO INCREASE THE QUALITY OF LIFE IN THE REGION OR ARE RELATED TO HEALTH INITIATIVES. THEY ARE NOT USED, IN GENERAL, FOR SPONSORSHIPS OR MARKETING-ALBEIT, WE WORK CLOSELY WITH MARKETING WHEN DISPERSING FUNDS FROM THE ACCOUNT. AN ANNUAL BUDGET IS SET FOR THE CPF AND THROUGHOUT THE YEAR WE MAINTAIN RECORDS TO TRACK WHO GETS THE FUNDS, AMOUNTS DISPERSED, AND WHY. X X X X X 0 1 0 0 0 0 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 0 1228335 0 567185 0 4418 0 18619 0 292491 0 2111048 0 0 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 0 649845 0 1057600 0 204019 0 20794 0 123324 0 2055582 0 195109 CHRISTOPHER PLATTA PHYSICIAN 0 1977048 0 0 0 5488 0 18613 0 37924 0 2039073 0 0 ANDREW HUANG PHYSICIAN 0 1851530 0 5000 0 5486 0 19462 0 35331 0 1916809 0 0 BRET SYSLY PHYSICIAN 0 1287598 0 0 0 5494 0 18644 0 36397 0 1348133 0 0 AGNIESZKA THOMPSON PHYSICIAN 0 1127111 0 40000 0 5486 0 17894 0 35326 0 1225817 0 0 JAMES M CYGAN MD BOARD MEMBER/PHYSICIAN 0 926538 0 0 0 7322 0 17894 0 35053 0 986807 0 0 JESSE TISCHER SVP & PRESIDENT-REG. MARKETS 0 580082 0 150199 0 51294 0 18561 0 110034 0 910170 0 50242 HARISH AHUJA PHYSICIAN 0 873673 0 0 0 2511 0 15175 0 9205 0 900564 0 0 JEFFREY WICKLANDER (NV) PRESIDENT-CENTRAL WI REGION 525856 0 106498 0 79851 0 16929 0 111603 0 840737 0 68358 0 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 0 479018 0 135622 0 58276 0 18672 0 105004 0 796592 0 55822 ELIZABETH RENAKER-JANSEN DO BOARD MEMBER 0 688699 0 45000 0 5540 0 17760 0 36357 0 793356 0 0 JENNIFER REDMAN-SCHELL (NV) SVP & PRESIDENT-AMG 0 490009 0 148789 0 2350 0 17929 0 83797 0 742874 0 0 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 0 386985 0 110566 0 41850 0 17683 0 93210 0 650294 0 32339 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 0 378807 0 112026 0 44035 0 18079 0 86359 0 639306 0 39964 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 0 399954 0 117991 0 1981 0 17740 0 89103 0 626769 0 0 RYAN ANDREWS VP- PHYS. EXEC. TERTIARY CARE 454996 0 95693 0 11019 0 18334 0 38410 0 618452 0 0 0 CONSTANCE BRADLEY SVP-SYSTEM CHIEF NURSING EXECUTIVE 0 385875 0 113420 0 2737 0 16421 0 79129 0 597582 0 0 CHRISTINE HARFF PRESIDENT - REGIONAL UP 0 338109 0 82831 0 38482 0 19524 0 83733 0 562679 0 34464 DEBRA BALL SVP & CHIEF HR OFFICER 0 349805 0 106987 0 2047 0 13179 0 90374 0 562392 0 0 MARY JO WENDLING MD FORMER BOARD MEMBER/PHYSICIAN 0 504274 0 0 0 12424 0 20048 0 4283 0 541029 0 0 LAWRENCE G LEIBERT MD BOARD MEMBER/PHYSICIAN 0 453246 0 0 0 8564 0 19222 0 29898 0 510930 0 0 LORI PECK VP-REVENUE CYCLE 0 321652 0 53380 0 1470 0 19926 0 1615 0 398043 0 0 CRYSTAL KIRSCHLING VP-REGIONAL INTEGRATION OFFICER 0 291308 0 56573 0 562 0 12036 0 36682 0 397161 0 0 PATRICK TINCHER JR VP FINANCE REGIONAL OPERATIONS 0 278727 0 49894 0 7854 0 18549 0 37972 0 392996 0 0 TOU SHOUA LOR MD BOARD MEMBER/PHYSICIAN 0 294687 0 0 0 6438 0 14794 0 35468 0 351387 0 0 MICHAEL A UMLAND BOARD MEMBER/PHYSICIAN 0 281232 0 0 0 5456 0 16727 0 38192 0 341607 0 0 KRISTA SCHARER MD BOARD MEMBER/PHYSICIAN (THRU 02/23) 0 271586 0 0 0 5276 0 14607 0 37970 0 329439 0 0 PART I, LINE 4B SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $195,109 J. MATHESON $32,339 T. RICHARDSON $39,964 C. HARFF $34,464 J. WICKLANDER $68,358 J. TISCHER $50,242 M. HOLZHUETER $55,822 457(F) RETIREMENT PLAN PROFILE: 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. A WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97710BLW0 2009-10-07 27200000 REFUND BONDS ISSUED 3/18/2009 0 0 0 B WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97710B7X4 2013-04-12 47001087 REVENUE BONDS SERIES 2013 0 0 0 C WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97712DC53 2017-11-02 39002258 REVENUE BONDS SERIES 2017 0 0 0 D WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITIES 391337855 97712JDN0 2021-11-10 51921259 REVENUE BONDS SERIES 2021 0 0 0 A 27200000 102000 1327347 26372644 2006 1 0 1 1 B 2800000 47001087 24037511 2014 1 0 1 1 C 840000 39158357 39158357 2019 0 0 1 1 D 51921259 369882 0 0 1 1 A 0 0 1 0 0 0 0 1 B 0 0 1 0 1 0 0.00550 0.00550 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART III, LINE 9: SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. PART III, LINES 2, 3A AND 3B: ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS WAUSAU HOSPITAL, INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW LEASE AGREEMENTS, 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 VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2013 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (EIN 39-0964813); ASPIRUS IRONWOOD HOSPITALS & CLINICS (EIN 38-2908586); AND LANGLADE HOSPITAL HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429). INFORMATION REGARDING THE SERIES 2013 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 2013 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS.] PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); ASPIRUS WAUSAU HOSPITAL (EIN 39-1138241); AND ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC (EIN 38-2908586); ASPIRUS ONTONAGON HOSPITAL, INC. (EIN 26-0806477). INFORMATION REGARDING THE SERIES 2017 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 2017 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2017 BONDS. 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.] INVESTMENT ACCOUNT (EQUITY SECURITIES, FIXED INCOME, ETC) 2022-12-31 195189700 FMV (HI/LO DAILY AVERAGE) 391328331 ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 501(C)(3) 1 0 0 0 PART II THE ORGANIZATION TRANSFERRED THEIR INVESTED RESERVE ASSETS TO THEIR PARENT AND SUPPORTING ORGANIZATION, ASPIRUS INC. IN DECEMBER 2022. 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 AND 990-T INFORMATION, INCLUDING THE UBIT CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND 990-T ARE 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, 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 MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 4,145,850. MANAGEMENT AND GENERAL EXPENSES 327,341. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,473,191. LAB FEES: PROGRAM SERVICE EXPENSES 9,809,677. MANAGEMENT AND GENERAL EXPENSES 100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,809,777. CONTRACTED NURSING AND CARE LABOR: PROGRAM SERVICE EXPENSES 68,832,771. MANAGEMENT AND GENERAL EXPENSES 170,876. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,003,647. OTHER SERVICES: PROGRAM SERVICE EXPENSES 12,872,382. MANAGEMENT AND GENERAL EXPENSES 4,237,666. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,110,048. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS - AI -230,125,786. INTERCOMPANY TRANSFERS - ABI -37,951. INTERCOMPANY TRANSFERS - AES -68,413. INTERCOMPANY TRANSFERS - ACI -7,982,850. INTERCOMPANY TRANSFERS - AOH -47,235. INTERCOMPANY TRANSFERS - VNA -69,593. INTERCOMPANY TRANSFERS - AIW -347,366. INTERCOMPANY TRANSFERS - AIR -159,402. INTERCOMPANY TRANSFERS - ARH -1,314,994. INTERCOMPANY TRANSFERS - ADS -609,720. INTERCOMPANY TRANSFERS - AKH -346,186. INTERCOMPANY TRANSFERS - ASP -1,459,288. INTERCOMPANY TRANSFERS - ASH -97,257. INTERCOMPANY TRANSFERS - AMH -221,302. INTERCOMPANY TRANSFERS - AMR -592,121. INTERCOMPANY TRANSFERS - ARN -1,505,742. INTERCOMPANY TRANSFERS - ATH -87,368. INTERCOMPANY TRANSFERS - AER -110,170. INTERCOMPANY TRANSFERS - HYMC -79,090. POSTRETIREMENT BENEFIT ADJUSTMENT 264,541. CHANGE IN NCI -23,516. INTEREST RATE SWAP VALUATION ADJUSTMENT 750,300. INTEREST RATE SWAP VALUATION ADJUSTMENT 20,245. INTEREST RATE SWAP -101,066. OTHER CHANGES IN NET ASSETS 35,125. ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTHCARE WI 501 (C) 3 LINE 12B, II N/A 0 ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391406537 PROPERTY LEASING WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS EXTENDED SERVICES INC 333 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS MEDICAL GROUP INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391670223 MEDICAL SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS ONTONAGON HOSPITAL INC 601 SEVENTH STREET ONTONAGON MI 49953 260806477 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS VNA HOME HEALTH INC 520 N 32ND AVENUE WAUSAU WI 54401 390808511 HOME HEALTH CARE SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS VNA EXTENDED CARE INC 520 N 32ND AVENUE WAUSAU WI 54401 391597350 PERSONAL CARE SERVICES WI 501 (C) 3 LINE 10 ASPIRUS VNA HOME HEALTH INC 1 ASPIRUS HEALTH FOUNDATION INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391256656 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 7 ASPIRUS INC 1 ASPIRUS IRON RIVER HOSPITAL & CLINICS INC 1400 W ICE LAKE ROAD IRON RIVER MI 49935 383236977 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS IRONWOOD HOSPITAL & CLINICS INC N 10561 GRAND VIEW LANE IRONWOOD MI 49938 382908586 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 390868982 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS KEWEENAW HOSPITAL 205 OSCEOLA STREET LAURIUM MI 49913 381443361 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 DIVINE SAVIOR HEALTHCARE INC 2817 NEW PINERY ROAD PORTGAGE WI 53901 390806250 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MEDFORD HOSPITAL & CLINICS INC 135 S GIBSON STREET MEDFORD WI 54451 390964813 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MEDFORD FOUNDATION INC 135 S GIBSON STREET MEDFORD WI 54451 391777081 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 7 ASPIRUS INC 1 ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 390808443 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 391657410 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 12A, I ASPIRUS INC 1 ASPIRUS STANLEY HOSPITAL & CLINICS INC 1120 PINE STREET STANLEY WI 54768 390807065 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MERRILL HOSPITAL & CLINICS INC 601 S CENTER AVENUE MERRILL WI 54452 390808503 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MERRILL HOSPITAL FOUNDATION INC 601 S CENTER AVENUE MERRILL WI 54452 391627755 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 12A, I ASPIRUS INC 1 ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC 2251 NORTH SHORE DRIVE RHINELANDER WI 54501 391390638 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC 201 HOSPITAL ROAD EAGLE RIVER WI 54521 390985690 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 THE HOWARD YOUNG MEDICAL CENTER INC 240 MAPLE STREET WOODRUFF WI 54568 390873606 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF WI 54568 391499115 HEALTHCARE WI 501 (C) 3 LINE 12B, II ASPIRUS INC 1 ASPIRUS MEDICAL GROUP - 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