2024-05-15T10:21:40-05:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 390808443 ASPIRUS STEVENS POINT HOSPITAL & CLINICS ASPI 7153465000 900 ILLINOIS AVENUE STEVENS POINT WI 54481 JERRY M YANG SVP - CHIEF FINANCIAL OFFICER 7153465000 2024-05-14 1 JERRY YANG 999009999 1 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 147140467 0 X WWW.ASPIRUS.ORG X 1955 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 7 3 678 39 22548 16044 4730980 0 151906752 145004835 6770 -169459 523529 646715 157168031 145482091 0 45335 0 0 66622469 55515843 0 0 0 97710524 88615518 164332993 144176696 -7164962 1305395 100703599 94123876 63899419 61656092 36804180 32467784 WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 101775158 45335 144982287 ASPIRUS STEVENS POINT HOSPITAL IS A 50-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2023, ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. TREATED APPROXIMATELY 2,696 ADULTS AND CHILDREN FOR A TOTAL OF APPROXIMATELY 11,066 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR APPROXIMATELY 66,789 OUTPATIENT VISITS, WHICH INCLUDED APPROXIMATELY 5,133 OUTPATIENT SURGERIES AND APPROXIMATELY 24,199 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 101775158 1 0 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 0 678 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X JERRY M YANG 7158472250 2200 WESTWOOD DRIVE WAUSAU WI 54401 JAMES NASH DO BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 300255 43763 JENNIFER REDMAN-SCHELL BOARD MEMBER/SVP & PRES-AMG 2.00 50.00 X 0 641148 101726 JESSE TISCHER VICE CHAIR/SVP & PRES-REG. MKTS 2.00 50.00 X X 0 781575 128595 TRINA DANIELS MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 505260 37741 JAMIE SCHAEFER CHAIR 1.00 2.00 X X 0 0 0 DAN BURNS SECRETARY/TREASURER 1.00 X X 0 0 0 BILL ARCISZEWSKI BOARD MEMBER (THRU 09/22) 1.00 4.00 X 0 0 0 ANGELA BAILEY BOARD MEMBER (THRU 09/22) 1.00 4.00 X 0 0 0 JOSEPH KINSELLA BOARD MEMBER 1.00 X 0 0 0 SIDNEY C SCZYGELSKI SENIOR VP OF FINANCE & CFO 2.00 50.00 X 0 1911464 144118 MATTHEW HEYWOOD PRESIDENT & CEO-ASPIRUS 2.00 50.00 X 0 1799938 311110 ROBERT SMITH (NV) PRESIDENT-ASPIRUS SE DIV. 50.00 2.00 X 346937 0 58590 DALE A HUSTEDT INTERIM PRESIDENT STANLEY 2.00 50.00 X 0 375459 93306 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 2.00 50.00 X 0 321116 49427 BETH SEKERKA DIRECTOR OF NURSING (RN) 50.00 2.00 X 163496 0 39688 CARRIE PENOVICH VP-CHIEF ADMINISTRATIVE OFFICER 50.00 2.00 X 236662 0 7579 CONSTANCE BRADLEY SVP-SYSTEM CHIEF NURSING EXEC 2.00 50.00 X 0 502032 95550 CRYSTAL KIRSCHLING VP-REGIONAL INTEGRATION OFFICER 2.00 50.00 X 0 348443 48718 DEBRA BALL SVP & CHIEF HR OFFICER 2.00 50.00 X 0 458839 103553 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 2.00 50.00 X 0 519926 106843 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 2.00 50.00 X 0 539401 110893 JESSICA FOX VP-HR SOUTH REGION 2.00 50.00 X 0 194175 26251 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 2.00 50.00 X 0 672916 123676 NANCY ROTH-MALLEK VP-FINANCE SOUTH REGION 2.00 50.00 X 0 266691 53108 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 2.00 50.00 X 0 534868 104438 ATEEQ MUBARIK EMS CENTRAL DIRECTOR 40.00 X 0 951827 34086 GARY LIEBSCH CLINICAL MEDICAL PHYSICIST 40.00 X 0 615653 23967 HEATHER GRAY PHARMACY SUPERVISOR 40.00 X 0 568531 43812 REZWAN ISLAM SURGICAL SERVICES DIRECTOR 40.00 X 0 552148 24817 VIMARSH RAINA PHARMACIST 40.00 X 0 546572 46499 747095 13908237 1961854 29 0 1 0 TOTAL MSP LLC (STAFFENCY LLC) 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 STAFFING SERVICES 2440866 HAYES LOCUMS LLC 6700 N ANDREWS AVE STE 600 FORT LAUDERDALE FL 33309 STAFFING SERVICES 2274831 COMPASS GROUP USA INC 400 NORTHRIDGE RD STE 600 ATLANTA GA 30368 SERVICE/EVS/CONTRACT LABOR 1443734 RE-VI DESIGN LLC 158773 CTY RD Z WAUSAU WI 54403 SERVICE - LAWN/SNOW REMOVAL 864125 GOODWILL MANUFACTURING INC 6055 N 91ST STREET MILWAUKEE WI 53225 SERVICE - LAUNDRY 862671 27 PATIENT SERVICE REVENUE 621990 131802752 131802752 LAB REVENUE 541380 12176373 12153825 22548 CONTRACT SERVICE REVENUE 900099 881180 881180 PHARMACY REVENUE 900099 63585 63585 80945 80945 145004835 3 3 29115 0 29115 29115 29115 1488914 1658376 -169462 -169462 -169462 7325 0 7325 7325 CAFETERIA REVENUE 722514 608870 608870 VENDING REVENUE 722514 1405 1405 610275 145482091 144982287 22548 477256 45335 45335 734901 734901 45206712 41304237 3902475 1220763 1175295 45468 5545611 4657151 888460 2807856 2608105 199751 14814 14814 10430983 8961611 1469372 43385 43385 229945 171802 58143 94011 56030 37981 3396537 122278 3274259 131855 108788 23067 1644734 1644734 9972525 3603287 6369238 183473 40340 143133 MEDICAL SUPPLIES 33770762 33597225 173537 CORPORATE ALLOCATIONS 21575939 21575939 REPAIRS & MAINTENANCE 4358707 2968319 1390388 HOSPITAL TAX 2112916 2112916 654932 242439 412493 144176696 101775158 42401538 0 9680 9680 504613 596610 22567168 21627446 2936976 2711087 377718 386367 82297684 14131964 72854637 68165720 1452807 626966 100703599 94123876 8914006 7185738 12163 12163 53696902 53410149 1276348 1048042 63899419 61656092 X 36804180 32467784 36804180 32467784 100703599 94123876 X 1305395 -5641791 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 14814 14814 0 PART II-B, LINE 1: ASPIRUS STEVENS POINT HOSPITAL & CLINICS PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. THE PERCENTAGES THAT ARE SPECIFIC FOR LOBBYING PURPOSES ARE AS FOLLOWS: 27.29% OF THE AMERICAN HOSPITAL ASSOCIATION TOTALING $10,154, 11.1% OF THE WISCONSIN HOSPITAL ASSOCIATION TOTALING $4,660 MAKING THE GRAND TOTAL OF DUES DIRECTED TOWARDS LOBBYING $14,814. 6310000 6310000 57785626 6497629 51287997 18125084 7634335 10490749 76974 76974 68165720 DEFERRED COMPENSATION LIABILITY 67554 OPERATING LEASE LIABILITY 31479 ASBESTOS LIABILITY 400000 RELATED PARTY PAYABLES 32344 FINANCE LEASE LIABILITY 516665 1048042 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 1 0 1 1 919403 919403 0.00640 23218694 10584206 12634488 0.08830 24138097 10584206 13553891 0.09470 42431 42431 0.00030 30007 30007 0.00020 45335 45335 0.00030 117773 117773 0.00080 24255870 10584206 13671664 0.09550 1 30 195 195 0.00000 1 38 2382 2382 0.00000 2 68 2577 2577 0.00000 1 353896 0 18443423 21013635 -2570212 X 1 1 1 1 ASPIRUS STEVENS POINT HOSPITAL & CLINICS 900 ILLINOIS AVENUE STEVENS POINT WI 54481 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 146 X X X ASPIRUS STEVENS POINT HOSPITAL & CLINICS 1 0 1 1 X X X X X X X X X 22 1 1 1 1 X WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS X 1 22 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 STEVENS POINT HOSPITAL & CLINICS PART V, SECTION B, LINE 2: THE HOSPITAL WAS ACQUIRED BY ASPIRUS, INC. IN AUGUST 2021 (FY22). ASPIRUS STEVENS POINT HOSPITAL & CLINICS PART V, SECTION B, LINE 5: 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, 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 THE STAKEHOLDERS WHO WERE INVITED TO THE VIRTUAL DATA MEETINGS WERE INVITED TO A LARGE GROUP PRIORITIZATION MEETING. ASPIRUS STEVENS POINT HOSPITAL & CLINICS PART V, SECTION B, LINE 6A: FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, ASPIRUS STEVENS POINT COLLABORATED WITH ASPIRUS PLOVER HOSPITAL AND MARSHFIELD MEDICAL CENTER-RIVER REGION STEVENS POINT CAMPUS. ASPIRUS STEVENS POINT HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS STEVENS POINT HOSPITAL. ASPIRUS STEVENS POINT HOSPITAL & CLINICS PART V, SECTION B, LINE 6B: FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, ASPIRUS STEVENS POINT COLLABORATED WITH ASPIRUS PLOVER HOSPITAL AND MARSHFIELD MEDICAL CENTER-RIVER REGION STEVENS POINT CAMPUS. ASPIRUS STEVENS POINT HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS STEVENS POINT HOSPITAL. ASPIRUS STEVENS POINT HOSPITAL & CLINICS 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. THE SIGNIFICANT HEALTH PRIORITIES IDENTIFIED IN THE CHNA AND IMPLEMENTATION STRATEGY IN FY23 WERE HEALTHY WEIGHT; MENTAL HEALTH; SUBSTANCE USE. HEALTHY WEIGHT - THE HOSPITAL PROVIDED FUNDING TO THE BOYS AND GIRLS CLUB OF PORTAGE COUNTY FOR SUMMER 2023 ACTIVITIES. THE FUNDING SUPPORTED THE SUMMER MEAL PROGRAM AND PHYSICAL ACTIVITY PROGRAMMING ACROSS EIGHT SITES. ON AVERAGE, OVER 400 YOUNG PEOPLE PARTICIPATED EACH DAY. SOME SUCCESSES INCLUDED: * OVER 31,000 FREE HEALTHY MEALS WERE SERVED. NEARLY 1,000 UNDUPLICATED YOUTH BENEFITED FROM THE SUMMER MEAL PROGRAM. 53% OF THE PARTICIPANTS QUALIFIED FOR THE FREE AND REDUCED-PRICE LUNCH PROGRAM, A COMMON INDICATOR OF MODERATE TO LOW-INCOME HOUSEHOLDS. * OVER 675 UNDUPLICATED (7,780 DUPLICATED) YOUTH AGED 6-18 PARTICIPATED IN PHYSICAL ACTIVITY PROGRAMMING. THIS PROGRAMMING INCLUDED 45-60 MINUTES OF DAILY PHYSICAL ACTIVITY THAT UTILIZED THE PLAYWORKS CURRICULUM, AN EVIDENCE-BASED CURRICULUM FOCUSED ON INCORPORATING SOCIAL-EMOTIONAL LEARNING PRINCIPLES INTO RECREATIONAL ACTIVITIES. THIS PROGRAMMING SUPPORTED PARTICIPANTS' PHYSICAL AND MENTAL HEALTH BY INCREASING THEIR DAILY PHYSICAL ACTIVITY AND PROVIDING OPPORTUNITIES TO STRENGTHEN THEIR SOCIAL AND EMOTIONAL COMPETENCIES.- THIS HOSPITAL SPONSORED THE KIDS' RUN AT THE WONDERFUL WATER RUN. THE RUN WAS IN FALL 2023 AND WILL BE REPORTED ON NEXT YEAR. - ASP HOSPITAL HAS LONG MAINTAINED THAT BREASTFEEDING AS A CONDUIT TO MAINTAINING HEALTHY WEIGHT. THE HOSPITAL HAS ADOPTED A STRATEGY OF WORKING WITH OUR WOMEN AND INFANT CENTER (WIC) TO ACHIEVE HIGH BREASTFEEDING INITIATION RATES AND OTHER OPPORTUNITIES TO EMPHASIZE THE IMPORTANCE AND BENEFITS OF BREASTFEEDING. ADDITIONALLY, THE HOSPITAL'S LACTATION CONSULTANT AND EDUCATION COORDINATOR WORKED WITH THE PORTAGE COUNTY BREASTFEEDING COALITION TO INCREASE THE NUMBER OF BREASTFEEDING FRIENDLY WORKSITES. *FOR FY 23, THE ASPIRUS STEVENS POINT (ASP) HOSPITAL WOMEN AND INFANT CENTER'S GOAL WAS TO MAINTAIN THE FY22 LEVEL FOR BREASTFEEDING INITIATION RATES (85-90%). THE FY23 BREASTFEEDING INITIATION RATE WAS 87%. ADDITIONALLY, WIC STAFF WORKED COLLABORATIVELY WITH THE PORTAGE COUNTY BREASTFEEDING COALITION. FOR FY23, THE COALITION, LED BY A MEMBER OF WIC TEAM, MAINTAINED THE SAME NUMBER OF BREASTFEEDING-FRIENDLY WORKSITES (COMPARED TO FY22) AT 16.- 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 GRANT WRITING 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.- THE HOSPITAL FINANCIALLY SUPPORTED CENTRAL RIVERS FARMSHED FOR THEIR LOCAL FOOD FOR ALL PROGRAMMING. IN 2023, THREE PROGRAMS WERE IMPLEMENTED. THESE PROGRAMS NOT ONLY PROVIDED FRESH FOOD, BUT ALSO CONTRIBUTED TO REDUCING FOOD INSECURITY, INCREASING ECONOMIC DEVELOPMENT AND CREATING CROSS-CULTURAL LEARNING. * BADGER BOX. THE BADGER BOX PROVIDES FRESH FOOD TO SENIORS WHO QUALIFIED UNDER THE EMERGENCY FOOD ASSISTANCE GUIDELINES. ON AVERAGE, OVER 300 INDIVIDUALS WERE SERVED MONTHLY. * FARM FRESH AND FREE. FARMSHED SERVED AS THE COORDINATOR FOR REALLOCATING FRESH FOOD FROM NEW AND MARGINALIZED FARMERS TO FOOD PANTRIES AND THE SIB PAB PROGRAM (FOR INDIVIDUALS WHO ARE HMONG). OVER 27,000 POUNDS OF FRESH FOOD WAS DISTRIBUTED ACROSS THREE COUNTIES. * SIB PAB HIGH SCHOOL MEAL PROGRAM. IN ITS THIRD YEAR, THE SIB PAB HIGH SCHOOL MEAL PROGRAM PROVIDES 60 CULTURALLY APPROPRIATE MEALS A WEEK TO THE HIGH SCHOOL. FARMSHED FACILITATES THE PROGRAM. THE PROGRAM CONTRIBUTES TO STUDENTS STAYING IN SCHOOL, REDUCED USE OF VENDING MACHINES FOR LUNCH AND POSITIVE MENTAL HEALTH. 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 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.C3:D205 * 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. - ASP HOSPITAL AND ASPIRUS PLOVER HOSPITAL PROVIDED ADDITIONAL FINANCIAL SUPPORT FOR THE PEACE OF MIND MENTAL WELLNESS WEBSITE. THE WEBSITE HAS BEEN PROMOTED THROUGH SOCIAL MEDIA, 211, THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), SUICIDE PREVENTION COALITION, MENTAL HEALTH NAVIGATORS AT CAP SERVICES AND LOCAL CHURCH BULLETINS. ADDITIONALLY, RACK CARDS, BUSINESS CARD-SIZE PROMOTION MATERIALS, AND STATIC CLINGS ARE DISTRIBUTED TO LOCAL BUSINESSES AND THROUGH THE 31 AGENCIES THAT THE UNITED WAY OF PORTAGE COUNTY FUNDS. ANALYTICS FOR CALENDAR 2022 INCLUDED OVER 11,000 VISITS (INCLUDES REPEAT USERS) AND OVER 24,000 PAGES 'CLICKED' ON.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. FOR THE CHNA ACTIONS TAKEN IN FY23, THE HOSPITAL CHOSE TO FOCUS ITS EFFORTS ON THE PRIORITIES LISTED IN THE CHNA.THE FOLLOWING HEALTH ISSUES WERE NOT SELECTED FOR THE REASONS DESCRIBED BELOW. ORAL HEALTH THIS WAS A PRIORITY IN THE TWO PREVIOUS CHNA CYCLES. PRIOR TO AND THROUGHOUT THAT TIME, ASCENSION ST. MICHAEL'S (ASM) AND ITS COMMUNITY PARTNERS SUPPORTED THE ASCENSION DENTAL CENTER (ADC), WHICH SERVES INDIVIDUALS WHO RECEIVE MEDICAID. TO EXPAND SERVICES, THE ADC BECAME PART OF A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER IN EARLY 2019. WITH THAT TRANSFER, ASM'S PRIMARY RESOURCE FOR ADDRESSING ORAL HEALTH WAS NO LONGER IN PLACE. FINANCIAL STABILITY THIS WAS IDENTIFIED AS ONE OF THE CALLS TO ACTION THROUGH THE LIFE PROCESS. THIS ISSUE WAS NOT SELECTED BY THE HOSPITAL BECAUSE IT IS NOT WITHIN THE HOSPITAL'S AREA OF EXPERTISE. AGING ALTHOUGH 'IMPACT OF AN AGING POPULATION ON OUR COMMUNITY' WAS IDENTIFIED REPORT AS AN 'ISSUE TO WATCH,' IT WAS NOT RAISED TO THE LEVEL OF A CALL TO ACTION. ASPIRUS STEVENS POINT HOSPITAL & CLINICS PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. 7 1 - ASPIRUS BEHAVIORAL CLINIC-WILSHIRE 122 WILSHIRE BOULEVARD STEVENS POINT WI 54481 PSYCHIATRIC SERVICES 2 - ASPIRUS BEHAVIORAL CLINIC - MARIA DR 3398 E MARIA DRIVE STEVENS POINT WI 54481 PSYCHIATRIC SERVICES 3 - ASPIRUS WAUPACA CLINIC 190 GRAND SEASONS DRIVE WAUPACA WI 54981 OUTPATIENT PHYSICIAN CLINIC 4 - ASPIRUS BEHAVIORAL CLINIC - PRENTICE 209 PRENTICE STREET N STEVENS POINT WI 54481 OUTPATIENT ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER 5 - ASPIRUS OUTPATIENT THERAPIES HOOVER RD 3500 HOOVER ROAD STEVENS POINT WI 54481 PHYSICAL AND OCCUPATIONAL THERAPY 6 - ASPIRUS BEHAVIORAL HEALTH RESIDENTIAL 201 PRENTICE STREET N STEVENS POINT WI 54481 RESIDENTIAL ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER 7 - ASPIRUS OUTPATIENT THERAPIES PLOVER RD 2401 PLOVER ROAD PLOVER WI 54467 PHYSICAL AND OCCUPATIONAL THERAPY PART I, LINE 3C: THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY). SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS WHERE RETIREMENT WITHDRAWALS HAVE NOT BEGUN AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE. PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $1,043,524. PART II, COMMUNITY BUILDING ACTIVITIES: ONE OF THE PRIMARY FACTORS IMPACTING A PERSON'S HEALTH IS THEIR INCOME. IN GENERAL, INDIVIDUALS WITH LOW INCOME HAVE SHORTER LIFESPANS AND LOWER QUALITY OF LIFE (FROM A PHYSICAL HEALTH PERSPECTIVE). TO SUPPORT THOSE HIGHER INCOMES, AN ECONOMY NEEDS TO BE DIVERSE, HAVE WELL-PAYING JOBS AND HAVE A STRONG SUPPORTING INFRASTRUCTURE (E.G., EDUCATION, CHILDCARE, AFFORDABLE HOUSING). ASPIRUS' ACTIVE PARTICIPATION WITH LOCAL EDUCATIONAL INSTITUTIONS HELPS SUPPORT THE ECONOMY BY BRINGING RESOURCES, NETWORKS AND EXEMPLARY LEADERSHIP. BECAUSE ASPIRUS IS A MAJOR EMPLOYER IN THE COMMUNITY, ITS LEADERS UNDERSTAND WORKFORCE TRENDS, HEALTH CARE TRENDS, AND HUMAN RESOURCE ISSUES.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, WITH LOCAL REPRESENTATION. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS, INCLUDING ACADEMIA, INDUSTRY/BUSINESS, PHILANTHROPY, FINANCE, AND HEALTHCARE.- SUPPORTS ITS STAFF IN PARTICIPATING ON AND PRESENTING TO 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. - 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: 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. - PROVIDES SPONSORSHIPS FOR A VARIETY OF COMMUNITY EVENTS AND PROGRAMS. - PREPARES FOOD FOR THE MEALS ON WHEELS PROGRAM. - PROVIDES (UNCOMPENSATED) MEDICAL SUPPORT (E.G., ATHLETIC TRAINERS) AT COMMUNITY ATHLETIC EVENTS. - CREATED A JOB PERFORMANCE GOAL FOR STAFF TO CONTRIBUTE A PORTION OF THEIR WORK TIME TO COMMUNITY PROGRAMS. - PROMOTES AND HOSTS COMMUNITY 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 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. PART VI, LINE 7, REPORTS FILED WITH STATES WI 1 BOYS & GIRLS CLUB OF PORTAGE COUNTY PO BOX 171 STEVENS POINT WI 54481 731630506 501(C)(3) 16000 0 SUMMER MEALS AND PHYSICAL ACTIVITY PROGRAMMING UNITED WAY OR PORTAGE COUNTY 2801 HOOVER RD UNIT 2 STEVENS POINT WI 54481 390831152 501(C)(3) 11000 0 SUPPORT FOR THE LEADING INDICATORS OF EXCELLENCE (LIFE) COMMUNITY SURVEY AND COMMUNITY HEALTH ASSESSMENT PROCESS CENTRAL RIVERS FARMSHED 1220 BRIGGS ST STEVENS POINT WI 54481 680651333 501(C)(3) 6500 0 LOCAL FOOD FOR ALL INITIATIVES. LOCAL FOOD FOR ALL PROVIDES LOCAL, FRESH AND CULTURALLY-APPROPRIATE FOOD FOR SENIORS, INDIVIDUALS WITH DISABILITIES, INDIVIDUALS WITH LOW INCOME AND HIGH SCHOOLERS. 3 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 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 C SCZYGELSKI SENIOR VP OF FINANCE & CFO 0 649844 0 1057601 0 204019 0 20794 0 123324 0 2055582 0 195109 ATEEQ MUBARIK EMS CENTRAL DIRECTOR 0 930669 0 0 0 21158 0 9282 0 24804 0 985913 0 0 JESSE TISCHER VICE CHAIR/SVP & PRES-REG. MKTS 0 580082 0 150199 0 51294 0 18561 0 110034 0 910170 0 50242 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 0 479018 0 135622 0 58276 0 18672 0 105004 0 796592 0 55822 JENNIFER REDMAN-SCHELL BOARD MEMBER/SVP & PRES-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 GARY LIEBSCH CLINICAL MEDICAL PHYSICIST 0 588231 0 10000 0 17422 0 9150 0 14817 0 639620 0 0 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 HEATHER GRAY PHARMACY SUPERVISOR 0 542873 0 0 0 25658 0 9150 0 34662 0 612343 0 0 CONSTANCE BRADLEY SVP-SYSTEM CHIEF NURSING EXEC 0 385875 0 113420 0 2737 0 16421 0 79129 0 597582 0 0 VIMARSH RAINA PHARMACIST 0 541308 0 0 0 5264 0 9424 0 37075 0 593071 0 0 REZWAN ISLAM SURGICAL SERVICES DIRECTOR 0 543584 0 0 0 8564 0 9902 0 14915 0 576965 0 0 DEBRA BALL SVP & CHIEF HR OFFICER 0 349805 0 106987 0 2047 0 13179 0 90374 0 562392 0 0 TRINA DANIELS MD BOARD MEMBER/PHYSICIAN 0 499636 0 0 0 5624 0 9121 0 28620 0 543001 0 0 DALE A HUSTEDT INTERIM PRESIDENT STANLEY 0 279433 0 60753 0 35273 0 18056 0 75250 0 468765 0 28030 ROBERT SMITH (NV) PRESIDENT-ASPIRUS SE DIV. 308433 0 35611 0 2893 0 17848 0 40742 0 405527 0 0 0 CRYSTAL KIRSCHLING VP-REGIONAL INTEGRATION OFFICER 0 291308 0 56573 0 562 0 12036 0 36682 0 397161 0 0 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 0 267466 0 51102 0 2548 0 18436 0 30991 0 370543 0 0 JAMES NASH DO BOARD MEMBER/PHYSICIAN 0 254825 0 40000 0 5430 0 8744 0 35019 0 344018 0 0 NANCY ROTH-MALLEK VP-FINANCE SOUTH REGION 0 231229 0 33270 0 2192 0 16203 0 36905 0 319799 0 0 CARRIE PENOVICH VP-CHIEF ADMINISTRATIVE OFFICER 231730 0 0 0 4932 0 6952 0 627 0 244241 0 0 0 JESSICA FOX VP-HR SOUTH REGION 0 169556 0 23968 0 651 0 10483 0 15768 0 220426 0 0 BETH SEKERKA DIRECTOR OF NURSING (RN) 154313 0 8752 0 431 0 5176 0 34512 0 203184 0 0 0 PART I, LINE 1A CARRIE PENOVICH ($1,300) HAD A TAXABLE HOUSING ALLOWANCE. PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGESLSKI $195,109 J. TISCHER $50,242 J. MATHESON $32,339 M. HOLZHUETER $55,822 T. RICHARDSON $39,964 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 97712JDN0 2021-11-10 54274720 REVENUE BONDS SERIES 2021 0 0 0 A 54274720 386648 53888072 2018 0 0 1 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SCHEDULE K, PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2021 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL & CLINICS, INC. (EIN 39-1138241); ASPIRUS BUILDINGS, INC. (EIN 39-1406537); ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. (EIN 39-0808443); ASPIRUS STANLEY HOSPITAL & CLINICS, INC. (EIN 39-0807065); ASPIRUS MERRILL HOSPITAL & CLINICS, INC. (EIN 39-0808503); ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS, INC. (EIN 39-1390638); ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC. (EIN 39-0985690); AND THE HOWARD YOUNG MEDICAL CENTER, INC. (EIN 39-0873606). INFORMATION REGARDING THE SERIES 2021 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2021 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2021 BONDS.] PART III, LINES 3A AND 3B: ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS STEVENS POINT HOSPITALS & CLINICS 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. SCHEDULE K, PART III, LINE 9 SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS COMPRISED OF TEN DIRECTORS. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS MEMBER CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN SIX INDEPENDENT COMMUNITY CLASS DIRECTORS, CONSISTING OF THREE NOMINATED BY THE NOMINATING COMMITTEE AND THREE NOMINATED BY ASPIRUS, INC. WITH CONSIDERATION TO INPUT FROM THE CORPORATION'S BOARD, AND ELECTED BY ASPIRUS, INC., TWO ASPIRUS MEMBER CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., TWO PROVIDER CLASS DIRECTOR FROM EACH HOSPITAL, CONSISTING OF PHYSICIANS IN THE ACTIVE CATEGORY OF THE MEDICAL STAFF AT THE HOSPITAL, NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION 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 AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS - AWH 1,459,288. INTERCOMPANY TRANSFERS - AI -2,065,364. INTERCOMPANY TRANSFERS - AMG 328,083. INTERCOMPANY TRANSFERS - AOH -9,726. INTERCOMPANY TRANSFERS - AIW -16,475. INTERCOMPANY TRANSFERS - AIR -2,427. INTERCOMPANY TRANSFERS - ARH 40,284. INTERCOMPANY TRANSFERS - ADS -44,471. INTERCOMPANY TRANSFERS - AMH -748. INTERCOMPANY TRANSFERS - AKH -22,062. INTERCOMPANY TRANSFERS - ASH -14,732. INTERCOMPANY TRANSFERS - AMR -56,293. INTERCOMPANY TRANSFERS - ARN -5,110,028. INTERCOMPANY TRANSFERS - ATH -5,157. INTERCOMPANY TRANSFERS - AER -5,561. INTERCOMPANY TRANSFERS - HYMC -116,402. 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