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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY M YANG</PersonNm>
        <TitleTxt>SVP-CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT SMITH</PersonNm>
        <TitleTxt>(NV) PRESIDENT-ASPIRUS SE</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>394255</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54865</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN KIEF</PersonNm>
        <TitleTxt>(NV) PRESIDENT-ADS &amp; ARH</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>373274</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44482</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW HEYWOOD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO ASPIRUS</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1618117</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>304186</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SIDNEY C SCZYGELSKI</PersonNm>
        <TitleTxt>SENIOR VP OF FINANCE/CFO</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1294746</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>134273</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY JONES</PersonNm>
        <TitleTxt>SVP-CFO (THRU 04/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>222942</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12956</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DALE A HUSTEDT</PersonNm>
        <TitleTxt>INTERIM PRESIDENT STANLEY TERM?</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL HOLZHUETER</PersonNm>
        <TitleTxt>SVP-GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>688935</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>115911</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WALTERS</PersonNm>
        <TitleTxt>SVP-SYSTEM CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>669631</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49745</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES MATHESON</PersonNm>
        <TitleTxt>SVP-CHIEF STRATEGY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>522951</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>102957</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC ANDERSON</PersonNm>
        <TitleTxt>CHIEF COMPLIANCE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>498735</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>99668</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN SCHNEIDER</PersonNm>
        <TitleTxt>VP-SYSTEM SR. PHYSICIAN EXEC.</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>510162</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34165</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD RICHARDSON</PersonNm>
        <TitleTxt>SVP-CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>350449</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>76560</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>REZWAN ISLAM</PersonNm>
        <TitleTxt>SURGICAL SERVICES DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>980705</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29450</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY MURPHY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>584974</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46297</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MUHAMMAD TARIQ</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>578564</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47194</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GARY LIEBSCH</PersonNm>
        <TitleTxt>CLINICAL MEDICAL PHYSICIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>589882</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25700</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER GRAY</PersonNm>
        <TitleTxt>PHARMACY SUPERVISOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>530647</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45982</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3659027</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>10765881</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1713912</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>58</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RENOVO SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4 EXECUTIVE CIRCLE SUITE 185</AddressLine1Txt>
            <CityNm>IRVINE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92614</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE CONTRACTS</ServicesDesc>
        <CompensationAmt>2394987</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TOTAL MSP LLC (STAFFENCY LLC)</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>221 W COLLEGE AVE FLOOR 2</AddressLine1Txt>
            <CityNm>APPLETON</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54911</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>1588697</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DAILY CARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>323 N MORRISON ST SUITE 100</AddressLine1Txt>
            <CityNm>APPLETON</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54911</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>824932</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VARIAN MEDICAL SYSTEMS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3100 HANSEN WAY</AddressLine1Txt>
            <CityNm>PALO ALTO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94304</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE CONTRACTS</ServicesDesc>
        <CompensationAmt>734999</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACCENT SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8900 N PIONEER ROAD</AddressLine1Txt>
            <CityNm>PEORIA</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61615</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICES - CLEANING</ServicesDesc>
        <CompensationAmt>712670</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>32</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>7999</RelatedOrganizationsAmt>
      <TotalContributionsAmt>7999</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>149473272</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>149473272</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>LAB REVENUE</Desc>
        <BusinessCd>541380</BusinessCd>
        <TotalRevenueColumnAmt>15321560</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15306122</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>15438</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>886641</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>886641</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>67892</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>67892</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>10079</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10079</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>165759444</TotalProgramServiceRevenueAmt>
      <GrossRentsGrp>
        <RealAmt>25018</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>25018</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>25018</TotalRevenueColumnAmt>
        <ExclusionAmt>25018</ExclusionAmt>
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        <OtherAmt>2733</OtherAmt>
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      <GainOrLossGrp>
        <OtherAmt>-2733</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-2733</TotalRevenueColumnAmt>
        <ExclusionAmt>-2733</ExclusionAmt>
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      <CostOfGoodsSoldAmt>478</CostOfGoodsSoldAmt>
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        <ExclusionAmt>1577</ExclusionAmt>
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        <Desc>CAFETERIA REVENUE</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>656669</TotalRevenueColumnAmt>
        <ExclusionAmt>656669</ExclusionAmt>
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      <OtherRevenueTotalAmt>656669</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>166447974</TotalRevenueColumnAmt>
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        <ExclusionAmt>680531</ExclusionAmt>
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        <ProgramServicesAmt>26937</ProgramServicesAmt>
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        <TotalAmt>489732</TotalAmt>
        <ManagementAndGeneralAmt>489732</ManagementAndGeneralAmt>
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        <TotalAmt>45462795</TotalAmt>
        <ProgramServicesAmt>40857130</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4605665</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1116583</ProgramServicesAmt>
        <ManagementAndGeneralAmt>186527</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5847162</TotalAmt>
        <ProgramServicesAmt>5038170</ProgramServicesAmt>
        <ManagementAndGeneralAmt>808992</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2236710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>380243</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>19984</ManagementAndGeneralAmt>
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        <TotalAmt>16062988</TotalAmt>
        <ProgramServicesAmt>7456067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8606921</ManagementAndGeneralAmt>
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        <TotalAmt>37606</TotalAmt>
        <ProgramServicesAmt>17434</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20172</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>196452</TotalAmt>
        <ProgramServicesAmt>191226</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5226</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>103834</TotalAmt>
        <ProgramServicesAmt>48137</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55697</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>2995086</TotalAmt>
        <ProgramServicesAmt>69786</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2925300</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>204339</TotalAmt>
        <ProgramServicesAmt>94732</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109607</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>10408</TotalAmt>
        <ProgramServicesAmt>4825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5583</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>1660214</TotalAmt>
        <ProgramServicesAmt>24903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1635311</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>9877303</TotalAmt>
        <ProgramServicesAmt>5512523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4364780</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>185003</TotalAmt>
        <ProgramServicesAmt>4311</ProgramServicesAmt>
        <ManagementAndGeneralAmt>180692</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>33496225</TotalAmt>
        <ProgramServicesAmt>33215201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>281024</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CORPORATE ALLOCATIONS</Desc>
        <TotalAmt>21697425</TotalAmt>
        <ProgramServicesAmt>10058926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11638499</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>4134183</TotalAmt>
        <ProgramServicesAmt>1916607</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2217576</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>3204592</TotalAmt>
        <ProgramServicesAmt>3204592</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2899361</TotalAmt>
        <ProgramServicesAmt>1344145</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1555216</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>152531692</TotalAmt>
        <ProgramServicesAmt>112438945</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40092747</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>9680</BOYAmt>
        <EOYAmt>9680</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>596610</BOYAmt>
        <EOYAmt>595750</EOYAmt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>ASPIRUS STEVENS POINT HOSPITAL &amp; 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: 32.0% OF THE AMERICAN HOSPITAL ASSOCIATION TOTALING $12,891, 16.4% OF THE WISCONSIN HOSPITAL ASSOCIATION TOTALING $7,093 MAKING THE GRAND TOTAL OF DUES DIRECTED TOWARDS LOBBYING $19,984.</ExplanationTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2024.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ASPIRUS STEVENS POINT HOSPITAL &amp; CLINICS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ASPIRUS STEVENS POINT HOSPITAL &amp; CLINICS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ASPIRUS STEVENS POINT HOSPITAL &amp; CLINICS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ASPIRUS STEVENS POINT HOSPITAL &amp; CLINICS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: IN FY24, ASPIRUS STRENGTHENED ITS COMMUNITY HEALTH EFFORTS BY IMPLEMENTING CROSS-ORGANIZATIONAL STRATEGIES ALONG WITH LOCAL STRATEGIES. CROSS-ORGANIZATIONAL STRATEGIES ARE IMPLEMENTED (AS APPROPRIATE) LOCALLY BUT BENEFIT FROM THE EXPERTISE AND STRUCTURE AVAILABLE WITHIN THE SYSTEM. DESCRIPTIONS BELOW REFLECT BOTH CROSS-ORGANIZATIONAL AND LOCAL STRATEGIES. THE SIGNIFICANT HEALTH PRIORITIES IN FY24 WERE: MENTAL HEALTH; SUBSTANCE USE; CHILDHOOD WELLNESS. 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 2023 AND 2024 INCLUDED: - WALK FOR HOPE. THIS IS AN ANNUAL WALK TO RAISE FUNDS AND AWARENESS FOR SUICIDE PREVENTION.- AWARENESS. THE COALITION PROMOTES MAY MENTAL HEALTH MONTH AND SEPTEMBER SUICIDE AWARENESS MONTH. THE COALITION ALSO HAD A PRESENCE AT MULTIPLE COMMUNITY EVENTS, INCLUDING MULTIPLE EVENTS AT THE UNIVERSITY (AUTHENTIC IDENTITIES, PRIDE, RUGBY GAME AND A WOMEN'S HOCKEY GAME).- 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. - TRAININGS/INFORMATION SESSIONS. THE COALITION FACILITATES SUICIDE PREVENTION TRAININGS. - 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. - ASPIRUS STEVENS POINT HOSPITAL PROVIDED 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 FY24 INCLUDED OVER 24,000 VISITS (INCLUDES REPEAT USERS).- ASPIRUS HEALTH OFFERS THE RAISE YOUR VOICE PROGRAM IN MULTIPLE COMMUNITIES, INCLUDING IN STEVENS POINT. RAISE YOUR VOICE IS A STUDENT CLUB THAT INCREASES THE AWARENESS OF MENTAL HEALTH. THE PROGRAM IS CO-SPONSORED BY THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI). WITH ASPIRUS FUNDING OVER THE LAST FEW YEARS, MANY CLUBS WERE ACTIVE IN THE REGION DURING THE 2023-24 SCHOOL YEAR. - ASPIRUS STEVENS POINT HOSPITAL PROVIDED FUNDING FOR CAP SERVICES' MENTAL HEALTH NAVIGATION PROGRAM. THE FUNDS HELPED WITH THE PURCHASE OF EDUCATIONAL BROCHURES, FLYERS, AND PROMOTIONAL ITEMS TO PROMOTE MENTAL HEALTH AWARENESS, INCREASE AWARENESS OF RESOURCES AND ENCOURAGE HEALTHY HABITS.SUBSTANCE USE- ASPIRUS STAFF PARTICIPATE ON THE COUNTY AODA COALITION. ASPIRUS MADE SOME DETERRA DRUG DEACTIVATION BAGS AVAILABLE THROUGH THE ON-SITE RETAIL PHARMACY. ASPIRUS CONTRACTS WITH THREE BRIDGES RECOVERY TO PROVIDE PEER SUPPORT SPECIALIST SERVICES, WHICH INCLUDES RECOVERY COACHING FOR PATIENTS IN NEED OF SUBSTANCE USE SUPPORT. THESE SERVICES INCREASE BOTH AVAILABILITY AND ACCESSIBILITY TO VARIOUS PATHWAYS OF SUBSTANCE USE RECOVERY THROUGH COACHING, MENTORING, ACCOUNTABILITY, AND PEER BEHAVIOR MODELING AT NO COST TO THOSE THEY SERVE. COACHES ARE AVAILABLE 24/7 TO RESPOND TO CALLS AND ARE ADVOCATES FOR VULNERABLE PATIENTS TO HELP THEM RECEIVE THE TREATMENT THEY WANT AND NEED. FOR THE TIME PERIOD JANUARY 2024 SEPTEMBER 2024: - 136 INDIVIDUALS WITH ALCOHOL USE DISORDER RECEIVED PEER SUPPORT SERVICES FROM THREE BRIDGES RECOVERY COACHES AND CERTIFIED PEER SPECIALISTS UNDER THE ASPIRUS FUNDING.- 117 INDIVIDUALS WITH ALCOHOL USE DISORDER IN A RESIDENTIAL SETTING (ASPIRUS BEHAVIOR HEALTH AND KOINONIA) RECEIVED PEER SUPPORT SERVICES IN A GROUP SETTING. CHILDHOOD WELLNESS- THE HOSPITAL PROVIDED FUNDING TO THE BOYS AND GIRLS CLUB OF PORTAGE COUNTY FOR SUMMER 2024. ASPIRUS FUNDING SUPPORTED THE SUMMER MEAL PROGRAM AND SOCIAL-EMOTIONAL LEARNING PROGRAMMING AT EIGHT BOYS &amp; GIRLS CLUB OF PORTAGE COUNTY CLUB SITES THROUGHOUT PORTAGE COUNTY, WISCONSIN. THESE CLUB SITES SERVED AN AVERAGE OF 426 YOUTH PER DAY AND OVER 1,000 UNDUPLICATED YOUTH THROUGHOUT THE SUMMER. SOME SUCCESSES INCLUDE:- THE SUMMER MEAL PROGRAM, WHICH HELPED ADDRESS FOOD SECURITY, SERVED OVER 25,500 FREE, HEALTHY MEALS TO OVER 1,000 YOUTH THIS SUMMER. OF THESE YOUTH, 49.7% QUALIFY FOR THE FREE AND REDUCED-PRICE SCHOOL LUNCH PROGRAM DURING THE SCHOOL YEAR AND THEREFORE FACE AN INCREASED RISK OF FOOD INSECURITY OVER THE SUMMER. - OVER 607 (DUPLICATED) YOUTH PARTICIPATED IN LARGE GROUP SOCIAL-EMOTIONAL LEARNING (SEL) PROGRAMMING THROUGHOUT THE SUMMER. IN ADDITION TO THIS UNIVERSAL SEL PROGRAMMING THAT SUPPORTS ALL THE YOUTH AT OUR CLUB SITES, 70 UNDUPLICATED YOUTH PARTICIPATED IN OUR GREAT FUTURES! PROGRAM, A FOCUSED SEL PROGRAM THAT PROVIDES YOUTH NEEDING ADDITIONAL SUPPORT FOR THE SOCIAL-EMOTIONAL DEVELOPMENT WITH WEEKLY ONE-ON-ONE MEETINGS WITH AN SEL STAFF. - THE HOSPITAL HELPED FUND THE CHILDREN'S RACE AT THE FALL 2023 AND 2024 WONDERFUL WATER RUN. TO HELP INCREASE YOUTH'S PHYSICAL ACTIVITY, THE HOSPITAL'S PHYSICAL THERAPISTS AND ATHLETIC TRAINERS HOSTED A 13-WEEK SUMMER RUN CLUB AT THE BOYS AND GIRLS CLUB. THE SUMMER 2024 PROGRAM ENGAGED KIDS BETWEEN THE GRADES OF 6-12 IN RUNNING ACTIVITIES WHILE ALSO PROVIDING EDUCATIONAL SESSIONS FOCUSED ON TOPICS SUCH AS HEALTHY EATING HABITS, IMPORTANCE OF EXERCISE, STRETCHES, AND STRESS MANAGEMENT. PARTICIPANTS IN THE PROGRAM WERE ELIGIBLE FOR THE CHILDREN'S RACE IN THE FALL. - ASPIRUS STEVENS POINT HOSPITAL HAS LONG MAINTAINED BREASTFEEDING AS A CONDUIT TO SUPPORTING CHILDHOOD WELLNESS. 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 STAFF WORKED WITH THE PORTAGE COUNTY BREASTFEEDING COALITION TO PROMOTE BREASTFEEDING. ACTIVITIES INCLUDED: INCREASED FACEBOOK, INSTAGRAM AND WEBSITE POSTS; INTERVIEWING BREASTFEEDING MOTHERS TO LEARN MORE ABOUT THEIR JOURNEY; ATTENDING MULTIPLE COMMUNITY EVENTS. - THE HOSPITAL ALSO HOSTED THREE PREGNANCY EXPOS TO SHARE INFORMATION WITH FAMILIES ON A VARIETY OF TOPICS &amp; RESOURCES TO ENHANCE THE JOURNEY OF PREGNANCY. BIRTHING ROOM TOURS. INTERACTIVE DISPLAYS. GIVE AWAYS. ENCOURAGE ATTENDANCE BY EXPECTING WOMEN, SUPPORT PERSON AND FAMILY MEMBERS. OTHER - ASPIRUS STEVENS POINT OFFERS A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM FOR ELIGIBLE PATIENTS. A VOUCHER IS GIVEN TO PATIENTS TO PURCHASE FRUITS AND VEGETABLES FROM LOCAL FARMERS. THE PROGRAM ALSO PROVIDES NUTRITION INFORMATION AND ACCESS TO RECIPES. DURING THE 2024 SEASON, OVER 700 VOUCHERS WERE DISTRIBUTED ACROSS THE SYSTEM. - THE ASPIRUS THERAPIES DEPARTMENT PROVIDED MULTIPLE COMMUNITY-BASED PROGRAMS. ONE PHYSICAL THERAPIST LED AN EVIDENCE-BASED FALLS PREVENTION WORKSHOP IN PARTNERSHIP WITH THE AGING AND DISABILITY RESOURCE CENTER. THE STEPPING ON PROGRAM FOCUSES ON AVOIDING DANGEROUS FALLS BY PROVIDING TIPS FOR REMOVING FALLS HAZARDS IN THE HOME, EDUCATING ON HOW VISION, HEARING, MEDICATION, AND FOOTWEAR CAN AFFECT RISK OF FALLING, AND PROVIDE STRENGTH AND BALANCE EXERCISES TO DECREASE RISK OF FALLING. THE PHYSICAL THERAPIST PROVIDED 1-2 HOURS OF TIME OVER THREE SEPARATE WEDNESDAYS. ANOTHER PHYSICAL THERAPIST CONDUCTED A WEEKLY FITNESS CLASS FOR INDIVIDUALS WITH PARKINSON'S DISEASE AND THEIR CAREGIVERS. THE CLASS FOCUSES ON IMPROVING BALANCE, STRENGTH, AND FLEXIBILITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ASPIRUS STEVENS POINT HOSPITAL &amp; CLINICS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>7</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - ASPIRUS BEHAVIORAL CLINIC-WILSHIRE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>122 WILSHIRE BOULEVARD</AddressLine1Txt>
            <CityNm>STEVENS POINT</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54481</ZIPCd>
          </USAddress>
          <FacilityTxt>PSYCHIATRIC SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - ASPIRUS BEHAVIORAL CLINIC - MARIA DR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3398 E MARIA DRIVE</AddressLine1Txt>
            <CityNm>STEVENS POINT</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54481</ZIPCd>
          </USAddress>
          <FacilityTxt>PSYCHIATRIC SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - ASPIRUS WAUPACA CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>190 GRAND SEASONS DRIVE</AddressLine1Txt>
            <CityNm>WAUPACA</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54981</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - ASPIRUS BEHAVIORAL CLINIC - PRENTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>209 PRENTICE STREET N</AddressLine1Txt>
            <CityNm>STEVENS POINT</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54481</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - ASPIRUS OUTPATIENT THERAPIES PLOVER RD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2401 PLOVER ROAD</AddressLine1Txt>
            <CityNm>PLOVER</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54467</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL AND OCCUPATIONAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - ASPIRUS BEHAVIORAL HEALTH RESIDENTIAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 PRENTICE STREET N</AddressLine1Txt>
            <CityNm>STEVENS POINT</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54481</ZIPCd>
          </USAddress>
          <FacilityTxt>RESIDENTIAL ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - ASPIRUS OUTPATIENT THERAPIES HOOVER RD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3500 HOOVER ROAD</AddressLine1Txt>
            <CityNm>STEVENS POINT</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54481</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL AND OCCUPATIONAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $3,204,592.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2024 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 WITHOUT HEALTHCARE COVERAGE: 5.1%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 35.8%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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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. - 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>ASPIRUS HEALTH IS A NONPROFIT, COMMUNITY-DIRECTED HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN, SERVING NORTHEASTERN MINNESOTA, NORTHERN AND CENTRAL WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. THE HEALTH SYSTEM OPERATES 18 HOSPITALS AND 130 OUTPATIENT LOCATIONS WITH NEARLY 14,000 TEAM MEMBERS, INCLUDING 1,300 EMPLOYED PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ASPIRUS SERVES COMMUNITIES THROUGH HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND AIR-MEDICAL TRANSPORT, MEDICAL GOODS, AND ADULT LIVING AND CARE FACILITIES. THE COMBINED EFFORTS PROVIDE RURAL COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. FOR MORE INFORMATION, VISIT ASPIRUS.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>WI</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS &amp; GIRLS CLUB OF PORTAGE COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 171</AddressLine1Txt>
          <CityNm>STEVENS POINT</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54481</ZIPCd>
        </USAddress>
        <RecipientEIN>731630506</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUMMER MEALS AND PHYSICAL ACTIVITY PROGRAMMING</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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        <PersonNm>MATTHEW HEYWOOD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO ASPIRUS</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>12078</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>294286</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>1922303</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SIDNEY C SCZYGELSKI</PersonNm>
        <TitleTxt>SENIOR VP OF FINANCE/CFO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REZWAN ISLAM</PersonNm>
        <TitleTxt>SURGICAL SERVICES DIRECTOR</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19550</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1010155</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>JESSE TISCHER</PersonNm>
        <TitleTxt>VICE CHAIR (THRU JAN '24)/SVP &amp; PRES</TitleTxt>
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        <PersonNm>MICHAEL HOLZHUETER</PersonNm>
        <TitleTxt>SVP-GENERAL COUNSEL</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>59451</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>106471</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>55822</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA POGORELEC DO</PersonNm>
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        <PersonNm>AMY MURPHY</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES MATHESON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MUHAMMAD TARIQ</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <TotalCompensationFilingOrgAmt>625758</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY LIEBSCH</PersonNm>
        <TitleTxt>CLINICAL MEDICAL PHYSICIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>571366</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>18516</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9900</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15800</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>615582</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC ANDERSON</PersonNm>
        <TitleTxt>CHIEF COMPLIANCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>423444</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>72853</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2438</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9358</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>90310</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>598403</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRINA DANIELS MD</PersonNm>
        <TitleTxt>BOARD MEMBER/PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>537474</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>5618</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9900</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>29471</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>582463</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CONSTANCE BRADLEY</PersonNm>
        <TitleTxt>SECRETARY/SVP-PRES REG MKTS</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>391495</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>70030</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>27953</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9900</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>80267</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>579645</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>24444</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEATHER GRAY</PersonNm>
        <TitleTxt>PHARMACY SUPERVISOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>525161</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5486</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9900</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36082</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>576629</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN SCHNEIDER</PersonNm>
        <TitleTxt>VP-SYSTEM SR. PHYSICIAN EXEC.</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>450107</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>55813</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4242</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9900</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>24265</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>544327</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT SMITH</PersonNm>
        <TitleTxt>(NV) PRESIDENT-ASPIRUS SE</TitleTxt>
        <BaseCompensationFilingOrgAmt>316346</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>68932</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8977</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5475</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>49390</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>449120</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>5807</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TODD RICHARDSON</PersonNm>
        <TitleTxt>SVP-CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>216988</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>69318</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>64143</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6050</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>70510</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>427009</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>39964</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN KIEF</PersonNm>
        <TitleTxt>(NV) PRESIDENT-ADS &amp; ARH</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>314196</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>56117</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2961</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9900</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>34582</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>417756</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BONITA KOLRUD MD</PersonNm>
        <TitleTxt>BOARD MEMBER/PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>349740</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>8564</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8183</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>32005</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>398492</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN KRECKMAN MD</PersonNm>
        <TitleTxt>BOARD MEMBER/PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>335158</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>7281</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8678</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>29412</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>380529</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY JONES</PersonNm>
        <TitleTxt>SVP-CFO (THRU 04/23)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>220906</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2036</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3492</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9464</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>235898</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES NASH DO</PersonNm>
        <TitleTxt>BOARD MEMBER (THRU SEP '24) /PHYSICI</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>200963</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4994</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>25515</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>231472</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS STEVENS POINT HOSPITAL &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: R. SMITH $5,807 S. SCZYGELSKI $337,358 J. TISCHER $50,242 J. MATHESON $32,339 M. HOLZHUETER $55,822 T. RICHARDSON $39,964 M. WALTERS $56,806 C. BRADLEY $24,444 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 &amp; CHIEF FINANCIAL OFFICER, AND 20% FOR THE PRESIDENT &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>WISCONSIN HEALTH &amp; EDUCATIONAL FACILITIES AUTH</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>391337855</BondIssuerEIN>
        <CUSIPNum>97712JDN0</CUSIPNum>
        <BondIssuedDt>2021-11-10</BondIssuedDt>
        <IssuePriceAmt>54274720</IssuePriceAmt>
        <PurposeDesc>REVENUE BONDS SERIES 2021</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>54274720</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>386648</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>53888072</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART VI:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; CLINICS, INC. (EIN 39-1138241); ASPIRUS BUILDINGS, INC. (EIN 39-1406537); ASPIRUS STEVENS POINT HOSPITAL &amp; CLINICS, INC. (EIN 39-0808443); ASPIRUS STANLEY HOSPITAL &amp; CLINICS, INC. (EIN 39-0807065); ASPIRUS MERRILL HOSPITAL &amp; CLINICS, INC. (EIN 39-0808503); ASPIRUS RHINELANDER &amp; TOMAHAWK HOSPITAL &amp; CLINICS, INC. (EIN 39-1390638); ASPIRUS EAGLE RIVER HOSPITAL &amp; 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.]</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINES 3A AND 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS STEVENS POINT HOSPITALS &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART III, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS STEVENS POINT HOSPITAL &amp; CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 1,478,510. MANAGEMENT AND GENERAL EXPENSES 1,690,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,169,207. LAB FEES: PROGRAM SERVICE EXPENSES 683,574. MANAGEMENT AND GENERAL EXPENSES 790,917. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,474,491. CONTRACT NURSING AND OTHER LABOR: PROGRAM SERVICE EXPENSES 4,638,161. MANAGEMENT AND GENERAL EXPENSES 5,366,501. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,004,662. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 655,822. MANAGEMENT AND GENERAL EXPENSES 758,806. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,414,628.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERCOMPANY TRANSFERS -16,889,634.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>333 PINE RIDGE BLVD</AddressLine1Txt>
          <CityNm>WAUSAU</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54401</ZIPCd>
        </USAddress>
        <EIN>391328331</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS WAUSAU HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>333 PINE RIDGE BLVD</AddressLine1Txt>
          <CityNm>WAUSAU</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54401</ZIPCd>
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        <EIN>391138241</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS EXTENDED SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>333 PINE RIDGE BLVD</AddressLine1Txt>
          <CityNm>WAUSAU</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54401</ZIPCd>
        </USAddress>
        <EIN>390782130</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS BUILDINGS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>333 PINE RIDGE BLVD</AddressLine1Txt>
          <CityNm>WAUSAU</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54401</ZIPCd>
        </USAddress>
        <EIN>391406537</EIN>
        <PrimaryActivitiesTxt>PROPERTY LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS MEDICAL GROUP INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>333 PINE RIDGE BLVD</AddressLine1Txt>
          <CityNm>WAUSAU</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54401</ZIPCd>
        </USAddress>
        <EIN>391670223</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS ONTONAGON HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>601 SEVENTH STREET</AddressLine1Txt>
          <CityNm>ONTONAGON</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49953</ZIPCd>
        </USAddress>
        <EIN>260806477</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS VNA HOME HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>520 N 32ND AVENUE</AddressLine1Txt>
          <CityNm>WAUSAU</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54401</ZIPCd>
        </USAddress>
        <EIN>390808511</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS VNA EXTENDED CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>520 N 32ND AVENUE</AddressLine1Txt>
          <CityNm>WAUSAU</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54401</ZIPCd>
        </USAddress>
        <EIN>391597350</EIN>
        <PrimaryActivitiesTxt>PERSONAL CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS VNA HOME HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>425 PINE RIDGE BLVD</AddressLine1Txt>
          <CityNm>WAUSAU</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54401</ZIPCd>
        </USAddress>
        <EIN>391256656</EIN>
        <PrimaryActivitiesTxt>CHARITABLE FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS IRON RIVER HOSPITAL &amp; CLINICS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1400 W ICE LAKE ROAD</AddressLine1Txt>
          <CityNm>IRON RIVER</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49935</ZIPCd>
        </USAddress>
        <EIN>383236977</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS IRONWOOD HOSPITAL &amp; CLINICS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>N 10561 GRAND VIEW LANE</AddressLine1Txt>
          <CityNm>IRONWOOD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49938</ZIPCd>
        </USAddress>
        <EIN>382908586</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS RIVERVIEW HOSPITAL &amp; CLINICS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>410 DEWEY STREET</AddressLine1Txt>
          <CityNm>WISCONSIN RAPIDS</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54494</ZIPCd>
        </USAddress>
        <EIN>390868982</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS KEWEENAW HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 OSCEOLA STREET</AddressLine1Txt>
          <CityNm>LAURIUM</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49913</ZIPCd>
        </USAddress>
        <EIN>381443361</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DIVINE SAVIOR HEALTHCARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2817 NEW PINERY ROAD</AddressLine1Txt>
          <CityNm>PORTGAGE</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53901</ZIPCd>
        </USAddress>
        <EIN>390806250</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS MEDFORD HOSPITAL &amp; CLINICS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>135 S GIBSON STREET</AddressLine1Txt>
          <CityNm>MEDFORD</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54451</ZIPCd>
        </USAddress>
        <EIN>390964813</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS MEDFORD FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>135 S GIBSON STREET</AddressLine1Txt>
          <CityNm>MEDFORD</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54451</ZIPCd>
        </USAddress>
        <EIN>391777081</EIN>
        <PrimaryActivitiesTxt>CHARITABLE FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>900 ILLINOIS AVENUE</AddressLine1Txt>
          <CityNm>STEVENS POINT</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54481</ZIPCd>
        </USAddress>
        <EIN>391657410</EIN>
        <PrimaryActivitiesTxt>CHARITABLE FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASPIRUS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPIRUS STANLEY HOSPITAL &amp; CLINICS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1120 PINE STREET</AddressLine1Txt>
          <CityNm>STANLEY</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54768</ZIPCd>
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          <BusinessNameLine1Txt>ASPIRUS RHINELANDER &amp; TOMAHAWK HOSPITAL &amp; CLINICS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1114577</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>