2023-05-12T11:07:44-05:00 2022-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2021-07-01 391138241 ASPIRUS WAUSAU HOSPITAL INC ASPI 7158472988 333 PINE RIDGE BLVD WAUSAU WI 54401 SIDNEY C SCZYGELSKI SENIOR VP OF FINANCE & CFO 7158472250 2023-05-12 1 SIDNEY SCZYGELSKI 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2023-05-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 724829633 0 X WWW.ASPIRUS.ORG X 1970 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 10 5 3472 107 401568 0 17854222 10375095 634272446 673044211 19533278 16059680 2831823 2990192 674491769 702469178 326998 281000 0 0 215828576 225105663 0 0 0 356451584 405748194 572607158 631134857 101884611 71334321 652843423 624604688 223427729 229925539 429415694 394679149 WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 485060863 281000 672643680 ASPIRUS WAUSAU HOSPITAL, INC. PROVIDES HOSPITAL SERVICES FOR RESIDENTS OF WAUSAU, STEVENS POINT AND THE SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. 485060863 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 108 0 3472 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X SIDNEY C SCZYGELSKI 7158472250 2200 WESTWOOD DRIVE WAUSAU WI 54401 MARY JO WENDLING MD BOARD MEMBER/PHYSICIAN (THRU OCT 2021) 1.00 40.00 X 0 252619 15838 CHAD H RADKE DO SECRETARY/TREASURER 1.00 3.00 X X 0 0 0 RANDY L BALK VICE CHAIR (THRU OCTOBER) 1.00 1.00 X X 0 0 0 KATHY KELSEY FOLEY CHAIR 1.00 2.00 X X 0 0 0 MICHAEL UMLAND BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 326592 53283 LAWRENCE G LEIBERT MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 448124 46117 KRISTA SCHARER MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 231782 51696 JAMES M CYGAN MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 1135181 50871 JEREMY A LEWITZKE VICE CHAIR 1.00 1.00 X X 0 0 0 TOU SHOUA LOR BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 288855 48142 MARCO ESPINOZA BOARD MEMBER 1.00 2.00 X 0 0 0 KYLE PAGE BOARD MEMBER 1.00 2.00 X 0 0 0 JENNIFER REDMAN-SCHELL SVP & PRESIDENT-AMG 1.00 50.00 X 0 572454 92664 JEFFREY WICKLANDER PRESIDENT-CENTRAL WISCONSIN REGION 35.00 15.00 X 591196 0 108445 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 1.00 50.00 X 0 915379 141626 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 1.00 50.00 X 0 2684221 266094 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 2.00 50.00 X 0 495034 104300 BRETT DAVIS PRESIDENT-ASPIRUS HEALTH PLAN 2.00 50.00 X 0 394127 62857 BENJAMIN BARSOTTI VP-CHIEF MEDICAL INFO OFFICER 2.00 50.00 X 0 462446 50766 JOHN HEISLER SVP & CHIEF HUMAN RESOURCES OFFICER 2.00 50.00 X 0 751984 56650 LISA ROWE-PEPLINSKI VP-CARE QUALITY & PAT. SAFETY 2.00 50.00 X 0 367202 18878 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 2.00 50.00 X 0 449756 89333 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 2.00 50.00 X 0 452729 89948 RENEE SMITH EXECUTIVE DIRECTOR-ANI 2.00 50.00 X 460002 0 93775 RYAN ANDREWS VP- PHYS. EXEC. TERTIARY CARE 50.00 2.00 X 585289 0 53523 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 2.00 50.00 X 0 516494 97286 JESSE TISCHER SVP & PRESIDENT-REGIONAL MARKETS 2.00 50.00 X 0 644385 101649 WENDY ANGELO VP-CMO - POPULATION HEALTH 2.00 50.00 X 363857 0 42762 TODD DIRKMAN VP-OPERATIONS 50.00 X 240067 0 47513 KIMBERLY ENTENMANN VP-HUMAN RESOURCES CENTRAL REG. 50.00 X 225321 0 43740 JILL MICHAUD DIRECTOR-SYSTEM PHARMACY 40.00 X 219858 0 46280 MARK GEURTS MANAGER-CHIEF MEDICAL PHYSICIST 40.00 X 293144 0 50650 MICHAEL MCGRAIL MD FORMER SVP & SYSTEM CMO 0.00 0.00 X 0 449085 0 2978734 11838449 1924686 148 1 1 0 TOTAL MSP LLCSTAFFENCY LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 CONTRACT LABOR 20527178 WISCONSIN EMERGENCY MEDICAL SERVICE ASSO 333 PINE RIDGE BLVD WAUSAU WI 54401 EMERGENCY ROOM PROVIDER COVERAGE 12534229 MIRON CONSTRUCTION CO INC PO BOX 1372 GREEN BAY WI 54305 CONSTRUCTION SERVICES 7650119 PROLINK HEALTHCARE LLC 4600 MONTGOMERY RD STE 300 CINCINNATI OH 45212 CONTRACT LABOR 5106242 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 MEDICAL EQUIPMENT MAINTENANCE 3184120 204 1211271 9089272 74552 10375095 PATIENT SERVICE REVENUE 621400 626625075 626625075 LAB REVENUE 621400 29842460 29441929 400531 CONTRACT SERVICE REVENUE 621400 8378661 8378661 RENTAL REVENUE 532000 7910045 7910045 PHARMACY REVENUE 446110 97109 97109 190861 190861 673044211 11546364 11546364 26866773 6998 22340206 20249 4526567 -13251 4513316 4513316 INVESTMENT IN WESTWOOD 523000 1647944 1647944 CAFETERIA AND VENDING 721000 1342248 1037 1341211 2990192 702469178 672643680 401568 19048835 X 281000 281000 1663876 1663876 178574534 154702362 23872172 6133395 5250445 882950 25848817 22114003 3734814 12885041 10939787 1945254 49584 49584 402887 402887 3000 3000 30327 30327 34137 34137 93154564 87992348 5162216 12870 4954 7916 5405565 5121473 284092 343516 86201 257315 22150363 11463237 10687126 1782543 1690839 91704 217184 764 216420 3891091 3699188 191903 24801405 22531037 2270368 932450 8820 923630 MEDICAL SUPPLIES 140688297 137590523 3097774 CORPORATE ALLOCATION 95214015 18101371 77112644 HOSPITAL TAX 10068384 508344 9560040 BAD DEBT EXPENSE 3821470 533213 3288257 2744542 2440954 303588 631134857 485060863 146073994 0 7350625 11411878 4268018 4427196 88412133 113694451 9899695 10923490 3920459 3579802 551705413 288389765 261792091 263315648 227454990 201821089 1055512 1083456 48689900 14347678 652843423 624604688 46832704 41932954 176459 118224 0 377213 113141264 160801099 63277302 26696049 223427729 229925539 X 429415694 394679149 429415694 394679149 652843423 624604688 X 71334321 -44471570 -61599296 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 30327 30327 0 PART II-B, LINE 1: A PORTION OF OUR ANNUAL WISCONSIN HOSPITAL ASSOCIATION (WHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA) DUES ARE USED FOR LOBBYING ACTIVITIES. THE AMOUNTS THAT ARE SPECIFIC TO LOBBYING PURPOSES ARE: WISCONSIN HOSPITAL ASSOCIATION $14,973 AND AMERICAN HOSPITAL ASSOCIATION $15,354. 17585834 17585834 353034271 170647650 182386621 3964998 562402 3402596 158234348 116724075 41510273 18885962 455638 18430324 263315648 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2350000 RETIREE HEALTHCARE BENEFITS 2250482 INTEREST RATE SWAP 1715700 DEFERRED COMPENSATION ACCRUAL 1077113 LONG-TERM INSURANCE LIABILITY 544242 ASBESTOS LIABILITY 5085115 CAPITAL AND OPERATING LEASES 768456 MEDICARE ACCELERATED PAYMENTS 12758624 RELATED PARTY PAYABLES 146317 26696049 X PART X, LINE 2: ASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2022. 1 1 X 1 X 1 X 1 1 1 0 1 1 3417762 3417762 0.00540 79330734 32806065 46524669 0.07420 24511089 18863517 5647572 0.00900 107259585 51669582 55590003 0.08860 10252062 6649003 3603059 0.00570 1723453 1723453 0.00270 16969478 7426026 9543452 0.01520 169998 51613 118385 0.00020 56180 56180 0.00010 29171171 14126642 15044529 0.02390 136430756 65796224 70634532 0.11250 2 25000 25000 0.00000 2 875 875 0.00000 1 5510 5510 0.00000 5 31385 31385 0.00000 1 1218682 0 102094644 124491585 -22396941 X 1 1 1 1 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 188, 324 X X X X ASPIRUS WAUSAU HOSPITAL INC 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES X 1 21 1 WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 5: YES. WE CONDUCTED A COMMUNITY SURVEY DEVELOPED AND IMPLEMENTED BY THE UW RIVER FALLS SURVEY RESEARCH CENTER. 1434 SURVEYS WERE MAILED TO RANDOM HOUSEHOLDS IN MARATHON COUNTY WITH 25% OF SURVEYS TARGETING UNDERREPRESENTED POPULATIONS. 100 SURVEYS WERE DISTRIBUTED TO SELECTED MARATHON COUNTY NON-PROFIT PARTNERS BY UNITED WAY OF MARATHON COUNTY. A COMMUNITY ADVISORY COMMITTEE TO LOOK AT THE DATA AND PROVIDE INPUT. ATTENDEES INCLUDE: GWEN TAYLOR, GIRLS SCOUTS OF THE NORTHWESTERN GREAT LAKESJONETTE ARMS, AGING & DISABILITY RESOURCE CENTER OF CENTRAL WIRYAN GALLAGHER, ROCKET INDUSTRIALBRAD SIPPEL, CITY OF WAUSAUCARRIE SANN, CRYSTAL FINISHING SYSTEMS INCKALLI YAKLYVICH, WIPFLIKAYLEY MCCOLLEY, STUDENT, NORTHCENTRAL TECHNICAL COLLEGE ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 6A: MARSHFIELD CLINIC HEALTH SYSTEM ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 6B: HOUSING & HOMELESSNESS COALITIONWAUSAU POLICE DEPARTMENTASPIRUS HEALTH PLANASPIRUS HEALTHGREATER WAUSAU CHAMBER OF COMMERCEHOMME HEIGHTS, INC.MARATHON COUNTY CONSERVATION, PLANNING AND ZONING DEPARTMENTMARATHON COUNTY HUNGER COALITIONMARATHON COUNTY PUBLIC LIBRARYMARATHON COUNTY SPECIAL EDUCATIONDC EVEREST SCHOOL DISTRICTWAUSAU SCHOOL DISTRICTNORTH CENTRAL TECHNICAL COLLEGEMARATHON COUNTY SHERIFF'S OFFICEUNITED WAY OF MARATHON COUNTYMARSHFIELD CLINIC HEALTH SYSTEM MARATHON COUNTY HEALTH DEPARTMENTNORTHCENTRAL HEALTH CARE CENTERBRIDGE COMMUNITY HEALTH CLINICEO JOHNSON BUSINESS TECHNOLOGIES ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 11: HEALTH NEEDS THAT ASPIRUS WAUSAU HOSPITAL PLANS TO ADDRESS:BEHAVIORAL HEALTH:VISION: PROMOTE WELL-BEING BY PREVENTING OR INTERVENING IN MENTAL ILLNESS SUCH AS DEPRESSION OR ANXIETY, ALONG WITH PREVENTING OR INTERVENING IN SUBSTANCE ABUSE OR OTHER ADDICTIONS.GOAL STATEMENTS: -INCREASE THE PUBLIC'S AWARENESS OF THE IMPORTANCE OF GOOD MENTAL WELL-BEING AND COMMUNITY SERVICES AVAILABLE TO SUPPORT THEIR MENTAL WELL-BEING. -IMPROVE ALCOHOL & OTHER DRUG ABUSE AND MENTAL HEALTH TREATMENT SERVICES -FURTHER INTEGRATE BEHAVIORAL HEALTH WITHIN THE DELIVERY OF HEALTH CAREASPIRUS WAUSAU HOSPITAL CONTRIBUTED TO THE FOLLOWING INITIATIVES RELATED TO BEHAVIORAL HEALTH: - SUPPORTED THE YOUTH DIVERSION PILOT PROGRAM, INCREASING MENTAL HEALTH RESOURCES IN THE AREA HIGH SCHOOLS. - SUPPORTED MENTAL HEALTH FIRST AID TRAINING IN THE SCHOOLS FOR STAFF. - SUPPORTED A VIDEO SERIES FOCUSING ON YOUTH MENTAL HEALTH TO CREATE AWARENESS. - SUPPORTED THE PEACE OF MIND WEBSITE TO HELP COMMUNITY MEMBERS FIND AND NAVIGATE MENTAL HEALTH RESOURCES. - SUPPORTED AND HELPED TO EXPAND RAISE YOUR VOICE CLUBS IN AREA HIGH SCHOOLS, EMPOWERING YOUTH TO IDENTIFY AND HAVE CONVERSATIONS WITH THEIR PEERS AROUND MENTAL HEALTH. - SUPPORTED AND PRESENTED AT THE DCE MENTAL HEALTH DAY, IMPACTING STUDENTS IN 10-12TH GRADES. ALCOHOL & OTHER DRUG MISUSE AND ABUSE:VISION: CREATING A CULTURE IN COMMUNITIES WHERE ALCOHOL IS USED RESPONSIBLY AND OTHER DRUGS (TOBACCO, PRESCRIPTION, AND ILLICIT) ARE NOT MISUSED.GOAL STATEMENTS: -CHANGE SOCIAL NORMS, ATTITUDES, AND BEHAVIORS AROUND SUBSTANCE USE -STRENGTHEN COMMUNITY COLLABORATION AROUND SUBSTANCE ABUSE PREVENTION -INCREASE FUNDING FOR AODA PREVENTION, TREATMENT, AND ENFORCEMENTHEALTHY START FOR CHILDREN:VISION: PREVENTING OR REDUCING THE IMPACT OF POTENTIALLY TRAUMATIC EVENTS THAT CAN HAVE NEGATIVE, LASTING EFFECTS ON HEALTH AND WELL-BEING. THESE EXPERIENCES RANGE FROM PHYSICAL, EMOTIONAL, OR SEXUAL ABUSE TO PARENTAL DIVORCE OR THE INCARCERATION OF A PARENT OR GUARDIAN.ASPIRUS WAUSAU HOSPITAL CONTRIBUTED TO THE FOLLOWING INITIATIVES RELATED TO AODA: - SUPPORTED ONGOING EDUCATION IN PARTNERSHIP WITH THE MARATHON COUNTY ALCOHOL AND OTHER DRUG PARTNERSHIP. - CO-FOUNDED AND PROVIDES CONTINUAL SUPPORT TO RISE UP, WITH THE MISSION TO HEAL, STRENGTHEN AND UNIFY THE COMMUNITY THROUGH ART WORKING WITH THOSE EXPERIENCING ADDICTION AND OTHER MENTAL HEALTH ISSUES. TO ADD TO THESE HEALTH PRIORITIES, ASPIRUS WAUSAU HOSPITAL PIVOTED TO FOCUS ON THE IMMEDIATE NEEDS OF THE COMMUNITY THAT WERE HIGHLIGHTED DURING THE PANDEMIC THAT FOCUSED ON THE SOCIAL DETERMINANTS OF HEALTH (SDOH). ASPIRUS WAUSAU HOSPITAL CONTRIBUTED TO THE FOLLOWING INITIATIVES RELATED TO SDOH: - IMPLEMENTATION OF THE FIND HELP COMMUNITY RESOURCE PLATFORM TO HELP STAFF, PATIENTS AND COMMUNITY MEMBERS FIND AND CONNECT TO LOW OR NO COST RESOURCES. - CONTINUAL SUPPORT OF THE MARATHON COUNTY START RIGHT PROGRAM, GIVING OUR YOUNGEST COMMUNITY MEMBERS AND THEIR FAMILIES A GOOD START THROUGH USING A PARENT AS FIRST TEACHERS MODEL. - SUPPORT FOR THE ASSOCIATION OF HISPANIC AMERICANS, PARTNERING TO UNDERSTAND AND ADDRESS THE NEEDS WITHIN THE HISPANIC POPULATION INCLUDING FOOD, TRANSPORTATION AND PREVENTIVE CARE. - CONTINUAL SUPPORT OF AN ONSITE FARMERS MARKET, THE FRUIT AND VEGGIE PRESCRIPTION PROGRAM, AND IMPLEMENTATION OF A VERTICAL GARDEN TO INCREASE ACCESS TO FRESH, LOCAL PRODUCE FOR THOSE EXPERIENCING FOOD INSECURITY, LACK OF ACCESS, AND CHRONIC HEALTH CONDITIONS. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. 2 1 - PINE RIDGE SURGERY CENTER 2500 PINE RIDGE BLVD WAUSAU WI 54401 GENERAL MEDICAL & SURGICAL 2 - NORTHWOODS SURGERY CENTER LLC 611 VETERANS PARKWAY WOODRUFF WI 54568 GENERAL MEDICAL & SURGICAL PART I, LINE 3C: THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF:- 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. SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS AND IRREVOCABLE BURIAL TRUST FUNDS.- TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE. PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSE, LESS MEDICAID PROVIDER TAXES DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE ORGANIZATION. THE ORGANIZATION ALSO PROVIDES DISCOUNTS TO ELIGIBLE UNINSURED OR UNDERINSURED PATIENTS UNDER ITS CHARITABLE CARE POLICY. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED OR UNDERINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE ORGANIZATION. PART I, LINE 7G: THE COSTS OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE TRAUMA UNIT, PALLIATIVE (COMFORT CARE) UNIT, OUTPATIENT DIALYSIS, AND HOSPICE HOUSE. ASPIRUS WAUSAU HOSPITAL UTILIZED AN INTERNAL DEPARTMENTAL FINANCIAL STATEMENT TO REPORT THE COST AND DIRECT OFFSETTING REVENUE THAT CALCULATES THE COMMUNITY BENEFIT EXPENSE. THE TRAUMA UNIT REPORTED COSTS OF 2,349,037 WITH OFFSETTING REVENUE OF 1,683,509. THE PALLIATIVE CARE UNIT REPORTED COSTS OF 4,903,136 WITH OFFSETTING REVENUE OF 1,923,772. THE OUTPATIENT DIALYSIS UNIT REPORTED COSTS OF 4,872,040 WITH OFFSETTING REVENUE OF 3,818,745. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24E, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $3,821,469 . PART II, COMMUNITY BUILDING ACTIVITIES: AS ANY GOOD CORPORATE CITIZEN, ASPIRUS WAUSAU HOSPITAL IS INVOLVED IN A WIDE RANGE OF COMMUNITY BUILDING ACTIVITIES. SOME OF THESE ARE UNDERTAKEN SIMPLY BECAUSE THERE IS A COMMUNITY NEED AND ASPIRUS IS IN A POSITION TO HELP, OTHERS ARE UNDERTAKEN FOR MUCH MORE SPECIFIC REASONS. THE GOAL OF ASPIRUS WAUSAU HOSPITAL'S COMMUNITY BENEFITS ACTIVITIES IS TO ADDRESS KEY COMMUNITY HEALTH ISSUES AS IDENTIFIED BY THE COMMUNITY NEEDS ASSESSMENT: THE MARATHON COUNTY LIFE REPORT SPEARHEADED BY THE UNITED WAY OF MARATHON COUNTY. THE FOLLOWING IS A LIST OF "COMMUNITY BUILDING" ACTIVITIES REPORTED IN PART II AND BRIEF DESCRIPTIONS OF THEM. ECONOMIC DEVELOPMENT (F2) CENTRAL WAUSAU PROGRESS: THIS IS ANOTHER COMMUNITY DEVELOPMENT PROGRAM THAT COMBINES THE VISION, RESOURCES, AND EFFORTS OF MANY PARTNERS THROUGHOUT THE WAUSAU AREA. MCDEVCO: MARATHON COUNTY ECONOMIC DEVELOPMENT CORPORATION, IN PRIVATE AND PUBLIC PARTNERSHIP WITH MARATHON COUNTY GOVERNMENT AND THE WAUSAU REGION CHAMBER OF COMMERCE, PROVIDES LEADERSHIP FOR REVIEWING AND RECOMMENDING ALL INITIATIVES RELATED TO EDUCATION AND ECONOMIC DEVELOPMENT. MCDEVCO IS COMMITTED TO BUSINESS GROWTH, AS WELL AS PROVIDING A HIGH QUALITY OF LIFE AND BUILDING STRONG COMMUNITIES IN THE MARATHON COUNTY REGION. WAUSAU REGION CHAMBER: THE LOCAL MEMBER OF THE US CHAMBER OF COMMERCE, THE WAUSAU REGION CHAMBER DEDICATES ITSELF TO IMPROVING THE LOCAL BUSINESS COMMUNITY AND ECONOMY THROUGH ADVOCACY, GROWTH/DEVELOPMENT, MARKETING, AND PROFESSIONAL DEVELOPMENT. ASPIRUS WAUSAU HOSPITAL IS A LONGTIME CHAMBER MEMBER AND PROVIDES A LEADERSHIP ROLE IN MULTIPLE WAYS. COMMUNITY SUPPORT (F3) BOY SCOUTS OF AMERICA: BSA HAS A THRIVING COUNCIL, THE SAMOSET, LOCATED IN WAUSAU. THIS ORGANIZATION ENCOURAGES THE PHYSICAL, CIVIC, SOCIAL, AND EDUCATIONAL DEVELOPMENT OF BOYS AND ASPIRUS WAUSAU HOSPITAL SUPPORTS ITS EFFORTS. BSA ACTIVITIES HELP ADDRESS THE FOLLOWING MARATHON COUNTY LIFE REPORT KEY CALLS TO ACTION: ALCOHOL AND DRUG MISUSE, AND OVERWEIGHT AND OBESITY. ROTARY: ROTARY IS A WORLDWIDE ORGANIZATION OF BUSINESS AND PROFESSIONAL LEADERS THAT PROVIDES HUMANITARIAN SERVICE, ENCOURAGES HIGH ETHICAL STANDARDS IN ALL VOCATIONS, AND HELPS BUILD GOODWILL AND PEACE IN THE WORLD. THE OBJECT OF ROTARY IS TO ENCOURAGE AND FOSTER THE IDEAL OF SERVICE AS A BASIS OF WORTHY ENTERPRISE. THE LOCAL CLUB HAS ABOUT 85 MEMBERS AND TRULY BENEFITS THE COMMUNITY. UNITED WAY: ASPIRUS WAUSAU HOSPITAL HAS DEEP AND LONGSTANDING INVOLVEMENT WITH THE LOCAL UNITED WAY. AS A PACESETTER ORGANIZATION, ASPIRUS DEMONSTRATES LEADERSHIP IN ITS INTERNAL SUPPORT CAMPAIGN TO BENEFIT THE UNITED WAY, WHICH HAS RESTRUCTURED TO FOLLOW A ROAD MAP TO COMMUNITY SUCCESS THAT DIRECTS ITS SUPPORT TO ORGANIZATIONS THAT IMPROVE EDUCATION, HEALTH, AND INCOME IN THE COMMUNITY. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. THE COSTING METHODOLOGY USED WAS THE PATIENT CARE COST TO CHARGE RATIO WHICH WAS DERIVED FROM THE CALCULATION ON IRS WORKSHEET 2. PART III, LINE 3: THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. PART III, LINE 4: THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES.BAD DEBT POLICY AND PROCEDURE:POLICY: I. ASPIRUS' FINANCIAL POLICY REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. II. FAILURE TO MEET THESE REQUIREMENTS IN ASPIRUS POLICY WILL RESULT IN THE ACCOUNT BEING CONSIDERED FOR BAD DEBT ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THE ACCOUNT WILL BE REMOVED FROM ACCOUNTS RECEIVABLE AND TURNED OVER TO AN OUTSIDE AGENCY OR LAW FIRM FOR COLLECTION. PRIOR TO THIS HAPPENING, THE FOLLOWING CRITERIA MUST BE MET: A. PATIENT FINANCIAL SERVICES STAFF WILL MAKE REASONABLE COLLECTION EFFORTS BY WAY OF: 1. MONTHLY STATEMENTS 2. COLLECTION LETTERS 3. COLLECTION PHONE CALLS 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 FIRST BILLING TO THE PATIENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. II. BAD DEBT RECOVERIES A. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. B. 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. C. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE REVIEWED BY THE FINANCIAL COUNSELOR TEAM LEAD AND APPROVED BY THE MANAGER/DIRECTOR, THEN SUBMITTED TO FISCAL SERVICES FOR CHECK PROCESSING AND PAYMENT TO AGENCIES FOR COMMISSIONS DUE. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT ASPIRUS WAUSAU HOSPITAL INC. 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, 2022 AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS. PART III, LINE 9B: UPON A PATIENT'S APPROVAL FOR FINANCIAL ASSISTANCE, THIS IS LOADED AS AN INSURANCE COVERAGE TO THE PATIENT'S ACCOUNT WITH AN EFFECTIVE AND TERMINATION DATE TO ASSURE CAPTURING ALL CHARGES FOR THE PATIENT FOR ADJUSTMENT IN A WORK QUEUE PRIOR TO ANY REMAINING BALANCE BEING MOVED TO PATIENT LIABILITY AND THEREFORE PREVENTING UNDISCOUNTED SERVICES FROM BEING BILLED TO A PATIENT. PART VI, LINE 2: IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, ASPIRUS WAUSAU HOSPITAL, INC. USES BOTH HOSPITAL DATA AND RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES, TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED. ASPIRUS WAUSAU HOSPITAL, INC. UTILIZES THIS INFORMATION TO DETERMINE AND DEVELOP PROGRAMS AND SERVICES TO BE PROVIDED FOR THE COMMUNITY. THESE NEEDS AND INITIATIVES ARE PRESENTED TO SENIOR LEADERSHIP AND BOARD MEMBERS TO ENSURE THE FINDINGS ARE CONSIDERED IN DEVELOPING THE ORGANIZATION'S STRATEGY, POLICY DEVELOPMENT, AND INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. PART VI, LINE 3: ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS FROM CENTRAL BILLING OFFICE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. IF ASPIRUS FINANCIAL COUNSELORS NOTICE THE PATIENT HAS NOT BEEN OFFERED AN APPLICATION WITHIN THE PAST YEAR, THEY WILL ALSO ASK IF THE PATIENT WOULD LIKE ONE MAILED OR IF THE PATIENT SHOWS FINANCIAL DISTRESS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO REVIEW ALL SELF-PAY PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS. PART VI, LINE 4: ASPIRUS WAUSAU HOSPITAL IS THE FLAGSHIP OF THE ASPIRUS SYSTEM THAT SERVES PATIENTS IN 14 COUNTIES ACROSS NORTHERN AND CENTRAL WISCONSIN, AS WELL AS THE UPPER PENINSULA OF MICHIGAN. FOR PURPOSES OF THE CHNA, THE HOSPITAL'S SERVICE AREA INCLUDES MARATHON COUNTY AS WELL AS PORTIONS OF SURROUNDING COUNTIES. A RANGE OF HEALTH ISSUES WERE EXAMINED FOR THE IDENTIFIED AREA AS WELL AS SOCIAL DETERMINANTS KNOWN TO IMPACT THE HEALTH OF A POPULATION SUCH AS SOCIOECONOMIC, ENVIRONMENTAL, AND CULTURAL CONDITIONS. ACCORDING TO THE U.S. CENSUS BUREAU, MARATHON COUNTY HAD A POPULATION OF 137,201. ASIDE FROM WAUSAU, THE COUNTY SEAT CLASSIFIED BY THE U.S. CENSUS BUREAU AS A "METROPOLITAN STATISTICAL AREA," MARATHON COUNTY IS LARGELY RURAL. WITH A TOTAL AREA OF 1,576 SQUARE MILES, IT IS THE LARGEST COUNTY IN WISCONSIN BY LAND AREA. HERE ARE SOME DETAILS ABOUT ITS POPULATION: ABOUT MARATHON COUNTY:PERSONS PER SQUARE MILE 89.3PERSONS UNDER 5 YEARS OLD 5.6%PERSONS UNDER 18 YEARS OLD 22.7%PERSONS 65 YEARS AND OVER 18.6%WHITE PERSONS 89.6%ASIAN PERSONS 6.15%HISPANIC OR LATINO 3.3%PERSONS PER HOUSEHOLD 2.42PERSONS BELOW POVERTY LEVEL 6.7%MEDIAN HOUSEHOLD INCOME $71,307 PART VI, LINE 5: THE ORGANIZATION STRIVES TO FURTHER ITS EXEMPT PURPOSES BY THE FOLLOWING:- THE ORGANIZATION'S GOVERNING BOARD CONSISTS PRIMARILY OF PERSONS WHO RESIDE WITHIN THE PRIMARY SERVICE AREA WHO ARE NOT EMPLOYEES OF THE ORGANIZATION.- AS MENTIONED, THE ORGANIZATION PROVIDES SEVERAL SERVICES WHICH ARE NOT OTHERWISE AVAILABLE BEING IN A RURAL SETTING.- BASED ON THE ORGANIZATION'S MISSION, EMERGENCY ROOMS ARE MADE AVAILABLE TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY.- THE ORGANIZATION ALSO PARTICIPATES IN THE EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONAL THROUGH INTERNSHIP PROGRAMS.THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS (MEDICARE, MEDICAID, CHAMPUS, TRICARE). THE HOSPITAL OFFERS VOLUNTEER OPPORTUNITIES TO THE COMMUNITY. VARIOUS FINANCIAL PROGRAMS ARE AVAILABLE TO PATIENTS OF ASPIRUS WAUSAU HOSPITAL. THEY INCLUDE DISCOUNTED AND/OR FREE CARE DEPENDING ON INDIVIDUAL CIRCUMSTANCES. THE FACILITY ALSO OFFERS PAYMENT PLANS FOR THOSE SELF-PAY PATIENTS. ASPIRUS WAUSAU HOSPITAL PROVIDES PRIMARY, SECONDARY, AND TERTIARY CARE SERVICES AS A REGIONAL REFERRAL CENTER. SPECIALTY REFERRAL SERVICE EMPHASIS EXISTS IN CARDIOLOGY AND CARDIOTHORACIC SURGERY, ORTHOPEDICS, AND CANCER. BEST KNOWN FOR ITS WORLD-CLASS CARDIOVASCULAR PROGRAM, ASPIRUS WAUSAU HOSPITAL ALSO PROVIDES LEADING EDGE CANCER, TRAUMA, WOMEN'S HEALTH, AND SPINE AND NEUROLOGICAL CARE. THE HOSPITAL IS CONTINUALLY RECOGNIZED NATIONALLY FOR THE LEVEL OF CARE IT PROVIDES. THEY ALSO PROVIDE EMERGENCY AND WALK-IN SERVICES. PART VI, LINE 6: ASPIRUS WAUSAU HOSPITAL IS PART OF THE ASPIRUS HEALTH SYSTEM. ASPIRUS, INC. IS A MULTI-SPECIALTY HEALTH SYSTEM WITH A BASE LOCATION IN WAUSAU, WISCONSIN. ASPIRUS WAUSAU HOSPITAL WORKS WITH ASPIRUS TO PROMOTE HEALTH AND WELLNESS INITIATIVES IN THE COMMUNITIES THEY SERVE. AS NOTED PREVIOUSLY IN THE FORM 990, A NUMBER OF REPRESENTATIVES FROM ASPIRUS HAVE ROLES ON THE BOARD OF DIRECTORS OF ASPIRUS WAUSAU HOSPITAL AND TOGETHER PROMOTE THE MISSION OF ASPIRUS. ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES TO IMPROVING THE HEALTH OF ALL IT SERVES. ASPIRUS WORKS COLLABORATIVELY WITH OTHERS WHO SHARE ITS PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. ASPIRUS AND ASPIRUS WAUSAU HOSPITAL WORK COLLABORATIVELY TO STREAMLINE PROCESSES TO CONTINUE PROVIDE HIGH QUALITY CARE TO MEMBERS OF COMMUNITIES WHICH OTHERWISE WITHOUT THE EFFORTS OF A COMBINED PARTNERSHIP MAY NOT HAVE ACCESS TO THIS CARE LOCALLY. 1 UNITED WAY OF MARATHON COUNTY 705 S 24TH AVENUE STE 400B WAUSAU WI 54401 390935496 GOVERNMENT 30000 0 SPONSORSHIP PERFORMING ARTS FOUNDATION 401 N 4TH ST WAUSAU WI 54403 237240695 501(C) (3) 15000 0 SPONSORSHIP NORTHCENTRAL TECHNICAL COLLEGE 1000 W CAMPUS DR WAUSAU WI 54401 391077093 501(C) (3) 15000 0 DONATIONS/SCHOLARSHIPS HODAG FACILITIES FOUNDATION 84 W DAVENPORT STREET SUITE 222 RHINELANDER WI 54501 050572723 501(C) (3) 60000 0 SPONSORSHIP WAUSAU AREA MOBILE MEALS 609 SCOTT STREET STE G WAUSAU WI 54403 391238060 501(C) (3) 11000 0 SPONSORSHIP COMMUNITY PARTNERS CAMPUS INC 500 FIRST STREET SUITE 5 10TH FLOOR WAUSAU WI 54403 844514613 501(C) (3) 150000 0 SPONSORSHIP 6 0 PART I, LINE 2: THE EXECUTIVE DIRECTOR OF ASPIRUS HEALTH FOUNDATION ADMINISTERS THE FUNDS IN THE ASPIRUS COMMUNITY PARTNER FUND (CPF). THE FUNDS FROM CPF ARE GIVEN TO COMMUNITY PROGRAMS TO INCREASE THE QUALITY OF LIFE IN THE REGION OR ARE RELATED TO HEALTH INITIATIVES. THEY ARE NOT USED, IN GENERAL, FOR SPONSORSHIPS OR MARKETING-ALBEIT, WE WORK CLOSELY WITH MARKETING WHEN DISPERSING FUNDS FROM THE ACCOUNT. AN ANNUAL BUDGET IS SET FOR THE CPF AND THROUGHOUT THE YEAR WE MAINTAIN RECORDS TO TRACK WHO GETS THE FUNDS, AMOUNTS DISPERSED, AND WHY. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 0 1051076 0 1629342 0 3803 0 17346 0 248748 0 2950315 0 0 JAMES M CYGAN MD BOARD MEMBER/PHYSICIAN 0 1127323 0 600 0 7258 0 17346 0 33525 0 1186052 0 0 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 0 610115 0 177495 0 127769 0 20196 0 121430 0 1057005 0 112143 JOHN HEISLER SVP & CHIEF HUMAN RESOURCES OFFICER 0 289961 0 426149 0 35874 0 13626 0 43024 0 808634 0 25179 JESSE TISCHER SVP & PRESIDENT-REGIONAL MARKETS 0 501025 0 142821 0 539 0 11714 0 89935 0 746034 0 0 JEFFREY WICKLANDER PRESIDENT-CENTRAL WISCONSIN REGION 472320 0 93354 0 25522 0 8700 0 99745 0 699641 0 0 0 JENNIFER REDMAN-SCHELL SVP & PRESIDENT-AMG 0 405520 0 113119 0 53815 0 17346 0 75318 0 665118 0 51368 RYAN ANDREWS VP- PHYS. EXEC. TERTIARY CARE 435594 0 103289 0 46406 0 17346 0 36177 0 638812 0 36753 0 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 0 357568 0 105424 0 53502 0 17346 0 79940 0 613780 0 50634 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 0 382299 0 111001 0 1734 0 17346 0 86954 0 599334 0 0 RENEE SMITH EXECUTIVE DIRECTOR-ANI 315463 0 89914 0 54625 0 17346 0 76429 0 553777 0 53547 0 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 0 322706 0 94649 0 35374 0 16347 0 73601 0 542677 0 26065 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 0 399152 0 25600 0 25004 0 8700 0 80633 0 539089 0 0 BENJAMIN BARSOTTI VP-CHIEF MEDICAL INFO OFFICER 0 367202 0 65298 0 29946 0 17346 0 33420 0 513212 0 23406 LAWRENCE G LEIBERT MD BOARD MEMBER/PHYSICIAN 0 439059 0 600 0 8465 0 18905 0 27212 0 494241 0 0 BRETT DAVIS PRESIDENT-ASPIRUS HEALTH PLAN 0 260587 0 127333 0 6207 0 16557 0 46300 0 456984 0 0 MICHAEL MCGRAIL MD FORMER SVP & SYSTEM CMO 0 0 0 0 0 449085 0 0 0 0 0 449085 0 449085 WENDY ANGELO VP-CMO - POPULATION HEALTH 316829 0 44644 0 2384 0 7418 0 35344 0 406619 0 0 0 LISA ROWE-PEPLINSKI VP-CARE QUALITY & PAT. SAFETY 0 287310 0 55655 0 24237 0 17283 0 1595 0 386080 0 22695 MICHAEL UMLAND BOARD MEMBER/PHYSICIAN 0 318641 0 600 0 7351 0 16755 0 36528 0 379875 0 0 MARK GEURTS MANAGER-CHIEF MEDICAL PHYSICIST 235401 0 52586 0 5157 0 16931 0 33719 0 343794 0 0 0 TOU SHOUA LOR BOARD MEMBER/PHYSICIAN 0 282783 0 600 0 5472 0 14457 0 33685 0 336997 0 0 TODD DIRKMAN VP-OPERATIONS 198446 0 40948 0 673 0 12216 0 35297 0 287580 0 0 0 KRISTA SCHARER MD BOARD MEMBER/PHYSICIAN 0 225710 0 600 0 5472 0 13437 0 38259 0 283478 0 0 KIMBERLY ENTENMANN VP-HUMAN RESOURCES CENTRAL REG. 183301 0 38024 0 3996 0 8783 0 34957 0 269061 0 0 0 MARY JO WENDLING MD BOARD MEMBER/PHYSICIAN (THRU OCT 202 0 245812 0 600 0 6207 0 13635 0 2203 0 268457 0 0 JILL MICHAUD DIRECTOR-SYSTEM PHARMACY 196504 0 20625 0 2729 0 13150 0 33130 0 266138 0 0 0 PART I, LINE 1A JEFFREY WICKLANDER ($200) HAD A TAXABLE HOUSING ALLOWANCE. PART I, LINE 4B SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $112,143 J. REDMAN-SCHELL $51,368 B. BARSOTTI $23,406 J. MATHESON $26,065 J. HEISLER $25,179 L. ROWE-PEPLINSKI $22,695 M. MCGRAIL $449,085 R. SMITH $53,547 R. ANDREWS $36,753 T. RICHARDSON $50,634 457(F) RETIREMENT PLAN PROFILE: KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 13% FOR SENIOR VICE PRESIDENT OR PRESIDENT, 15% FOR SVP & CHIEF FINANCIAL OFFICER, AND 20% FOR THE PRESIDENT & CHIEF EXECUTIVE OFFICER. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; 24 MONTHS FROM THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH. A WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97710BLW0 2009-10-07 27200000 REFUND BONDS ISSUED 3/18/2009 0 0 0 B WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97710B7X4 2013-04-12 47001087 REVENUE BONDS SERIES 2013 0 0 0 C WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97712DC53 2017-11-02 39002258 REVENUE BONDS SERIES 2017 0 0 0 D WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITIES 391337855 97712JDN0 2021-11-10 51921259 REVENUE BONDS SERIES 2021 0 0 0 A 27200000 102000 1327347 26372644 2006 1 0 1 1 B 650000 47001087 24037511 2014 1 0 1 1 C 800000 39158357 39158357 2019 0 0 1 1 D 51921259 369882 0 0 1 1 A 0 0 1 0 0 0 0 1 B 0 0 1 0 1 0 0.00550 0.00550 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 1 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 04/05/2018 SCHEDULE K, PART III, LINE 9: SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. PART III, LINES 2, 3A AND 3B: ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS WAUSAU HOSPITAL, INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW LEASE AGREEMENTS, MANAGEMENT, AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY. PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2013 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (EIN 39-0964813); ASPIRUS IRONWOOD HOSPITALS & CLINICS (EIN 38-2908586); AND LANGLADE HOSPITAL HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429). INFORMATION REGARDING THE SERIES 2013 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2013 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS.] PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); ASPIRUS WAUSAU HOSPITAL (EIN 39-1138241); AND ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC (EIN 38-2908586); ASPIRUS ONTONAGON HOSPITAL, INC. (EIN 26-0806477). INFORMATION REGARDING THE SERIES 2017 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2017 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2017 BONDS. PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2021 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL & CLINICS, INC. (EIN 39-1138241); ASPIRUS BUILDINGS, INC. (EIN 39-1406537); ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. (EIN 39-0808443); ASPIRUS STANLEY HOSPITAL & CLINICS, INC. (EIN 39-0807065); ASPIRUS MERRILL HOSPITAL & CLINICS, INC. (EIN 39-0808503); ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS, INC. (EIN 39-1390638); ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC. (EIN 39-0985690); AND THE HOWARD YOUNG MEDICAL CENTER, INC. (EIN 39-0873606). INFORMATION REGARDING THE SERIES 2021 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2021 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2021 BONDS.] FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS COMPRISED OF TEN DIRECTORS. THERE SHALL BE TWO CLASSES OF VOTING DIRECTORS: THE COMMUNITY CLASS AND THE PROVIDER CLASS. NO LESS THAN FOUR INDEPENDENT COMMUNITY CLASS DIRECTORS, SIX PROVIDER CLASS DIRECTOR FROM EACH HOSPITAL, CONSISTING OF PHYSICIANS IN THE ACTIVE CATEGORY OF THE MEDICAL STAFF AT THE HOSPITAL, NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBIT CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE NOTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 3,734,201. MANAGEMENT AND GENERAL EXPENSES 344,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,078,639. LAB FEES: PROGRAM SERVICE EXPENSES 7,797,666. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,797,666. CONTRACTED NURSING AND CARE LABOR: PROGRAM SERVICE EXPENSES 70,565,248. MANAGEMENT AND GENERAL EXPENSES 84,155. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,649,403. MEDICAL TRANSPORT SERVICES: PROGRAM SERVICE EXPENSES 3,916,942. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,916,942. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,978,291. MANAGEMENT AND GENERAL EXPENSES 4,733,623. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,711,914. FORM 990, PART XI, LINE 9: INTERAFFILIATE TRANSFERS - AI -47,488,689. INTERAFFILIATE TRANSFERS - ABI 328,252. INTERAFFILIATE TRANSFERS - ACI -10,490,270. INTERAFFILIATE TRANSFERS - AOH -14,719. INTERAFFILIATE TRANSFERS - VNA -212,897. INTERAFFILIATE TRANSFERS - AIW -341,080. INTERAFFILIATE TRANSFERS - AIR -164,669. INTERAFFILIATE TRANSFERS - ARH -1,140,031. INTERAFFILIATE TRANSFERS - ADS -644,306. INTERAFFILIATE TRANSFERS - AKH -312,419. INTERAFFILIATE TRANSFERS - ASP 5,907,602. INTERAFFILIATE TRANSFERS - ASH -107,663. INTERAFFILIATE TRANSFERS - AMR -336,421. INTERAFFILIATE TRANSFERS - ARN -3,559,421. INTERAFFILIATE TRANSFERS - ATH -31,300. INTERAFFILIATE TRANSFERS - AER -163,588. INTERAFFILIATE TRANSFERS - HYMC -330,997. INTERAFFILIATE TRANSFERS - AMNW 440,788. INTERAFFILIATE TRANSFERS - PNW BB -105,386. POSTRETIREMENT BENEFIT ADJUSTMENT 709,906. CHANGE IN NCI -2,266,107. INTEREST RATE SWAP VALUATION ADJUSTMENT 1,702,045. INTEREST RATE SWAP -401,843. SUBSIDIARY (WCC) VALUATION ADJUSTMENT -2,568,691. OTHER CHANGES IN NET ASSETS - PY ADJUSTMENT -7,392. ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTHCARE WI 501 (C) 3 LINE 12B, II N/A 0 ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391406537 PROPERTY LEASING WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS EXTENDED SERVICES INC 333 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS MEDICAL GROUP INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391670223 MEDICAL SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS ONTONAGON HOSPITAL INC 601 SEVENTH STREET ONTONAGON MI 49953 260806477 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS VNA HOME HEALTH INC 520 N 32ND AVENUE WAUSAU WI 54401 390808511 HOME HEALTH CARE SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS VNA EXTENDED CARE INC 520 N 32ND AVENUE WAUSAU WI 54401 391597350 PERSONAL CARE SERVICES WI 501 (C) 3 LINE 10 ASPIRUS VNA HOME HEALTH INC 1 ASPIRUS HEALTH FOUNDATION INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391256656 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 7 ASPIRUS INC 1 ASPIRUS IRON RIVER HOSPITAL & CLINICS INC 1400 W ICE LAKE ROAD IRON RIVER MI 49935 383236977 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS IRONWOOD HOSPITAL & CLINICS INC N 10561 GRAND VIEW LANE IRONWOOD MI 49938 382908586 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 390868982 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS KEWEENAW HOSPITAL 205 OSCEOLA STREET LAURIUM MI 49913 381443361 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 DIVINE SAVIOR HEALTHCARE INC 2817 NEW PINERY ROAD PORTGAGE WI 53901 390806250 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MEDFORD HOSPITAL & CLINICS INC 135 S GIBSON STREET MEDFORD WI 54451 390964813 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MEDFORD FOUNDATION INC 135 S GIBSON STREET MEDFORD WI 54451 391777081 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 7 ASPIRUS INC 1 ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 390808443 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 391657410 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 12A, I ASPIRUS INC 1 ASPIRUS STANLEY HOSPITAL & CLINICS INC 1120 PINE STREET STANLEY WI 54768 390807065 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MERRILL HOSPITAL & CLINICS INC 601 S CENTER AVENUE MERRILL WI 54452 390808503 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MERRILL HOSPITAL FOUNDATION INC 601 S CENTER AVENUE MERRILL WI 54452 391627755 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 12A, I ASPIRUS INC 1 ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC 2251 NORTH SHORE DRIVE RHINELANDER WI 54501 391390638 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC 201 HOSPITAL ROAD EAGLE RIVER WI 54521 390985690 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 THE HOWARD YOUNG MEDICAL CENTER INC 240 MAPLE STREET WOODRUFF WI 54568 390873606 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF WI 54568 391499115 HEALTHCARE WI 501 (C) 3 LINE 12B, II ASPIRUS INC 1 ASPIRUS MEDICAL GROUP - 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