2023-05-12T12:11:16-05:00 2022-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2021-07-01 391670223 ASPIRUS MEDICAL GROUP INC ASPI 7158472250 425 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 116092834 0 X WWW.ASPIRUS.ORG X 1990 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 10 5 1579 6 2320099 0 2273238 1806544 98655917 114120216 82963 12612 279566 148380 101291684 116087752 390 1105 0 0 77243236 88338035 0 0 0 46668109 54480495 123911735 142819635 -22620051 -26731883 76960726 105621013 84895511 107060079 -7934785 -1439066 X WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 124519346 1105 111800117 TO PROVIDE HEALTH CARE AND EDUCATION SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE COMPANY PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS COMMUNITY CARE POLICY WITHOUT CHARGE FROM 7/1/2021 TO 6/30/22. THE ESTIMATED COST OF PROVIDING CARE TO PATIENTS UNDER ACI'S COMMUNITY CARE POLICY AGGREGATED APPROXIMATELY $810,580.58 IN FISCAL YEAR 2022. THE COST WAS CALCULATED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR ACI TIMES THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING THE COMMUNITY CARE. THE CLINIC EMPLOYED 165 FTE PROVIDERS WHO HAD 322,429 VISITS FROM PATIENTS. THE CLINIC ALSO PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS WHICH OFTEN REIMBURSE THE CLINIC BASED ON PREDETERMINED FEE SCHEDULES WHICH ARE OFTEN BELOW THE COST OF PROVIDING CARE TO THESE INDIVIDUALS. THESE PROGRAMS REPRESENT A LARGE PORTION OF THE ELDERLY, LOW INCOME, AND DISABLED MEMBERS OF THE COMMUNITY WHO NEED ACCESS TO HIGH QUALITY CARE. DURING FISCAL YEAR 2022, MEDICARE AND MEDICAID PROGRAMS MADE UP APPROXIMATELY 57.3% OF GROSS PATIENT REVENUE. 124519346 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 71 0 1579 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 X JAMES CYGAN MD BOARD MEMBER/PHYSICIAN 40.00 2.00 X 1135180 0 50871 KRISTA SCHARER MD BOARD MEMBER/PHYSICIAN 40.00 2.00 X 231782 0 51696 LAWERNCE G LEIBERT MD BOARD MEMBER/PHYSICIAN 40.00 2.00 X 448124 0 46117 MICHAEL UMLAND MD BOARD MEMBER/PHYSICIAN 40.00 2.00 X 326592 0 53283 TOU SHOUA LOR MD BOARD MEMBER/PHYSICIAN 40.00 2.00 X 288855 0 48142 RANDY L BALK VICE CHAIR (THRU OCT. '21) 1.00 1.00 X X 0 0 0 CHAD H RADKE DO SECRETARY/TREASURER 1.00 3.00 X X 0 0 0 MARY JO WENDLING MD BOARD MEMBER/PHYS. (THRU OCT. '21) 40.00 1.00 X 252619 0 15838 JEFFREY WICKLANDER BOARD MEMBER/PRESIDENT-CENTRAL WI 2.00 40.00 X X 0 591106 108445 KATHY KELSEY FOLEY CHAIR 1.00 2.00 X 0 0 0 JEREMY LEWITZKE BOARD MEMBER 1.00 1.00 X 0 0 0 MARCO ESPINOZA BOARD MEMBER 1.00 X 0 0 0 KYLE PAGE BOARD MEMBER 1.00 X 0 0 0 JENNIFER REDMAN-SCHELL SVP & PRESIDENT - AMG 2.00 50.00 X 0 572454 92664 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 2684221 266094 SIDNEY SCZYGELSKI SENIOR VP OF FINANCE & CFO 2.00 50.00 X 0 915379 141626 BENJAMIN BARSOTTI CHIEF MEDICAL INFORMATION OFFICER 2.00 50.00 X 0 462446 50766 BRETT DAVIS PRESIDENT-ASPIRUS HEALTH PLAN 2.00 50.00 X 0 394127 62857 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 2.00 50.00 X 0 495034 104300 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 2.00 50.00 X 0 452729 89948 JESSE TISCHER SVP & PRESIDENT-REGIONAL MARKETS 2.00 50.00 X 0 644385 101649 JOHN HEISLER SVP & CHIEF HUMAN RESOURCES OFFICER 2.00 50.00 X 0 751984 56650 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 2.00 50.00 X 0 449756 89333 MICHAEL WALTERS VP-SENIOR SYS. PHYSICIAN EXEC. 50.00 2.00 X 604827 0 43884 RENEE SMITH EXECUTIVE DIRECTOR-ANI 2.00 50.00 X 0 460002 93775 ANDREW BEAUMONT PHYSICIAN 40.00 X 2086653 0 53207 CHRISTOPHER PLATTA PHYSICIAN 40.00 X 2066870 0 53621 HARISH AHUJA PHYSICIAN 40.00 X 1871476 0 47195 CRAIG KELMAN PHYSICIAN 40.00 X 1756324 0 53207 ANDREW HUANG PHYSICIAN 40.00 X 1716397 0 49294 MICHAEL MCGRAIL MD FORMER SVP & SYSTEM CMO 0.00 0.00 X 0 449085 0 TODD RICHARDSON FORMER KE/SVP & CHIEF INFO OFFICER 2.00 50.00 X 0 516494 97286 RUTH RISLEY-GRAY FORMER KE/SVP & SYSTEM CNO 2.00 50.00 X 0 329902 52673 12785699 10169104 1974421 580 1 1 0 WAUSAU HEART AND LUNG SURGEONS 425 PINE RIDGE BLVD STE 209 WAUSAU WI 54401 PHYSICIAN SERVICES 4070485 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE SUITE 185 IRVINE CA 92614 ASSET MANAGEMENT 470005 ACCENT SERVICES INC 2230 NORTH 14TH AVENUE WAUSAU WI 54401 CLEANING SERVICES 351807 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN SERVICES 286376 SHARED MEDICAL SERVICES INC 209 LIMESTONE PASS COTTAGE GROVE WI 53527 MRI SERVICES 252550 15 1806544 1806544 NET PATIENT REVENUE 621110 100701510 100701510 NET PHARMACY REVENUE 621990 8917666 6858088 2059578 CONTRACT SERVICE REVENUE 900099 3705053 3705053 MEDICAL DIRECTOR FEES 621990 107833 107833 688154 427633 260521 114120216 17694 17694 148380 0 148380 148380 148380 5082 -5082 -5082 -5082 116087752 111800117 2320099 160992 1105 1105 3321838 3321838 70525010 70317797 207213 2312688 2312688 8993996 8993996 3184503 3176266 8237 15839 15839 5497 5497 9500502 9500502 7396 7396 407050 12250 394800 44325 44325 3686513 3610096 76417 501809 495863 5946 22133 22133 2210721 2210721 319565 38209 281356 CORPORATE ALLOCATIONS 19967356 2691008 17276348 MEDICAL SUPPLIES/PHARMA 12807300 12807300 EQUIPMENT RENTALS 1568294 1568294 BAD DEBT EXPENSE 1501481 1501481 1914714 1893474 21240 142819635 124519346 18300289 0 -327235 135074 9797349 12578190 1427127 1385264 252787 370815 33152843 17433052 9977149 15719791 1342413 0 623086 4880571 3761600 4506241 50106450 66045067 76960726 105621013 29320970 35404638 5497709 5049158 50076832 66606283 84895511 107060079 X -7934785 -1439066 -7934785 -1439066 76960726 105621013 X -26731883 -6625 33234227 X 0 1 X 1 1 1 X 1593545 2273238 1806544 5673327 78455935 95141528 91633066 98675751 114120217 478026497 78455935 95141528 93226611 100948989 115926761 483699824 0 0 0 483699824 1318374 987511 247360 336233 166074 3055552 1318374 987511 247360 336233 166074 3055552 79774309 96129039 93473971 101285222 116092835 486755376 0.99370 0.99060 0.00630 0.00940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5497 5497 0 PART II-B, LINE 1: THE PERCENTAGES THAT ARE SPECIFIC FOR LOBBYING PURPOSES ARE: 6% OF THE STATE PORTION OF DUES PAID TO WISCONSIN MEDICAL SOCIETY (WMS) TOTALING $86; 90% OF THE SERVICE PORTION OF AMERICAN COLLEGE OF PHYSICIANS (ACP) TOTALING $81; 7.5% FOR AMERICAN COLLEGE OF OSTEOPATHIC FAMILY PHYSICIANS (ACOFP) TOTALING $28; 25.27% FOR AMERICAN PODIATRIC MEDICAL ASSOCIATIONS (APMA) TOTALING $755; 8% FOR AMERICAN CONGRESS OF OBSTETRICIAN AND GYNECOLOGY (ACOG) TOTALING $304; 60% FOR AMERICAN MEDICAL ASSOCIATIONS (AMA) TOTALING $1,197; 5% FOR AMERICAN ASSOCIATION OF NURSE PRACTITIONERS (AANP) TOTALING $96; 2.2% FOR AMERICAN SOCIETY OF PLASTIC SURGERY (ASPS) TOTALING $29; 15.07% OF AMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP) TOTALING $988; 5.5% OF AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS (AAPA) TOTALING $184; 31.7% FOR WISCONSIN ACADEMY OF PHYSICIAN ASSISTANTS (WAPA) TOTALING $174; 5.5% FOR AMERICAN ACADEMY OF PEDIATRICS (AAP) TOTALING $137; 13.17% FOR AMERICAN COLLEGE OF CARDIOLOGY (ACC) TOTALING $1,135; 5% FOR AMERICAN COLLEE OF FOOT & ANKLE SURGEONS (ACFAS) TOTALING $122; 3% FOR AMERICAN COLLEGE OF OSTEOPATHIC SURGEONS (ACOS) TOTALING $29; 3.58% FOR AMERICAN OSTEOPATHIC ASSOCIATION (AOA) TOTALING $42; 6.7% FOR AMERICAN ACADEMY OF CLINICAL ENDOCRINOLOGIST (AACE) TOTALING $20 AND 4% FOR AMERICAN PSYCHIATRIC ASSOCIATION (APA) TOTALING $90. THE GRAND TOTAL GOING TOWARDS LOBBYING IS $5,497. 2084012 2084012 12067685 7462354 4605331 3375888 743288 2632600 14502501 9081881 5420620 1122757 145529 977228 15719791 DEFERRED COMPENSATION 57343798 DUE FROM AFFLIATES 484536 LONG TERM INSURANCE RECEIVABLE 25208 OPERATING LEASE ROU ASSET 8191525 66045067 DEFERRED COMPENSATION 57343798 DUE TO AFFILIATES 640181 LONG TERM INSURANCE LIABILITY 121208 RETIREE HEALTHCARE BENEFITS 52345 FINANCE LEASE LIABILITY 159080 OPERATING LEASE LIABILITY 8284569 MEDICARE REFUNDABLE ADVANCES 5102 66606283 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. X 1 1 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 ANDREW BEAUMONT PHYSICIAN 2080265 0 600 0 5788 0 17346 0 35861 0 2139860 0 0 0 CHRISTOPHER PLATTA PHYSICIAN 2060837 0 600 0 5433 0 17346 0 36275 0 2120491 0 0 0 HARISH AHUJA PHYSICIAN 1859209 0 600 0 11667 0 20196 0 26999 0 1918671 0 0 0 CRAIG KELMAN PHYSICIAN 1206813 0 544065 0 5446 0 17346 0 35861 0 1809531 0 0 0 ANDREW HUANG PHYSICIAN 1710395 0 600 0 5402 0 16528 0 32766 0 1765691 0 0 0 JAMES CYGAN MD BOARD MEMBER/PHYSICIAN 1127323 0 600 0 7257 0 17346 0 33525 0 1186051 0 0 0 SIDNEY SCZYGELSKI SENIOR 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 BOARD MEMBER/PRESIDENT-CENTRAL WI 0 472230 0 93354 0 25522 0 8700 0 99745 0 699551 0 0 JENNIFER REDMAN-SCHELL SVP & PRESIDENT - AMG 0 405520 0 113119 0 53815 0 17346 0 75318 0 665118 0 51368 MICHAEL WALTERS VP-SENIOR SYS. PHYSICIAN EXEC. 452168 0 151458 0 1201 0 8700 0 35184 0 648711 0 0 0 TODD RICHARDSON FORMER KE/SVP & CHIEF INFO 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 0 315463 0 89914 0 54625 0 17346 0 76429 0 553777 0 53547 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 CHIEF MEDICAL INFORMATION OFFICER 0 367202 0 65298 0 29946 0 17346 0 33420 0 513212 0 23406 LAWERNCE G LEIBERT MD BOARD MEMBER/PHYSICIAN 439059 0 600 0 8465 0 18905 0 27212 0 494241 0 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 RUTH RISLEY-GRAY FORMER KE/SVP & SYSTEM CNO 0 213913 0 91534 0 24455 0 17417 0 35256 0 382575 0 19718 MICHAEL UMLAND MD BOARD MEMBER/PHYSICIAN 318641 0 600 0 7351 0 16755 0 36528 0 379875 0 0 0 TOU SHOUA LOR MD BOARD MEMBER/PHYSICIAN 282783 0 600 0 5472 0 14457 0 33685 0 336997 0 0 0 KRISTA SCHARER MD BOARD MEMBER/PHYSICIAN 225710 0 600 0 5472 0 13437 0 38259 0 283478 0 0 0 MARY JO WENDLING MD BOARD MEMBER/PHYS. (THRU OCT. '21) 245812 0 600 0 6207 0 13635 0 2203 0 268457 0 0 0 PART I, LINE 1A JEFFREY WICKLANDER ($200) HAD A TAXABLE HOUSING ALLOWANCE. PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS MEDICAL GROUP, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $ 112,143 J. REDMAN-SCHELL $51,368 B. BARSOTTI $23,406 J. MATHESON $26,065 J. HEISLER $25,179 M. MCGRAIL $449,085 R. SMITH $53,547 T. RICHARDSON $50,634 R. RISLEY-GRAY $19,718 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. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THERE SHALL BE A MINIMUM OF 10 VOTING DIRECTORS ALLOCATED AS FOLLOW. THERE SHALL BE TWO CLASSES OF VOTING DIRECTORS: THE COMMUNITY CLASS AND THE PROVIDER CLASS. NO LESS THAN FOUR COMMUNITY CLASS DIRECTORS AND SIX PROVIDER CLASS DIRECTORS 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 BY LAWS, 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, AND 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 THE 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, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS MEDICAL GROUP, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, LINE 1A, EXPLANATION FOR HOURS WORKED: SOME OFFICERS, DIRECTORS, AND KEY EMPLOYEES ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS MEDICAL GROUP, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS - AWH 10,490,270. INTERCOMPANY TRANSFERS - AI 22,862,127. INTERCOMPANY TRANSFERS - ABI 411,688. INTERCOMPANY TRANSFERS - AOH -107,191. INTERCOMPANY TRANSFERS - VNA 1,296. INTERCOMPANY TRANSFERS - AIW 86,652. INTERCOMPANY TRANSFERS - AIR -323,523. INTERCOMPANY TRANSFERS - ARH -1,873,075. INTERCOMPANY TRANSFERS - ADS -906,924. INTERCOMPANY TRANSFERS - AKH 448,272. INTERCOMPANY TRANSFERS - ASP -1,703,937. INTERCOMPANY TRANSFERS - ASH -37,092. INTERCOMPANY TRANSFERS - AMR -60,537. INTERCOMPANY TRANSFERS - ARN -5,557,470. INTERCOMPANY TRANSFERS - ATH -13,476. INTERCOMPANY TRANSFERS - AER -64,843. INTERCOMPANY TRANSFERS - HYMC -33,142. INTERCOMPANY TRANSFERS - AMNW 9,874,764. INTERCOMPANY TRANSFERS - PNWBB -259,589. OTHER CHANGES IN NET ASSETS -43. ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTHCARE WI 501 (C) 3 LINE 12B, II N/A 0 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391138241 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 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 ONTONAGON 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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