2025-05-15T10:47:25-05:00 2024-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-07-01 391328331 ASPIRUS INC ASPI 7158472250 333 PINE RIDGE BLVD WAUSAU WI 54401 JERRY YANG SVP-CHIEF FINANCIAL OFFICER 7158472250 2025-05-12 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-05-09 2023 2025-03-06 01:10:19Z MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 30355521 0 X WWW.ASPIRUS.ORG X 1979 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 12 10 2246 8 914753 138528 992904 153263 1535642 2619683 21601212 27276936 29621 18721 24159379 30068603 261147 228613 0 0 0 0 0 0 0 615574 1389632 876721 1618245 23282658 28450358 991277969 1261062293 97420153 259302093 893857816 1001760200 X WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 228613 228613 1723651 TO PROVIDE HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ASPIRUS, INC. PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS COMMUNITY CARE POLICY WITHOUT CHARGE. THE ESTIMATED COST OF PROVIDING CARE UNDER THIS POLICY AGGREGATED TO APPROXIMATELY $11,518,000 IN FY 2024. (THIS COST INCLUDES ASPIRUS, INC. AND ITS CONSOLIDATED AFFILIATES.) THE COST WAS CALCULATED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR ASPIRUS, INC. BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING THE COMMUNITY CARE.AS PART OF ITS PATIENT SERVICES, ASPIRUS, INC. ALSO PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS WHICH OFTEN REIMBURSE THE ORGANIZATION BASED ON PREDETERMINED FEE SCHEDULES WHICH ARE OFTEN BELOW THE COST OF PROVIDING CARE TO THESE INDIVIDUALS. THESE PROGRAMS PROVIDE HEALTH CARE SERVICES TO A LARGE PORTION OF THE ELDERLY, LOW INCOME, AND DISABLED MEMBERS OF THE COMMUNITY WHO NEED ACCESS TO HIGH QUALITY CARE. 0 0 0 ASPIRUS, INC. PROVIDES CORPORATE FUNCTIONAL SUPPORT SERVICES TO THE AFFILIATED ENTITIES IN ORDER TO ALLOW THOSE ENTITIES TO FOCUS ON THEIR MISSIONS OF PROVIDING HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 228613 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 734 0 2246 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 12 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JERRY M YANG 7158472250 2200 WESTWOOD DRIVE WAUSAU WI 54401 X MATTHEW HEYWOOD BOARD MEMBER/PRESIDENT & CEO ASPIRUS 50.00 3.00 X X 1618117 0 304186 NOEL DEEP MD BOARD MEMBER/VP-CMO 1.00 40.00 X 0 543386 47437 RICHARD POIRIER CHAIR 1.00 1.00 X X 30000 0 0 KATHY KELSEY FOLEY VICE CHAIR 1.00 X X 20000 0 0 SHERRI LEMMER SECRETARY/TREASURER 1.00 1.00 X X 20000 0 0 GRAHAM CHIP COURTNEY BOARD MEMBER 1.00 X 20000 0 0 JOSEPH FONTI BOARD MEMBER 1.00 X 15000 0 0 DAVID HECK BOARD MEMBER 1.00 1.00 X 15000 0 0 BRIAN MURPHY BOARD MEMBER 1.00 1.00 X 0 0 0 BRIAN PRUNTY BOARD MEMBER 1.00 1.00 X 20000 0 0 YVONNE PRETTNER SOLON BOARD MEMBER 1.00 1.00 X 0 0 0 JEANNIE WORDEN BOARD MEMBER 1.00 X 0 0 0 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 50.00 2.00 X 0 0 0 SIDNEY SCZYGELSKI SVP OF FINANCE/SPECIAL PROJECTS 50.00 6.00 X 1294746 0 134273 JEFFREY JONES SVP-CFO (THRU 04/23) 50.00 2.00 X 222942 0 12956 JESSE TISCHER SVP OF REGIONS (THRU DEC '23) 50.00 2.00 X 764397 0 116000 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 50.00 2.00 X 688935 0 115911 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 50.00 2.00 X 669631 0 49745 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 50.00 2.00 X 522951 0 102957 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 50.00 2.00 X 498735 0 99668 TODD RICHARDSON SVP-CIO (THRU JUL '23) 50.00 2.00 X 350449 0 76560 CRYSTAL KIRSCHLING VP-SYSTEM INTEGRATION OFFICER 50.00 2.00 X 0 310701 47434 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 50.00 2.00 X 316286 0 37986 WILL FLETT VP-FINANCE AWH & AI (THRU NOV '23) 20.00 20.00 X 233639 0 36247 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 50.00 2.00 X 253165 0 11861 TYLER HACK VP-FINANCE NORTH REGION 50.00 2.00 X 241868 0 21298 DEBRA BALL SVP-CHIEF H.R. OFFICER 50.00 2.00 X 172353 0 78033 RIDHWI MUKERJI REGIONAL MEDICAL DIRECTOR 40.00 X 499661 0 47620 VOLODYMYR MANKO REGIONAL MEDICAL DIRECTOR 40.00 X 460483 0 23425 THOMAS POWELL VP-CHIEF MEDICAL INFO. OFFICER 40.00 X 434953 0 47385 JOHNATHAN PARISI REGIONAL MEDICAL DIRECTOR 40.00 X 427946 0 38894 DANIEL GUTMANN REGIONAL MEDICAL DIRECTOR 40.00 X 404477 0 11141 10215734 854087 1461017 192 0 1 0 CDW GOVERNMENT LLC 75 REMITTANCE DR STE 1515 CHICAGO IL 60675 PROFESSIONAL SERVICES AND IT 17866774 THE CHARTIS GROUP LLC DEPT 5925 CAROL STREAM IL 601225925 HEALTHCARE CONSULTING 7617714 EPIC SYSTEMS CORPORATION BOX 88314 MILWAUKEE WI 53288 PROFESSIONAL SERVICES AND IT 7263003 ROI HEALTHCARE SOLUTIONS LLC 5555 GLENRIDGE CON STE 200 ATLANTA GA 30342 CONSULTING 4496940 MICROSOFT CORP 1 MICROSOFT WAY REDMOND WA 98052 PROFESSIONAL SERVICES AND IT 4251248 181 153263 153263 CONTRACT SERVICE REVENUE 621110 1713963 799210 914753 905720 905720 2619683 27563854 27563854 181679 105239 -181679 -105239 -286918 -286918 BAD DEBT RECOVERIES 621110 18721 18721 18721 30068603 1723651 914753 27276936 156050 156050 72563 72563 CORPORATE ALLOCATIONS 1389632 1389632 1618245 228613 1389632 0 81969122 284054966 4318001 -1904791 27524 27524 11774564 13307276 178654826 116088143 61088124 62566683 682831941 680604251 127562314 121161280 650000 650000 21056379 100595104 991277969 1261062293 46600277 115405659 181721 0 38725648 38758571 11912507 105137863 97420153 259302093 X 893857816 1001760200 893857816 1001760200 991277969 1261062293 X 28450358 54709515 24742511 X 0 1 X 1 1 1 X X X 24 ASPIRUS WAUSAU HOSPITAL INC 391138241 3 1 0 0 ASPIRUS BUILDINGS INC 391406537 10 1 0 0 ASPIRUS MEDICAL GROUP INC 391670223 10 1 0 0 ASPIRUS VNA HOME HEALTH INC 390808511 10 1 0 0 ASPIRUS VNA EXTENDED CARE INC 391597350 10 1 0 0 ASPIRUS EXTENDED SERVICES INC 390782130 10 1 0 0 ASPIRUS HEALTH FOUNDATION INC 391256656 7 1 0 0 ASPIRUS ONTONAGON HOSPITAL INC 260806477 3 1 0 0 ASPIRUS IRONWOOD HOSPITAL & CLINICS INC 382908586 3 1 0 258383 ASPIRUS IRON RIVER HOSPITAL & CLINICS INC 383236977 3 1 0 0 ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC 390868982 3 1 0 1421542 ASPIRUS MEDFORD HOSPITAL & CLINICS INC 390964813 3 1 0 0 LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN 390806429 3 1 0 0 ASPIRUS KEWEENAW HOSPITAL 381443361 3 1 0 0 DIVINE SAVIOR HEALTHCARE INC 390806250 3 1 0 840232 ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC 390808443 3 1 0 0 ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC 391390628 3 1 0 0 THE HOWARD YOUNG MEDICAL CENTER INC 390873606 3 1 0 0 ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC 390985690 3 1 0 0 ASPIRUS STANLEY HOSPITAL & CLINICS INC 390807065 3 1 0 0 ASPIRUS MERRILL HOSPITAL & CLINICS INC 390808503 3 1 0 0 ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN INC 391965593 3 1 0 0 ST LUKE'S HOSPITAL OF DULUTH 410714079 3 1 0 39535 LAKE VIEW MEMORIAL HOSPITAL INC 410786046 3 1 0 0 24 0 2559692 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1: ASPIRUS, INC.'S GOVERNING DOCUMENTS DO NOT LIST EACH INDIVIDUAL ENTITY AS A SUPPORTING ORGANIZATION. HOWEVER THE GOVERNING DOCUMENTS INDICATE ASPIRUS, INC. MAY SUPPORT ORGANIZATIONS FROM TIME TO TIME AS LONG AS AT LEAST ONE OFFICER OR DIRECTOR ARE IN COMMON AT ALL TIMES, AND THE OFFICERS AND DIRECTORS OF ASPIRUS, INC. SHALL ENDEAVOR TO HAVE A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH THE OFFICERS AND DIRECTORS OF ASPIRUS, INC.'S VARIOUS NONPROFIT SUPPORTED ORGANIZATIONS. IN ADDITION, ASPIRUS, INC. IS THE SOLE CORPORATE MEMBER FOR MAJORITY OF THE SUPPORTED ORGANIZATIONS. PART I, LINE 12G(VI): ASPIRUS, INC. IS A NON-PROFIT, COMMUNITY-DIRECTED HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN. WITH MORE THAN 14,000 EMPLOYEES, ASPIRUS SERVES COMMUNITIES THROUGHOUT 27 COUNTIES IN NORTHERN AND CENTRAL WISCONSIN, AS WELL AS THE WESTERN UPPER PENINSULA OF MICHIGAN AS WELL AS THE UPPER PENINSULA OF MICHIGAN AND NORTHERN REGION OF MINNESOTA. ASPIRUS, INC.'S INTEGRATED HEALTH SYSTEM INCLUDES TWO HOSPITALS IN MINNESOTA, THREE HOSPITALS IN MICHIGAN, AND 13 HOSPITALS IN WISCONSIN, 75 CLINICS, HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND HELICOPTER TRANSPORT, MEDICAL GOODS, NURSING HOMES, AND HIGH-QUALITY AFFILIATED PHYSICIANS. ASPIRUS IS AN INTEGRATED, COMMUNITY GOVERNED HEALTHCARE SYSTEM. THE ASPIRUS MISSION - WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. THE ASPIRUS VISION - ASPIRUS IS A CATALYST FOR CREATING HEALTHY, THRIVING COMMUNITIES, TRUSTED, AND ENGAGED ABOVE ALL OTHERS. ASPIRUS, INC. PROVIDES SUPPORT TO THE SUPPORTED ORGANIZATIONS IN MORE WAYS THAN JUST MONETARY SUPPORT INCLUDING BUT NOT LIMITED TO HUMAN RESOURCES, REVENUE CYCLE MANAGEMENT, INFORMATION TECHNOLOGY SERVICES, AND OTHER MANAGEMENT SERVICES. PART IV, SECTION C, LINE 1: EACH SUPPORTED ORGANIZATION HAS ITS OWN DIRECTORS/TRUSTEES. HOWEVER, LEADERSHIP OF ASPIRUS, INC. HAVE SEATS ON EACH OF THE SUPPORTED ORGANIZATION'S BOARDS. IN ADDITION, ASPIRUS, INC. IS THE SOLE CORPORATE MEMBER FOR THE MAJORITY OF THE SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1172593 154081 1018512 1166163 722851 443312 159946509 115211211 44735298 16369561 16369561 62566683 EQUITY IN EARNINGS OF LANGLADE HOSPITAL, INC. 121161280 C 121161280 DEFERRED COMPENSATION 92337985 RELATED PARTY RECEIVABLES 624635 OPERATING LEASE ROU ASSET 700553 UNEMPLOYMENT RESERVE FUND 5006849 INVESTMENT IN UNCONSOLIDATED AFFILIATES 500000 LONG TERM INSURANCE 1321082 FINANCE LEASE ROU ASSET 104000 100595104 DEFERRED COMPENSATION 92147985 DUE TO AFFILIATES 8950890 RETIREE HEALTHCARE BENEFITS 909690 FINANCE LEASE LIABILITY 105058 OPERATING LEASE LIABILITY 737404 MEDICARE REFUNDABLE ADVANCES -1856 LORNG TERM INSURANCE LIABILITY 2005882 DEFERRED GRANT REVENUE 282810 105137863 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, 2024. 1 UNITED WAY OF MARATHON COUNTY 705 S 24TH AVE STE 400B WAUSAU WI 54401 390935496 501(C)(3) 86700 0 PROGRAM SUPPORT LEIGH YAWKEY WOODSON ART MUSEUM INC 700 N 12TH STREET WAUSAU WI 54403 237281913 501(C)(3) 20000 0 SPONSORSHIP NORTHCENTRAL TECHNICAL COLLEGE FOUNDATION 1000 WEST CAMPUS DRIVE WAUSAU WI 54401 391266481 501(C)(3) 17000 0 NTC/UWSP NURSING SCHOLARSHIP PERFORMING ARTS FOUNDATION INC 401 N 4TH STREET WAUSAU WI 54402 237240695 501(C)(3) 15000 0 ARTS IN EDUCATION SERIES 4 0 TRANSITION ASSISTANCE 565 72563 PART I, LINE 2: IN AN EFFORT TO STREAMLINE THE PROCESS FOR EXPLORING EXTERNAL GRANT FUNDING AT ASPIRUS AND TO ENSURE LEADERSHIP SUPPORT PRIOR TO PURSUIT OF GRANT PROJECTS AND SUBMISSION APPLICATIONS, THE FOLLOWING APPROVAL PROCESS IS UTILIZED: ALL GRANTS REQUIRE THE INVOLVEMENT OF THE FOUNDATION AND APPROVAL BY FISCAL LEADERSHIP. THE FOLLOWING TYPES OF GRANT PROPOSALS REQUIRE APPROVAL FROM THE RESPECTIVE PRESIDENT AND VICE PRESIDENT, PLUS PRESENTATION TO CEC (CORPORATE EXECUTIVE COUNCIL) BY AHF AND THE APPROPRIATE DEPARTMENT/ENTITY REPRESENTATIVE: 1. NEW GRANTS OVER $50,000. 2. NEW GRANTS REQUIRING OR INCLUDING FINANCIAL MATCH OF ANY AMOUNT OR ADDITIONAL FTES. 3. REAPPLICATION FOR GRANTS ACHIEVED IN THE PAST FOR OVER $100,000 REGARDLESS OF MATCHING FUND REQUIREMENT. THE FOLLOWING TYPES OF GRANT PROPOSALS REQUIRE APPROVAL FROM THE RESPECTIVE PRESIDENT AND VICE PRESIDENT ONLY. AN INFORMATIONAL REPORT OR MEMO WOULD BE PROVIDED TO CEC: 1. REAPPLICATION FOR GRANTS ACHIEVED IN THE PAST THAT ARE LESS THAN $100,000 AND DO NOT HAVE MAJOR CHANGES TO SCOPE OF WORK. 2. NEW GRANTS UNDER $50,000 THAT DO NOT REQUIRE MATCHING FUNDS OR ADDITIONAL FTES. X X X X X 0 1 0 0 0 0 0 0 0 MATTHEW HEYWOOD BOARD MEMBER/PRESIDENT & CEO ASPIRUS 1252366 0 353673 0 12078 0 9900 0 294286 0 1922303 0 0 0 SIDNEY SCZYGELSKI SVP OF FINANCE/SPECIAL PROJECTS 659271 0 285397 0 350078 0 9900 0 124373 0 1429019 0 337358 0 JESSE TISCHER SVP OF REGIONS (THRU DEC '23) 593684 0 118969 0 51744 0 4185 0 111815 0 880397 0 50242 0 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 545744 0 83740 0 59451 0 9440 0 106471 0 804846 0 55822 0 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 553897 0 56638 0 59096 0 9900 0 39845 0 719376 0 56806 0 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 405912 0 73047 0 43992 0 8193 0 94764 0 625908 0 32339 0 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 423444 0 72853 0 2438 0 9358 0 90310 0 598403 0 0 0 NOEL DEEP MD BOARD MEMBER/VP-CMO 0 534112 0 9076 0 198 0 9102 0 38335 0 590823 0 0 RIDHWI MUKERJI REGIONAL MEDICAL DIRECTOR 482933 0 16548 0 180 0 9081 0 38539 0 547281 0 0 0 VOLODYMYR MANKO REGIONAL MEDICAL DIRECTOR 414999 0 0 0 45484 0 7826 0 15599 0 483908 0 0 0 THOMAS POWELL VP-CHIEF MEDICAL INFO. OFFICER 377664 0 26011 0 31278 0 9391 0 37994 0 482338 0 0 0 JOHNATHAN PARISI REGIONAL MEDICAL DIRECTOR 397568 0 30000 0 378 0 7368 0 31526 0 466840 0 0 0 TODD RICHARDSON SVP-CIO (THRU JUL '23) 216988 0 69318 0 64143 0 6050 0 70510 0 427009 0 39964 0 DANIEL GUTMANN REGIONAL MEDICAL DIRECTOR 394620 0 8932 0 925 0 9900 0 1241 0 415618 0 0 0 CRYSTAL KIRSCHLING VP-SYSTEM INTEGRATION OFFICER 0 280048 0 30050 0 603 0 9581 0 37853 0 358135 0 0 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 280398 0 33439 0 2449 0 9592 0 28394 0 354272 0 0 0 WILL FLETT VP-FINANCE AWH & AI (THRU NOV '23) 196049 0 37590 0 0 0 7223 0 29024 0 269886 0 0 0 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 226655 0 0 0 26510 0 0 0 11861 0 265026 0 0 0 TYLER HACK VP-FINANCE NORTH REGION 218575 0 19103 0 4190 0 6762 0 14536 0 263166 0 0 0 DEBRA BALL SVP-CHIEF H.R. OFFICER 163840 0 0 0 8513 0 5259 0 72774 0 250386 0 0 0 JEFFREY JONES SVP-CFO (THRU 04/23) 220906 0 0 0 2036 0 3492 0 9464 0 235898 0 0 0 PART I, LINE 4B SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $337,358 J. MATHESON $32,339 J. TISCHER $50,242 M. HOLZHUETER $55,822 T. RICHARDSON $39,964 M. WALTERS $56,806 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 IV, LINE 24A ASPIRUS, INC. IS A MEMBER OF THE ASPIRUS, INC. OBLIGATED GROUP. THE ORGANIZATION HAS ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM. THE ORGANIZATION'S POLICY STATES IT WILL SEEK BOND COUNSEL'S OPINION FOR ALL REMEDIAL ACTIONS. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241). THESE WERE REFINANCED INTO THE 2009 BONDS. INFORMATION REGARDING THE SERIES 2009 BONDS IS REPORTED IN THE SCHEDULE K FOR THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2009 BONDS LOANED TO THE ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2009 BONDS. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS MEDICAL GROUP, INC. (EIN 39-1670223). INFORMATION REGARDING THE SERIES 2001 BONDS IS NOT REQUIRED TO BE REPORTED IN THE SCHEDULE K FOR THAT ORGANIZATION. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2004 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241). THESE BONDS WERE REFINANCED INTO THE 2009 BONDS. INFORMATION REGARDING THE SERIES 2009 BONDS IS REPORTED IN THE SCHEDULE K FOR THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2009 BONDS LOANED TO THE ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2009 BONDS. 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 HOSPITAL & CLINICS, INC. (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, RESPECTIVELY. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2013 BONDS LOANED TO THE ORGANIZATION, RESPECTIVELY. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015 AND SERIES 2015A (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. (EIN 38-3236977); AND ASPIRUS KEWEENAW HOSPITAL (EIN 38-1443361). THE PROCEEDS OF THE SERIES 2015 BONDS WERE USED TO REFINANCE THE ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC SERIES 2008 BONDS AND THE ASPIRUS RIVERVIEW & CLINICS, INC SERIES 2010 BONDS. THE PROCEEDS OF THE SERIES 2015A BONDS WERE USED TO REFINANCE THE ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. SERIES 2008 BONDS AND FUND NEW CONSTRUCTION AT ASPIRUS KEWEENAW HOSPITAL. INFORMATION REGARDING THE SERIES 2015 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2015 BONDS LOANED TO THE ORGANIZATION, RESPECTIVELY. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2015 BONDS. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241), ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982), ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. (EIN 38-2908586), AND ASPIRUS ONTONAGON HOSPITAL, INC. (EIN 26-0806477). INFORMATION REGARDING THE SERIES 2017 BONDS IS REPORTED IN SCHEDULE K FOR THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II, AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2017 BONDS LOANED TO THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED THE FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2017 BOND. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY REVENUE BONDS, SERIES 2020 BONDS (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY DIVINE SAVIOR HEALTHCARE, INC. (EIN 39-0806250). THE PROCEEDS OF THE SERIES 2020 BONDS WERE USED TO REFINANCE THE DIVINE SAVIOR HEALTHCARE, INC., SERIES 2016 BONDS (REFINANCING OF SERIES 2006 BONDS) AND SERIES 2019 BONDS (REFINANCING OF SERIES 2009, 2012, 2014 BONDS). INFORMATION REGARDING THE SERIES 2020 BONDS IS REPORTED IN SCHEDULE K FOR THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2020 BONDS LOANED TO THE ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2020 BONDS. 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 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 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 IF ANY ACTIONS ARE 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 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 IS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, SECTION A PART VII, LINE 1A - EXPLANATION FOR HOURS WORKED: SOME OFFICERS, DIRECTORS, AND KEY EMPLOYEES ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. FORM 990, PART XI, LINE 9: SUBSIDIARY VALUATION ADJUSTMENT 17,251,129. OTHER CHANGES IN NET ASSETS -15,920,000. UNCONSOLIDATED AFFILIATES ADJUSTMENT 120,421. POSTRETIREMENT BENEFIT ADJUSTMENT 59,008. INTERCOMPANY TRANSFERS 22,587,493. MINIMUM PENSION LIABILITY 38,928,400. ACQUISITION OF NEW HOSPITALS AND FOUNDATIONS -38,283,940. 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