2025-05-15T10:51:53-05:00 2024-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-07-01 390964813 ASPIRUS MEDFORD HOSPITAL & CLINICS INC ASPI 7157488100 135 SOUTH GIBSON STREET MEDFORD WI 54451 JERRY M YANG SVP - CHIEF FINANCIAL OFFICER 7157488100 2025-05-12 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-04-29 2023 2025-03-06 01:10:19Z MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 100720037 0 X WWW.ASPIRUS.ORG X 1958 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 10 4 496 34 1711357 0 1464925 74936 103917697 100237324 2518232 365 136983 397920 108037837 100710545 64662 136737 0 0 37790818 40025375 0 0 0 55627017 46722588 93482497 86884700 14555340 13825845 76839231 72707885 19502614 14693432 57336617 58014453 X WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 41390144 136737 73712083 HOSPITAL SERVICES - ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL IN MEDFORD, WISCONSIN. DURING THE YEAR ENDED JUNE 30, 2024, THE HOSPITAL HAD 3,508 INPATIENT DAYS AND 91,957 OUTPATIENT VISITS. SURGERY, EMERGENCY CARE, RADIOLOGY, LABORATORY, CHEMOTHERAPY/INFUSION, DIALYSIS, AND THERAPIES ARE JUST SOME OF THE OTHER SERVICES THAT AMHC PROVIDES WITHIN THE HOSPITAL. AS A CRITICAL ACCESS HOSPITAL, AMHC PROVIDES ACCESS TO LOCAL HEALTH CARE FOR THE COMMUNITIES OF WHICH THEY SERVE.AMHC ALSO PROMISES TO THE COMMUNITY TO PROVIDE HEALTH CARE SERVICES TO THOSE IN NEED REGARDLESS OF THEIR ABILITY TO PAY AS DEFINED IN AMHC'S CHARITY AND COMMUNITY CARE POLICIES AND PROGRAMS. DURING FISCAL YEAR 2024, AMHC'S CHARITY CARE PROGRAM AWARDED APPROXIMATELY $2,353,399 IN FINANCIAL ASSISTANCE THROUGH CHARGE REDUCTIONS TO PATIENTS WHO COULD NOT OTHERWISE AFFORD CARE. ADDITIONAL INFORMATION ON THE COST OF PROVIDING CHARITY CARE TO PATIENTS CAN BE FOUND IN SCHEDULE H OF THE FORM 990. IN ADDITION TO PROVIDING CHARITY CARE SERVICES, AMHC ALSO PROVIDES A SIGNIFICANT NUMBER OF SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS. THESE SERVICES ARE CONSIDERED A LARGE NEED IN THE COMMUNITY AND AMHC IS OFTEN REIMBURSED AT RATES BELOW THE COST OF PROVIDING THE CARE FOR THESE PATIENTS. 17064344 0 19594862 CLINIC SERVICES - AMHC OPERATES FIVE OUTPATIENT CLINICS IN THE COMMUNITIES OF ATHENS, GILMAN, MEDFORD, PHILLIPS, AND PRENTICE (ALL LOCATED WITHIN THE STATE OF WISCONSIN). DURING THE YEAR ENDED JUNE 30, 2024, THE CLINICS HAD 53,182 VISITS. AMHC PROVIDES ACCESS TO PRIMARY CARE PHYSICIANS IN THESE RURAL AND MEDICALLY UNDERSERVED AREAS.THE CLINICS ALSO SERVES A LARGE PORTION OF ELDERLY, DISABLED, AND LOW-INCOME PATIENTS WHO ARE COVERED UNDER THE MEDICARE AND WISCONSIN MEDICAID PROGRAMS. PATIENTS OF THE AMHC CLINICS ARE ALSO ELIGIBLE FOR CHARITY CARE AS DEFINED BY AMHC'S CHARITY CARE POLICY. CHARITY CARE AMOUNTS FOR THE CLINICS ARE INCLUDED IN THE TOTAL NOTED UNDER 4A ABOVE. 4920204 0 5166750 SENIOR CARE SERVICES - AMHC OPERATES A 50-BED SKILLED NURSING FACILITY (SNF), 10 CBRF APARTMENTS, AND A 28-UNIT RCAC. DURING THE YEAR ENDED JUNE 30, 2024, THE SNF HAD A DAILY CENSUS OF 23.93 AND THE RCAC HAD A DAILY CENSUS OF 27.14. THROUGH THESE SENIOR CARE SERVICES, AMHC PROVIDES CARE AND ASSISTANCE TO THE ELDERLY IN OUR COMMUNITY. MANY OF THE RESIDENTS RECEIVING SENIOR CARE SERVICES AT AMHC RECEIVE CARE UNDER THE WISCONSIN MEDICAID OR FAMILY CARE PROGRAMS. AMHC RECOGNIZES THAT THE COST OF CARING FOR THESE INDIVIDUALS OFTEN EXTENDS BEYOND THE AMOUNT THAT IS PAID TO AMHC BY THE MEDICAID PROGRAM. ADDITIONAL INFORMATION ON THE COST OF PROVIDING SERVICES TO MEDICAID PROGRAM BENEFICIARIES CAN BE FOUND IN SCHEDULE H OF THE FORM 990. 63374692 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 496 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X JERRY M YANG 7158472250 2200 WESTWOOD DRIVE WAUSAU WI 54401 X JESSE TISCHER B.M. (THRU 01/24)/SVP & PRES.-AWH 1.00 50.00 X X 0 764397 116000 MICHAEL HOLZHUETER ASST. SEC./SVP-GEN. COUNSEL 2.00 50.00 X X 0 688935 115911 JAMES MATHESON VICE CHAIR/SVP-CHIEF STRATEGY OFF. 1.00 50.00 X X 0 522951 102957 CONSTANCE BRADLEY B.M./SVP & PRES. REG. MRKTS. 1.00 40.00 X 0 489478 90167 SUSAN SCHNEIDER B.M./VP-SENIOR SYS. PHYSICIAN EXEC. 1.00 40.00 X 0 510162 34165 DIANE ANDERSON BOARD MEMBER/NURSE PRACTITIONER 1.00 40.00 X 0 237692 35522 MATTHEW BREWER SEC./TREAS. (THRU 07/23)/VP-OPS 1.00 40.00 X X 0 248668 21417 RACHEL A DIXON BOARD MEMBER/PHYSICIAN ASSISTANT 1.00 40.00 X 0 101130 40565 RANDY L JUEDES CHAIR 1.00 1.00 X X 0 0 0 JOHNATHON R LANGE SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 LEONARD W HAMMAN BOARD MEMBER 1.00 1.00 X 0 0 0 JEFFREY A KOENIG BOARD MEMBER 1.00 1.00 X 0 0 0 WILLIAM G ARCISCZEWSKI BOARD MEMBER (THRU 09/23) 1.00 1.00 X 0 0 0 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 1618117 304186 SIDNEY SCZYGELSKI SENIOR VP OF FINANCE/CFO 2.00 50.00 X 0 1294747 134273 DALE HUSTEDT (NV) PRESIDENT-ASPIRUS NW WI DIV. 40.00 1.00 X 424937 0 88900 JEFFREY JONES SVP-CFO (THRU 04/23) 2.00 50.00 X 0 222942 12956 GREG SHAW VP - FINANCE NORTH REGION 1.00 40.00 X 0 216947 29468 ANDREA ALLARD VP-OPERATIONS 2.00 50.00 X 0 293965 10421 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 2.00 50.00 X 0 669631 49745 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 2.00 50.00 X 0 498735 99668 TODD RICHARDSON SVP-CHIEF INFORMATION OFFICER 2.00 50.00 X 0 350449 76560 CRYSTAL KIRSCHLING VP-SYSTEM INTEGRATION OFFICER 2.00 50.00 X 0 310701 47434 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 2.00 50.00 X 0 316286 37986 JANELLE KOMMERS-MARKGRAF VP-HUMAN RESOURCES NORTH REGION 2.00 50.00 X 0 242495 37276 DAVID VANDERKIN RADIOLOGIST 40.00 X 759113 0 35923 CLINT SEMRAU PHYSICIAN 40.00 X 611184 0 49032 RICHARD MAYRER PHYSICIAN 40.00 X 537181 0 46535 RYAN CHECK PHYSICIAN 40.00 X 437363 0 46269 LEAH BECICKA PHYSICIAN 40.00 X 359377 0 11679 3129155 9598428 1675015 54 0 1 0 TOTAL MSP LLC PO BOX 972651 DALLAS TX 75397 CONTRACTED LABOR SERVICES 1139904 CHG COMPANIES INC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 CONTRACTED LABOR SERVICES 1034553 RENOVO SOLUTIONS LLC 1 BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 CONTRACTED SERVICES 741985 AMERICAN RADIOLOGY SC PO BOX 972633 DALLAS TX 753972633 CONTRACTED LABOR SERVICES 653067 RJC MEDICAL SERVICES SC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 CONTRACTED SERVICES 645828 19 69681 5255 74936 PATIENT SERVICE REVENUE 621110 93080747 93080591 156 PHARMACY REVENUE 456110 7014421 5303220 1711201 CONTRACT SERVICE REVENUE 621110 35658 35658 106498 89884 16614 100237324 188601 0 188601 188601 188601 365 0 365 365 365 75030 9492 65538 65538 CAFETERIA REVENUE 722514 142811 142811 970 970 143781 100710545 98473695 1711357 450557 136737 136737 507987 507987 31780001 27331818 4448183 942304 762584 179720 4643667 3759407 884260 2151416 1722854 428562 12774 12774 8109683 6889896 1219787 5819 2306 3513 161942 157132 4810 144698 57344 87354 1115547 43283 1072264 128756 51026 77730 168841 66912 101929 435387 11973 423414 3823373 2833119 990254 136119 5281 130838 MEDICAL SUPPLIES 15446408 14987650 458758 CORPORATE ALLOCATIONS 12514693 1288607 11226086 BAD DEBT EXPENSE 1962652 1962652 REPAIRS AND MAINTENANCE 1541862 611040 930822 1014034 693071 320963 86884700 63374692 23510008 0 0 2610 13060033 13581577 1642278 1488788 4923 4588 57110281 7020915 52702309 50089366 9429688 7540956 76839231 72707885 4931206 1860820 188800 188800 12111709 11328016 2270899 1315796 19502614 14693432 X 57336617 58014453 57336617 58014453 76839231 72707885 X 13825845 -13148009 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 12774 12774 0 PART II-B, LINE 1: ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE AHA AND WHA HAVE NOTIFIED AMHC THAT A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTH CARE ENVIRONMENT. THE PERCENTAGES OF DUES ATTRIBUTED TO LOBBYING ARE 32.0% FOR THE AHA AND 16.40% FOR WHA FOR DOLLAR AMOUNTS OF $6,263 AND $3,097, RESPECTIVELY. AMHC IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). THE RWHC PROVIDES SUPPORT SERVICES FOR SEVERAL ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE AIDING ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO PROVIDES ANALYSIS ON CURRENT HEALTH CARE ISSUES TO PROMOTE AND IMPROVE HEALTH CARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS INCLUDES SOME LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. $3,414 OR 11.5% OF THESE DUES WERE RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTH CARE ENVIRONMENT IN THE STATE OF WISCONSIN. 99056 -1147 97909 97316 1740 99056 145315 -36638 11361 97316 143901 27506 26092 145315 143320 581 143901 0.00000 0.70000 0.30000 0 1 1 470299 470299 45250596 3533285 41717311 11315521 3487630 7827891 73865 73865 50089366 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 7242229 RELATED PARTY RECEIVABLE 7031 OPERATING LEASE 121672 FINANCE LEASE 170024 7540956 FINANCE LEASE OBLIGATION 173814 OPERATING LEASE OBLIGATION 121672 ASBESTOS LIABILITY 1020310 1315796 X PART V, LINE 4: TERM-ENDOWMENT FUNDS HELD BY ASPIRUS HEALTH FOUNDATION, INC.; ANY AMOUNT ABOVE $120,000 MAY BE USED TO PURCHASE ITEMS FOR THE COUNTRY GARDEN ASSISTED LIVING FACILITY AT ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. 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 1 X 1 X 1 X 1 1 1 0 1 1 880321 880321 0.01040 12351975 12459008 0 0.00000 2694894 2298820 396074 0.00470 15927190 14757828 1276395 0.01510 133461 133461 0.00160 44420 44420 0.00050 136737 136737 0.00160 314618 314618 0.00370 16241808 14757828 1591013 0.01880 1 20 1697 1697 0.00000 1 36 77 77 0.00000 2 56 1774 1774 0.00000 1 734157 0 11032712 11373813 -341101 X 1 1 1 1 ASPIRUS MEDFORD HOSPITAL 135 SOUTH GIBSON STREET MEDFORD WI 54451 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 1024 X X X X ASPIRUS MEDFORD HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS X 1 21 1 WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X X 1 X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ASPIRUS MEDFORD HOSPITAL PART V, SECTION B, LINE 5: DURING THE COURSE OF 2022 ASPIRUS MEDFORD COLLABORATED WITH TAYLOR COUNTY HEALTH DEPARTMENT TO COMPLETE THIS WORK. NO CONSULTANTS OR VENDORS WERE UTILIZED. MORE THAN 400 TAYLOR COUNTY RESIDENTS SHARED THEIR THOUGHTS ON THE TOP COMMUNITY HEALTH NEEDS BY PARTICIPATING IN AN ANONYMOUS SURVEY, WITH EVEN MORE PARTICIPATING IN THE SEVEN IN-PERSON CONVERSATIONS. AN INTENTIONAL EFFORT WAS MADE TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS REPRESENTED THE DIVERSE NEEDS AND PERSPECTIVES OF THE COMMUNITY, AS WELL AS THOSE THAT ARE SERVED BY ASPIRUS INCLUDING USING EFFECTIVE PUBLIC HEALTH PRACTICES WHILE ADDRESSING THE NEEDS OF INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, ARE LOW INCOME, AND/OR ARE MINORITY POPULATIONS. OVER A COUPLE OF MONTHS, A DIVERSE COLLECTION OF COMMUNITY LEADERS REPRESENTING GOVERNMENT, HEALTH CARE, SCHOOLS, LAW ENFORCEMENT, HUMAN SERVICES, POLICY MAKERS, AND OTHER COMMUNITY STAKEHOLDERS GATHERED TO UNDERSTAND HOW THE HEALTH OF RESIDENTS CAN IMPACT THE COMMUNITY. EXPERTS FROM ASPIRUS AND THE TAYLOR COUNTY HEALTH DEPARTMENT FACILITATED INFORMATION SHARING SESSIONS THAT INCLUDED ANALYZING WHAT DATA AND RESOURCES WERE CURRENTLY AVAILABLE, AND THEN LED A PRIORITIZATION SESSION ON JANUARY 20, 2022, TO IDENTIFY TOP CONCERNS IN TAYLOR COUNTY. TO ASSIST IN PRIORITIZING THE IDENTIFIED COMMUNITY HEALTH NEEDS, A LIST OF POSSIBLE CRITERIA FOR PRIORITIZATION WAS DEVELOPED. STAKEHOLDERS, COMMUNITY LEADERS AND COMMUNITY MEMBERS CONDUCTED A NOMINAL GROUP EXERCISE, IN WHICH EACH PARTICIPANT OF THE GROUP WAS ASKED TO IDENTIFY THEIR TOP THREE PRIORITIES. KEY INFORMANT SESSIONS WERE HELD AS FOLLOWS: ASPIRUS MEDFORD HOSPITAL & CLINICS BOARD OF DIRECTORS - FEBRUARY 23, 2022TAYLOR COUNTY DRUG OPPOSITION PARTNERS - MARCH 1, 2022TAYLOR COUNTY BOARD OF SUPERVISORS - MARCH 4, 2022 MEDFORD CHAMBER OF COMMERCE ECONOMIC DEVELOPMENT - MARCH 8, 2022COMMUNITY MEMBER SESSION I - MARCH 9, 2022COMMUNITY MEMBER SESSION II - MARCH 16, 2022ADDITIONAL REPRESENTATIVES WERE PRESENT FROM THE FOLLOWING ORGANIZATIONS: ASPIRUS HEALTH, TAYLOR COUNTY DRUG OPPOSITION PARTNERS, TAYLOR COUNTY MENTAL HEALTH COUNCIL, HUEY'S HIDEAWAY CHILDREN'S MUSEUM, MEDFORD SCHOOL DISTRICT, MEDFORD CHAMBER OF COMMERCE, MEDFORD AREA DEVELOPMENT FOUNDATION, VILLAGE OF GILMAN; MEMORIAL MEMBER ASSOCIATION, GILMAN PTO, TAYLOR COUNTY BOARD OF HEALTH, TAYLOR COUNTY BOARD OF SUPERVISORS, MEDFORD POLICE DEPARTMENT, ASPIRUS BOARD OF DIRECTORS, TAYLOR COUNTY SHERIFF'S OFFICE, MARSHFIELD CLINIC HEALTH SYSTEM; IMMANUEL LUTHERAN SCHOOL; ADRC OF THE NORTHWOODS, TAYLOR COUNTY HOUSING AUTHORITY; TAYLOR COUNTY SUPPORTIVE HOUSING, WISCONSIN BALANCE OF STATE HOMELESS COALITION; MEDFORD CHAMBER AMBASSADOR, NICOLET NATIONAL BANK, TAYLOR COUNTY LITERACY COUNCIL; TAYLOR COUNTY MENTAL HEALTH COUNCIL; MEDFORD ADULT DIPLOMA ACADEMY; MEDFORD CARES MODEL, TAYLOR COUNTY HUMAN SERVICES, HEALTHFIRST NETWORK, TAYLOR COUNTY HEALTH DEPARTMENT, RIB LAKE SCHOOL DISTRICT; THE STAR NEW; KIWANIS; ASPIRUS MEDFORD FOUNDATION ASPIRUS MEDFORD HOSPITAL PART V, SECTION B, LINE 6B: ASPIRUS MEDFORD HOSPITAL COLLABORATED WITH THE TAYLOR COUNTY HEALTH DEPARTMENT AND THE PRICE COUNTY HEALTH DEPARTMENT. ASPIRUS MEDFORD HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS MEDFORD HOSPITAL. ASPIRUS MEDFORD HOSPITAL PART V, SECTION B, LINE 11: ASPIRUS MEDFORD HOSPITAL & CLINICS (AMHC) HAS IDENTIFIED FOUR TOP HEALTH PRIORITIES THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THOSE PRIORITIES AND WHAT THE HOSPITAL DID TO ADDRESS THE PRIORITIES ARE DESCRIBED BELOW. 1. MENTAL HEALTHMENTAL HEALTH REMAINS A KEY FOCUS AREA, ADDRESSED THROUGH VARIOUS INITIATIVES, INCLUDING:- EXPANDING AND PROVIDING ONGOING SUPPORT FOR THE CARES MODEL IN LOCAL SCHOOLS AND EXTENDING ITS REACH TO THE BROADER COMMUNITY.- ENHANCING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH TELEMEDICINE AND COMMUNITY-BASED COLLABORATIONS.- HOSTING COMMUNITY EVENTS LIKE THE ANNUAL ASPIRUS FAMILY NIGHT IN 2023, PROVIDING FAMILIES WITH AN OPPORTUNITY TO CONNECT POSITIVELY WHILE ACCESSING MENTAL HEALTH RESOURCES.- PARTNERING WITH THE MEDFORD SCHOOL DISTRICT TO PROVIDE THE CARES CONFERENCE, OFFERING PROFESSIONALS AND CAREGIVERS EDUCATION ON DIVERSE MENTAL HEALTH AND BEHAVIORAL HEALTH TOPICS.- COLLABORATING WITH THE TAYLOR COUNTY MENTAL HEALTH AWARENESS COUNCIL TO FOSTER GREATER AWARENESS OF MENTAL HEALTH ISSUES WITHIN THE COMMUNITY.2. SUBSTANCE MISUSE (INCLUDING ALCOHOL, VAPING, AND TOBACCO)ADDRESSING SUBSTANCE MISUSE IS A PRIORITY THROUGH ONGOING EFFORTS SUCH AS:- PARTNERING WITH THE TAYLOR COUNTY DRUG OPPOSITION PARTNERS TO DELIVER YOUTH AND COMMUNITY EDUCATION CAMPAIGNS THAT RAISE AWARENESS AND REDUCE SUBSTANCE MISUSE.- INITIATIVES AIMED AT DECREASING ACCESS TO OPIOIDS AND REDUCING YOUTH CONSUMPTION OF TOBACCO, VAPING, AND ALCOHOL PRODUCTS.- SUPPORTING THE TAYLOR COUNTY STUDENT LEADERSHIP EVENT, WHERE STUDENTS FROM THREE SCHOOL DISTRICTS GATHER ANNUALLY TO DEVELOP LEADERSHIP SKILLS AND LEARN ABOUT THE HARMFUL EFFECTS OF SUBSTANCE ABUSE.- MAINTAINING A MEDICATION DROP BOX IN OUR ASPIRUS MEDFORD PHARMACY TO ENSURE SAFE DISPOSAL OF UNUSED/UNNEEDED MEDICATIONS. 3. HEALTHCARE QUALITY AND ACCESSASPIRUS MEDFORD IS DEDICATED TO IMPROVING HEALTHCARE ACCESS AND QUALITY BY:- EXPANDING PRIMARY CARE SERVICES AND OPENING AN URGENT CARE FACILITY TO INCREASE SAME-DAY HEALTHCARE OPTIONS FOR THE COMMUNITY.- PROMOTING HEALTH LITERACY AND IMPROVING AWARENESS OF AVAILABLE COMMUNITY HEALTH RESOURCES.- MAINTAINING SAME DAY APPOINTMENT SCHEDULING FOR OUR CLINIC SERVICES.4. COMMUNITY ENGAGEMENTSTRENGTHENING COMMUNITY TIES AND PROMOTING CIVIC INVOLVEMENT THROUGH:- ENHANCING SUPPORT FOR VOLUNTEERISM AND FOSTERING OPPORTUNITIES FOR MEANINGFUL CIVIC ENGAGEMENT WITHIN THE COMMUNITY.THESE INITIATIVES REFLECT ASPIRUS MEDFORD'S COMMITMENT TO ADDRESSING THE COMMUNITY'S MOST PRESSING HEALTH CHALLENGES WHILE FOSTERING A HEALTHIER, MORE CONNECTED REGION.ASPIRUS MEDFORD'S TOP PRIORITIES ARE MENTAL HEALTH; SUBSTANCE MISUSE; HEALTHCARE QUALITY AND ACCESS; COMMUNITY ENGAGEMENT. ADDITIONAL ISSUES WERE BROUGHT TO COMMUNITY STAKEHOLDERS FOR REVIEW AND INPUT. THESE WILL NOT BE FORMALLY ADDRESSED THROUGH THE IMPLEMENTATION STRATEGY; HOWEVER, ASPIRUS IS COMMITTED TO CONTRIBUTE TO OPPORTUNITIES TO ADDRESS THESE PRIORITIES AS THEY PRESENT THROUGH COMMUNITY INVESTMENT. THESE ISSUES INCLUDE: - EDUCATION ACCESS & QUALITY SPECIFICALLY, CHILDCARE ACCESS, QUALITY, AND AFFORDABILITY - NEIGHBORHOOD & BUILT ENVIRONMENT INCLUDING OPPORTUNITIES FOR PHYSICAL ACTIVITY AND RECREATION, INTERNET ACCESS AND INFRASTRUCTURE AND TRANSPORTATION- SOCIAL & COMMUNITY CONTEXT - AWARENESS OF COMMUNITY RESOURCES HOSPITAL LEADERS, IN REVIEWING THE TOP NOTED THAT SOCIAL & COMMUNITY CONTEXT AWARENESS OF COMMUNITY RESOURCES WILL BE ADDRESSED AS A PART OF THE STRATEGY TO IMPROVE COMMUNITY ENGAGEMENT.IN ADDITION, AFTER THE SPRING 2022 COMMUNITY STAKEHOLDER INPUT SESSIONS, THE NEED FOR GREATER ACCESS TO QUALITY EDUCATION SPECIFICALLY CHILDCARE ACCESS BECAME A SUBSTANTIAL ISSUE. HOWEVER, HOSPITAL CAPACITY WAS LIMITED, AND HOSPITAL LEADERS SUGGESTED THAT IT WILL SUPPORT COMMUNITY EFFORTS TO IMPROVE CHILDCARE ACCESS, HOWEVER, IT WILL NOT BE ADDRESSED AS A PART OF THE IMPLEMENTATION STRATEGY. AMHC HAS ADOPTED OUR IMPLEMENTATION A PLAN TO ADDRESS THESE PRIORITIES THROUGH THE ESTABLISHMENT OF GOALS, OBJECTIVES AND STRATEGIES THAT TARGET SPECIFIC ISSUES IDENTIFIED BY THE PRIORITIES. MORE DETAILED INFORMATION REGARDING THESE GOALS, OBJECTIVES AND STRATEGIES CAN BE FOUND IN OUR COMMUNITY HEALTH IMPLEMENTATION PLAN LOCATED HERE: HTTPS://WWW.ASPIRUS.ORG/UPLOADS/PUBLIC/DOCUMENTS/REPORTS/2022%20CHNA%20REPORTS/2022_MEDFORD_ASSMT_PLAN.PDF ASPIRUS MEDFORD HOSPITAL PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. 11 1 - ASPIRUS MEDFORD CLINIC 143 SOUTH GIBSON STREET MEDFORD WI 54451 OUTPATIENT CLINIC 2 - ASPIRUS PHARMACY - MEDFORD 139 SOUTH GIBSON STREET MEDFORD WI 54451 RETAIL PHARMACY 3 - ASPIRUS CARE & REHAB 135 SOUTH GIBSON STREET MEDFORD WI 54451 SKILLED NURSING FACILITY 4 - ASPIRUS THERAPY & FITNESS - MEDFORD 103 SOUTH GIBSON STREET MEDFORD WI 54451 THERAPY FITNESS CENTER 5 - ASPIRUS PRENTICE CLINIC 1511 RAILROAD AVENUE PRENTICE WI 54456 OUTPATIENT CLINIC 6 - ASPIRUS KIDNEY CARE - MEDFORD 111 SOUTH GIBSON STREET MEDFORD WI 54451 DIALYSIS CENTER 7 - ASPIRUS COUNTRY GARDENS 635 WEST CEDAR STREET MEDFORD WI 54451 ASSISTED LIVING CENTER 8 - ASPIRUS PHILLIPS CLINIC 625 PETERSON AVENUE PHILLIPS WI 54555 OUTPATIENT CLINIC 9 - ASPIRUS ATHENS CLINIC 729 PINE STREET ATHENS WI 54411 OUTPATIENT CLINIC 10 - ASPIRUS GILMAN CLINIC 320 EAST MAIN STREET MEDFORD WI 54433 OUTPATIENT CLINIC 11 - ASPIRUS THERAPY - PRENTICE 619 BRIDGE STEET PRENTICE WI 54456 THERAPY FITNESS CENTER PART I, LINE 3C: THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY). SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS WHERE RETIREMENT WITHDRAWALS HAVE NOT BEGUN AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE. PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24E, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $1,962,652. PART II, COMMUNITY BUILDING ACTIVITIES: ASPIRUS' ACTIVE PARTICIPATION IN LOCAL NON-PROFIT EFFORTS (E.G., CANS FOR A CAUSE) CONTRIBUTES TO THE HEALTH OF THE COMMUNITY IN MULTIPLE WAYS. FIRST, ASPIRUS CAN BRING RESOURCES. ASPIRUS LEADERS HAVE A STRONG UNDERSTANDING OF WORKFORCE TRENDS, HEALTH CARE TRENDS, AND HUMAN RESOURCE ISSUES (AS AN EMPLOYER). IN ADDITION, ASPIRUS LEADERS SERVING ON BOARDS ARE CONNECTED TO PROVIDERS AND OTHERS WITH EXPERTISE THAT CAN BE OFFERED TO AREA NON-PROFITS. LASTLY, CONNECTING WITH LOCAL NON-PROFITS HELPS ASPIRUS IDENTIFY OPPORTUNITIES FOR INTERNAL SYSTEM IMPROVEMENTS AS WELL AS EXTERNAL COMMUNITY HEALTH IMPROVEMENT PROGRAMS.EVERY COMMUNITY DESERVES STRONG HEALTH CARE SERVICES. IN ORDER TO HAVE A STRONG HEALTH CARE SYSTEM, A STRONG HEALTH CARE WORKFORCE IS NEEDED. ONE WAY TO EXPAND THE PIPELINE OF HEALTH CARE WORKERS IS TO OFFER OPPORTUNITIES ABOUT HEALTH CARE CAREERS TO YOUTH STILL IN SCHOOL. HEALTH CAREERS INFORMATION CAN INCREASE YOUNG PEOPLE'S INTEREST IN HEALTH CAREERS AND INCREASE THE NUMBER OF NEW HEALTH CARE WORKERS IN THE FIELD. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. THE COSTING METHODOLOGY USED WAS THE PATIENT CARE COST TO CHARGE RATIO WHICH WAS DERIVED FROM THE CALCULATION ON IRS WORKSHEET 2. PART III, LINE 3: THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. PART III, LINE 4: THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES.BAD DEBT POLICY AND PROCEDURE:POLICY: I. ASPIRUS' FINANCIAL POLICY REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. II. FAILURE TO MEET THESE REQUIREMENTS IN ASPIRUS POLICY WILL RESULT IN THE ACCOUNT BEING CONSIDERED FOR BAD DEBT ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THE ACCOUNT WILL BE REMOVED FROM ACCOUNTS RECEIVABLE AND TURNED OVER TO AN OUTSIDE AGENCY OR LAW FIRM FOR COLLECTION. PRIOR TO THIS HAPPENING, THE FOLLOWING CRITERIA MUST BE MET: A. PATIENT FINANCIAL SERVICES STAFF WILL MAKE REASONABLE COLLECTION EFFORTS BY WAY OF: 1. MONTHLY STATEMENTS 2. COLLECTION LETTERS INCLUDING PLAIN LANGUAGE SUMMARY (PLS) 3. COLLECTION PHONE CALLS 4. VERIFICATION THAT CHARITY CARE WAS OFFERED WITHIN THE PAST 12-MONTHS AS RECORDED IN THE ELECTRONIC HEALTH RECORD (EMR) WITH STAFF HAVING THE DISCRETION TO OFFER AGAIN WITHIN THE 12-MONTHS. III. ALL COLLECTION ACTIVITY AND PATIENT CONTACTS WILL BE DOCUMENTED ON THE INDIVIDUAL ACCOUNTS. IV. ALL COLLECTION ACCOUNTS ARE TO BE TREATED THE SAME REGARDLESS OF PAYOR TYPE: SELF-PAY, GENERAL INSURANCE, MEDICARE, OR MEDICAL ASSISTANCE. V. PATIENT FINANCIAL SERVICES STAFF WILL USE SOUND BUSINESS JUDGMENT WHEN WORKING WITH THE ACCOUNT. AT THE DISCRETION OF THE FINANCIAL COUNSELOR, CREDIT REPORTS WILL BE REQUESTED FROM THE CREDIT BUREAU AND PROPERTY VERIFICATION OBTAINED THROUGH THE COUNTY TREASURER'S OFFICE. PROCEDURE: VI. THE FINAL STEP IS TO SUBMIT THE ACCOUNT TO A COLLECTION AGENCY OR LAW FIRM. EACH ACCOUNT IS REVIEWED TO DETERMINE IF THE ACCOUNT HAS MET THE BAD DEBT CRITERIA. ONCE IT HAS BEEN DETERMINED THAT ALL REQUIREMENTS HAVE BEEN MET, THE ACCOUNT IS TRANSFERRED FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY THE FINANCIAL COUNSELOR. SPECIFIC PROCEDURES PERTAINING TO THE DETAILED PROCEDURAL STEPS FOR TRANSFERRING TO THE AGENCY CAN BE FOUND IN THE INTERNAL POLICY. A. ADDITIONAL INFORMATION REGARDING MEDICARE BAD DEBTS: 1. THE DEBT MUST BE RELATED TO COVERED SERVICES AND DERIVED FROM DEDUCTIBLE AND COINSURANCE AMOUNTS. 2. THE HOSPITAL MUST PROVIDE REASONABLE COLLECTION EFFORTS. 3. THE DEBT IS NOT COLLECTABLE (AT LEAST 120 DAYS OUTSTANDING FROM THE DATE OF THE LAST PATIENT PAYMENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. B. BAD DEBT RECOVERIES 1. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. 2. PAYMENTS MADE DIRECTLY TO ASPIRUS BUT INTENDED FOR COLLECTION ACCOUNTS WILL BE POSTED TO THE APPROPRIATE ACCOUNT AND REPORTED DAILY/WEEKLY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. 3. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE REVIEWED BY THE FINANCIAL COUNSELOR TEAM LEAD AND APPROVED BY THE MANAGER/DIRECTOR, THEN SUBMITTED TO FISCAL SERVICES FOR CHECK PROCESSING AND PAYMENT TO AGENCIES FOR COMMISSIONS DUE. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 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. PART III, LINE 9B: PATIENT FINANCIAL SERVICES (PFS) PROACTIVELY IDENTIFIES UNINSURED PATIENTS AND UNDER-INSURED PATIENTS AND SCREENS THEM FOR FINANCIAL ASSISTANCE AND COUNSELING WITHOUT REGARD TO RACE, ETHNICITY, GENDER, RELIGION, OR NATIONAL ORIGIN. THESE SERVICES ARE PROVIDED AT NO CHARGE. PFS COUNSELORS WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO HELP THEM UNDERSTAND THE SYSTEM'S FINANCIAL ASSISTANCE/DISCOUNTING POLICIES AND HOW THEY CAN QUALIFY FOR ASSISTANCE AND/OR DISCOUNTS INCLUDING A REFERRAL TO PUBLIC AND PRIVATE PROGRAMS TO DETERMINE ELIGIBILITY. PART VI, LINE 2: IN ADDITION TO ASSESSING COMMUNITY NEEDS THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL TAKES A MULTIFACETED APPROACH TO IDENTIFYING AND ADDRESSING PATIENT AND COMMUNITY PRIORITIES. KEY ACTIONS INCLUDE:PATIENT-CENTERED INSIGHTS: SYSTEMATICALLY REVIEWING PATIENT EXPERIENCE DATA TO IDENTIFY OPPORTUNITIES FOR ADDRESSING CONCERNS AND ENHANCING CARE DELIVERY.ENGAGED GOVERNANCE: MAINTAINING AN ACTIVE LOCAL BOARD OF DIRECTORS THAT MEETS QUARTERLY. MEMBERS REPRESENT DIVERSE SECTORS, INCLUDING BANKING, LOCAL BUSINESSES, AND COMMUNITY SERVICE ORGANIZATIONS, ENSURING VARIED PERSPECTIVES INFORM HOSPITAL DECISION-MAKING.COMMUNITY INTEGRATION: ENCOURAGING AND SUPPORTING STAFF PARTICIPATION ON COMMUNITY BOARDS, COALITIONS, AND COMMITTEES, ENABLING THE HOSPITAL TO STAY ATTUNED TO LOCAL CHALLENGES AND OPPORTUNITIES.FUNDING AS A NEEDS INDICATOR: REGULARLY REVIEWING FUNDING REQUESTS SUBMITTED TO THE HOSPITAL OR HOSPITAL FOUNDATION TO GAIN ADDITIONAL INSIGHTS INTO UNMET COMMUNITY NEEDS.SOCIAL NEEDS SCREENING: LAUNCHING A SOCIAL NEEDS SCREENING PROCESS TO BETTER UNDERSTAND PATIENT CHALLENGES BEYOND IMMEDIATE MEDICAL CARE, FOSTERING A MORE HOLISTIC APPROACH TO HEALTH AND WELL-BEING OVER TIME.THESE STRATEGIES DEMONSTRATE THE HOSPITAL'S COMMITMENT TO BEING A PROACTIVE AND RESPONSIVE PARTNER IN ADVANCING COMMUNITY HEALTH. PART VI, LINE 3: ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS FROM CENTRAL BILLING OFFICE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. IF ASPIRUS FINANCIAL COUNSELORS NOTICE THE PATIENT HAS NOT BEEN OFFERED AN APPLICATION WITHIN THE PAST YEAR, THEY WILL ALSO ASK IF THE PATIENT WOULD LIKE ONE MAILED OR IF THE PATIENT SHOWS FINANCIAL DISTRESS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS. PART VI, LINE 4: THE PRIMARY SERVICE AREA OF THE HOSPITAL IS TAYLOR COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES INCLUDING PRICE. TAYLOR COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 975 SQUARE MILES, WITH 20.4 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 19,923 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER 18 YEARS OLD: 23.3%PERSONS 65 YEARS AND OVER: 19.6%WHITE PERSONS: 97.3%AFRICAN AMERICAN PERSONS: 0.5%AMERICAN INDIAN PERSONS: 0.5%ASIAN PERSONS: 0.6%HISPANIC OR LATINO: 2.4%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 4.4%HIGH SCHOOL GRADUATE OR HIGHER: 88.2%PERSONS BELOW POVERTY LEVEL: 9.6%MEDIAN HOUSEHOLD INCOME: $52,860PERCENT UNINSURED: 8%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS' BENEFITS, ETC.): 37.2%NUMBER OF HOSPITALS IN THE COUNTY: 1 (INCLUDING ASPIRUS MEDFORD HOSPITAL)TAYLOR COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR MENTAL HEALTH, DENTAL CARE AND PRIMARY CARE.ANOTHER GROUP WITHIN OUR COMMUNITY IS "THE PLAIN PEOPLE," CONSISTING OF INDIVIDUALS FROM THE AMISH, MENNONITE, GERMAN BAPTIST AND OLD GERMAN BAPTIST RELIGIONS. THE PLAIN PEOPLE ALSO REQUIRE SPECIAL CONSIDERATION BY ASPIRUS MEDFORD AND THE HEALTH DEPARTMENTS BECAUSE OF THEIR NON-MAINSTREAM LIFESTYLE. DEPENDING ON THE GROUP, BELIEFS MAY INFLUENCE THEIR USE OF PREVENTIVE HEALTH CARE, TREATMENT FOR ILLNESSES AND INJURIES, USE OF INSURANCE, USE OF ELECTRICITY, TRANSPORTATION AND VARIOUS OTHER FACETS OF DAILY LIFE. IN ADDITION, ANOTHER UNIQUE CONSIDERATION FOR OUR COMMUNITY IS THAT OUR POPULATION NEARLY TRIPLES IN SIZE DURING THE WORK WEEK DUE TO THE NUMBER OF INDUSTRY EMPLOYERS WE HAVE. THERE IS A LARGE POPULATION OF PEOPLE THAT TRAVEL TO MEDFORD FOR WORK, BUT LIVE IN OUTLYING, MORE RURAL PARTS OF OUR COUNTY. PART VI, LINE 5: THE HOSPITAL IS DEEPLY COMMITTED TO PROMOTING THE HEALTH AND WELL-BEING OF THE COMMUNITY THROUGH ITS ROBUST COMMUNITY HEALTH INITIATIVES AND COMMUNITY BENEFIT PROGRAMS. THESE EFFORTS ARE INTEGRAL TO FOSTERING HEALTHIER LIVES AND ADDRESSING THE UNIQUE NEEDS OF THE POPULATIONS IT SERVES. IN ADDITION TO THESE OVERARCHING EFFORTS, THE HOSPITAL ALSO DEMONSTRATES ITS DEDICATION THROUGH THE FOLLOWING KEY ACTIONS:COMMUNITY-FOCUSED LEADERSHIP: THE HOSPITAL MAINTAINS A BOARD OF DIRECTORS THAT REFLECTS THE DIVERSITY AND NEEDS OF THE COMMUNITY, ENSURING THAT DECISION-MAKING IS INCLUSIVE AND ALIGNED WITH LOCAL PRIORITIES.ENGAGEMENT AND EXPERTISE: IT ACTIVELY BRINGS ITS EXPERTISE INTO THE COMMUNITY BY OFFERING HEALTH PROGRAMS, SCREENINGS, AND PARTICIPATING IN COMMUNITY BOARDS AND ADVISORY COMMITTEES, FOSTERING COLLABORATION AND DIRECT SUPPORT.COMMITMENT TO EXCELLENCE: THE HOSPITAL PROVIDES HIGH-QUALITY SERVICES AND IS DEDICATED TO CONTINUOUS IMPROVEMENT THROUGH ONGOING QUALITY INITIATIVES, ENSURING PATIENTS RECEIVE THE BEST POSSIBLE CARE.INVESTMENT IN TECHNOLOGY: IT PRIORITIZES BUDGETING FOR STATE-OF-THE-ART TECHNOLOGIES AND EQUIPMENT, ENSURING THAT PATIENTS BENEFIT FROM THE LATEST ADVANCEMENTS IN MEDICAL CARE.SUPPORTIVE SERVICES: RECOGNIZING BARRIERS TO CARE, THE HOSPITAL OFFERS TRANSPORTATION ASSISTANCE TO PATIENTS WHEN NEEDED, HELPING ENSURE ACCESS TO ESSENTIAL SERVICES.ADVANCING THE HEALTHCARE WORKFORCE: BY SERVING AS PRECEPTORS FOR STUDENTS IN HEALTH PROFESSIONS, THE HOSPITAL PLAYS A CRITICAL ROLE IN TRAINING THE NEXT GENERATION OF HEALTHCARE PROVIDERS, CONTRIBUTING TO A STRONGER, MORE PREPARED WORKFORCE.THESE INITIATIVES HIGHLIGHT THE HOSPITAL'S UNWAVERING COMMITMENT TO BEING A CORNERSTONE OF HEALTH AND SUPPORT WITHIN THE COMMUNITY, STRIVING TO ADDRESS BOTH IMMEDIATE AND LONG-TERM NEEDS.AS PART OF A LARGER NETWORK OF ASPIRUS HEALTHCARE FACILITIES, THE HOSPITAL HAS ACCESS TO: - LOW-COST TEMPORARY LODGING AT ASPIRUS' FLAGSHIP TERTIARY CARE HOSPITAL PARTNER (IN WAUSAU, WI) SO THAT PATIENTS AND/OR THEIR FAMILY NEEDING EXTENDED SPECIALTY CARE HAVE ACCOMMODATIONS. - PROFESSIONAL DEVELOPMENT FOR STAFF, ASSURING THE CARE PROVIDED INCORPORATES THE MOST UP-TO-DATE BEST PRACTICES. - CROSS-TRAINING OPPORTUNITIES. FOR INSTANCE, A WAUSAU-BASED BEREAVEMENT COORDINATOR TRAINS STAFF ACROSS THE SYSTEM ON NORMAL GRIEF RESPONSE, RESILIENCE AND HOSPICE CARE AND SUPPORT. THE COORDINATOR TRAINS THROUGH THE NURSE RESIDENCY PROGRAM AS WELL AS IN UNIT/DEPARTMENT MEETINGS. UNIT/DEPARTMENT LEADERS CAN REQUEST BEREAVEMENT INFORMATION AND SUPPORT FOR THEIR TEAM. SIMILARLY, HOSPITALS HAVE ACCESS TO INJURY PREVENTION EXPERTISE AND RESOURCES THROUGH THE LEVEL 2 TRAUMA CENTER IN WAUSAU. - A MARKETING/COMMUNICATIONS TEAM THAT SUPPORTS THE ONLINE ASPIRUS MEDIA CENTER FEATURING MEDICAL EXPERTS. THE TEAM DEVELOPS AND PROMOTES HEALTH EDUCATION INFORMATION (E.G., ON DIABETES, TICK BITES, SNOWMOBILE SAFETY) FOR PATIENTS AND THE GENERAL PUBLIC. PART VI, LINE 6: ASPIRUS HEALTH IS A 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. PART VI, LINE 7, REPORTS FILED WITH STATES WI 1 GILMAN SCHOOL DISTRICT 325 N 5TH AVE GILMAN WI 54433 396002230 GOVERNMENT 25000 0 TO SUPPORT THE CARES PROGRAM WHICH ADDRESS SOCIAL, EMOTIONAL, BEHAVIORAL AND MENTAL HEALTH NEEDS OF STUDENTS AND FAMILIES. PHILLIPS SCHOOL DISTRICT 990 FLAMBEAU AVE PHILLIPS WI 54555 396008030 GOVERNMENT 25000 0 TO SUPPORT THE CARES PROGRAM WHICH ADDRESS SOCIAL, EMOTIONAL, BEHAVIORAL AND MENTAL HEALTH NEEDS OF STUDENTS AND FAMILIES. RIB LAKE SCHOOL DISTRICT 1236 KENNEDY ST RIB LAKE WI 54470 396004128 GOVERNMENT 25000 0 TO SUPPORT THE CARES PROGRAM WHICH ADDRESS SOCIAL, EMOTIONAL, BEHAVIORAL AND MENTAL HEALTH NEEDS OF STUDENTS AND FAMILIES. MEDFORD SCHOOL DISTRICT 124 W STATE ST MEDFORD WI 54451 390992246 GOVERNMENT 20000 0 THIS GRANT SUPPORTS THE PURCHASE OF YONDR POUCHES FOR ALL MEDFORD SCHOOL DISTRICT MIDDLE AND HIGH SCHOOL STUDENTS IN ORDER TO IMPLEMENT A NO CELL PHONE POLICY AT THE MIDDLE AND HIGH SCHOOLS. APPELSTEIN TRAINING RESOURCES LLC 12 MARTIN AVE SALEM NH 03079 421660638 N/A 5132 0 TO SUPPORT THE ANNUAL CARES CONFERENCE TO EDUCATE COMMUNITY MEMBERS, SERVICE PROVIDERS AND AGENCIES REGARDING SOCIAL, EMOTIONAL, BEHAVIORAL AND MENTAL HEALTH. 4 1 PART I, LINE 2: WHEN COMMUNITY BENEFIT FUNDS ARE DONATED TO LOCAL AGENCIES TO COMPLETE COMMUNITY HEALTH IMPROVEMENT EFFORTS, ASPIRUS REQUESTS A FORMAL REPORT AT THE CONCLUSION OF THE FISCAL YEAR. 1 1 0 0 0 0 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 0 1252366 0 353673 0 12078 0 9900 0 294286 0 1922303 0 0 SIDNEY SCZYGELSKI SENIOR VP OF FINANCE/CFO 0 659272 0 285397 0 350078 0 9900 0 124373 0 1429020 0 337358 JESSE TISCHER B.M. (THRU 01/24)/SVP & PRES.-AWH 0 593684 0 118969 0 51744 0 4185 0 111815 0 880397 0 50242 MICHAEL HOLZHUETER ASST. SEC./SVP-GEN. COUNSEL 0 545744 0 83740 0 59451 0 9440 0 106471 0 804846 0 55822 DAVID VANDERKIN RADIOLOGIST 750597 0 0 0 8516 0 9900 0 26023 0 795036 0 0 0 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 0 553897 0 56638 0 59096 0 9900 0 39845 0 719376 0 56806 CLINT SEMRAU PHYSICIAN 599653 0 0 0 11531 0 9900 0 39132 0 660216 0 0 0 JAMES MATHESON VICE CHAIR/SVP-CHIEF STRATEGY OFF. 0 405912 0 73047 0 43992 0 8193 0 94764 0 625908 0 32339 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 0 423444 0 72853 0 2438 0 9358 0 90310 0 598403 0 0 RICHARD MAYRER PHYSICIAN 530693 0 0 0 6488 0 9900 0 36635 0 583716 0 0 0 CONSTANCE BRADLEY B.M./SVP & PRES. REG. MRKTS. 0 391495 0 70030 0 27953 0 9900 0 80267 0 579645 0 24444 SUSAN SCHNEIDER B.M./VP-SENIOR SYS. PHYSICIAN EXEC. 0 450107 0 55813 0 4242 0 9900 0 24265 0 544327 0 0 DALE HUSTEDT (NV) PRESIDENT-ASPIRUS NW WI DIV. 289375 0 63525 0 72037 0 9900 0 79000 0 513837 0 64077 0 RYAN CHECK PHYSICIAN 391942 0 0 0 45421 0 9900 0 36369 0 483632 0 0 0 TODD RICHARDSON SVP-CHIEF INFORMATION OFFICER 0 216988 0 69318 0 64143 0 6050 0 70510 0 427009 0 39964 LEAH BECICKA PHYSICIAN 352318 0 0 0 7059 0 9900 0 1779 0 371056 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 0 280398 0 33439 0 2449 0 9592 0 28394 0 354272 0 0 ANDREA ALLARD VP-OPERATIONS 0 267134 0 26259 0 572 0 8802 0 1619 0 304386 0 0 JANELLE KOMMERS-MARKGRAF VP-HUMAN RESOURCES NORTH REGION 0 216363 0 20315 0 5817 0 6708 0 30568 0 279771 0 0 DIANE ANDERSON BOARD MEMBER/NURSE PRACTITIONER 0 231254 0 0 0 6438 0 6195 0 29327 0 273214 0 0 MATTHEW BREWER SEC./TREAS. (THRU 07/23)/VP-OPS 0 146938 0 25386 0 76344 0 811 0 20606 0 270085 0 0 GREG SHAW VP - FINANCE NORTH REGION 0 192448 0 18937 0 5562 0 6594 0 22874 0 246415 0 0 JEFFREY JONES SVP-CFO (THRU 04/23) 0 220906 0 0 0 2036 0 3492 0 9464 0 235898 0 0 PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B AMHC SPONSORS A NONQUALIFIED TAX EQUALIZED ANNUITY PLAN COVERING EMPLOYED PHYSICIANS. PHYSICIANS ARE ELIGIBLE TO PARTICIPATE IN THE PLAN AFTER ONE YEAR OF SERVICE. PARTICIPANTS IN THE PLAN ARE IMMEDIATELY 100% VESTED. SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENT: M. BREWER $64,563 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: J. MATHESON $32,339 D. HUSTEDT $64,077 J. TISCHER $50,242 S. SCZYGELSKI $337,358 T. RICHARDSON $39,964 M. HOLZHUETER $55,822 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 & 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 WI HEALTH & EDUCATION FACILITIES AUTHORITY 391337855 97710B7X4 2013-04-12 16902595 CONSTRUCT, RENOVATE, AND EQUIP FACILITIES 0 0 0 A 4830000 16902595 198812 16703783 2016 1 0 1 1 A 0 1 1 0 0 0.00890 0.00100 0.00990 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SCHEDULE K, PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 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. SCHEDULE K, PART III, LINES 3A AND 3B: ASPIRUS, INC., A MEMBER OF ASPIRUS MEDFORD HOSPITAL & CLINICS, INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW MANAGEMENT AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCE PROPERTY. ON A CONTRACT-BY-CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY. PART III, LINE 9 SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE 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 THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN SIX INDEPENDENT COMMUNITY CLASS DIRECTORS, TWO ASPIRUS CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., TWO PROVIDER CLASS DIRECTOR 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 THE 990-T ARE REVIEWED 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 PURPOSES OF DETERMINING COMPENSATION, ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. RELIES 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 VII, SECTION A, EXPLANATION OF HOURS WORKED: SOME OFFICERS AND DIRECTORS ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -13,148,009. 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 EXTENDED SERVICES INC 333 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501(C)(3) LINE 10 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 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 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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