2022-05-12T12:23:34-05:00 2021-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2020-07-01 391138241 ASPIRUS WAUSAU HOSPITAL INC ASPI 7158472988 333 PINE RIDGE BLVD WAUSAU WI 54401 SIDNEY C SCZYGELSKI SENIOR VP OF FINANCE & CFO 7158472988 2022-05-06 1 SIDNEY SCZYGELSKI 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2022-05-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SIDNEY C SCZYGELSKI 333 PINE RIDGE BLVD WAUSAU WI 54401 708054942 0 X WWW.ASPIRUS.ORG X 1970 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 9 4 3324 36 226942 0 9765600 17854222 560714400 634272446 8551983 19533278 1922922 2831823 580954905 674491769 954868 326998 0 0 201378965 215828576 0 0 0 304048809 356451584 506382642 572607158 74572263 101884611 598510216 652843423 232431880 223427729 366078336 429415694 WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 447632378 326998 634272446 ASPIRUS WAUSAU HOSPITAL, INC. PROVIDES HOSPITAL SERVICES FOR RESIDENTS OF WAUSAU, STEVENS POINT AND THE SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. 447632378 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 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 1 242 0 3324 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 4 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X SIDNEY C SCZYGELSKI 7158472250 2200 WESTWOOD DRIVE WAUSAU WI 54401 JAMES M CYGAN MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 997333 49446 LAWRENCE G LEIBERT MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 477177 45488 MICHAEL UMLAND BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 396836 52117 KRISTA SCHARER MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 268267 48631 MARY JO WENDLING MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 272573 15321 KATHY KELSEY FOLEY CHAIR 1.00 2.00 X X 0 0 0 DAVID HECK CHAIR (THRU SEP 20) 1.00 2.00 X X 0 0 0 RANDY L BALK VICE CHAIR 1.00 1.00 X X 0 0 0 CHAD H RADKE DO SECRETARY/TREASURER 1.00 3.00 X X 0 0 0 JEREMY A LEWITZKE BOARD MEMBER 1.00 1.00 X 0 0 0 TODD NAGEL BOARD MEMBER (THRU JUNE 21) 1.00 X 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 1.00 50.00 X 0 1316596 71205 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 1.00 50.00 X 0 861658 62993 JENNIFER REDMAN-SCHELL SVP & PRESIDENT, AMG 1.00 50.00 X 0 481240 39357 JEFFREY WICKLANDER PRESIDENT AWH 50.00 X 131816 0 2621 JOHN HEISLER SVP & CHIEF HUMAN RESOURCES OFFICER 2.00 40.00 X 0 571823 43247 RENEE SMITH EXECUTIVE DIRECTOR ANI 2.00 40.00 X 506661 0 49619 JESSE TISCHER SVP & PRES. - REG. MKTS. 2.00 50.00 X 0 551417 54431 RYAN ANDREWS SR. SYS. PHYS. EXEC.-TERTIARY CARE 40.00 X 529445 0 52330 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 2.00 40.00 X 0 475604 56304 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 2.00 40.00 X 0 455671 52263 TONYA DARNER VP-CHIEF OPERATING OFFICER 40.00 X 320396 0 16117 RUTH RISLEY-GRAY SVP & SYSTEM CHIEF NURSING OFFICER 2.00 40.00 X 0 419745 45966 CARI LOGEMANN SVP & GENERAL COUNSEL (THRU 06/20) 1.00 50.00 X 0 437354 22668 JEANNINE NOSKO VP-PAT. CARE & CHIEF NURSING OFFICER 40.00 X 307358 0 46788 MICHAEL MCGRAIL SVP & SYSTEM CHIEF MEDICAL OFFICER 2.00 40.00 X 0 426022 0 RICK NEVERS SVP-REG. OPS. SYSTEM INT. OFFICER 2.00 40.00 X 0 371883 30050 JAMES MATHESON SVP & CHIEF STRATEGY OFFICER 2.00 40.00 X 0 314187 51164 ROBERT SMITH VP- STEVENS POINT CAMPUS 40.00 X 264981 0 18682 BRETT DAVIS PRESIDENT-ASPIRUS HEALTH PLAN 2.00 40.00 X 0 303898 26541 TODD DIRKMAN VP-OPERATIONAL & CLINICAL SERVICES 40.00 X 210314 0 46128 KIMBERLY ENTENMANN VP-HUMAN RESOURCES AWH 40.00 X 177682 0 40089 MARK GEURTS MANAGER-CHIEF MEDICAL PHYSICIST 40.00 X 267171 0 49880 BETTY VOGDS CLINICAL MEDICAL PHYSICIST 40.00 X 189924 0 35873 JILL MICHAUD DIRECTOR-SYSTEM PHARMACY 40.00 X 222290 0 40487 NICOLE RANGER DIAGNOSTIC MEDICAL PHYSICIST 40.00 X 186083 0 23437 BETH CARLBERG LEAD PHARMACIST 40.00 X 159136 0 32959 JACOB KEMPEN VP-ANCIILLARY & SUPPORT SERVICES 40.00 X 204240 0 0 3677497 9399284 1222202 153 1 1 0 MIRON CONSTRUCTION CO INC PO BOX 1372 GREEN BAY WI 543051372 CONSTRUCTION SERVICES 24228128 WISCONSIN EMERGENCY MEDICAL SERVICE ASSO 333 PINE RIDGE BLVD WAUSAU WI 54401 ON CALL SERVICES 11124141 TOTAL MSP LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 CONTRACT LABOR 6288087 ASSOCIATED REG & UNIVERSITY PATHOLOGIST PO BOX 27964 SALT LAKE CITY UT 84127 LAB SERVICES 6053057 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 EQUIPMENT CONTRACT SERVICES 2644951 206 597037 17168993 88192 17854222 PATIENT SERVICE REVENUE 621400 598375489 598375489 LAB REVENUE 621400 22642141 22420600 221541 RENTAL REVENUE 532000 7002254 7002254 CONTRACT SERVICE REVENUE 621400 5884155 5884155 PHARMACY REVENUE 446110 339347 339347 29060 29060 634272446 10829613 10829613 42266088 750 33538679 24494 8727409 -23744 8703665 8703665 INVESTMENT IN WESTWOOD 523000 1734123 1734123 CAFETERIA AND VENDING 721000 1097700 5401 1092299 2831823 674491769 634050905 226942 22359700 X 326998 326998 3185829 3185829 169071447 150445745 18625702 7735571 6746252 989319 24194621 21344180 2850441 11641108 10029488 1611620 171719 141819 29900 363503 363503 1342 1342 31941 31941 73811480 68803967 5007513 35265 18258 17007 870420 782091 88329 329517 136004 193513 8314537 4513879 3800658 1160287 1114483 45804 250353 13650 236703 3213985 3055466 158519 24292025 21893000 2399025 980414 162921 817493 MEDICAL SUPPLIES 133196956 131699257 1497699 CORPORATE ALLOCATION 81680066 15539071 66140995 REPAIRS AND MAINTENANCE 11798305 6405182 5393123 HOSPITAL TAX 9691176 489848 9201328 6258293 3969477 2288816 572607158 447632378 124974780 0 4608992 7350625 10397160 4268018 70832334 88412133 11196511 9899695 5197549 3920459 530600462 268808371 246528446 261792091 196266872 227454990 3029475 1055512 50452877 48689900 598510216 652843423 43445292 46832704 234118 176459 1479000 0 119386234 113141264 67887236 63277302 232431880 223427729 X 366078336 429415694 366078336 429415694 598510216 652843423 X 101884611 30771607 -69318860 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 38900 38900 0 PART II-B, LINE 1: A PORTION OF OUR ANNUAL WISCONSIN HOSPITAL ASSOCIATION (WHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA) DUES ARE USED FOR LOBBYING ACTIVITIES. THE AMOUNTS THAT ARE SPECIFIC TO LOBBYING PURPOSES ARE: WISCONSIN HOSPITAL ASSOCIATION $24,978 AND AMERICAN HOSPITAL ASSOCIATION $13,922. 17808519 17808519 351987367 158504270 193483097 864419 414181 450238 152533705 109636788 42896917 7406452 253132 7153320 261792091 CSV INSURANCE 1424441 INSURANCE RECEIVABLE 544792 OPERATING LEASE ROU ASSET 7458 RELATED PARTY RECEIVABLES 46713209 48689900 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1900000 RETIREE HEALTHCARE BENEFITS 2900268 INTEREST RATE SWAP 3397500 DEFERRED COMPENSATION ACCRUAL 1707839 LONG-TERM INSURANCE LIABILITY 1032519 ASBESTOS LIABILITY 5085115 CAPITAL AND OPERATING LEASES 734638 MEDICARE ACCELERATED PAYMENTS 43788442 LONG TERM FICA TAX LIABILITY 2657182 RELATED PARTY PAYABLES 73799 63277302 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, 2021. ASPIRUS' FEDERAL INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR ENDED JUNE 30, 2017, AND PRIOR YEARS. ASPIRUS' WISCONSIN AND MICHIGAN STATE INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR ENDED JUNE 30, 2016, AND PRIOR YEARS. 1 1 X 1 X 1 X 1 1 0 1 1 2811243 2811243 0.00490 67349325 28424399 38924926 0.06800 25363492 20248487 5115005 0.00890 95524060 48672886 46851174 0.08180 8600700 5596945 3003755 0.00520 1603099 1603099 0.00280 12252556 6919007 5333549 0.00930 170475 6372 164103 0.00030 41200 41200 0.00010 22668030 12522324 10145706 0.01770 118192090 61195210 56996880 0.09950 32004 32004 0.00010 4423 4423 0.00000 9575 9575 0.00000 46002 46002 0.00010 1 1916587 102901170 125595051 -22693881 X 1 1 2 1 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 188 X X X X 2 ASPIRUS STEVENS POINT HOSPITAL 5409 VERN HOLMES DRIVE STEVENS POINT WI 54482 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 324 X X X ASPIRUS WAUSAU HOSPITAL INC 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES X 1 18 1 WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X WWW.ASPIRUS.ORG/FINANCIALAID X WWW.ASPIRUS.ORG/FINANCIALAID X WWW.ASPIRUS.ORG/FINANCIALAID X X X X X X 1 X 0 X X X X 1 X 0 0 ASPIRUS STEVENS POINT HOSPITAL 2 1 0 0 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X 1 X WWW.ASPIRUS.ORG/FINANCIALAID X WWW.ASPIRUS.ORG/FINANCIALAID X WWW.ASPIRUS.ORG/FINANCIALAID X X X X X X 1 X 0 X X X X 1 X 0 0 ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 5: A SIX-PAGE SURVEY WAS MAILED TO 2,100 HOUSEHOLDS IN MARATHON COUNTY. (THE SRC USED THE DILLMAN METHOD FOR THE 2,100 HOUSEHOLDS IN THE MAIL SURVEY. EACH PERSON IN THE SAMPLE WAS SENT A SURVEY INITIALLY. THOSE WHO HAD NOT RETURNED THEIR SURVEY WITHIN TWO WEEKS WERE SENT A POSTCARD REMINDING THEM TO COMPLETE THE SURVEY. TWO WEEKS AFTER THE POSTCARD, THOSE WHO HAD STILL NOT RESPONDED RECEIVED A SECOND POSTCARD.)OF THOSE 2,100 SURVEYS:-600 WERE SENT TO THREE SUBPOPULATIONS: UNDER AGE 35, HOUSEHOLD WITHINCOMES UNDER $25,000 AND MINORITIES OF VARYING ETHNICITY, TO ENSURE A REPRESENTATION FROM THESE CHALLENGING TO REACH GROUPS.-1,500 SURVEYS WERE RANDOMLY SENT THROUGHOUT MARATHON COUNTY.-AN ADDITIONAL 100 SURVEYS WERE DISTRIBUTED TO SELECTED MARATHON COUNTY NON-PROFIT PARTNERS BY UNITED WAY OF MARATHON COUNTY INCLUDING: SALVATION ARMY, THE NEIGHBOR'S PLACE AND BRIDGE CLINIC TO BETTER REACH MINORITIESAND UNDERSERVED POPULATIONS.THOSE WHO RECEIVED SURVEYS HAD THE OPTION TO COMPLETE THE SURVEY ONLINE. THE SRC RECEIVED THE FOLLOWING NUMBER OF RESPONSES FROM THESE THREE SOURCES:-443 PAPER SURVEYS FROM THOSE MAILED-33 PAPER SURVEYS FROM NON-PROFIT PARTNERS-21 ONLINE SURVEYS GIVEN AN ADULT POPULATION OF 103,194 IN MARATHON COUNTY, THIS DATA SHOULD PROVIDE ESTIMATES ACCURATE TO WITHIN PLUS OR MINUS 4.5% ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 6A: ASCENSION, MARSHFIELD CLINIC ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 6B: EO JOHNSON BUSINESS TECHNOLOGIES, U.S. WORKSTORIES, WAUSAU POLICE DEPARTMENT, MARATHON COUNTY BOARD, NORTH CENTRAL WISCONSIN WORKFORCE DEVELOPMENT BOARD, ASPIRUS ARISE, HOMME HEIGHTS, INC., MARATHON COUNTY CONSERVATION, PLANNING AND ZONING DEPARTMENT, MARATHON COUNTY PUBLIC LIBRARY, WAUSAU SCHOOL DISTRICT, MARATHON COUNTY SHERIFF'S DEPARTMENT, ASCENSION, UNITED WAY OF MARATHON COUNTY, MARATHON COUNTY HEALTH DEPARTMENT, MARATHON COUNTY DEVELOPMENT CORPORATION, NORTHCENTRAL TECHNICAL COLLEGE, AMONG OTHER AGENCIES AS PART OF THE SUBCOMMITTEES. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 11: BEHAVIORAL HEALTH: ASPIRUS HEALTH PROVIDED FUNDS TO THE MENTAL HEALTH CONSORTIUM DURING COVID TO HELP ADVANCE TELEHEALTH CAPABILITIES. THIS SUPPORT CARRIED OVER ONCE THE STUDENTS WERE ABLE TO ATTEND IN PERSON LEARNING TO HELP THOSE STUDENTS WHO WEREN'T ABLE TO ACCESS ONSITE MENTAL HEALTH SERVICES DUE TO LACK OF INSURANCE OR HIGH DEDUCTIBLES, THUS REMOVING A BARRIER. ASPIRUS HEALTH PROVIDED FUNDS TO TRAIN THE CURRENT RECOVERY COACHES AS PEER RECOVERY SPECIALISTS. THIS INCREASES THE COACHES KNOWLEDGE AND GIVES THEM THE ABILITY TO INTEGRATE MENTAL HEALTH DISCUSSIONS AND REFERRALS INTO THE COACHING PROCESS. ASPIRUS HEALTH IS WORKING TO EXPAND BEHAVIORAL HEALTH SERVICES BY INCREASING ACCESS TO PROVIDERS THROUGH THE USE OF TELEHEALTH. THIS INCLUDES THE EXPANSION OF MEDICALLY ASSISTED TREATMENT (MAT) ACCESS THROUGH THE HIRING OF A FULL TIME NURSE TO FOLLOW UP WITH PATIENTS AND ENSURE COMPLIANCE TO TREATMENT. ASPIRUS HEALTH CONTINUES TO SUPPORT THE RISE UP CENTRAL WISCONSIN PROJECT, USING PARTICIPATORY ART TO HEALTH, STRENGTHEN AND UNIFY THE COMMUNITY. THIS YEAR, THEY WORKED IN COLLABORATION WITH THE SCHOOLS TO CREATE OPPORTUNITIES FOR DISCUSSION AROUND MENTAL HEALTH. FROM THIS, STUDENTS WERE ABLE TO SHARE THEIR EXPERIENCES OF COVID ISOLATION AND FORM MEANINGFUL CONNECTIONS WITH OTHER STUDENTS AND STAFF. ASPIRUS HEALTH PARTNERS WITH AND PROVIDES SUPPORT TO TRAINING THE SCHOOL DISTRICT STAFF ON TRAUMA INFORMED LEARNING, INCLUDING QPR AND MENTAL HEALTH FIRST AID TRAINING.AODA:ASPIRUS HEALTH WORKED WITH THE UW-MADISON VOICES OF RECOVERY GRANT TO CONTINUE RECOVERY COACHING SERVICES WITHIN OUR HOSPITALS. THIS PARTNERSHIP CREATES A WARM HAND OFF TO THOSE PATIENTS THAT ARE EXPERIENCING ADDITION. THE RECOVERY COACH HELPS THE PATIENT NAVIGATE RECOVERY RESOURCES AFTER DISCHARGE. ASPIRUS HEALTH HIRED A FULL-TIME STAFF MEMBER TO FOCUS ON SCREENING PATIENTS FOR ALCOHOL AND DRUG RELATED ISSUES, USING THE SBIRT SCREENER. ONCE A PATIENT IS SCREENED POSITIVE, THEY WILL BE CONNECTED WITH COMMUNITY RESOURCES THROUGH THE PARTNERSHIPS WE BUILT WITH RECOVERY COACHING, NORTH CENTRAL HEALTH CARE, AND OTHERS.ASPIRUS HEALTH HAS PROVIDED SUPPORT TO THE AOD PARTNERSHIP IN EFFORT TO OFFER COMMUNITY EDUCATION AROUND TOPICS ON VAPING, MARIJUANA USE, OPIOIDS AND OTHER DRUGS. ASPIRUS HAS ALSO SUPPORTED THE MEDICATION ASSESSMENT SURVEY THAT PROVIDES PERCEPTION DATA TO BETTER GUIDE THE COMMUNITY WORK. ASPIRUS CONTINUES WORK THROUGH THE INTERNAL OPIOID GOVERNANCE COUNCIL TO IMPLEMENT BEST PRACTICE PRESCRIBING FOR OPIOIDS. ASPIRUS HEALTH HAS PLACED A MEDICATION DROP BOX AND SHARPS KIOSK IN THE FRONT LOBBY FOR THE COMMUNITY TO ACCESS. MAKING IT EASIER TO DISPOSE OF UNUSED MEDICATIONS AND SHARPS IS SUPPORTIVE OF COMMUNITY EFFORTS AND KEEPS LEFT-OVER MEDICATION OUT OF THE REACH OF THOSE THAT MIGHT MISUSE AS WELL AS OUT OF OUR WATER SUPPLY. THIS EFFORT IS A COLLABORATION BETWEEN THE COMMUNITY HEALTH AND SUSTAINABILITY GOALS. HEALTHY WEIGHT: ASPIRUS CONTINUES TO PROVIDE ACCESS TO LOCAL FOODS THROUGH THE ONSITE FARMERS MARKET, FRUIT AND VEGGIE PRESCRIPTION (FVRX) PROGRAM. THROUGH THE FVRX, WE ARE ABLE TO COLLABORATE WITH PARTNERS TO EXPAND OUTREACH TO VULNERABLE POPULATIONS SUCH AS THE HMONG AND HISPANIC POPULATIONS.HEALTHY START FOR CHILDREN:ASPIRUS HEALTH CONTINUES TO PROVIDE SUPPORT FOR THE START RIGHT PROGRAM, OFFERING SUPPORT FOR PARENTS AS FIRST TEACHERS MODEL TO THOSE PARENTS THAT MIGHT NOT HAVE THE RESOURCES NEEDED TO GIVE THEIR CHILDREN A GREAT START, BIRTH AND BEYOND. THROUGH THIS PROGRAM THEY ARE CONNECTED TO OTHER BASIC NEEDS AND SERVICES AS THEY ARE IDENTIFIED. OTHER EFFORTS IN RESPONSE TO COVID:ASPIRUS HEALTH IS PART OF THE H2N PROGRAM, A NETWORK TO OUTREACH TO AND CONNECT THE HMONG AND HISPANIC POPULATIONS TO COVID INFORMATION, VACCINATIONS, HEALTH SYSTEM PREVENTATIVE CARE, AND OTHER BASIC NEED RESOURCES. THIS NETWORK HAS PROVIDED THE HEALTH SYSTEM A WAY TO CONNECT WITH THESE POPULATIONS THROUGH A COMMUNITY HEALTH WORKER MODEL, USING A TRUSTED MEMBER OF THEIR POPULATION. TRADITIONALLY, THE HEALTH SYSTEM HAS NOT BEEN EFFECTIVE IN CONNECTING TO THESE POPULATIONS, SO CONTINUING THIS EFFORT WILL BE A VALUABLE WAY TO BUILD CONNECTIONS AND CONTINUE OUTREACH. ASPIRUS HEALTH HAS EXPANDED THE USE OF FIND HELP AS WAY TO CONNECT PATIENTS AND COMMUNITY MEMBERS TO MUCH NEEDED FREE/LOW-COST SOCIAL SERVICES. THIS HAS BEEN A VALUABLE TOOL DURING COVID WHEN MANY PEOPLE EXPERIENCED THE NEED FOR BASIC SERVICES, SUCH AS FOOD, HOUSING, AND TRANSPORTATION. THIS PLATFORM GIVES US THE ABILITY TO UNDERSTAND WHAT OUR PATIENTS AND COMMUNITY MEMBERS ARE SEARCHING FOR SO WE CAN ENSURE THAT SERVICES EXIST TO MEET THEIR NEEDS. ASPIRUS HAS SEEN AN UPTICK IN USERS AND SEARCHES WHICH INDICATES THE SUCCESS OF THE PLATFORM. CHNA AND COMMUNITY DATA SUPPORT: ASPIRUS HEALTH CONTINUES TO SUPPORT AND FUND THE COMMUNITY DATA PLATFORM, MARATHON COUNTY PULSE, POWERED BY HEALTHY COMMUNITIES INSTITUTE. THIS PLATFORM ALLOWS COMMUNITY-WIDE DATA TO BE UPLOADED AND SHARED WIDELY. THIS DATA PLATFORM IS USED FOR THE BASIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ALONG WITH SUBMITTING GRANT PROPOSALS, ETC. THE ABILITY TO EASILY ACCESS VALID, RELIABLE DATA AT YOUR FINGER-TIPS IS ESSENTIAL TO MOVING COMMUNITY HEALTH INITIATIVES FORWARD. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. ASPIRUS STEVENS POINT HOSPITAL PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. 2 1 - PINE RIDGE SURGERY CENTER 2500 PINE RIDGE BLVD WAUSAU WI 54401 GENERAL MEDICAL & SURGICAL 2 - NORTHWOODS SURGERY CENTER LLC 611 VETERANS PARKWAY WOODRUFF WI 54568 GENERAL MEDICAL & SURGICAL PART I, LINE 3C: THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF:- PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. - CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION. SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS AND IRREVOCABLE BURIAL TRUST FUNDS.- TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE. PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSE, LESS MEDICAID PROVIDER TAXES DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE ORGANIZATION. THE ORGANIZATION ALSO PROVIDES DISCOUNTS TO ELIGIBLE UNINSURED OR UNDERINSURED PATIENTS UNDER ITS CHARITABLE CARE POLICY. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED OR UNDERINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE ORGANIZATION. PART I, LINE 7G: THE COSTS OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE TRAUMA UNIT, PALLIATIVE (COMFORT CARE) UNIT, OUTPATIENT DIALYSIS, AND HOSPICE HOUSE. ASPIRUS WAUSAU HOSPITAL UTILIZED AN INTERNAL DEPARTMENTAL FINANCIAL STATEMENT TO REPORT THE COST AND DIRECT OFFSETTING REVENUE THAT CALCULATES THE COMMUNITY BENEFIT EXPENSE. THE TRAUMA UNIT REPORTED COSTS OF $3,319,437 WITH OFFSETTING REVENUE OF $1,666,361. THE PALLIATIVE CARE UNIT REPORTED COSTS OF $4,790,992 WITH OFFSETTING REVENUE OF $1,751,724. THE OUTPATIENT DIALYSIS UNIT REPORTED COSTS OF $4,142,127 WITH OFFSETTING REVENUE OF $3,500,922. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $6,052,316 . PART II, COMMUNITY BUILDING ACTIVITIES: AS ANY GOOD CORPORATE CITIZEN, ASPIRUS WAUSAU HOSPITAL IS INVOLVED IN A WIDE RANGE OF COMMUNITY BUILDING ACTIVITIES. SOME OF THESE ARE UNDERTAKEN SIMPLY BECAUSE THERE IS A COMMUNITY NEED AND ASPIRUS IS IN A POSITION TO HELP, OTHERS ARE UNDERTAKEN FOR MUCH MORE SPECIFIC REASONS. THE GOAL OF ASPIRUS WAUSAU HOSPITAL'S COMMUNITY BENEFITS ACTIVITIES IS TO ADDRESS KEY COMMUNITY HEALTH ISSUES AS IDENTIFIED BY THE COMMUNITY NEEDS ASSESSMENT: THE MARATHON COUNTY LIFE REPORT SPEARHEADED BY THE UNITED WAY OF MARATHON COUNTY. THE FOLLOWING IS A LIST OF "COMMUNITY BUILDING" ACTIVITIES REPORTED IN PART II AND BRIEF DESCRIPTIONS OF THEM. ECONOMIC DEVELOPMENT (F2) CENTRAL WAUSAU PROGRESS: THIS IS ANOTHER COMMUNITY DEVELOPMENT PROGRAM THAT COMBINES THE VISION, RESOURCES, AND EFFORTS OF MANY PARTNERS THROUGHOUT THE WAUSAU AREA. MCDEVCO: MARATHON COUNTY ECONOMIC DEVELOPMENT CORPORATION, IN PRIVATE AND PUBLIC PARTNERSHIP WITH MARATHON COUNTY GOVERNMENT AND THE WAUSAU REGION CHAMBER OF COMMERCE, PROVIDES LEADERSHIP FOR REVIEWING AND RECOMMENDING ALL INITIATIVES RELATED TO EDUCATION AND ECONOMIC DEVELOPMENT. MCDEVCO IS COMMITTED TO BUSINESS GROWTH, AS WELL AS PROVIDING A HIGH QUALITY OF LIFE AND BUILDING STRONG COMMUNITIES IN THE MARATHON COUNTY REGION. WAUSAU REGION CHAMBER: THE LOCAL MEMBER OF THE US CHAMBER OF COMMERCE, THE WAUSAU REGION CHAMBER DEDICATES ITSELF TO IMPROVING THE LOCAL BUSINESS COMMUNITY AND ECONOMY THROUGH ADVOCACY, GROWTH/DEVELOPMENT, MARKETING, AND PROFESSIONAL DEVELOPMENT. ASPIRUS WAUSAU HOSPITAL IS A LONGTIME CHAMBER MEMBER AND PROVIDES A LEADERSHIP ROLE IN MULTIPLE WAYS. COMMUNITY SUPPORT (F3) BOY SCOUTS OF AMERICA: BSA HAS A THRIVING COUNCIL, THE SAMOSET, LOCATED IN WAUSAU. THIS ORGANIZATION ENCOURAGES THE PHYSICAL, CIVIC, SOCIAL, AND EDUCATIONAL DEVELOPMENT OF BOYS AND ASPIRUS WAUSAU HOSPITAL SUPPORTS ITS EFFORTS. BSA ACTIVITIES HELP ADDRESS THE FOLLOWING MARATHON COUNTY LIFE REPORT KEY CALLS TO ACTION: ALCOHOL AND DRUG MISUSE, AND OVERWEIGHT AND OBESITY. ROTARY: ROTARY IS A WORLDWIDE ORGANIZATION OF BUSINESS AND PROFESSIONAL LEADERS THAT PROVIDES HUMANITARIAN SERVICE, ENCOURAGES HIGH ETHICAL STANDARDS IN ALL VOCATIONS, AND HELPS BUILD GOODWILL AND PEACE IN THE WORLD. THE OBJECT OF ROTARY IS TO ENCOURAGE AND FOSTER THE IDEAL OF SERVICE AS A BASIS OF WORTHY ENTERPRISE. THE LOCAL CLUB HAS ABOUT 85 MEMBERS AND TRULY BENEFITS THE COMMUNITY. UNITED WAY: ASPIRUS WAUSAU HOSPITAL HAS DEEP AND LONGSTANDING INVOLVEMENT WITH THE LOCAL UNITED WAY. AS A PACESETTER ORGANIZATION, ASPIRUS DEMONSTRATES LEADERSHIP IN ITS INTERNAL SUPPORT CAMPAIGN TO BENEFIT THE UNITED WAY, WHICH HAS RESTRUCTURED TO FOLLOW A ROAD MAP TO COMMUNITY SUCCESS THAT DIRECTS ITS SUPPORT TO ORGANIZATIONS THAT IMPROVE EDUCATION, HEALTH AND INCOME IN THE COMMUNITY. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLE 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 #8338129 REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. (ALSO REFER TO ASPIRUS POLICY #9074941) II. FAILURE TO MEET THESE REQUIREMENTS IN POLICY #8338129 WILL RESULT IN THE ACCOUNT BEING CONSIDERED FOR BAD DEBT ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THE ACCOUNT WILL BE REMOVED FROM ACCOUNTS RECEIVABLE AND TURNED OVER TO AN OUTSIDE AGENCY OR LAW FIRM FOR COLLECTION. PRIOR TO THIS HAPPENING, THE FOLLOWING CRITERIA MUST BE MET: A. PATIENT FINANCIAL SERVICES STAFF WILL MAKE REASONABLE COLLECTION EFFORTS BY WAY OF: 1. MONTHLY STATEMENTS 2. COLLECTION LETTERS 3. COLLECTION PHONE CALLS III. ALL COLLECTION ACTIVITY AND PATIENT CONTACTS WILL BE DOCUMENTED ON THE INDIVIDUAL ACCOUNTS. IV. ALL COLLECTION ACCOUNTS ARE TO BE TREATED THE SAME REGARDLESS OF PAYOR TYPE: SELF-PAY, GENERAL INSURANCE, MEDICARE, OR MEDICAL ASSISTANCE. V. PATIENT FINANCIAL SERVICES STAFF WILL USE SOUND BUSINESS JUDGMENT WHEN WORKING WITH THE ACCOUNT. AT THE DISCRETION OF THE FINANCIAL COUNSELOR, CREDIT REPORTS WILL BE REQUESTED FROM THE CREDIT BUREAU AND PROPERTY VERIFICATION OBTAINED THROUGH THE COUNTY TREASURER'S OFFICE. PROCEDURE: I. 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 POLICY/PROCEDURE ID# 9074941. A. ADDITIONAL INFORMATION REGARDING MEDICARE BAD DEBTS: 1. THE DEBT MUST BE RELATED TO COVERED SERVICES AND DERIVED FROM DEDUCTIBLE AND COINSURANCE AMOUNTS. 2. ASPIRUS WAUSAU HOSPITAL MUST PROVIDE REASONABLE COLLECTION EFFORTS. 3. THE DEBT IS NOT COLLECTABLE (AT LEAST 120 DAYS OUTSTANDING FROM THE DATE OF THE FIRST BILLING TO THE PATIENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. II. BAD DEBT RECOVERIES A. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. B. PAYMENTS MADE DIRECTLY TO ASPIRUS BUT INTENDED FOR COLLECTION ACCOUNTS WILL BE POSTED TO THE APPROPRIATE ACCOUNT AND REPORTED DAILY/WEEKLY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. C. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE REVIEWED BY THE FINANCIAL COUNSELOR TEAM LEAD AND APPROVED BY THE MANAGER/DIRECTOR, THEN SUBMITTED TO FISCAL SERVICES FOR CHECK PROCESSING AND PAYMENT TO AGENCIES FOR COMMISSIONS DUE. PART III, LINE 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 HEALTH CARE 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 RECEIVABLE ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. PART III, LINE 8: THE AMOUNT OF MEDICARE ALLOWABLE COSTS WAS TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES TO MEDICARE BENEFICIARIES, THESE PATIENTS, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. THE TOTAL MEDICARE REVENUE SHOWN ON SCHEDULE H IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY THE CHARGES FROM MEDICARE PROGRAM BENEFICIARIES THAT ARE REPORTED ON THE HOSPITAL'S MEDICARE COST REPORT. THE AMOUNT LISTED FOR MEDICARE REVENUE DOES NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, PHYSICIAN SERVICES PROVIDED AT THE OUTLYING CLINIC LOCATIONS, AND A SIGNIFICANT PORTION OF LAB SERVICES WHICH ARE REIMBURSED BY THE MEDICARE PROGRAM UNDER ANOTHER METHODOLOGY. PHYSICIAN COVERAGE AND OUTPATIENT LAB SERVICES ARE REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT WAUSAU HOSPITAL PROVIDES TO THE COMMUNITY AND THE SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE OVERALL AVERAGE COST TO CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE DIVIDED BY THE HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES, WHICH ARE REIMBURSED BASED ON MEDICARE REGULATIONS. INCLUDING THE FEE SCHEDULE ITEMS, SUCH AS PHYSICIAN SERVICES, WOULD PRODUCE A LARGER LOSS OR SHORTFALL ON THESE SERVICES TO BE REPORTED ON THE FORM 990 IN ANY GIVEN YEAR. PART III, LINE 9B: UPON A PATIENT'S APPROVAL FOR FINANCIAL ASSISTANCE, THIS IS LOADED AS AN INSURANCE COVERAGE TO THE PATIENT'S ACCOUNT WITH AN EFFECTIVE AND TERMINATION DATE TO ASSURE CAPTURING ALL CHARGES FOR THE PATIENT FOR ADJUSTMENT IN A WORK QUEUE PRIOR TO ANY REMAINING BALANCE BEING MOVED TO PATIENT LIABILITY AND THEREFORE PREVENTING UNDISCOUNTED SERVICES FROM BEING BILLED TO A PATIENT. PART VI, LINE 2: IN 1996, THE UNITED WAY LED A COLLABORATIVE EFFORT TO PERFORM A COMMUNITY HEALTH ASSESSMENT THAT FOCUSED ON DATA RATHER THAN PERCEPTION. WITH SUPPORT FROM ASPIRUS AND OTHER COMMUNITY PARTNERS, THE UNITED WAY PERFORMED A COMMUNITY ASSESSMENT AND PUBLISHED IN JUNE 1997 THE FIRST ISSUE OF WHAT WAS CALLED THE MARATHON COUNTY LOCAL INDICATORS FOR EXCELLENCE (LIFE) REPORT. SINCE THAT TIME, ASPIRUS WAUSAU HOSPITAL HAS MAINTAINED STRONG INVOLVEMENT IN THE COMMUNITY ASSESSMENT PROCESS, FROM PLEDGING CASH SUPPORT AND IN-KIND DONATIONS TO STEERING COMMITTEE CHAIRS AND MEMBERS. THE TENTH AND MOST RECENT VERSION OF THE MARATHON COUNTY LIFE REPORT 2015-2017 IS BY DEFINITION AN ASSESSMENT OF COMMUNITY STRENGTHS AND CHALLENGES. IT SEEKS TO IDENTIFY KEY ISSUES AND MONITOR TRENDS THAT AFFECT THE QUALITY OF LIFE IN MARATHON COUNTY. THE LIFE REPORT IDENTIFIED THE FOLLOWING ISSUES ESTABLISHED AS PRIORITIES:- MENTAL HEALTH- SUBSTANCE ABUSE- INCOME- A GREAT START FOR KIDS 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. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. CARDON OUTREACH IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS. PART VI, LINE 4: ACCORDING THE U.S. CENSUS BUREAU, MARATHON COUNTY HAD A POPULATION OF 135,603 AS OF 2016. FOR THE PURPOSES OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, WE WILL FOCUS ON MARATHON COUNTY AS THE "COMMUNITY" SERVED BY ASPIRUS WAUSAU HOSPITAL.WHILE THERE ARE DEMOGRAPHIC AND POPULATION DATA FOR SPECIFIC MARKETS (PRIMARY, SECONDARY, UPPER PENINSULA OF MICHIGAN, FOR EXAMPLE) MARATHON COUNTY BEARS SPECIAL ATTENTION, AS ASPIRUS WAUSAU HOSPITAL AND MANY OF THE SYSTEM'S CORPORATE FUNCTIONS RESIDE THERE. IN FACT, MARATHON COUNTY IN MANY RESPECTS IS THE "HOME" OF ASPIRUS AND IS THE SINGLE LARGEST SOURCE OF PATIENTS AMONG THE COUNTIES ASPIRUS SERVES.ASIDE FROM WAUSAU, THE COUNTY SEAT CLASSIFIED BY THE U.S. CENSUS BUREAU AS A "METROPOLITAN STATISTICAL AREA," MARATHON COUNTY IS LARGELY RURAL. WITH A TOTAL AREA OF 1,576 SQUARE MILES, IT IS THE LARGEST COUNTY IN WISCONSIN BY LAND AREA. HERE ARE SOME DETAILS ABOUT ITS POPULATION.ABOUT MARATHON COUNTY (2016):PERSONS PER SQUARE MILE 86.8%PERSONS UNDER 5 YEARS OLD 5.9%PERSONS UNDER 18 YEARS OLD 23.0%PERSONS 65 YEARS AND OVER 16.9%WHITE PERSONS 91.4%ASIAN PERSONS 5.8%PERSONS PER HOUSEHOLD 2.47PERSONS BELOW POVERTY LEVEL 10.4%MEDIAN HOUSEHOLD INCOME $54,227SOURCE: U.S. CENSUS BUREAUTHE LARGEST EMPLOYERS IN MARATHON COUNTY:ASPIRUS WAUSAU HOSPITALGREENHECK FAN CORP.KOLBE & KOLBEWAUSAU SCHOOL DISTRICTFOOTLOCKER.COM/EASTBAYWAUSAU PAPER/SCAMARATHON CHEESEMARATHON COUNTYNORTH CENTRAL HEALTH CARENORTH CENTRAL TECHNICAL COLLEGESOURCE: COMPREHENSIVE ANNUAL FINANCIAL REPORT MARATHON COUNTY, WISCONSIN FOR THE YEAR ENDED DECEMBER 31, 2018. MUCH OF ASPIRUS WAUSAU HOSPITAL'S BROADER SERVICE AREA (NORTH CENTRAL AND CENTRAL WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN) IS DEFINED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AS A HEALTH PROFESSIONAL SHORTAGE AREA AND MEDICALLY UNDERSERVED AREA. MARATHON COUNTY SPECIFICALLY IS DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AS A HEALTH PROFESSIONAL SHORTAGE AREA, HEALTH PROFESSIONAL SHORTAGE AREA FOR MENTAL HEALTH, AND MEDICALLY UNDERSERVED AREA. PART VI, LINE 5: ASPIRUS WELLNESS PROGRAMS EMPOWER POSITIVE HEALTH CHANGES THROUGH COACHING AND EDUCATION TO HELP DRIVE POSITIVE HEALTH OUTCOMES FOR A HEALTHIER WORKPLACE. RISK REDUCTION AND BEHAVIOR CHANGE ARE TWO OF THE BEST STRATEGIES TO CREATE HEALTHIER LIFESTYLES, LEADING TO HEALTHIER PEOPLE. ASPIRUS WELLNESS PROGRAMS COMPLEMENT ON-SITE CLINICS OR COMPANY INITIATIVES BY WORKING TOGETHER TO CREATE THE BEST OVERALL HEALTH CULTURE. OPTIMAL RESULTS ARE ACHIEVED BY IDENTIFYING HEALTH RISKS AND IMPLEMENTING EASILY ACCESSIBLE ACTION PLANS. BIOMETRIC SCREENINGS - ASSESS THE CURRENT HEALTH OF EACH EMPLOYEE TO IDENTIFY HEALTH RISKS. HEALTH RISK ASSESSMENT (HRA) - HRAS PROVIDE A MEASURE OF CURRENT RISK STATUS AND A BASELINE TO TRACK IMPROVEMENTS. WELLNESS COACHING - CERTIFIED WELLNESS COACHES MOTIVATE EMPLOYEES TO ACHIEVE LONG-LASTING LIFESTYLE CHANGES INCLUDING WEIGHT, STRESS, NUTRITION, EXERCISE, TOBACCO CESSATION AND LIFE SATISFACTION.A HEALTHY WORK/LIFE BALANCE IS IMPORTANT TO A PRODUCTIVE WORKFORCE. THERE ARE TIMES WHEN WORK PERFORMANCE MAY SUFFER DUE TO EMPLOYEE'S PERSONAL PROBLEMS. EAS IS ANOTHER PIECE OF A TOTAL HEALTH MANAGEMENT PROGRAM THAN CAN INCLUDE: SHORT-TERM CONFIDENTIAL COUNSELING SUPPORT FOR SUPERVISORS AND MANAGERS MOTIVATIONAL AND EDUCATIONAL PRESENTATIONS SUBSTANCE ABUSE PROFESSIONAL SERVICES WELLNESS EDUCATIONASPIRUS HOSTS ASPIRING WOMEN EDUCATIONAL EVENTS, A COMMUNITY RELATIONS PROGRAM THAT WILL INSPIRE AND EMPOWER WOMEN TO LEAD HEALTHIER, HAPPIER, AND MORE ACTIVE LIVES. MEMBERS OF ASPIRING WOMEN WILL BE AMONG THE FIRST TO RECEIVE NOTICE OF UPCOMING ASPIRING WOMEN EVENTS IN THEIR AREA, HAVE ACCESS TO A WEALTH OF WELLNESS INFORMATION, AND RECEIVE PERIODIC E-NEWSLETTERS WITH HEALTH INFORMATION AND TIPS.ASPIRUS EMPLOYEES ALSO PARTICIPATE IN NUMEROUS BOARDS AND COALITIONS THROUGHOUT MARATHON COUNTY, INCLUDING: UNITED WAY OF MARATHON COUNTY, BIG BROTHERS, BIG SISTERS, BOYS AND GIRLS CLUB, WAUSAU SCHOOL DISTRICT FOUNDATION, WAUSAU CHAMBER OF COMMERCE, EMERGING LEADERS, HEALTHY MARATHON COUNTY, THE WOMEN'S COMMUNITY, THE NEIGHBOR'S PLACE, MARATHON COUNTY EARLY YEARS COALITION, AOD PARTNERSHIP BOARD, MARATHON COUNTY FATAL OVERDOSE REVIEW TEAM, MCDAIT TASKFORCE, BRIDGE COMMUNITY HEALTH CLINIC BOARD, JUNIOR ACHIEVEMENT, MCW-CW RAAC INTERVIEW TEAM, NTC FOUNDATION BOARD, AND MARATHON COUNTY BOARD OF HEALTH. PART VI, LINE 6: ASPIRUS WAUSAU HOSPITAL IS ONE OF EIGHT HOSPITALS UNDER THE ASPIRUS, INC. UMBRELLA. SIX OF THE HOSPITALS ARE SMALL, CRITICAL ACCESS FACILITIES, WHILE ASPIRUS WAUSAU HOSPITAL AND ASPIRUS RIVERVIEW ARE REGIONAL TERTIARY CARE FACILITIES. THE ASPIRUS SYSTEM IS RELATIVELY YOUNG, ESPECIALLY IN THE UPPER PENINSULA OF MICHIGAN, WHERE FOUR OF THE CRITICAL ACCESS HOSPITALS ARE LOCATED. THESE FACILITIES ALL OPERATE AS LOCAL SOURCES OF CHARITY CARE AND STRONG CORPORATE CITIZENS. IN FACT, ASPIRUS KEWEENAW HOSPITAL RECEIVED IN JANUARY 2011 THE WINKS GUNDLACH AWARD FOR STRONG AND CONSISTENT SUPPORT OF THE KEWEENAW COMMUNITY FOUNDATION. THIS COMMITMENT TO LOCAL COMMUNITY IS REFLECTED THROUGHOUT THE ASPIRUS SERVICE AREA. IN WAUSAU, THE ASPIRUS HEALTH FOUNDATION RAISES MONEY FOR VARIOUS HEALTH RELATED INITIATIVES IN THE COMMUNITY AND WITHIN ASPIRUS. IN ADDITION TO RAISING MONEY AND RECEIVING COMMUNITY GIFTS, THE FOUNDATION ALSO DETERMINES THE BEST WAY TO UTILIZE ITS RESOURCES TO MAKE THE BIGGEST IMPACT ON THE COMMUNITY. THROUGHOUT THE ASPIRUS SERVICE AREA, AFFILIATED FOUNDATIONS SERVE THE NEEDS OF THEIR RESPECTIVE COMMUNITIES: THE COMMUNITY HEALTH FOUNDATION SERVES ANTIGO, WI, AND SURROUNDING COMMUNITIES.ASPIRUS MEDFORD FOUNDATION SERVES MEDFORD, WI, AND SURROUNDING COMMUNITIES.ASPIRUS ONTONAGON FOUNDATION SERVES ONTONAGON, MI, AND SURROUNDING COMMUNITIES.GOGEBIC RANGE HEALTH FOUNDATION SERVES IRONWOOD, MI, AND SURROUNDING COMMUNITIES.ASPIRUS RIVERVIEW FOUNDATION SERVICES WISCONSIN RAPIDS, WI, AND SURROUNDING COMMUNITIES.WHILE ASPIRUS HAS GROWN AND EXPANDED ITS SERVICE AREA RAPIDLY IN THE PAST TEN YEARS, SYSTEM LEADERS ARE MAKING A CONCERTED EFFORT TO COLLABORATE INTERNALLY TO MAKE THE CONTINUUM OF CARE AS SEAMLESS AS POSSIBLE FOR CUSTOMERS. THIS MEANS PROVIDING HIGH QUALITY, EFFICIENT SERVICE FROM PRIMARY CARE TO SPECIALTY SERVICES AND POST-ACUTE CARE SUCH AS REHABILITATION AND HOME CARE. BY INTEGRATING SERVICES, AND COMMUNICATING EFFECTIVELY AMONG PROVIDERS, ASPIRUS IS BETTER ABLE TO MEET PATIENT NEEDS AND IMPROVE OUTCOMES. THIS COULD BE THE MOST IMPORTANT COMMUNITY BENEFIT OF ALL. PART VI, LINE 7 ASPIRUS HAS FIVE HOSPITALS IN WISCONSIN: ASPIRUS WAUSAU HOSPITAL IN WAUSAU, ASPIRUS LANGLADE HOSPITAL IN ANTIGO, ASPIRUS MEDFORD HOSPITAL IN MEDFORD, ASPIRUS RIVERVIEW HOSPITAL IN WISCONSIN RAPIDS, AND ASPIRUS DIVINE SAVIOR HOSPITAL IN PORTAGE. EACH OF THESE CENTERS FILES A SEPARATE COMMUNITY BENEFIT REPORT.ASPIRUS ALSO HAS FOUR HOSPITALS IN MICHIGAN'S UPPER PENINSULA: ASPIRUS KEWEENAW HOSPITAL IN LAURIUM, ASPIRUS IRONWOOD HOSPITAL IN IRONWOOD, ASPIRUS ONTONAGON HOSPITAL IN ONTONAGON AND ASPIRUS IRON RIVER HOSPITAL IN IRON RIVER. EACH OF THESE FACILITIES IS RESPONSIBLE FOR ITS OWN COMMUNITY BENEFITS REPORTING. 1 LEIGH YAWKEY WOODSON ART MUSEUM 700 N 12TH STREET WAUSAU WI 544035007 237281913 501(C) (3) 40000 SPONSORSHIP NTC FOUNDATION 1000 W CAMPUS DRIVE WAUSAU WI 54401 391266481 501(C) (3) 15000 SPONSORSHIP PERFORMING ARTS FOUNDATION 401 N 4TH STREET WAUSAU WI 54403 237240695 501(C) (3) 15000 SPONSORSHIP UNITED WAY OF MARATHON COUNTY 705 S 24TH AVE STE 400B WAUSAU WI 54401 390935496 501(C) (3) 28200 SPONSORSHIP WAUSAU EVENTS INC 316 SCOTT STREET P O BOX 1272 WAUSAU WI 54402 391612386 501(C) (3) 10000 SPONSORSHIP HODAG FACILITIES FOUNDATION INC 8A W DAVENPORT STREET SUITE 222 RHINELANDER WI 54501 050572723 501(C) (3) 60000 SPONSORSHIP 6 0 PART I, LINE 2: THE EXECUTIVE DIRECTOR OF ASPIRUS HEALTH FOUNDATION ADMINISTERS THE FUNDS IN THE ASPIRUS COMMUNITY PARTNER FUND (CPF). THE FUNDS FROM CPF ARE GIVEN TO COMMUNITY PROGRAMS TO INCREASE THE QUALITY OF LIFE IN THE REGION OR ARE RELATED TO HEALTH INITIATIVES. THEY ARE NOT USED, IN GENERAL, FOR SPONSORSHIPS OR MARKETING-ALBEIT, WE WORK CLOSELY WITH MARKETING WHEN DISPERSING FUNDS FROM THE ACCOUNT. AN ANNUAL BUDGET IS SET FOR THE CPF AND THROUGHOUT THE YEAR WE MAINTAIN RECORDS TO TRACK WHO GETS THE FUNDS, AMOUNTS DISPERSED, AND WHY. X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 0 992466 0 321290 0 2840 0 17196 0 54009 0 1387801 0 0 JAMES M CYGAN MD BOARD MEMBER/PHYSICIAN 0 981978 0 10000 0 5355 0 17196 0 32250 0 1046779 0 0 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 0 571336 0 102719 0 187603 0 20046 0 42947 0 924651 0 174000 JOHN HEISLER SVP & CHIEF HUMAN RESOURCES OFFICER 0 339009 0 66240 0 166574 0 17196 0 26051 0 615070 0 152214 JESSE TISCHER SVP & PRES. - REG. MKTS. 0 458373 0 92613 0 431 0 11473 0 42958 0 605848 0 0 RYAN ANDREWS SR. SYS. PHYS. EXEC.-TERTIARY CARE 420246 0 64800 0 44399 0 17196 0 35134 0 581775 0 34995 0 RENEE SMITH EXECUTIVE DIRECTOR ANI 381673 0 68268 0 56720 0 17196 0 32423 0 556280 0 55911 0 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 0 399509 0 67809 0 8286 0 17196 0 39108 0 531908 0 0 LAWRENCE G LEIBERT MD BOARD MEMBER/PHYSICIAN 0 471816 0 0 0 5361 0 19401 0 26087 0 522665 0 0 JENNIFER REDMAN-SCHELL SVP & PRESIDENT, AMG 0 411201 0 69616 0 423 0 17196 0 22161 0 520597 0 0 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 0 341475 0 67414 0 46782 0 17196 0 35067 0 507934 0 43823 RUTH RISLEY-GRAY SVP & SYSTEM CHIEF NURSING OFFICER 0 309508 0 60518 0 49719 0 20046 0 25920 0 465711 0 41695 CARI LOGEMANN SVP & GENERAL COUNSEL (THRU 06/20) 0 228246 0 78456 0 130652 0 15527 0 7141 0 460022 0 129488 MICHAEL UMLAND BOARD MEMBER/PHYSICIAN 0 391808 0 0 0 5028 0 16914 0 35203 0 448953 0 0 MICHAEL MCGRAIL SVP & SYSTEM CHIEF MEDICAL OFFICER 0 0 0 0 0 426022 0 0 0 0 0 426022 0 425671 RICK NEVERS SVP-REG. OPS. SYSTEM INT. OFFICER 0 263896 0 64103 0 43884 0 17172 0 12878 0 401933 0 39905 JAMES MATHESON SVP & CHIEF STRATEGY OFFICER 0 267259 0 33127 0 13801 0 16127 0 35037 0 365351 0 7532 JEANNINE NOSKO VP-PAT. CARE & CHIEF NURSING OFFICER 246471 0 38395 0 22492 0 14486 0 32302 0 354146 0 21667 0 TONYA DARNER VP-CHIEF OPERATING OFFICER 264578 0 36920 0 18898 0 13101 0 3016 0 336513 0 17950 0 BRETT DAVIS PRESIDENT-ASPIRUS HEALTH PLAN 0 244032 0 59522 0 344 0 13276 0 13265 0 330439 0 0 MARK GEURTS MANAGER-CHIEF MEDICAL PHYSICIST 253562 0 0 0 13609 0 16470 0 33410 0 317051 0 0 0 KRISTA SCHARER MD BOARD MEMBER/PHYSICIAN 0 263191 0 0 0 5076 0 13595 0 35036 0 316898 0 0 MARY JO WENDLING MD BOARD MEMBER/PHYSICIAN 0 267447 0 0 0 5126 0 13655 0 1666 0 287894 0 0 ROBERT SMITH VP- STEVENS POINT CAMPUS 211620 0 32038 0 21323 0 13595 0 5087 0 283663 0 19978 0 JILL MICHAUD DIRECTOR-SYSTEM PHARMACY 202912 0 17438 0 1940 0 6861 0 33626 0 262777 0 0 0 TODD DIRKMAN VP-OPERATIONAL & CLINICAL SERVICES 187905 0 18310 0 4099 0 11759 0 34369 0 256442 0 0 0 BETTY VOGDS CLINICAL MEDICAL PHYSICIST 189753 0 0 0 171 0 10865 0 25008 0 225797 0 0 0 KIMBERLY ENTENMANN VP-HUMAN RESOURCES AWH 155002 0 22201 0 479 0 5919 0 34170 0 217771 0 0 0 NICOLE RANGER DIAGNOSTIC MEDICAL PHYSICIST 184410 0 0 0 1673 0 10352 0 13085 0 209520 0 0 0 JACOB KEMPEN VP-ANCIILLARY & SUPPORT SERVICES 0 0 0 0 204240 0 0 0 0 0 204240 0 204240 0 BETH CARLBERG LEAD PHARMACIST 158936 0 0 0 200 0 7993 0 24966 0 192095 0 0 0 PART I, LINE 1A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE, WHEN APPLICABLE, WAS ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE - INCLUDED IN INCOME: P. VAN DEN HEUVEL $1,350 PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A - SEVERANCE PAY MICHAEL MCGRAIL RECEIVED SEVERANCE PAY TOTALING $426,022 FOR CALENDAR YEAR 2020. SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $174,000 R. ANDREWS $34,995 T. DARNER $17,950 J. HEISLER $152,214 J. KEMPEN $204,240 C. LOGEMANN $129,488 J. MATHESON $7,532 M. MCGRAIL $425,671 R. NEVERS $39,905 J. NOSKO $21,667 T. RICHARDSON $43,823 R. RISLEY-GRAY $41,695 RE. SMITH $55,911 RO. SMITH $19,978 457(F) RETIREMENT PLAN PROFILE: KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 9% FOR VICE PRESIDENT, 13% FOR SENIOR LEADERSHIP COUNCIL, AND 15% FOR THE CEO. 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; THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH. A WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97710BLW0 2009-10-07 27200000 REFUND BONDS ISSUED 3/18/2009 0 0 0 B WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97710BLV2 2009-10-07 20000000 SERIES 1998-VAR RATE DEMAND 0 0 0 C WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97710B7X4 2013-04-12 47001087 REVENUE BONDS SERIES 2013 0 0 0 D WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337856 97712DC53 2017-11-02 39002258 REVENUE BONDS SERIES 2017 0 0 0 A 27200000 102000 1327347 26372644 2006 1 0 1 1 B 17950000 20000000 180978 159700 1999 1 0 1 1 C 60000 47001087 24037511 2014 1 0 1 1 D 39158357 39158357 2019 0 0 1 1 A 0 0 1 0 0 0 0 1 B 0 0 1 0 1 0 0.00050 0.00050 0 0 1 C 0 0 1 0 1 0 0.00550 0.00550 0 0 1 D 0 0 1 0 1 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 1 0 1 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 04/05/2018 SCHEDULE K, PART III, LINE 9: SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. PART 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 GRAND VIEW (EIN 38-2908586); AND LANGLADE HOSPITAL HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429). INFORMATION REGARDING THE SERIES 2013 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2013 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS.] PART III, LINES 2, 3A AND 3B ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS WAUSAU HOSPITAL, INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW LEASE AGREEMENTS, MANAGEMENT, AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY. PART VI THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); ASPIRUS WAUSAU HOSPITAL (EIN 39-1138241); AND ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC (EIN 38-2908586); ASPIRUS ONTONAGON HOSPITAL, INC. (EIN 26-0806477). INFORMATION REGARDING THE SERIES 2017 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2017 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2017 BONDS. 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 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBIT CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE NOTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 3,982,962. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,982,962. LAB FEES: PROGRAM SERVICE EXPENSES 11,014,309. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,014,309. CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 44,443,874. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,443,874. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,839,947. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,839,947. OTHER SERVICES: PROGRAM SERVICE EXPENSES 9,362,822. MANAGEMENT AND GENERAL EXPENSES 2,167,566. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,530,388. FORM 990, PART XI, LINE 9: EQUITY - BOND SWAP POST RETIREMENT HEALTHCARE BENEFIT ADJUSTMENT 495,316. NET ASSET TRANSFER TO AFFILIATES -76,883,870. INTEREST RATE SWAP VALUATION ADJUSTMENT 1,197,495. INTEREST RATE SWAP -418,639. SUBSIDIARY (WCC) VALUATION ADJUSTMENT 2,924,070. OTHER CHANGES IN NET ASSETS -24,330. ACQUISITION & INCREASE IN NON-CONTROLLING INTEREST 3,391,098. FORM 990, PART XII, LINE 3B THE ORGANIZATION IS REQUIRED TO BE INCLUDED IN A SINGLE AUDIT FOR THE YEAR ENDED 06/30/2021. THE DEADLINE FOR THIS FILING FALLS AFTER THE DEADLINE FOR THE 990 FOR THE SAME FISCAL YEAR END. THE SINGLE AUDIT WILL NOT BE FINALIZED AT THE TIME OF THIS SUBMISSION. ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTHCARE WI 501(C)(3) LINE 12B, II N/A 0 ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391406537 PROPERTY LEASING WI 501(C)(3) LINE 10 ASPIRUS INC 1 ASPIRUS EXTENDED SERVICES INC 425 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501(C)(3) LINE 10 ASPIRUS INC 0 ASPIRUS MEDICAL GROUP INC 425 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 RIVERVIEW HOSPITAL & CLINICS INC 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 390868982 HOSPITAL WI 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 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 WESTERN UPPER MICHIGAN EYE CARE LLC 131 W GENESEE STREET IRON RIVER MI 49935 272324957 EYE CARE SERVICES MI N/A 0 0 THE WESTWOOD CONFERENCE CENTER LLC 333 PINE RIDGE BLVD WAUSAU WI 54401 571184256 REAL ESTATE INVESTMENT WI ASPIRUS WAUSAU HOSPITAL INC EXCLUDED 102003 3207598 0 0 0.64240 ASPIRUS NETWORK INC 3000 WESTHILL DRIVE 202 WAUSAU WI 54401 391931678 HEALTH CARE SERVICES WI N/A C 1 ASPIRUS KEWEENAW ENTERPRISES INC 205 OSCEOLA STREET LAURIUM MI 49913 383390273 PHARMACY MI N/A C 1 ASPIRUS HEALTH VENTURES 3000 WESTHILL DR SUITE 303 WAUSAU WI 54401 474925640 HEALTH INSURANCE PLAN WI N/A C 1 ASPIRUS ARISE HEALTH PLAN OF WI INC 3000 WESTHILL DR SUITE 303 WAUSAU WI 54401 364832569 HEALTH INSURANCE PLAN WI N/A C 1 ASPIRUS ARISE HEALTH PLAN OF MI INC 3000 WESTHILL DR SUITE 303 WAUSAU WI 54401 475448266 HEALTH INSURANCE PLAN MI N/A C 1 ASPIRUS CAMPUS PROPERTY CONDOMINIUM OWNERS ASSOCIATION INC 2200 WESTWOOD DRIVE WAUSAU WI 54401 842513742 ASSOCIATION WI ASPIRUS WAUSAU HOSPITAL C 0.79660 0 0 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 1 0 0 ASPIRUS INC B 2391410 COST ASPIRUS INC K 524093 COST ASPIRUS INC L 178965 COST ASPIRUS INC M 82363873 COST ASPIRUS INC O 293899184 COST ASPIRUS INC P 30314822 COST ASPIRUS INC Q 1715360 COST ASPIRUS MEDICAL GROUP INC K 710743 COST ASPIRUS MEDICAL GROUP INC L 245353 COST ASPIRUS MEDICAL GROUP INC O 2982108 COST ASPIRUS MEDICAL GROUP INC P 1125059 COST ASPIRUS MEDICAL GROUP INC Q 5073131 COST ASPIRUS ONTONAGON HOSPITAL INC L 192580 COST ASPIRUS ONTONAGON HOSPITAL INC M 58905 COST ASPIRUS ONTONAGON HOSPITAL INC O 59964 COST ASPIRUS ONTONAGON HOSPITAL INC Q 106473 COST ASPIRUS VNA HOME HEALTH INC J 140457 COST ASPIRUS VNA HOME HEALTH INC K 198617 COST ASPIRUS VNA HOME HEALTH INC O 956375 COST ASPIRUS VNA HOME HEALTH INC P 242273 COST ASPIRUS VNA HOME HEALTH INC Q 89201 COST ASPIRUS IRONWOOD HOSPITAL & CLINICS INC L 52374 COST ASPIRUS IRONWOOD HOSPITAL & CLINICS INC O 178657 COST ASPIRUS IRONWOOD HOSPITAL & CLINICS INC Q 557375 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC O 160455 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC P 121133 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC Q 335414 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC K 68460 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC L 455100 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC O 456728 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC P 51184 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC Q 2214068 COST ASPIRUS BUILDINGS INC K 489958 COST ASPIRUS BUILDINGS INC P 498648 COST ASPIRUS BUILDINGS INC Q 531546 COST ASPIRUS NETWORK INC K 84303 COST ASPIRUS NETWORK INC O 445745 COST ASPIRUS NETWORK INC Q 170704 COST ASPIRUS HEALTH FOUNDATION INC B 300000 COST ASPIRUS KEWEENAW HOSPITAL L 944457 COST ASPIRUS KEWEENAW HOSPITAL O 200494 COST ASPIRUS KEWEENAW HOSPITAL P 54818 COST ASPIRUS KEWEENAW HOSPITAL Q 387482 COST DIVINE SAVIOR HEALTHCARE INC L 122288 COST DIVINE SAVIOR HEALTHCARE INC O 289013 COST DIVINE SAVIOR HEALTHCARE INC P 338996 COST DIVINE SAVIOR HEALTHCARE INC Q 169124 COST SCHEDULE R, PART V, LINE 1D ALL OUTSTANDING OBLIGATED GROUP DEBT IS GUARANTEED BY ALL MEMBERS OF THE OBLIGATED GROUP.