2021-05-13T06:23:17-05:00 2020-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-07-01 391138241 ASPIRUS WAUSAU HOSPITAL INC ASPI 7158472988 333 PINE RIDGE BLVD WAUSAU WI 54401 SIDNEY C SCZYGELSKI SENIOR VP OF FINANCE & CFO 7158472988 2021-05-05 1 MICHAEL J PETERSON CPA P01833529 2187224705 2021-05-05 2019 2022-09-23 18:48:47Z SIDNEY C SCZYGELSKI 333 PINE RIDGE BLVD WAUSAU WI 54401 586478452 0 X WWW.ASPIRUS.ORG X 1970 WI WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. 10 5 3222 434 232169 0 3222621 9765600 552751382 560714400 12215362 8551983 2135938 1922922 570325303 580954905 1103865 954868 0 0 196096177 201378965 0 0 0 296867192 304048809 494067234 506382642 76258069 74572263 539380506 598510216 180663166 232431880 358717340 366078336 WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. 0 0 373351079 954868 562308491 ASPIRUS WAUSAU HOSPITAL, INC. PROVIDES HOSPITAL SERVICES FOR RESIDENTS OF WAUSAU AND THE SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. AN INPATIENT UNIT OPENED IN STEVEN'S POINT, THE 6,000 SQUARE FOOT EXPANSION ADDS OVERNIGHT CARE FOR MEDICAL AND SURGICAL PATIENTS, INCLUDING EMERGENCY PATIENTS WHO NEED TO STAY FOR OBSERVATION. THE ABILITY TO CARE FOR PATIENTS OVERNIGHT ALSO ENABLES ASPIRUS STEVENS POINT TO OFFER SURGERIES THAT IT PREVIOUSLY COULD NOT ACCOMMODATE. 373351079 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 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 1 1 1 1 0 0 1 274 0 3222 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 5 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 BETTY VOGDS CLINICAL MEDICAL PHYSICIST 40.00 X 181116 0 22106 NICOLE RANGER DIAGNOSTIC MEDICAL PHYSICIST 40.00 X 173442 0 25889 MARK GEURTS CHIEF MEDICAL PHYSICIST 40.00 X 240100 0 37434 JILL MICHAUD DIRECTOR-SYSTEM PHARMACY 40.00 X 213974 0 44293 BRYANT HAMMIG DIRECTOR-PAYOR STRATEGY 40.00 X 204272 0 35385 CARI LOGEMANN SVP & GENERAL COUNSEL (THRU JUNE) 1.00 50.00 X 0 527198 91251 MICHAEL MCGRAIL SVP & SYSTEM CHIEF MEDICAL OFFICER 2.00 40.00 X 0 527876 83274 RICK NEVERS SVP-REGIONAL OPERATIONS SIO 2.00 40.00 X 0 468168 87163 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 2.00 40.00 X 0 449876 93739 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 2.00 40.00 X 0 443960 90922 JENNIFER REDMAN-SCHELL SVP & PRESIDENT- ASPIRUS CLINICS 2.00 40.00 X 0 450779 79716 RENEE SMITH EXECUTIVE DIRECTOR ANI 2.00 40.00 X 457632 0 47266 JOHN HEISLER SVP & CHIEF HUMAN RESOURCES OFFICER 2.00 40.00 X 0 458655 41443 RUTH RISLEY-GRAY SVP & SYSTEM CHIEF NURSING OFFICER 2.00 40.00 X 0 454475 44140 RYAN ANDREWS SR. SYS. PHYS. EXEC.-TERTIARY CARE 40.00 X 414655 0 81152 STEVEN PHILLIPSON MEDICAL DIRECTOR 2.00 40.00 X 0 436378 49181 JEANNINE NOSKO VP- PATIENT CARE & CHIEF NURSING OFFICER 2.00 40.00 X 297069 0 66372 STEPHEN BREWER VP- HEART VASCULAR & TERTIARY ACI 2.00 40.00 X 0 279378 67262 TONYA DARNER CHIEF OPERATING OFFICER 40.00 0.00 X 284799 0 33208 LORI PECK VP-REVENUE CYCLE 2.00 40.00 X 0 261660 32868 JOHN MONKS VP-OPERATIONS 2.00 40.00 X 0 250602 45380 ROBERT SMITH VP- STEVENS POINT CAMPUS 40.00 X 249457 0 31588 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 1.00 50.00 X 0 1351919 222225 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 1.00 50.00 X 0 742406 126380 DARRELL LENTZ SVP&PRESIDENT- AWH (THRU JAN) 46.00 4.00 X 543668 0 100169 DAVID M HECK CHAIR 1.00 2.00 X X 0 0 0 RANDY L BALK VICE CHAIR 1.00 1.00 X X 0 0 0 LISA S WESTPHAL VICE CHAIR (THRU JUNE) 1.00 1.00 X X 0 0 0 CHAD H RADKE DO SECRETARY/TREASURER 1.00 3.00 X X 0 0 0 JAMES M CYGAN MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 861482 47613 LAWRENCE G LEIBERT MD BOARD MEMBER/ADC PHYSICIAN 1.00 40.00 X 0 528397 44497 JESSE TISCHER BOARD MEMBER/SVP OF REG. MKTS 2.00 50.00 X 0 455557 71884 KRISTEN R RAHN MD BOARD MEMBER (THRU JUNE) 1.00 40.00 X 0 350550 21925 MARY JO WENDLING MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 273719 15729 KATHY KELSEY FOLEY BOARD MEMBER 1.00 2.00 X 0 0 0 CRAIG A HACKWORTH MD BOARD MEMBER/PHYSICIAN 1.00 1.00 X 0 0 0 TODD W NAGEL BOARD MEMBER 1.00 X 0 0 0 3260184 9573035 1881454 115 0 1 0 WI EMERGENCY MEDICAL SERVICE ASSOCIATION 3201 STANLEY STREET STEVENS POINT WI 54481 ON CALL SERVICES 10527835 MIRON 2400 PINE RIDGE BLVD WAUSAU WI 54401 CONSTRUCTION SERVICES 6165018 FOCUS ONE SOLUTIONS 13609 CALIFORNIA ST OMAHA NE 68154 CONTRACT LABOR 3295490 SURGICAL ASSOCIATES OF WAUSAU 333 PINE RIDGE BLVD WAUSAU WI 54401 EMERGENCY CONTRACTED PROVIDERS 1920935 PHI GROUP INC PO BOX 90808 LAFAYETTE LA 705090808 FLIGHT SERVICES 1876258 213 632236 9056135 77229 9765600 PATIENT SERVICE REVENUE 621400 544399504 544399504 RENTAL REVENUE 532000 5805221 5805221 CONTRACT SERVICE REVENUE 621400 5082027 5082027 LAB REVENUE 621400 3479687 3298926 180761 MOBILE UNIT REVENUE 621400 56980 56980 1890981 1890981 560714400 8504104 8504104 5571426 5523547 47879 47879 47879 CAFETERIA AND VENDING 722210 1621066 1569658 51408 INVESTMENT IN WESTWOOD 523000 96662 96662 205194 205194 1922922 580954905 562308491 232169 8648645 954868 954868 1862563 1862563 159281158 136424340 22856818 7362522 6233114 1129408 21881903 15296312 6585591 10990819 10990819 440424 440424 183369 183369 34144 34144 43723393 37734474 5988919 249645 55703 193942 4617726 4177434 440292 253128 76736 176392 19711905 11206931 8504974 1399083 1255286 143797 290444 12701 277743 3887807 118847 3768960 23942122 13477849 10464273 845049 190279 654770 MEDICAL SUPPLIES 117028109 113809852 3218257 CORPORATE ALLOCATION 70547910 13536085 57011825 HOSPITAL TAX 9014064 454182 8559882 BAD DEBT 6904843 6904843 975644 975644 506382642 373351079 133031563 0 2764462 4608992 12452039 10397160 73690912 68731748 9125035 11196511 2351177 4172442 492828010 246299564 235652914 246528446 189328767 196266872 2867610 3029475 11147590 53578570 539380506 598510216 39421947 46872381 125869313 119386234 15371906 66173265 180663166 232431880 X 356119685 366078336 2597655 0 358717340 366078336 539380506 598510216 X 74572263 -5977535 -61233732 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25265 25265 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 $13,259 AND AMERICAN HOSPITAL ASSOCIATION $12,006. 16948795 16948795 142629809 82268024 60361785 510761 341436 169325 309888881 163690104 146198777 22849764 22849764 246528446 CSV INSURANCE 1411827 OTHER ASSETS 3690606 OPERATING LEASE ROU ASSET 434526 RELATED PARTY RECEIVABLES 48041611 53578570 AMOUNTS PAYABLE TO THRID-PARTY REIMBURSEMENT PROGRAMS 1200000 RETIREE HEALTHCARE BENEFITS 3224560 INTEREST RATE SWAP 4574750 DEFERRED COMPENSATION ACCRUAL 1407856 LONG-TERM INSURANCE LIABILITY 1032517 ASBESTOS LIABILITY 5085115 PLEDGE PAYABLES 234118 CAPITAL AND OPERATING LEASES 1398682 MEDICARE ACCELERATED PAYMENTS 48015667 66173265 1 1 X 1 X 1 X 1 1 1 0 1 1 2855924 2855924 0.00570 58742156 25435025 33307131 0.06670 15702957 11702957 4000000 0.00800 77301037 37137982 40163055 0.08040 7330097 5148845 2181252 0.00440 1949373 1949373 0.00390 11765645 6554438 5211207 0.01040 304784 82832 221952 0.00040 71368 71368 0.00010 21421267 11786115 9635152 0.01920 98722304 48924097 49798207 0.09960 1986 1986 0.00000 8947 8947 0.00000 336 336 0.00000 11269 11269 0.00000 1 2118379 97461142 119995866 -22534724 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 STEVEN'S POINT HOSPITAL INC 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 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 STEVEN'S POINT HOSPITAL INC 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 0 0 ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 5: IN ORDER TO ASSESS IMPORTANT ISSUES REGARDING THE QUALITY OF LIFE IN MARATHON COUNTY, THE LIFE STEERING COMMITTEE ISSUED A SURVEY TO MARATHON COUNTY RESIDENTS IN FEBRUARY OF 2019. DURING MARCH AND EARLY APRIL 2019, THE SURVEY RESEARCH CENTER (SRC) FROM UNIVERSITY OF WISCONSIN-RIVER FALLS COLLECTED DATA ON BEHALF OF THE 2019 LIFE REPORT SURVEY. THE 2019 SURVEY MIRRORED SIMILAR SURVEYS DONE IN PREVIOUS YEARS.DATA WERE GATHERED IN THREE WAYS: A SIX-PAGE SURVEY WAS SENT TO 1,434 HOUSEHOLDS IN MARATHON COUNTY. 75% OF THE SURVEYS WERE MAILED TO A RANDOM SAMPLE OF COUNTY RESIDENTS AND 25% TO THE POPULATIONS UNDER AGE 35, HOUSEHOLDS WITH INCOMES UNDER $25,000, AND PEOPLE OF COLOR, BECAUSE WE WANTED TO ENSURE REPRESENTATION IN THE SAMPLE FROM THREE POPULATIONS THAT ARE SOMETIMES CHALLENGING TO REACH WITH SURVEYS. 100 SURVEYS WERE DISTRIBUTED TO SELECTED MARATHON COUNTY NON-PROFIT PARTNERS BY UNITED WAY OF MARATHON COUNTY. EMAILED AN INVITATION TO A PANEL OF APPROXIMATELY 2,000 MARATHON COUNTY RESIDENTS.THE SRC USED THE DILLMAN METHOD FOR THE 1,434 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. THE SRC RECEIVED THE FOLLOWING NUMBER OF RESPONSES FROM THESE THREE SOURCES: 388 PAPER SURVEYS FROM THE MAIL OUT 37 PAPER SURVEYS FROM NON-PROFIT PARTNERS 107 ON-LINE SURVEYSACCORDING TO THE US CENSUS (2011-2015, 5-YEAR ESTIMATES) THERE ARE APPROXIMATELY 53,848 HOUSEHOLDS IN MARATHON COUNTY. BASED ON THAT NUMBER, SRC DID RECEIVE AN ADEQUATE NUMBER OF COMPLETED QUESTIONNAIRES TO PRODUCE ESTIMATES THAT ARE EXPECTED TO BE ACCURATE TO WITHIN PLUS/MINUS 5% WITH 95% CONFIDENCE. 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: TOP IDENTIFIED HEALTH NEEDS BEING ADDRESSED:ALIGNING GOALS WITH THE ASPIRUS HEALTH FOUNDATION AND POPULATION HEALTH, IT WAS DETERMINED THAT ASPIRUS WAUSAU HOSPITAL WOULD PRIMARILY FOCUS ON THE FOLLOWING HEALTH PRIORITIES: - BEHAVIORAL HEALTH- ALCOHOL & OTHER DRUG MISUSE AND ABUSE (SPECIFICALLY OPIOID USE/MISUSE)THE FOLLOWING HEALTH PRIORITIES ARE CURRENTLY BEING SUSTAINED AND WILL BE MONITORED:- HEALTHY START FOR CHILDREN - HEALTHY WEIGHT NEEDS NOT BEING ADDRESSED AND WHY:BECAUSE AWH IS A HEALTH CARE PROVIDER, IT CANNOT MEANINGFULLY IMPACT ALL ISSUES IDENTIFIED BY THE CHNA. AWH WILL NOT BE DEVELOPING STRATEGIES TO ADDRESS HEALTH NEEDS OF AGING OR ORAL HEALTH AS ONE OF THE TOP HEALTH PRIORITIES. AWH DOES HAVE POPULATION HEALTH GOALS IN ALIGNMENT WITH THE COMMUNITY ACTIVITIES FOCUSED AROUND HEALTHY AGING, BEING END OF LIFE CARE. AWH WILL CONTINUE TO COLLABORATE WITH COMMUNITY PARTNERS IN ADDRESSING THIS ISSUE AS A NEED IN THE COMMUNITY. ORAL HEALTH IS ALSO PROMOTED ACROSS PROVIDERS, NOTING THAT ORAL HEALTH IS A COMPONENT OF GOOD OVERALL HEALTH. ASPIRUS MAINTAINS A GOOD RELATIONSHIP WITH DENTAL PROVIDERS IN THE COMMUNITY FOR REFERRALS AND OTHER SERVICES.STRATEGIES AND OUTCOME MEASURES TO ADDRESS TOP HEALTH NEEDS:BEHAVIORAL HEALTH:VISION: PROMOTE WELL-BEING BY PREVENTING OR INTERVENING IN MENTAL ILLNESS SUCH AS DEPRESSION OR ANXIETY, ALONG WITH PREVENTING OR INTERVENING IN SUBSTANCE ABUSE OR OTHER ADDICTIONS.GOAL STATEMENTS:- INCREASE THE PUBLIC'S AWARENESS OF THE IMPORTANCE OF GOOD MENTAL WELL-BEING AND COMMUNITY SERVICES AVAILABLE TO SUPPORT THEIR MENTAL WELL-BEING.- IMPROVE ALCOHOL & OTHER DRUG ABUSE AND MENTAL HEALTH TREATMENT SERVICES- FURTHER INTEGRATE BEHAVIORAL HEALTH WITHIN THE DELIVERY OF HEALTH CARESTRATEGIES:- BEHAVIORAL HEALTH PRIMARY CARE INTEGRATION- MARATHON COUNTY SCHOOL-BASED COUNSELING CONSORTIUM- YOUTH DIVERSION PILOT PROGRAM (TRUANCY AND MENTAL HEALTH RESOURCES FOR STUDENTS)- RISE UP OF CENTRAL WISCONSINSHARED MEASUREMENT:- AVERAGE NUMBER OR POOR MENTAL HEALTH DAYS REPORTED BY MARATHON COUNTY IN THE PAST 30 DAYS, BASELINE: 2014 3.3 DAYS. SOURCE: BEHAVIORAL RISK FACTOR SURVEY SYSTEM & COUNTY HEALTH RANKINGS.- PERCENTAGE OF HIGH SCHOOL STUDENTS IN MARATHON COUNTY WHO DESCRIBE THEIR MENTAL HEALTH AS NOT GOOD DURING THE PAST 30 DAYS AS THREE DAYS OR MORE, BASELINE: 2015 28.8%. SOURCE: MARATHON COUNTY YOUTH RISK BEHAVIOR SURVEY.- PERCENTAGE OF HIGH SCHOOL STUDENTS IN MARATHON COUNTY WHO FELT SO SAD OR HOPELESS ALMOST EVERY DAY FOR TWO OR MORE WEEKS IN A ROW THAT THEY STOPPED DOING SOME USUAL ACTIVITIES DURING THE 12 MONTHS BEFORE THE SURVEY, BASELINE: TO BE DETERMINED. SOURCE: MARATHON COUNTY YOUTH RISK BEHAVIOR SURVEY.- PERCENTAGE OF LIFE REPORT COMMUNITY SURVEY RESPONDENTS WHO REPORTED NOT SEEING A MENTAL HEALTH PROVIDER WHEN NEEDED, BASELINE: 2015 8%. SOURCE: 2015-2017 LIFE REPORT.ALCOHOL & OTHER DRUG MISUSE AND ABUSE:VISION: CREATING A CULTURE IN COMMUNITIES WHERE ALCOHOL IS USED RESPONSIBLY AND OTHER DRUGS (TOBACCO, PRESCRIPTION, AND ILLICIT) ARE NOT MISUSED.GOAL STATEMENTS:- CHANGE SOCIAL NORMS, ATTITUDES, AND BEHAVIORS AROUND SUBSTANCE USE- STRENGTHEN COMMUNITY COLLABORATION AROUND SUBSTANCE ABUSE PREVENTION- INCREASE FUNDING FOR AODA PREVENTION, TREATMENT, AND ENFORCEMENTSTRATEGIES:- PRESCRIPTION DRUG MONITORING PROGRAMS- ALCOHOL SCREENING & BRIEF INTERVENTION- INCREASE ACCESS TO MAT - INCREASE ACCESS TO RECOVERY COACHES- MAT WITH JAIL AND OTHER VULNERABLE POPULATIONSHARED MEASUREMENT:- PAST 30-DAY USE OF SUBSTANCES IN MARATHON COUNTY HIGH SCHOOL STUDENTS, 2015 BASELINE: ALCOHOL (25.8%), MARIJUANA (5.6%), CIGARETTES (8.2%); CHEWING TOBACCO (7.2%), E-CIGARETTES (N/A), PRESCRIPTION DRUGS (3.8%), HEROIN (N/A), METHAMPHETAMINE (N/A). SOURCE: MARATHON COUNTY YOUTH RISK BEHAVIOR SURVEY.- PERCENTAGE OF HIGH SCHOOL STUDENTS WHO REPORT THAT THEIR PARENTS OR OTHER ADULTS IN THEIR FAMILY WOULD DISAPPROVE IF THEY HAD FIVE OR MORE DRINKS OF ALCOHOL IN A ROW WITHIN A COUPLE OF HOURS. 2015 BASELINE: 62.3%. SOURCE: MARATHON COUNTY YOUTH RISK BEHAVIOR SURVEY.- PERCENTAGE OF ADULTS WHO REPORTED BINGE DRINKING IN THE PAST 30 DAYS. 2015 BASELINE: 25.3%. SOURCE: 2015-2017 LIFE SURVEY.- PERCENTAGE OF ADULTS WHO REPORTED DRINKING AND DRIVING IN THE PAST 30 DAYS. 2015 BASELINE: 7.3%. SOURCE: 2015-2017 LIFE SURVEY.- PERCENTAGE OF ADULTS WHO SAID THERE IS A GREAT RISK IN TAKING PRESCRIPTION MEDICATION NOT PRESCRIBED. BASELINE: 2011: 46%; 2013: 46%; 2015: 48%. SOURCE: MARATHON COUNTY MEDICATION ASSESSMENT.HEALTHY START FOR CHILDREN: VISION: PREVENTING OR REDUCING THE IMPACT OF POTENTIALLY TRAUMATIC EVENTS THAT CAN HAVE NEGATIVE, LASTING EFFECTS ON HEALTH AND WELL-BEING. THESE EXPERIENCES RANGE FROM PHYSICAL, EMOTIONAL, OR SEXUAL ABUSE TO PARENTAL DIVORCE OR THE INCARCERATION OF A PARENT OR GUARDIAN.STRATEGIES:- EARLY CHILDHOOD HOME VISITING PROGRAM START RIGHT - CAR SEAT DISTRIBUTION & EDUCATION PROGRAMS SAFE KIDS- GROUP PARENTING AND BIRTHING CLASSESSHARED MEASUREMENT:- NUMBER OF ACES TRAININGS PROVIDED IN MARATHON COUNTY AND THE NUMBER OF GROUPS AND INDIVIDUALS TRAINED. BASELINE: TBD.- PERCENTAGE OF HIGH SCHOOL STUDENTS THAT REPORTED HAVING AT LEAST ONE TEACHER OR OTHER ADULT IN THEIR SCHOOL WHO THEY CAN TALK TO IF THEY HAD A PROBLEM. 2015 BASELINE: 73%. SOURCE: MARATHON COUNTY YOUTH RISK BEHAVIOR SURVEY.HEALTHY WEIGHT:VISION: A WEIGHT THAT LOWERS YOUR RISK FOR HEALTH PROBLEMS, INCLUDING THOSE THAT LEAD TO CHRONIC CONDITIONS, SUCH AS DIABETES, HYPERTENSION, AND CHRONIC HEART FAILURE. ACHIEVEMENT OR MAINTENANCE OF A HEALTHY WEIGHT INCLUDES HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY.GOAL STATEMENTS:- CONTINUE THE COLLECTIVE EFFORTS OF THE HEALTHY EATING ACTIVE LIVING (HEAL) COALITION, STRIVING TO MOVE TO THE "COLLABORATION" STATUS- IDENTIFY ASPECTS OF HEALTHY WEIGHT THAT ARE IMPORTANT TO MARATHON COUNTY RESIDENTS- STRENGTHEN THE LINK BETWEEN HEALTHY WEIGHT AND ECONOMIC PROSPERITYSTRATEGIES:- NUTRITION PRESCRIPTION FRUIT AND VEGGIE PRESCRIPTION PROGRAM- ON-SITE FARMERS MARKET ASPIRUS FARMERS MARKETSHARED MEASUREMENT:- PERCENTAGE OF THE ADULT POPULATION THAT DURING THE PAST MONTH DID NOT PARTICIPATE IN ANY LEISURE-TIME PHYSICAL ACTIVITY OR EXERCISE. BASELINE: 25%. SOURCE: COUNTY HEALTH RANKINGS.- PERCENTAGE OF THE POPULATION WHO LIVE REASONABLY CLOSE TO LOCATIONS FOR PHYSICAL ACTIVITY, INCLUDING PARKS OR RECREATIONAL FACILITIES. BASELINE: 74%. SOURCE: COUNTY HEALTH RANKINGS.- WITHIN THE (NUMBER OF) SCHOOL DISTRICTS IMPLEMENTING FARM TO SCHOOL IN MARATHON COUNTY, PERCENTAGE IMPLEMENTING PROCUREMENT STRATEGIES, CURRICULUM-RELATED STRATEGIES, ENVIRONMENTAL STRATEGIES, SCHOOL GARDEN STRATEGIES, AND FIELD-WORK STRATEGIES. SOURCE: USDA FARM TO SCHOOL CENSUS. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. ASPIRUS STEVEN'S POINT HOSPITAL, INC. PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. 3 1 - NORTHWOODS SURGERY CENTER LLC 611 VETERANS PARKWAY WOODRUFF WI 54568 GENERAL MEDICAL & SURGICAL 2 - PINE RIDGE SURGERY CENTER 2500 PINE RIDGE BLVD WAUSAU WI 54401 GENERAL MEDICAL & SURGICAL 3 - STEVENS POINT SURGERY CENTER LLC 5409 VERN HOLMES DRIVE STEVENS POINT WI 54481 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 $3,361,419 WITH OFFSETTING REVENUE OF $1,734,381. THE PALLIATIVE CARE UNIT REPORTED COSTS OF $3,268,926 WITH OFFSETTING REVENUE OF $1,370,346. THE OUTPATIENT DIALYSIS UNIT REPORTED COSTS OF $4,047,780 WITH OFFSETTING REVENUE OF $3,071,837. THE HOSPICE HOUSE UNIT REPORTED COSTS OF $1,087,520 WITH OFFSETTING REVENUE OF $377,874. 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 $6,904,843. PART II, COMMUNITY BUILDING ACTIVITIES: AS ANY GOOD CORPORATE CITIZEN, ASPIRUS WAUSAU HOSPITAL IS INVOLVED IN A WIDE RANGE OF COMMUNITY BUILDING ACTIVITIES. AND WHILE 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 #6775518 REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. (ALSO REFER TO ASPIRUS POLICY #6762521) II. FAILURE TO MEET THESE REQUIREMENTS IN POLICY #6775518 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# 6762521. 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 COSTING METHODOLOGY IS CMS2552 AS FILED COST REPORT. ASPIRUS WAUSAU HOSPITAL, INC. (ASPIRUS MANAGEMENT) HAS DETERMINED THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. ASPIRUS IS THERE TO TREAT THE COMMUNITY AND THEY HAVE A LARGE PERCENTAGE OF MEDICARE BENEFIT PATIENTS. IF THOSE PATIENTS WERE TO BE REFUSED, THEN THEY WOULD NOT RECEIVE HEALTHCARE. 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 86.8PERSONS 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 YOU 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 IS HOSTS ASPIRING WOMEN EDUCATIONAL EVENTS, A COMMUNITY RELATIONS PROGRAM THAT WILL INSPIRE AND EMPOWER WOMEN TO LEAD HEALTHIER, HAPPIER AND MORE ACTIVE LIVES. WE'RE HELPING WOMEN TAKE CARE OF THEMSELVES - BECAUSE THEY TAKE CARE OF EVERYONE ELSE. 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 NINE HOSPITALS UNDER THE ASPIRUS, INC. UMBRELLA. SIX OF THE HOSPITALS ARE SMALL, CRITICAL ACCESS FACILITY, WHILE ASPIRUS WAUSAU HOSPITAL, ASPIRUS DIVINE SAVIOR 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 SURROUNDINGCOMMUNITIES.ASPIRUS MEDFORD FOUNDATION SERVES MEDFORD, WI AND SURROUNDINGCOMMUNITIES.ASPIRUS ONTONAGON FOUNDATION SERVES ONTONAGON, MI AND SURROUNDINGCOMMUNITIES.GOGEBIC RANGE HEALTH FOUNDATION SERVES IRONWOOD, MI AND SURROUNDINGCOMMUNITIES.ASPIRUS RIVERVIEW FOUNDATION SERVICES WISCONSIN RAPIDS, WI AND SURROUNDINGCOMMUNITIES.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 WOODSON YMCA FOUNDATION INC 707 THIRD STREET WAUSAU WI 54403 396066206 501(C)(3) 683333 SPONSORSHIP HODAG FACILITIES FOUNDATION 84 W DAVENPORT STREET SUITE 222 RHINELANDER WI 54501 050572723 501(C)(3) 60000 SPONSORSHIP COMMUNITY FOUNDATION OF NORTH CENTRAL WISCONSIN 500 FIRST STREET WAUSAU WI 54403 391577472 501(C)(3) 40000 DONATION - JOJO'S JUNGLE KEEP AREA TEENS SAFE 7713 BOMBARDIER COURT WAUSAU WI 54401 822562552 501(C)(3) 30000 DONATION SUSAN G KOMEN OF WISCONSIN 2025 W OKLAHOMA AVENUE SUITE 116 MILWAUKEE WI 53215 752844639 501(C)(3) 25000 SPONSORSHIP PERFORMING ARTS FOUNDATION 401 N 4TH STREET WAUSAU WI 54403 237240695 501(C)(3) 15000 SPONSORSHIP NTC FOUNDATION 1000 W CAMPUS DRIVE WAUSAU WI 54401 391266481 501(C)(3) 15000 SPONSORSHIP NORTHCENTRAL TECHNICAL COLLEGE 1000 W CAMPUS DRIVE WAUSAU WI 54401 391077093 GOV 12000 DONATION - SCHOLARSHIPS UNITED WAY OF MARATHON COUNTY 705 S 24TH AVENUE STE 400B WAUSAU WI 54401 390935496 501(C)(3) 9200 SPONSORSHIP FESTIVAL OF ARTS PO BOX 1763 WAUSAU WI 54402 391292264 501(C)(3) 6000 SPONSORSHIP 10 0 PART I, LINE 2: THE EXECUTIVE DIRECTOR OF ASPIRUS HEALTH FOUNDATION ADMINISTERS THE FUNDS IN THE ASPIRUS COMMUNITY PARTNER FUND (CPF). THE FUNDS FROM CPF ARE GIVEN TO COMMUNITY PROGRAMS TO INCREASE THE QUALITY OF LIFE IN THE REGION OR ARE RELATED TO HEALTH INITIATIVES. THEY ARE NOT USED, IN GENERAL, FOR SPONSORSHIPS OR MARKETING-ALBEIT, WE WORK CLOSELY WITH MARKETING WHEN DISPERSING FUNDS FROM THE ACCOUNT. AN ANNUAL BUDGET IS SET FOR THE CPF AND THROUGHOUT THE YEAR WE MAINTAIN RECORDS TO TRACK WHO GETS THE FUNDS, AMOUNTS DISPERSED, AND WHY. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 BETTY VOGDS CLINICAL MEDICAL PHYSICIST 180958 0 0 0 158 0 9990 0 12116 0 203222 0 0 0 NICOLE RANGER DIAGNOSTIC MEDICAL PHYSICIST 170224 0 0 0 3218 0 9693 0 16196 0 199331 0 0 0 MARK GEURTS CHIEF MEDICAL PHYSICIST 235009 0 0 0 5091 0 7387 0 30047 0 277534 0 0 0 JILL MICHAUD DIRECTOR-SYSTEM PHARMACY 192727 0 18950 0 2297 0 12535 0 31758 0 258267 0 0 0 BRYANT HAMMIG DIRECTOR-PAYOR STRATEGY 185072 0 17553 0 1647 0 11361 0 24024 0 239657 0 0 0 CARI LOGEMANN SVP & GENERAL COUNSEL (THRU JUNE) 0 381456 0 102648 0 43094 0 16832 0 74419 0 618449 0 41199 MICHAEL MCGRAIL SVP & SYSTEM CHIEF MEDICAL OFFICER 0 406549 0 109773 0 11554 0 14438 0 68836 0 611150 0 0 RICK NEVERS SVP-REGIONAL OPERATIONS SIO 0 339937 0 83542 0 44689 0 19582 0 67581 0 555331 0 38399 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 0 360168 0 88372 0 1336 0 16832 0 76907 0 543615 0 0 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 0 313273 0 88199 0 42488 0 16832 0 74090 0 534882 0 39566 JENNIFER REDMAN-SCHELL SVP & PRESIDENT- ASPIRUS CLINICS 0 384617 0 62473 0 3689 0 8400 0 71316 0 530495 0 0 RENEE SMITH EXECUTIVE DIRECTOR ANI 359068 0 65045 0 33519 0 16832 0 30434 0 504898 0 32734 0 JOHN HEISLER SVP & CHIEF HUMAN RESOURCES OFFICER 0 317113 0 85743 0 55799 0 16832 0 24611 0 500098 0 41623 RUTH RISLEY-GRAY SVP & SYSTEM CHIEF NURSING OFFICER 0 291384 0 78869 0 84222 0 19582 0 24558 0 498615 0 76355 RYAN ANDREWS SR. SYS. PHYS. EXEC.-TERTIARY CARE 339853 0 63884 0 10918 0 16832 0 64320 0 495807 0 9484 0 STEVEN PHILLIPSON MEDICAL DIRECTOR 0 393908 0 42000 0 470 0 16832 0 32349 0 485559 0 0 JEANNINE NOSKO VP- PATIENT CARE & CHIEF NURSING OFF 231583 0 43850 0 21636 0 13561 0 52811 0 363441 0 20780 0 STEPHEN BREWER VP- HEART VASCULAR & TERTIARY ACI 0 216847 0 41275 0 21256 0 14216 0 53046 0 346640 0 19731 TONYA DARNER CHIEF OPERATING OFFICER 222929 0 57624 0 4246 0 9319 0 23889 0 318007 0 2913 0 LORI PECK VP-REVENUE CYCLE 0 219881 0 40703 0 1076 0 12349 0 20519 0 294528 0 0 JOHN MONKS VP-OPERATIONS 0 191583 0 36077 0 22942 0 12836 0 32544 0 295982 0 17632 ROBERT SMITH VP- STEVENS POINT CAMPUS 199225 0 36589 0 13643 0 12512 0 19076 0 281045 0 12181 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 0 920866 0 410719 0 20334 0 16832 0 205393 0 1574144 0 0 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 0 536087 0 132967 0 73352 0 19582 0 106798 0 868786 0 60259 DARRELL LENTZ SVP&PRESIDENT- AWH (THRU JAN) 385979 0 110481 0 47208 0 16232 0 83937 0 643837 0 45555 0 JAMES M CYGAN MD BOARD MEMBER/PHYSICIAN 0 856289 0 0 0 5193 0 16832 0 30781 0 909095 0 0 LAWRENCE G LEIBERT MD BOARD MEMBER/ADC PHYSICIAN 0 523036 0 0 0 5361 0 19582 0 24915 0 572894 0 0 JESSE TISCHER BOARD MEMBER/SVP OF REG. MKTS 0 374250 0 80770 0 537 0 1971 0 69913 0 527441 0 0 KRISTEN R RAHN MD BOARD MEMBER (THRU JUNE) 0 334074 0 10000 0 6476 0 15327 0 6598 0 372475 0 0 MARY JO WENDLING MD BOARD MEMBER/PHYSICIAN 0 268593 0 0 0 5126 0 14063 0 1666 0 289448 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: J. REDMAN-SCHELL - $3,300 PART I, LINE 4B SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: D. LENTZ $45,555 S. SCZYGELSKI $60,259 R. ANDREWS $9,484 S. BREWER $19,731 T. DARNER $2,913 J. HEISLER $41,623 C. LOGEMANN $41,199 J. MONKS $17,632 R. NEVERS $38,399 J. NOSKO $20,780 T. RICHARDSON $39,566 R. RISLEY-GRAY $76,355 R. SMITH $12,181 R. SMITH $32,734 457(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 2012-02-29 32025000 REFUND BONDS SERIES 2012A 0 0 0 B WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97710BLW0 2009-10-07 27200000 REFUND BONDS ISSUED 3/18/2009 0 0 0 C WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97710BLV2 2009-10-07 20000000 SERIES 1998-VAR RATE DEMAND 0 0 0 D WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97710B7X4 2013-04-12 47001087 REVENUE BONDS SERIES 2013 0 0 0 A 4323720 32025000 1993 1 0 1 1 B 27200000 102000 1327347 26372644 2006 1 0 1 1 C 15950000 20000000 180978 159700 1999 1 0 1 1 D 60000 47001087 24037511 2014 1 0 1 1 A 0 0 1 0 0 0 0 1 B 0 0 1 0 0 0 0 1 C 0 0 1 0 1 0 0.00050 0.00050 0 0 1 D 0 0 1 0 1 0 0.00550 0.00550 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 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. A WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337856 97712DC53 2017-11-02 39002258 REVENUE BONDS SERIES 2017 0 0 0 A 39158357 39158357 2019 0 0 1 1 A 0 0 1 0 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 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 XI, LINE 9: EQUITY - BOND SWAP -20,245. POST RETIREMENT HEALTHCARE BENEFIT ADJUSTMENT -225,707. NET ASSET TRANSFER TO ASPIRUS, INC. -59,331,034. INTEREST RATE SWAP VALUATION ADJUSTMENT -1,351,905. INTEREST RATE SWAP -304,841. STEVENS POINT SURGERY CENTER LLC 5409 VERN HOLMES DRIVE STEVENS POINT WI 54481 202259562 MEDICAL SRVS WI -424534 211006 N/A 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 CLINICS 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 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 J 471295 COST ASPIRUS INC L 115534 COST ASPIRUS INC M 71149277 COST ASPIRUS INC O 217382304 COST ASPIRUS INC P 5328444 COST ASPIRUS INC Q 1803065 COST ASPIRUS CLINICS INC B 178055 COST ASPIRUS CLINICS INC J 625596 COST ASPIRUS CLINICS INC K 1778452 COST ASPIRUS CLINICS INC L 385532 COST ASPIRUS CLINICS INC O 7670225 COST ASPIRUS CLINICS INC P 1129962 COST ASPIRUS CLINICS INC Q 4163757 COST ASPIRUS EXTENDED SERVICES INC O 416479 COST ASPIRUS ONTONAGON HOSPITAL INC L 91211 COST ASPIRUS ONTONAGON HOSPITAL INC M 57189 COST ASPIRUS ONTONAGON HOSPITAL INC O 737586 COST ASPIRUS ONTONAGON HOSPITAL INC Q 52199 ASPIRUS VNA HOME HEALTH INC J 181937 COST ASPIRUS VNA HOME HEALTH INC K 133722 ASPIRUS VNA HOME HEALTH INC O 2292614 ASPIRUS VNA HOME HEALTH INC P 94323 ASPIRUS VNA HOME HEALTH INC Q 116401 COST ASPIRUS IRONWOOD HOSPITAL & CLINICS INC O 2149783 COST ASPIRUS IRONWOOD HOSPITAL & CLINICS INC Q 174515 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC O 1849227 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC Q 78192 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC J 59793 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC L 395031 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC O 4589044 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC Q 205699 COST ASPIRUS BUILDINGS INC K 472752 COST ASPIRUS BUILDINGS INC P 528196 COST ASPIRUS BUILDINGS INC Q 135937 COST ASPIRUS HEALTH FOUNDATION INC B 332613 COST ASPIRUS HEALTH FOUNDATION INC C 486958 COST ASPIRUS HEALTH FOUNDATION INC O 64132 COST ASPIRUS KEWEENAW HOSPITAL L 405464 COST ASPIRUS KEWEENAW HOSPITAL O 2430229 COST ASPIRUS KEWEENAW HOSPITAL P 51540 COST ASPIRUS KEWEENAW HOSPITAL Q 110303 SCHEDULE R, PART V, LINE 1D ALL OUTSTANDING OBLIGATED GROUP DEBT IS GUARANTEED BY ALL MEMBERS OF THE OBLIGATED GROUP.