2016-02-10T11:21:41-06:00 2015-06-30 390758449 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2014-07-01 391328331 ASPIRUS INC ASPI 7158472250 333 PINE RIDGE BLVD WAUSAU WI 54401 SIDNEY C SCZYGELSKI CFO/SENIOR VP OF FINANCE 7158472250 2016-01-23 1 KATHLEEN J LABRAKE CPA P00164006 7158453111 2016-01-23 2014 2016-04-25 22:37:26Z MATTHEW HEYWOOD 333 PINE RIDGE BLVD WAUSAU WI 54401 50161356 0 X WWW.ASPIRUS.ORG X 1979 WI TO SUPPORT ITS RELATED HEALTH CARE ORGANIZATIONS AND PROVIDE HEALTHCARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 10 8 370 8 557099 -1810 31800000 4298791 9474121 2664901 4053128 6322974 42573 43854 45369822 13330520 12500000 1833334 0 0 232767 0 0 0 0 8280044 2281353 21012811 4114687 24357011 9215833 229182405 274321776 32918313 18081061 196264092 256240715 X ASPIRUS IS AN INTERGRATED, COMMUNITY-GOVERNED HEALTH CARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES DEDICATED TO IMPROVING THE HEALTH OF ALL WE SERVE. WE WORK COLLABORATIVELY WITH OTHERS WHO SHARE OUR PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. 0 0 -273135 2107802 TO PROVIDE HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ASPIRUS, INC. PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS COMMUNITY CARE POLICY WITHOUT CHARGE. THE ESTIMATED COST OF PROVIDING CARE UNDER THIS POLICY AGGREGATED TO APPROXIMATELY $9,400,000 IN FY2015. (THIS COST INCLUDES ASPIRUS, INC. AND ITS CONSOLIDATED AFFILIATES.) THE COST WAS CALCULATED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR ASPIRUS, INC. BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING THE COMMUNITY CARE.AS PART OF ITS PATIENT SERVICES, ASPIRUS, INC. ALSO PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS WHICH OFTEN REIMBURSE THE ORGANIZATION BASED ON PREDETERMINED FEE SCHEDULES WHICH ARE OFTEN BELOW THE COST OF PROVDIDING CARE TO THESE INDIVIDUALS. THESE PROGRAMS PROVIDE HEALTH CARE SERVICES TO A LARGE PORTION OF THE ELDERLY, LOW INCOME, AND DISABLED MEMBERS OF THE COMMUNITY WHO NEED ACCESS TO HIGH QUALITY CARE. 1833334 1833334 ASPIRUS, INC. PROVIDES CORPORATE FUNCTIONAL SUPPORT SERVICES TO THE AFFILIATED ENTITIES IN ORDER TO ALLOW THOSE ENTITIES TO FOCUS ON THEIR MISSIONS OF PROVIDING HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 1560199 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 95 0 1 370 1 1 1 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X SIDNEY C SCZYGELSKI 7158472250 333 PINE RIDGE BLVD WAUSAU WI 54401 X JON G KRUEGER BOARD MEMBER 1.00 2.00 X 0 0 0 STEPHEN P FOX MD BOARD MEMBER 1.00 1.00 X 0 0 0 JEFFREY M NEHRING DDS BOARD MEMBER 1.00 2.00 X 0 0 0 THOMAS A VOELKER MD BOARD MEMBER / PHYSICIAN 1.00 40.00 X 0 341723 39653 TODD R NICKLAUS BOARD MEMBER 1.00 X 0 0 0 KATHY J STRASSER CHAIR 1.00 2.00 X X 0 0 0 MATTHEW D ROWE VICE CHAIR 1.00 2.00 X X 0 0 0 BRIAN J PRUNTY TREASURER 1.00 2.00 X X 0 0 0 GRAHAM COURTNEY SECRETARY 1.00 1.00 X X 0 0 0 MATTHEW F HEYWOOD CEO / PRESIDENT 40.00 12.00 X X 875945 0 124428 SIDNEY C SCZYGELSKI CFO AI / ASSIST TREASURER 40.00 12.00 X 445401 0 99296 CARI LOGEMANN SR VP & GENERAL COUNSEL 40.00 X 294114 0 66833 SANDRA LAKEY CHIEF COMPLIANCE OFFICER 40.00 X 133510 0 31045 TODD RICHARDSON SVP AND CIO 40.00 X 312876 0 83234 CHARLES NELSON REGIONAL CEO UP 40.00 X 318458 0 74308 RYAN GOSSETT CHIEF MED INFORMATION OFFICER 40.00 X 385502 0 56625 RICK NEVERS SVP REG OPS SYSTEM INT OFFICER 40.00 X 331104 0 71838 JOHN HEISLER SVP AND CHIEF HR OFFICER 40.00 X 287789 0 44598 RUTH RISLEY-GREY SVP NURSING SYSTEM CNO 40.00 X 218430 0 57813 LORI PECK VP OF REVENUE CYCLE 40.00 X 77443 129738 12303 LISA HAMILTON DIRECTOR OF FISCAL SERVICES 40.00 X 159489 0 30241 RANDY SCHADE DIRECTOR OF HR 40.00 X 146580 0 31734 CHRISTOPHER TONER ASSISTANT GENERAL COUNSEL 40.00 X 141255 0 34371 JOHN OSEN SYSTEM DIRECTOR CBO 40.00 X 138691 0 29071 JOSEPH THOMPSON DIRECTOR OF APPLICATIONS 40.00 X 138060 0 19468 DUANE ERWIN FORMER CEO 0.00 0.00 X 576532 0 28814 4981179 471461 935673 31 1 1 0 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 IT SERVICES 3467719 AHEAD LLC 4999 NETWORK PLACE CHICAGO IL 60673 IT SERVICES 2670773 PRISM HEALTHCARE PARTNERS LTD 190 SOUTH LA SALLE ST SUITE 2900 CHICAGO IL 60603 CONSULTING 2400000 HURON CONSULTING GROUP INC 3005 MOMENTUM PLACE CHICAGO IL 60689 CONSULTING 2054106 SUNQUEST INFORMATION SYSTEM PO BOX 75214 CHARLOTTE NC 28275 IT SERVICES 1269444 45 4006371 292420 4298791 CONTRACT SERVICE REVENUE 621110 1766078 1208979 557099 HOME OFFICE REVENUE 621110 799927 799927 MEDICAL TRANSCRIPT REVENUE 621110 209951 209951 NET PATIENT SERVICE REVENUE 621110 -208325 -208325 97270 97270 2664901 1175509 1175509 43854 0 43854 43854 43854 41978301 36830836 5147465 5147465 5147465 13330520 2107802 557099 6366828 X 1833334 1833334 2498129 2498129 PROVISION OF BAD DEBTS -216776 -273135 56359 4114687 1560199 2554488 0 21432348 8976275 5408099 2051185 520963 270383 2957732 2068624 43092091 30485917 10388257 12606174 59450170 99490654 125336641 140930577 3688195 7927904 229182405 274321776 6063988 8598029 20416328 3228042 6437997 6254990 32918313 18081061 X 196264092 256240715 196264092 256240715 229182405 274321776 X 9215833 -1602782 52363572 X X 0 1 X 1 0 X X 17 ASPIRUS WAUSAU HOSPITAL INC 391138241 3 1 0 0 ASPIRUS BUILDIINGS INC 391406537 9 1 0 0 ASPIRUS CLINICS INC 391670223 9 1 833334 1251229 ASPIRUS VNA HOME HEALTH INC 390808511 9 1 0 0 ASPIRUS VNA EXTENDED CARE INC 391597350 9 1 0 238657 ASPIRUS EXTENDED SERVICES INC 390782130 9 1 0 119997 ASPIRUS SPECIALISTS INC 391945080 9 1 0 12031 ASPIRUS HEALTH FOUNDATION INC 391256656 7 1 0 0 ASPIRUS ONTONAGON HOSPITAL INC 260806477 3 1 0 605200 ASPIRUS GRAND VIEW 382908586 3 1 0 2380688 ASPIRUS GRAND VIEW SERVICE CORPORATION 383005582 3 1 0 0 ASPIRUS NORTHSTAR INC 383236977 3 0 1000000 2599047 ASPIRUS RIVERVIEW HOSPITAL & CLINICS 390868982 3 0 0 707334 ASPIRUS GRAND VIEW HOSPITAL AUXILIARY 237178363 3 0 0 0 ASPIRUS MEDFORD HOSPITAL & CLINICS INC 390964813 3 0 0 2928185 LANGLADE MEMORIAL HOSPITAL ST JOSEPH OF ANTIGO WISCONSIN 390806429 3 0 0 3117992 ASPIRUS KEWEENAW HOSPITAL 381443361 3 0 0 2566774 17 1833334 16527134 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE G(VI) ASPIRUS, INC. IS A NON-PROFIT, COMMUNITY-DIRECTED HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN. WITH MORE THAN 7,000 EMPLOYEES, ASPIRUS SERVES COMMUNITITES THROUGHOUT 14 COUNTIES IN NORTHERN AND CENTRAL WISCONSIN, AS WELL AS THE WESTERN UPPER PENINSULA OF MICHIGAN. ASPIRUS, INC.'S INTEGRATED HEALTH SYSTEM INCLUDES FOUR HOSPITALS IN MICHIGAN AND FOUR HOSPITALS IN WISCONSIN, 50 CLINICS, HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND HELICOPTER TRANSPORT, MEDICAL GOODS, NURSING HOMES, AND HIGH-QUALITY AFFILIATED PHYSICIANS. ASPIRUS IS AN INTEGRATED, COMMUNITY GOVERNED HEALTHCARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES DEDICATED TO IMPROVING THE HEALTH OF ALL THEY SERVE. ASPIRUS, INC. PROVIDES SUPPORT TO THE SUPPORTING ORGANIZATIONS IN MORE WAYS THAN JUST MONETARY SUPPORT INCLUDING BUT NOT LIMITED TO HUMAN RESOURCES, REVENUE CYCLE MANAGEMENT, INFORMATION TECHNOLOGY SERVICES, AND OTHER MANAGEMENT SERVICES. PART IV, SECTION A, LINE 1 ASPIRUS, INC.'S GOVERNING DOCUMENTS DO NOT LIST EACH INDIVIDUAL ENTITY AS A SUPPORTING ORGANIZATION. HOWEVER THE GOVERNING DOCUMENTS INDICATE ASPIRUS, INC. MAY SUPPORT ORGANIZATIONS FROM TIME TO TIME AS LONG AS AT LEAST ONE OFFICER OR DIRECTOR ARE IN COMMON AT ALL TIMES, AND THE OFFICERS AND DIRECTORS OF ASPIRUS, INC. SHALL ENDEAVOR TO HAVE A CLOSE AND CONTINOUS WORKING RELATIONSHIP WITH THE OFFICERS AND DIRECTORS OF ASPIRUS, INC.'S VARIOUS NONPROFIT SUPPORTED ORGANIZATIONS. IN ADDITION, ASPIRUS, INC. IS THE SOLE CORPORATE MEMBER FOR MAJORITY OF THE SUPPORTED ORGANIZATIONS. PART IV, SECTION A, LINE 5A THE SUPPORTED ORGANIZATIONS ADDED WERE ASPIRUS NORTHSTAR, INC. AND ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. THE SUPPORTED ORGANIZATIONS WERE ADDED TO OFFER THE COMMUNITIES OF CENTRAL WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN A STRONGER HEALTHCARE SYSTEM AND CONTINUUM OF CARE INCLUDING HOSPITALS AND PRIMARY AND SPECIALITY CARE CLINICS. THE ASPIRUS, INC. BOARD OF DIRECTORS APPROVED THE ADDITION OF THE ORGANIZATIONS AND THE ARTICLES OF INCORPORATION AND BYLAWS OF EACH ORGANIZATION WERE RESTATED TO ADOPT ASPIRUS, INC. AS THE SOLE CORPORATE MEMBER. PART IV SECTION C LINE 1 EACH SUPPORTED ORGANIZATION HAS ITS OWN DIRECTORS/TRUSTEES. HOWEVER, LEADERSHIP OF ASPIRUS, INC. HAVE SEATS ON EACH OF THE SUPPORTED ORGANIZATION'S BOARD. IN ADDITION, ASPIRUS, INC. IS THE SOLE CORPORATE MEMBER FOR MAJORITY OF THE SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 616071 74614 541457 40678788 30343026 10335762 1797232 68277 1728955 12606174 EQUITY IN EARNINGS OF MEMORIAL HEALTH CENTER, INC. 39070613 C EQUITY IN EARNINGS OF LANGLADE HOSPITAL, INC. 53924666 C EQUITY IN EARNINGS OF ASPIRUS KEWEENAW, INC. 10330533 C EQUITY IN EARNINGS OF ASPIRUS GRAND VIEW, INC. 31227837 C EQUITY IN EARNINGS OF ASPIRUS EXTENDED SERVICES, INC. 3247163 C EQUITY IN EARNINGS OF VNA HOME HEALTH, INC. AND SUBSIDIARY 2863108 C EQUITY IN EARNINGS OF WI VALLEY HEALTH NETWORK 266657 C 140930577 DEFERRED COMPENSATION 3451976 DUE TO AFFLIATES 1276643 RETIREE HEALTHCARE BENEFITS 918603 ACCRUED INTEREST PAYABLE 67768 LONG TERM DONATION LIABILITY 540000 6254990 X PART X, LINE 2: ALL SUBSIDIARIES, EXCEPT FOR ASPIRUS NETWORK, INC., ARE TAX-EXEMPT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 509(A)(2) OF THE CODE. THEY ARE ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. ASPIRUS IS ALSO ENGAGED, TO A LIMITED EXTENT, IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). INCOME TAXES ON UBI ARE NOT SIGNIFICANT. INCOME TAXES FOR ANI, A NOT-FOR-PROFIT TAXABLE CORPORATION, WERE IMMATERIAL FOR THE YEARS ENDED JUNE 30, 2015 AND 2014. 1 ASPIRUS CLINICS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391670223 501(C)(3) 833334 CASH PROVIDED N/A CAPITAL CONTRIBUTION ASPIRUS NORTHSTAR INC 1400 W ICE LAKE ROAD IRON RIVER WI 49935 383236997 501(C)(3) 1000000 CASH PROVIDED N/A CAPITAL CONTRIBUTION 2 PART I, LINE 2: THE ORGANIZATION PROVIDES BOARD APPROVED CAPTIAL DISTRIBUTIONS TO RELATED ENTITIES; NO FORMAL MONITORING IS REQUIRED. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 THOMAS A VOELKER MD BOARD MEMBER / PHYSICIAN 0 331079 0 0 0 10644 0 10400 0 29253 0 381376 0 0 MATTHEW F HEYWOOD CEO / PRESIDENT 572243 0 233564 0 70138 0 10300 0 114128 0 1000373 0 0 0 SIDNEY C SCZYGELSKI CFO AI / ASSIST TREASURER 335544 0 103558 0 6299 0 15500 0 83796 0 544697 0 0 0 CARI LOGEMANN SR VP & GENERAL COUNSEL 223552 0 69542 0 1020 0 11968 0 54865 0 360947 0 0 0 SANDRA LAKEY CHIEF COMPLIANCE OFFICER 113726 0 12212 0 7572 0 7412 0 23633 0 164555 0 0 0 TODD RICHARDSON SVP AND CIO 237555 0 74180 0 1141 0 14676 0 68558 0 396110 0 0 0 CHARLES NELSON REGIONAL CEO UP 237702 0 74736 0 6020 0 13996 0 60312 0 392766 0 0 0 RYAN GOSSETT CHIEF MED INFORMATION OFFICER 342706 0 42015 0 781 0 10902 0 45723 0 442127 0 0 0 RICK NEVERS SVP REG OPS SYSTEM INT OFFICER 236472 0 74420 0 20212 0 14127 0 57711 0 402942 0 0 0 JOHN HEISLER SVP AND CHIEF HR OFFICER 239916 0 36511 0 11362 0 0 0 44598 0 332387 0 0 0 RUTH RISLEY-GREY SVP NURSING SYSTEM CNO 179951 0 35892 0 2587 0 7577 0 50236 0 276243 0 0 0 LORI PECK VP OF REVENUE CYCLE 77240 92993 0 31133 203 5612 1993 2790 7318 202 86754 132730 0 0 LISA HAMILTON DIRECTOR OF FISCAL SERVICES 141350 0 13445 0 4694 0 5914 0 24327 0 189730 0 0 0 RANDY SCHADE DIRECTOR OF HR 127451 0 13214 0 5915 0 8027 0 23707 0 178314 0 0 0 CHRISTOPHER TONER ASSISTANT GENERAL COUNSEL 141070 0 0 0 185 0 8898 0 25473 0 175626 0 0 0 JOHN OSEN SYSTEM DIRECTOR CBO 123530 0 11452 0 3709 0 7786 0 21285 0 167762 0 0 0 JOSEPH THOMPSON DIRECTOR OF APPLICATIONS 124267 0 12592 0 1201 0 8726 0 10742 0 157528 0 0 0 DUANE ERWIN FORMER CEO 0 0 0 0 576532 0 5100 0 23714 0 605346 0 0 0 PART I, LINE 1A TRAVEL FOR COMPANIONS, TAX INDEMNIFICATION AND GROSS-UP PAYMENTS, HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE, AND HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. TRAVEL FOR COMPANIONS - T. VOELKER $510; M. HEYWOOD $410; S. SCZYGELSKI $435; R. NEVERS $510; C. NELSON $385; J. HEISLER $410; R. RISLEY-GREY $365 - INCLUDED IN INCOME. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - T. VOELKER $678; L. PECK $448 - INCLUDED IN INCOME. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE - M. HEYWOOD $65,048; J. HEISLER $3,600 - INCLUDED IN INCOME. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENT: D. ERWIN $585,957 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: R. NEVERS $17,763 L. PECK $334 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. FORM 990, PART VI, SECTION B, LINE 11 THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBIT CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND THE 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS IF ANY ACTIONS ARE REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRIITTEN 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, SECTION A PART VII, LINE 1A - EXPLANATION FOR HOURS WORKED: SOME OFFICERS, DIRECTORS, AND KEY EMPLOYEES ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. FORM 990, PART IX, LINE 11G CORPORATE ALLOCATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,498,129. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,498,129. FORM 990, PART XI, LINE 9: EQUITY CHANGE IN INVESTMENT IN MEMORIAL HEALTH CENTER 5,418,339. EQUITY CHANGE IN INVESTMENT IN LANGLADE HOSPITAL 8,808,162. EQUITY CHANGE IN INVESTMENT IN ASPIRUS KEWEENAW HOSPTIAL 1,285,548. NON CONTROLLING INTEREST IN ASPIRUS GRAND VIEW 796,829. CHANGE IN EQUITY OF UNCONSOLIDATED AFFILIATES -77,974. EQUITY CHANGE IN INVESTMENT IN ASPIRUS WVHN 70,548. EQUITY CHANGE IN INVESTMENT IN ASPIRUS EXTENDED SERVICES, INC. -591,593. EQUITY CHANGE IN INVESTMENT IN VNA HOME HEALTH, INC. AND SUBSIDIARY -115,923. ACQUISITION OF ASPIRUS RIVERVIEW HOSPITAL & CLINICS -90,266,000. EQUITY TRANSFER FROM AWH - RELATED TO ACQUISITION OF RIVERVIEW 102,000,000. GAIN ON ACQUISITION OF ASPIRUS RIVERVIEW 35,266,000. ACQUISITION OF ASPIRUS NORTHSTAR -9,828,042. POST RETIREMENT HEALTHCARE BENEFIT ADJUSTMENT -402,322. FORM 990, PART XII, LINE 2C - INDEPENDENT ACCOUNTANT OVERSIGHT: THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC., THE PARENT ORGANIZATION, ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACDCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS IN THE PAST YEAR. ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391138241 HOSPITAL WI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391406537 PROPERTY LEASING WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS SPECIALISTS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391945080 MEDICAL SPECIALIST SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS EXTENDED SERVICES INC 425 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS CLINICS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391670223 MEDICAL SERVICES WI 501(C)(3) LINE 9 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 HEALTHCARE SERVICES WI 501(C)(3) LINE 9 ASPIRUS INC 1 ASPIRUS VNA EXTENDED CARE INC 520 N 32ND AVENUE WAUSAU WI 54401 391597350 PERSONAL CARE SERVICES WI 501(C)(3) LINE 9 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 GRAND VIEW N 10561 GRAND VIEW LANE IRONWOOD MI 49938 382908586 HOSPITAL MI 501(C)(3) LINE 3 ASPIRUS INC 1 GRAND VIEW HOSPITAL AUXILIARY N 10561 GRAND VIEW LANE IRONWOOD MI 49938 237178363 SUPPORTING ORGANIZATION TO HOSPITAL AND LIFELINE EMERGENCY SYSTEM MI 501(C)(3) LINE 9 ASPIRUS GRAND VIEW 1 ASPIRUS GRAND VIEW SERVICE CORPORATION N 10561 GRAND VIEW LANE IRONWOOD MI 49938 383005582 PHYSICIAN SERVICES MI 501(C)(3) LINE 3 ASPIRUS GRAND VIEW 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 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 390868982 HOSPITAL WI 501(C)(3) LINE 3 ASPIRUS INC 1 ASPIRUS MEDFORD HOSPITAL & CLINICS INC 135 SOUTH GIBSON MEDFORD WI 54451 390964813 HOSPITAL WI 501(C)(3) LINE 3 N/A 0 LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN 112 EAST FIFTH AVENUE ANTIGO WI 54409 390806429 HOSPITAL WI 501(C)(3) LINE 3 RELIGIOUS HOSPITALLERS OF ST JOSEPH HEALTH CORPORATION 0 ASPIRUS KEWEENAW HOSPITAL 205 OSCEOLA LAURIUM MI 49913 381443361 HOSPITAL MI 501(C)(3) LINE 3 N/A 0 GREATER IRON COUNTY EMS INC 1400 WEST ICE LAKE ROAD IRON RIVER MI 49935 383491283 EMERGENCY MEDICAL CARE AND TRANSPORTATION MI 501(C)(3) LINE 11A, I ASPIRUS IRON RIVER HOSPITAL & CLINICS INC 1 ASPIRUS NETWORK INC 3000 WESTHILL DRIVE 202 WAUSAU WI 54401 391931678 HEALTH CARE SERVICES WI ASPIRUS INC C 3134979 1337956 1.00000 1 ASPIRUS GRAND VIEW CARING CAREGIVERS N10561 GRAND VIEW LANE IRONWOOD MI 49938 382902754 PERSONNAL NEEDS SERVICES MI ASPIRUS GRAND VIEW C 433077 449606 0.70000 1 0 1 1 0 0 0 0 1 0 1 1 1 1 0 1 1 1 0 1 ASPIRUS WAUSAU HOSPITAL INC C 104000000 COST ASPIRUS WAUSAU HOSPITAL INC H 75557 COST ASPIRUS WAUSAU HOSPITAL INC K 805739 COST ASPIRUS WAUSAU HOSPITAL INC L 39083879 COST ASPIRUS WAUSAU HOSPITAL INC O 6141556 COST ASPIRUS WAUSAU HOSPITAL INC P 1138360 COST ASPIRUS WAUSAU HOSPITAL INC Q 1866160 COST ASPIRUS WAUSAU HOSPITAL INC S 90964 COST ASPIRUS BUILDINGS INC C 1850000 COST ASPIRUS BUILDINGS INC K 361081 COST ASPIRUS BUILDINGS INC L 173399 COST ASPIRUS SPECIALISTS INC C 156371 COST ASPIRUS EXTENDED SERVICES INC L 321619 COST ASPIRUS EXTENDED SERVICES INC Q 67793 COST ASPIRUS CLINICS INC B 833334 COST ASPIRUS CLINICS INC L 10988767 COST ASPIRUS CLINICS INC M 102052 COST ASPIRUS CLINICS INC O 222746 COST ASPIRUS CLINICS INC P 99139 COST ASPIRUS CLINICS INC Q 680452 COST ASPIRUS NETWORK INC L 111437 COST ASPIRUS NETWORK INC Q 671692 COST ASPIRUS ONTONAGON HOSPITAL INC L 654990 COST ASPIRUS ONTONAGON HOSPITAL INC Q 126053 COST ASPIRUS HEALTH FOUNDATION INC L 75529 COST ASPIRUS VNA HOME HEALTH INC L 1187593 COST ASPIRUS VNA HOME HEALTH INC O 59574 COST ASPIRUS VNA HOME HEALTH INC P 57005 COST ASPIRUS VNA HOME HEALTH INC Q 156139 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC B 10828042 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC L 287956 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC O 360639 COST ASPIRUS IRON RIVER HOSPITAL & CLINICS INC Q 127056 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC B 35266241 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC C 65000000 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC O 62459 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC Q 536732 COST ASPIRUS GRAND VIEW L 1829907 COST ASPIRUS GRAND VIEW O 79131 COST ASPIRUS GRAND VIEW Q 250071 COST ASPIRUS MEDFORD HOSPITAL & CLINICS INC L 2520404 COST ASPIRUS MEDFORD HOSPITAL & CLINICS INC M 131214 COST ASPIRUS MEDFORD HOSPITAL & CLINICS INC O 83108 COST ASPIRUS MEDFORD HOSPITAL & CLINICS INC Q 384856 COST LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN L 3084513 COST LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN Q 655903 COST ASPIRUS KEWEENAW HOSPITAL L 2397000 COST