2015-05-14T14:39:11-05:00 2014-06-30 390758449 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2013-07-01 391138241 ASPIRUS WAUSAU HOSPITAL INC ASPI 7158472988 333 PINE RIDGE BLVD WAUSAU WI 54401 SIDNEY C SCZYGELSKI SENIOR VP OF FINANCE/CFO 7158472988 2015-05-07 1 KATHLEEN J LABRAKE CPA P00164006 7158453111 2015-05-07 2013 2016-02-25 16:41:14Z SIDNEY C SCZYGELSKI 333 PINE RIDGE BLVD WAUSAU WI 54401 399396564 0 X WWW.ASPIRUS.ORG X 1970 WI ASPIRUS WAUSAU HOSPITAL, INC. IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM WHICH LEADS BY ADVANCING INITATIVES DEDICATED TO IMPROVING THE HEALTH OF ALL WE SERVE. 10 4 2523 649 1200769 -5102 528760 510208 345289439 360984667 5225570 5502692 2959388 2879823 354003157 369877390 96808 120113 0 0 144103683 146111110 0 0 0 184919509 181604331 329120000 327835554 24883157 42041836 438097350 468411849 155620921 151380953 282476429 317030896 ASPIRUS WAUSAU HOSPITAL, INC. IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE 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 227927762 120113 362663721 ASPIRUS WAUSAU HOSPITAL, INC. PROVIDES HOSPITAL SERVICES FOR RESIDENTS OF WAUSAU AND THE SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. 227927762 1 1 0 1 0 0 0 0 0 0 1 0 0 0 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 1 0 0 0 0 1 1 1 1 0 0 1 328 0 1 2523 1 1 1 0 0 0 0 0 0 0 0 0 X 10 4 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WI X SIDNEY C SCZYGELSKI 7158472250 333 PINE RIDGE BLVD WAUSAU WI 54401 LISA S WESTPHAL BOARD MEMBER 1.00 1.00 X 0 0 0 HILARY P SCULLY MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 360557 44949 SUSAN M SCHNEIDER MD BOARD MEMBER/PHYSICIAN 1.00 36.00 X 0 294878 39241 CHAD H RADKE DO BOARD MEMBER 1.00 1.00 X 0 0 0 THOMAS N RENGEL MD BOARD MEMBER/PHYSICIAN 40.00 1.00 X 583345 0 19771 CHARLES S MARTING DO BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 437057 44879 DAVID M HECK BOARD MEMBER 1.00 1.00 X 0 0 0 KATHY J STRASSER CHAIR 1.00 2.00 X X 0 0 0 CRAIG A HACKWORTH MD SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 KATHY KELSEY FOLEY VICE CHAIR 1.00 1.00 X X 0 0 0 DARRELL LENTZ PRESIDENT AWH 1.00 40.00 X 33061 229707 54893 SIDNEY C SCZYGELSKI CFO AI 1.00 51.00 X 0 469618 84857 MATTHEW F HEYWOOD CEO AI 1.00 51.00 X 0 340183 62474 ROGER LUCAS SVP AND CHIEF HR OFFICER 1.00 40.00 X 0 279810 56929 RICK L NEVERS SVP REG OPS SYSTEM INT OFFICER 1.00 40.00 X 0 262069 66517 TODD RICHARDSON SVP AND CIO 1.00 40.00 X 0 282065 64746 KATHRYN J DRENGLER VP PATIENT CARE/CNO 40.00 X 203924 0 49422 JACOB KEMPEN VP CLINICAL SERVICES 40.00 X 190739 0 34831 NORMA JEAN BURGENER VP OF POST ACUTE CARE 40.00 X 192694 0 42655 JEANNE SCINTO VP CORPORATE QUALITY & PATIENT SVCS 40.00 X 203842 0 51319 DEAN DANNER SVP COO OF ASPIRUS CLINICS 1.00 40.00 X 0 294742 41076 MARITA HATTEM SVP ORG AND SERVICE LINE DEV 40.00 X 212432 44566 51141 JEFFREY MASTEN CHIEF MEDICAL PHYSICIST 40.00 X 201938 0 29740 RAYMOND WERY MEDICAL PHYSICIST CONSULTANT 40.00 X 176964 0 33767 BRUCE HASSELQUIST MEDICAL PHYSICIST CONSULTANT 40.00 X 172979 0 37245 DAVID BLIVEN DIRECTOR OF REAL ESTATE/PROJECTS 40.00 X 147068 0 8144 JILL MICHAUD DIRECTOR OF PHARMACY 40.00 X 146884 0 30177 DUANE L ERWIN FORMER CEO AI 1.00 50.00 X 0 781943 138308 2465870 4077195 1087081 49 1 1 0 ASPIRUS CLINICS INC 425 PINE RIDGE WAUSAU WI 54401 MEDICAL DIRECTORS, PAYROLL 44830720 ASPIRUS INC 333 PINE RIDGE WAUSAU WI 54401 MANAGEMENT FEES, PAYROLL 33505963 WISCONSIN EMERGENCY MEDICAL 333 PINE RIDGE WAUSAU WI 54401 ER PHYSICIANS 6413122 GE MEDICAL SYSTEM 8200 W TOWER AVENUE MILWAUKEE WI 53223 EQUIPMENT MAINTENANCE 3109801 PRISM HEALTHCARE PARTNERS LTD 190 SOUTH LA SALLE ST STE 2900 CHICAGO IL 60603 CONSULTANTS 2794000 180 510208 510208 PATIENT SERVICE REVENUE 621400 293494876 293494876 LAB REVENUE 621400 52129583 51833197 296386 CONTRACT SERVICE REVENUE 621400 4676879 4676879 RENTAL REVENUE 532000 4558684 4558684 MOBILE UNIT REVENUE 621400 539651 539651 5584994 5584994 360984667 6663020 6663020 28358846 29519174 -1160328 -1160328 -1160328 CAFETERIA AND VENDING 722210 1555348 1386324 169024 INVESTMENT IN WESTWOOD 523000 309779 309779 PHONE RENTAL 561439 220355 220355 794341 589116 205225 2879823 369877390 362663721 1200769 5502692 120113 120113 33061 33061 113674021 93695826 19978195 5887375 5863172 24203 18814465 12529863 6284602 7702188 7690505 11683 3543708 3543708 346744 346744 262019 81 261938 38638 38638 36197135 24025678 12171457 2265242 125494 2139748 3350354 2047107 1303247 465951 11238 454713 15202539 7969060 7233479 1001035 769385 231650 268316 4556 263760 2080660 2080660 12116803 5005039 7111764 155804 153592 2212 MEDICAL SUPPLIES 65529694 63080953 2448741 CORPORATE ALLOCATION 31746754 1899495 29847259 HOSPITAL TAX 8805214 424190 8381024 RECRUITMENT 601057 167715 433342 -2373336 -1199008 -1174328 327835554 227927762 99907792 0 45251024 22789685 5088000 8187468 44592558 51501985 5506347 5212418 1532008 2641003 349292832 197593544 133200223 151699288 189807968 214067168 2988934 3127629 10130288 9185205 438097350 468411849 26677968 27033771 119200000 115309500 9742953 9037682 155620921 151380953 X 282476429 317030896 282476429 317030896 438097350 468411849 X 42041836 22899956 -30387325 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20839 20839 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. FOR AHA THE PERCENT THAT IS SPECIFIC TO LOBBYING PURPOSES IS 23.65% AND FOR THE WHA PORTION THE LOBBYING PERCENTAGE IS 14.1% FOR A TOTAL DOLLAR AMOUNT OF $20,839 GOING TOWARDS LOBBYING ACTIVITIES. 8626706 8626706 210083718 105958393 104125325 306338 127957 178381 106541750 85360101 21181649 23734320 6147093 17587227 151699288 AMOUNTS PAYABLE TO THRID-PARTY REIMBURSEMENT PROGRAM 1867370 RETIREE HEALTHCARE BENEFITS 2889666 INTEREST RATE SWAP 2383000 DEFERRED COMPENSATION ACCRUAL 1361359 LONG-TERM INSURANCE LIABILITY 536287 9037682 X PART X, LINE 2: IN ORDER TO ACCOUNT FOR UNCERTAIN TAX POSITIONS, ASPIRUS WAUSAU HOSPITAL, INC. DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAX AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. ASPIRUS WAUSAU HOSPITAL, INC. HAS NOT RECORDED ANY ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2014 OR 2013. 1 1 1 X 1 X 1 1 1 0 1 1 16693292 16693292 0.05090 37720022 20222008 17498014 0.05340 4828048 3697438 1130610 0.00340 59241362 23919446 35321916 0.10770 25 5119 5459413 4097041 1362372 0.00420 40 221 2942006 800 2941206 0.00900 3 2068 4701960 2124983 2576977 0.00790 1 0 231329 43864 187465 0.00060 7 0 11752 11752 0.00000 76 7408 13346460 6266688 7079772 0.02170 76 7408 72587822 30186134 42401688 0.12940 1 515 515 0.00000 2 890 890 0.00000 3 1508 1508 0.00000 6 2913 2913 1 -2341999 72322633 92770911 -20448278 X 1 1 1 1 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 WWW.ASPIRUS.ORG/ASPIRUSWAUSAUHOSPITAL 188 X X X ASPIRUS WAUSAU HOSPITAL INC 1 X X X X X X X 11 1 1 1 X SEE PART V, LINE 5D X X X X X X X 1 0 1 1 150.000000000000 1 300.000000000000 1 X X X X 1 1 X X X X X 1 X 1 X X X X 1 X 0 0 ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 4: MINISTRY ST. CLARE'S HOSPITAL3400 MINISTRY PKWY.WESTON, WI 54476 ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 5D: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS ATTACHED TO THE FORM 990.HOSPITAL WEBSITE: HTTP://ASPIRUS.ORG/UPLOADS/PUBLIC/DOCUMENTS/COMM-BENEFIT-REPORT-AWH.PDF ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 20D: THE LOOK BACK METHOD UNDER REG. 501(R) IS UTILIZED TO CALCULATE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIBIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. 3 NORTHWOODS SURGERY CENTER LLC 611 VETERANS PARKWAY WOODRUFF WI 54568 GENERAL MEDICAL & SURGICAL PINE RIDGE SURGERY CENTER 2500 PINE RIDGE BLVD WAUSAU WI 54401 GENERAL MEDICAL & SURGICAL STEVENS POINT SURGERY CENTER LLC 5409 VERN HOLMES DRIVE STEVENS POINT WI 54481 GENERAL MEDICAL & SURGICAL PART I, LN 7 COL(F): THE COSTING METHODOLOGY IS CMS2552 AS FILED COST REPORT. ASPIRUS WAUSAU HOSPITAL, INC. (ASPIRUS) FEELS 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 HEALTH CARE. PART II, COMMUNITY BUILDING ACTIVITIES: AS ANY GOOD CORPORATE CITIZEN, ASPIRUS WAUSAU HOSPITAL, INC. 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, INC.'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, INC. IS A LONGTIME CHAMBER MEMBER AND PROVIDES A LEADERSHIP ROLE IN MULTIPLE WAYS. COMMUNITY SUPPORT (F3)- BOY SCOUTS OF AMERICA (BSA): 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, INC. 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, INC. 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. THE COSTING METHODOLOGY USED WAS THE PATIENT CARE COST TO CHARGE RATIO WHICH WAS DERIVED FROM THE CALCULATION ON IRS WORKSHEET 2. PART III, LINE 8: THE COSTING METHODOLOGY IS CMS2552 AS FILED COST REPORT. ASPIRUS WAUSAU HOSPITAL, INC. (ASPIRUS) FEELS 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: ASPIRUS WAUSAU HOSPITAL, INC. MAKES REASONABLE EFFORTS TO DETERMINE IF FINANCIAL ASSISTANCE SHOULD BE OFFERED BEFORE ASSIGNING A CASE TO A COLLECTION AGENCY. ASPIRUS INFORMS PATIENTS AND OFFERS THEM FINANCIAL ASSISTANCE APPLICATION FORMS AT THE TIME OF REGISTRATION, IN EMERGENCY ROOMS, FINANCIAL SERVICE OFFICES, THE BILLING OFFICE, AND ON STATEMENTS AND LETTERS. ASPIRUS CAN ONLY PURSUE THE APPLICANT WHO HAS COMPLETED THE FINANCIAL ASSISTANCE APPLICATION FORMS IN THEIR ENTIRETY. PART VI, LINE 2: ASPIRUS WAUSAU HOSPITAL, INC. IS A LEADER IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY. IT HAS DEVELOPED STRONG PARTNERSHIPS WITH KEY COMMUNITY AGENCIES AND HELPED SPEARHEAD INITIATIVES TO ASSESS THE COMMUNITY'S HEALTH NEEDS AND FACTORS SUPPORTING A HIGH QUALITY OF LIFE AND VIBRANT COMMUNITY.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, INC. HAS MAINTAINED STRONG INVOLVEMENT IN THE COMMUNITY ASSESSMENT PROCESS, FROM PLEDGING CASH SUPPORT AND IN KIND DONATIONS TO STEERING COMMITTEE CHAIRS AND MEMBERS. THE NINTH AND MOST RECENT VERSION OF THE MARATHON COUNTY LIFE REPORT 2013 2015 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 A LONG-TERM CALL TO ACTION, TWO IMMEDIATE CONCERNS, AND FOUR ISSUES TO WATCH. A GREAT START FOR KIDS: A LONG-TERM CALL TO ACTION:- EDUCATIONAL INVESTMENTS- THE IMPACT OF CHILDHOOD TRAUMAIMMEDIATE CONCERNS:- A CHALLENGED ECONOMY- ALCOHOL AND DRUG USE, MISUSE, AND ABUSEISSUES TO WATCH, NOT IN ORDER OF IMPORTANCE:- UNMET BASIC NEEDS- OBESITY- HEALTHY AGING- INTIMATE PARTNER VIOLENCE PART VI, LINE 3: ASPIRUS WAUSAU HOSPITAL, INC. MAKES LISTS OF AVAILABLE GOVERNMENT ASSISTANCE PROGRAMS AVAILABLE TO PATIENTS AND FAMILIES IN THE CASHIER'S OFFICE, WHICH IS LOCATED OFF THE MAIN LOBBY. IN ADDITION, ALL PATIENTS ARE MADE AWARE OF ASPIRUS WAUSAU HOSPITAL'S FINANCIAL AID PROGRAMS THROUGH STATEMENTS AND FOLLOW UP LETTERS. FINANCIAL COUNSELORS SEEK TO MEET ONE ON ONE WITH ANY PATIENTS WHO DO NOT HAVE INSURANCE, SO COUNSELORS CAN EXPLAIN ALL OPTIONS AVAILABLE. PART VI, LINE 4: ACCORDING TO THE U.S. CENSUS BUREAU, MARATHON COUNTY HAD A POPULATION OF 135,416 AS OF 2013. FOR THE PURPOSES OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, WE WILL FOCUS ON MARATHON COUNTY AS THE "COMMUNITY" SERVED BY ASPIRUS WAUSAU HOSPITAL, INC. 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, INC. 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 (2013):PERSONS PER SQUARE MILE 86.8PERSONS UNDER 5 YEARS OLD 6.2%PERSONS UNDER 18 YEARS OLD 23.7%PERSONS 65 YEARS AND OVER 15.4%WHITE PERSONS 91.8%ASIAN PERSONS 5.6%PERSONS PER HOUSEHOLD 2.50PERSONS BELOW POVERTY LEVEL 10.4%MEDIAN HOUSEHOLD INCOME $53,762SOURCE: US CENSUS BUREAUTHE LARGEST EMPLOYERS IN MARATHON COUNTY: ASPIRUS WAUSAU HOSPITAL 3,000GREENHECK FAN CORP. 1,500WAUSAU SCHOOL DISTRICT 1,476FOOTLOCKER.COM/EASTBAY 1,300KOLBE AND KOLBE MILLWORKS 1,122WAUSAU PAPERS 984PRIME HEALTHCARE (UMR/WAUSAU BENEFITS) 800MARATHON CHEESE 800MARATHON COUNTY 740NORTH CENTRAL HEALTH CARE 685SOURCE: COMPREHENSIVE ANNUAL FINANCIAL REPORT MARATHON COUNTY, WISCONSIN FOR THE YEAR ENDED DECEMBER 31, 2012.MUCH OF ASPIRUS WAUSAU HOSPITAL, INC.'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 WAUSAU HOSPITAL, INC. IS A TRUE COMMUNITY ORGANIZATION. IT WAS CREATED IN THE 1970S WHEN COMMUNITY LEADERS DECIDED THE TWO LOCAL HOSPITALS OPERATING AT THAT TIME COULD BE MORE EFFECTIVE AND MORE EFFICIENT IF THEY MERGED.TODAY, THAT COMMUNITY LEADERSHIP AND VISION ENDURES. ASPIRUS WAUSAU HOSPITAL, INC. IS GUIDED BY A COMMUNITY BOARD OF DIRECTORS, WHICH THE ORGANIZATION'S BYLAWS STATE MUST CONSIST OF EIGHT OR NINE PHYSICIANS AND 11 TO 14 COMMUNITY MEMBERS. THIS BOARD HELPS ENSURE THAT STRATEGIC AND OPERATIONAL DECISIONS AT ASPIRUS WAUSAU HOSPITAL, INC. ARE MADE WITH THE COMMUNITY'S BEST INTEREST IN MIND. IN ADDITION, ASPIRUS WAUSAU HOSPITAL, INC. MAINTAINS AN OPEN MEDICAL STAFF, MEANING THAT IT EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. AS A NOT-FOR-PROFIT ORGANIZATION, ASPIRUS WAUSAU HOSPITAL, INC. REINVESTS SURPLUS FUNDS IN HEALTH SERVICES FOR THE COMMUNITY, SUCH AS NEW TECHNOLOGY THAT ADVANCES CARE AND IMPROVES ACCESS. ASPIRUS WAUSAU HOSPITAL, INC. ALSO WORKS COLLABORATIVELY WITH OTHER HEALTHCARE AND ACADEMIC ENTITIES TO OFFER PROFESSIONAL HEALTH EDUCATION OPPORTUNITIES THAT BENEFIT THE COMMUNITIES. FOR EXAMPLE, THE UNIVERSITY OF WISCONSIN WAUSAU FAMILY MEDICINE RESIDENCY PROGRAM IS BASED ON THE ASPIRUS WAUSAU HOSPITAL MEDICAL CAMPUS, AND PRODUCES SKILLED, DEDICATED FAMILY MEDICINE PHYSICIANS. THE VAST MAJORITY OF RESIDENCY GRADUATES END UP PRACTICING IN NORTH CENTRAL WISCONSIN, MAKING THE RESIDENCY PROGRAM INCREDIBLY VALUABLE TO THE ONGOING EASY ACCESS TO HIGH QUALITY PRIMARY HEALTHCARE. ASPIRUS WAUSAU HOSPITAL, INC. IS THE VEHICLE BY WHICH EXTENSIVE VOLUNTEER EFFORTS ARE ORGANIZED. THERE ARE MORE THAN 1,000 ASPIRUS VOLUNTEERS WHO SUPPORT THE PROVISION OF EXCELLENT MEDICAL CARE AT THE HOSPITAL AND IN OTHER VENUES. THESE VOLUNTEERS ALSO PROVIDE VALUABLE COMMUNITY OUTREACH THROUGH THE LIFELINE HOME HEALTH MONITORING PROGRAM, THE HANDS PROGRAM THAT TEACHES YOUNG CHILDREN THE IMPORTANCE OF HAND HYGIENE, AND MEALS ON WHEELS. ASPIRUS WAUSAU HOSPITAL, INC. ALSO SUPPORTS VALUABLE CLINICAL RESEARCH THROUGH ASPIRUS HEART & VASCULAR INSTITUTE (AHVI) RESEARCH & EDUCATION AND THROUGH THE ASPIRUS REGIONAL CANCER CENTER (ARCC). AHVI RESEARCH & EDUCATION HAS ABOUT 10 OPEN TRIALS AT ANY GIVEN TIME, AND SEEKS TO ADVANCE THE SAFE, EFFECTIVE, AND COMPASSIONATE PRACTICE OF CARDIOVASCULAR MEDICINE IN NORTH CENTRAL WISCONSIN. THROUGH A RESEARCH AFFILIATION WITH THE UNIVERSITY OF WISCONSIN COMPREHENSIVE CANCER CENTER IN MADISON, ARCC IS PART OF A SATELLITE SYSTEM CALLED WISCONSIN ONCOLOGY NETWORK OFFERING CLINICAL TRIALS TO PATIENTS WITH ADVANCED DISEASE. ARCC IS ALSO ABLE TO OFFER FEDERALLY SPONSORED STUDIES AVAILABLE THROUGH THE EASTERN COOPERATIVE ONCOLOGY GROUP AND THE RADIOLOGIC THERAPY ONCOLOGY GROUP.ASPIRUS IS ALSO COMMITTED TO THE HEALTH OF THE COMMUNITY IT SERVES. BY PARTNERING WITH ORGANIZATIONS SUCH AS THE HEALTH DEPARTMENT, UNITED WAY, YWCA, AND OTHERS, ASPIRUS CAN INVEST IN PROGRAMS AND OFFER SERVICES TO POPULATIONS THAT WOULD NOT HAVE ACCESS OTHERWISE. PART VI, LINE 6: ASPIRUS WAUSAU HOSPITAL, INC. IS ONE OF SIX HOSPITALS UNDER THE ASPIRUS, INC. UMBRELLA. EACH OF THE OTHER FIVE HOSPITALS IS A SMALL, CRITICAL ACCESS FACILITY, WHILE ASPIRUS WAUSAU HOSPITAL, INC. IS A REGIONAL TERTIARY CARE FACILITY. THE ASPIRUS SYSTEM IS RELATIVELY YOUNG, ESPECIALLY IN THE UPPER PENINSULA OF MICHIGAN, WHERE THREE 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.- MEMORIAL HEALTH CENTER FOUNDATION SERVES MEDFORD, WI, AND SURROUNDING COMMUNITIES.- ASPIRUS ONTONAGON FOUNDATION SERVES ONTONAGON, MI, AND SURROUNDING COMMUNITIES.- ASPIRUS GRAND VIEW FOUNDATION SERVES IRONWOOD, MI, AND SURROUNDING COMMUNITIES.WHILE ASPIRUS HAS GROWN AND EXPANDED ITS SERVICE AREA RAPIDLY IN THE PAST SIX 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, INC. HAS THREE HOSPITALS IN WISCONSIN. ASPIRUS WAUSAU HOSPITAL IN WAUSAU, LANGLADE HOSPITAL IN ANTIGO AND ASPIRUS MEDFORD HOSPITAL AND CLINICS IN MEDFORD. EACH OF THESE CENTERS FILES A COMMUNITY BENEFIT REPORT. ASPIRUS, INC. ALSO HAS THREE HOSPITALS IN MICHIGAN'S UPPER PENINSULA: ASPIRUS KEWEENAW HOSPITAL IN LARIUM, ASPIRUS GRAND VIEW IN IRONWOOD AND ASPIRUS ONTONAGON IN ONTONAGON. EACH OF THESE FACILITIES IS RESPONSIBLE FOR ITS OWN COMMUNITY BENEFITS REPORTING. 1 NTC FOUNDATION 1000 WEST CAMPUS DRIVE WAUSAU WI 54401 391266481 501(C)(3) 11000 DONATION WAUSAU AREA MOBILE MEALS 610 SCOTT STREET STE G WAUSAU WI 54403 391238060 501(C)(3) 11000 DONATION LEIGH YAWKEY WOODSON ART MUSEUM 700 N TWELFTH STREET WAUSAU WI 54403 237367344 501(C)(3) 10000 SPONSORSHIP WAUSAU DANCE THEATRE PO BOX 18015 MERRIFIELD VA 22118 237281913 501(C)(3) 7500 SPONSORSHIP WIFC-DISCO CURES CANCER PO BOX 2048 WAUSAU WI 54402 390942767 N/A 7500 SPONSORSHIP UNITED WAY OF MARATHON COUNTY INC 705 S 24TH AVE STE 400B WAUSAU WI 54401 390935496 501(C)(3) 5700 SPONSORSHIP 5 1 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 INITATIVES. 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 X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 HILARY P SCULLY MD BOARD MEMBER/PHYSICIAN 0 351638 0 0 0 8919 0 17850 0 27099 0 405506 0 0 SUSAN M SCHNEIDER MD BOARD MEMBER/PHYSICIAN 0 285842 0 250 0 8786 0 17850 0 21391 0 334119 0 0 THOMAS N RENGEL MD BOARD MEMBER/PHYSICIAN 405536 0 24388 0 153421 0 5000 0 14771 0 603116 0 0 0 CHARLES S MARTING DO BOARD MEMBER/PHYSICIAN 0 427964 0 0 0 9093 0 17850 0 27029 0 481936 0 0 DARRELL LENTZ PRESIDENT AWH 30358 185083 0 23595 2703 21029 1000 9444 4229 40220 38290 279371 0 0 SIDNEY C SCZYGELSKI CFO AI 0 322441 0 141139 0 6038 0 15200 0 69657 0 554475 0 0 MATTHEW F HEYWOOD CEO AI 0 280310 0 50000 0 9873 0 4359 0 58115 0 402657 0 0 ROGER LUCAS SVP AND CHIEF HR OFFICER 0 196276 0 57504 0 26030 0 11928 0 45001 0 336739 0 0 RICK L NEVERS SVP REG OPS SYSTEM INT OFFICER 0 202368 0 38216 0 21485 0 12256 0 54261 0 328586 0 0 TODD RICHARDSON SVP AND CIO 0 234975 0 44606 0 2484 0 9646 0 55100 0 346811 0 0 KATHRYN J DRENGLER VP PATIENT CARE/CNO 180481 0 20227 0 3216 0 11265 0 38157 0 253346 0 0 0 JACOB KEMPEN VP CLINICAL SERVICES 167327 0 19673 0 3739 0 8929 0 25902 0 225570 0 0 0 NORMA JEAN BURGENER VP OF POST ACUTE CARE 152176 0 17143 0 23375 0 9514 0 33141 0 235349 0 0 0 JEANNE SCINTO VP CORPORATE QUALITY & PATIENT SVCS 176774 0 19048 0 8020 0 10826 0 40493 0 255161 0 0 0 DEAN DANNER SVP COO OF ASPIRUS CLINICS 0 218917 0 42321 0 33504 0 16013 0 25063 0 335818 0 0 MARITA HATTEM SVP ORG AND SERVICE LINE DEV 163117 44160 30997 0 18318 406 10740 1735 35104 3562 258276 49863 0 0 JEFFREY MASTEN CHIEF MEDICAL PHYSICIST 196703 0 0 0 5235 0 10899 0 18841 0 231678 0 0 0 RAYMOND WERY MEDICAL PHYSICIST CONSULTANT 174595 0 0 0 2369 0 10870 0 22897 0 210731 0 0 0 BRUCE HASSELQUIST MEDICAL PHYSICIST CONSULTANT 168932 0 0 0 4047 0 10765 0 26480 0 210224 0 0 0 DAVID BLIVEN DIRECTOR OF REAL ESTATE/PROJECTS 98531 0 0 0 48537 0 6674 0 1470 0 155212 0 0 0 JILL MICHAUD DIRECTOR OF PHARMACY 142609 0 0 0 4275 0 8747 0 21430 0 177061 0 0 0 DUANE L ERWIN FORMER CEO AI 0 410177 0 136236 0 235530 0 15200 0 123108 0 920251 0 0 PART I, LINE 1A TRAVEL FOR COMPANIONS: T. RENGEL $441; C. MARTING $366; H. SCULLY $140; S. SCZYGELSKI $301; R. NEVERS $581; T. RICHARDSON $293; M. HATTEM $268; D. LENTZ $175 - INCLUDED IN INCOME. GROSS-UP PAYMENTS: C. MARTING $601; S. SCHNEIDER $659; H. SCULLY $601; S. SCZYGELSKI $3,394 - INCLUDED IN INCOME. HOUSING ALLOWANCE: R. LUCAS $1,510 - INCLUDED IN INCOME. CLUB DUES: R. NEVERS $509; T. RICHARDSON $539; K. DRENGLER $413; N. BURGENER $294; J. SCINTO $539; D. DANNER $539; M. HATTEM $413; D. LENTZ $665; D. ERWIN $413 - INCLUDED IN INCOME. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENT: J. SCINTO - $6,862 D. ERWIN - $225,368 D. BLIVEN - $40,819 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: 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 PRESEIDENT, 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. T. RENGEL - $138,327 D. LENTZ - $19,598 R. LUCAS - $18,290 R. NEVERS - $18,457 N. BURGENER - $19,165 D. DANNER - $27,425 M. HATTEM - $17,106 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 46115000 REVENUE BONDS SERIES 2013 0 0 0 A 5940000 32025000 1 0 1 1 B 27833241 1429347 26403894 2006 1 0 1 1 C 4930000 20841864 340678 20501186 1999 1 0 1 1 D 47001087 22999596 24001113 1 0 0 1 A 0 1 0 0 0.01920 0.01920 0.03840 0 0 1 B 0 0 0 0 0.01200 0.01200 0.02400 0 0 1 C 0 1 0 0 0.00930 0.00930 0.01860 0 0 1 D 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 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: 02/22/2013 ISSUER NAME: WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2007 ISSUER NAME: WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 04/28/2000 SCHEDULE K, PART III, LINE 9: SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. RADIOLOGY ASSOCIATES OF WAUSAU SC RELATED PARTY TO BOARD MEMBER CRAIG HACKWORTH, MD 181405 RADIOLOGY SERVICES/MEDICAL CONTRACTS 0 WI EMERGENCY MEDICAL SERVICES ASSOCIATION RELATED PARTY TO BOARD MEMBER CHAD RADKE, DO 6339202 EMERGENCY SERVICES/MEDICAL CONTRACTS 0 FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF ASPIRUS WAUSAU HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS WAUSAU HOSPITAL, 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 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S MANAGEMENT. THE FORM 990 IS PROVIDED TO THE BOARD MEMBERS FOR REVIEW AND FINAL APPROVAL PRIOR TO FILING THE RETURN. 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 THE ORGANIZATION HAD AN INDEPENDENT AUDIT FOR EXECUTIVE COMPENSATION WHICH INCLUDED BASE SALARY, INCENTIVE PLANS, AND BENEFITS FOR ALL OFFICER AND EXECUTIVE POSITIONS. THE REVIEW WAS COMMISSIONED BY THE COMPENSATION COMMITTEE OF THE BOARD AND WAS CONDUCTED BY AN INDEPENDENT CONSULTING FIRM. THE MARKET ANALYSIS WAS COMPLETED IN MARCH/APRIL 2013 AND PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD IN AUGUST 2013 FOR FINAL COMPENSATION DETERMINATION. 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: INTEREST RATE SWAP -414,615. INTEREST RATE SWAP VALUATION ADJUSTMENT -83,755. POST RETIREMENT HEALTHCARE BENEFIT ADJUSTMENT 131,290. NET ASSET TRANSFER TO ASPIRUS, INC. -30,000,000. EQUITY - BOND SWAP -20,245. FORM 990, PART XII, LINE 2C: OVERSIGHT OR SELECTION PROCESS: THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS WAUSAU HOSPITAL, INC., ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS IN THE PAST YEAR. STEVENS POINT SURGERY CENTER LLC 5409 VERN HOLMES DRIVE STEVENS POINT WI 54481 202259562 MEDICAL SRVS WI 610212 99766 N/A ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTHCARE WI 501(C)(3) LINE 11B, II 0 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 HEALTH CARE 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 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 NETWORK 3000 WESTHILL DRIVE SUITE 300 WAUSAU WI 54401 391931679 MEDICAL CONTRACTS WI N/A C -26763 1075047 1.00000 1 ASPIRUS GRAND VIEW CARING CAREGIVERS N10561 GRAND VIEW LANE IRONWOOD MI 49938 382902754 PERSONNAL NEEDS SERVICES MI ASPIRUS GRAND VIEW C 41896 459554 1.00000 1 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 0 ASPIRUS SPECIALISTS INC K 232730 COST ASPIRUS SPECIALISTS INC O 405255 COST ASPIRUS SPECIALISTS INC Q 102076 COST ASPIRUS BUILDINGS INC J 545260 COST ASPIRUS BUILDINGS INC O 110381 COST ASPIRUS BUILDINGS INC Q 156803 COST ASPIRUS VNA HOME HEALTH INC J 124512 COST ASPIRUS VNA HOME HEALTH INC K 140539 COST ASPIRUS VNA HOME HEALTH INC O 3222545 COST ASPIRUS VNA HOME HEALTH INC Q 300529 COST ASPIRUS EXTENDED SERVICES INC O 771621 COST ASPIRUS EXTENDED SERVICES INC P 93291 COST ASPIRUS NETWORK INC L 58824 COST ASPIRUS NETWORK INC O 1080970 COST ASPIRUS ONTONAGON HOSPITAL INC O 1323093 COST ASPIRUS ONTONAGON HOSPITAL INC Q 95389 COST ASPIRUS HEALTH FOUNDATION INC O 247089 COST ASPIRUS HEALTH FOUNDATION INC Q 104776 COST ASPIRUS HEALTH FOUNDATION INC C 300000 COST ASPIRUS GRAND VIEW HOSPITAL L 57264 COST ASPIRUS GRAND VIEW HOSPITAL O 2164178 COST ASPIRUS GRAND VIEW HOSPITAL Q 100022 COST ASPIRUS GRAND VIEW SERVICE CORPORATION O 204545 COST