2014-04-17T11:17:33-05:00 2013-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE STE 4000 INDIANAPOLIS IN 46204 990 2012-07-01 391138241 ASPIRUS WAUSAU HOSPITAL Inc % SIDNEY C SCZYGELSKI ASPI 7158472988 333 Pine Ridge Blvd Suite Wausau WI 54401 SIDNEY C SCZYGELSKI 2014-04-16 3176817000 2012 2015-11-30 17:44:51Z Darrell Lentz 333 Pine Ridge Blvd Wausau WI 54401 365397166 false X www.aspirus.org X 1970 WI ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM WHICH leads by advancing initiatives dedicated to improving the health of all we serve. 17 11 2641 658 1153041 72760 543612 528760 352474883 345289439 7634324 5225570 2899438 2959388 363552257 354003157 126208 96808 0 0 140137735 144103683 0 0 0 182560951 184919509 322824894 329120000 40727363 24883157 396800774 438097350 137923004 155620921 258877770 282476429 ASPIRUS 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. false false 226237394 102808 347408746 ASPIRUS WAUSAU HOSPITAL, INC. PROVIDES HOSPITAL SERVICES FOR residents of Wausau and the surrounding communities regardless of ability to pay. 226237394 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 327 0 true 2641 true true true false false false false false false false false false X 17 11 false true false false true false true true true false false true true true true true true true true true true WI X SIDNEY C SCZYGELSKI 7158472250 333 PINE RIDGE BLVD Wausau WI 54401 JON G KRUEGER 1.0 1.0 X X 0 0 0 KATHY J STASSER 1.0 1.0 X X 0 0 0 STEPHEN B STINE MD 1.0 1.0 X X 0 0 0 BRIAN J PRUNTY 1.0 1.0 X X 0 0 0 CHIP COURTNEY 1.0 1.0 X 0 0 0 KATHY KELSEY FOLEY 1.0 1.0 X 0 0 0 STEPHEN P FOX MD 1.0 1.0 X 0 0 0 DAVID M HECK 1.0 1.0 X 0 0 0 RONALD L KLIMISCH 1.0 1.0 X 0 0 0 JEFFREY M NEHRING 1.0 1.0 X TODD R NICKLAUS 1.0 1.0 X 0 0 0 CHRISTOPHER A REISING MD 1.0 1.0 X 0 0 0 THOMAS RENGEL MD 39.0 1.0 X 432476 0 19124 MATTHEW D ROWE 1.0 1.0 X 0 0 0 BRIAN D SMITH MD 1.0 39.0 X 0 329723 48416 THOMAS A VOELKER MD 1.0 39.0 X 0 324472 44543 LISA WESTPHAL 1.0 1.0 X 0 0 0 FERNANDO A RIVERON MD 1.0 0.0 X 0 0 0 ROBERT J BERNKLAU 1.0 0.0 X 0 0 0 MARK A VOSS MD 1.0 0.0 X 0 0 0 DUANE L ERWIN 1.0 39.0 X 0 807484 134626 SIDNEY C SCZYGELSKI 1.0 39.0 X 0 390057 79956 MARITA HATTEM 39.0 1.0 X 247460 0 41037 JACOB KEMPEN 40.0 0.0 X 185340 0 18135 NORMA JEAN BURGENER 40.0 0.0 X 180489 0 37589 KATHRYN J DRENGLER 40.0 0.0 X 219581 0 48439 ROGER LUCAS 0.0 40.0 X 0 265458 54232 JEANNE D SCINTO 40.0 0.0 X 202025 0 48174 RICK L NEVERS 0.0 40.0 X 0 245545 61758 DEAN DANNER 0.0 40.0 X 0 307442 42541 Todd Richardson 0.0 40.0 X 0 234425 6765 JOEL RUEBER THRU 11913 40.0 0.0 X 220594 0 31114 CATHERINE WALDVOGEL 40.0 0.0 X 164337 0 32311 RAYMOND WERY 40.0 0.0 X 172057 0 34482 GREGG SILBERG 40.0 0.0 X 182994 0 6944 Bruce Hasselquist 40.0 0.0 X 168303 0 27660 RICK R REDING 0.0 40.0 X 0 331098 42393 Robert Milican 0.0 40.0 X 0 239503 44694 Wendy Hanneman 0.0 40.0 X 0 515930 43591 Robert Erickson 0.0 0.0 X 0 28035 0 Diane Postler-Slattery 39.0 1.0 X 458465 0 81546 JEANNE ROWE 0.0 0.0 X 103541 0 3901 GERALD MOUREY 0.0 0.0 X 0 171122 27767 CARI LOGEMANN 0.0 40.0 X 0 230747 50922 2937662 4421041 1112660 60 true true false Wisconsin Emergency Medical 333 Pine Ridge Blvd WAUSAU WI 54401 ER physicians 6535699 GE Medical Systems 8200 W Tower Avenue MILWAUKEE WI 53223 EQUIP. MAINTENANCE 2700458 Hospitalist Medicine PO Box 645037 CINCINNATI OH 452645037 CONTRACT PHYSICIANS 2253507 Cheryl A Swanson DBA Rain Resource PO Box 131463 ROSEVILLE MN 551130013 EPIC CONSULTANTS 2123727 Judges Inc PO Box 756 PLOVER WI 54467 LAUNDRY SERVICES 1948783 213 528760 528760 PATIENT SERVICE REVENUE 621400 277525183 277525183 LAB REVENUE 621400 55598356 55312192 286164 RENTAL REVENUE 532000 4911234 4911234 CONTRACT SERVICE REVENUE 621400 4238665 4238665 MOBILE UNIT REVENUE 621400 525207 525207 2490794 2490794 345289439 6556100 6556100 0 0 0 0 0 10029116 34363 11386442 7567 -1357326 26796 -1330530 26796 -1357326 0 0 0 INVESTMENT IN WESTWOOD 523000 384953 384953 CAFETERIA AND VENDING 722210 1571665 1447342 124323 PHONE RENTAL 561439 217123 217123 785647 645169 140478 2959388 354003157 347122582 1153041 5198774 96808 96808 0 0 0 2993050 2993050 0 108370744 76011240 32359504 5530632 3879185 1651447 19536503 13702903 5833600 7672754 5381670 2291084 2923715 2923715 338643 338643 310577 310577 0 0 46606 46606 33161076 23259179 9901897 2248039 1576775 671264 66953231 46960996 19992235 0 0 9430813 6614772 2816041 419647 294340 125307 0 749613 525779 223834 1444657 1013282 431375 0 13351748 9364916 3986832 126771 88917 37854 CORP. & CLINIC ALLOCATION 31796697 22302203 9494494 HOSPITAL TAX 8855978 6211583 2644395 BAD DEBT 4266931 2992825 1274106 EQUIPMENT RENTAL & MAINTENANCE 3043059 2134401 908658 5451708 3825620 1626088 329120000 226237394 102882606 0 44681380 45251024 4795000 5088000 0 0 45666342 44592558 0 0 0 0 0 0 5939229 5506347 1301311 1532008 324121591 190921368 120948101 133200223 156351141 189807968 0 0 2691986 2988934 0 0 14426284 10130288 396800774 438097350 23025786 26677968 0 0 0 0 100620000 119200000 0 0 0 0 0 0 0 0 14277218 9742953 137923004 155620921 X 258877770 282476429 0 0 0 0 258877770 282476429 396800774 438097350 X 24883157 12622248 -13906746 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 18444 18444 false false LOBBYING ACTIVITIES SCHEDULE C PART II-b, LINE 1I A PORTION OF OUR ANNUAL WISCONSIN HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES ARE USED FOR LOBBYING ACTIVITIES. FOR AHA THE PERCENT THAT IS SPECIFIC TO LOBBYING PURPOSES IS 23.98% AND FOR THE WHA PORTION THE LOBBYING IS 11.5% 9080160 9080160 186763364 102136157 84627207 206742 98322 108420 101720341 82947149 18773192 26350984 5739740 20611244 133200223 0 AMOUNTS PAYABLE TO 3RD PARTY REIMB. 1311444 RETIREE HEALTHCARE BENEFITS 2780819 INTEREST RATE SWAP 2279000 DEFERRED COMPENSATION ACCRUAL 1169702 LONG TERM INSURANCE LIABILITY 2201988 9742953 true true X true X true X true true true false true true 16354354 0 16354354 0.05030 36960604 19602067 17358537 0.05340 5619708 4268570 1351138 0.00420 58934666 23870637 35064029 0.10790 33 3948 4033448 2695412 1338036 0.00410 46 1415 3190288 15280 3175008 0.00980 4 2044 6774837 4175567 2599270 0.00800 1 0 142640 0 142640 0.00040 7 300 13536 0 13536 0.00000 91 7707 14154749 6886259 7268490 0.02230 91 7707 73089415 30756896 42332519 0.13020 2 488 488 3 784 784 2 15 808 808 1 1354 1354 4 119 1816 1816 12 134 5250 5250 true 4195775 76048555 89471969 -13423414 X true true 1 1 ASPIRUS WAUSAU HOSPITAL INC

333 PINE RIDGE BLVD WAUSAU WI 54401

X X X ASPIRUS WAUSAU HOSPTIAL INC 1 true X X X X X X X 11 true true true X X X X X X X true false true true 150. true 300. true X X X X true true X X X X X true X X true X X X X X true X false false 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, line 7 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 5360 requires settlement of a patient self-pay bill or account will be referred for outside collection. II. Failure to meet these requirement in policy 5360 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 Treasurers 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# 7155 dated 6/11/10. 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 actually 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 II 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 Hospitals 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) -Centergy: Centergy is an organization comprising business and civic leaders working together to address the regions workforce, business and community development needs. It works to encourage business sector development, support local businesses, attract new businesses, achieve growth for higher education facilities, and improve life in general for all central Wisconsin residents. -Central Wausau Progress: This is another community development program that combines the vision, resources, and efforts of many partners throughout the Wausau area. -City County IT Meeting: This group collaborates to address information technology issues in Wausau and Marathon County. As the countys largest employer, Aspirus Wausau Hospital plays a significant role. -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 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. Overall, the allowance for uncollectible accounts as a percentage of accounts receivable has not changed significantly for the year ended June 30, 2013 Part III Line 4 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 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 III Line 9B Aspirus Wausau Hospital 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 applicants who have completed the financial assistance application forms in their entirety. Part V, Section A Aspirus Wausau Hospital, Inc operates 1 hospital facility. Aspirus Wausau Hospital, Inc 333 Pine Ridge Blvd Wausau, WI 54401 Part V, Section B Ministry St. Clare's Hospital 3400 Ministry Pkwy. Weston, WI 54476 NEEDS ASSESSMENT Aspirus Wausau Hospital 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 communitys 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 has maintained strong involvement in the community assessment process, from pledging cash support and in kind donations to steering committee chairs and members. The eighth and most recent version of the needs assessment (2011-2013) identified five Top Calls to Action: - Unemployment/Jobs Providing a Living Wage - Alcohol and Drug Misuse - Development of Young Children - Ages 0-6 - Overweight/Obesity - Basic Needs - Food and Shelter In addition to the above listed five health priorities, the 2011-2013 LIFE Report also identified two Issues to Watch: Aging Issues and Domestic Abuse. Here are some facts about Marathon County: - Of surveyed residents, 76.8 percent agreed that obesity is a concern in the community. - 12.2 percent of residents live at or below the poverty level, and 18.7 percent of children live at or below the poverty level. - 14.2 percent of Marathon County residents are 65 or older. - In 2010, there were 760 Driving While Intoxicated arrests in Marathon County. Patient education of eligibility for assistance Aspirus Wausau Hospital makes lists of available government assistance programs available to patients and families in the cashiers office, which is located off the main lobby. In addition, all patients are made aware of Aspirus Wausau Hospitals 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. Community Information According the U.S. Census Bureau, Marathon County had a population of 134,063 in 2010. And while there are demographic and population numbers for the areas that Aspirus Wausau Hospital considers its primary and secondary market areas, Marathon County bears special attention, as it is the home of Aspirus Wausau Hospital and many of the systems corporate functions. 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. The importance of Marathon County to the business of Aspirus Wausau Hospital cannot be overstated. From May 2011 through April 2012: -80 percent of patients treated and released at the Aspirus Wausau Hospital Emergency Department were Marathon County residents. -53 percent of non-newborn inpatient discharges were patients who live in Marathon County. 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 (2010): Persons per square mile: 86.8 Persons under 5 years old: 6.5% Persons under 18 years old: 24.5% Persons 65+ years old: 14.2% White: 91.3% Asian: 5.3% People per household: 2.49 % Population below poverty level: 8.7 Median household income: $49,356 Source: US Census Bureau Service Areas and Demographics Aspirus Wausau Hospital. The AWH considers its market to be 13 counties located in North Central Wisconsin and four counties located in Upper Michigan. The 13 North Central Wisconsin counties represent its primary and secondary service areas and accounted for 94.1% of all admissions in calendar year 2012. In our primary service area, which includes Langlade, Lincoln, Marathon, and Taylor county, total population in 2011 was 203,472, population aged 65 and older was 15.8%, median income was $51,212, and the unemployment rate was 6.7%. In our secondary services area, including Clark, Forest, Iron, Oneida, Portage, Price, Shawano, Vilas, and Wood counties, total population in 2011 was 308,214, population aged 65 and older was 17.9%, median income was $46,170, and the unemployment rate was 6.9%. In our Michigan service area, including Gogebic, Houghton, Keweenaw, and Ontonagon Counties, total population in 2011 was 61,991, population aged 65 and older was 14.1%, median income was $48,669, and the unemployment rate was 8.9%. Please see our complete Community Health Needs Assessment for additional data. Source: U.S. Census Bureau, Wisconsin Department of Work Force Development, Michigan Department of Technology, Management, and Budget, January 2013. Aspirus is the largest employers in Marathon County: Aspirus Wausau Hospital: 3,000 employees Greenheck Fan Corp.: 1,500 employees Wausau School District: 1,476 employees Footlocker.com/Eastbay: 1,300 employees Kolbe & Kolbe Millworks Inc.: 1,122 employees Wausau Papers: 984 employees Prime Healthcare/UMR: 820 employees Marathon Cheese: 800 employees Marathon County: 752 employees North Central Health Care: 685 employees Source: Comprehensive Annual Financial Report Marathon County, Wisconsin, December 31, 2011 Much of north central and central Wisconsin and the Upper Peninsula of Michigan qualify as health professional shortage areas and medically underserved areas. According to the Health Resources and Services Administration, all or part of the following 16 counties is designated as health professional shortage areas: Clark, Florence, Forest, Iron (WI), Langlade, Marathon, Oneida, Price, Shawano, Taylor, Vilas, Wood, Gogebic, Iron (MI), Keweenaw, and Ontonagon. The following 14 counties are designated as health professional shortage areas for mental health: Clark, Florence, Forest, Iron (WI), Langlade, Marathon, Oneida, Price, Shawano, Taylor, Vilas, Wood, Gogebic, and Iron (MI). Similarly, all or part of the following 18 counties are designated as medically underserved areas: Clark, Florence, Forest, Iron (WI), Langlade, Marathon, Portage, Price, Shawano, Taylor, Vilas, Wood, Baraga, Gogebic, Houghton, Iron (MI), Keweenaw, and Ontonagon. Promotion of Community Health Aspirus Wausau Hospital 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 is guided by a community board of directors, which the organizations 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 are made with the communitys best interest in mind. In addition, Aspirus Wausau Hospital 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 reinvests surplus funds in health services for the community, such as new technology that advances care and improves access. Aspirus Wausau Hospital also works collaboratively with other health care 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 health care. Aspirus Wausau Hospital 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 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. Affiliated Health Care System Aspirus Wausau Hospital 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 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. State Filing of Community Benefit Report Aspirus, Inc. has three hospitals in Wisconsin: Aspirus Wausau Hospital in Wausau, Langlade Hospital in Antigo and Memorial Health Center in Medford. Each of these centers files a community benefit report. Aspirus, Inc. also has three hospitals in Michigans Upper Peninsula: Aspirus Keweenaw Hospital in Laurium, Aspirus Grand View in Ironwood and Aspirus Ontonagon Hospital in Ontonagon. Each of these facilities is responsible for its own community benefits reporting. true WAUSAU AREA MOBILE MEALS 610 SCOTT STREET STE G WAUSAU WI 54403 391238060 501(c)(3) 11000 DONATION DONATION SPONSORSHIP SPONSORSHIP DONATION SPONSORSHIP PLEDGE 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 GENERAL SUPPORT WIFC-DISCO CURES CANCER PO BOX 2048 WAUSAU WI 54402 390942767 n/a 7500 sponsorship 3 1 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants 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 X X X true true X X X X true true false false false false false false false THOMAS RENGEL MD 387048 0 30950 0 14478 0 4900 0 14224 0 451600 0 0 0 BRIAN D SMITH MD 0 310273 0 0 0 19450 0 17632 0 30784 0 378139 0 0 THOMAS A VOELKER MD 0 314309 0 0 0 10163 0 17512 0 27031 0 369015 0 0 DUANE L ERWIN 0 575926 0 216804 0 14754 0 11512 0 123114 0 942110 0 0 SIDNEY C SCZYGELSKI 0 302883 0 85154 0 2020 0 13716 0 66240 0 470013 0 0 MARITA HATTEM 192870 0 28777 0 25813 0 6159 0 34878 0 288497 0 0 0 JEANNE ROWE -989 0 0 0 104530 0 0 0 3901 0 107442 0 0 0 JOEL RUEBER THRU 11913 177098 0 26529 0 16967 0 7278 0 23836 0 251708 0 0 0 JACOB KEMPEN 156725 0 25616 0 2999 0 7624 0 10511 0 203475 0 0 0 NORMA JEAN BURGENER 148059 0 27990 0 4440 0 7597 0 29992 0 218078 0 0 0 KATHRYN J DRENGLER 182569 0 33412 0 3600 0 11094 0 37345 0 268020 0 0 0 ROGER LUCAS 0 191292 0 53812 0 20354 0 10340 0 43892 0 319690 0 0 JEANNE D SCINTO 164460 0 33846 0 3719 0 8570 0 39604 0 250199 0 0 0 RICK L NEVERS 0 179118 0 53326 0 13101 0 11107 0 50651 0 307303 0 0 DEAN DANNER 0 212676 0 67919 0 26847 0 16036 0 26505 0 349983 0 0 RICK R REDING 0 310342 0 0 0 20756 0 17512 0 24881 0 373491 0 0 GERALD MOUREY 0 45264 0 23170 0 102688 0 5584 0 22183 0 198889 0 0 CATHERINE WALDVOGEL 163175 0 0 0 1162 0 10458 0 21853 0 196648 0 0 0 RAYMOND WERY 169943 0 0 0 2114 0 10148 0 24334 0 206539 0 0 0 CARI LOGEMANN 0 192237 0 36664 0 1846 0 8474 0 42448 0 281669 0 0 Robert Milican 0 221053 0 0 0 18450 0 16574 0 28120 0 284197 0 0 GREGG SILBERG 75011 0 0 0 107983 0 1200 0 5744 0 189938 0 0 0 Bruce Hasselquist 166988 0 0 0 1315 0 3403 0 24257 0 195963 0 0 0 Todd Richardson 0 67707 0 160000 0 6718 0 923 0 5842 0 241190 0 0 Wendy Hanneman 0 497378 0 250 0 18302 0 17512 0 26079 0 559521 0 0 Diane Postler-Slattery 281162 0 132064 0 45239 0 13716 0 67830 0 540011 0 0 0 Robert Erickson 0 0 0 0 0 28035 0 0 0 0 0 28035 0 0 Supplemental Compensation Information Tavel for companions: Retreat in which spouses attended, spousal portion taxed. Companion Travel: Wendy Hannemen $250 Brian Smith $125 Thomas Voelker $325 Diane Postler-Slattery $450 Sidney Sczygelski $235 Rick Nevers $250 Gross-Up Payments: Wendy Hannemen $9,476 Brian Smith $9,476 Rick Reding $7,978 Robert Millican $8,076 Thomas Voelker $878 Club Dues: Duane Erwin $826 Jeanne Rowe $191 Joel Rueber $1,078 Norma Jean Burgener $588 Kathryn Drengler $826 Marita Hattem $588 Jeanne Scinto $1,078 Rick Nevers $1,018 Dean Danner $1,078 Peter Hessert $1,078 Timothy Gengler $509 Gerald Mourey $255 Gregg Silberg $207 Todd Richardson $225 Cari Logemann $826 Housing Allowance: Gregg Silberg $3,458 Todd Richardson $6,400 Compensation Information Schedule J, Part I, Line 4a - Severance Payment Jeanne Rowe $104,530 Gregg Silberg $104,000 Gerald Mourey $102,086 Schedule J, Part I, Line 4b - Supplemental nonqualified retirement 457(F) distribution- DIANE POSTLER-SLATTERY $43,117 Roger Lucas $15,829 MARITA HATTEM $15,671 RICK NEVERS $9,913 Dean Danner $20,160 Joel Rueber $14,430 Robert Erickson $28,035 457(f) Retirement Plan profile KEY EMPLOYEES OF THE COMPANY OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1ST 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 THE 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 MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT, TO 12. 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 false false false B wisconsin health & educational facilities auth 391337855 97710BLW0 2009-10-07 27200000 Refund Bonds issued 3/18/2009 false false false C Wisconsin Health & Educational facilities Auth 391337855 97710BLV2 2009-10-07 20000000 Series 1998-VAR rate demand false false false D Wisconsin Health & Educational Facilities Auth 391337855 97710B7X4 2013-04-12 46115000 REVENUE BONDS SERIES 2013 false false false A 0 0 32025000 0 0 0 0 0 0 0 0 0 true false true true B 0 0 27833241 0 0 0 1429347 0 0 26403894 0 0 2006 true false true true C 0 0 20841864 0 0 0 340678 0 0 20501186 0 0 1999 true false true true D 0 0 47001087 0 0 22999596 0 0 0 24001113 0 0 true false false true A false true false false 0.01920 0.01920 false false false true B false false false false 0.01200 0.01200 false false false true C false true false false 0.00930 0.00930 false false false true D false true false false 0.00000 0.00000 0.00000 false false false true A false true false false 0 false false false 0 false true B false true true false 0 false false false 0 false true C false true true false 0 false false false 0 false true D false false false false 0 false false false 0 false true A true B true C true D true SCHEDULE K, SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS PART III LN 9 POLICY STATES WE WILL SEEK BOND COUNSEL OPINION FOR ALL REMEDIAL ACTIONS. MEMBERS OF STOCKHOLDERS Form 990, Part VI, Question 6 THE PARENT ORGANIZATION, ASPIRUS, INC. IS THE SOLE CORPORATE MEMBER OF ASPIRUS WAUSAU HOSPITAL, INC. Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights Form 990, Part VI, Question 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. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11A 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. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 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 INTERST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIOAL 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. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Question 15a & 15b 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 COMMISSSIONED 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 FOR FINAL COMPENSATION DETERMINATION. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FEES FOR SERVICES - OTHER FORM 990, Part IX, Line 11g Contract Purchase Services 9,785,079 Physician Contract Services 6,485,766 Medical Directorships 5,064,599 Lab Purchase Services-PBB Clinics 2,278,445 Outside Services-Lab 2,199,771 Patient and Medical Transport 1,930,901 Linen Contract 1,394,426 Blood Center of WI Contracts 1,059,806 Contract Labor 860,224 Call Pay Contract- Central WI Anesthesia 790,790 Food Service 446,674 Warehouse Contract 400,970 Consulting Fees 251,225 Miscellaneous 212,400 TOTAL 33,161,076 OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 Interest Rate Swap $847,746 Interest Rate Swap Valuation Adjustment $(295,638) Post Retirement Healthcare Benefit Adjustment $658,668 Net Asset Transfer to Aspirus Inc. $(15,000,000) Loss on Early Extinguishment of Debt $(117,522) ______________ $(13,906,746) Oversight or Selection Process Form 990, Part XII, Question 2c 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 599352 14593 NA Aspirus Ontonagon Hospital Inc 601 Seventh Street Ontonagon WI 49953 260806477 Hospital WI 501(c)(3) 3 Aspirus Inc true Aspirus VNA Home Health Inc 520 N 32nd Avenue Wausau WI 54401 390808511 Home Health WI 501(c)(3) 9 Aspirus Inc true Aspirus VNA Extended Care Inc 520 N 32nd Avenue Wausau WI 54401 391597350 Personal Care WI 501(c)(3) 9 Aspirus Inc true Aspirus Inc 425 Pine Ridge Blvd Wausau WI 54401 391328331 healthcare WI 501(c)(3) 11- Type II na false Aspirus Ontonagon Hospital Inc 601 Seventh Street Ontonagon WI 49953 260806477 Hospital WI 501(c)(3) 3 Aspirus Inc true Aspirus Health Foundation 425 Pine Ridge Blvd Wausau WI 54401 391256656 Public Fdn WI 501(c)(3) 7 Aspirus Inc true Aspirus Doctor's Clinic Inc 420 Dewey Street Wisconsin Rapids WI 54495 391972671 Medical Serv WI 501(c)(3) 9 Aspirus Inc true Aspirus Grand View N 10561 Grand View Lane Ironwood WI 49938 382908586 Hospital WI 501(c)(3) 3 Aspirus Inc true Aspirus Buildings Inc 333 Pine Ridge Blvd Wausau WI 54401 391406537 Leasing WI 501(c)(3) 9 Aspirus Inc true Aspirus Specialists Inc 425 Pine Ridge Blvd Wausau WI 54401 391945080 Medical Svcs WI 501(c)(3) 9 Aspirus Inc true Aspirus Extended Services 425 Pine Ridge Blvd Wausau WI 54401 390782130 Nursing Home WI 501(C)(3) 9 Aspirus Inc true Aspirus Clinics Inc 425 Pine Ridge Blvd Wausau WI 54401 391670223 Medical Srvcs WI 501(c)(3) 9 Aspirus Inc true Aspirus Network Inc 3000 Westhill Drive Suite 300 Wasau WI 54401 391931679 Medical Contracts WI NA C Corp true false false true false false false true false false true true true true false true true true true false ASPIRUS BUILDINGS INC P 65013 cost ASPIRUS BUILDINGS INC J 131464 cost ASPIRUS BUILDINGS INC K 319297 cost ASPIRUS BUILDINGS INC O 104622 cost ASPIRUS BUILDINGS INC Q 137992 cost ASPIRUS CLINICS INC M 479354 cost ASPIRUS CLINICS INC P 522994 cost ASPIRUS CLINICS INC J 1469199 cost ASPIRUS CLINICS INC O 1816252 cost ASPIRUS CLINICS INC L 386476 cost ASPIRUS CLINICS INC O 474430 cost ASPIRUS CLINICS INC K 3812190 cost ASPIRUS CLINICS INC Q 10494613 cost ASPIRUS EXTENDED SERVICES INC O 98809 cost ASPIRUS GRAND VIEW HOSPITAL Q 479006 cost ASPIRUS GRAND VIEW HOSPITAL Q 1799413 cost ASPIRUS GRAND VIEW SVC CORP Q 375979 cost ASPIRUS HEALTH FOUNDATION Q 62262 cost ASPIRUS HEALTH FOUNDATION O 73588 cost ASPIRUS HEALTH FOUNDATION C 300000 cost ASPIRUS NETWORK INC L 50000 cost ASPIRUS NETWORK INC Q 132888 cost ASPIRUS NETWORK INC O 176021 cost ASPIRUS ONTANAGON HOSPITAL Q 1327866 cost ASPIRUS SPECIALISTS INC O 152820 cost ASPIRUS SPECIALISTS INC P 203367 COST ASPIRUS SPECIALISTS INC Q 440501 COST ASPIRUS SPECIALISTS INC K 465459 COST Aspirus VNA Home Health Inc J 115823 COST