ASPIRUS WAUSAU HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ASPIRUS WAUSAU HOSPITAL INC (EIN 39-1138241)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201311349349306661
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T16:22:13-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE STE 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	391138241	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS WAUSAU HOSPITAL Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% SIDNEY C SCZYGELSKI	InCareOfName
Name Control	ASPI	NameControl
Phone	7158472988	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	333 Pine Ridge Blvd	AddressLine1
City	Wausau	City
State	WI	State
ZIP Code	54401	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Sidney Sczygelski	Name
Title	Sr. VP Finance/CFO/Asst. Treasurer	Title
Date Signed	2013-05-14	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Marita Hattem	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	333 Pine Ridge Blvd	AddressLine1
City	Wausau	City
State	WI	State
ZIP Code	54401	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	396344991	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.aspirus.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1970	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM WHICH leads by advancing initiatives dedicated to improving the health of all we serve.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	2673	TotalNbrEmployees
Total Nbr Volunteers	756	TotalNbrVolunteers
Total Gross UBI	1286307	TotalGrossUBI
Net Unrelated Business Txbl Income	137040	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	560171	ContributionsGrantsPriorYear
Contributions Grants Current Year	543612	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	344511521	ProgramServiceRevenuePriorYear
Program Service Revenue CY	352474883	ProgramServiceRevenueCY
Investment Income Prior Year	5935482	InvestmentIncomePriorYear
Investment Income Current Year	7634324	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2437273	OtherRevenuePriorYear
Other Revenue Current Year	2899438	OtherRevenueCurrentYear
Total Revenue Prior Year	353444447	TotalRevenuePriorYear
Total Revenue Current Year	363552257	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	360975	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	126208	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	134976179	SalariesEtcPriorYear
Salaries Etc Current Year	140137735	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	177586676	OtherExpensePriorYear
Other Expenses Current Year	182560951	OtherExpensesCurrentYear
Total Expenses Prior Year	312923830	TotalExpensesPriorYear
Total Expenses Current Year	322824894	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	40520617	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	40727363	RevenuesLessExpensesCY
Total Assets BOY	380823479	TotalAssetsBOY
Total Assets EOY	396800774	TotalAssetsEOY
Total Liabilities BOY	137267852	TotalLiabilitiesBOY
Total Liabilities EOY	137923004	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	243555627	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	258877770	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	238979022	Expense
Grants	126208	Grants
Revenue	354606460	Revenue
Description	ASPIRUS WAUSAU HOSPITAL, INC. PROVIDES HOSPITAL SERVICES FOR residents of Wausau and the surrounding communities regardless of ability to pay.	Description
Total Program Service Expense	238979022	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	312	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2673	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SIDNEY C SCZYGELSKI	NamePerson
Telephone Number	7158472250	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	333 PINE RIDGE BLVD	AddressLine1
City	Wausau	City
State	WI	State
ZIP Code	54401	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (45 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
JON G KRUEGER
CHAIR	1.0	X	X
KATHY J STRASSER
VICE CHAIR	1.0	X	X
STEPHEN B STINE MD
SECRETARY	1.0	X	X
BRIAN J PRUNTY
TREASURER	1.0	X	X
ROBERT J BERNKLAU
BOARD MEMBER	1.0	X
KATHY KELSEY FOLEY
BOARD MEMBER	1.0	X
STEPHEN P FOX MD
BOARD MEMBER	1.0	X
WENDY L HANNEMAN MD
BOARD MEMBER/PHYSICIAN	1.0	X		0	470627	42009
DAVID M HECK
BOARD MEMBER	1.0	X
RONALD L KLIMISCH
BOARD MEMBER	1.0	X
JEFFREY M NEHRING DDS
BOARD MEMBER	1.0	X
TODD R NICKLAUS
BOARD MEMBER	1.0	X
CHRISTOPHER A REISING MD
BOARD MEMBER	1.0	X
THOMAS RENGEL MD
asst sec & sr vp gen counsel	1.0	X		412708	0	19154
FERNANDO A RIVERON MD
BOARD MEMBER	1.0	X
MATTHEW D ROWE
board member	1.0	X
BRIAN D SMITH MD
BOARD MEMBER/PHYSICIAN	1.0	X		0	317551	45114
THOMAS A VOELKER MD
BOARD MEMBER/PHYSICIAN	1.0	X		0	270101	43594
MARK A VOSS MD
BOARD MEMBER	1.0	X
LISA WESTPHAL
BOARD MEMBER	1.0	X
DUANE L ERWIN
AI pres/CEO/Ex Officio	40.0		X	0	750626	126367
DIANE S POSTLER-SLATTERY PHD
COO, AWH Pres/EX-OFFICIO	40.0		X	389741	0	77810
SIDNEY C SCZYGELSKI
sr VP Finance/CFO/Asst treas	40.0		X	0	377724	76760
JEANNE ROWE thru 5511
SR VP OF MEDICAL AFFAIRS	40.0			333947	0	28971	X
JOEL RUEBER thru 011913
EXEC DIR ASPIRUS NETWORK	40.0			208542	0	29807	X
JACOB KEMPEN
vp clinical services	40.0			154725	0	23757	X
NORMA JEAN BURGENER
VP EXTENDED SERVICES	40.0			198165	0	23797	X
KATHRYN J DRENGLER
VP patient care	40.0			204586	0	44172	X
ROGER LUCAS
vp human resources	40.0			0	263314	47801	X
MARITA HATTAM
VP PHYSICIAN SUPPORT SERVICES	40.0			222425	0	39106	X
JEANNE D SCINTO
VP CORP QUALITY & PT SAFETY	40.0			192252	0	52893	X
RICK L NEVERS
VP of marketing/planning	40.0			0	231206	60009	X
DEAN DANNER
SVP COO of ACI	40.0			0	289118	40202	X
PETER HESSERT thru 62511
SR VP & GENERAL COUNSEL	40.0			0	346827	61625	X
GERALD MOUREY thru 52612
VP chief information officer	40.0			0	258257	63019	X
CARI LOGEMANN as of 62611
sr vp general counsel	40.0			0	174498	40126	X
CATHERINE WALDVOGEL
registered nurse	40.0			171303	0	31563		X
JILL MICHAUD
director of pharmacy	40.0			149401	0	33094		X
RAYMOND WERY
medical physicist consultant	40.0			148371	0	30625		X
DAVID BLIVEN
Dir of Real estate/projects	40.0			142255	0	27079		X
SANDRA NOLAND
registered nurse	40.0			142018	0	36080		X
RICK R REDING
Former board member	40.0			0	321033	45185			X
DAVID TANGE
Former board member	40.0			0	299953	43773			X
Robert Milican
Former Board Member	40.0			0	247450	53042			X
TIMOTHY GENGLER
FORMER CHIEF NURSING OFFICER	40.0			132823	11221	6246			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3203262	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4629506	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1292780	TotalOtherCompensation
Number Individuals GT100 K	57	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Wisconsin Emergency Medical
333 Pine Ridge Blvd	WAUSAU	WI	54401	ER physicians	6216053
Hospitalist Medicine
PO Box 645037	CINCINNATI	OH	452645037	contract physicians	2989597
GE Medical Systems
8200 W Tower Avenue	MILWAUKEE	WI	53223	equip. maintenance	2792549
Judges Inc
PO Box 756	PLOVER	WI	54467	laundry services	1867350
GE Healthcare
po box 414	MILWAUKEE	WI	532010414	medical equip maint.	1456061

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	184	NumberOfContractorsGT100K
Related Organizations	543612	RelatedOrganizations
Total Contributions	543612	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE	621400	286525705	286525705
LAB REVENUE	621400	54928724	54544144	384580
RENTAL REVENUE	532000	4892984	4892984
CONTRACT SERVICE REVENUE	621400	2915693	2915693
MOBILE UNIT REVENUE	621400	616157	616157

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2595620	TotalRevenueColumn
Related Or Exempt Function Income	2595620	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	352474883	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4851458	TotalRevenueColumn
Exclusion	$4,851,458	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	35366422	Securities
Other	209178	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	32717422	Securities
Other	75312	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2649000	Securities
Other	133866	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2782866	TotalRevenueColumn
Related Or Exempt Function Income	133866	RelatedOrExemptFunctionIncome
Exclusion	$2,649,000	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INVESTMENT IN WESTWOOD	523000	466978	466978
CAFETERIA AND VENDING	722210	1576492	91147	1485345
PHONE RENTAL	561439	211442	211442

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	644526	TotalRevenueColumn
Related Or Exempt Function Income	512366	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	132160	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	2899438	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	363552257	TotalRevenueColumn
Related Or Exempt Function Income	354221880	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1286307	UnrelatedBusinessRevenue
Exclusion	$7,500,458	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	120208	Total
Program Services	120208	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	6000	Total
Program Services	6000	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3091384	Total
Management And General	3091384	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	105438919	Total
Program Services	98316738	ProgramServices
Management And General	7122181	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4787650	Total
Program Services	3191926	ProgramServices
Management And General	1595724	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	19268637	Total
Program Services	12846400	ProgramServices
Management And General	6422237	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7551145	Total
Program Services	5034348	ProgramServices
Management And General	2516797	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2244573	Total
Management And General	2244573	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	639424	Total
Management And General	639424	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	286738	Total
Management And General	286738	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	76833	Total
Management And General	76833	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	34472117	Total
Program Services	22982560	ProgramServices
Management And General	11489557	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2229764	Total
Program Services	1486584	ProgramServices
Management And General	743180	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	67128777	Total
Program Services	44754756	ProgramServices
Management And General	22374021	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8886397	Total
Program Services	5924561	ProgramServices
Management And General	2961836	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	417576	Total
Program Services	278398	ProgramServices
Management And General	139178	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	658002	Total
Program Services	438690	ProgramServices
Management And General	219312	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2187833	Total
Program Services	1458628	ProgramServices
Management And General	729205	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14692937	Total
Program Services	9795781	ProgramServices
Management And General	4897156	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	90521	Total
Program Services	60350	ProgramServices
Management And General	30171	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
HOSPITAL TAX	8493584	5662672	2830912
BAD DEBT	3777747	2518624	1259123
EQUIPMENT RENTAL & MAINTENANCE	3744356	2496362	1247994
RESIDENCY PROGRAM	1862004	1241398	620606

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	30671768	Total
Program Services	20364038	ProgramServices
Management And General	10307730	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	322824894	Total
Program Services	238979022	ProgramServices
Management And General	83845872	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	33916131	BOY
EOY	44681380	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4720695	BOY
EOY	4795000	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	44589661	BOY
EOY	45666342	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5726054	BOY
EOY	5939229	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1063830	BOY
EOY	1301311	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	300189713	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	179241612	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	125631971	BOY
EOY	120948101	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	149322405	BOY
EOY	156351141	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2844097	BOY
EOY	2691986	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	13008635	BOY
EOY	14426284	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	380823479	BOY
EOY	396800774	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	23006233	BOY
EOY	23025786	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	104985000	BOY
EOY	100620000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	9276619	BOY
EOY	14277218	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	137267852	BOY
EOY	137923004	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	243555627	BOY
EOY	258877770	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	243555627	BOY
EOY	258877770	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	380823479	BOY
EOY	396800774	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	40727363	ReconcilationRevenueExpenses
Reconcilation Other Changes	-25405220	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$17,570	OtherActivitiesAmount
Total Lobbying Expenditures IIB	17570	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Lobbying Activities	Identifier
Return Reference	Part II-B, Line 1I	ReturnReference
Explanation	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 24.6% AND FOR THE WHA PORTION THE LOBBYING IS 10.7%	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9080160	OtherCostOrOtherBasis
Book Value	9080160	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	185397369	OtherCostOrOtherBasis
Depreciation	94562921	Depreciation
Book Value	90834448	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	183331	OtherCostOrOtherBasis
Depreciation	73935	Depreciation
Book Value	109396	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	95431791	OtherCostOrOtherBasis
Depreciation	79286870	Depreciation
Book Value	16144921	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10097062	OtherCostOrOtherBasis
Depreciation	5317886	Depreciation
Book Value	4779176	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	120948101	TotalOfBookValueLandBuildings
Federal Income Tax Liability	200000	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
AMOUNTS PAYABLE TO 3RD PARTY REIMB.	$899,740
RETIREE HEALTHCARE BENEFITS	$3,197,598
INTEREST RATE SWAP	$7,477,000
DEFFERRED COMPENSATION ACCRUAL	$937,367
LONG TERM INSURANCE LIABILITY	$1,565,513

Field	Value	IRS element (for citing)
Total Of Amounts	14277218	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15852295	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	15852295	NetCommunityBenefitExpense
Percent Of Total Expense	0.04970	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	37598002	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19602067	DirectOffsettingRevenue
Net Community Benefit Expense	17995935	NetCommunityBenefitExpense
Percent Of Total Expense	0.05640	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4051686	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3876656	DirectOffsettingRevenue
Net Community Benefit Expense	175030	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	57501983	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23478723	DirectOffsettingRevenue
Net Community Benefit Expense	34023260	NetCommunityBenefitExpense
Percent Of Total Expense	0.10660	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	45	NumberOfActivitiesOrPrograms
Persons Served	10974	PersonsServed
Total Community Benefit Expense	1597515	TotalCommunityBenefitExpense
Direct Offsetting Revenue	725953	DirectOffsettingRevenue
Net Community Benefit Expense	871562	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	22	NumberOfActivitiesOrPrograms
Persons Served	440	PersonsServed
Total Community Benefit Expense	1805195	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5000	DirectOffsettingRevenue
Net Community Benefit Expense	1800195	NetCommunityBenefitExpense
Percent Of Total Expense	0.00560	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	1764	PersonsServed
Total Community Benefit Expense	7054620	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4351102	DirectOffsettingRevenue
Net Community Benefit Expense	2703518	NetCommunityBenefitExpense
Percent Of Total Expense	0.00850	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	106000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	106000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	412	PersonsServed
Total Community Benefit Expense	21889	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	21889	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	82	NumberOfActivitiesOrPrograms
Persons Served	13590	PersonsServed
Total Community Benefit Expense	10585219	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5082055	DirectOffsettingRevenue
Net Community Benefit Expense	5503164	NetCommunityBenefitExpense
Percent Of Total Expense	0.01720	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	82	NumberOfActivitiesOrPrograms
Persons Served	13590	PersonsServed
Total Community Benefit Expense	68087202	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28560778	DirectOffsettingRevenue
Net Community Benefit Expense	39526424	NetCommunityBenefitExpense
Percent Of Total Expense	0.12380	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	1648	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1648	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	3242	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3242	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	70	PersonsServed
Total Community Building Expense	1651	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1651	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	6862	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	6862	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	59	PersonsServed
Total Community Building Expense	9565	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	9565	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	129	PersonsServed
Total Community Building Expense	22968	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	22968	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,777,747	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	76625346	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	90204924	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-13579578	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Aspirus Wausau Hospital Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	333 Pine Ridge Blvd	AddressLine1
City	Wausau	City
State	WI	State
ZIP Code	54401	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Aspirus Wausau Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	150.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lien On Residence	X	LienOnResidence
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifier	ExplanationExplanation
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: I. Wausau Hospitals financial policy requires settlement of a patient bill in one of four manners: A. Payment in full in 45 days. B. 3-4 equal monthly payments. C. Placing the account on a medical note. D. Special arrangements made through a financial counselor. II. Failure to meet these requirements will result in the account being considered a bad debt once all collection efforts have been exhausted. The account will be removed from accounts receivable and turned over to an outside agency 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. The number of statement (minimum of 2) and collection letters (minimum of 1) is determined by the parameters set to the financial codes. Collection calls can be made Monday through Friday from 8:00 a.m. through 8:00 p.m. and on Saturday from 8:00 a.m. through 5:00 p.m. IV. All collection activity and patient contacts will be completely documented electronically on the individual accounts. V. A Medicare account must be over 120 days outstanding from the date of the initial bill to the patient before it can be considered a bad debt and placed with a collection agency. Commercial and Self pay accounts that have received their final 10 day letter could then be considered a bad debt and placed with a collection agency. A default order with the state can be filed for Workers Compensation accounts that are over $5,000.00 with no response from the insurer after 60 days. The state will send a letter to the insurer requesting the review and will allow the insurer 20 days to respond. VI. All collection accounts are to be treated the same regardless of payer type: self pay, general insurance, Medicare, or Medical Assistance. VII. 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. VIII. All individuals qualifying for Aspirus Financial Aid (Community Care) under the Hospitals policy are considered needy. The policy uses a sliding scale up to 300% of the federal poverty guidelines. These accounts are written to the Aspirus Financial Aid (Community Care) allowance once eligibility is determined. There is no minimum waiting period.
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 Hospital's community benefits activities is to address key community health issues as identified by the community needs assessment: The Marathon County LIFE Report spearheaded by the United Way of Marathon County. The following is a list of "Community Building" activities reported in Part II and brief descriptions of them. Economic Development (F2) o Centergy: Centergy is an organization comprising business and civic leaders working together to address the region's 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. o Central Wausau Progress: This is another community development program that combines the vision, resources and efforts of many partners throughout the Wausau area. o City County IT Meeting: This group collaborates to address information technology issues in Wausau and Marathon County. As the county's largest employer, Aspirus Wausau Hospital plays a significant role. o 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. o 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) o 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. o 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. o 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, 2012. 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 uses 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 only pursues the applicants who complete the forms in their entirety.
Needs Assessment	In many ways, 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 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 has maintained strong involvement in the community assessment process, from pledging cash support and in kind donations to steering committee members. The eighth and most recent version of the needs assessment (2011-2013) identified five Top Calls to Action: o Unemployment/Jobs Providing a Living Wage o Alcohol and Drug Misuse o Development of Young Children - Ages 0-6 o Overweight/Obesity o 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: o Of surveyed residents, 76.8 percent agreed that obesity is a concern in the community. o 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. o 14.2 percent of Marathon County residents are 65 or older. o 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. About Marathon County: Persons per square mile (2010) 86.8 White persons (2011) 92% Asian persons (2011) 5.5% Hispanic or Latino persons (2011) 2.3% Persons per household (2011) 2.49 Persons below poverty level (2011) 9.4% 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. The following table presents data about the demographics of the counties that make up this area. 2011 2011 % OF MEDIAN NOV. 2012 2000 2010 POP. HOUSEHOLD UNEMPLOY- Primary Area POP. POP. INCR. AGE 65+ INCOME MENT RATE Langlade Co 20,723 19,977 -3.6% 20.4% $42,045 7.8% Lincoln Co 29,142 28,743 -1.4% 18.7% $47,426 8.2% Marathon Co 127,280 134,063 5.3% 14.4% $54,316 6.3% Taylor Co 19,680 20,689 5.1% 16.3% $45,024 6.8% Area Sub. 196,825 203,472 3.4% 15.8% $51,212 6.7% Secondary Area Clark Co 32,939 34,690 5.3% 15.6% $42,756 6.6% Forest Co 9,313 9,304 -0.1% 20.3% $38,176 8.6% Iron Co 6,333 5,916 -6.6% 25.4% $37,413 11.9% Oneida Co 34,979 35,998 2.9% 22.0% $45,184 8.8% Portage Co 67,690 70,019 3.4% 12.9% $51,887 5.7% Price Co 16,365 14,159 -13.5% 21.4% $41,458 6.3% Shawano Co 39,212 41,949 7.0% 18.7% $45,587 7.0% Vilas Co 19,741 21,430 8.6% 26.6% $41,195 9.8% Wood Co 77,930 74,749 -4.1% 17.3% $47,182 6.2% Area Sub 304,502 308,214 1.22% 17.9% $46,170 6.9% Grand Total 501,327 511,686 2.1% 17.1% $48,176 6.8% WISCONSIN 5,363,715 5,686,986 6.0% 13.9% $52,374 6.6% Michigan Area Gogebic Co 17,370 16,427 -5.4% 21.7% $34,917 8.7% Houghton Co 36,016 36,628 1.7% 15.2% $34,625 6.7% Keweenaw Co 2,301 2,156 -6.3% 24.8% $39,821 16.8% Ontonagon Co 7,818 6,780-13.3% 27.3% $34,786 12.7% Area Sub 63,505 61,991 -2.4% 18.5% $34,902 8.1% Michigan 9,938,444 9,883,640 -0.6% 14.1% $48,669 8.9% Source: U.S. Census Bureau, Wisconsin Department of Work Force Development, Michigan Department of Technology, Management, and Budget, January 2013. The largest employers in Marathon County: Employer Approximate Employees Aspirus Wausau Hospital 3,000 Greenheck Fan Corp. 1,500 Wausau School District 1,476 Footlocker.com/Eastbay 1,300 Kolbe & Kolbe Millworks Inc. 1,122 Wausau Papers 984 Prime Healthcare/UMR 820 Marathon Cheese 800 Marathon County 752 North Central Health Care 685 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 are 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 also 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 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. While each of the other five hospitals is a small, critical access facility, though, 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, Wis. 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: o The Community Health Foundation serves Antigo, Wis. and surrounding communities. o Memorial Health Center Foundation serves Medford, Wis. and surrounding communities. o Aspirus Ontonagon Foundation serves Ontonagon, Mich. and surrounding communities. o Aspirus Grand View Foundation serves Ironwood, Mich. 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 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 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
WAUSAU AREA MOBILE MEALS
610 SCOTT STREET STE G	WAUSAU	WI	54403	391238060	501(c)(3)	11000	GENERAL SUPPORT
WAUSAU DANCE THEATRE
PO BOX 18015	MERRIFIELD	VA	22118	237367344	501(c)(3)	7500	Sponsorship
LEIGH YAWKEY WOODSON ART MUSEUM
700 N TWELFTH STREET	WAUSAU	WI	54403	237281913	501(c)(3)	7500	GENERAL SUPPORT
WIFC-DISCO CURES CANCER
PO BOX 2048	WAUSAU	WI	54402	390942767	n/a	7500	sponsorship

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Festival of Trees	TypeOfGrant
Number Of Recipients	4	NumberOfRecipients
Amount Of Cash Grant	6000	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I	Identifier
Return Reference	Description of Organization's Procedures for Monitoring the Use of Grants	ReturnReference
Explanation	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 THrOUGH OUT THE YEAR WE MAITAIN REcords TO TRACK WHO GETS THE FUNDS, AMOUNTS DISPERSED, AND WHY.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (29 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WENDY L HANNEMAN MD
0	452272	0	250	0	18105	0	17056	0	24953	0	512636	0	0
THOMAS RENGEL MD
362530	0	35700	0	14478	0	4900	0	14254	0	431862	0	0	0
BRIAN D SMITH MD
0	299431	0	0	0	18120	0	17056	0	28058	0	362665	0	0
THOMAS A VOELKER MD
0	261796	0	0	0	8305	0	17056	0	26538	0	313695	0	0
DUANE L ERWIN
0	544701	0	191221	0	14704	0	10193	0	116174	0	876993	0	0
DIANE S POSTLER-SLATTERY PHD
275709	0	76159	0	37873	0	12560	0	65250	0	467551	0	0	0
SIDNEY C SCZYGELSKI
0	292917	0	79742	0	5065	0	13428	0	63332	0	454484	0	0
JEANNE ROWE thru 5511
106153	0	0	0	227794	0	6600	0	22371	0	362918	0	0	0
JOEL RUEBER thru 011913
173993	0	32288	0	2261	0	7084	0	22723	0	238349	0	0	0
JACOB KEMPEN
139452	0	10081	0	5192	0	6850	0	16907	0	178482	0	0	0
NORMA JEAN BURGENER
145676	0	26313	0	26176	0	7332	0	16465	0	221962	0	0	0
KATHRYN J DRENGLER
170159	0	31502	0	2925	0	10196	0	33976	0	248758	0	0	0
ROGER LUCAS
0	185158	0	56372	0	21784	0	4817	0	42984	0	311115	0	0
MARITA HATTAM
163058	0	30330	0	29037	0	6484	0	32622	0	261531	0	0	0
JEANNE D SCINTO
155562	0	32960	0	3730	0	8511	0	44382	0	245145	0	0	0
RICK L NEVERS
0	170569	0	47697	0	12940	0	10317	0	49692	0	291215	0	0
DEAN DANNER
0	206433	0	57789	0	24896	0	15557	0	24645	0	329320	0	0
PETER HESSERT thru 62511
0	243535	0	49237	0	54055	0	13428	0	48197	0	408452	0	0
RICK R REDING
0	300840	0	0	0	20193	0	17056	0	28129	0	366218	0	0
DAVID TANGE
0	279113	0	0	0	20840	0	17056	0	26717	0	343726	0	0
GERALD MOUREY thru 52612
0	193630	0	60047	0	4580	0	9038	0	53981	0	321276	0	0
TIMOTHY GENGLER
101405	11008	29334	0	2084	213	5721	0	525	0	139069	11221	0	0
CATHERINE WALDVOGEL
170000	0	0	0	1303	0	9985	0	21578	0	202866	0	0	0
JILL MICHAUD
133970	0	11262	0	4169	0	8284	0	24810	0	182495	0	0	0
RAYMOND WERY
146091	0	0	0	2280	0	8882	0	21743	0	178996	0	0	0
DAVID BLIVEN
123679	0	9786	0	8790	0	7736	0	19343	0	169334	0	0	0
SANDRA NOLAND
141839	0	0	0	179	0	11173	0	24907	0	178098	0	0	0
CARI LOGEMANN as of 62611
0	174143	0	0	0	355	0	5988	0	34138	0	214624	0	0
Robert Milican
0	231196	0	0	0	16254	0	17056	0	35986	0	300492	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Supplemental Compensation Information	Tavel for companions: Retreat in which spouses attended, spousal portion taxed. Companion Travel: Wendy Hannemen $295 Brian Smith $225 Thomas Voelker $225 Diane Postler-Slattery $125 Duane Erwin $325 Sidney Sczygelski $200 Joel Rueber $325 Kathryn Drengler $100 Roger Lucas $225 Rick Nevers $325 Gerald Mourey $200 Gross-Up Payments: Wendy Hannemen $8,080 Brian Smith $8,080 Rick Reding $8,080 Peter Hessert $3,156 David Tange $6,680 Robert Millican $6,680 Club Dues: Duane Erwin $826 Jeanne Rowe $191 Joel Rueber $826 Norma Jean Burgener $572 Kathryn Drengler $826 Marita Hattem $572 Jeanne Scinto $1,078 Rick Nevers $1,018 Dean Danner $1,078 Peter Hessert $1,078 Timothy Gengler $509 Gerald Mourey $1,018
Compensation Information	Jeanne Rowe $187,054 Schedule J, Part I, Line 4b - Supplemental nonqualified retirement 457F distribution- DIANE POSTLER-SLATTERY $35,626 JEAN BURGENER $21,298 Roger Lucas $16,647 MARITA HATTEM $19,190 RICK NEVERS $10,138 Dean Danner $18,844 Jeanne Rowe $38,097 Peter Hessert $45,848	Schedule J, Part I, Line 4a - Severance Payment
457(f) Retirement Plan profile	KEY EMPLOYEES OF THE COMPANY OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN 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 EXECUTIVES 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 PARTICIPANTS' 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Wisconsin Health & Educational facilities auth
391337855	97710BLY6	2009-10-07	23000000	Refund Bonds issued 3/18/2009	false	false	false
wisconsin health & educational facilities auth
391337855	97710BLW0	2009-10-07	27200000	Refund Bonds issued 3/18/2009	false	false	false
Wisconsin Health & Educational facilities Auth
391337855	97710BLV2	2009-10-07	20000000	Series 1998-VAR rate demand	false	false	false
Wisconsin Health & Educational Facilities Auth
391337855		2012-02-29	32025000	Refund Bonds Issued 02/19/1998	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
24345462	1064490	23280972	2001	true	false	true	true
27833241	1429347	26403894	2006	true	false	true	true
20841864	340678	20501186	1999	true	false	true	true
32025000	0	0		true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs	Engage Bond Counsel ContractsEngageBondCounselContracts	Engage Bond Counsel ResearchEngageBondCounselResearch
false	true	false	false	0.01420	0.01420	true
false	false	false	false	0.01200	0.01200	true
false	true	false		0.00930	0.00930	true	false	false
				0.02830	0.02830

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
true	true	false	false	false	false	0	false	true
0
true	true	false	false	false	false	0	false	true
0
true	true	false	false	false	false	0	false	true
0
false	false	false	false	false	false	0	false	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	See Schedule O	Identifier
Return Reference	0	ReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Delegation of control over management duties	Form 990, Part VI, Question 3	ASPIRUS WAUSAU HOSPITAL, INC. HAS AN AGREEMENT WITH NORTH CENTRAL HEALTH CARE TO MANAGE THE BEHAVIORAL HEALTH DEPARTMENT.
Members of Stockholders	Form 990, Part VI, Question 6	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: 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, LINE 11A THE ORGANIZATION'S MANAGEMENT REVIEWS THE 990 REPORT AND THEN THE FORM IS PROVIDED TO THE BOARD MEMBERS FOR FINAL REVIEW AND APPROVAL PRIOR TO FILING.
Description of process to monitor transactions for conflicts of interest	form 990, part vi, 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.
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 COMMISSIONED BY THE COMPENSATION COMMITTEE OF THE BOARD AND WAS CONDUCTED BY AN INDEPENDENT CONSULTING FIRM. THE MARKET ANALYSIS WAS COMPLETED IN JUNE AND JULY OF 2009 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.
hours devoted to related organizations	form 990, part vii	THE HOURS DEVOTED TO THE POSITIONS REPORTED ON PART VII AND SCHEDULE J REFLECT THE AGGREGATE TOTAL HOURS THESE INDIVIDUALS DEVOTE TO THEIR POSITIONS FOR ASPIRUS WAUSAU HOSPITAL, INC. AND ASPIRUS, INC. SUBSIDIARIES.
Other changes in net assets or fund balances	form 990, part XI, line 5	Unrealized gain on investments (5,731,962) Interest rate swap (4,284,579) interest rate swap valuation adjustment (53,968) post retirement healthcare benefit adjustment (337,008) net asset transfer to aspirus inc. (14,000,000) Loss on early estinquishment of debt (997,703) ____________ Total Adjustments (25,405,220)
Schedule K, part I, Bond B		Aspirus Wausau Hospital is a member of an obligated group for this bond that includes memorial health center, inc. Aspirus Wausau Hospital's share of the proceeds was $44,750,000.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Stevens Point Surgery Center LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	5409 Vern Holmes Drive	AddressLine1
City	Stevens Point	City
State	WI	State
ZIP Code	54481	ZIPCode

Field	Value	IRS element (for citing)
EIN	202259562	EIN
Primary Activities	Medical Srvs	PrimaryActivities
Legal Domicile State	WI	LegalDomicileState
Total Income	1074959	TotalIncome
EOY Assets	-20476	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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 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

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Aspirus Network Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3000 Westhill Drive Suite 300	AddressLine1
City	Wasau	City
State	WI	State
ZIP Code	54401	ZIPCode

Field	Value	IRS element (for citing)
EIN	391931679	EIN
Primary Activity	Medical Contracts	PrimaryActivity
Legal Domicile State	WI	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C Corp	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	true	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (31 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ASPIRUS BUILDINGS INC
N	137243	cost
ASPIRUS BUILDINGS INC
P	249577	cost
ASPIRUS BUILDINGS INC
O	64965	cost
ASPIRUS BUILDINGS INC
J	429973	cost
ASPIRUS CLINICS INC
K	576835	cost
ASPIRUS CLINICS INC
P	2090042	cost
ASPIRUS CLINICS INC
I	3841688	cost
ASPIRUS CLINICS INC
N	9088177	cost
ASPIRUS CLINICS INC
L	568640	cost
ASPIRUS CLINICS INC
J	1514593	cost
ASPIRUS CLINICS INC
O	2289430	cost
ASPIRUS CLINICS INC
N	2552216	cost
ASPIRUS DOCTORS CLINIC
N	73506	cost
ASPIRUS EXTENDED SERVICES INC
P	96135	cost
ASPIRUS EXTENDED SERVICES INC
N	369528	cost
ASPIRUS GRAND VIEW HOSPITAL
K	74824	cost
ASPIRUS GRAND VIEW HOSPITAL
N	1554055	cost
ASPIRUS GRAND VIEW SVC CORP
N	350303	cost
ASPIRUS HEALTH FOUNDATION
P	65400	cost
ASPIRUS HEALTH FOUNDATION
N	68799	cost
ASPIRUS HEALTH FOUNDATION
C	365000	cost
ASPIRUS NETWORK INC
K	54316	cost
ASPIRUS NETWORK INC
N	151487	cost
ASPIRUS ONTANAGON HOSPITAL
P	185526	cost
ASPIRUS ONTANAGON HOSPITAL
N	1158021	cost
ASPIRUS STEVENS POINT SURGERY CENTER
I	141018	cost
ASPIRUS STEVENS POINT SURGERY CENTER
N	179046	cost
ASPIRUS VISITNG NURSES ASSOCIATION
I	76698	cost
ASPIRUS VISITNG NURSES ASSOCIATION
J	96207	cost
ASPIRUS VISITNG NURSES ASSOCIATION
P	437205	cost
ASPIRUS VISITNG NURSES ASSOCIATION
N	1804228	cost