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        <NamePerson>DIANE POSTLER-SLATTERY</NamePerson>
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        <NamePerson>SIDNEY C SCZYGELSKI</NamePerson>
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        <NamePerson>SUSAN M SCHNEIDER</NamePerson>
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        <NamePerson>KRISTEN RAHN</NamePerson>
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        <NamePerson>CHRISTIAN LEE</NamePerson>
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        <NamePerson>STEPHEN L SAEGER</NamePerson>
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        <NamePerson>BRIAN D SMITH</NamePerson>
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        <NamePerson>JOHN HUGUS</NamePerson>
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        <NamePerson>LAWRENCE LEIBERT</NamePerson>
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        <NamePerson>F DEAN DANNER</NamePerson>
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        <NamePerson>ORESTES ALVEREZ-JACINTO</NamePerson>
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        <NamePerson>ANTHONY BELL</NamePerson>
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        <NamePerson>ANDREW BEAUMONT</NamePerson>
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        <NamePerson>PAUL LUETMER</NamePerson>
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        <NamePerson>GERMAN LARRAIN</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>TRAVEL AND HEALTH INSURANCE GROSS UPS, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. HEALTH INSURANCE GROSS-UP PAYMENTS - S. SCHNEIDER $7,802; K. RAHN $6,402; C. LEE $6,402; S. SAEGER $4,139; B. SMITH $8,080; J. HUGUS $6,380; O. ALVAREZ-JACINTO $3,459; A. BELL $8,501; G. LARRAIN $878 - INCLUDED IN INCOME; HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - F. DANNER $1,078; D. ERWIN $826 - INCLUDED IN INCOME.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>457F PLAN DISTRIBUTION ADMINISTERED BY A RELATED ORGANIZATION - F. DANNER $18,844; D. POSTLER-SLATTERY $35,626. 457B PLAN EMPLOYER CONTRIBUTIONS - S. SCHNEIDER $7,666; K. RAHN $7,215; C. LEE $6,279; S. SAEGER $4,012; B. SMITH $7,666; O. ALVAREZ-JACINTO $7,666; A. BELL $7,666; J. HUGUS $7,666; L. LEIBERT $7,666; A. BEAUMONT $7,666; P. LUETMER $7,666; G. LARRAIN $7,666.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 5</ReturnReference>
        <Explanation>THE ORGANIZATION'S PHYSICIANS RECEIVE BONUS PAYMENTS BASED ON THE NUMBER OF PROFESSIONAL WRVU'S PER PROVIDER MULTIPLIED BY A CONVERSION FACTOR THAT IS DETERMINED QUARTERLY.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>PART I, LINE 3: FOR THE PURPOSES OF DETERMING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE PARENT ORGANIZATION, ASPIRUS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>SEE EXPLANATION FOR FORM 990, PART VI, LINE 7B.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BY LAWS, 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, AND 5)APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG RANGE PLANS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S MANAGEMENT. THE FORM 990 IS PROVIDED TO BOARD MEMBERS FOR REVIEW AND APPROVAL PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS, OFFICERS, 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 DOCUMENTED IN THE MEETING MINUTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE ORGANIZATION HAD AN INDEPENDENT AUDIT FOR EXECUTIVE COMPENSATION WHICH INCLUDED BASE SALARY, INCENTIVE PLANS, AND BENEFITS FOR ALL OFFICE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 27,240. ADDITIONAL POSTRETIREMENT BENEFIT OBLIGATION 163,787. TOTAL TO FORM 990, PART XI, LINE 5: 191,027.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS CLINICS, ASSUMES THE RESPONSIBIILTY 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXPLANATION FOR HOURS WORKED</Identifier>
        <ReturnReference>FORM 990, PART VII, LINE 1A</ReturnReference>
        <Explanation>DUANE L. ERWIN AND SIDNEY C. SCZYGELSKI ARE EMPLOYED BY ASPIRUS, INC., A RELATED ORGANIZATION. ASPIRUS, INC.'S PURPOSE IS TO SERVE AS A SUPPORTING ORGANIZATION TO MULTIPLE SUBSIDIARY TAX EXEMPT ENTITIES. DUANE L. ERWIN AND SIDNEY C. SCZYGELSKI DEVOTE THEIR TIME PROVIDING MANAGEMENT SERVICES TO THE RELATED TAX EXEMPT ENTITIES. F. DEAN DANNER DEVOTES APPROXIMATELY 43 HOURS PER WEEK AS FOLLOWS: ASPIRUS CLINICS, INC. - 40 HOURS ASPIRUS GENERAL CLINIC LLC. - 1 HOUR ASPIRUS SPECIALISTS, INC. - 1 HOUR ASPIRUS DOCTORS CLINIC, INC. - 1 HOUR SUSAN M. SCHNEIDER DEVOTES APPROXIMATELY 41 HOURS PER WEEK AS FOLLOWS: ASPIRUS CLINICS, INC. - 40 HOURS ASPIRUS BUILDINGS, INC. - 1 HOUR BRIAN D. SMITH DEVOTES APPROXIMATELY 42 HOURS PER WEEK AS FOLLOWS: ASPIRUS CLINICS, INC. - 40 HOURS ASPIRUS, INC. - 1 HOUR ASPIRUS WAUSAU HOSPITAL - 1 HOUR DIANE POSTLER-SLATTERY DEVOTES APPROXIMATELY 45 HOURS PER WEEK AS FOLLOWS: ASPIRUS WAUSAU HOSPITAL, INC. - 40 HOURS ASPIRUS, INC. - 1 HOUR ASPIRUS CLINICS, INC. - 1 HOUR ASPIRUS VNA EXTENDED CARE, INC. - 1 HOUR ASPIRUS VNA HOME HEALTH, INC. - 1 HOUR ASPIRUS BUILDINGS, INC. - 1 HOUR LAWRENCE LEIBERT DEVOTES APPROXIMATELY 41 HOURS PER WEEK AS FOLLOWS: ASPIRUS CLINICS, INC. - 40 HOURS ASPIRUS DOCTORS CLINIC, INC. - 1 HOUR</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ASPIRUS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>425 PINE RIDGE BLVD</AddressLine1>
          <City>WAUSAU</City>
          <State>WI</State>
          <ZIPCode>54401</ZIPCode>
        </AddressUS>
        <EIN>391328331</EIN>
        <PrimaryActivities>HEALTH CARE SYSTEM MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
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