ASPIRUS WAUSAU HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ASPIRUS WAUSAU HOSPITAL INC (EIN 39-1138241)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-15
IRS object ID: 201221369349307547
Schema version: 2010v3.7
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	2012-05-15T17:33:10-04:00	Timestamp
Tax Period End Date	2011-06-30	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 SUITE 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	2010-07-01	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)
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 C Sczygelski	Name
Title	Sr VP of Finance/CFO	Title
Date Signed	2012-05-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DIANE POSTLER-SLATTERY	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	362837261	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	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	2728	TotalNbrEmployees
Total Nbr Volunteers	683	TotalNbrVolunteers
Total Gross UBI	1296467	TotalGrossUBI
Net Unrelated Business Txbl Income	294239	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	613805	ContributionsGrantsPriorYear
Contributions Grants Current Year	560171	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	318563395	ProgramServiceRevenuePriorYear
Program Service Revenue CY	344511521	ProgramServiceRevenueCY
Investment Income Prior Year	3020147	InvestmentIncomePriorYear
Investment Income Current Year	5935482	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1246680	OtherRevenuePriorYear
Other Revenue Current Year	2437273	OtherRevenueCurrentYear
Total Revenue Prior Year	323444027	TotalRevenuePriorYear
Total Revenue Current Year	353444447	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	169467	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	360975	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	127567119	SalariesEtcPriorYear
Salaries Etc Current Year	134976179	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	167892712	OtherExpensePriorYear
Other Expenses Current Year	177586676	OtherExpensesCurrentYear
Total Expenses Prior Year	295629298	TotalExpensesPriorYear
Total Expenses Current Year	312923830	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	27814729	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	40520617	RevenuesLessExpensesCY
Total Assets BOY	351052128	TotalAssetsBOY
Total Assets EOY	380823479	TotalAssetsEOY
Total Liabilities BOY	149916016	TotalLiabilitiesBOY
Total Liabilities EOY	137267852	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	201136112	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	243555627	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	206851307	Expense
Grants	360975	Grants
Revenue	345969254	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	206851307	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
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	false	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	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	283	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2728	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	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	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	false	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 (41 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
James E Wanserski
Chair	1.0	X	0	0	0
Kathy J Strasser
Vice Chair	1.0	X	0	0	0
Brian J Prunty
Secretary	1.0	X	0	0	0
Todd R Nicklaus
Treasurer	1.0	X	0	0	0
Robert J Bernklau
Board Member	1.0	X	0	0	0
R Mark Campbell
Board Member	1.0	X	0	0	0
Kathy Kelsey Foley
Board Member	1.0	X	0	0	0
Stephen P Fox MD
Board Member	1.0	X	0	0	0
Wendy L Hanneman
Board Member/Physician	1.0	X	0	510603	34268
David M Heck
Board Member	1.0	X	0	0	0
Ronald L Klimish
Board Member	1.0	X	0	0	0
Jon G Krueger
Board Member	1.0	X	0	0	0
Jeffery M Nehring
Board Member	1.0	X	0	0	0
Kevin J O'Connell MD
Board Member	1.0	X	0	0	0
Christopher A Reising MD
Board Member	1.0	X	0	0	0
Fernando A Riveron MD
Board Member	1.0	X	0	0	0
Matthew D Rowe
Board Member	1.0	X	0	0	0
Brian D Smith MD
Board Member/Physician	1.0	X	0	320004	34268
Stephen B Stine MD
Board Member	1.0	X	0	0	0
Alan Verploegh
Board Member	1.0	X	0	0	0
Thomas A Voelker MD
Board Member/Physician	1.0	X	0	285038	33686
Mark A Voss MD
Board Member	1.0	X	0	0	0
Duane L Erwin
CEO	40.0		0	637361	106584	X
Diane S Postler-Slattery
President/COO	40.0		344020	0	52821	X
Peter L Hessert
Sr. V.P. & General Counsel	40.0		0	324538	53257	X
Sidney C Sczygelski
Sr. V.P. of Finance CFO	40.0		0	351315	55062	X
Jeanne Rowe
Sr.VP of Medical Affairs	40.0		342023	0	42657		X
Norma Jean Burgener
VP Extended Services	40.0		0	200160	21549		X
Kathryn J Drengler
VP Clinical Services	40.0		0	180087	36194		X
Timothy P Gengler
Chief Nursing Officer	40.0		183589	0	38793		X
Marita Hattem
VP Physician Support Services	40.0		199919	0	33935		X
Jeanne D Scinto
VP Corp Quality&Patient Safety	40.0		180664	0	40643		X
Rick L Nevers
Administrator/COO (MI)	40.0		0	219761	44330		X
Joel Rueber
Exec Dir-Aspirus Netwrk	40.0		185216	0	16704		X
Thomas Rengel
Physician	40.0		399478	0	13330			X
Jeffrey Limmer
Chief Medical Physicist	40.0		195159	0	28699			X
Rick R Reding
Physician	40.0		0	303512	34268			X
David Tange
Physician	40.0		0	257336	34268			X
Robert Millican
NEPHROLOGY PHYSICIAN	40.0		0	274449	34268			X
Leland Olkowski
Former Board Member/Admin Cons	24.0		0	137931	21186				X
Robert Erickson
Former Board Member/Reg COO	40.0		0	74196	16039				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2030068	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4076291	TotalReportableCompFrmRltdOrgs
Total Other Compensation	826809	TotalOtherCompensation
Number Individuals GT100 K	56	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
Mc Kesson Drug Co
12748 COLLECTION CENTER DR	WAUSAU	IL	60693	ER Physicians	13112653
Medline Industries Inc
DEPT CH 14400	CHICAGO	IL	600554400	Equip. Maintenance	9174468
Wisconsin Emergency Medical
333 Pine Ridge Blvd	MILWAUKEE	WI	54401	Family Physician	5909045
Prescription Service Division
PO BOX 840336	PLOVER	TX	752840336	Laundry	4673625
Medtronic Sofamor Danek
4642 COLLECTION CENTER DR	MEGUON	IL	60693	Insurance	3752965

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	195	NumberOfContractorsGT100K
Related Organizations	559471	RelatedOrganizations
All Other Contributions	700	AllOtherContributions
Total Contributions	560171	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	285887800	285887800
LAB REVENUE	621400	50338025	50001050	336975
RENTAL REVENUE	532000	3770053	3770053
CONTRACT SERVICE REVENUE	621400	2684173	2684173
MOBILE UNIT REVENUE	621400	567176	567176

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1264294	TotalRevenueColumn
Related Or Exempt Function Income	1264294	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	344511521	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6041080	TotalRevenueColumn
Exclusion	$6,041,080	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	8366155	Securities
Other	921061	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	8451705	Securities
Other	941109	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-85550	Securities
Other	-20048	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-105598	TotalRevenueColumn
Related Or Exempt Function Income	-20048	RelatedOrExemptFunctionIncome
Exclusion	-$85,550	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	518760	518760
CAFETERIA AND VENDING	722210	1497461	92894	1404567
PHONE RENTAL	561439	267249	267249

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	153803	TotalRevenueColumn
Related Or Exempt Function Income	73214	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	80589	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	2437273	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	353444447	TotalRevenueColumn
Related Or Exempt Function Income	345632279	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1296467	UnrelatedBusinessRevenue
Exclusion	$5,955,530	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	355975	Total
Program Services	355975	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	5000	Total
Program Services	5000	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	3441056	Total
Management And General	3441056	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	101625459	Total
Program Services	68645965	ProgramServices
Management And General	32979494	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4950866	Total
Program Services	3300594	ProgramServices
Management And General	1650272	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	17755220	Total
Program Services	11837405	ProgramServices
Management And General	5917815	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7203578	Total
Program Services	4802409	ProgramServices
Management And General	2401169	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1823445	Total
Management And General	1823445	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	190265	Total
Management And General	190265	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	304043	Total
Management And General	304043	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	259009	Total
Management And General	259009	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	31317741	Total
Program Services	20878598	ProgramServices
Management And General	10439143	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2316734	Total
Program Services	1544564	ProgramServices
Management And General	772170	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	66169538	Total
Program Services	44113246	ProgramServices
Management And General	22056292	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	9173267	Total
Program Services	6115542	ProgramServices
Management And General	3057725	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	376878	Total
Program Services	251253	ProgramServices
Management And General	125625	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	602076	Total
Program Services	401404	ProgramServices
Management And General	200672	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2656766	Total
Program Services	1771266	ProgramServices
Management And General	885500	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	15438581	Total
Program Services	10292439	ProgramServices
Management And General	5146142	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	101531	Total
Program Services	67688	ProgramServices
Management And General	33843	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Hospital Tax	8138981	5426014	2712967
Bad Debt	3926868	3926868
Equipment Rental & Maintenance	3390343	2260240	1130103
Residency Program	1972755	1315177	657578
Amortization	119830		119830

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	29308025	Total
Program Services	19539660	ProgramServices
Management And General	9768365	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	312923830	Total
Program Services	206851307	ProgramServices
Management And General	106072523	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	41139903	BOY
EOY	33916131	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4474938	BOY
EOY	4720695	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	43696866	BOY
EOY	44589661	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	22667	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5693768	BOY
EOY	5726054	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1223060	BOY
EOY	1063830	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	291517986	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	165886015	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	126434867	BOY
EOY	125631971	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	120253189	BOY
EOY	149322405	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	3090070	BOY
EOY	2844097	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5022800	BOY
EOY	13008635	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	351052128	BOY
EOY	380823479	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	32418130	BOY
EOY	23006233	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	107615000	BOY
EOY	104985000	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	9882886	BOY
EOY	9276619	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	149916016	BOY
EOY	137267852	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	201136112	BOY
EOY	243555627	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	201136112	BOY
EOY	243555627	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	351052128	BOY
EOY	380823479	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	40520617	ReconcilationRevenueExpenses
Reconcilation Other Changes	1898898	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	$8,642	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8642	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	Wisconsin Hospital Association, Inc membership dues for: WHA dues of $80,767 includes 10.7% of lobbying.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

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	172467454	OtherCostOrOtherBasis
Depreciation	86576129	Depreciation
Book Value	85891325	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	183331	OtherCostOrOtherBasis
Depreciation	52567	Depreciation
Book Value	130764	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	90652600	OtherCostOrOtherBasis
Depreciation	74308701	Depreciation
Book Value	16343899	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19134441	OtherCostOrOtherBasis
Depreciation	4948618	Depreciation
Book Value	14185823	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	125631971	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
AMOUNTS PAYABLE TO 3RD PARTY REIMB.	$368,360
RETIREE HEALTHCARE BENEFITS	$2,788,642
INTEREST RATE SWAP	$4,575,000
DEFERRED COMPENSATION ACCRUAL	$811,145
LONG TERM INSURANCE LIABILITY	$733,471

Field	Value	IRS element (for citing)
Total Of Amounts	9276619	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	15501816	TotalCommunityBenefitExpense
Net Community Benefit Expense	15501816	NetCommunityBenefitExpense
Percent Of Total Expense	0.05020	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	35690247	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20502812	DirectOffsettingRevenue
Net Community Benefit Expense	15187435	NetCommunityBenefitExpense
Percent Of Total Expense	0.04920	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3878417	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3876656	DirectOffsettingRevenue
Net Community Benefit Expense	1761	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	55070480	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24379468	DirectOffsettingRevenue
Net Community Benefit Expense	30691012	NetCommunityBenefitExpense
Percent Of Total Expense	0.09940	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	42	NumberOfActivitiesOrPrograms
Persons Served	13142	PersonsServed
Total Community Benefit Expense	1197858	TotalCommunityBenefitExpense
Direct Offsetting Revenue	991544	DirectOffsettingRevenue
Net Community Benefit Expense	206314	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	1351	PersonsServed
Total Community Benefit Expense	1869412	TotalCommunityBenefitExpense
Net Community Benefit Expense	1869412	NetCommunityBenefitExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	2033	PersonsServed
Total Community Benefit Expense	5171965	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3491371	DirectOffsettingRevenue
Net Community Benefit Expense	1680594	NetCommunityBenefitExpense
Percent Of Total Expense	0.00540	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	103000	TotalCommunityBenefitExpense
Net Community Benefit Expense	103000	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	6833	PersonsServed
Total Community Benefit Expense	45589	TotalCommunityBenefitExpense
Net Community Benefit Expense	45589	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	59	NumberOfActivitiesOrPrograms
Persons Served	23359	PersonsServed
Total Community Benefit Expense	8387824	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4482915	DirectOffsettingRevenue
Net Community Benefit Expense	3904909	NetCommunityBenefitExpense
Percent Of Total Expense	0.01250	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	59	NumberOfActivitiesOrPrograms
Persons Served	23359	PersonsServed
Total Community Benefit Expense	63458304	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28862383	DirectOffsettingRevenue
Net Community Benefit Expense	34595921	NetCommunityBenefitExpense
Percent Of Total Expense	0.11190	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Total Community Building Expense	3234	TotalCommunityBuildingExpense
Net Community Building Expense	3234	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	232	PersonsServed
Total Community Building Expense	23094	TotalCommunityBuildingExpense
Net Community Building Expense	23094	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	167	PersonsServed
Total Community Building Expense	3843	TotalCommunityBuildingExpense
Net Community Building Expense	3843	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	8542	TotalCommunityBuildingExpense
Direct Offsetting Revenue	55	DirectOffsettingRevenue
Net Community Building Expense	8487	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	465	PersonsServed
Total Community Building Expense	3729	TotalCommunityBuildingExpense
Net Community Building Expense	3729	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Persons Served	864	PersonsServed
Total Community Building Expense	42442	TotalCommunityBuildingExpense
Direct Offsetting Revenue	55	DirectOffsettingRevenue
Net Community Building Expense	42387	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,511,844	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	81052074	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	85967943	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4915869	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

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 costing methodology used was the patient care cost to charge ratio which was derived from the calculation on IRS worksheet 2. The provision for bad debts of $3,926,868 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 Hospital's 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 the 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 3) and collection letters (minimum of 1) is determined by the parameters set to the financial codes. Collection calls are 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 Worker's 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 payor 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 Treasurer's Office. VIII. All individuals qualifying for Community Care under the Hospital's policy are considered indigent. These accounts are written to the 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 Hospitals community benefits activities is to address key community health issues as identified by two community needs assessments: The Marathon County LIFE Report spearheaded by the United Way of Marathon County, and the Healthy Marathon County Report produced by the Marathon County Health Department. As explained in Question Two of this section, Aspirus Wausau Hospital collaborated with the United Way and the county health department in the design and production of these reports. The following is a list of Community Building activities reported in Part II and brief descriptions of them. Economic Development (F2) Centergy (Administration): Centergy is an organization comprising business and civic leaders working together to address the regions workforce, business and community development needs. It works to encourage business sector development, support local businesses, attract new businesses, achieve growth for higher education facilities, and improve life in general for all central Wisconsin residents. Central Wausau Progress (Administration): This is another community development program that combines the vision, resources and efforts of many partners throughout the Wausau area. City County IT Meeting (Administration): This group collaborates to address information technology issues in Wausau and Marathon County. As the countys largest employer, Aspirus Wausau Hospital plays a significant role. MCDEVCO (Administration): Marathon County Economic Development Corporation, in private and public partnership with Marathon County Government and The Wausau Region Chamber of Commerce, provides leadership for reviewing and recommending all initiatives related to education and economic development. MCDEVCO is committed to business growth, as well as providing a high quality of life and building strong communities in the Marathon County Region. Wausau Region Chamber: The local member of the US Chamber of Commerce, the Wausau Region Chamber dedicates itself to improving the local business community and economy through advocacy, growth/development, marketing and professional development. Aspirus Wausau Hospital is a longtime Chamber member and provides a leadership role in multiple ways. Community Support (F3) Boy Scouts of America (Administration): 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 two of the Marathon County LIFE Reports Key Calls to Action: Early Childhood Success, and Healthy Lifestyles. Rotary (Administration): Rotary is a worldwide organization of business and professional leaders that provides humanitarian service, encourages high ethical standards in all vocations, and helps build goodwill and peace in the world. The Object of Rotary is to encourage and foster the ideal of service as a basis of worthy enterprise. The local club has about 85 members and truly benefits the community. United Way (Administration): 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. Wausau Child Care (Administration): Aspirus Wausau Hospital supports this not-for-profit provider of child care services. This helps address the Marathon County LIFE Reports Key Call to Action: Early Childhood Success. YMCA Foundation (Administration): The YMCA provides family-centered, values-focused programs that build healthy spirits, minds and bodies. This helps address the Marathon County LIFE Reports Key Call to Action of Early Childhood Success, and the Healthy Marathon County Reports Health Priority of Obesity and Related Disorders. YWCA of Wausau (Administration): The YWCA of Wausau is dedicated to eliminating racism, empowering women, and promoting peace, justice, dignity and freedom for all. The focus on women, girls and families addresses the Marathon County LIFE Reports Key Call to Action of Early Childhood Success. Coalition Building (F6) Healthy Marathon County (Heart and Vascular Institute): Aspirus Wausau Hospital has been an active partner in the creation of this community health report, which is spearheaded by the Marathon County Health Department. Healthy Marathon County includes activities such as: Healthy Eating Active Living (Heart and Vascular Institute): An action team established to address the Healthy Marathon County Reports Health Priority of Obesity and Related Disorders. Aspirus employees have had leadership roles in this action teams activities, and continue to participate in efforts to increase physical activity and health eating habits in Marathon County. Healthy Babies for Marathon County (Womens Health Administration): An action team established to address the Healthy Marathon County Reports Health Priority of Utilization of Prenatal Care and the Marathon County LIFE Reports Key Call to Action of Early Childhood Success. The group seeks to increase healthy activities in pregnant women, such as seeking regular and timely prenatal health care and quitting tobacco use. Community Health Improvement Advocacy (F7) Wisconsin Hospital Association (Administration): Through involvement with this organization, Aspirus Wausau Hospital is able to address issues such as health care workforce shortages and health care quality. Workforce Development (F8) Junior Achievement (Administration): This is another opportunity for the leaders of Aspirus Wausau Hospital to give their time in the community, educating young people about careers in the health care industry and what it takes to pursue them. NTC Foundation (Administration): Northcentral Technical College (NTC) is a thriving source of well-trained, dedicated health care workers that feeds Aspirus Wausau Hospitals workforce. Through work with the NTC Foundation, Aspirus Wausau Hospital maintains a strong relationship with NTC and intimate involvement with the schools operations. Young Adult Medicine Class: Through innovative educational initiatives such as the Young Adult Medicine Class, Aspirus Wausau Hospital is supporting an elevated understanding of health care and planting the seeds for future health care workers. Clinical Preceptor Program: Through collaboration with Northcentral Technical College, Aspirus Wausau Hospital provides a vital job shadow program that offers real-life work exposure to NTC students entering the health care field.
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 healthcare coverage, and other collection indicators. Throughtout 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 Hospital's 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 the 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 3) and collection letters (minimum of 1) is determined by the parameters set to the financial codes. Collection calls are 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 Worker's 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 payor 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 Treasurer's Office. VIII. All individuals qualifying for Community Care under the Hospital's policy are considered indigent. These accounts are written to the Community Care allowance once eligibility is determined. There is no minimum waiting period.
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 healthcare.
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 charity care 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 needs assessment. It has developed strong partnerships with the Marathon County Health Department and with the United Way of Marathon County. These two organizations have spearheaded initiatives to assess the community's health needs and other needs 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 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 seventh and most recent version of the needs assessment (2009-2011) identified five Key Calls to Action: o Alcohol Use/Abuse o Basic Needs - Food and Housing/Jobs o Domestic Abuse/Child Abuse and Neglect o Early Childhood Success o Healthy Lifestyles - Obesity, Oral Health, Tobacco In addition to the above-listed five health priorities, the 2009-2011 LIFE Report also identified "Elder Issues" as an issue to watch. As the largest local health care provider, Aspirus Wausau Hospital has a mission and ability to address Healthy Lifestyles. Here's what the report summary said about the issue: "Preventing behaviors that increase the risk of serious health issues and improving people's health and wellness can positively affect their productivity, lower their health care costs, and lengthen life expectancy." Here are some facts about Marathon County: o Of surveyed residents, 29 percent did not have health insurance for part or all of the previous year. That is up from 14 percent in 2007 9 percent in 2005. o Of surveyed residents, 52 percent said they get physical activity three or more days per week, meaning that 48 percent don't exercise regularly. o In 2008, 18 percent of the adult population was reported as smokers. That number was unchanged from 2007, and down just 1 percent from 2006. o In 2009, the LIFE Report found that, based on Body Mass Index, 37 percent of the population was obese and another 27 percent of the population was overweight. In addition to the United Way's Marathon County LIFE Report, which is produced every two years, Aspirus also works closely with the Marathon County Health Department to produce a separate report called Healthy Marathon County. The first such report was completed in 2003, and a second report identified needs for 2006-2010. It was intended to: o Analyze health data to identify and prioritize health needs of Marathon County residents and monitor change over time. o Develop coordinated and collaborative action plans to address the priorities o Engage community leaders to commit resources towards health improvement o Help Marathon County residents improve their health. In certain ways, this report is a wonderful blueprint for Aspirus Wausau Hospital's community benefits activities, because it identified health priorities and created action teams to address them. Based on expert interviews and a household survey, Healthy Marathon County identified seven health priorities: -Alcohol Use and Misuse -Concerns About The Cost of Health Care -Health Care for the Elderly -Obesity and Related Disorders -Suicide and Mental Health -Tobacco Use and Exposure -Utilization of Prenatal Care The following link provides wonderful context for the action teams that were created often with leadership from Aspirus Wausau Hospital experts to address the health priorities. http://healthymarathoncounty.org/_support/doc/Marathon%20County%20Communit y%20Health%20Assessment%202006-2010.ppt#257,1,Marathon County Community Health Assessment 2006-2010
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 to the U.S. Census Bureau, Marathon County had a population of 134,063. 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 Persons under 5 years old (2010) 6.5% Persons under 18 years old (2010) 24.5% Persons 65 years and over (2010) 14.2% White persons (2010) 91.3% Asian persons (2010) 5.3% Persons per household (2010) 2.49 Persons below poverty level (2010) 8.7% Service Areas and Demographics Aspirus Wausau Hospital monitors its market share relative to 13 counties in north and central Wisconsin. These counties represent its primary and secondary service areas and account for 95.9 percent of all admissions. The following table presents data on the demographics of these counties. AWH monitors its market share focusing on 13 counties located in north and central Wisconsin. These counties represent its primary and secondary service areas and account for 95.9% of all admissions. The following table presents data about the demographics of the counties that make up this area. 2009 2009 % of Median 11/2010 2000 2010 Pop. Household Unemploy- Primary Area Pop. Pop. Incr. Age 65+ Income ment Rate Langlade Co 20,740 21,868 5.4% 19.5% $39,858 8.5% Lincoln Co 29,641 30,822 4.0% 17.0% $47,816 9.3% Marathon Co 125,834 136,874 8.8% 13.7% $50,495 7.3% Taylor Co 19,680 20,181 2.5% 15.7% $42,559 8.4% Area Subtotal 195,895 209,745 7.1% 15.0% 7.8% Secondary Area Clark Co 33,557 34,950 4.2% 14.6% $42,518 7.9% Forest Co 10,024 10,540 5.1% 20.8% $37,100 8.9% Iron Co 6,861 7,093 3.4% 23.7% $34,201 10.0% Oneida Co 36,776 39,282 6.8% 20.2% $46,126 8.8% Portage Co 67,182 71,242 6.0% 12.1% $50,494 5.5% Price Co 15,822 16,182 2.3% 19.3% $39,608 7.3% Shawano Co 40,664 42,752 5.1% 17.0% $45,497 8.3% Vilas Co 21,033 23,422 11.4% 24.0% $40,770 9.9% Wood Co 75,555 77,123 2.1% 16.7% $45,309 7.0% Area Subtotal 307,474 322,586 4.9% 16.8% 7.4% Grand Total 503,369 532,331 5.8% 16.1% 7.6% Wisconsin 5,363,715 5,695,950 6.2% 13.5% $49,994 7.1% _______________ Source: U.S. Department of Agriculture Economic Research Service, Wisconsin Department of Work Force Development, Wisconsin Department of Administration and Wisconsin Department of Health and Family Services. The largest employers in Marathon County include: # of Employer Employees Aspirus Wausau Hospital 3,000 Kolbe and Kolbe Millworks 1,600 Greenheck Fan Corp 1,500 Wausau School District 1,325 Footlocker.com/Eastbay 1,241 Wausau Papers 1,055 North Central Health Care 1,000 UMR/FiservHealth/Wausau Benes 820 Liberty Mutual 800 Marathon Cheese 798 _______________ Source: Comprehensive Annual Financial Report Marathon County, Wisconsin for the Year Ended December 31, 2010. 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 three decades ago when community members came together and decided that the two local hospitals operating in that day could be more effective and more efficient if they merged into one larger facility. Today, that community leadership and vision is maintained. 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. For example, new technology that advances care and improved access to health services are areas these surplus funds are applied. 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 the Aspirus Heart & Vascular Institute - Research & Education and through the Aspirus Regional Cancer Center. The 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 our research affiliation with the University of Wisconsin Comprehensive Cancer Center in Madison, we are a part of a satellite system called Wisconsin Oncology Network offering clinical trials to patients with advanced disease. In addition, we are 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: -The Community Health Foundation serves Antigo, Wis. and surrounding communities. -Memorial Health Center Foundation serves Medford, Wis. and surrounding communities. -Aspirus Ontonagon Foundation serves Ontonagon, Mi. and surrounding communities. -Aspirus Grand View Foundation serves Ironwood, Mi. and surrounding communities. While Aspirus has grown and expanded its service area rapidly in the past five 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 within Wisconsin. They are 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. They are 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 (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
WOODSON YMCA FOUNDATION INC
707 THIRD STREET	WAUSAU	WI	54403	396066206	501(c)(3)	10000	PLEDGE
WAUSAU AREA MOBILE MEALS
610 SCOTT STREET STE G	WAUSAU	WI	54403	391238060	501(c)(3)	22000	General Support
WAUSAU DANCE THEATRE
PO BOX 18015	MERRIFIELD	VA	22118	237367344	501(c)(3)	7500	SPONSORSHIP
COMMUNITY FOUNDATION OF NORTH CENTRAL WI
500 FIRST STREET	WAUSAU	WI	54403	391577472	501(c)(3)	162897	GENERAL SUPPORT
HODAG FACILITIES FOUNDATION INC
PO BOX 1522	RHINELANDER	WI	54501	050572723	501(c)(3)	31250	GENERAL SUPPORT
MARATHON COUNTY HEALTH DEPARTMENT
1200 LAKEVIEW DRIVE	WAUSAU	WI	54401	237240695	501(c)(3)	35000	GENERAL SUPPORT
CENTERGY INC
500 FIRST ST STE 15	WAUSAU	WI	54403	391643470	170(c)(1)	10000	GENERAL SUPPORT
LEIGH YAWKEY WOODSON ART MUSEUM
700 N TWELFTH STREET	WAUSAU	WI	54403	237281913	N/A	7500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

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 MAINTAIN 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
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	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 (22 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
0	494387	0	0	0	16216	0	16864	0	17404	0	544871	0	0
Brian D Smith MD
0	303163	0	0	0	16841	0	16864	0	17404	0	354272	0	0
Thomas A Voelker MD
0	261869	0	15000	0	8169	0	16864	0	16822	0	318724	0	0
Duane L Erwin
0	493111	0	129735	0	14515	0	11140	0	95444	0	743945	0	0
Diane S Postler-Slattery
255162	0	63113	0	25745	0	13332	0	39489	0	396841	0	0	0
Peter L Hessert
0	262981	0	53373	0	8184	0	13332	0	39925	0	377795	0	0
Sidney C Sczygelski
0	277510	0	68937	0	4868	0	13332	0	41730	0	406377	0	0
Thomas Rengel
341156	0	39833	0	18489	0	4900	0	8430	0	412808	0	0	0
Jeffrey Limmer
166403	0	20158	0	8598	0	10460	0	18239	0	223858	0	0	0
Jeanne Rowe
278958	0	59312	0	3753	0	9116	0	33541	0	384680	0	0	0
Norma Jean Burgener
0	141615	0	28525	0	30020	0	7244	0	14305	0	221709	0	0
Kathryn J Drengler
0	151090	0	25851	0	3146	0	9228	0	26966	0	216281	0	0
Timothy P Gengler
150872	0	28619	0	4098	0	7981	0	30812	0	222382	0	0	0
Marita Hattem
153478	0	25050	0	21391	0	6284	0	27651	0	233854	0	0	0
Jeanne D Scinto
151379	0	25725	0	3560	0	7985	0	32658	0	221307	0	0	0
Rick L Nevers
0	166149	0	40933	0	12679	0	10387	0	33943	0	264091	0	0
Joel Rueber
168132	0	10000	0	7084	0	3143	0	13561	0	201920	0	0	0
Rick R Reding
0	284950	0	0	0	18562	0	16864	0	17404	0	337780	0	0
Leland Olkowski
0	123544	0	0	0	14387	0	7924	0	13262	0	159117	0	0
David Tange
0	236623	0	0	0	20713	0	16864	0	17404	0	291604	0	0
Robert Millican
0	258143	0	0	0	16306	0	16864	0	17404	0	308717	0	0
Robert Erickson
0	51311	0	0	0	22885	0	6504	0	9535	0	90235	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Supplemental Compensation Information	HOUSING ALLOWANCE: INTERIM HOUSING-JOEL RUEBER $6,000; TRAVEL FOR COMPANIONS: RETREAT IN WHICH SPOUSES ATTENDED, SPOUSAL PORTION TAXED COMPANION TRAVEL: WENDY HANNEMANN: $234 BRIAN SMITH: $199 THOMAS VOELKER: $234 DIANE POSTLER-SLATTERY: $117 DUANE ERWIN: $234 SIDNEY SCZYGELSKI: $137 JEANNE ROWE: $234 GROSS-UP PAYMENTS: WENDY HANNEMANN: $8,099 BRIAN SMITH: $8,099 RICK REDING: $8,099 DAVID TANGE: $6,699 ROBERT MILLICAN $6,699 CLUB DUES: PETER HESSERT: $1,055 DUANE ERWIN: $803 JEANNE ROWE: $556 JEAN BURGENER: $556 KATHRYN DRENGER: $803 TIMOTHY GENGLER: $995 MARITA HATTEM: $556 JEANNE SCINTO: $1,054 RICK NEVERS: $995 JOEL RUEBER $211 ROBERT ERICKSON $381
Compensation Information	4B) SUPPLEMENTAL NONQUALIFIED RETIREMENT 457F DISTRIBUTION- DIANE POSTLER-SLATTERY: $23,506 JEAN BURGENER: $23,443 MARITA HATTEM: $11,958 RICK NEVERS: $9,991 LELAND OLKOWSKI: $12,602 ROBERT ERICKSON: $18,526	Schedule J, Part III, Line 4b
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 (3 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 1998B-Var Rate Demand	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 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

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	0.01460	0.01460	true
false	false	false	false	false	0.00960	0.00960	true
false	false	false	false	false	0.01110	0.01110	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
NA
true	true	false	0.	false	false	false	NA	0.	false	false	true
NA
true	true	false	0.	false	false	false	NA	0.	false	false	true
NA
true	true	false	0.	false	false	false	NA	0.	false	false	true

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 OR 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 RETURN WAS REVIEWED BY MANAGEMENT PRIOR TO FILING.
Description of Process to Monitor Transactions for Conflicts of Interest	Form 990, Part VI, Question 12c	BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF 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 15,735,629 Interest rate swap (517,979) Interest rate swap valuation adjustment (53,965) Postretirement healthcare benefit adjustment (264,787) Net asset transfer (13,000,000) Total adjustments 1,898,898
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	1036099	TotalIncome
EOY Assets	267734	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
Aspirus Inc
425 Pine Ridge Blvd	Wausau	WI	54401	391328331	Healthcare	WI	501(C)(3)	11- Type II	NA
Aspirus Doctor's Clinic Inc
420 Dewey Street	Wisconsin Rapids	WI	54495	391972671	Medical Serv	WI	501(c)(3)	9	Aspirus Inc
Aspirus Grand View
N 10561 Grand View Lane	Ironwood	WI	49938	382908586	Hospital	WI	501(c)(3)	3	Aspirus Inc
Aspirus Buildings Inc
333 Pine Ridge Blvd	Wausau	WI	54401	391406537	Leasing	WI	501(c)(3)	9	Aspirus Inc
Aspirus Specialists Inc
425 Pine Ridge Blvd	Wausau	WI	54401	391945080	Medical Svcs	WI	501(c)(3)	9	Aspirus Inc
Aspirus Extended Services
425 Pine Ridge Blvd	Wausau	WI	54401	390782130	Nursing Home	WI	501(C)(3)	9	Aspirus Inc
Aspirus Clinics Inc
425 Pine Ridge Blvd	Wausau	WI	54401	391670223	Medical Srvcs	WI	501(c)(3)	9	Aspirus Inc
Aspirus VNA Home Health Inc
520 N 32nd Avenue	Wausau	MI	54401	390808511	Home Health	WI	501(c)(3)	9	Aspirus Inc
Aspirus VNA Extended Care Inc
520 N 32nd Avenue	Wausau	WI	54401	391597350	Personal Care	WI	501(c)(3)	9	Aspirus Inc
Aspirus Ontonagon Hospital Inc
601 Seventh Street	Ontonagon	WI	49953	260806477	Hospital	WI	501(c)(3)	3	Aspirus Inc
Aspirus Health Foundation
				391256656	Public Fdn		501(c)(3)	7	Aspirus Inc

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	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	true	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	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (32 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Aspirus Buildings Inc
J	481521
Aspirus Buildings Inc
N	112104
Aspirus Buildings Inc
P	135548
Aspirus Clinics Inc
G	897483
Aspirus Clinics Inc
I	2562419
Aspirus Clinics Inc
J	1124015
Aspirus Clinics Inc
K	162714
Aspirus Clinics Inc
L	533438
Aspirus Clinics Inc
N	4301963
Aspirus Clinics Inc
O	2264292
Aspirus Clinics Inc
P	3035107
Aspirus Clinics Inc
R	67870
Aspirus Doctors Clinic
K	229705
Aspirus Doctors Clinic
N	1132693
Aspirus Doctors Clinic
P	177784
Aspirus Extended Services Inc
N	622514
Aspirus Extended Services Inc
P	1060993
Aspirus Grand View
N	511292
Aspirus Health Foundation
C	366926
Aspirus Health Foundation
N	75695
Aspirus Network Inc
K	50100
Aspirus Network Inc
N	137603
Aspirus Ontonogon Hospital
N	998792
Aspirus Ontonogon Hospital
P	304146
Aspirus Specialists Inc
L	135699
Aspirus Specialists Inc
P	172570
Aspirus Stevens Point Surgery Center
I	198737
Aspirus Stevens Point Surgery Center
N	64663
Aspirus Visiting Nurses Association
I	80360
Aspirus Visiting Nurses Association
J	96825
Aspirus Visiting Nurses Association
N	1506703
Aspirus Visiting Nurses Association
P	466922