2012-05-15T13:31:02-05:00 2011-06-30 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2010-07-01 391328331 ASPIRUS INC ASPI 7158472000 333 PINE RIDGE BLVD WAUSAU WI 544014120 SIDNEY C SCZYGELSKI 7158472250 2012-05-11 1 KATHLEEN J LABRAKE CPA 7158453111 2012-05-11 2010 2016-02-24 21:20:13Z DUANE L ERWIN 333 PINE RIDGE BLVD WAUSAU WI 544014120 29868335 0 X WWW.ASPIRUS.ORG X 1979 WI TO SUPPORT ITS RELATED HEALTHCARE ORGANIZATIONS AND PROVIDE HEALTHCARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 22 19 170 19 307692 21078 13000000 14551222 5437501 8613564 1252433 -473544 4220207 0 23910141 22691242 5200000 17200000 0 0 446410 463279 0 0 0 1292279 5337397 6938689 23000676 16971452 -309434 89020339 124130129 6830854 10919596 82189485 113210533 X 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. 1 0 1630076 8236840 TO PROVIDE HEALTH CARE AND EDUCATION SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ASPIRUS, INC. PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS COMMUNITY CARE POLICY WITHOUT CHARGE OR AT RATES WHICH ARE SIGNIFICANTLY REDUCED FROM STANDARD PATIENT CHARGE AMOUNTS. THE AMOUNT OF COMMUNITY CARE PROVIDED IN FOREGONE CHARGES WAS APPROXIMATELY $114,500 FROM 7/1/10 TO 6/30/11. THE AFFILIATES OF ASPIRUS, INC. ALSO PROVIDE SIGNIFICANT AMOUNTS OF CARE TO PATIENTS UNDER THE COMMUNITY CARE POLICY OF EACH AFFILIATE. AS A TOTAL SYSTEM, THE ASPIRUS, INC. CONSOLIDATED ORGANIZATION PROVIDED APPROXIMATELY $11.6 MILLION IN FOREGONE CHARGES TO PATIENTS IN NEED OF SERVICES UNDER THEIR RESPECTIVE COMMUNITY CARE POLICIES FROM 7/1/10 TO 6/30/11.AS PART OF ITS PATIENT SERVICES, ASPIRUS, INC. ALSO PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS WHICH OFTEN REIMBURSE THE ORGANIZATION BASED ON PREDETERMINED FEE SCHEDULES WHICH ARE OFTEN BELOW THE COST OF PROVIDING CARE TO THESE INDIVIDUALS. THESE PROGRAMS REPRESENT A LARGE PORTION OF THE ELDERLY, LOW INCOME, AND DISABLED MEMBERS OF THE COMMUNITY WHO NEED ACCESS TO HIGH QUALITY CARE. 17200000 17200000 ASPIRUS, INC. IS PROVIDING CORPORATE FUNCTIONAL SUPPORT SERVICES TO THE AFFLIATED ENTITIES IN ORDER TO ALLOW THOSE ENTITIES TO FOCUS ON THEIR MISSIONS OF PROVIDING HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 18830076 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 58 0 1 170 1 1 1 0 0 0 0 0 0 0 0 0 X 22 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X SIDNEY C SCZYGELSKI 7158472250 333 PINE RIDGE BLVD WAUSAU WI 54401 X ALAN VERPLOEGH 1.00 X X 0 0 0 JON G KRUEGER 1.00 X X 0 0 0 MATTHEW D ROWE 1.00 X X 0 0 0 TODD R NICKLAUS 1.00 X X 0 0 0 ROBERT J BERNKLAU 1.00 X 0 0 0 R MARK CAMPBELL 1.00 X 0 0 0 KATHY KELSEY FOLEY 1.00 X 0 0 0 STEPHEN P FOX MD 1.00 X 0 0 0 WENDY L HANNEMEN MD 1.00 X 0 510603 40967 DAVID M HECK 1.00 X 0 0 0 RONALD L KLIMISCH 1.00 X 0 0 0 JEFFREY M NEHRING DDS 1.00 X 0 0 0 KEVIN J O'CONNELL MD 1.00 X 0 0 0 BRIAN J PRUNTY 1.00 X 0 0 0 CHRISTOPHER A REISING MD 1.00 X 0 0 0 FERNANDO A RIVERON MD 1.00 X 0 0 0 BRIAN D SMITH MD 1.00 X 0 320004 43403 STEPHEN B STINE MD 1.00 X 0 0 0 KATHY J STRASSER 1.00 X 0 0 0 THOMAS A VOELKER MD 1.00 X 0 285039 42792 MARK A VOSS MD 1.00 X 0 0 0 JAMES E WANSERSKI 1.00 X 0 0 0 DUANE L ERWIN 40.00 X 637421 0 113417 SIDNEY C SCZGELSKI 40.00 X 351316 0 60480 DIANE S POSTLER-SLATTERY 40.00 X 0 344020 61580 ROGER V LUCAS 40.00 X 253117 0 42774 GERALD L MOUREY 40.00 X 233226 0 47863 PETER HESSERT 40.00 X 324538 0 58937 CHARLES FLOOD 40.00 X 181737 0 32208 CARI LOGEMANN 40.00 X 351316 0 60480 2332671 1459666 604901 15 0 1 0 PARAGON DEVELOPMENT SYSTEMS INC PO BOX 88079 MILWAUKEE WI 53288 IT SERVICES 3526382 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 IT SERVICES 2588501 CDW GOVERNMENT INC 75 REMITTANCE DRIVE SUITE 1515 CHICAGO IL 60675 SOFTWARE & EQUIPMENT MAINTENANCE 1445035 MICROSOFT LICENSING GP 1401 ELM STREET 5TH DALLAS TX 75202 SOFTWARE LICENSING 964312 SUNQUEST INFORMATION SYSTEMS PO BOX 75214 CHARLOTTE NC 28275 SOFTWARE MAINTENANCE & TECH 649397 30 14500000 51222 14551222 NET PATIENT SERVICES 621110 4779006 4779006 HOME OFFICE REVENUE 621110 1662504 1662504 CONTRACT SERVICE REVEN 621110 1455945 1148253 307692 MANAGEMENT FEE REVENUE 621110 644134 644134 MEDICAL TRANSCRIPT REV 621110 2943 2943 69032 69032 8613564 468296 468296 6235253 7177093 -941840 -941840 -941840 22691242 8236840 307692 -404512 17200000 17200000 358192 357330 862 1232 1232 103855 103855 183588 183588 29597 29597 98666 98666 21184 2716 18468 228221 228221 1115 1115 60740 60740 154037 154037 7530 7530 CORPORATE ALLOCATIONS 4228141 174738 4053403 REPAIRS AND MAINTENANCE 198738 198738 IMAGING MEDICAL SUPPLIE 74521 74521 MEDICAL SUPPLIES 35456 35456 PROVISION FOR BAD DEBTS 14988 14988 875 875 23000676 18830076 4170600 0 6529274 6330333 840354 507573 770876 517538 17793 17793 1378245 1677754 25557196 15299052 11930342 10258144 23175202 24016530 41359627 78361045 3018626 2443419 89020339 124130129 3332610 2793693 157905 116061 1616742 4199362 1723597 3810480 6830854 10919596 X 82189485 113210533 82189485 113210533 89020339 124130129 X -309434 31330482 X X 0 1 1 X 0 X X 0 0 0 ASPIRUS WAUSAU HOSPITAL INC 391138241 3 1 1 0 ASPIRUS BUILDINGS INC 391406537 9 1 1 0 ASPIRUS CLINICS INC 391670223 9 1 1 1 12600000 ASPIRUS VNA HOME HEALTH INC 390808511 9 1 1 0 ASPIRUS VNA EXTENDED CARE INC 391597350 9 1 1 0 ASPIRUS EXTENDED SERVICES INC 390782130 9 1 1 0 ASPIRUS SPECIALISTS INC 391945080 9 1 1 1 3100000 ASPIRUS HEALTH FOUNDATION INC 391256656 7 1 1 0 ASPIRUS DOCTORS CLINIC INC 391972671 9 1 1 1 1500000 ASPIRUS GENERAL CLINIC INC 383741338 9 1 1 0 ASPIRUS ONTONAGON HOSPITAL INC 260806477 3 1 1 0 11 17200000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 268127 133768 134359 25048950 15150284 9898666 240119 15000 225119 10258144 EQUITY IN EARNINGS OF MEMORIAL HEALTH CENTER, INC. 21943539 C EQUITY IN EARNINGS OF LANGLADE HSOPTIAL, INC. 23610519 C EQUITY IN EARNINGS OF ASPIRUS KEWEENAW, INC. 6830284 C EQUITY IN EARNINGS OF ASPIRUS GRAND VIEW, INC. 25976703 C 78361045 DEFERRED COMPENSATION 1761755 DUE TO AFFLIATES 1597693 RETIREE HEALTHCARE BENEFITS 247866 ACCRUED INTEREST PAYABLE 197530 LONG TERM INSURANCE LIABILITY 5636 3810480 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ALL SUBSIDIARIES, EXCEPT FOR ASPIRUS NETWORK, INC., ARE TAX EXEMPT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THEY ARE ALSO EXEMPT FROM STATE INCOME TAX. ASPIRUS PAYS TAXES ON CERTAIN ACTIVITES CONSIDERED TAXABLE IN ACCORDANCE WITH THE CODE. TAXES FOR ASPIRUS NETWORK, INC., A FOR-PROFIT TAXABLE CORPORATION, WERE IMMATERIAL FOR THE YEARS ENDED JUNE 30, 2011 AND 2010. 1 ASPIRUS SPECIALISTS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391945080 501(C)(3) 3100000 CASH PROVIDED N/A CAPITAL CONTRIBUTION ASPIRUS DOCTOR'S CLINIC INC 420 DEWEY STREET WISCONSIN RAPIDS WI 54495 391972671 501(C)(3) 1500000 CASH PROVIDED N/A CAPITAL CONTRIBUTION ASPIRUS CLINICS INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391670223 501(C)(3) 12600000 CASH PROVIDED N/A CAPITAL CONTRIBUTION 3 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION PROVIDES BOARD APPROVED CAPITAL DISTRIBUTIONS TO RELATED ENTITIES; NO FORMAL MONITORING IS REQUIRED. X X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 WENDY L HANNEMEN MD 0 494387 0 0 0 16216 0 16864 0 24103 0 551570 0 0 BRIAN D SMITH MD 0 303163 0 0 0 16841 0 16864 0 26539 0 363407 0 0 THOMAS A VOELKER MD 0 261869 0 15000 0 8170 0 16864 0 25928 0 327831 0 0 DUANE L ERWIN 493111 0 129735 0 14575 0 11140 0 102277 0 750838 0 0 0 SIDNEY C SCZGELSKI 277510 0 68937 0 4869 0 13332 0 47148 0 411796 0 0 0 DIANE S POSTLER-SLATTERY 0 255162 0 63113 0 25745 0 13332 0 48248 0 405600 0 0 ROGER V LUCAS 175403 0 41540 0 36174 0 8889 0 33885 0 295891 0 0 0 GERALD L MOUREY 182792 0 46124 0 4310 0 7544 0 40319 0 281089 0 0 0 PETER HESSERT 262981 0 53373 0 8184 0 13332 0 45605 0 383475 0 0 0 CHARLES FLOOD 125793 0 23833 0 32111 0 0 0 32208 0 213945 0 0 0 CARI LOGEMANN 277510 0 68937 0 4869 0 13332 0 47148 0 411796 0 0 0 PART I, LINE 1A TRAVEL, HOUSING ALLOWANCES, AND HEALTH INSURANCE GROSS UPS, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. TRAVEL, HOUSING ALLOWANCES, AND HEALTH INSURANCE GROSS-UP PAYMENTS AND INCLUDED IN INCOME: W. HANNEMEN $8,333; B. SMITH $8,298; D. ERWIN $1,037; S. SCZYGELSKI $137; R. LUCAS $117; C. FLOOD $31,699; G. MOUREY $995; P. HESSERT $1,055. PART I, LINE 4B 457F PLAN DISTRIBUTION ADMINISTERED BY A RELATED ORGANIZATION; R. LUCAS $31,144; D. POSTLER-SLATTERY $23,506 457B PLAN EMPLOYER CONTRIBUTIONS: W. HANNEMEN $7,522; B. SMITH $7,522; T. VOELKER $7,522. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 ON TUESDAY, SEPTEMBER 1, GRAND VIEW HEALTH SYSTEM FINALIZED AN AGREEMENT TO JOIN THE ASPIRUS HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN, EFFECTIVE OCTOBER 1, 2010. THE IRONWOOD, MICHIGAN BASED SYSTEM WILL BE CALLED ASPIRUS GRAND VIEW, AND IT INCLUDES A 25-BED CRITICAL ACCESS HOSPITAL WITH TWO MEDICAL CLINICS, A SURGICAL CENTER, TWO EYE CENTERS, WALK-IN CLINIC, PHYSICAL THERAPY, AND A HOME HEALTH CARE DIVISION. WITH 403 EMPLOYEES AND AN ACTIVE, COURTESY AND CONSULTING MEDICAL STAFF OF 64, GRAND VIEW HEALTH SYSTEM SERVES MICHIGAN'S GOGEBIC COUNTY AND WISCONSIN'S IRON COUNTY, AS WELL AS SURROUNDING AREAS. THIS NEW AFFILIATION WILL HELP TO FURTHER ONE OF THE CORE PURPOSES OF ASPIRUS WHICH IS TO WORK COLLABORATIVELY WITH HEALTH CARE PARTNERS IN NORTH CENTRAL WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN TO PROVIDE PATIENTS WITH CONTINUED ACCESS TO HIGH QUALITY HEALTH CARE SERVICES. JOINING AN AFFILIATED GROUP OF PROVIDERS WITHIN ASPIRUS WILL ALLOW ASPIRUS GRAND VIEW TO ACCESS NEW RESOURCES WHILE ALSO SHARING BEST PRACTICES AND REALIZING BUSINESS EFFICIENCIES. THESE EFFORTS WILL BE NECESSARY TO CONSTANTLY IMPROVE QUALITY AND EFFICIENCY, AND TO THRIVE IN AN INDUSTRY THAT PRESENTS CHALLENGING WORKFORCE AND REIMBURSEMENT ISSUES. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S MANAGEMENT. THE FORM 990 IS PROVIDED TO BOARD MEMBERS FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAD AN INDEPENDENT AUDIT FOR EXECUTIVE COMPENSATION WHICH INCLUDED BASE SALARY, INCENTIVE PLANS, AND BENEFITS FOR ALL OFFICER AND EXECUTIVE POSITIONS. THE REVIEW WAS COMMISSIONED BY THE COMPENSATION COMMITTEE OF THE BOARD AND WAS CONDUCTED BY AN INDEPENDENT CONSULTING FIRM. THE MARKET ANALYSIS WAS COMPLETED IN JUNE AND JULY OF 2009 AND PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD IN AUGUST FOR FINAL COMPENSATION DETERMINATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII DUANE L. ERWIN, SIDNEY C. SCZYGELSKI, ROGER V. LUCAS, GERALD L. MOUREY, PETER HESSERT, CHARLES FLOOD, AND CARI LOGEMANN ARE EMPLOYED BY ASPIRUS, INC. ASPIRUS, INC.'S PURPOSE IS TO SERVE AS A SUPPORTING ORGANIZATION TO MULTIPLE SUBSIDIARY ORGANIZATIONS AS LISTED IN SCHEDULE R, AS WELL AS THE PARTNER HOSPITALS WHICH ASPIRUS, INC. HOLDS A MEMBERSHIP INTEREST IN THE OPERATIONS OF THOSE ADDITIONAL HOSPITALS. THE EMPLOYEES OF ASPIRUS, INC. DEVOTE THEIR TIME PROVIDING MANAGEMENT SERVICES TO THE RELATED ORGANIZATIONS AND AFFILIATED PARTNER HOSPITALS. THESE EMPLOYEES OFTEN WORK HOURS IN EXCESS OF AN AVERAGE OF 40 HOURS EACH WEEK IN ORDER TO FULFILL THIS MISSION. ALAN VERPLOEGH DEVOTES APPROXIMATELY 3 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR ASPIRUS BUILDINGS, INC. 1 HOUR JON G. KRUEGER DEVOTES APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR MATTHEW D. ROWE DEVOTES APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR RODD R. NICKLAUS DEVOTES APPROXIMATELY 3 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR ASPIRUS BUILDINGS, INC. 1 HOUR ROBERT J. BERNKLAU DEVOTES APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR R. MARK CAMPBELL DEVOTES APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR KATHY KELSEY FOLEY DEVOTES APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR STEPHEN P. FOX, M.D. DEVOTES APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR WENDY L. HANNEMEN, M.D. DEVOTES APPROXIMATELY 42 HOURS PER WEEK AS FOLLOWS: ASPIRUS CLINICS, INC. 40 HOURS ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR DAVID M. HECK DEVOTES APPROXIMATELY 3 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR ASPIRUS BUILDINGS, INC. 1 HOUR RONALD L. KLIMISCH DEVOTES APPROXIMATELY 3 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR ASPIRUS BUILDINGS, INC. 1 HOUR JEFFREY M. NEHRING, DDS DEVOTES APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR KEVIN J. O'CONNELL, M.D. DEVOTES APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSUA HOSPITAL, INC. 1 HOUR BRIAN PRUNTY DEVOTES APPROXIMATELY 3 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR ASPIRUS BUILDINGS, INC. 1 HOUR CHRISTOPHER A. REISING, M.D. DEVOTES APPROXIMATELY 3 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR ASPIRUS NETWORK, INC. 1 HOUR FERNANDO A. RIVERSON, M.D. DEVOTES APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR BRIAN D. SMITH, M.D. DEVOTES APPROXIMATELY 42 HOURS PER WEEK AS FOLLOWS: ASPIRUS CLINICS, INC. 40 HOURS ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR STEPHEN B. STINE, M.D. DEVOTES APPROXIMATELY 3 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR ASPIRUS BUILDINGS, INC. 1 HOUR KATHY J. STRASSER DEVOTES APPROXIMATELY 3 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR ASPIRUS BUILDINGS, INC. 1 HOUR THOMAS A. VOELKER, M.D. DEVOTES APPROXIMATELY 42 HOURS PER WEEK AS FOLLOWS: ASPIRUS DOCTOR'S CLINIC, INC. 40 HOURS ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR MARK A. VOSS, M.D. DEVOTES APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR JAMES E. WANSERSKI DEVOTES APPROXIMATELY 3 HOURS PER WEEK AS FOLLOWS: ASPIRUS, INC. 1 HOUR ASPIRUS WAUSAU HOSPITAL, INC. 1 HOUR ASPIRUS BUILDINGS, INC. 1 HOUR DIANE POSTLER-SLATTERY DEVOTES APPROXIMATELY 43 HOURS PER WEEK AS FOLLOWS: ASPIRUS WAUSAU HOSPITAL, INC. 40 HOURS ASPIRUS, INC. 1 HOUR ASPIRUS BUILDINGS, INC. 1 HOUR ASPIRUS VNA HOME HEALTH, INC. 1 HOUR CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 7,598,806. GRAND VIEW HEALTH SYSTEM ACQUISITIONS VALUATION 16,721,506. EQUITY CHNAGE IN INVESTMENT IN MEMORIAL HEALTH CENTER 4,502,321. EQUITY CHNAGE IN INVESTMENT IN LANGLADE HOSPITAL 2,325,013. EQUITY CHANGE IN INVESTMENT IN ASPIRUS KEWEENAW HOSPITAL 242,477. CHANGE IN EQUITY IN UNCONSOLIDATED AFFILIATES 282,281. NON CONTROLLING INTEREST IN ASPIRUS GRAND VIEW -299,350. DECREASE IN POST RETIREMENT PLAN OBLIGATION -42,572. TOTAL TO FORM 990, PART XI, LINE 5: 31,330,482. INDEPENDENT ACCOUNTANT OVERSIGHT FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE OF ASPIRUS, INC. PROVIDES THE OVERSIGHT OF THE INDEPENDENT ACCOUNTANT. ANNUALLY THE AUDIT COMMITTEE TAKES TIME TO MEET WITH THE INDEPENDENT ACCOUNTANT BOTH PRIOR TO ENGAGING AND AFTER THE AUDIT IS COMPLETED TO DISCUSS THE AUDIT PROCESS AND RESULTS. THERE WERE NO CHANGES TO THESE PROCEDURES IN FISCAL YEAR 2011. 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