2026-05-14T08:00:23-05:00 2025-06-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-07-01 382908586 ASPIRUS IRONWOOD HOSPITAL & CLINICS INC ASPI 9069322525 N105631 GRAND VIEW LANE IRONWOOD MI 49938 LORI PECK INTERIM CFO 9069322525 2026-05-12 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2026-04-27 2024 2025-03-06 01:10:19Z MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 92895818 0 X WWW.ASPIRUS.ORG X 1989 MI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 12 6 330 30 11901 9281 481655 126269 77526923 92586520 160213 86447 86702 96582 78255493 92895818 8973 4461 0 0 28242977 31251418 0 0 0 44635201 51080918 72887151 82336797 5368342 10559021 52664906 46311107 20982490 22865596 31682416 23445511 X WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 62281797 4461 92574619 ASPIRUS IRONWOOD HOSPITAL AND CLINICS IS A 25-BED CRITICAL ACCESS HOSPITAL WHICH PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF IRONWOOD, MICHIGAN AND ITS SURROUNDING COMMUNITIES INCLUDING NORTHERN WI. SOME OF THE SERVICES PROVIDED BEYOND TRADITIONAL INPATIENT HOSPITALIZATIONS INCLUDE SURGERY, EMERGENCY CARE, RADIOLOGY, LABORATORY, THERAPIES, EYE CARE, ONCOLOGY, AND CARDIOLOGY, AMONG VARIOUS OTHER HEALTH CARE SERVICES.INPATIENT DAYS: 3,732, SWING BED DAYS: 993, EMERGENCY ROOM VISITS: 10,939IRONWOOD CLINIC: PROVIDES PATIENT SERVICES INCLUDING FAMILY MEDICINE, ORTHOPEDICS, SURGERY, BEHAVIORAL HEALTH, AND VARIOUS OTHER HEALTH CARE SERVICES. PROVIDED 72,641 PATIENT VISITS.SURGERY: AIW OFFERS IP AND OP SURGERIES IN CARDIAC, GASTROENTEROLOGY, GENERAL, OB/GYN, OPHTHALMOLOGY, ORTHOPEDICS, AND PODIATRY AREAS. PERFORMED 2,282 TOTAL SURGERIES.RETAIL PHARMACY: CONTINUED TO EXPAND SERVICES TO THE GREATER IRONWOOD SERVICE AREA TO PROVIDE PRESCRIPTIONS. TOTAL PRESCRIPTION VOLUME FOR FISCAL YEAR 2025 WAS 11,280. 62281797 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 330 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X LORI PECK 7158472118 2200 WESTWOOD DRIVE WAUSAU WI 54401 LORI PECK BOARD MEMBER/VP-FINANCE 1.00 50.00 X 0 539795 11487 KRISTEN MESKE NP-C BOARD MEMBER (THRU 09/24)/NP 1.00 40.00 X 0 161684 4057 CONSTANCE BRADLEY BOARD MEMBER/SVP-PRES. REG. MKTS. 1.00 50.00 X 0 786524 125769 DANIEL LUKES DO BOARD MEMBER/PHYSICIAN 1.00 50.00 X 0 807264 41045 JOHN PIETILA MD BOARD MEMBER/RADIOLOGIST 1.00 40.00 X 0 962327 50605 JONATHAN BRUEGGEMAN BOARD MEMBER/MEDICAL DIRECTOR 1.00 50.00 X 0 471847 51071 JOHN D MATONICH CHAIR 1.00 2.00 X X 0 0 0 JENNIFER REDMAN-SCHELL VICE CHAIR/SVP & PRESIDENT-AMG 1.00 50.00 X X 0 727379 105151 KIRK SCHOTT TREASURER (THRU 12/24) 1.00 3.00 X X 0 0 0 KATIE CLARK SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 HANNAH GOODMAN BOARD MEMBER 1.00 2.00 X 0 0 0 RICHARD KOUBEK PHD BOARD MEMBER 1.00 2.00 X 0 0 0 CHARLY LOPER BOARD MEMBER 1.00 2.00 X 0 0 0 ROBIN MENEZUGGO BOARD MEMBER 1.00 2.00 X 0 0 0 CHRISTINE HARFF (NV) PRESIDENT-UP REGION 1.00 50.00 X 0 421827 34131 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 3868734 361440 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 677240 138394 NATALIE SEABER (NV)PRES.-ASP. MI REG. (BEG MAY '25) 1.00 40.00 X 0 0 0 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 2.00 50.00 X 0 660670 105795 DAVID BITTNER SVP-ENTERPRISE DEVELOPMENT 2.00 50.00 X 0 443682 120822 MICHAEL HOLZHUETER SVP-CHIEF HR OFFICER 2.00 50.00 X 0 879825 136340 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 2.00 50.00 X 0 763486 117666 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 2.00 50.00 X 0 745188 115516 SUSAN SCHNEIDER VP-SYSTEM SR. PHYSICIAN EXEC. 2.00 50.00 X 0 580755 35907 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 2.00 50.00 X 0 565843 99581 KLAUS KUTSCHKE PHYSICIAN 40.00 X 433718 0 16573 TATYANA BOMBARD RADIOLOGIST 40.00 X 1051061 0 48605 ENRICO BRAUCHER PHYSICIAN 40.00 X 695517 0 37891 ZACHARY AHOLA PHYSICIAN 40.00 X 550875 0 44713 FRANKLIN VILLANUEVA PHYSICIAN 40.00 X 375554 0 34744 JESSE TISCHER SVP & PRESIDENT-AWH (FORMER) 0.00 0.00 X 0 732979 5855 PATRICK TINCHER JR FORMER B.M./VP-FINANCE REG. OPS. 1.00 40.00 X 0 369291 50390 SIDNEY SCZYGELSKI SVP OF FINANCE/CFO (FORMER) 2.00 50.00 X 0 1470041 37990 3106725 16636381 1931538 54 1 1 0 WAPITI MEDICAL LIMITED COMPANY 107 FLYNN DRIVE SUITE 600 MILBANK SD 57252 CONTRACT PROVIDERS 4988268 SYNERGY ANESTHESIA MI PLLC 5504 E 12 MILE RD WARREN MI 48092 CRNA PROVIDERS 1737815 TOTAL MSP LLC 10 E COLLEGE AVE APPLETON WI 54911 CONTRACT LABOR 1124301 LOCUMSMART LLC PO BOX 736389 DALLAS TX 75373 CONTRACT LABOR 694617 UPPER PENINSULA HEALTH CARE SOLUTIONS 853 W WASHINGTON ST MARQUETTE MI 49855 MRI SERVICES 589846 10 122735 3534 126269 NET PATIENT SERVICE REVENUE 621990 88416631 88416631 PHARMACY 340B 456110 4028509 4028509 RELATED PARTY RENTAL 531120 126149 126149 LAB REVENUE 621500 11901 11901 3330 3330 92586520 86124 86124 323 0 323 323 323 CAFETERIA 722514 96443 96443 139 139 96582 92895818 92574619 11901 183029 X 4461 4461 25810197 22393185 3417012 696500 569793 126707 3136109 2565588 570521 1608612 1315973 292639 3844 3844 8820 8820 14282587 8812270 5470317 30128 18399 11729 223771 216624 7147 3968 2423 1545 751644 11823 739821 88197 53863 34334 12594 7691 4903 539332 539332 2468481 976803 1491678 495219 7790 487429 DRUGS AND MEDICAL SUPPL 12814535 12405239 409296 CORPORATE ALLOCATIONS 11059035 5252939 5806096 HOSPITAL ASSESSMENT TAX 3756820 3756820 BAD DEBT EXPENSE 2916490 2916490 1625453 993623 631830 82336797 62281797 20055000 0 8575601 2673849 582770 590961 11916618 11320688 1372874 1402302 592078 55468 78981982 50713669 28250304 28268313 2704 2704 953164 953164 236607 236607 182186 807051 52664906 46311107 2441914 2174311 269282 122054 13480669 13243193 4790625 7326038 20982490 22865596 X 31171331 22934426 511085 511085 31682416 23445511 52664906 46311107 X 10559021 -18795926 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8820 8820 0 PART II-B, LINE 1: MEMBERSHIP DUES ARE PAID TO THE MICHIGAN HOSPITAL ASSOCIATION (MHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA). A PORTION OF THOSE DUES ARE COMMITTED TO LOBBYING PURPOSES. MHA INVOICE STATES 9.87% OF $17,345 ($1,712) GOES FOR LOBBYING ON INVOICE COVERING THE PERIOD OF 7/1/24-6/30/25. SIMILARLY, AHA DUES COMMITTED TO LOBBYING WAS 39% OF $18,227 ($7,108). 421754 421754 48449463 24471011 23978452 142775 75246 67529 29553637 26167412 3386225 414353 414353 28268313 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 6243694 FINANCE LEASE LIABILITY 98690 OPERATING LEASE LIABILITY 732842 ASBESTOS LIABILITY 224720 DUE TO RELATED PARTIES 26092 7326038 X PART X, LINE 2: ASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2025. 1 1 X 1 X 1 X 1 1 1 0 1 1 665716 665716 0.00840 16087457 12585567 3501890 0.04410 16753173 12585567 4167606 0.05250 35120 35120 0.00040 14165 14165 0.00020 4759 4759 0.00010 54044 54044 0.00070 16807217 12585567 4221650 0.05320 1 1 57 57 0.00000 1 1 57 57 0.00000 1 831657 0 15303415 15178562 124853 X 1 1 1 WESTERN UPPER MICHIGAN EYE CARE LLC EYE CLINIC 0.51000 0.00000 0.49000 1 1 ASPIRUS IRONWOOD HOSPITAL & CLINICS N10561 GRAND VIEW LANE IRONWOOD MI 49938 WWW.ASPIRUS.ORG 270022 X X X X ASPIRUS IRONWOOD HOSPITAL & CLINICS INC 1 0 0 1 X X X X X X X X X 24 1 1 0 1 X WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS X 1 24 1 WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS 0 1 X 200.000000000000 300.000000000000 X X X X X X X 1 1 X X X X 1 X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 5: THE FOLLOWING DESCRIPTION IS FOR THE CHNA COMPLETED IN FY25 (SPRING 2025). ASPIRUS INVITED OVER 50 KEY STAKEHOLDERS FROM THE UPPER PENINSULA AND NORTHERN WISCONSIN TO PARTICIPATE IN AT LEAST ONE OF TWO LISTENING SESSIONS HELD IN MARCH 2025. A CONCERTED EFFORT WAS MADE TO ENSURE THAT THE STAKEHOLDERS REPRESENTED THE NEEDS AND PERSPECTIVES OF: 1) PUBLIC HEALTH PRACTICE; 2) INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, HAVE LOW INCOME, OR ARE CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL; AND 3) THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED. KEY INFORMANTS PROVIDING INPUT ON THE TOP ISSUES INCLUDED REPRESENTATIVES FROM MULTIPLE SECTORS AND GROUPS: GOVERNMENTAL PUBLIC HEALTH; SUBSTANCE USE; BASIC NEEDS (E.G., HOUSING, FOOD INSECURITY); LOCAL GOVERNMENT; EARLY CHILDHOOD; EDUCATION AND YOUTH DEVELOPMENT; LONG TERM CARE; AGING; EDUCATION; COMMUNITY AND ECONOMIC DEVELOPMENT; BEHAVIORAL HEALTH; HEALTHCARE; SOCIAL SERVICES. ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 6A: FOR THE CHNA COMPLETED IN FY25 (SPRING 2025), THE HOSPITAL COLLABORATED WITH ASPIRUS IRON RIVER HOSPITAL AND ASPIRUS KEWEENAW HOSPITAL. ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 11: IN FY25, ASPIRUS CONTINUED TO IMPLEMENT BOTH CROSS-ORGANIZATIONAL AS WELL AS LOCAL STRATEGIES. CROSS-ORGANIZATIONAL STRATEGIES ARE IMPLEMENTED (AS APPROPRIATE) LOCALLY BUT BENEFIT FROM THE EXPERTISE AND STRUCTURE AVAILABLE WITHIN THE SYSTEM. DESCRIPTIONS BELOW REFLECT BOTH CROSS-ORGANIZATIONAL AND LOCAL STRATEGIES. IN FY25, THE HOSPITAL'S SIGNIFICANT NEEDS WERE: MENTAL HEALTH; SUBSTANCE USE; CHRONIC DISEASES. TO ADDRESS THESE NEEDS, THE HOSPITAL AND/OR CLINIC: - CONDUCTED DEPRESSION SCREENING WITH PATIENTS. - PROVIDED ACCESS TO ADDICTION-RELATED TREATMENT, INCLUDING SUBOXONE. - FACILITATED REFERRALS TO LOCAL NON-PROFIT BEHAVIORAL HEALTH SERVICES ORGANIZATIONS FOR PATIENTS WITH SIGNIFICANT MENTAL HEALTH AND SUBSTANCE USE ISSUES. - CONDUCTED A SENIOR WELLNESS PROGRAM. THE PROGRAM IS AVAILABLE TO OLDER ADULTS WITH TRADITIONAL MEDICARE PART B AND AN UNRESOLVED MENTAL HEALTH NEED. A MULTIDISCIPLINARY TEAM PROVIDES ONGOING SUPPORT. - PROVIDED NUTRITION INFORMATION TO YOUTH, ATHLETES AND NURSING STUDENTS, REACHING APPROXIMATELY 200 INDIVIDUALS. - PARTICIPATED IN THE LOCAL SENIOR HEALTH AND WELLNESS SERIES, PROVIDING INFORMATION ON NUTRITION (14 PEOPLE ATTENDED) AS WELL AS MEMORY (12 PEOPLE ATTENDED) AND MINDFULNESS (15 PEOPLE ATTENDED). - PROVIDED INFORMATION ON GRIEF FOR A GRIEF SUPPORT GROUP (WITH ABOUT 13 PEOPLE ATTENDING). - IMPLEMENTED A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM FOR ELIGIBLE PATIENTS. FISCAL YEAR 2025 WAS THE THIRD YEAR THAT ASPIRUS' FVRX PROGRAM WAS AVAILABLE IN THIS AREA. A VOUCHER IS GIVEN TO PATIENTS TO PURCHASE FRUITS AND VEGETABLES FROM LOCAL FARMERS. THE PROGRAM ALSO PROVIDES NUTRITION INFORMATION AND ACCESS TO RECIPES. DURING THE 2025 SEASON, OVER 800 VOUCHERS WERE DISTRIBUTED ACROSS THE SYSTEM. - INITIATED (THROUGH ASPIRUS AT THE SYSTEM LEVEL) A HEALTHY FOOD HOME-DELIVERY PROGRAM THAT HELPS PEOPLE MANAGE DIABETES THROUGH HEALTHY EATING. THE PROGRAM, NOURISHEDRX, IS BEING IMPLEMENTED THROUGH ASPIRUS AT HOME (HOME HEALTH). NOURISHEDRX UTILIZES THE CONCEPT OF "FOOD AS MEDICINE," RECOGNIZING THAT HEALTHY EATING CAN SIGNIFICANTLY IMPACT HEALTH OUTCOMES. IN FY25, 72 PATIENTS PARTICIPATED. - PROVIDED FUNDING FOR PHOENIX HOUSE. PHOENIX HOUSE PROVIDES RESIDENTIAL AND OUTPATIENT SERVICES FOR INDIVIDUALS SEEKING RECOVERY FROM ADDICTION. THIS FUNDING HELPED LAY THE GROUNDWORK FOR A PEER RECOVERY PROGRAM IN THE UPPER PENINSULA OF MICHIGAN. - PROVIDED FUNDING FOR THE SUPERIOR HEALTH FOUNDATION. - PROVIDED TIME AND EXPERTISE TO THE MICHIGAN TECH ADVISORY BOARD. - CONTINUED IMPLEMENTING A SOCIAL NEEDS SCREENING PROCESS THAT, OVER TIME, WILL PROVIDE INSIGHT INTO PATIENT NEEDS IN ADDITION TO THEIR IMMEDIATE CARE.- - - - - - - - - - - - -FOR THE 2022-2025 CHNA, FROM THE AUGUST 2021 COMMUNITY SURVEY, THE TOP-SELECTED ISSUES WERE: - HEALTH INSURANCE IS EXPENSIVE OR HAS HIGH COSTS FOR CO-PAYS AND DEDUCTIBLES- DRUG ABUSE- LACK OF HEALTH INSURANCE- UNEMPLOYMENT, WAGES AND ECONOMIC CONDITIONSFROM THIS LIST, THE HOSPITAL IS ADDRESSING DRUG ABUSE (SUBSTANCE USE). THE OTHER THREE ISSUES WERE NOT SELECTED FOR THE FOLLOWING REASONS. - THE LACK OF AFFORDABLE HEALTH INSURANCE IS OF HIGH CONCERN FOR MANY PEOPLE IN THE UPPER PENINSULA. ASPIRUS PROVIDES FINANCIAL ASSISTANCE FOR PATIENTS WHO STRUGGLE TO AFFORD CARE. ASPIRUS HOSPITALS MAY CONTRIBUTE TO EFFORTS THAT IMPROVE THE AVAILABILITY AND THE AFFORDABILITY OF HEALTH INSURANCE, HOWEVER, THEIR PRIMARY FOCUS IS TO DELIVER HIGH QUALITY MEDICAL CARE. - UNEMPLOYMENT, WAGES AND ECONOMIC CONDITIONS ARE IMPORTANT ISSUES FOR ASPIRUS. ASPIRUS WORKS TO PAY FAIR WAGES AND PROVIDE REASONABLE BENEFITS PACKAGES. ASPIRUS HOSPITALS MAY CONTRIBUTE TO EFFORTS THAT IMPROVE ECONOMIC CONDITIONS, HOWEVER, THEIR PRIMARY FOCUS IS TO DELIVER HIGH QUALITY MEDICAL CARE. FOR THE 2025-2028 CHNA, THE HOSPITAL WILL FORMALLY ADDRESS THE FOLLOWING ISSUES THROUGH THEIR COMMUNITY HEALTH NEEDS ASSESSMENT AND CORRESPONDING IMPLEMENTATION STRATEGY: MENTAL HEALTH; ACCESS TO CARE.FOR THE 2025-2028 CHNA, THE HOSPITAL IS NOT ADDRESSING THE FOLLOWING NEEDS FOR THE FOLLOWING REASONS: - SUBSTANCE USE. SUBSTANCE USE WAS THE THIRD-HIGHEST RATED PRIORITY AREA IN THE COMMUNITY MEETING AND ASPIRUS HAS LIMITED CAPACITY TO LEAD COMMUNITY-LEVEL EFFORTS IN THIS AREA. THE HOSPITALS WILL CONTINUE TO ADDRESS SUBSTANCE USE THROUGH TREATMENT AND REFERRALS, AS WELL AS SYSTEM-LEVEL STRATEGIES (E.G., RECOVERY COACHES). - CHRONIC DISEASE. CHRONIC DISEASE WAS THE FOURTH-HIGHEST RATED PRIORITY AREA IN THE COMMUNITY MEETING AND ASPIRUS HAS LIMITED CAPACITY TO LEAD COMMUNITY-LEVEL EFFORTS IN THIS AREA. THE HOSPITALS WILL CONTINUE TO ADDRESS CHRONIC DISEASE THROUGH TREATMENT AND REFERRALS, AS WELL AS SYSTEM-LEVEL STRATEGIES (E.G., FRUIT AND VEGETABLE PRESCRIPTION PROGRAM). ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 13H: THE FINANCIAL ASSISTANCE POLICY ALSO ALLOWS FOR AN ADMINISTRATIVE REVIEW FOR CATASTROPHIC OR UNIQUE CIRCUMSTANCES. THIS ADDITIONAL PROVISION ALLOWS FOR ADMINISTRATION TO MAKE A DETERMINATION THAT MAY ASSIST A PATIENT IN A UNIQUE TIME OF FINANCIAL NEED. 4 1 - ASPIRUS EYE CENTER - IRONWOOD E6112 BLUFF VIEW ROAD IRONWOOD MI 49938 EYE CLINIC 2 - ASPIRUS IRONWOOD CLINIC N10565 GRAND VIEW LANE IRONWOOD MI 49938 PROVIDER BASED CLINIC 3 - ASPIRUS HURLEY CLINIC 501 GRANITE STREET HURLEY WI 54534 PROVIDER BASED CLINIC 4 - ASPIRUS EYE CENTER - IRON RIVER 229 W GENESEE STREET IRON RIVER MI 49935 EYE CLINIC PART I, LINE 3C: THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY). SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS WHERE RETIREMENT WITHDRAWALS HAVE NOT BEGUN AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE. PART I, LINE 6A: ASPIRUS IRONWOOD HOSPITAL & CLINICS PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND FILES IT WITH THE MICHIGAN HOSPITAL ASSOCIATION (MHA). THE REPORT IS AVAILABLE TO THE GENERAL PUBLIC THROUGH MHA'S DATABASE AND WEBSITE. PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990. PART I, LN 7 COL(F): IN CALCULATING THE PERCENTAGES IN PART 1, LINE 7 BAD DEBT EXPENSE OF $2,916,490 WAS EXCLUDED FROM THE DENOMINATOR. PART II, COMMUNITY BUILDING ACTIVITIES: EVERY COMMUNITY DESERVES STRONG HEALTH CARE SERVICES. IN ORDER TO HAVE A STRONG HEALTH CARE SYSTEM, A STRONG HEALTH CARE WORKFORCE IS NEEDED. ONE WAY TO EXPAND THE PIPELINE OF HEALTH CARE WORKERS IS TO OFFER OPPORTUNITIES ABOUT HEALTH CARE CAREER TO YOUTH STILL IN SCHOOL. HEALTH CAREERS INFORMATION CAN INCREASE YOUNG PEOPLE'S INTEREST IN HEALTH CAREERS AND INCREASE THE NUMBER OF NEW HEALTH CARE WORKERS IN THE FIELD. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. THE COSTING METHODOLOGY USED WAS THE PATIENT CARE COST TO CHARGE RATIO WHICH WAS DERIVED FROM THE CALCULATION ON IRS WORKSHEET 2. PART III, LINE 3: THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. 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. 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 RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES.BAD DEBT POLICY AND PROCEDURE:POLICY: I. ASPIRUS' FINANCIAL POLICY REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. II. FAILURE TO MEET THESE REQUIREMENTS IN ASPIRUS POLICY WILL RESULT IN THE ACCOUNT BEING CONSIDERED FOR BAD DEBT ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THE ACCOUNT WILL BE REMOVED FROM ACCOUNTS RECEIVABLE AND TURNED OVER TO AN OUTSIDE AGENCY OR LAW FIRM FOR COLLECTION. PRIOR TO THIS HAPPENING, THE FOLLOWING CRITERIA MUST BE MET: A. PATIENT FINANCIAL SERVICES STAFF WILL MAKE REASONABLE COLLECTION EFFORTS BY WAY OF: 1. MONTHLY STATEMENTS 2. COLLECTION LETTERS INCLUDING PLAIN LANGUAGE SUMMARY (PLS) 3. COLLECTION PHONE CALLS 4. VERIFICATION THAT CHARITY CARE WAS OFFERED WITHIN THE PAST 12-MONTHS AS RECORDED IN THE ELECTRONIC HEALTH RECORD (EMR) WITH STAFF HAVING THE DISCRETION TO OFFER AGAIN WITHIN THE 12-MONTHS. III. ALL COLLECTION ACTIVITY AND PATIENT CONTACTS WILL BE DOCUMENTED ON THE INDIVIDUAL ACCOUNTS. IV. ALL COLLECTION ACCOUNTS ARE TO BE TREATED THE SAME REGARDLESS OF PAYOR TYPE: SELF-PAY, GENERAL INSURANCE, MEDICARE, OR MEDICAL ASSISTANCE. V. PATIENT FINANCIAL SERVICES STAFF WILL USE SOUND BUSINESS JUDGMENT WHEN WORKING WITH THE ACCOUNT. AT THE DISCRETION OF THE FINANCIAL COUNSELOR, CREDIT REPORTS WILL BE REQUESTED FROM THE CREDIT BUREAU AND PROPERTY VERIFICATION OBTAINED THROUGH THE COUNTY TREASURER'S OFFICE. PROCEDURE: VI. THE FINAL STEP IS TO SUBMIT THE ACCOUNT TO A COLLECTION AGENCY OR LAW FIRM. EACH ACCOUNT IS REVIEWED TO DETERMINE IF THE ACCOUNT HAS MET THE BAD DEBT CRITERIA. ONCE IT HAS BEEN DETERMINED THAT ALL REQUIREMENTS HAVE BEEN MET, THE ACCOUNT IS TRANSFERRED FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY THE FINANCIAL COUNSELOR. SPECIFIC PROCEDURES PERTAINING TO THE DETAILED PROCEDURAL STEPS FOR TRANSFERRING TO THE AGENCY CAN BE FOUND IN THE INTERNAL POLICY. A. ADDITIONAL INFORMATION REGARDING MEDICARE BAD DEBTS: 1. THE DEBT MUST BE RELATED TO COVERED SERVICES AND DERIVED FROM DEDUCTIBLE AND COINSURANCE AMOUNTS. 2. THE HOSPITAL MUST PROVIDE REASONABLE COLLECTION EFFORTS. 3. THE DEBT IS NOT COLLECTABLE (AT LEAST 120 DAYS OUTSTANDING FROM THE DATE OF THE LAST PATIENT PAYMENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. B. BAD DEBT RECOVERIES 1. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. 2. PAYMENTS MADE DIRECTLY TO ASPIRUS BUT INTENDED FOR COLLECTION ACCOUNTS WILL BE POSTED TO THE APPROPRIATE ACCOUNT AND REPORTED DAILY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. 3. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED TWO TIMES MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE SUBMITTED TO ACCOUNTS PAYABLE AND APPROVED BY THE DIRECTOR FOR CHECK PROCESSING AND PAYMENT TO AGENCIES FOR COMMISSIONS DUE. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2025, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS. PART III, LINE 9B: PATIENT FINANCIAL SERVICES (PFS) PROACTIVELY IDENTIFIES UNINSURED PATIENTS AND UNDER-INSURED PATIENTS AND SCREENS THEM FOR FINANCIAL ASSISTANCE AND COUNSELING WITHOUT REGARD TO RACE, ETHNICITY, GENDER, RELIGION, OR NATIONAL ORIGIN. THESE SERVICES ARE PROVIDED AT NO CHARGE. PFS COUNSELORS WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO HELP THEM UNDERSTAND THE SYSTEM'S FINANCIAL ASSISTANCE/DISCOUNTING POLICIES AND HOW THEY CAN QUALIFY FOR ASSISTANCE AND/OR DISCOUNTS INCLUDING A REFERRAL TO PUBLIC AND PRIVATE PROGRAMS TO DETERMINE ELIGIBILITY. PART VI, LINE 2: IN ADDITION TO ASSESSING NEEDS THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL AND CLINICS:- SYSTEMATICALLY REVIEWS PATIENT EXPERIENCE DATA TO UNDERSTAND OPPORTUNITIES TO ADDRESS PATIENT CONCERNS. - MAINTAINS AN INVOLVED REGIONAL BOARD OF DIRECTORS, WITH LOCAL REPRESENTATION. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS (E.G., ACADEMIA, INDUSTRY/BUSINESS, PHILANTHROPY, FINANCE, HEALTHCARE).- SUPPORTS ITS STAFF IN PARTICIPATING ON AND PRESENTING TO COMMUNITY BOARDS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES.- REVIEWS FUNDING REQUESTS TO THE HOSPITAL AS AN INDICATOR OF LOCAL NEEDS. - INITIATED A SOCIAL NEEDS SCREENING PROCESS THAT, OVER TIME, WILL PROVIDE INSIGHT INTO PATIENT NEEDS IN ADDITION TO THEIR IMMEDIATE CARE. PART VI, LINE 3: ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS HOW TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS SENT FROM THE FINANCIAL CLEARANCE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS WHEN REQUESTED OR DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO ASSIST ALL UNINSURED PATIENTS WITH SCREENING AND APPLYING FOR MEDICAL ASSISTANCE. PART VI, LINE 4: ASPIRUS IRONWOOD HOSPITAL IS ONE OF THREE ASPIRUS SYSTEM HOSPITALS IN A 5-COUNTY RURAL REGION OF THE UPPER PENINSULA OF MICHIGAN. THE 5-COUNTY REGION INCLUDES HOUGHTON, KEWEENAW, ONTONAGON, IRON AND GOGEBIC COUNTIES. ASPIRUS IRONWOOD HOSPITAL IS LOCATED IN GOGEBIC COUNTY. GOGEBIC COUNTY COVERS 1102 SQUARE MILES, WITH 13.0 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 14,380 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER AGE 18: 16.4%PERSONS 65 YEARS AND OVER: 28.8%WHITE PERSONS: 90.8%AFRICAN AMERICAN PERSONS: <1%AMERICAN INDIAN PERSONS: 3.6%ASIAN PERSONS: <1%TWO OR MORE RACES: 4.3%HISPANIC OR LATINO: 1.5%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 2.5%ADULTS AGES 25 AND OVER WITH A HIGH SCHOOL DIPLOMA OR EQUIVALENT: 95.8% PERSONS IN POVERTY: 15.0%MEDIAN HOUSEHOLD INCOME: $49,672 PERCENT WITHOUT HEALTHCARE COVERAGE: 6.1%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 57.4% NUMBER OF HOSPITALS IN THE COUNTY: 1 (ONLY ASPIRUS) THE COUNTY IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY CARE, MENTAL HEALTH AND DENTAL HEALTH. THE COUNTY IS ALSO DESIGNATED AS MEDICALLY UNDERSERVED. PART VI, LINE 5: THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH AND COMMUNITY BENEFIT WORK. ADDITIONALLY, THE HOSPITAL: - MAINTAINS A REGIONAL BOARD OF DIRECTORS THAT REFLECTS THE COMMUNITY AND THE REGION. - BRINGS ITS EXPERTISE INTO THE COMMUNITY THROUGH PROGRAMS, SCREENINGS, AND COMMUNITY BOARD AND ADVISORY COMMITTEE MEMBERSHIP.- PROVIDES HIGH QUALITY SERVICES AND IMPLEMENTS ONGOING QUALITY IMPROVEMENT INITIATIVES. - BUDGETS FOR CUTTING EDGE TECHNOLOGIES AND EQUIPMENT THAT SUPPORT PATIENT HEALTH.- OFFERS RESOURCES AND/OR REFERRALS FOR TRANSPORTATION ASSISTANCE FOR PATIENTS AS APPROPRIATE. - PROVIDES PRECEPTORS FOR HEALTH PROFESSIONS STUDENTS-IN-TRAINING, WHICH ADVANCES THE HEALTH CARE WORKFORCE. - HOSTS ON-SITE BLOOD DRIVES.AS PART OF A LARGER NETWORK OF ASPIRUS HEALTHCARE FACILITIES, THE HOSPITAL HAS ACCESS TO: - LOW-COST TEMPORARY LODGING AT ASPIRUS' FLAGSHIP TERTIARY CARE HOSPITAL PARTNER (IN WAUSAU, WI) SO THAT PATIENTS AND/OR THEIR FAMILY NEEDING EXTENDED SPECIALTY CARE HAVE ACCOMMODATIONS. - PROFESSIONAL DEVELOPMENT FOR STAFF, ASSURING THE CARE PROVIDED INCORPORATES THE MOST UP-TO-DATE BEST PRACTICES. - CROSS-TRAINING OPPORTUNITIES. FOR INSTANCE, A WAUSAU-BASED BEREAVEMENT COORDINATOR TRAINS STAFF ACROSS THE SYSTEM ON NORMAL GRIEF RESPONSE, RESILIENCE AND HOSPICE CARE AND SUPPORT. THE COORDINATOR TRAINS THROUGH THE NURSE RESIDENCY PROGRAM AS WELL AS IN UNIT/DEPARTMENT MEETINGS. UNIT/DEPARTMENT LEADERS CAN REQUEST BEREAVEMENT INFORMATION AND SUPPORT FOR THEIR TEAM. SIMILARLY, HOSPITALS HAVE ACCESS TO INJURY PREVENTION EXPERTISE AND RESOURCES THROUGH THE LEVEL 2 TRAUMA CENTER IN WAUSAU. - A MARKETING/COMMUNICATIONS TEAM THAT SUPPORTS THE ONLINE ASPIRUS MEDIA CENTER FEATURING MEDICAL EXPERTS. THE TEAM DEVELOPS AND PROMOTES HEALTH EDUCATION INFORMATION (E.G., ON DIABETES, TICK BITES, SNOWMOBILE SAFETY) FOR PATIENTS AND THE GENERAL PUBLIC. PART VI, LINE 6: ASPIRUS HEALTH IS A NONPROFIT, COMMUNITY-DIRECTED HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN, SERVING NORTHEASTERN MINNESOTA, NORTHERN AND CENTRAL WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. THE HEALTH SYSTEM OPERATES 17 HOSPITALS AND 130 OUTPATIENT LOCATIONS WITH NEARLY 14,000 TEAM MEMBERS, INCLUDING 1,300 EMPLOYED PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ASPIRUS SERVES COMMUNITIES THROUGH HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND AIR-MEDICAL TRANSPORT, MEDICAL GOODS, AND ADULT LIVING AND CARE FACILITIES. THE COMBINED EFFORTS PROVIDE RURAL COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. FOR MORE INFORMATION, VISIT ASPIRUS.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 1 0 0 0 0 0 1 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 0 1523574 0 2122736 0 222424 0 10350 0 351090 0 4230174 0 198152 SIDNEY SCZYGELSKI SVP OF FINANCE/CFO (FORMER) 0 418918 0 474490 0 576633 0 9284 0 28706 0 1508031 0 481861 TATYANA BOMBARD RADIOLOGIST 1045284 0 0 0 5777 0 10350 0 38255 0 1099666 0 0 0 MICHAEL HOLZHUETER SVP-CHIEF HR OFFICER 0 632337 0 239983 0 7505 0 10350 0 125990 0 1016165 0 0 JOHN PIETILA MD BOARD MEMBER/RADIOLOGIST 0 931556 0 0 0 30771 0 10350 0 40255 0 1012932 0 0 CONSTANCE BRADLEY BOARD MEMBER/SVP-PRES. REG. MKTS. 0 557181 0 172222 0 57121 0 10350 0 115419 0 912293 0 52586 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 0 508507 0 193167 0 61812 0 10350 0 107316 0 881152 0 56910 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 0 486205 0 186599 0 72384 0 8565 0 106951 0 860704 0 58001 DANIEL LUKES DO BOARD MEMBER/PHYSICIAN 0 799942 0 0 0 7322 0 10350 0 30695 0 848309 0 0 JENNIFER REDMAN-SCHELL VICE CHAIR/SVP & PRESIDENT-AMG 0 524479 0 198502 0 4398 0 10350 0 94801 0 832530 0 0 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 0 616776 0 25000 0 35464 0 10350 0 128044 0 815634 0 0 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 0 472935 0 180578 0 7157 0 2778 0 103017 0 766465 0 0 JESSE TISCHER SVP & PRESIDENT-AWH (FORMER) 0 29283 0 73104 0 630592 0 2566 0 3289 0 738834 0 0 ENRICO BRAUCHER PHYSICIAN 686684 0 0 0 8833 0 10350 0 27541 0 733408 0 0 0 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 0 454003 0 109647 0 2193 0 2636 0 96945 0 665424 0 0 SUSAN SCHNEIDER VP-SYSTEM SR. PHYSICIAN EXEC. 0 459962 0 116101 0 4692 0 10350 0 25557 0 616662 0 0 ZACHARY AHOLA PHYSICIAN 505443 0 0 0 45432 0 7535 0 37178 0 595588 0 0 0 DAVID BITTNER SVP-ENTERPRISE DEVELOPMENT 0 402065 0 25000 0 16617 0 10350 0 110472 0 564504 0 0 LORI PECK BOARD MEMBER/VP-FINANCE 0 360993 0 151157 0 27645 0 9303 0 2184 0 551282 0 25874 JONATHAN BRUEGGEMAN BOARD MEMBER/MEDICAL DIRECTOR 0 435027 0 36010 0 810 0 10350 0 40721 0 522918 0 0 CHRISTINE HARFF (NV) PRESIDENT-UP REGION 0 307485 0 95223 0 19119 0 7674 0 26457 0 455958 0 0 KLAUS KUTSCHKE PHYSICIAN 363922 0 60000 0 9796 0 6617 0 9956 0 450291 0 0 0 PATRICK TINCHER JR FORMER B.M./VP-FINANCE REG. OPS. 0 291270 0 68420 0 9601 0 9203 0 41187 0 419681 0 0 FRANKLIN VILLANUEVA PHYSICIAN 363757 0 0 0 11797 0 10350 0 24394 0 410298 0 0 0 KRISTEN MESKE NP-C BOARD MEMBER (THRU 09/24)/NP 0 160013 0 0 0 1671 0 3200 0 857 0 165741 0 0 PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. RELIED ON THE RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENTS J. TISCHER $569,088 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $481,861 M. HEYWOOD $198,152 J. MATHESON $58,001 M. WALTERS $56,910 C. BRADLEY $52,586 L. PECK $25,874 KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE 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 EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 13% FOR SENIOR VICE PRESIDENT OR PRESIDENT, 15% FOR SVP & CHIEF FINANCIAL OFFICER, AND 20% FOR THE PRESIDENT & CHIEF EXECUTIVE OFFICER. IF A 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 YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; 24 MONTHS FROM 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. PART I, LINE 7 SHORT-TERM AND LONG-TERM INCENTIVE BONUSES ARE CALCULATED USING AN OBJECTIVE FORMULA THAT INCLUDES FISCAL YEAR MEASURES APPROVED BY THE BOARD IN AREAS OF CLINICAL QUALITY AND SERVICE, EMPLOYEE SATISFACTION, AND FINANCIAL PERFORMANCE. IN ADDITION, TARGETED RETENTION BONUSES MAY BE IMPLEMENTED TO ENSURE KEY TALENT REMAINS IN PLACE TO MEET STRATEGIC DEMANDS. ALL INCENTIVE PAYMENTS ARE EXAMINED FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD FOR DISQUALIFIED PERSONS OR THROUGH EXECUTIVE MANAGEMENT AND ASPIRUS' HUMAN RESOURCE FUNCTION (FOR NON-DISQUALIFIED PERSONS). A WI HEALTH & EDUCATION FACILITIES AUTHORITY 391337855 97710B7X4 2013-04-12 2998547 CONSTRUCT, RENOVATE, AND EQUIP FACILITIES 0 0 0 B WI HEALTH & EDUCATION FACILITIES AUTHORITY 391337855 97712DC53 2017-11-02 12000000 NEW CONSTRUCTION 0 0 0 A 1215000 2998547 35270 2963277 2015 0 0 1 1 B 12000000 113564 11866436 2016 0 0 1 1 A 0 0 1 0 0 0.00700 0.00700 0 0 1 B 0 0 1 0 0 0.00300 0.00300 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WI HEALTH & EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/05/2018 SCHEDULE K, PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2013 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (EIN 39-0964813); ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. (EIN 38-2908586); AND LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429). A PORTION OF THE ASPIRUS WAUSAU HOSPITAL, INC. SERIES 2013 BONDS REFINANCED ALL SERIES 2000 BONDS AND THE ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. PORTION OF THESE BONDS ARE REFINANCING SERIES 2009 (REFINANCING A PORTION OF SERIES 2004 AND SERIES 1998 BONDS). INFORMATION REGARDING THE SERIES 2013 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION, RESPECTIVELY. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2013 BONDS LOANED TO THE ORGANIZATION, RESPECTIVELY. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS. SCHEDULE K, PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241), ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982), ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. (EIN 38-2908586), AND ASPIRUS ONTONAGON HOSPITAL, INC. (EIN 26-0806477). INFORMATION REGARDING THE SERIES 2017 BONDS IS REPORTED IN SCHEDULE K FOR THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II, AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2017 BONDS LOANED TO THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED THE FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2017 BOND. PART III, LINES 3A AND 3B: ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS IRONWOOD HOSPITAL & CLINICS, HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW MANAGEMENT AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY. SCHEDULE K, PART III, LINE 9: SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THERE SHALL BE A MINIMUM OF 11 VOTING DIRECTORS ALLOCATED AS FOLLOW. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN FIVE INDEPENDENT COMMUNITY CLASS DIRECTORS, FOUR ASPIRUS CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., TWO PROVIDER CLASS DIRECTOR NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICER; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND IS MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, BOARD MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS TO THE BOARD. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS. AN INTERESTED PERSON IS A DIRECTOR, PRINCIPAL, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. AFTER DISCLOSURE, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING MEMBERS SHALL DECIDE IF A CONFLICT EXISTS. THE MEMBER WILL ABSTAIN FROM VOTING ON THIS ISSUE IF A CONFLICT OF INTEREST IS DISCOVERED. FORM 990, PART VI, SECTION B, LINE 15 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS; COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. 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 IX, LINE 11G LAB SERVICES: PROGRAM SERVICE EXPENSES 688,518. MANAGEMENT AND GENERAL EXPENSES 438,888. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,127,406. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 324,464. MANAGEMENT AND GENERAL EXPENSES 206,826. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 531,290. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 127,586. MANAGEMENT AND GENERAL EXPENSES 81,329. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 208,915. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,196,110. MANAGEMENT AND GENERAL EXPENSES 761,049. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,957,159. CRNA FEES: PROGRAM SERVICE EXPENSES 6,475,592. MANAGEMENT AND GENERAL EXPENSES 3,982,225. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,457,817. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -18,795,926. NET INCOME ATTRIBUTABLE TO NCI FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ASPIRUS, INC., THE PARENT ORGANIZATION, ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS IN THE PAST YEAR. 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