2026-05-14T11:09:01-05:00 2025-06-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-07-01 391138241 ASPIRUS WAUSAU HOSPITAL INC ASPI 7158472988 333 PINE RIDGE BLVD WAUSAU WI 54401 LORI PECK INTERIM CFO 7158472118 2026-05-12 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2026-04-21 2024 2025-03-06 01:10:19Z MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 791964087 0 X WWW.ASPIRUS.ORG X 1970 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 10 4 3157 213 106005 0 1273548 3638385 727065609 785183115 -7699 55148 2055574 3080902 730387032 791957550 176274 710979 0 0 218962750 231020309 0 0 0 449166185 486989399 668305209 718720687 62081823 73236863 403390472 410820717 193468640 190625305 209921832 220195412 WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 552937704 710979 785104750 ASPIRUS WAUSAU HOSPITAL, INC. PROVIDES HOSPITAL SERVICES FOR RESIDENTS OF WAUSAU, STEVENS POINT AND THE SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. 552937704 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 1 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 3157 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 4 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 JAMES M CYGAN MD BOARD MEMBER (THRU 09/24)/PHYSICIAN 40.00 1.00 X 936829 0 47664 ELIZABETH RENAKER-JANSEN DO BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 791725 43647 LAWRENCE LEIBERT MD BOARD MEMBER (THRU 09/24)/PHYSICIAN 1.00 40.00 X 0 531218 38249 ERIKA CROCKFORD DO BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 442007 10775 JENNIFER ENMAN-BOURGON DO BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 432600 12300 CRAIG DESTREE MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 407638 36520 TOU SHOUA LOR MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 369828 46176 MICHAEL UMLAND MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 327184 48178 JEREMY LEWITZKE CHAIR 1.00 5.00 X X 0 0 0 KYLE PAGE VICE CHAIR 1.00 3.00 X X 0 0 0 MARCO ESPINOZA SECRETARY/TREASURER 1.00 3.00 X X 0 0 0 BRYAN BORRELL BOARD MEMBER 1.00 3.00 X 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 3868734 361440 JEFFREY WICKLANDER (NV) PRESIDENT-ASPIRUS CENT. REG. 35.00 15.00 X 898029 0 116688 JENNIFER REDMAN-SCHELL (NV) SVP & PRESIDENT-AMG 1.00 50.00 X 0 727379 105151 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 677240 138394 MICHAEL HOLZHUETER SVP-CHIEF HR OFFICER 2.00 50.00 X 0 879825 136340 CONSTANCE BRADLEY SVP-PRES. REG. MARKETS 2.00 50.00 X 0 786524 125769 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 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 2.00 50.00 X 0 660670 105795 RYAN ANDREWS VP-SYSTEM SR. PHYSICIAN EXEC. 50.00 2.00 X 617541 0 52433 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 2.00 50.00 X 0 565843 99581 CHRISTOPHER PLATTA REGIONAL MEDICAL DIRECTOR 40.00 X 2382545 0 51508 ANDREW HUANG PHYSICIAN 40.00 X 2383027 0 48308 AGNIESZKA THOMPSON PHYSICIAN 40.00 X 1474655 0 50308 BRET STYSLY PHYSICIAN 40.00 X 1330348 0 49605 JUSTIN ASQUITH PHYSICIAN 40.00 X 1072652 0 12442 SIDNEY SCZYGELSKI SENIOR VP OF FIN./CFO (FORMER) 2.00 50.00 X 0 1470041 37990 JESSE TISCHER SVP & PRESIDENT-AWH (FORMER) 0.00 0.00 X 0 732979 5855 MARY JO WENDLING MD BOARD MEMBER (FORMER)/PHYSICIAN 1.00 40.00 X 0 286299 7850 11095626 15466408 2022148 344 1 1 0 TOTAL MSP LLCSTAFFENCY LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 CONTRACT LABOR 34799884 MIRON CONSTURCTION CO INC PO BOX 1372 GREEN BAY WI 54305 CONSTRUCTION SERVICES 15350212 WISCONSIN EMERGENCY MEDICAL SERVICE ASSO 333 PINE RIDGE BLVD WAUSAU WI 54401 EMERGENCY ROOM PROVIDER COVERAGE 14377248 LOCUMSMART LLC PO BOX 736389 DALLAS TX 75373 LOCUMS 5609791 MEDICAL STAFFING SOLUTIONS PO BOX 101 RICE LAKE WI 54868 CONTRACT LABOR 5502782 58 555743 1206044 1876598 3638385 PATIENT SERVICE REVENUE 621400 688823772 688823772 LAB REVENUE 621400 43339078 43260713 78365 CONTRACT SERVICE REVENUE 621400 26014091 26014091 HOME HEALTH/HOSPICE 621610 17494232 17494232 PHARMACY REVENUE 456110 7055399 7055399 2456543 2456543 785183115 61685 61685 6537 -6537 -6537 -6537 INVESTMENT IN WESTWOOD 523000 1792848 1792848 CAFETERIA AND VENDING 721000 1288054 27640 1260414 3080902 791957550 785104750 106005 3108410 X 710979 710979 2691046 2691046 184698728 170374795 14323933 4950084 4403272 546812 26312773 23342327 2970446 12367678 10933027 1434651 15890 9078 6812 328231 328231 7200 7200 62140 62140 120496035 106306735 14189300 121383 69346 52037 951954 922063 29891 281432 160782 120650 9425591 849246 8576345 2143515 1224590 918925 180200 102948 77252 5101674 235187 4866487 22641010 10260906 12380104 1588666 143139 1445527 MEDICAL SUPPLIES 177372757 171803252 5569505 CORPORATE ALLOCATION 103767529 25411858 78355671 BAD DEBT EXPENSE 15234321 15227094 7227 REPAIRS & MAINTENANCE 12762293 7291098 5471195 14507578 3155982 11351596 718720687 552937704 165782983 0 6048614 4665261 70112 42501 108448789 109198342 10898953 13013003 3956268 3180299 624394486 348020638 267077892 276373848 3930471 0 1869679 3289527 1089694 1057936 403390472 410820717 23595229 22038256 369728 406023 152411831 147979910 17091852 20201116 193468640 190625305 X 209921832 220195412 209921832 220195412 403390472 410820717 X 73236863 15385 -62978668 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 62140 62140 0 PART II-B, LINE 1: A PORTION OF OUR ANNUAL WISCONSIN HOSPITAL ASSOCIATION (WHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA) DUES ARE USED FOR LOBBYING ACTIVITIES. THE AMOUNTS THAT ARE SPECIFIC TO LOBBYING PURPOSES ARE: WISCONSIN HOSPITAL ASSOCIATION $16,095 AND AMERICAN HOSPITAL ASSOCIATION $46,045. 17249805 17249805 372272831 204398261 167874570 4508230 1435655 3072575 179986472 142186722 37799750 50377148 50377148 276373848 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 6093084 INTEREST RATE SWAP 830150 DEFERRED COMPENSATION ACCRUAL 126896 ASBESTOS LIABILITY 10384184 RELATED PARTY PAYABLES 1812150 FINANCE LEASE LIABILITY 954652 20201116 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 3186321 3186321 0.00450 84326541 36596994 47729547 0.06780 36260024 33808022 2452002 0.00350 123772886 70405016 53367870 0.07580 232976 4600 228376 0.00030 5179153 808812 4370341 0.00620 56818136 43890312 12927824 0.01840 86477 86477 0.00010 271936 271936 0.00040 62588678 44703724 17884954 0.02540 186361564 115108740 71252824 0.10120 4493 4493 0.00000 1 751 1840 1840 0.00000 1 751 6333 6333 0.00000 1 4275201 0 102543322 116879687 -14336365 X 1 1 1 1 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 188, 324 X X X X ASPIRUS WAUSAU HOSPITAL INC 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS X 1 23 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 WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 5: ASPIRUS WAUSAU HOSPITAL:FOR THE CHNA COMPLETED IN FY24 (SPRING 2024), ASPIRUS WAUSAU WORKED COLLABORATIVELY WITH LOCAL PARTNERS, INCLUDING THE UNITED WAY AND THE MARATHON COUNTY HEALTH DEPARTMENT, TO FACILITATE THE LIFE PROCESS. LIFE STANDS FOR LOCAL INDICATORS FOR EXCELLENCE. THE LIFE PROCESS HAS BEEN CONDUCTED EVERY TWO YEARS SINCE 1995. ASPIRUS WAUSAU HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED AS PART OF THE MARATHON COUNTY LIFE PROCESS. THE LIFE PROCESS INCLUDES MULTIPLE OPPORTUNITIES FOR COMMUNITY INPUT, INCLUDING (1) A COMMUNITY MEMBER SURVEY AND (2) KEY STAKEHOLDER INPUT AT MULTIPLE POINTS IN THE PROCESS. A CONCERTED EFFORT WAS MADE TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS REPRESENTED THE NEEDS AND PERSPECTIVES OF: PUBLIC HEALTH PRACTICE; INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, HAVE LOW INCOME, OR ARE CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL; AND THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED.(1) COMMUNITY MEMBER SURVEY. THE LIFE SURVEY HAS EVOLVED OVER TIME. THE MOST RECENT SURVEY WAS CONDUCTED IN JUNE AND JULY 2022, WITH RESULTS AVAILABLE FALL 2022. THE SURVEY ASSESSES IMPORTANT ISSUES REGARDING THE QUALITY OF LIFE IN MARATHON COUNTY. THE LIFE STEERING COMMITTEE CONTRACTED WITH THE SURVEY RESEARCH CENTER (SRC) AT THE UNIVERSITY OF WISCONSIN-RIVER FALLS TO CONDUCT THE SURVEY AND COMPILE RESULTS. THE SURVEYS WERE DISTRIBUTED BY MAIL, DIRECT CONTACT WITH INDIVIDUALS ACCESSING LOCAL NON-PROFIT SERVICES AND DIRECT EMAIL (WITH AN ELECTRONIC LINK TO THE SURVEY). OVER 450 INDIVIDUALS RESPONDED. (2) KEY STAKEHOLDER INPUT. IN ADDITION TO OBTAINING INPUT FROM A CROSS SECTION OF COMMUNITY MEMBERS, THE LIFE PROCESS ALSO INVOLVED INPUT FROM KEY STAKEHOLDERS AT MULTIPLE POINTS. STAKEHOLDERS PARTICIPATED ON THE LIFE STEERING COMMITTEE, ADVISORY COMMITTEE AND/OR SUBCOMMITTEES. STAKEHOLDERS REPRESENTED DIFFERENT SECTORS, INCLUDING: LAW ENFORCEMENT; K-12 EDUCATION; HIGHER EDUCATION; HEALTH CARE; BUSINESS AND INDUSTRY; ECONOMIC DEVELOPMENT; AGING; LOCAL GOVERNMENTAL PUBLIC HEALTH; ORGANIZATIONS THAT SERVE INDIVIDUALS WITH LOW INCOME (E.G., SALVATION ARMY, NEIGHBOR'S PLACE FOOD PANTRY); ORGANIZATIONS THAT SERVE INDIVIDUALS WHO ARE HMONG (E.G., HMONG AMERICAN CENTER); LOCAL POLICYMAKERS, AND MORE. - - - - - - - - - - - - - - - - PLOVER LOCATION:FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), ASPIRUS COLLABORATED WITH THE UNITED WAY OF PORTAGE COUNTY, THE PORTAGE COUNTY HEALTH DEPARTMENT, THE COMMUNITY FOUNDATION OF CENTRAL WISCONSIN AND THE MARSHFIELD CLINIC HEALTH SYSTEM ON THE ASSESSMENT PROCESS. THIS GROUP IS THE EXECUTIVE COMMITTEE OF THE LIFE "LEADING INDICATORS OF EXCELLENCE" PROCESS AND REPORT. COMMUNITY MEMBERS FROM PORTAGE COUNTY PROVIDED INPUT ON THE TOP COMMUNITY HEALTH NEEDS THROUGH A LIFE SURVEY AS WELL AS FACILITATED COMMUNITY STAKEHOLDER DISCUSSIONS. - COMMUNITY SURVEY. TO GARNER COMMUNITY INPUT ON THE TOP ISSUES IN THE COMMUNITY, THE LIFE EXECUTIVE COMMITTEE CONTRACTED FOR A COMMUNITY SURVEY TO BE COMPLETED. IN SPRING 2022, THE SURVEY WAS SENT TO A RANDOM SAMPLE OF PEOPLE IN THE COUNTY. IN ADDITION, AS A WAY TO HELP ASSURE VOICES THAT MAY BE MORE VULNERABLE COULD BE HEARD BETTER, THE LIFE PROCESS LEADERS DELIBERATELY REACHED OUT TO INDIVIDUALS WHO LIKELY HAD LOW INCOME, WHO WERE RENTERS AND/OR WHO ARE INDIVIDUALS OF COLOR. OVER 500 INDIVIDUALS RESPONDED, WHICH EXCEEDED THE SAMPLE SIZE NEEDED FOR A STATISTICALLY RELIABLE ESTIMATE. - COMMUNITY STAKEHOLDER DISCUSSION VIRTUAL MEETINGS BY TOPIC AREA (FALL 2022). DATA FOR SIX DOMAINS (WITH A TOTAL OF 16 TOPICS AND 70 INDICATORS) WERE COMPILED. COMMUNITY STAKEHOLDERS WITH DEEP UNDERSTANDING OF THOSE TOPIC AREAS (INCLUDING THE PORTAGE COUNTY HEALTH DEPARTMENT) WERE CONVENED TO PROVIDE FEEDBACK ON THE DATA. THERE WERE FOUR DIFFERENT MEETINGS; STAKEHOLDERS ATTENDED THE MEETINGS RELEVANT TO THEIR TOPIC AREA(S). - COMMUNITY STAKEHOLDER PRIORITIZATION MEETING (JANUARY 2023). ALL OF THE STAKEHOLDERS WHO WERE INVITED TO THE VIRTUAL DATA MEETINGS WERE INVITED TO A LARGE GROUP PRIORITIZATION MEETING. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 6A: ASPIRUS WAUSAU HOSPITAL:FOR THE CHNA COMPLETED IN FY24 (SPRING 2024), THE HOSPITAL PARTNERED WITH MARSHFIELD CLINIC HEALTH SYSTEM. ASPIRUS WAUSAU HOSPITAL'S CHNA REPORT WAS AUTHORED BY ASPIRUS WAUSAU HOSPITAL. - - - - - - - - - - - - - - - - PLOVER LOCATION:FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, ASPIRUS PLOVER COLLABORATED WITH ASPIRUS STEVENS POINT HOSPITAL AND MARSHFIELD MEDICAL CENTER-RIVER REGION STEVENS POINT CAMPUS. ASPIRUS PLOVER HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS PLOVER HOSPITAL. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 6B: ASPIRUS WAUSAU HOSPITAL:FOR THE CHNA COMPLETED IN FY24 (SPRING 2024), THE HOSPITAL PARTNERED WITH THE UNITED WAY OF MARATHON COUNTY AND THE MARATHON COUNTY HEALTH DEPARTMENT. ASPIRUS WAUSAU'S CHNA WAS AUTHORED BY ASPIRUS WAUSAU HOSPITAL. - - - - - - - - - - - - - - - - PLOVER LOCATION:FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, ASPIRUS PLOVER HOSPITAL COLLABORATED WITH THE UNITED WAY OF PORTAGE COUNTY, THE PORTAGE COUNTY HEALTH DEPARTMENT AND THE COMMUNITY FOUNDATION OF CENTRAL WISCONSIN. ASPIRUS PLOVER HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS PLOVER HOSPITAL. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 11: ASPIRUS WAUSAU HOSPITALIN FY25, ASPIRUS CONTINUED TO IMPLEMENT LOCAL AS WELL AS CROSS-ORGANIZATIONAL STRATEGIES TO ADDRESS COMMUNITY NEEDS. 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. FROM THE CHNA COMPLETED IN FY24 (AND EFFECTIVE IN FY25), ASPIRUS WAUSAU HOSPITAL IS ADDRESSING MENTAL HEALTH, SUBSTANCE USE AND FALLS PREVENTION.MENTAL HEALTH AND SUBSTANCE USEASPIRUS WAUSAU HOSPITAL PROVIDED FUNDING AND IN-KIND TIME (EXPERTISE, TECHNICAL ASSISTANCE) FOR THE FOLLOWING ACTIVITIES: - RAISE YOUR VOICE CLUBS. RAISE YOUR VOICE (RYV) IS A SCHOOL CLUB DEVELOPED BY NAMI (NATIONAL ALLIANCE ON MENTAL ILLNESS) TO INCREASE THE DISCUSSION AROUND MENTAL HEALTH. ASPIRUS PROVIDED FUNDING FOR FIVE LOCAL SCHOOLS TO IMPLEMENT THE PROGRAM. - MENTAL HEALTH AWARENESS. ASPIRUS SUPPORTED A MENTAL HEALTH SERIES IN PARTNERSHIP WITH THE LOCAL TV STATION. ASPIRUS MENTAL HEALTH PROFESSIONALS PROVIDED EXPERTISE. - RISE UP. RISE UP IS A NON-PROFIT WITH A MISSION TO HEAL, STRENGTHEN AND UNIFY THE COMMUNITY THROUGH ART WORKING WITH THOSE EXPERIENCING ADDICTION AND OTHER MENTAL HEALTH ISSUES. RISE UP USES A PARTICIPATORY ART FRAMEWORK TO ENGAGE AND CONNECT INDIVIDUALS. THIS PROCESS HAPPENS OVER MULTIPLE MONTHS AND ENGAGES THE PARTICIPANTS AND THE COMMUNITY TO DEVELOP THE MURAL. ASPIRUS HELPS FUND THE PROGRAM AND ALSO GIVES IN-KIND TIME TO HELP BUILD AND SUSTAIN THE ORGANIZATION. -MENTAL HEALTH COLLABORATIVE: THE MENTAL HEALTH COLLABORATIVE IS A NONPROFIT DEDICATED TO IMPROVING YOUTH MENTAL HEALTH AND PREVENTING SUICIDE IN MARATHON COUNTY BY WORKING TO DEVELOP STRATEGIES AND SUPPORT SYSTEMS IN THE COMMUNITY. ASPIRUS PROVIDES FUNDING TO AND GIVES IN-KIND TIME TO HELP BUILD AND SUSTAIN THE ORGANIZATION. ASPIRUS PROVIDED FUNDING FOR:- PEER SUPPORT SPECIALISTS THAT PROVIDE SUBSTANCE USE RECOVERY SERVICES. ASPIRUS CONTRACTS WITH THREE BRIDGES RECOVERY TO PROVIDE PEER SUPPORT SPECIALIST SERVICES, WHICH INCLUDES RECOVERY COACHING FOR PATIENTS IN NEED OF SUBSTANCE USE SUPPORT. THESE SERVICES INCREASE BOTH AVAILABILITY AND ACCESSIBILITY TO VARIOUS PATHWAYS OF SUBSTANCE USE RECOVERY THROUGH COACHING, MENTORING, ACCOUNTABILITY, AND PEER BEHAVIOR MODELING AT NO COST TO THOSE THEY SERVE. COACHES ARE AVAILABLE 24/7 TO RESPOND TO CALLS AND ARE ADVOCATES FOR VULNERABLE INDIVIDUALS TO HELP THEM RECEIVE THE TREATMENT THEY WANT AND NEED. FOR JULY 1, 2024 THROUGH JUNE 30, 2025, WITH ASPIRUS FUNDS, THREE BRIDGES RECOVERY SERVED 243 PEOPLE. OF THOSE, 100 WERE REFERRED FROM ASPIRUS HOSPITALS. THOSE HOSPITALS INCLUDED: DIVINE SAVIOR; LANGLADE; MERRILL; STEVENS POINT; WISCONSIN RAPIDS AND WAUSAU. -TRANSLATION OF QUESTION, PERSUADE, REFER (QPR) SUICIDE PREVENTION TRAINING MATERIALS IN HMONG. - 988 (MENTAL HEALTH SUPPORT LINE) STICKERS ASPIRUS WAUSAU HOSPITAL PROVIDES IN-KIND TIME AND EXPERTISE FOR THE FOLLOWING ACTIVITIES: - MARATHON COUNTY ALCOHOL AND OTHER DRUG PARTNERSHIP. ASPIRUS IS ON THE PARTNERSHIP BOARD AND PARTICIPATES IN EDUCATIONAL EVENTS. - FATAL OVERDOSE DEATH REVIEW TEAM. ASPIRUS CONTRIBUTES ITS EXPERTISE TO THE COUNTY'S FATAL OVERDOSE DEATH REVIEW TEAM. THE TEAM REVIEWS DEATHS AS A WAY TO IDENTIFY OPPORTUNITIES FOR PREVENTION.-HEALTHY MARATHON COUNTY. ASPIRUS IS ON THE BOARD AND PARTICIPATES IN ACTIVITIES INCLUDING OVERSIGHT OF THE COMMUNITY HEALTH IMPROVEMENT PLAN AND RELATED STRATEGIES. FALLS PREVENTION-COMMUNITY CARE PARAMEDIC PROGRAM. ASPIRUS PROVIDES FUNDING AND IN-KIND SUPPORT FOR THE DEVELOPMENT AND IMPLEMENTATION OF A COMMUNITY CARE PARAMEDIC PROGRAM THAT AIMS TO REDUCE FALLS-RELATED 911 CALLS, TRANSPORT AND INJURY. -AGE-FRIENDLY HOSPITALS. ASPIRUS IS ENGAGED IN ENSURING OUR HOSPITALS COMPLY WITH THE AGE-FRIENDLY HOSPITAL FRAMEWORK AND IS DEDICATED TO PROVIDING HIGH-QUALITY CARE FOR PATIENTS AGED 65 AND ABOVE. INCLUDED IN THIS WORK IS A FOCUS ON FRAILTY SCREENING AND FALLS PREVENTION.OTHERASPIRUS WAUSAU HOSPITAL PROVIDED FUNDING AND IN-KIND TIME (EXPERTISE, TECHNICAL ASSISTANCE) FOR THE FOLLOWING ACTIVITIES: -PROVIDED SUPPORT THROUGH IN-KIND TIME AND FUNDING FOR MOSAIC OF CENTRAL WI TO SUPPORT THEIR MISSION AND TO OFFER LOCAL PROGRAMMING AROUND OUR GOALS OF IMPROVING OTHER COMMUNITY'S INCLUSIVENESS.- ACCESS TO HEALTHY FOODS. ASPIRUS WAUSAU HOSPITAL SUPPORTS AN ON-SITE FARMERS MARKET DURING THE SUMMER MONTHS. ASPIRUS IMPLEMENTS A FRUIT AND VEGGIE PRESCRIPTION PROGRAM FOR ELIGIBLE PATIENTS WITH CHRONIC DISEASES. 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. - FOOD INSECURITY. ASPIRUS ADDRESSED FOOD INSECURITY THROUGH FUNDING OF MULTIPLE ENTITIES, INCLUDING: COMMUNITY CENTER OF HOPE AND WAUSAU AREA MOBILE MEALS (FOOD DELIVERY TO SENIORS).- WAUSAU FREE CLINIC. ASPIRUS FUNDED ONGOING DIABETES SUPPORT AND SUPPLIES FOR PATIENTS AT THE FREE CLINIC. ASPIRUS ALSO PROVIDES IN-KIND TIME AT THE CLINIC AND ON THE ADVISORY COMMITTEE.- FINDHELP. FINDHELP IS A COMMUNITY RESOURCE PLATFORM. IT IS AVAILABLE PUBLICLY TO COMMUNITY MEMBERS AND IT IS ALSO ACCESSIBLE THROUGH THE ELECTRONIC HEALTH RECORD. STILL IN THE EARLY STAGES OF DEVELOPMENT, THE PLATFORM WILL ENABLE PROVIDERS TO CONNECT PATIENTS TO AVAILABLE LOW OR NO-COST COMMUNITY RESOURCES. ASPIRUS WAUSAU HOSPITAL PROVIDED FUNDING FOR THE FOLLOWING ACTIVITIES: - NURSE-FAMILY PARTNERSHIP. LED BY THE COUNTY HEALTH DEPARTMENT, THE PROGRAM FOCUSES ON BUILDING STRONG FAMILIES WITH CHILDREN WHO ARE AGES 0 TO 3. - WOMEN'S SHELTER. THE WOMEN'S COMMUNITY OPERATES A SAFE SHELTER FOR INDIVIDUALS EXPERIENCING ABUSE. -UNITED WAY OF MARATHON COUNTY. ASPIRUS PROVIDES FUNDING TO SUPPORT 211, A COMMUNITY RESOURCE CALL CENTER AND ONLINE LISTING OF RESOURCES. -CASA (COURT APPOINTED SPECIAL ADVOCATES). ASPIRUS PROVIDED SUPPORT TO TRAIN ADVOCATES, WHO WALK BESIDE CHILDREN IN FOSTER CARE AND SPEAK UP FOR THEIR NEEDS IN COURT AND IN LIFE. ASPIRUS (AT THE SYSTEM LEVEL) INITIATED 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. ASPIRUS WAUSAU HOSPITAL ALSO PROVIDED FUNDING FOR A VARIETY OF OTHER INITIATIVES, INCLUDING INITIATIVES THAT SUPPORT INDIVIDUALS FROM THE HISPANIC COMMUNITY WHO ARE INTERESTED IN ART, WORKFORCE DEVELOPMENT OPPORTUNITIES FOR HIGH SCHOOL STUDENTS, SUPPORT FOR HOME VISITING PROGRAMS, FLU VACCINES FOR OUTREACH EFFORTS AND A DATA PLATFORM FOR READY-ACCESS TO COMMUNITY HEALTH DATA. ************ASPIRUS WAUSAU HOSPITAL******FOR THE CHNA AND IS THAT ARE EFFECTIVE JULY 1, 2024 (FOR FY25 AND THE SUBSEQUENT YEARS), ASPIRUS WAUSAU HOSPITAL'S PRIORITIES ARE MENTAL HEALTH, SUBSTANCE USE AND FALLS PREVENTION. THE NEEDS THAT WERE NOT PRIORITIZED BY THE HOSPITAL ARE: CHILDCARE; PUBLIC TRANSPORTATION; HOUSING / INCOME. CHILDCARE, PUBLIC TRANSPORTATION AND HOUSING / INCOME ARE ALL INFRASTRUCTURE ISSUES THAT ARE ESSENTIAL TO HEALTHY LIVING AND A HEALTHY COMMUNITY. ASPIRUS WILL COLLABORATE ON THESE AND OTHER INFRASTRUCTURE ISSUES, HOWEVER, ASPIRUS DOES NOT HAVE THE INTERNAL CAPACITY OR EXPERTISE TO LEAD. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. ASPIRUS WAUSAU HOSPITAL, INC. PART V, SECTION B, LINE 13H: THE FINANCIAL ASSISTANCE POLICY ALSO ALLOWS FOR AN ADMINSTRATIVE REVIEW FOR CATASTROPHIC OR UNIQUE CIRCUMSTANCES. THIS ADDITIONAL PROVISION ALLOWS FOR ADMINSTRATION TO MAKE A DETERMINATION THAT MAY ASSIST A PATIENT IN A UNIQUE TIME OF FINANCIAL NEED. PART V, SECTION B, LINE 11 (CONTINUED): ASPIRUS PLOVER HOSPITAL:IN FY25, ASPIRUS CONTINUED TO IMPLEMENT CROSS-ORGANIZATIONAL STRATEGIES ALONG WITH 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.THE SIGNIFICANT HEALTH PRIORITIES IN FY25 WERE: MENTAL HEALTH; SUBSTANCE USE.MENTAL HEALTH- ASPIRUS STAFF CO-CHAIR THE PREVENT SUICIDE PORTAGE COUNTY COALITION. (THE STAFF ARE AT THE OTHER ASPIRUS HOSPITAL IN THE COUNTY ASPIRUS STEVENS POINT HOSPITAL BUT THE BENEFIT OF THEIR WORK IMPACTS THE ENTIRE COUNTY.) THE COALITION HAS OVER 50 MEMBERS. THE MISSION OF THE COALITION IS TO 'PREVENT SUICIDE IN PORTAGE COUNTY BY PROVIDING HOPE, CREATING AWARENESS AND FACILITATING CHANGE IN THE COMMUNITY TO SUPPORT MENTAL HEALTH.' ITS VISION IS A SUICIDE-FREE PORTAGE COUNTY. COALITION MEMBERS INCLUDE ORGANIZATIONS FROM SCHOOLS, CHURCHES, HEALTH CARE, GOVERNMENT, NON-PROFITS, LAW ENFORCEMENT AND MORE. SOME OF THE ACTIVITIES/STRATEGIES OF THE COALITION IN 2023 AND 2024 INCLUDED: - WALK FOR HOPE. THIS IS AN ANNUAL WALK TO RAISE FUNDS AND AWARENESS FOR SUICIDE PREVENTION.- AWARENESS. THE COALITION PROMOTES MAY MENTAL HEALTH MONTH AND SEPTEMBER SUICIDE AWARENESS MONTH. THE COALITION ALSO HAD A PRESENCE AT MULTIPLE COMMUNITY EVENTS, INCLUDING MULTIPLE EVENTS AT THE UNIVERSITY (AUTHENTIC IDENTITIES, PRIDE, RUGBY GAME AND A WOMEN'S HOCKEY GAME).- SUICIDE DEATH REVIEW. A MEMBER OF THE COALITION PARTICIPATES ON A DEATH REVIEW TEAM THAT CONSIDERS THE CONTRIBUTING FACTORS TO A SUICIDE. THIS IS A WAY TO UNDERSTAND WHAT CAN BE DONE TO PREVENT FUTURE SUICIDES. - RESOURCES. THE COALITION'S WEBSITE INCLUDES DIRECT LINKS TO COMMUNITY MENTAL HEALTH RESOURCES. A REGULAR NEWSLETTER IS ALSO SHARED WITH PAST SPONSORS OF WALK FOR HOPE AND ALL ACTIVE MEMBERS OF THE COALITION. - TRAININGS/INFORMATION SESSIONS. THE COALITION FACILITATES SUICIDE PREVENTION TRAININGS, REACHING OVER 100 COMMUNITY MEMBERS IN 2025.- DATA. THE COALITION WORKS WITH LOCAL HEALTH CARE SYSTEMS TO TRACK AGGREGATED DATA AROUND YOUTH PRESENTING TO EMERGENCY DEPARTMENTS WITH A RISK FOR SUICIDE. THE DATA COLLECTED WITH THE SPREADSHEETS HAS BEEN USED TO CREATE MATERIALS/RESOURCES THAT THE EMERGENCY DEPARTMENTS CAN GIVE TO YOUTH AND FAMILY MEMBERS. THOSE DATA HAVE ALSO BEEN USED FOR GRANT WRITING. ADDITIONALLY, THE COALITION TRACKS AGGREGATED DATA RELATED TO ADULT COMPLETED SUICIDES IN ORDER TO IDENTIFY OPPORTUNITIES FOR PREVENTION. - AWARENESS AND VISIBILITY. THE COALITION WAS PRESENT AT MULTIPLE COMMUNITY EVENTS, INCLUDING AT THE UNIVERSITY, THE HIGH SCHOOL, PARADES, PARKS, COMMUNITY CENTERS AND MORE. INDIVIDUALS REACHED AT THESE EVENTS INCLUDE HIGH SCHOOL AND COLLEGE STUDENTS, INDIVIDUALS WHO ARE LGBTQ+, RURAL COMMUNITY MEMBERS, FAMILIES WITH LOW INCOME, VETERANS AND MORE. ADDITIONAL AWARENESS-BUILDING EFFORTS INCLUDED: SUICIDE PREVENTION COASTERS FOR LOCAL BARS; K-12 POSTER CONTEST; FLYERS AT A BREWERY HONOR FLIGHT EVENT.- SUPPORT GROUPS. THE COALITION ESTABLISHED A FREE VETERANS SUPPORT GROUP IN 2025, AND CONTINUED TO PROVIDE A FREE MONTHLY SURVIVORS OF SUICIDE SUPPORT GROUP AND A MONTHLY MENTAL HEALTH WELLNESS SUPPORT GROUP. ASPIRUS HEALTH OFFERS THE RAISE YOUR VOICE PROGRAM IN MULTIPLE COMMUNITIES, INCLUDING IN STEVENS POINT/PLOVER. RAISE YOUR VOICE IS A STUDENT CLUB THAT INCREASES THE AWARENESS OF MENTAL HEALTH. THE PROGRAM IS CO-SPONSORED BY THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI). WITH ASPIRUS FUNDING OVER THE LAST FEW YEARS, 18 CLUBS WERE ACTIVE IN THE REGION DURING THE 2024-25 SCHOOL YEAR. IN FY25, TWO MIDDLE SCHOOLS AND A HIGH SCHOOL IN THE COUNTY WERE SUPPORTED BY ASPIRUS FUNDING.SUBSTANCE USEASPIRUS STAFF PARTICIPATE ON THE COUNTY AODA COALITION. ASPIRUS CONTRACTS WITH THREE BRIDGES RECOVERY TO PROVIDE PEER SUPPORT SPECIALIST SERVICES, WHICH INCLUDES RECOVERY COACHING FOR PATIENTS IN NEED OF SUBSTANCE USE SUPPORT. THESE SERVICES INCREASE BOTH AVAILABILITY AND ACCESSIBILITY TO VARIOUS PATHWAYS OF SUBSTANCE USE RECOVERY THROUGH COACHING, MENTORING, ACCOUNTABILITY, AND PEER BEHAVIOR MODELING AT NO COST TO THOSE THEY SERVE. COACHES ARE AVAILABLE 24/7 TO RESPOND TO CALLS AND ARE ADVOCATES FOR VULNERABLE INDIVIDUALS TO HELP THEM RECEIVE THE TREATMENT THEY WANT AND NEED. FOR JULY 1, 2024 THROUGH JUNE 30, 2025, WITH ASPIRUS FUNDS, THREE BRIDGES RECOVERY SERVED 243 PEOPLE. OF THOSE, 100 WERE REFERRED FROM ASPIRUS HOSPITALS. THOSE HOSPITALS INCLUDED: DIVINE SAVIOR; LANGLADE; MERRILL; STEVENS POINT; WISCONSIN RAPIDS AND WAUSAU. OTHER ASPIRUS OFFERS A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM FOR ELIGIBLE PATIENTS. 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. ASPIRUS (AT THE SYSTEM LEVEL) INITIATED 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. ************ASPIRUS PLOVER HOSPITAL******FOR THE CHNA AND IS THAT ARE EFFECTIVE JULY 1, 2023 (FOR FY24 AND SUBSEQUENT YEARS, ASPIRUS PLOVER'S TOP PRIORITIES ARE: MENTAL HEALTH; SUBSTANCE USE. THE TOP THREE ISSUES IDENTIFIED IN THE LARGE GROUP COMMUNITY STAKEHOLDER MEETING WERE: BEHAVIORAL HEALTH (INCLUSIVE OF MENTAL HEALTH AND SUBSTANCE USE); EARLY CHILDHOOD EDUCATION; SHELTER AND HOUSING. THE ASPIRUS COMMUNITY HEALTH TEAM STRONGLY RECOMMENDED TO THE HOSPITAL LEADERSHIP TEAM THAT MENTAL HEALTH AND SUBSTANCE USE BE PRIORITIZED. THE COMMUNITY HEALTH TEAM SUGGESTED THE HOSPITAL LEADERSHIP TEAM DISCUSS EARLY CHILDHOOD EDUCATION AND PREVENTIVE CARE (THE FOURTH-HIGHEST AREA IDENTIFIED IN THE LARGE GROUP COMMUNITY STAKEHOLDER MEETING). THE HOSPITAL LEADERSHIP DISCUSSED EARLY CHILDHOOD EDUCATION AND PREVENTIVE CARE, AND CHOSE TO IDENTIFY 'CHILDHOOD WELLNESS' AS A TOP ISSUE FOR THE MAIN ASPIRUS HOSPITAL IN THE COUNTY WHICH HAS A BIRTH CENTER AND OTHER CORRESPONDING SERVICE LINE STRENGTHS; THE PLOVER HOSPITAL DOES NOT HAVE A BIRTH CENTER. SHELTER AND HOUSING WAS NOT SELECTED BECAUSE THE HOSPITAL DOES NOT HAVE THAT EXPERTISE. 2 1 - PINE RIDGE SURGERY CENTER 2500 PINE RIDGE BLVD WAUSAU WI 54401 GENERAL MEDICAL & SURGICAL 2 - MERRILL CLINIC 3333 EAST MAIN STREET MERRILL WI 54452 PRIMARY CARE 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 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, LINE 7G: THE COSTS OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE EMERGENCY AND TRAUMA UNIT, OUTPATIENT PALLIATIVE (COMFORT CARE) UNIT, RENAL DIALYSIS UNIT, REHAB UNIT, WOUND CLINIC UNIT, AND HOSPICE CARE UNIT. ASPIRUS WAUSAU HOSPITAL UTILIZED AN INTERNAL DEPARTMENTAL FINANCIAL STATEMENT TO REPORT THE COST AND DIRECT OFFSETTING REVENUE THAT CALCULATES THE COMMUNITY BENEFIT EXPENSE. THE EMERGENCY AND TRAUMA UNIT REPORTED COSTS OF 43,012,345 WITH OFFSETTING REVENUE OF 33,008,320. THE OUTPATIENT PALLIATIVE CARE UNIT REPORTED COSTS OF 2,292,623 WITH OFFSETTING REVENUE OF 2,084,331. THE RENAL DIALYSIS UNIT REPORTED COSTS OF 4,845,876 WITH OFFSETTING REVENUE OF 3,887,933. THE REHAB UNIT REPORTED COSTS OF 2,319,137 WITH OFFSETTING REVENUE OF 2,005,780. THE WOUND CLINIC UNIT REPORTED COSTS OF 3,083,292 WITH OFFSETTING REVENUE OF 2,663,078. THE HOSPICE CARE UNIT REPORTED COSTS OF 1,264,863 WITH OFFSETTING REVENUE OF 240,870. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24E, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $15,234,321. 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 CAREERS 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.ONE OF THE PRIMARY FACTORS IMPACTING A PERSON'S HEALTH IS THEIR INCOME. IN GENERAL, INDIVIDUALS WITH LOW INCOME HAVE SHORTER LIFESPANS AND LOWER QUALITY OF LIFE (FROM A PHYSICAL HEALTH PERSPECTIVE). ASPIRUS' INVOLVEMENT IN WORKFORCE AND/OR ECONOMIC DEVELOPMENT BOARDS HELPS THE COMMUNITY GAIN STRENGTH IN TERMS OF A DIVERSE ECONOMY, WELL-PAYING JOBS (TO SUPPORT A HIGHER INCOME) AND THE INFRASTRUCTURE (E.G., CHILD CARE) NEEDED FOR A ROBUST ECONOMY. 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), BOTH ASPIRUS WAUSAU HOSPITAL AND ASPIRUS PLOVER HOSPITAL:- SYSTEMATICALLY REVIEWS PATIENT EXPERIENCE DATA TO UNDERSTAND OPPORTUNITIES TO ADDRESS PATIENT CONCERNS. - MAINTAINS AN INVOLVED REGIONAL BOARD OF DIRECTORS, WHICH MEETS NEARLY MONTHLY. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS (E.G., MEDICINE, INDUSTRY AND LEGAL). - SUPPORTS ITS STAFF IN PARTICIPATING ON COMMUNITY BOARDS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES.- REVIEWS FUNDING REQUESTS (TO THE HOSPITAL AND/OR HOSPITAL FOUNDATION) 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.- ACCESSED REPORTS AND DATA PROVIDED BY THIRD PARTY ENTITIES. - CONDUCTS ONGOING MARKET ANALYSIS TO ASSESS LOCAL DEMAND FOR DIFFERENT SERVICE LINES. 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 WAUSAU HOSPITAL:ASPIRUS WAUSAU HOSPITAL IS THE FLAGSHIP OF THE ASPIRUS SYSTEM THAT SERVES PATIENTS IN 14 COUNTIES ACROSS NORTHERN AND CENTRAL WISCONSIN, AS WELL AS THE UPPER PENINSULA OF MICHIGAN. FOR PURPOSES OF THE CHNA, THE HOSPITAL'S SERVICE AREA INCLUDES MARATHON COUNTY AS WELL AS PORTIONS OF SURROUNDING COUNTIES. A RANGE OF HEALTH ISSUES WERE EXAMINED FOR THE IDENTIFIED AREA AS WELL AS SOCIAL DETERMINANTS KNOWN TO IMPACT THE HEALTH OF A POPULATION SUCH AS SOCIOECONOMIC, ENVIRONMENTAL, AND CULTURAL CONDITIONS. ACCORDING TO THE U.S. CENSUS BUREAU, MARATHON COUNTY HAD A POPULATION OF 137,201. ASIDE FROM WAUSAU, THE COUNTY SEAT CLASSIFIED BY THE U.S. CENSUS BUREAU AS A "METROPOLITAN STATISTICAL AREA," MARATHON COUNTY IS LARGELY RURAL. WITH A TOTAL AREA OF 1,576 SQUARE MILES, IT IS THE LARGEST COUNTY IN WISCONSIN BY LAND AREA. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS PER SQUARE MILE: 89.3PERSONS UNDER 5 YEARS OLD: 5.6%PERSONS UNDER 18 YEARS OLD: 22.7%PERSONS 65 YEARS AND OVER: 18.6%WHITE PERSONS: 89.6%ASIAN PERSONS: 6.15%HISPANIC OR LATINO: 3.3%PERSONS PER HOUSEHOLD: 2.42PERSONS BELOW POVERTY LEVEL: 6.7%MEDIAN HOUSEHOLD INCOME: $71,307PERCENT WITHOUT HEALTHCARE COVERAGE: 5.7%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 35.8%NUMBER OF HOSPITALS IN THE COUNTY: 2 (INCLUDING ASPIRUS WAUSAU HOSPITAL)MARATHON COUNTY HAS THE FOLLOWING DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS: MENTAL HEALTH; PRIMARY CARE (POPULATION-BASED). - - - - - - - - - - - - - - - - PLOVER LOCATION:THE PRIMARY SERVICE AREA OF THE HOSPITAL IS PORTAGE COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES. PORTAGE COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 800 SQUARE MILES, WITH 87.9 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 70,468 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER 18 YEARS: 19.0%PERSONS 65 YEARS AND OVER: 18.0%WHITE PERSONS: 93.5%AFRICAN AMERICAN PERSONS: 1.0%AMERICAN INDIAN PERSONS: 0.5%ASIAN PERSONS: 3.3%PERSONS OF TWO OR MORE RACES: 1.6%HISPANIC OR LATINO: 3.8%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 5.0%HIGH SCHOOL GRADUATE OR HIGHER: 94.8%PERSONS BELOW POVERTY LEVEL: 10.4%MEDIAN HOUSEHOLD INCOME: $65,550PERCENT WITHOUT HEALTHCARE COVERAGE: 5.1%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS' BENEFITS, ETC.): 35.8%NUMBER OF HOSPITALS IN THE COUNTY: 3 (INCLUDING ASPIRUS STEVENS POINT HOSPITAL AND ASPIRUS PLOVER HOSPITAL) TWO POST-SECONDARY INSTITUTIONS ARE LOCATED IN PORTAGE COUNTY. THE TECHNICAL COLLEGE AND A 4-YEAR UNIVERSITY BRING AN INFLUX OF THOUSANDS OF NON-RESIDENT STUDENTS INTO THE AREA ANNUALLY. THIS CAN IMPACT THE HEALTH CARE SYSTEM. PORTAGE COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR PRIMARY CARE. 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 BOARD OF DIRECTORS THAT REFLECTS THE COMMUNITY. - 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 TRANSPORTATION ASSISTANCE FOR PATIENTS AS APPROPRIATE. - PROVIDES PRECEPTORS FOR HEALTH PROFESSIONS STUDENTS-IN-TRAINING, WHICH ADVANCES THE HEALTH CARE WORKFORCE.THE PLOVER LOCATION PROMOTES THE HEALTH OF COMMUNITY IN THE SAME WAYS AS ASPIRUS WAUSAU HOSPITAL. AS THE FLAGSHIP TERTIARY CENTER FOR ASPIRUS, WAUSAU HOSPITAL PROVIDES: - LOW-COST TEMPORARY LODGING SO THAT PATIENTS AND/OR THEIR FAMILY NEEDING EXTENDED SPECIALTY CARE HAVE ACCOMMODATIONS. - AN ON-SITE (SEASONAL) FARMERS MARKET AVAILABLE TO EMPLOYEES AND THE COMMUNITY. THIS INCREASES ACCESS TO FRESH FRUIT AND VEGETABLES.- 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, AS A LEVEL 2 TRAUMA CENTER, WAUSAU HOSPITAL PROVIDES LOCAL AND CROSS-SYSTEM ACCESS TO INJURY PREVENTION EXPERTISE AND RESOURCES. A SYSTEM-LEVEL MARKETING/COMMUNICATIONS TEAM 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. ASPIRUS HEALTH ALSO PROVIDES CONTRACTED EMPLOYEE HEALTH/WELLNESS SERVICES FOR BUSINESSES (INCLUDING ON-SITE CLINICS FOR EMPLOYERS). THIS INCREASES EMPLOYEES' ACCESS TO CARE, PARTICULARLY PREVENTION SERVICES AND PROGRAMS. THE PLOVER LOCATION HAS ACCESS TO THE SAME RESOURCES AS MENTIONED ABOVE. 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 18 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. 1 PERFORMING ARTS FOUNDATION 401 N 4TH STREET WAUSAU WI 54403 237240695 501(C)(3) 270000 0 SPONSORSHIP DC EVEREST AREA EDUCATION FOUNDATION PO BOX 114 SCHOFIELD WI 54476 391736592 501(C)(3) 250000 0 SPONSORSHIP COMMUNITY FOUNDATION OF NORTH CENTRAL WISCONSIN 200 WASHINGTON STREET STE 120 WAUSAU WI 54403 391577472 501(C)(3) 50000 0 SPONSORSHIP UNITED WAY OF MARATHON COUNTY 705 S 24TH AVENUE STE 400B WAUSAU WI 54401 390935496 501(C)(3) 38500 0 SPONSORSHIP WAUSAU AREA MOBILE MEALS 609 SCOTT STREET STE G WAUSAU WI 54403 391238060 501(C)(3) 11000 0 SPONSORSHIP MOSAIC OF NORTH CENTRAL WISCONSIN 9036 N 3RD STREET WAUSAU WI 54403 390816866 501(C)(3) 10250 0 SPONSORSHIP WAUSAU EVENTS INC 316 SCOTT STREET WAUSAU WI 54403 391612386 501(C)(3) 10000 0 SPONSORSHIP NATIONAL ASSOCIATION OF SOCIAL WORKERS 750 FIRST STREET NE STE 800 WASHINGTON DC 20002 135643515 501(C)(3) 8000 0 SPONSORSHIP 8 0 PART I, LINE 2: 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 THROUGHOUT THE YEAR WE MAINTAIN RECORDS TO TRACK WHO GETS THE FUNDS, AMOUNTS DISPERSED, AND WHY. X X X X X 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 CHRISTOPHER PLATTA REGIONAL MEDICAL DIRECTOR 2377174 0 0 0 5371 0 10350 0 41158 0 2434053 0 0 0 ANDREW HUANG PHYSICIAN 2372544 0 5000 0 5483 0 10350 0 37958 0 2431335 0 0 0 AGNIESZKA THOMPSON PHYSICIAN 1469169 0 0 0 5486 0 10350 0 39958 0 1524963 0 0 0 SIDNEY SCZYGELSKI SENIOR VP OF FIN./CFO (FORMER) 0 418918 0 474490 0 576633 0 9284 0 28706 0 1508031 0 481861 BRET STYSLY PHYSICIAN 1324808 0 0 0 5540 0 10350 0 39255 0 1379953 0 0 0 JUSTIN ASQUITH PHYSICIAN 1027133 0 0 0 45519 0 10350 0 2092 0 1085094 0 0 0 MICHAEL HOLZHUETER SVP-CHIEF HR OFFICER 0 632337 0 239983 0 7505 0 10350 0 125990 0 1016165 0 0 JEFFREY WICKLANDER (NV) PRESIDENT-ASPIRUS CENT. REG. 601670 0 214609 0 81750 0 10350 0 106338 0 1014717 0 79128 0 JAMES M CYGAN MD BOARD MEMBER (THRU 09/24)/PHYSICIAN 929507 0 0 0 7322 0 10350 0 37314 0 984493 0 0 0 CONSTANCE BRADLEY SVP-PRES. REG. MARKETS 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 ELIZABETH RENAKER-JANSEN DO BOARD MEMBER/PHYSICIAN 0 776703 0 0 0 15022 0 10350 0 33297 0 835372 0 0 JENNIFER REDMAN-SCHELL (NV) 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 RYAN ANDREWS VP-SYSTEM SR. PHYSICIAN EXEC. 485773 0 119991 0 11777 0 10350 0 42083 0 669974 0 0 0 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 0 454003 0 109647 0 2193 0 2636 0 96945 0 665424 0 0 LAWRENCE LEIBERT MD BOARD MEMBER (THRU 09/24)/PHYSICIAN 0 522654 0 0 0 8564 0 7555 0 30694 0 569467 0 0 ERIKA CROCKFORD DO BOARD MEMBER/PHYSICIAN 0 436575 0 0 0 5432 0 7675 0 3100 0 452782 0 0 JENNIFER ENMAN-BOURGON DO BOARD MEMBER/PHYSICIAN 0 394480 0 17582 0 20538 0 10350 0 1950 0 444900 0 0 CRAIG DESTREE MD BOARD MEMBER/PHYSICIAN 0 402105 0 0 0 5533 0 10350 0 26170 0 444158 0 0 TOU SHOUA LOR MD BOARD MEMBER/PHYSICIAN 0 364291 0 0 0 5537 0 7465 0 38711 0 416004 0 0 MICHAEL UMLAND MD BOARD MEMBER/PHYSICIAN 0 320371 0 0 0 6813 0 6724 0 41454 0 375362 0 0 MARY JO WENDLING MD BOARD MEMBER (FORMER)/PHYSICIAN 0 280057 0 0 0 6242 0 5758 0 2092 0 294149 0 0 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 J. WICKLANDER $79,128 M. WALTERS $56,910 C. BRADLEY $52,586 457(F) RETIREMENT PLAN PROFILE: 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 WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITIES 391337855 97710BLW0 2009-10-07 27200000 REFUND BONDS ISSUED 3/18/2009 0 0 0 B WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITIES 391337855 97710B7X4 2013-04-12 47001087 REVENUE BONDS SERIES 2013 0 0 0 C WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITIES 391337855 97712DC53 2017-11-02 39002258 REVENUE BONDS SERIES 2017 0 0 0 D WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITIES 391337855 97712JDN0 2021-11-10 51921259 REVENUE BONDS SERIES 2021 0 0 0 A 3675000 27200000 102000 1327347 26372644 2006 1 0 1 1 B 4915000 47001087 24037511 2014 1 0 1 1 C 3480000 39158357 39158357 2019 0 0 1 1 D 51921259 369882 51551377 2024 0 0 1 1 A 0 0 1 0 0 0 0 1 B 0 0 1 0 1 0 0.00550 0.00550 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART III, LINE 9: SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. PART III, LINES 2, 3A AND 3B: ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS WAUSAU HOSPITAL, INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW LEASE AGREEMENTS, 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. PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2004 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241) AND ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (EIN 39-0964813). THE ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. PORTION OF THESE BONDS WERE REFINANCED INTO THE 2009 BONDS AND LATER REFINANCED INTO THE 2013 BONDS. INFORMATION REGARDING THE SERIES 2004 BONDS IS REPORTED IN THE 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 2004 BONDS LOANED TO THE ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2004 BONDS. 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. 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 VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2021 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL & CLINICS, INC. (EIN 39-1138241); ASPIRUS BUILDINGS, INC. (EIN 39-1406537); ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. (EIN 39-0808443); ASPIRUS STANLEY HOSPITAL & CLINICS, INC. (EIN 39-0807065); ASPIRUS MERRILL HOSPITAL & CLINICS, INC. (EIN 39-0808503); ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS, INC. (EIN 39-1390638); ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC. (EIN 39-0985690); AND THE HOWARD YOUNG MEDICAL CENTER, INC. (EIN 39-0873606). INFORMATION REGARDING THE SERIES 2021 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2021 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2021 BONDS. 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 THE BOARD OF DIRECTORS IS COMPRISED OF TEN DIRECTORS. THERE SHALL BE TWO CLASSES OF VOTING DIRECTORS: THE COMMUNITY CLASS AND THE PROVIDER CLASS. NO LESS THAN FOUR INDEPENDENT COMMUNITY CLASS DIRECTORS, SIX PROVIDER CLASS DIRECTOR FROM EACH HOSPITAL, CONSISTING OF PHYSICIANS IN THE ACTIVE CATEGORY OF THE MEDICAL STAFF AT THE HOSPITAL, 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 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. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING DEPARTMENT ACCUMULATES ALL FORM 990 AND FORM 990-T INFORMATION, INCLUDING THE UBIT CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE FORM 990 AND FORM 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE 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 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. FORM 990, PART VI, SECTION B, LINE 15 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS WAUSAU HOSPITAL, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE 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 MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 4,873,113. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,873,113. LAB FEES: PROGRAM SERVICE EXPENSES 9,547,968. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,547,968. CONTRACTED NURSING AND CARE LABOR: PROGRAM SERVICE EXPENSES 81,707,439. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,707,439. OTHER SERVICES: PROGRAM SERVICE EXPENSES 7,519,331. MANAGEMENT AND GENERAL EXPENSES 12,194,090. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,713,421. PHARMACY FEES: PROGRAM SERVICE EXPENSES 137,163. MANAGEMENT AND GENERAL EXPENSES 102,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 240,090. FOOD SERVICE FEES: PROGRAM SERVICE EXPENSES 323,813. MANAGEMENT AND GENERAL EXPENSES 242,987. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 566,800. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 2,037,871. MANAGEMENT AND GENERAL EXPENSES 1,529,205. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,567,076. INTERPRETER FEES: PROGRAM SERVICE EXPENSES 155,564. MANAGEMENT AND GENERAL EXPENSES 116,734. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 272,298. CONSULTING FEES: PROGRAM SERVICE EXPENSES 4,473. MANAGEMENT AND GENERAL EXPENSES 3,357. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,830. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -63,352,294. POSTRETIREMENT BENEFIT ADJUSTMENT -578,007. INTEREST RATE SWAP VALUATION ADJUSTMENT -20,245. INTEREST RATE SWAP VALUATION ADJUSTMENT -152,774. UNCONSOLIDATED AFFILIATE ADJUSTMENT -348. SUBSIDIARY (WCC) VALUATION ADJUSTMENT 1,125,000. 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