2026-05-13T08:40:28-05:00 2025-06-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-07-01 390806429 LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN LANG 7156232331 112 EAST FIFTH AVENUE ANTIGO WI 54409 SHERRY BUNTEN PRESIDENT 7156232331 2026-05-12 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2026-04-21 2024 2025-03-06 01:10:19Z ASPIRUS LANGLADE HOSPITAL SHERRY BUNTEN 112 EAST FIFTH AVENUE ANTIGO WI 54409 138897438 0 X WWW.ASPIRUS.ORG X 1933 WI THE COMMUNITY BENEFIT CONTRIBUTION OF ASPIRUS LANGLADE HOSPITAL INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES. 12 8 493 30 294415 0 490756 321695 120184648 127585414 8009188 10783589 -48972 -7266 128635620 138683432 274069 107928 0 0 42807736 44718543 0 0 0 59444781 61548386 102526586 106374857 26109034 32308575 348765519 399983592 26690266 30456691 322075253 369526901 AS A MINISTRY OF JESUS WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 75943587 107928 126674856 ACUTE GENERAL CARE HOSPITAL WITH BOTH INPATIENT AND OUTPATIENT RELATED SERVICES ALONG WITH A HOSPICE PROGRAM. INPATIENTS - 1,181 ADMISSIONS WITH 4,971 PATIENT DAYS AND 160 BIRTHS; OUTPATIENTS - 11,815 EMERGENCY VISITS, 13,318 WALK IN VISITS, 34,476 IMAGING PROCEDURES, 253,929 LAB TESTS, 42,189 THERAPY TREATMENTS, AND 9,751 SPECIALTY CLINIC VISITS; SURGICAL SERVICES - 2,482 TOTAL PATIENTS TREATED; HOSPICE - 8,713 VISITS. 75943587 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 493 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X SHERRY BUNTEN 7156239215 112 EAST FIFTH AVENUE ANTIGO WI 54409 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 1.00 50.00 X X 0 745188 115516 CONSTANCE BRADLEY SVP-PRES. REG. MKTS. 1.00 50.00 X X 0 786524 125769 ROSHINI SAMUEL MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 273634 20637 LAKSHMI DEEP MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 561275 0 15196 LYNNE HENRICKS CHAIR 1.00 X X 0 0 0 MIKE WINTER CHAIRMAN (THRU 09/24) 1.00 X X 0 0 0 DILLON GRETZINGER BOARD MEMBER 1.00 X 0 0 0 BRADY KOSS BOARD MEMBER 1.00 X 0 0 0 SHANE KRUEGER BOARD MEMBER 1.00 X 0 0 0 RANDY MYERS MD BOARD MEMBER 1.00 X 0 0 0 MARY PRUNTY BOARD MEMBER 1.00 X 0 0 0 JULIE SPRAGUE EDD BOARD MEMBER 1.00 X 0 0 0 MARK WESTEN BOARD MEMBER 1.00 X 0 0 0 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 677240 138394 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 3868734 361440 SHERRY BUNTEN PRES.- ASPIRUS NE DIV. 40.00 X 372281 0 43059 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 2.00 50.00 X 0 763486 117666 MICHAEL HOLZHUETER SVP-SVP-CHIEF HR OFFICER 2.00 50.00 X 0 879825 136340 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 JENNIFER REDMAN-SCHELL SVP & PRESIDENT-AMG 2.00 50.00 X 0 727379 105151 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 TOM CHEN RADIOLOGIST 40.00 X 959966 0 29876 MICHAEL OLSON RADIOLOGIST 40.00 X 1024915 0 51805 CODY NIKOLAI REG. MEDICAL DIRECTOR - TRAUMA 40.00 X 756515 0 51805 KRIS FERGUSON PHYSICIAN 40.00 X 824758 0 47890 GREGORY DODGE PHYSICIAN 40.00 X 620688 0 51655 NOEL DEEP BOARD MEMBER (FORMER)/PHYSICIAN 2.00 40.00 X 0 594837 51483 JESSE TISCHER V.C./SVP & PRES.-AWH (FORMER) 1.00 50.00 X 0 732979 5855 SIDNEY SCZYGELSKI SVP OF FINANCE/CFO (FORMER) 2.00 50.00 X 0 1470041 37990 5120398 13770817 1869632 64 1 1 0 TOTAL MSP LLC (STAFFENCY) 221 W COLLEGE AVENUE FLOOR 2 APPLETON WI 54911 CONTRACTED LABOR SERVICES 1506500 PROGRESSIVE ANESTHESIA SOLUTIONS N 2485 MAPLE ROAD ANTIGO WI 54409 CONTRACTED SERVICES 1391222 LOCUMSMART LLC PO BOX 730 MIDVALE UT 84047 CONTRACTED LABOR SERVICES 1257784 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 CONTRACTED SERVICES 798518 DANIEL E SALINSKY MD PLLC 7050 RENAISSANCE BLVD MCKINNEY TX 75070 CONTRACTED LABOR SERVICES 497331 23 320510 1185 321695 HOSPITAL SERVICES 621990 119001987 119001987 340 B PROGRAM 456110 4500539 4500539 INDEPENDENT AND ASSISTED LIVING 623000 2590895 2590895 LAB REVENUE 621500 8461 8461 1483532 581435 285954 616143 127585414 10773589 10773589 206740 214006 -7266 -7266 -7266 10000 0 10000 10000 10000 138683432 126674856 294415 11392466 X 107928 107928 1030802 1030802 35723694 31634977 4088717 990387 803537 186850 4810983 3833774 977209 2162677 1719443 443234 4870 4870 18049 18049 75821 75821 11229453 10661632 567821 15809 1672 14137 90575 50630 39945 2478483 12483 2466000 905794 94406 811388 118038 106836 11202 843427 1355 842072 4279557 3168639 1110918 203121 36237 166884 MEDICAL SUPPLIES 19242640 18245932 996708 CORPORATE ALLOCATIONS 15789823 537110 15252713 BAD DEBT EXPENSE 3280429 3279313 1116 REPAIRS & MAINTENANCE 2082375 1522397 559978 890122 49465 840657 106374857 75943587 30431270 0 116540428 159295595 13641970 14857813 1826652 1656890 166453 165374 106303258 68236557 40679042 38066701 156284497 176972740 884071 692595 18742406 8275884 348765519 399983592 3869467 2958777 21306994 20621279 1513805 6876635 26690266 30456691 X 321690910 369219628 384343 307273 322075253 369526901 348765519 399983592 X 32308575 15350324 -207251 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 18049 18049 0 PART II-B, LINE 1: ASPIRUS LANGLADE HOSPITAL PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE WHA HAS NOTIFIED ASPIRUS LANGLADE HOSPITAL THAT APPROXIMATELY $4,318 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTH CARE ENVIRONMENT. ASPIRUS LANGLADE HOSPITAL IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, ASPIRUS LANGLADE HOSPITAL PAYS MEMBERSHIP FEES TO THE RWHC. THE RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO PROVIDES ANALYSIS ON CURRENT HEALTH CARE ISSUES IN AN EFFORT TO PROMOTE AND IMPROVE HEALTH CARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. THE RWHC DETERMINED THAT APPROXIMATELY $583 OF THE FEES PAID BY ASPIRUS LANGLADE HOSPITAL IN FY2025 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTH CARE ENVIRONMENT IN THE STATE OF WISCONSIN. ALSO, DUES PAID TOWARDS LOBBYING ASSOCIATED WITH THE AMERICAN HOSPITAL ASSOCIATION (AHA) BY ASPIRUS LANGLADE HOSPITAL WAS DETERMINED TO BE $13,148 FOR FY2025. 1374124 1374124 73000666 42008571 30992095 624378 624378 0 31302902 25603608 5699294 1188 1188 38066701 DEFERRED COMPENSATION 903108 RELATED PARTY PAYABLES 5741180 MINIMUM INSURANCE LIABILITY 32000 ASBESTOS LIABILITY 16854 DEFERRED POSTRETIREMENT BENEFITS 51812 FINANCE LEASE LIABILITIES 131681 6876635 150619689 15350324 -3471906 11878418 138741271 75821 -133660 -57839 138683432 103232613 214006 214006 103018607 75821 3280429 3356250 106374857 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -3,280,429. CHANGE IN INTEREST OF CONSOLIDATED AFFILIATE - WESTWOOD CONFERENCE CENTER -191,477. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION OF PROPERTY, PLANT, & EQUIPMENT 80,346. RENTAL EXPENSES -214,006. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 214,006. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 3,280,429. 1 1 X 1 X 1 X 1 1 0 1 1 601953 601953 0.00580 11382032 9432684 1949348 0.01890 11983985 9432684 2551301 0.02470 136153 552 135601 0.00130 60307 60307 0.00060 153223 153223 0.00150 349683 552 349131 0.00340 12333668 9433236 2900432 0.02810 1 2877 2877 0.00000 1 1282 1282 0.00000 1 30 2261 2261 0.00000 3 30 6420 6420 0.00000 1 970798 0 24837590 25141955 -304365 X 1 1 1 1 ASPIRUS LANGLADE HOSPITAL 112 E 5TH AVENUE ANTIGO WI 54409 WWW.ASPIRUS.ORG 1055 X X X ASPIRUS LANGLADE HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 0 1 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 LANGLADE HOSPITAL PART V, SECTION B, LINE 5: FOR THE 2024-25 CHNA, LANGLADE COUNTY COMMUNITY MEMBERS PROVIDED THEIR VOICE THROUGH KEY INFORMANT INTERVIEWS (DATA GATHERING) AND AT A LOCAL COMMUNITY COALITION MEETING (PRIORITIZATION). A CONCERTED EFFORT WAS MADE TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS 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 INFORMANT INTERVIEWS WERE CONDUCTED BY ASPIRUS STAFF. ASPIRUS STAFF REACHED OUT TO 15 LEADERS IN THE COMMUNITY AND INTERVIEWED 11. KEY INFORMANT REPRESENTED MULTIPLE SECTORS, INCLUDING: AGING; YOUTH; BASIC NEEDS; LAW ENFORCEMENT; EMERGENCY RESPONSE; GOVERNMENTAL PUBLIC HEALTH; INDIVIDUALS WHO ARE HISPANIC.IN JANUARY 2025, OVER 30 COMMUNITY STAKEHOLDERS WERE INVITED TO A PRIORITIZATION MEETING. INVITATIONS WERE EXTENDED TO REPRESENTATIVES FROM MULTIPLE SECTORS, INCLUDING GOVERNMENTAL PUBLIC HEALTH, LAW ENFORCEMENT, HEALTHCARE, K-12 EDUCATION, ECONOMIC DEVELOPMENT, THE FAITH COMMUNITY, THE RECOVERY COMMUNITY, LONG TERM CARE, EARLY CHILDHOOD AND MORE. ASPIRUS LANGLADE HOSPITAL PART V, SECTION B, LINE 6B: ASPIRUS LANGLADE HOSPITAL COLLABORATED WITH THE LANGLADE COUNTY HEALTH DEPARTMENT. ASPIRUS LANGLADE HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS LANGLADE HOSPITAL. ASPIRUS LANGLADE HOSPITAL PART V, SECTION B, LINE 11: IN FY25, ASPIRUS STRENGTHENED ITS COMMUNITY HEALTH EFFORTS BY IMPLEMENTING 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. ASPIRUS LANGLADE HOSPITAL'S SIGNIFICANT NEEDS ARE: MENTAL WELL-BEING; ALCOHOL AND DRUG USE; HEALTHY LIVING AND ACTIVE LIFESTYLES. THE HOSPITAL ADDRESSED THOSE NEEDS IN THE FOLLOWING WAYS: MENTAL WELL-BEING- FINANCIALLY SUPPORTED THE BEGINNING OF A RAISE YOUR VOICE CLUB IN THE LOCAL COMMUNITY THROUGH THE ANTIGO HIGH SCHOOL. - FINANCIALLY SUPPORTED THE CAPACITY OF THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO AID IN SUPPORTING RAISE YOUR VOICE CLUBS IN CENTRAL AND NORTHERN WISCONSIN. - OFFER SPIRITUAL SUPPORT AND GUIDANCE TO STAFF, PATIENTS AND COMMUNITY MEMBERS THROUGH THE CHAPLIN AND SPIRITUAL CARE DEPARTMENT.- OFFER GRIEF SUPPORT GROUP MONTHLY WHICH IS OPEN TO ALL COMMUNITY MEMBERS WHO ARE DEALING WITH OR EXPERIENCED A LOSS.- ASPIRUS HAS A MULTIDISCIPLINARY SUICIDE PREVENTION WORKGROUP WITH GOALS TO STANDARDIZE AND ADVANCE SUICIDE PREVENTION AND REGULATORY REQUIREMENTS ACROSS THE SYSTEM AND ALL LEVELS OF CARE.- PARTICIPATION AND ASPIRUS REPRESENTATION ON THE MENTAL WELL-BEING AND SUICIDE PREVENTION COALITION IN 2024. - ASPIRUS STARTED THE EPIC BEHAVIORAL HEALTH MODULE SYSTEM-WIDE TO ENHANCE PATIENT CARE AND STREAMLINE DOCUMENTATION.ALCOHOL AND DRUG USE- PROVIDED THE OPPORTUNITY FOR RECOVERY COACHING SERVICES FOR INDIVIDUALS PRESENTING IN THE EMERGENCY DEPARTMENT WITH SUBSTANCE USE CHALLENGES THROUGH THE SERVICES OF THREE BRIDGES.- PARTICIPATION AND ASPIRUS REPRESENTATION ON THE ALLIANCE FOR SUBSTANCE USE PREVENTION COALITION. - FINANCIALLY SUPPORTED CURRICULUM AND EDUCATION TO STAFF, STUDENTS AND PARENTS ON THE CHALLENGES OF GROWING UP IN THE DIGITAL AGE IN THE 2025-2026 SCHOOL YEAR.HEALTHY LIVING AND ACTIVE LIFESTYLES- PARTICIPATION IN A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM FOR COMMUNITY MEMBERS IN THE LANGLADE COUNTY AREA. FOR ELIGIBLE PATIENTS, A VOUCHER IS GIVEN 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. - CONTINUED THE WEEKEND BACKPACK PROGRAM WITH FAMILIES AND YOUTH. LARGELY STAFFED WITH EMPLOYEES FROM THE HOSPITAL IN COLLABORATION WITH MANY COMMUNITY PARTNERS, THIS PROGRAM CONTINUES TO ADDRESS CHILDHOOD FOOD INSECURITY WITHIN LANGLADE COUNTY. THE PROGRAM OPERATES OUT OF THE FOOD PANTRY BUILDING OWNED BY THE HOSPITAL. EACH WEEK THROUGHOUT THE SCHOOL YEAR (32 WEEKENDS), APPROXIMATELY 360 CHILDREN ARE SERVED. THE PROGRAM ALSO COLLECTED AND DISTRIBUTED PERSONAL HYGIENE PRODUCTS. - OFFER A DIABETES SUPPORT GROUP FOR INDIVIDUALS, FAMILIES AND SUPPORT INDIVIDUALS AS WELL AS MANY EDUCATION COURSES AND OPPORTUNITIES FOR CONNECTION. I.E. ASPIRUS DIETITIANS PARTICIPATE IN THE MONTHLY FARMERS MARKET TO HELP WITH FRUIT AND VEGETABLE AWARENESS, PREPARATION, COOKING AND MEAL IDEAS.- PARTICIPATION IN THE BUILDING A HEALTHIER LANGLADE COUNTY COMMUNITY COALITION WHICH HAS A FOCUS ON HEALTHY AND ACTIVE LIVING INITIATIVE.OTHER- CONTINUED USE OF THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH MISSION FUND. THE FUND IS DEDICATED TO ASSISTING THE COMMUNITY WITH INITIATIVES THAT FOCUS ON SUPPORTING POOR AND VULNERABLE POPULATIONS AS WELL AS TOP HEALTH NEEDS. FUNDS FROM THIS ACCOUNT WERE COMMITTED TO MULTIPLE ORGANIZATIONS WHOSE FOCUS WAS SERVING THE POOR AND VULNERABLE MEMBERS OF THE COMMUNITY ALONG WITH THOSE WHO IMPACT AND INCREASE THE QUALITY OF LIFE OF INDIVIDUALS IN LANGLADE COUNTY.- PARTICIPATED ON VARIOUS COMMUNITY COALITIONS AND BOARD, INCLUDING THE BUILDING A HEALTHIER LANGLADE COUNTY GROUP, THE COMMUNITY HEALTH FOUNDATION, THE UNITED WAY, AND MORE. *********FOR THE JULY 2022-JUNE 2025 NEEDS ASSESSMENT, THE HOSPITAL AND ITS PARTNERS ADDRESSED THE FOLLOWING SIGNIFICANT NEEDS: MENTAL WELLBEING; ALCOHOL AND DRUG USE; HEALTHY LIVING AND ACTIVE LIFESTYLES. THE NEEDS NOT SELECTED INCLUDED: AFFORDABILITY AND ACCESS TO CARE; DIVERSITY, INCLUSION AND BELONGING; TRANSPORTATION; OBESITY. THESE ISSUES WERE NOT SELECTED FOR A NUMBER OF REASONS. MANY WILL BE INCLUDED AS PART OF A STRATEGY TO ADDRESS THE PRIORITY ISSUES OR ARE OVERLAPPING ASPECTS OF A PRIORITY ISSUE. FOR EXAMPLE, TRANSPORTATION MAY BE PART OF A STRATEGY TO IMPROVE OPPORTUNITIES FOR HEALTHY AND ACTIVE LIVING. AS ANOTHER EXAMPLE, DIVERSITY, INCLUSION AND BELONGING WILL BE ESSENTIAL IN DEVELOPING STRATEGIES TO ADDRESS MENTAL WELLBEING. IN THE PAST, THERE HAVE BEEN MANY INITIATIVES CREATED TO ASSIST IN AIDING WITH THE NEEDS OF AFFORDABILITY AND ACCESS TO CARE, INCLUDING THOSE OUTLINED IN THE CHNA REPORT IN THE APPENDIX EVALUATION OF IMPACT FROM THE PREVIOUS CHNA IMPLEMENTATION STRATEGY. ALSO, DUE TO THE STATUS AND CHANGE IN TECHNOLOGY AND THE NEED FOR COMMUNICATION TO BECOME VIRTUAL MOST RECENTLY, ACCESS TO HEALTHCARE NOW HAS MANY MORE AVENUES THAN JUST VISITING YOUR FAMILY DOCTOR, I.E., TELEHEALTH.FOR THE JULY 2025-JUNE 2028 ASSESSMENT, THE PRIORITIZED NEEDS WERE: MENTAL WELL-BEING; ALCOHOL AND OTHER DRUGS; HEALTHY AND ACTIVE LIVING. FOR THE JULY 2025-JUNE 2028 ASSESSMENT, THE NEEDS IDENTIFIED BUT NOT PRIORITIZED, AND THE RATIONALE FOR NOT PRIORITIZING THOSE NEEDS, WERE:- CHILDCARE: CHILDCARE IS AN INFRASTRUCTURE ISSUE THAT IS ESSENTIAL TO A STRONG COMMUNITY. ASPIRUS WILL COLLABORATE ON THIS AND OTHER INFRASTRUCTURE ISSUES, HOWEVER, ASPIRUS DOES NOT HAVE THE INTERNAL CAPACITY OR EXPERTISE TO LEAD. - AGING POPULATION AND CORRESPONDING IMPLICATIONS (E.G., INCREASE IN FALLS): ASPIRUS IS IMPLEMENTING THE CMS-REQUIRED AGE-FRIENDLY MEASURES TO SUPPORT HEALTHY AGING. AS THAT INTERNAL WORK DEVELOPS, ASPIRUS ANTICIPATES DEVELOPING STRATEGIES AND PARTNERSHIPS TO STRENGTHEN THE COMMUNITY SUPPORTS FOR HEALTHY AGING. - HOMELESSNESS: ALTHOUGH ASPIRUS WILL NOT BE LEADING IN THIS AREA DUE TO LIMITED CAPACITY, ASPIRUS IS COMMITTED TO BEING A COMMUNITY PARTNER AT THE TABLE TO CONTRIBUTE TO SOLUTIONS. ONE WAY ASPIRUS WILL CONTRIBUTE IS BY SCREENING FOR HEALTH-RELATED SOCIAL NEEDS AND HELPING FACILITATE REFERRALS TO COMMUNITY AGENCIES AS APPROPRIATE. - ECONOMIC STABILITY / THE DIFFICULTY OF TAKING CARE OF BASIC NEEDS: ALTHOUGH ASPIRUS WILL NOT BE LEADING IN THIS AREA DUE TO LIMITED CAPACITY, ASPIRUS IS COMMITTED TO BEING A COMMUNITY PARTNER AT THE TABLE TO CONTRIBUTE TO SOLUTIONS. ONE WAY ASPIRUS WILL CONTRIBUTE IS BY SCREENING FOR HEALTH-RELATED SOCIAL NEEDS AND HELPING FACILITATE REFERRALS TO COMMUNITY AGENCIES AS APPROPRIATE.THE UPCOMING (2026-2027) COMMUNITY HEALTH ASSESSMENT LED BY THE LANGLADE COUNTY HEALTH DEPARTMENT WILL INCLUDE ATTENTION TO THESE ISSUES. ASPIRUS LANGLADE HOSPITAL PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. ASPIRUS LANGLADE HOSPITAL 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. 5 1 - ASPIRUS ANTIGO CLINIC 110 E 5TH AVE ANTIGO WI 54409 CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES 2 - ASPIRUS ELCHO CLINIC W10618 CLINIC ST ELCHO WI 54428 CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES 3 - ASPIRUS BIRNAMWOOD CLINIC 400 RAILROAD BIRNAMWOOD WI 54414 CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES 4 - ROSALIA GARDENS 525 FLIGHT RD ANTIGO WI 54409 ASSISTED LIVING 5 - PINE MEADOWS 525 FLIGHT RD ANTIGO WI 54409 SENIOR HOUSING 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, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $3,280,429. PART II, COMMUNITY BUILDING ACTIVITIES: F1 PHYSICAL IMPROVEMENTSASPIRUS LANGLADE HOSPITAL FUNDED A CHANGE IN THEIR EMERGENCY DEPARTMENT PARKING LOT SO THAT IT COULD ACCOMMODATE INDIVIDUALS FROM THE PLAIN COMMUNITY WHO USE A HORSE AND BUGGY AS TRANSPORTATION. THIS CREATES A WELCOMING SPACE FOR PLAIN COMMUNITY MEMBERS AND INCREASES THEIR ACCESS TO HEALTHCARE. F8 WORKFORCE 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.F4: ENVIRONMENTAL IMPROVEMENTS ASPIRUS LANGLADE HOSPITAL PROVIDES A SHARPS DISPOSAL PROGRAM FOR THE COMMUNITY. BY SAFELY REMOVING SHARPS FROM THE ENVIRONMENT, WE MAKE THE COMMUNITY SAFER IN TERMS OF INJURY AND INFECTION. 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:- 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., LAW ENFORCEMENT, INSURANCE, LEGAL, EDUCATION, LIBRARY AND MEDICAL SECTORS). - SUPPORTS ITS STAFF IN PARTICIPATING ON COMMUNITY BOARDS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES.- REVIEWS FUNDING REQUESTS TO THE HOSPITAL'S RELIGIOUS HOSPITALLERS OF ST. JOSEPH MISSION FUND 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. AS A CATHOLIC HOSPITAL, ASPIRUS LANGLADE PARTICIPATES IN THE CATHOLIC IDENTITY AND ETHICS REVIEW CONDUCTED BY THE NATIONAL CATHOLIC BIOETHICS CENTER. THE REVIEW HELPS ASSURE THE HOSPITAL IS MEETING ITS MISSION TO HEAL WHILE ALSO COMPLYING WITH CATHOLIC ETHICAL AND RELIGIOUS DIRECTIVES. 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: THE PRIMARY SERVICE AREA OF THE HOSPITAL IS LANGLADE COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES. LANGLADE COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 870 SQUARE MILES, WITH 22.4 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 19,491 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER 18 YEARS OLD: 19.3%PERSONS 65 YEARS AND OVER: 25.1%WHITE PERSONS: 93.0%AFRICAN AMERICAN PERSONS: <1%AMERICAN INDIAN PERSONS: 1.3%ASIAN PERSONS: <1%TWO OR MORE RACES: 4.1%HISPANIC OR LATINO: 2.4%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 2.0%HIGH SCHOOL GRADUATE OR HIGHER: 89.8%PERSONS BELOW POVERTY LEVEL: 12.1%MEDIAN HOUSEHOLD INCOME: $57,258PERCENT WITHOUT HEALTHCARE COVERAGE: 5.0%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 47.3%NUMBER OF HOSPITALS IN THE COUNTY: 1 (INCLUDING ASPIRUS LANGLADE HOSPITAL)LANGLADE COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR MENTAL HEALTH, DENTAL CARE AND 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 A PREVENTION FUND FOR PATIENTS. THE FUND ASSISTS PATIENTS WITH IMMEDIATE SOCIAL OR ECONOMIC NEEDS THEY ARE UNABLE TO MEET DUE TO FINANCIAL CONSTRAINTS.- OFFERS GRANTS TO COMMUNITY ORGANIZATIONS THROUGH THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH MISSION FUND. THE FUND GIVES BACK TO THE COMMUNITY WITH A SPECIAL EMPHASIS ON TOP COMMUNITY NEEDS AND INDIVIDUALS WITH LOW INCOME OR WHO ARE MORE VULNERABLE.- PROVIDES PRECEPTORS FOR HEALTH PROFESSIONS STUDENTS-IN-TRAINING, WHICH ADVANCES THE HEALTH CARE WORKFORCE. 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 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 WI 1 BOYS & GIRLS CLUBS OF THE NORTHWOODS INC 411 SUPERIOR ST ANTIGO WI 54409 391980025 501(C)(3) 40000 0 FUNDS TO BE UTILIZED FOR SUPPLEMENTING STAFF SALARIES DURING THE SUMMER MONTHS FOR 10 YOUTH DEVELOPMENT PROFESSIONALS ($19,500), 1 SOCIAL EMOTIONAL LEARNING SPECIALIST ($5,200), 1 PROGRAM DIRECTOR ($3,600), 1 PROGRAM OPERATIONS COORDINATOR ($2,600), PROGRAM SUPPLIES ($2,500), AND FACILITY FEES ($6,600). COVANTAGE CARES FOUNDATION INC 723 6TH AVE PO BOX 107 ANTIGO WI 54409 811056981 501(C)(3) 25000 0 FUNDS FOR THE WEEKEND BACKPACK PROGRAM AS THE PROGRAM IS THE RECIPIENT OF THE GIVING TUESDAY CAMPAIGN THROUGH THE COVANTAGE CARES FOUNDATION, WHICH ALLOWS THE PROGRAM TO MAXIMIZE MONEY GIVEN THROUGH TWO WEEKS THE CAMPAIGN RUNS FOR AND TO RECEIVE MATCHING DOLLARS UP TO $10,000. SS MARY & HYACINTH PARISH 819 3RD AVE ANTIGO WI 54409 390806874 501(C)(3) 10000 0 FUNDS TO CONTINUE WITH THE MISSION OF COMMITTEE TO SEEK OUT AND ASSIST THOSE WHO LACK ADEQUATE FOOD, SHELTER, CLOTHING, HEALTH CARE AND OTHER NECESSITIES OF DIGNIFIED HUMAN EXISTENCE. ANTIGO AREA COMMUNITY FOOD PANTRY INC PO BOX 194 ANTIGO WI 54409 454834406 501(C)(3) 500 27428 FMV FOOD PANTRY ASSISTANCE WEEKEND BACKPACK PROGRAM AND FOOD PANTRY SPACE USED. 4 0 PART I, LINE 2: WHEN COMMUNITY BENEFIT FUNDS ARE DONATED TO LOCAL AGENCIES TO COMPLETE COMMUNITY HEALTH IMPROVEMENT EFFORTS, ASPIRUS REQUESTS A FORMAL REPORT AT THE CONCLUSION OF THE FISCAL YEAR. 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 MICHAEL OLSON RADIOLOGIST 1019103 0 0 0 5812 0 10350 0 41455 0 1076720 0 0 0 MICHAEL HOLZHUETER SVP-SVP-CHIEF HR OFFICER 0 632337 0 239983 0 7505 0 10350 0 125990 0 1016165 0 0 TOM CHEN RADIOLOGIST 914428 0 0 0 45538 0 10350 0 19526 0 989842 0 0 0 CONSTANCE BRADLEY 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 KRIS FERGUSON PHYSICIAN 818982 0 0 0 5776 0 10350 0 37540 0 872648 0 0 0 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 0 486205 0 186599 0 72384 0 8566 0 106950 0 860704 0 58001 JENNIFER REDMAN-SCHELL 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 CODY NIKOLAI REG. MEDICAL DIRECTOR - TRAUMA 750273 0 0 0 6242 0 10350 0 41455 0 808320 0 0 0 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 0 472936 0 180578 0 7156 0 2778 0 103017 0 766465 0 0 JESSE TISCHER V.C./SVP & PRES.-AWH (FORMER) 0 29283 0 73104 0 630592 0 2566 0 3289 0 738834 0 0 GREGORY DODGE PHYSICIAN 611910 0 0 0 8778 0 10350 0 41305 0 672343 0 0 0 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 0 454003 0 109647 0 2193 0 2636 0 96945 0 665424 0 0 NOEL DEEP BOARD MEMBER (FORMER)/PHYSICIAN 0 574355 0 18092 0 2390 0 10350 0 41133 0 646320 0 0 SUSAN SCHNEIDER VP-SYSTEM SR. PHYSICIAN EXEC. 0 459962 0 116101 0 4692 0 10350 0 25557 0 616662 0 0 LAKSHMI DEEP MD BOARD MEMBER/PHYSICIAN 556077 0 0 0 5198 0 9904 0 5292 0 576471 0 0 0 DAVID BITTNER SVP-ENTERPRISE DEVELOPMENT 0 402065 0 25000 0 16617 0 10350 0 110472 0 564504 0 0 SHERRY BUNTEN PRES.- ASPIRUS NE DIV. 279636 0 86243 0 6402 0 10350 0 32709 0 415340 0 0 0 ROSHINI SAMUEL MD BOARD MEMBER/PHYSICIAN 0 268374 0 0 0 5260 0 5410 0 15227 0 294271 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 M. WALTERS $56,910 C. BRADLEY $52,586 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 27000592 CONSTRUCT, RENOVATE, AND EQUIP FACILITIES 0 0 0 A 6155000 27000592 317586 26683006 2013 0 0 1 1 A 0 0 1 0 0 0.00200 0.00200 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 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 III - LINE 3 AND 3B: ASPIRUS, INC., A MEMBER OF ASPIRUS LANGLADE HOSPITAL, HAS A POLICY AND PROCEDURES IN PLACE TO REVIEW MANAGEMENT AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCE PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY. PART III, LINE 9 SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. SHANE FRANKLIN FAMILY MEMBER OF ROSHINI SAMUEL, BOARD MEMBER 373629 EMPLOYMENT COMPENSATION 0 MAUREEN WINTER FAMILY MEMBER OF MIKE WINTER, BOARD MEMBER 74243 EMPLOYMENT COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 2 LAKSHMI DEEP AND NOEL DEEP HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE HOSPITAL HAS TWO MEMBERS, THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH HEALTH CORPORATION (55%) AND ASPIRUS, INC. (45%). FORM 990, PART VI, SECTION A, LINE 7A THE TWO ORGANIZATIONS HAVE ESTABLISHED A JOINT MEMBER COUNCIL (JMC) EACH MEMBER APPOINTS TWO REPRESENTATIVES AND MEETS TWO TIMES PER YEAR. THE JMC HAS THE POWER TO APPOINT AND REMOVE BOARD OF DIRECTORS OTHER THAN THE 2 INDIVIDUALS APPOINTED BY EACH RESPECTIVE MEMBER. THERE SHALL BE A MINIMUM OF 12 VOTING DIRECTORS ALLOCATED AS FOLLOW. THERE SHALL BE FOUR CLASSES OF VOTING DIRECTORS: THE COMMUNITY CLASS (6), THE ASPIRUS CLASS (2), THE ST. JOSEPH HEALTH CORPORATION CLASS (2), AND THE PROVIDER CLASS (2). FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO THE POWER TO APPOINT OR REMOVE CERTAIN BOARD OF DIRECTORS, THE JMC (BY APPOINTED THEIR RESPECTIVE MEMBERS DESCRIBED ABOVE) HAVE THE RESPONSIBILITIES TO CONDUCT AN ANNUAL EVALUATION AND SET THE COMPENSATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICERS OF THE HOSPITAL, INCLUDING THE EVALUATION OF PERFORMANCE, DEVELOPING GOALS, ETC. ADDITIONALLY, THE JMC IS RESPONSIBLE FOR APPROVING THE CONFLICT OF INTEREST POLICY, APPROVE THE CHAIRPERSON, VICE CHAIRPERSON, SECRETARY AND TREASURER NOMINATED BY THE BOARD AND TO EXERCISE SUCH ADDITIONAL POWERS FROM TIME TO TIME AS THE MEMBERS DELEGATE DOWN. THE MEMBERS DO HAVE THE POWER TO 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 990 AND 990-T INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND THE 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 HOSPITAL'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 PURPOSES OF DETERMINING COMPENSATION, ASPIRUS LANGLADE HOSPITAL 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 LAB FEES: PROGRAM SERVICE EXPENSES 1,173,747. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,173,747. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 99,586. MANAGEMENT AND GENERAL EXPENSES 390,491. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 490,077. PHARMACY DISPENSING FEES: PROGRAM SERVICE EXPENSES 928,657. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 928,657. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,163,391. MANAGEMENT AND GENERAL EXPENSES 54,804. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,218,195. FOOD PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 296,251. MANAGEMENT AND GENERAL EXPENSES 122,526. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 418,777. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -77,070. CHANGE IN INTEREST OF CONSOLIDATED AFFILIATE - WESTWOOD CONFERENCE CENTER -191,477. NET ASSETS RELEASED FROM DONOR RESTRICTIONS 61,296. RELIGIOUS HOSPITALLERS OF ST JOSEPH HEALTH CORP 411 E WIS AVE STE 700 MILWAUKEE WI 53202 271341591 HEALTH CARE WI 501(C)(3) LINE 1 N/A 0 ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTH CARE WI 501(C)(3) LINE 12B, II N/A 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1