2026-05-14T10:24:58-05:00 2025-06-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-07-01 390808443 ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC ASPI 7153465000 900 ILLINOIS AVENUE STEVENS POINT WI 54481 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 195313437 0 X WWW.ASPIRUS.ORG X 1955 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 12 7 714 60 15287 11496 7999 293349 165759444 194318966 -2733 -25747 683264 681422 166447974 195267990 26937 43609 0 0 55719752 60263640 0 0 0 96785003 107637359 152531692 167944608 13916282 27323382 87924807 91727094 58430375 57905989 29494432 33821105 WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 123949815 43609 194303679 ASPIRUS STEVENS POINT HOSPITAL IS A 69-STAFFED BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2025, ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. TREATED APPROXIMATELY 3,493 ADULTS AND CHILDREN FOR A TOTAL OF APPROXIMATELY 13,465 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR APPROXIMATELY 219,994 OUTPATIENT VISITS, WHICH INCLUDED APPROXIMATELY 5,734 OUTPATIENT SURGERIES, APPROXIMATELY 14,846 OUTPATIENT EMERGENCY ROOM VISITS AND 72,458 CLINIC VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 123949815 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 0 714 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X LORI PECK 7158472118 2200 WESTWOOD DRIVE WAUSAU WI 54401 TRINA DANIELS MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 521755 40564 BONITA KOLRUD MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 440865 44170 SUSAN KRECKMAN MD BOARD MEMBER/PHYSICIAN (THRU 12/24) 1.00 40.00 X 0 363350 36377 JOSHUA POGORELEC DO BOARD MEMBER/DIRECTOR 1.00 40.00 X 0 733030 48308 CONSTANCE BRADLEY SEC./TREAS./SVP-PRES REG MKTS 1.00 50.00 X X 0 786524 125769 JENNIFER REDMAN-SCHELL BOARD MEMBER/SVP & PRESIDENT-AMG 1.00 40.00 X 0 727379 105151 REBECCA SOMMER PHD CHAIR 1.00 2.00 X X 0 0 0 DANIEL BURNS VICE CHAIR 1.00 2.00 X X 0 0 0 MICHAEL BOVEE BOARD MEMBER 1.00 2.00 X 0 0 0 JUSTIN HUEBNER BOARD MEMBER (THRU 09/24) 1.00 2.00 X 0 0 0 MARY IRONSIDE BOARD MEMBER 1.00 2.00 X 0 0 0 SHELLY MONDEIK EDD BOARD MEMBER 1.00 2.00 X 0 0 0 KLAY VEHRING BOARD MEMBER 1.00 2.00 X 0 0 0 LYNN VOGT BOARD MEMBER 1.00 2.00 X 0 0 0 BRIAN KIEF (NV) PRES.-S AND SW (THRU 09/24) 2.00 40.00 X 0 406305 43172 CHRIS SQUIRE (NV) PRESIDENT-S AND SW DIVISION 1.00 40.00 X 0 145018 9752 CARRIE PENOVICH (NV) PRESIDENT-ASPIRUS SE DIVISION 40.00 2.00 X 307610 0 10720 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 677240 138394 ROBERT SMITH B.M./VP SP CAMPUS (THRU 09/24) 50.00 2.00 X 428885 0 7542 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 3868734 361440 SUSAN SCHNEIDER VP-SYSTEM SR. PHYSICIAN EXEC. 2.00 50.00 X 0 580755 35907 MICHAEL HOLZHUETER SVP-CHIEF HR OFFICER 2.00 50.00 X 0 879825 136340 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 2.00 50.00 X 0 763486 117666 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 2.00 50.00 X 0 745188 115516 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 2.00 50.00 X 0 565843 99581 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 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 2.00 50.00 X 0 455617 41886 REZWAN ISLAM PHYSICIAN 40.00 X 878892 0 30731 AMY MURPHY PHYSICIAN 40.00 X 609849 0 48308 MUHAMMAD TARIQ PHYSICIAN 40.00 X 692727 0 48887 GARY LIEBSCH PHYSICIAN 40.00 X 570556 0 26589 CODIE VASSAR PHYSICIAN 40.00 X 543665 0 33975 SIDNEY SCZYGELSKI SVP OF FINANCE/CFO (FORMER) 2.00 50.00 X 0 1470041 37990 4032184 15235307 1971352 72 1 1 0 LOCUMSMART LLC PO BOX 736389 DALLAS TX 75373 STAFFING SERVICES 2589376 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 SERVICE CONTRACTS 2582751 TOTAL MSP LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 STAFFING SERVICES 1985959 DAILY CARE LLC 323 N MORRISON ST STE 100 APPLETON WI 54911 STAFFING SERVICES 1334992 BURLINGTON HEALTHCARE PO BOX 180512 DELAFIELD WI 53018 STAFFING SERVICES 1276335 29 290447 2902 293349 PATIENT SERVICE REVENUE 621990 176284899 176284899 LAB REVENUE 541380 16599497 16584210 15287 CONTRACT SERVICE REVENUE 900099 1115147 1115147 PHARMACY REVENUE 900099 95885 95885 223538 223538 194318966 200 200 24046 0 24046 24046 24046 25947 -25947 -25947 -25947 111 19500 -19389 -19389 CAFETERIA REVENUE 722514 676765 676765 676765 195267990 194303679 15287 655675 X 43609 43609 592757 592757 48760048 43887855 4872193 1312588 1121774 190814 6484833 5485868 998965 3113414 2632911 480503 26759 26759 18660548 15725992 2934556 49393 23798 25595 171672 167495 4177 62302 30017 32285 2998127 52311 2945816 195973 94421 101552 56688 27313 29375 1633986 2974 1631012 8773762 2935841 5837921 216167 3772 212395 MEDICAL SUPPLIES 39182702 38229426 953276 CORPORATE ALLOCATIONS 22447108 4092733 18354375 BAD DEBT EXPENSE 4886807 4886807 REPAIRS & MAINTENANCE 4737181 2282393 2454788 3538184 2222505 1315679 167944608 123949815 43994793 0 9680 2262 595750 584329 18665235 23464974 3268147 3408189 270448 312812 91448547 27724929 64644775 63723618 470772 230910 87924807 91727094 3375119 3214868 53123396 52836642 1931860 1854479 58430375 57905989 X 29494432 33821105 29494432 33821105 87924807 91727094 X 27323382 -22996709 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 26759 26759 0 PART II-B, LINE 1: ASPIRUS STEVENS POINT HOSPITAL & CLINICS PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. THE PERCENTAGES THAT ARE SPECIFIC FOR LOBBYING PURPOSES ARE AS FOLLOWS: 39.0% OF THE AMERICAN HOSPITAL ASSOCIATION TOTALING $19,708, 15.83% OF THE WISCONSIN HOSPITAL ASSOCIATION TOTALING $7,051 MAKING THE GRAND TOTAL OF DUES DIRECTED TOWARDS LOBBYING $26,759. 6310000 6310000 59302098 12778282 46523816 24425291 14946647 9478644 1411158 1411158 63723618 DEFERRED COMPENSATION LIABILITY 78799 ASBESTOS LIABILITY 449440 FINANCE LEASE LIABILITY 158288 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 1167952 1854479 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 844390 844390 0.00520 22965494 11408379 11557115 0.07090 23809884 11408379 12401505 0.07610 190909 190909 0.00120 106547 106547 0.00070 126824 126824 0.00080 424280 424280 0.00270 24234164 11408379 12825785 0.07880 1 1 2439 2439 0.00000 1 160 7440 7440 0.00000 2 161 9879 9879 0.00000 1 1382814 0 22113524 24279362 -2165838 X 1 1 1 1 ASPIRUS STEVENS POINT HOSPITAL & CLINICS 900 ILLINOIS AVENUE STEVENS POINT WI 54481 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 146 X X X ASPIRUS STEVENS POINT HOSPITAL & CLINICS 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS X 1 22 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 STEVENS POINT HOSPITAL & CLINICS PART V, SECTION B, LINE 5: 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, 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 THE STAKEHOLDERS WHO WERE INVITED TO THE VIRTUAL DATA MEETINGS WERE INVITED TO A LARGE GROUP PRIORITIZATION MEETING. ASPIRUS STEVENS POINT HOSPITAL & CLINICS PART V, SECTION B, LINE 6A: FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, ASPIRUS STEVENS POINT COLLABORATED WITH ASPIRUS PLOVER HOSPITAL AND MARSHFIELD MEDICAL CENTER-RIVER REGION STEVENS POINT CAMPUS. ASPIRUS STEVENS POINT HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS STEVENS POINT HOSPITAL. ASPIRUS STEVENS POINT HOSPITAL & CLINICS PART V, SECTION B, LINE 6B: FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, ASPIRUS STEVENS POINT COLLABORATED WITH ASPIRUS PLOVER HOSPITAL AND MARSHFIELD MEDICAL CENTER-RIVER REGION STEVENS POINT CAMPUS. ASPIRUS STEVENS POINT HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS STEVENS POINT HOSPITAL. ASPIRUS STEVENS POINT HOSPITAL & CLINICS PART V, SECTION B, LINE 11: 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; CHILDHOOD WELLNESS. MENTAL HEALTH- ASPIRUS STAFF CO-CHAIR THE PREVENT SUICIDE PORTAGE COUNTY COALITION. THE HOSPITAL ALSO PROVIDED SOME FUNDING FOR THE COALITION. 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. 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, ASPIRUS STEVENS POINT SUPPORTED RYV CLUBS IN TWO MIDDLE SCHOOLS AND A HIGH SCHOOL. - THE HOSPITAL HOSTS AN ANNUAL INFANT MEMORIAL SERVICE FOR ALL BABIES LOST AT ASPIRUS STEVENS POINT THROUGH EARLY MISCARRIAGE AND FETAL DEMISE. BABIES WHO WERE LOST THROUGH EARLY MISCARRIAGE ARE BURIED AT GUARDIAN ANGEL CEMETERY AND A MEMORIAL SERVICE IS PROVIDED FOR ALL FAMILIES WHO HAVE LOST A BABY. SUBSTANCE USE- ASPIRUS STAFF PARTICIPATE ON THE COUNTY AODA COALITION. ASPIRUS PROVIDED FUNDING FOR MEDICATION DISPOSAL MAGNETS FOR PUBLIC USE. THIS REDUCES THE LIKELIHOOD OF LEFTOVER MEDICATIONS BEING MISUSED. 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. CHILDHOOD WELLNESS- THE HOSPITAL PROVIDED FUNDING TO THE BOYS AND GIRLS CLUB OF PORTAGE COUNTY FOR SUMMER 2025. ASPIRUS FUNDING SUPPORTED THE SUMMER MEAL PROGRAM AND SOCIAL-EMOTIONAL LEARNING PROGRAMMING AT EIGHT BOYS & GIRLS CLUB OF PORTAGE COUNTY CLUB SITES THROUGHOUT PORTAGE COUNTY, WISCONSIN. - THE HOSPITAL HELPED FUND THE CHILDREN'S RACE AT THE FALL 2023, 2024 AND 2025 WONDERFUL WATER RUN. TO HELP INCREASE YOUTH'S PHYSICAL ACTIVITY, THE HOSPITAL'S ATHLETIC TRAINERS HOSTED ACTIVITY TIME AT THE BOYS AND GIRLS CLUB. - ASPIRUS STEVENS POINT HOSPITAL HAS LONG MAINTAINED BREASTFEEDING AS A CONDUIT TO SUPPORTING CHILDHOOD WELLNESS. THE HOSPITAL'S WOMEN AND INFANT CENTER (WIC) AIMS TO ACHIEVE HIGH BREASTFEEDING INITIATION RATES AND IDENTIFIES OTHER OPPORTUNITIES TO EMPHASIZE THE IMPORTANCE AND BENEFITS OF BREASTFEEDING. - ADDITIONALLY, THE HOSPITAL STAFF WORKED WITH THE PORTAGE COUNTY BREASTFEEDING COALITION TO PROMOTE BREASTFEEDING. ACTIVITIES INCLUDED: WORKING WITH STUDENTS TO INCREASE FACEBOOK AND INSTAGRAM POSTS; STARTING A BREASTFEEDING SUPPORT GROUP; ATTENDING MULTIPLE COMMUNITY EVENTS. - THE HOSPITAL ALSO HOSTED THREE PREGNANCY EXPOS TO SHARE INFORMATION WITH FAMILIES ON A VARIETY OF TOPICS AND RESOURCES TO ENHANCE THE JOURNEY OF PREGNANCY. THE EXPO INCLUDES BIRTHING ROOM TOURS AND INTERACTIVE DISPLAYS. EXPECTING WOMEN, THEIR SUPPORT PERSON AND FAMILY MEMBERS ARE ENCOURAGED TO ATTEND.- THE HOSPITAL HOSTED WEEKLY NEW MOM'S CLASSES. THE CLASSES INCLUDE GUEST PRESENTERS THAT PROVIDE INFORMATION ON LOCAL RESOURCES, WELLNESS, PUBLIC HEALTH SERVICES AND MORE. OVER THREE HUNDRED (DUPLICATE COUNT) MOMS AND CHILDREN ATTENDED. 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. ----------------FROM THE JUNE 2023 CHNA (EFFECTIVE JULY 1, 2023 (FY24)), THE HOSPITAL'S TOP PRIORITIES ARE: MENTAL HEALTH; SUBSTANCE USE; CHILDHOOD WELLNESS.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. SHELTER AND HOUSING WAS NOT SELECTED BECAUSE THE HOSPITAL DOES NOT HAVE THAT EXPERTISE. ASPIRUS STEVENS POINT HOSPITAL & CLINICS PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. ASPIRUS STEVENS POINT HOSPITAL & CLINICS 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. 9 1 - ASPIRUS CANCER CARE STEVENS POINT 900 ILLINOIS AVENUE STEVENS POINT WI 54481 CANCER CENTER 2 - ASPIRUS BEHAVIORAL CLINIC-WILSHIRE 122 WILSHIRE BOULEVARD STEVENS POINT WI 54481 PSYCHIATRIC SERVICES 3 - ASPIRUS BEHAVIORAL CLINIC - MARIA DR 3398 E MARIA DRIVE STEVENS POINT WI 54481 PSYCHIATRIC SERVICES 4 - ASPIRUS STEVENS POINT CLINIC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 WOUND CLINIC 5 - ASPIRUS WAUPACA CLINIC 190 GRAND SEASONS DRIVE WAUPACA WI 54981 OUTPATIENT PHYSICIAN CLINIC 6 - ASPIRUS BEHAVIORAL CLINIC - PRENTICE 209 PRENTICE STREET N STEVENS POINT WI 54481 OUTPATIENT ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER 7 - ASPIRUS OUTPATIENT THERAPIES PLOVER RD 2401 PLOVER ROAD PLOVER WI 54467 PHYSICAL AND OCCUPATIONAL THERAPY 8 - ASPIRUS BEHAVIORAL HEALTH RESIDENTIAL 201 PRENTICE STREET N STEVENS POINT WI 54481 RESIDENTIAL ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER 9 - ASPIRUS OUTPATIENT THERAPIES HOOVER RD 3500 HOOVER ROAD STEVENS POINT WI 54481 PHYSICAL AND OCCUPATIONAL THERAPY 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 $4,886,807. PART II, COMMUNITY BUILDING ACTIVITIES: 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.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. 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., ACADEMIA, INDUSTRY/BUSINESS, PHILANTHROPY, FINANCE, AND HEALTHCARE).- SUPPORTS ITS STAFF IN PARTICIPATING ON AND PRESENTING TO COMMUNITY BOARDS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES.- REVIEWS FUNDING REQUESTS (TO THE HOSPITAL 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. - 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: 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.- PROVIDES SPONSORSHIPS FOR A VARIETY OF COMMUNITY EVENTS AND PROGRAMS. - PREPARES FOOD FOR THE MEALS ON WHEELS PROGRAM.- PROVIDES (UNCOMPENSATED) MEDICAL SUPPORT (E.G., ATHLETIC TRAINERS) AT COMMUNITY ATHLETIC EVENTS. - PROMOTES AND HOSTS COMMUNITY BLOOD DRIVES. AS PART OF A LARGER NETWORK OF ASPIRUS HEALTHCARE FACILITIES, THE HOSPITAL HAS ACCESS TO: - LOW-COST TEMPORARY LODGING AT ASPIRUS' FLAGSHIP TERTIARY CARE HOSPITAL PARTNER (IN WAUSAU, WI) SO THAT PATIENTS AND/OR THEIR FAMILY NEEDING EXTENDED SPECIALTY CARE HAVE ACCOMMODATIONS. - PROFESSIONAL DEVELOPMENT FOR STAFF, ASSURING THE CARE PROVIDED INCORPORATES THE MOST UP-TO-DATE BEST PRACTICES. - CROSS-TRAINING OPPORTUNITIES. FOR INSTANCE, A WAUSAU-BASED BEREAVEMENT COORDINATOR TRAINS STAFF ACROSS THE SYSTEM ON NORMAL GRIEF RESPONSE, RESILIENCE AND HOSPICE CARE AND SUPPORT. THE COORDINATOR TRAINS THROUGH THE NURSE RESIDENCY PROGRAM AS WELL AS IN UNIT/DEPARTMENT MEETINGS. UNIT/DEPARTMENT LEADERS CAN REQUEST BEREAVEMENT INFORMATION AND SUPPORT FOR THEIR TEAM. SIMILARLY, HOSPITALS HAVE ACCESS TO INJURY PREVENTION EXPERTISE AND RESOURCES THROUGH THE LEVEL 2 TRAUMA CENTER IN WAUSAU. - A MARKETING/COMMUNICATIONS TEAM THAT SUPPORTS THE ONLINE ASPIRUS MEDIA CENTER FEATURING MEDICAL EXPERTS. THE TEAM DEVELOPS AND PROMOTES HEALTH EDUCATION INFORMATION (E.G., ON DIABETES, TICK BITES, SNOWMOBILE SAFETY) FOR PATIENTS AND THE GENERAL PUBLIC. PART VI, LINE 6: ASPIRUS HEALTH IS A NONPROFIT, COMMUNITY-DIRECTED HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN, SERVING NORTHEASTERN MINNESOTA, NORTHERN AND CENTRAL WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. THE HEALTH SYSTEM OPERATES 17 HOSPITALS AND 130 OUTPATIENT LOCATIONS WITH NEARLY 14,000 TEAM MEMBERS, INCLUDING 1,300 EMPLOYED PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ASPIRUS SERVES COMMUNITIES THROUGH HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND AIR-MEDICAL TRANSPORT, MEDICAL GOODS, AND ADULT LIVING AND CARE FACILITIES. THE COMBINED EFFORTS PROVIDE RURAL COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. FOR MORE INFORMATION, VISIT ASPIRUS.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES WI 1 STEVENS POINT AREA SCHOOL DISTRICT 1900 POLK STREET STEVENS POINT WI 54481 396004667 GOVERNMENT 16000 0 FUNDS SUPPORTED THREE STUDENT-DRIVEN CLUBS TO BUILD POSITIVE MOMENTUM AND CULTURE AROUND YOUTH MENTAL HEALTH. THE CLUBS ARE ALSO AFFILIATED WITH NAMI - NATIONAL ALLIANCE FOR MENTAL ILLNESS. RAISE YOUR VOICE STUDENT CLUB $3,500 STEVENS POINT AREA HIGH SCHOOL. RAISE YOUR VOICE STUDENT CLUB $2,500 PJ JACOBS JUNIOR HIGH. RAISE YOUR VOICE STUDENT CLUB $5,000 BEN FRANKLIN JUNIOR HIGH. THE FUNDS ALSO SUPPORTED A STUDENT LEADERSHIP SUMMIT ($5,000). THE LEADERSHIP SUMMIT HOSTED 50 SECONDARY STUDENTS IN FALL 2024. THE SUMMIT CENTERED ON FOSTERING YOUTH VOICES AND CULTIVATING AGENTS OF POSITIVE CHANGE AND EMPOWERING YOUTH THROUGH LEADERSHIP DEVELOPMENT. THE FUNDING HELPED COMPENSATE DISTINGUISHED SPEAKERS WHO ARE DEDICATED TO EMPOWERING STUDENTS TO ASSUME LEADERSHIP ROLES TO ADVOCATE FOR CHANGE AND EQUITY WITHIN THEIR RESPECTIVE SCHOOLS AND COMMUNITIES. THREE BRIDGES RECOVERY 441 GARFIELD STREET WISCONSIN RAPIDS WI 54494 825015616 501(C)(3) 7000 0 FUNDS SUPPORTED RECOVERY COACHES AND PEER SUPPORT SPECIALISTS. THREE BRIDGES RECOVERY ACTIVELY PARTICIPATES WITH PEOPLE ENGAGED IN THEIR OWN RECOVERY FROM SUBSTANCE USE DISORDER THROUGH PEER SUPPORT SERVICES. THREE BRIDGES PROVIDES SUPPORT TO INCREASE BOTH AVAILABILITY AND ACCESSIBILITY TO VARIOUS PATHWAYS OF RECOVERY THROUGH COACHING, MENTORING, ACCOUNTABILITY, AND PEER BEHAVIOR MODELING. BOYS & GIRLS CLUB OF PORTAGE COUNTY INC PO BOX 171 STEVENS POINT WI 54481 731630506 501(C)(3) 5918 0 FUNDS ($5,100) SUPPORTED A PORTION OF THE SUMMER ACTIVITIES HELD AT THE BOYS AND GIRLS CLUB, INCLUDING SOCIAL-EMOTIONAL LEARNING AND LUNCHES. ASPIRUS ALSO SPONSORED THE BOYS AND GIRLS CLUB FIELD DAY. OF THE $1,500 CONTRIBUTION, THE VALUE OF THE PURCHASED WATER BOTTLES ($682) WAS SUBTRACTED AND THE NET COMMUNITY BENEFIT CONTRIBUTION WAS $818. 3 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 HOLZHUETER SVP-CHIEF HR OFFICER 0 632337 0 239983 0 7505 0 10350 0 125990 0 1016165 0 0 CONSTANCE BRADLEY SEC./TREAS./SVP-PRES REG MKTS 0 557181 0 172222 0 57121 0 10350 0 115419 0 912293 0 52586 REZWAN ISLAM PHYSICIAN 867821 0 2500 0 8571 0 10350 0 20381 0 909623 0 0 0 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 JENNIFER REDMAN-SCHELL BOARD MEMBER/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 JOSHUA POGORELEC DO BOARD MEMBER/DIRECTOR 0 707220 0 0 0 25810 0 10350 0 37958 0 781338 0 0 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 0 472935 0 180578 0 7157 0 2778 0 103017 0 766465 0 0 MUHAMMAD TARIQ PHYSICIAN 687187 0 0 0 5540 0 9932 0 38955 0 741614 0 0 0 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 0 454003 0 109647 0 2193 0 2636 0 96945 0 665424 0 0 AMY MURPHY PHYSICIAN 604311 0 0 0 5538 0 10350 0 37958 0 658157 0 0 0 SUSAN SCHNEIDER VP-SYSTEM SR. PHYSICIAN EXEC. 0 459962 0 116101 0 4692 0 10350 0 25557 0 616662 0 0 GARY LIEBSCH PHYSICIAN 561992 0 0 0 8564 0 10350 0 16239 0 597145 0 0 0 CODIE VASSAR PHYSICIAN 538181 0 0 0 5484 0 8505 0 25470 0 577640 0 0 0 DAVID BITTNER SVP-ENTERPRISE DEVELOPMENT 0 402065 0 25000 0 16617 0 10350 0 110472 0 564504 0 0 TRINA DANIELS MD BOARD MEMBER/PHYSICIAN 0 516148 0 0 0 5607 0 10350 0 30214 0 562319 0 0 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 0 244957 0 149328 0 61332 0 10350 0 31536 0 497503 0 0 BONITA KOLRUD MD BOARD MEMBER/PHYSICIAN 0 429134 0 0 0 11731 0 10350 0 33820 0 485035 0 0 BRIAN KIEF (NV) PRES.-S AND SW (THRU 09/24) 0 316089 0 71635 0 18581 0 10350 0 32822 0 449477 0 15365 ROBERT SMITH B.M./VP SP CAMPUS (THRU 09/24) 261134 0 96614 0 71137 0 6025 0 1517 0 436427 0 43276 0 SUSAN KRECKMAN MD BOARD MEMBER/PHYSICIAN (THRU 12/24) 0 356028 0 0 0 7322 0 6163 0 30214 0 399727 0 0 CARRIE PENOVICH (NV) PRESIDENT-ASPIRUS SE DIVISION 262528 0 43871 0 1211 0 9192 0 1528 0 318330 0 0 0 CHRIS SQUIRE (NV) PRESIDENT-S AND SW DIVISION 0 109407 0 15000 0 20611 0 3150 0 6602 0 154770 0 0 PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENTS W. CARROLL $41,555 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $481,861 M. HEYWOOD $198,152 R. SMITH $43,276 C. BRADLEY $52,586 B. KIEF $15,365 J. MATHESON $58,001 M. WALTERS $56,910 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 AUTH 391337855 97712JDN0 2021-11-10 54274720 REVENUE BONDS SERIES 2021 0 0 0 A 54274720 386648 53888072 2018 0 0 1 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SCHEDULE K, 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. PART III, LINES 3A AND 3B: ASPIRUS, INC., THE PARENT ORGANIZATION OF ASPIRUS STEVENS POINT HOSPITALS & CLINICS 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. SCHEDULE K, PART III, LINE 9 SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS COMPRISED OF A MINIMUM OF 11 DIRECTORS. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS MEMBER CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN SIX INDEPENDENT COMMUNITY CLASS DIRECTORS, CONSISTING OF THREE NOMINATED BY THE NOMINATING COMMITTEE AND THREE NOMINATED BY ASPIRUS, INC. WITH CONSIDERATION TO INPUT FROM THE CORPORATION'S BOARD, AND ELECTED BY ASPIRUS, INC., TWO ASPIRUS MEMBER CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., THREE 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 990 INFORMATION INCLUDING THE UBIT CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND 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 STEVENS POINT HOSPITAL & CLINICS, 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 AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 2,022,366. MANAGEMENT AND GENERAL EXPENSES 2,148,362. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,170,728. LAB FEES: PROGRAM SERVICE EXPENSES 1,603,935. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,603,935. CONTRACT NURSING AND OTHER LABOR: PROGRAM SERVICE EXPENSES 11,368,710. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,368,710. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 730,981. MANAGEMENT AND GENERAL EXPENSES 786,194. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,517,175. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -22,996,709. 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