2026-05-14T10:24:47-05:00 2025-06-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-07-01 390807065 ASPIRUS STANLEY HOSPITAL & CLINICS INC ASPI 7156445571 1120 PINE STREET STANLEY WI 54768 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 31733297 0 X WWW.ASPIRUS.ORG X 1921 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 11 6 142 7 34416 0 91584 11300 23782584 31627215 0 0 106778 94782 23980946 31733297 24831 36478 0 0 9546205 11783951 0 0 0 13554012 15614245 23125048 27434674 855898 4298623 24018442 24980625 18151827 17793674 5866615 7186951 WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 20605797 36478 31592799 ASPIRUS STANLEY HOSPITAL, INC. IS A 12-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2025, ASPIRUS STANLEY HOSPITAL, INC. SERVICED THE COMMUNITY THROUGH A TOTAL OF APPROXIMATELY 1,260 INPATIENT DAYS, AND APPROXIMATELY 947 SWING BED DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR APPROXIMATELY 26,949 OUTPATIENT VISITS, WHICH INCLUDED APPROXIMATELY 3,599 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 20605797 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 142 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 6 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 RANDY JUEDES CHAIR 1.00 2.00 X X 0 0 0 JOHNATHON LANGE SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 BRENT ARNDT BOARD MEMBER 1.00 3.00 X 0 0 0 LEONARD HAMMAN BOARD MEMBER 1.00 3.00 X 0 0 0 JEFFREY KOENIG BOARD MEMBER 1.00 2.00 X 0 0 0 JASON STELIGA BOARD MEMBER 1.00 2.00 X 0 0 0 JAMES MATHESON VICE CHAIR/SVP-CHIEF STRATEGY OFF. 1.00 40.00 X X 0 745188 115516 CONSTANCE BRADLEY B.M./SVP & PRES. REG. MRKTS 1.00 40.00 X 0 786524 125769 SUSAN SCHNEIDER B.M./VP-SYSTEM SR. PHYSICIAN EXEC. 1.00 40.00 X 0 580755 35907 DIANE ANDERSON BOARD MEMBER/NURSE PRACTITIONER 1.00 40.00 X 0 271745 39816 RACHEL DIXON BOARD MEMBER/PHYSICIAN ASSISTANT 1.00 40.00 X 0 97554 41346 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 3868734 361440 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 677240 138394 JASON TROXELL (NV) PRESIDENT-ASPIRUS NW WI DIV. 1.00 40.00 X 0 236650 77821 DALE HUSTEDT (NV) PRES.-NW WI DIV. (THRU 10/24) 1.00 40.00 X 0 503937 35332 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 2.00 50.00 X 0 565843 99581 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 2.00 50.00 X 0 455617 41886 JENNIFER REDMAN-SCHELL SVP & PRESIDENT-AMG 2.00 50.00 X 0 727379 105151 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 2.00 50.00 X 0 763486 117666 MICHAEL HOLZHUETER SVP-CHIEF HR OFFICER 2.00 50.00 X 0 879825 136340 CRYSTAL KIRSCHLING VP-SYSTEM INTEGRATION OFFICER 2.00 50.00 X 0 364246 49806 JOSHUA FOSTER VP-BUSINESS TRANSFORMATION & STRAT. 2.00 50.00 X 0 291865 37666 THOMAS POWELL VP-CHIEF MEDICAL INFO OFFICER 2.00 50.00 X 0 439263 18469 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 ANDREA ALLARD VP-OPERATIONS 2.00 50.00 X 0 328229 10599 JONATHAN JUSTICE PHYSICIAN 40.00 X 341970 0 48989 KATHERINE JACKSON-SCHNEIDER PHYSICIAN 40.00 X 257210 0 39597 TYLER HACK VP-FINANCE NORTH REGION 1.00 40.00 X 0 301669 22533 REBECCA KNUTSON VP-SYSTEM TALENT MANAGEMENT 1.00 40.00 X 0 252607 31296 JOSEPH SNIPP VP-SYSTEM PAT. EXP. & CONSUMERISM 1.00 40.00 X 0 275590 21794 SIDNEY SCZYGELSKI SVP OF FINANCE/CFO (FORMER) 2.00 50.00 X 0 1470041 37990 JESSE TISCHER SVP & PRESIDENT-AWH (FORMER) 0.00 0.00 X 0 732979 5855 599180 16721318 2023176 13 1 1 0 ACUTE CARE INC 1609 N ANKENY BLVD STE 200 ANKENY IA 50023 CONTRACT SERVICES 2137943 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 CONTRACT SERVICES 377350 TOTAL MSP LLC 221 W COLLEGE AVENUE FLOOR 2 APPLETON WI 54911 CONTRACT LABOR SERVICES 299583 SHARED MEDICAL TECHNOLOGY INC 202 WEST NEWTON STREET RICE LAKE WI 54868 CONTRACT SERVICES 292825 SHARED MEDICAL SERVICES LLC 209 LIMESTONE PASS COTTAGE GROVE WI 53527 CONTRACT SERVICES 138817 7 10000 1300 11300 PATIENT SERVICE REVENUE 621990 25808569 25808569 LAB REVENUE 621500 3692648 3658232 34416 PHARMACY REVENUE 900099 2100645 2100645 25353 25353 31627215 49500 0 49500 49500 49500 CAFETERIA REVENUE 722514 45282 45282 45282 31733297 31592799 34416 94782 X 35278 35278 1200 1200 9545359 8170455 1374904 247957 201444 46513 1349791 1096592 253199 640844 520632 120212 3662 3662 3583927 2450290 1133637 10827 6997 3830 17586 16948 638 4761 3077 1684 500024 25511 474513 53313 34456 18857 531147 531147 1503605 337135 1166470 28138 1436 26702 MEDICAL SUPPLIES 3978931 3834583 144348 CORPORATE ALLOCATIONS 3333334 2171509 1161825 BAD DEBT EXPENSE 1028150 1028150 REPAIRS AND MAINTENANCE 617745 399245 218500 419095 270859 148236 27434674 20605797 6828877 0 1612 1612 109997 106736 3623875 3732148 306961 414923 8401 8731 24498309 4487145 19873068 20011164 94528 705311 24018442 24980625 405700 525533 17335379 17241805 410748 26336 18151827 17793674 X 5866615 7186951 5866615 7186951 24018442 24980625 X 4298623 -2978287 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3662 3662 0 PART II-B, LINE 1: ASPIRUS STANLEY HOSPITAL & CLINICS, INC. (ASH) PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE AHA AND WHA HAVE NOTIFIED ASH THAT A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTH CARE ENVIRONMENT. THE PERCENTAGES OF DUES ATTRIBUTED TO LOBBYING ARE 39.0% FOR THE AHA AND 15.83% FOR WHA FOR DOLLAR AMOUNTS OF $1,600 AND $2,062, RESPECTIVELY. 2690000 2690000 18460622 3037459 15423163 3347687 1449686 1898001 20011164 OPERATING LEASE LIABILITY 26336 26336 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 112598 112598 0.00430 4043109 4138292 0 0.00000 4155707 4138292 112598 0.00430 107566 107566 0.00410 15648 15648 0.00060 25278 25278 0.00100 148492 148492 0.00570 4304199 4138292 261090 0.01000 1 37 316 316 0.00000 1 37 316 316 0.00000 1 369940 0 5099948 5087509 12439 X 1 1 1 1 ASPIRUS STANLEY HOSPITAL 1120 PINE STREET STANLEY WI 54768 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 1013 X X X X ASPIRUS STANLEY HOSPITAL & CLINICS 0 0 1 X X X X X X X X X 24 1 1 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 STANLEY HOSPITAL & CLINICS PART V, SECTION B, LINE 5: ASPIRUS STANLEY HOSPITAL SITS ON THE COUNTY BORDER BETWEEN CLARK AND CHIPPEWA COUNTIES. EACH COUNTY USES A DIFFERENT ASSESSMENT PROCESS. THE CLARK COUNTY COMMUNITY SURVEY WAS DEVELOPED BY THE THREE CORE PARTNERS CLARK COUNTY HEALTH DEPARTMENT, MARSHFIELD MEDICAL CENTER-NEILLSVILLE AND ASPIRUS. THE PARTNERS REVIEWED THE PREVIOUS COMMUNITY SURVEY, MODIFIED IT BASED ON LESSONS LEARNED IN 2022, AND DEVELOPED A STRONG DISTRIBUTION STRATEGY. SURVEY DISTRIBUTION IN SUMMER 2024 WAS LED BY THE HEALTH DEPARTMENT. THE SURVEY WAS DISTRIBUTED ELECTRONICALLY AND ON PAPER. IN ORDER TO HELPS ASSURE THAT OFTEN-UNDER-REPRESENTED VOICES WERE HEARD, THE SURVEY WAS ACTIVELY DISTRIBUTED WIDELY, INCLUDING BUT NOT LIMITED TO: AT A RESOURCE FAIR THAT REACHES INDIVIDUALS WHO ARE HISPANIC; VIA MAIL TO 160 INDIVIDUALS IN THE PLAIN COMMUNITY; TO INDIVIDUALS WHO ARE OLDER AND/OR HAVE A DISABILITY. ALSO IN CLARK COUNTY, IN WINTER 2024-25, THE CORE PARTNERS BEGAN WORKING WITH THE UNIVERSITY OF WISCONSIN-EXTENSION TO PLAN FOR AND THEN CONDUCT A DELIBERATIVE INQUIRY PROCESS. DELIBERATIVE INQUIRY IS A HIGHLY FACILITATED PROCESS THAT RESULTS IN CONSTRUCTIVE DISCUSSION AROUND COMPLEX TOPICS. AN ISSUE GUIDE IS PREPARED AND THEN SHARED WITH COMMUNITY MEMBERS FOR DISCUSSION. IN CLARK COUNTY, THE ISSUE GUIDE WAS FOCUSED ON THE ISSUES OF AND POTENTIAL SOLUTIONS FOR: CHILDCARE; YOUTH FOOD INSECURITY; YOUTH MENTAL HEALTH. TWO IN-PERSON DELIBERATIVE DIALOGUES WERE CONDUCTED IN SPRING 2025. INVITED PARTICIPANTS REPRESENTED MULTIPLE SECTORS AND VOICES, INCLUDING SUBSTANCE USE, WOMEN AND CHILDREN WITH LOW INCOME, PARENTS, SCHOOLS, FOOD PANTRIES, ELECTED OFFICIALS, CHILDCARE, ECONOMIC DEVELOPMENT AND YOUTH. THE CHIPPEWA COUNTY COMMUNITY SURVEY ASKED ADULTS 18 YEARS AND OLDER WHO LIVE OR WORK IN CHIPPEWA COUNTY ABOUT THE 25 ISSUES THAT IMPACT HEALTH. THE SURVEY ASKED WHICH FIVE ISSUES COMMUNITY MEMBERS FELT WERE THE BIGGEST PROBLEMS FOR THEIR COMMUNITY. THE SURVEY WAS AVAILABLE ONLINE THROUGH SURVEYMONKEY AND AS PAPER COPIES. THE SURVEY WAS AVAILABLE IN ENGLISH, HMONG, AND SPANISH TO ENSURE INCLUSIVITY. WHILE PROMOTING THE SURVEY, CHA PARTNERS TOOK DELIBERATE STEPS TO ENSURE A DIVERSE GROUP OF RESPONDENTS. SEVERAL METHODS WERE USED TO REACH GROUPS UNDERREPRESENTED IN PAST CHA SURVEYS. THESE GROUPS INCLUDED: MEN; PEOPLE OF COLOR; FAMILIES; PEOPLE WITH A LOWER SOCIOECONOMIC STATUS. A TOTAL OF 862, OR 1.6% OF CHIPPEWA COUNTY RESIDENTS COMPLETED THE SURVEY. ALSO IN CHIPPEWA COUNTY, COMMUNITY CONVERSATIONS WERE HELD TO OBTAIN ADDITIONAL COMMUNITY INPUT. ON A SERIES OF POSTER BOARDS, THE IDENTIFIED TOP FIVE ISSUES THAT IMPACT HEALTH FROM THE COMMUNITY HEALTH SURVEY WERE PRESENTED TO CHIPPEWA COUNTY RESIDENTS. COMMUNITY MEMBERS WERE INVITED TO LOOK AT THE POSTER BOARDS AT THEIR OWN PACE AND SHARE THEIR THOUGHTS. FROM DECEMBER 2023 THROUGH JANUARY 2024 CHA PARTNERS HOSTED FIVE IN-PERSON AND TWO ONLINE CONVERSATIONS. A TOTAL OF 136 PEOPLE, REPRESENTING MANY SECTORS OF THE COMMUNITY (HEALTH CARE, FAMILIES WITH CHILDREN, UNHOUSED, AGING, ETC.), PARTICIPATED IN THESE CONVERSATIONS. ASPIRUS STANLEY HOSPITAL & CLINICS PART V, SECTION B, LINE 6A: IN CLARK COUNTY, ASPIRUS STANLEY HOSPITAL COLLABORATED WITH THE MARSHFIELD MEDICAL CENTER-NEILLSVILLE HOSPITAL. IN CHIPPEWA COUNTY, ASPIRUS STANLEY HOSPITAL COLLABORATED WITH A HEALTH DEPARTMENT-LET COLLABORATIVE (CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP) THAT INCLUDED THE MARSHFIELD CLINIC HEALTH SYSTEM AND THE MAYO CLINIC HEALTH SYSTEM. NO PAID CONSULTANTS OR VENDORS WERE UTILIZED.ASPIRUS STANLEY HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS STANLEY HOSPITAL. ASPIRUS STANLEY HOSPITAL & CLINICS PART V, SECTION B, LINE 6B: IN CLARK COUNTY, ASPIRUS STANLEY HOSPITAL COLLABORATED WITH THE CLARK COUNTY HEALTH DEPARTMENT. THE UNIVERSITY OF WISCONSIN-EXTENSION PROVIDED TECHNICAL ASSISTANCE IN THE DELIBERATIVE INQUIRY INPUT PROCESS. IN CHIPPEWA COUNTY, ASPIRUS STANLEY HOSPITAL WAS PART OF THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP, WHICH WAS FACILITATED BY THE CHIPPEWA COUNTY HEALTH DEPARTMENT. MANY OTHER ORGANIZATIONS WERE PART OF THAT COLLABORATIVE EFFORT. NO PAID CONSULTANTS OR VENDORS WERE UTILIZED.ASPIRUS STANLEY HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS STANLEY HOSPITAL. ASPIRUS STANLEY HOSPITAL & CLINICS PART V, SECTION B, LINE 11: FACILITY NAME: ASPIRUS STANLEY HOSPITALIN FY25, ASPIRUS CONTINUED TO IMPLEMENT BOTH CROSS-ORGANIZATIONAL AS WELL AS LOCAL STRATEGIES. CROSS-ORGANIZATIONAL STRATEGIES ARE IMPLEMENTED (AS APPROPRIATE) LOCALLY BUT BENEFIT FROM THE EXPERTISE AND STRUCTURE AVAILABLE WITHIN THE SYSTEM. DESCRIPTIONS BELOW REFLECT BOTH CROSS-ORGANIZATIONAL AND LOCAL STRATEGIES. THE HOSPITAL IS IN RURAL NORTHERN WISCONSIN. BECAUSE OF THAT SETTING, COMMUNITY HEALTH EFFORTS ARE FREQUENTLY COMPLETED WITH OTHER REGIONAL PARTNERS.IN FY25, ASPIRUS STANLEY HOSPITAL'S SIGNIFICANT NEEDS WERE: CHRONIC DISEASE; MENTAL HEALTH; PHYSICAL ENVIRONMENT AND SAFETY. THE HOSPITAL ADDRESSED THOSE NEEDS IN THE FOLLOWING WAYS.CHRONIC DISEASE- FOOD GLEANING. ASPIRUS STANLEY HOSPITAL CONTINUED THE FOOD GLEANING PROGRAM IT STARTED IN FY21. THE FOOD GLEANING PROGRAM TAKES UNTOUCHED FOOD FROM THE HOSPITAL CAFETERIA, PACKAGES IT AND THEN DISTRIBUTES IT TO AN AREA FOOD PANTRY. THE HOSPITAL CONTRIBUTES BOTH THE CONTAINERS FOR THE FOOD AS WELL AS THE TIME THAT STAFF SPENDS PACKAGING THE FOOD. HOSPITAL STAFF SPENDS APPROXIMATELY 1 HOUR PER WEEK PACKAGING MEALS, TOTALING 52 HOURS OF STAFF TIME AND 1,759 POUNDS OF FOOD DONATED IN FY25.- MEALS ON WHEELS. HOSPITAL FOOD AND NUTRITION STAFF SPENT 4.5 HOURS BETWEEN THE MONTHS OF JULY-DECEMBER 2025 DELIVERING MEALS ON WHEELS FOOD TO HOMEBOUND INDIVIDUALS IN CHIPPEWA COUNTY (CADOTT, STANLEY, BOYD) TOTALING 990 MEALS DISTRIBUTED IN FY25. THE PROGRAM WAS DISCONTINUED IN JANUARY 2025.- COALITIONS: ASPIRUS STANLEY HOSPITAL IS PART OF THE EAT RIGHT BE FIT COALITION IN CLARK COUNTY. THE GOAL OF THIS COALITION IS TO INCREASE HEALTHY NUTRITION AND PHYSICAL ACTIVITY IN THE COMMUNITY. IN ADDITION, THE HOSPITAL IS ALSO PART OF THE CHRONIC DISEASE PREVENTION COALITION IN CHIPPEWA COUNTY.-ASPIRUS STANLEY HOSPITAL PROVIDED FUNDING ($2,500) TO FEED MY PEOPLE TO SUPPORT THEIR ANNUAL EMPTY BOWLS EVENT WHICH PROVIDES FAMILIES WITH MEALS AND ENCOURAGES HEALTHY NUTRITION WHILE ALSO INCREASING ACCESS TO FOOD IN WEST CENTRAL WISCONSIN.-FUNDING ($100) TO THE CHIPPEWA COUNTY DEPARTMENT FOR THE PURCHASE OF COOKING DEMONSTRATION AND EDUCATION MATERIALS FOR THE LOCAL KIDS IN THE KITCHEN EVENT HELD AT THE YMCA IN NOVEMBER OF 2025 AS A PART OF THEIR AFTER-SCHOOL PROGRAM. STUDENTS IN GRADES 3-5 ATTENDED THE EVENT AND WERE TAUGHT HOW TO MAKE HEALTHY AFTER SCHOOL SNACKS AND SENT HOME WITH A COOKBOOK, APRON, AND REUSABLE GROCERY BAG.-FUNDING ($5,000) TO THE STANLEY COMMUNITY ASSOCIATION FOR THE DEVELOPMENT AND INFRASTRUCTURE OF THE STANLEY BIKE TRAIL.- 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. MENTAL HEALTH- COALITIONS. THE HOSPITAL IS A MEMBER OF THE CLARK COUNTY PREVENTION PARTNERSHIP WHICH AIMS TO PROVIDE MENTAL HEALTH AWARENESS AND EDUCATION. AS PART OF THE CHIPPEWA COUNTY HEALTH IMPROVEMENT PARTNERSHIP, ASPIRUS PARTICIPATES IN THE MENTAL HEALTH SUBCOMMITTEE.-FUNDING ($3000) TO THE CLARK COUNTY SHERIFF'S DEPARTMENT TO SUPPORT A MANDATORY MENTAL HEALTH TRAINING PROGRAM CALLED RESILIENT MINDS THAT OFFERS EDUCATION TO OFFICERS ON HOW TO MANAGE THEIR OWN MENTAL HEALTH BOTH ON AND OFF THE JOB. FIFTY-SEVEN (57) COUNTY DEPUTIES AND CITY CHIEFS FROM CLARK AND SURROUNDING COUNTIES ATTENDED.-FUNDING ($5,000) TO THE GREENWOOD SCHOOL DISTRICT TO SUPPORT BOTH AN IN AND OUT OF SCHOOL SOCIAL EMOTIONAL LEARNING CURRICULUM CALLED SECOND STEP. THIS CURRICULUM WILL BE USED IN GRADES 4K-6TH.PHYSICAL ENVIRONMENT AND SAFETY- COALITIONS. ASPIRUS STAFF PARTICIPATE IN THE WOOD AND CLARK COUNTY SAFE KIDS COALITION.-ASPIRUS STANLEY HOSPITAL PROVIDED FUNDING ($3,095) TO HELP PURCHASE AN ICE & WATER RESCUE BOAT FOR THE THORP FIRE AND AMBULANCE.-CAR SEATS. ASPIRUS STANLEY WORKED WITH ASPIRUS WAUSAU TO FUND THE DISTRIBUTION OF CAR SEATS AND CAR SEAT CHECKS AT COMMUNITY EVENTS THAT BEGAN IN FY23 ($1,899).OTHER- ASPIRUS STAFF PARTICIPATE IN H2N. H2N WAS CREATED TO IMPROVE UNDERSTANDING OF HEALTH INFORMATION AND ACCESS TO HEALTHCARE THROUGHOUT RURAL CENTRAL WISCONSIN TO MEMBERS OF THE HISPANIC AND HMONG COMMUNITIES. H2N COLLABORATES WITH PUBLIC HEALTH ORGANIZATIONS, RESOURCE AGENCIES, AND COMMUNITY ORGANIZATIONS.-FUNDING ($221) FOR THE CLARK COUNTY HEALTH DEPARTMENT TO CO-HOST DELIBERATIVE INQUIRY COMMUNITY MEETINGS ALONGSIDE UW EXTENSION AT THE HEALTH DEPARTMENT AND PROVIDE FOOD FOR PARTICIPANTS. THESE MEETINGS WERE HELD AS AN OPPORTUNITY TO INVITE COMMUNITY STAKEHOLDERS TO IDENTIFY AND DISCUSS THE COMMUNITY'S TOP NEEDS AND DEVELOP POTENTIAL STRATEGIES TO NAVIGATE BARRIERS. THIS WAS A PART OF THE HOSPITAL'S MOST RECENT CHNA PROCESS.- PRINTED AND DISTRIBUTED FINDHELP POSTCARDS TO HELP COMMUNITY MEMBERS ACCESS LOCAL RESOURCES. - IN ADDITION TO THE CHIPPEWA COUNTY HEALTH IMPROVEMENT PARTNERSHIP PARTICIPATION MENTIONED ABOVE, ASPIRUS STANLEY ALSO PARTICIPATES IN THE ACCESS TO CARE SUBCOMMITTEE.HEALTHCARE SYSTEMS AND HOSPITALS HAVE NEW REQUIREMENTS TO SCREEN PATIENTS FOR SOCIAL NEEDS, IDENTIFY ANY NEEDS, AND REFER TO COMMUNITY RESOURCES. ASPIRUS CONTRACTS WITH A RESOURCE PLATFORM TO BETTER CONNECT PATIENTS WITH RESOURCES. *****************FROM THE 2022-2025 CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL'S FINAL PRIORITIES WERE: CHRONIC DISEASE MENTAL HEALTH PHYSICAL ENVIRONMENT AND SAFETYTHE THREE ISSUES THAT WERE NOT SELECTED AND THE CORRESPONDING RATIONALE ARE: - SUBSTANCE USE - ALTHOUGH THIS WAS A PRIORITY IN THE PREVIOUS 3-YEAR CYCLE, THERE WAS VERY LITTLE MOMENTUM OR ENERGY AROUND IT FROM OTHER ORGANIZATIONS, RESULTING IN LITTLE PROGRESS. THE HOSPITAL FELT ITS RESOURCES WERE BETTER DIRECTED TO EFFORTS THAT COULD RESULT IN COLLECTIVE IMPACT. - COMMUNICABLE DISEASES - THE HOSPITAL WILL WORK ON THIS ISSUE OUTSIDE OF THE FORMAL IMPLEMENTATION STRATEGY. - SOCIAL DETERMINANTS OF HEALTH - THE HOSPITAL WILL WORK TO ADDRESS SOCIAL DETERMINANTS, PARTICULARLY THOSE DETERMINANTS THAT CONTRIBUTE TO HEALTH INEQUITIES, AS PART OF THEIR EFFORTS TO ADDRESS CHRONIC DISEASE, MENTAL HEALTH AND PHYSICAL ENVIRONMENT AND SAFETY.FROM THE HOSPITAL'S 2025-2028 NEEDS ASSESSMENT AND CORRESPONDING PLAN, AND STARTING IN FY26, ASPIRUS STANLEY HOSPITAL IS FORMALLY ADDRESSING THE FOLLOWING ISSUES: MENTAL HEALTH (YOUTH); FOOD SECURITY AND NUTRITION (YOUTH); SAFETY AND INJURY PREVENTION. DURING THE ASSESSMENT PROCESS IN THE TWO COUNTIES, MULTIPLE COMMUNITY HEALTH ISSUES WERE RAISED. THOSE ISSUES THAT WERE IDENTIFIED BUT NOT SELECTED BY THE HOSPITAL ARE BELOW. THE RATIONALE FOR THEM NOT BEING SELECTED IS ALSO INCLUDED. - CHRONIC DISEASE: BY ADDRESSING FOOD SECURITY AND NUTRITION AS WELL AS MENTAL HEALTH IN THE COMMUNITY, ASPIRUS IS WORKING TO PREVENT CHRONIC DISEASE. - SUBSTANCE USE: IN CLARK COUNTY, THERE IS VERY LITTLE MOMENTUM OR ENERGY AROUND IT FROM OTHER ORGANIZATIONS. THE HOSPITAL FELT ITS RESOURCES WERE BETTER DIRECTED TO EFFORTS THAT COULD RESULT IN COLLECTIVE IMPACT.- CHILDCARE: CHILDCARE WAS NOT SELECTED BECAUSE THE HOSPITAL DOES NOT HAVE THAT EXPERTISE. - HEALTH EQUITY: ASPIRUS IS WORKING TO IMPROVE HEALTH EQUITY AS PART OF ITS WORK IN MENTAL HEALTH, FOOD SECURITY AND NUTRITION, AND SAFETY AND INJURY PREVENTION. - CAPACITY AND INFRASTRUCTURE: ASPIRUS WILL COLLABORATE ON CAPACITY AND OTHER INFRASTRUCTURE ISSUES, HOWEVER, ASPIRUS DOES NOT HAVE THE INTERNAL CAPACITY OR EXPERTISE TO LEAD.- ACCESS TO HEALTHCARE: ACCESS TO CARE WAS NOT SELECTED AS A FORMAL PRIORITY BECAUSE MAINTAINING HIGH QUALITY CARE AND IMPROVING ACCESS TO CARE IS ALREADY THE CORE BUSINESS ASPIRUS IMPLEMENTS TO LIVE OUR MISSION TO HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. ASPIRUS STANLEY HOSPITAL & CLINICS PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. ASPIRUS STANLEY 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. 3 1 - ASPIRUS STANLEY CLINIC 1120 PINE STREET STANLEY WI 54768 PHYSICIANS CLINIC 2 - ASPIRUS THORP CLINIC 704 SOUTH CLARK STREET THORP WI 54771 PHYSICIANS CLINIC 3 - ASPIRUS OWEN CLINIC 6 JOHNSON STREET OWEN WI 54460 PHYSICIANS CLINIC PART I, LINE 3C: THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY). SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS WHERE RETIREMENT WITHDRAWALS HAVE NOT BEGUN AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE. PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990. PART I, 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 $1,028,150. PART II, COMMUNITY BUILDING ACTIVITIES: ASPIRUS STANLEY 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., BANKING, LOCAL BUSINESSES, AND COMMUNITY SERVICE ORGANIZATIONS). - SUPPORTS ITS STAFF IN PARTICIPATING ON COMMUNITY BOARDS, COALITIONS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES.- REVIEWS FUNDING REQUESTS AS AN INDICATOR OF LOCAL NEEDS.- INITIATED A SOCIAL NEEDS SCREENING PROCESS THAT, OVER TIME, WILL PROVIDE INSIGHT INTO PATIENT NEEDS IN ADDITION TO THEIR IMMEDIATE CARE. PART VI, LINE 3: ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS HOW TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS SENT FROM THE FINANCIAL CLEARANCE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS WHEN REQUESTED OR DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO ASSIST ALL UNINSURED PATIENTS WITH SCREENING AND APPLYING FOR MEDICAL ASSISTANCE. PART VI, LINE 4: THE PRIMARY SERVICE AREA OF THE HOSPITAL IS CLARK COUNTY AND CHIPPEWA COUNTY. CLARK COUNTY IS A RURAL COUNTY IN WEST-CENTRAL WISCONSIN. IT COVERS 1,209 SQUARE MILES, WITH 28.7 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 34,659 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS 18 YEARS AND UNDER: 29.8%PERSONS 65 YEARS AND OVER: 17.0%WHITE PERSONS: 92.2%AFRICAN AMERICAN PERSONS: <1%AMERICAN INDIAN PERSONS: <1%ASIAN PERSONS: <1%HISPANIC OR LATINO: 6.1%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 17.4%HIGH SCHOOL GRADUATE OR HIGHER: 82.5%PERSONS BELOW POVERTY LEVEL: 12.0%MEDIAN HOUSEHOLD INCOME: $66,250PERCENT WITHOUT HEALTHCARE COVERAGE: 21.3%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERAN'S BENEFITS, ETC.) 34.2%NUMBER OF HOSPITALS IN THE COUNTY: 2 (INCLUDING ASPIRUS STANLEY HOSPITAL)CLARK COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR MENTAL HEALTH, DENTAL CARE, AND PRIMARY CARE.CLARK COUNTY INCLUDES A RELATIVELY LARGE POPULATION INDIVIDUALS FROM THE AMISH, MENNONITE, GERMAN BAPTIST, AND OLD GERMAN BAPTIST RELIGIONS (OFTEN REFERRED TO COLLECTIVELY AS THE PLAIN COMMUNITY OR PLAIN PEOPLE). THE PLAIN PEOPLE ALSO REQUIRE SPECIAL CONSIDERATION BY ASPIRUS STANLEY AND THE HEALTH DEPARTMENTS BECAUSE OF THEIR NON-MAINSTREAM LIFESTYLE. DEPENDING ON THE FAITH, BELIEFS MAY INFLUENCE THE USE OF PREVENTIVE HEALTH CARE, TREATMENT FOR ILLNESSES AND INJURIES, USE OF INSURANCE, USE OF ELECTRICITY, TRANSPORTATION, AND VARIOUS OTHER FACETS OF DAILY LIFE.CHIPPEWA COUNTY IS AN URBAN COUNTY IN WEST-CENTRAL WISCONSIN. IT COVERS 1008 SQUARE MILES, WITH 65.8 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 66,297 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS 18 YEARS AND UNDER: 21.1%PERSONS 65 YEARS AND OVER: 20.4%WHITE PERSONS: 91.8%AFRICAN AMERICAN PERSONS: 1.6%AMERICAN INDIAN PERSONS: <1%ASIAN PERSONS: 1.5%HISPANIC OR LATINO: 1.9%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: NAHIGH SCHOOL GRADUATE OR HIGHER: 95.3%PERSONS BELOW POVERTY LEVEL: 8.4%MEDIAN HOUSEHOLD INCOME: $77,617PERCENT WITHOUT HEALTHCARE COVERAGE: 3.5%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERAN'S BENEFITS, ETC.) 38.0%NUMBER OF HOSPITALS IN THE COUNTY: 1 CHIPPEWA COUNTY IS NOT 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.- PROVIDES PRECEPTORS FOR HEALTH PROFESSIONS STUDENTS-IN-TRAINING, WHICH ADVANCES THE HEALTH CARE WORKFORCE. - IN ADDITION, SEVERAL COMMUNITY EFFORTS ARE SUPPORTED BY ASPIRUS STANLEY.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 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 B.M./SVP & PRES. REG. MRKTS 0 557181 0 172222 0 57121 0 10350 0 115419 0 912293 0 52586 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 0 508507 0 193167 0 61812 0 10350 0 107316 0 881152 0 56910 JAMES MATHESON VICE CHAIR/SVP-CHIEF STRATEGY OFF. 0 486205 0 186599 0 72384 0 8565 0 106951 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 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 0 472935 0 180578 0 7157 0 2778 0 103017 0 766465 0 0 JESSE TISCHER SVP & PRESIDENT-AWH (FORMER) 0 29283 0 73104 0 630592 0 2566 0 3289 0 738834 0 0 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 0 454003 0 109647 0 2193 0 2636 0 96945 0 665424 0 0 SUSAN SCHNEIDER B.M./VP-SYSTEM SR. PHYSICIAN EXEC. 0 459962 0 116101 0 4692 0 10350 0 25557 0 616662 0 0 DAVID BITTNER SVP-ENTERPRISE DEVELOPMENT 0 402065 0 25000 0 16617 0 10350 0 110472 0 564504 0 0 DALE HUSTEDT (NV) PRES.-NW WI DIV. (THRU 10/24) 0 239682 0 146833 0 117422 0 10315 0 25017 0 539269 0 85366 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 0 244957 0 149328 0 61332 0 10350 0 31536 0 497503 0 0 THOMAS POWELL VP-CHIEF MEDICAL INFO OFFICER 0 152526 0 0 0 286737 0 4252 0 14217 0 457732 0 0 CRYSTAL KIRSCHLING VP-SYSTEM INTEGRATION OFFICER 0 290867 0 72415 0 964 0 10350 0 39456 0 414052 0 0 JONATHAN JUSTICE PHYSICIAN 336430 0 0 0 5540 0 7684 0 41305 0 390959 0 0 0 ANDREA ALLARD VP-OPERATIONS 0 273035 0 54599 0 595 0 8883 0 1716 0 338828 0 0 JOSHUA FOSTER VP-BUSINESS TRANSFORMATION & STRAT. 0 230806 0 59873 0 1186 0 0 0 37666 0 329531 0 0 TYLER HACK VP-FINANCE NORTH REGION 0 255652 0 40552 0 5465 0 6949 0 15584 0 324202 0 0 JASON TROXELL (NV) PRESIDENT-ASPIRUS NW WI DIV. 0 199058 0 36949 0 643 0 7312 0 70509 0 314471 0 0 DIANE ANDERSON BOARD MEMBER/NURSE PRACTITIONER 0 265296 0 0 0 6449 0 8204 0 31612 0 311561 0 0 JOSEPH SNIPP VP-SYSTEM PAT. EXP. & CONSUMERISM 0 218041 0 55526 0 2023 0 5550 0 16244 0 297384 0 0 KATHERINE JACKSON-SCHNEIDER PHYSICIAN 252135 0 0 0 5075 0 948 0 38649 0 296807 0 0 0 REBECCA KNUTSON VP-SYSTEM TALENT MANAGEMENT 0 199932 0 52016 0 659 0 4666 0 26630 0 283903 0 0 PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS STANLEY 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 PAYMENT: J. TISCHER $569,088 T. POWELL $237,748 W. CARROLL $41,555 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $481,861 M. HEYWOOD $198,152 D. HUSTEDT $85,366 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 WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97712JDN0 2021-11-10 17711082 REVENUE BONDS SERIES 2021 0 0 0 A 17711082 126172 17584910 2021 0 0 1 1 A 0 0 1 0 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 STANLEY HOSPITAL INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW LEASE AGREEMENTS, MANAGEMENT, AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY. ON A CONTRACT-BY-CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY. SCHEDULE K, PART III, LINE 9 SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THERE SHALL BE A MINIMUM OF 10 VOTING DIRECTORS ALLOCATED AS FOLLOW. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN SIX INDEPENDENT COMMUNITY CLASS DIRECTORS, TWO ASPIRUS CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., TWO PROVIDER CLASS DIRECTOR NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR 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 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 STANLEY 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 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 OTHER FEES: PROGRAM SERVICE EXPENSES 2,093,681. MANAGEMENT AND GENERAL EXPENSES 1,133,637. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,227,318. LAB FEES: PROGRAM SERVICE EXPENSES 173,396. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 173,396. CONTRACT NURSING AND OTHER LABOR: PROGRAM SERVICE EXPENSES 183,213. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 183,213. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -2,978,287. 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