2026-05-14T10:24:37-05:00 2025-06-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-07-01 390808503 ASPIRUS MERRILL HOSPITAL & CLINICS INC ASPI 7155365511 601 SOUTH CENTER AVENUE MERRILL WI 54452 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 36869957 0 X WWW.ASPIRUS.ORG X 1950 WI WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. 10 4 125 35 2430 949 54496 0 32898077 36731583 -1156 -7974 138653 138374 33090070 36861983 31550 32858 0 0 11581113 12944848 0 0 0 15127306 16313745 26739969 29291451 6350101 7570532 13921170 15052072 8909192 7143099 5011978 7908973 WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES. 0 0 20259582 32858 36729153 ASPIRUS MERRILL HOSPITAL & CLINICS INC. PROVIDES HOSPITAL SERVICES FOR RESIDENTS OF MERRILL, WAUSAU, AND SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. 20259582 1 0 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 1 125 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X LORI PECK 7158472118 2200 WESTWOOD DRIVE WAUSAU WI 54401 JEREMY LEWITZKE CHAIR 1.00 3.00 X X 0 0 0 KYLE PAGE VICE CHAIR 1.00 2.00 X X 0 0 0 MARCO ESPINOZA SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 BRYAN BORRELL BOARD MEMBER 1.00 2.00 X 0 0 0 CRAIG DESTREE MD BOARD MEMBER/PHYSICIAN 1.00 2.00 X 0 407638 36520 JAMES CYGAN MD BOARD MEMBER (THRU 09/24)/PHYSICIAN 1.00 40.00 X 0 936829 47664 ELIZABETH RENAKER-JANSEN DO BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 791725 43647 LAWRENCE LEIBERT MD BOARD MEMBER (THRU 09/24)/PHYSICIAN 1.00 40.00 X 0 531218 38249 JENNIFER ENMAN-BOURGON DO BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 432600 12300 MICHAEL UMLAND MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 327184 48178 TOU SHOUA LOR MD BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 369828 46176 ERIKA CROCKFORD DO BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 442007 10775 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 677240 138394 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 3868734 361440 JEFFREY WICKLANDER (NV) PRESIDENT-ASPIRUS CENT. 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THE AMOUNTS THAT ARE SPECIFIC TO LOBBYING PURPOSES ARE: WISCONSIN HOSPITAL ASSOCIATION $3,018 AND AMERICAN HOSPITAL ASSOCIATION $1,962. 1370000 1370000 7226117 3341299 3884818 4981520 2702696 2278824 2379905 2379905 9913547 ASBESTOS LIABILITY 666051 COST REPORT PAYABLE 197118 FINANCE LEASE LIABILITY 27260 890429 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 372259 372259 0.01370 3840315 2458077 1382238 0.05070 1452128 1345605 106523 0.00390 5664702 3803682 1861020 0.06830 77698 77698 0.00280 28195 28195 0.00100 61216 61216 0.00220 167109 167109 0.00600 5831811 3803682 2028129 0.07430 1 615452 0 3986779 3991940 -5161 X 1 1 1 1 ASPIRUS MERRILL HOSPITAL & CLINICS INC 601 SOUTH CENTER MERRILL WI 54452 WWW.ASPIRUS.ORG 1043 X X X X ASPIRUS MERRILL HOSPITAL & CLINICS INC 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 23 1 WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS 0 1 X 200.000000000000 300.000000000000 X X X X X X X 1 1 X X X X 1 X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ASPIRUS MERRILL HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 5: FOR THE CHNA COMPLETED IN FY23 (SPRING 2023), COMMUNITY MEMBERS FROM LINCOLN COUNTY PROVIDED INPUT ON THE TOP COMMUNITY HEALTH NEEDS THROUGH A COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS, A COMMUNITY FORUM AND A COALITION PRIORITIZATION PROCESS. THE COMMUNITY SURVEY WAS COMPLETED BY 752 ADULTS IN FALL 2022 (SEPTEMBER-OCTOBER). THE SURVEY WAS DISTRIBUTED BY MULTIPLE COMMUNITY PARTNERS INCLUDING THE HEALTH DEPARTMENT, SOCIAL SERVICE AGENCIES, AND MORE. RESPONDENTS WERE ASKED ABOUT THEIR TOP COMMUNITY HEALTH CONCERNS AS WELL AS THE STRENGTHS OF THE COMMUNITY. TO FILL SOME GAPS NOTICED IN THE SURVEY, FIVE KEY INFORMANT INTERVIEW RESULTS WERE CONDUCTED IN NOVEMBER 2022. REPRESENTED SECTORS INCLUDED MANUFACTURING, AGENCIES SERVING VULNERABLE POPULATIONS, COMMUNITY ORGANIZATIONS, YOUTH GROUP, AND COMMUNITY LEADER. INTERVIEW QUESTIONS WERE ABOUT COMMUNITY STRENGTHS, CHALLENGES, OPPORTUNITIES AND THREATS. A COMMUNITY FORUM WAS HELD IN JANUARY 2023 TO REVIEW DATA AND ROOT CAUSES OF HEALTH ISSUES. OVER 60 COMMUNITY STAKEHOLDERS WERE INVITED. THE LINCOLN COUNTY HEALTH DEPARTMENT FACILITATED AND CONTRIBUTED TO THE DISCUSSION. LASTLY, THE LIVE WELL LINCOLN PARTNERS LINCOLN COUNTY HEALTH DEPARTMENT, UNIVERSITY OF WISCONSIN-EXTENSION, ASPIRUS, LINCOLN COUNTY DEPARTMENT OF SOCIAL SERVICES AND THE AGING AND DISABILITY RESOURCE CENTER MET REGULARLY TO REVIEW DATA, SHAPE THE PROCESS AND FINALIZE THE RESULTS. ASPIRUS MERRILL HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 6A: FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, THE HOSPITAL COLLABORATED WITH ASPIRUS TOMAHAWK HOSPITAL. ASPIRUS MERRILL HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS MERRILL HOSPITAL. ASPIRUS MERRILL HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 6B: FOR THE CHNA THAT WAS COMPLETED IN SPRING 2023, ASPIRUS MERRILL HOSPITAL COLLABORATED WITH THE LINCOLN COUNTY HEALTH DEPARTMENT. ASPIRUS MERRILL HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS MERRILL HOSPITAL. ASPIRUS MERRILL HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 11: IN FY25, ASPIRUS CONTINUED TO IMPLEMENT BOTH CROSS-ORGANIZATIONAL AND LOCAL COMMUNITY HEALTH STRATEGIES. CROSS-ORGANIZATIONAL STRATEGIES ARE IMPLEMENTED (AS APPROPRIATE) LOCALLY BUT BENEFIT FROM THE EXPERTISE AND STRUCTURE AVAILABLE WITHIN THE SYSTEM. DESCRIPTIONS BELOW REFLECT BOTH CROSS-ORGANIZATIONAL AND LOCAL STRATEGIES. IN FY25, ASPIRUS MERRILL HOSPITAL'S SIGNIFICANT NEEDS WERE: COMMUNITY-CENTERED RESOURCES FOR THE 55+ POPULATION; HEALTHY LIFESTYLES; MENTAL AND EMOTIONAL WELL-BEING. THESE NEEDS WERE IDENTIFIED THROUGH THE MOST RECENT CHNA, COMPLETED IN JUNE 2023. THE HOSPITAL ADDRESSED THOSE NEEDS IN THE FOLLOWING WAYS. COMMUNITY-CENTERED RESOURCES FOR THE 55+ POPULATIONTHE HOSPITAL FUNDS AND FACILITATES THE COMMUNITY CARE PARAMEDIC PROGRAM, WHICH UTILIZES PARAMEDICS TO CONDUCT HOME VISITS. THE PROGRAM SERVED INDIVIDUALS WHO WERE DISCHARGED FROM THE HOSPITAL WHO MAY BE AT RISK FOR NUTRITION OR MENTAL HEALTH ISSUES, INCLUDING PATIENTS WHO HAD COVID. THE PROGRAM ALSO SERVED INDIVIDUALS WITH COVID WHO WERE NOT ADMITTED TO THE HOSPITAL BUT WOULD BENEFIT FROM ADDITIONAL MONITORING. IN FY24, THE PROGRAM EXPANDED TO INCLUDE DISCHARGED PATIENTS WITH DIABETES AND REACH MERRILL RESIDENTS WHO WERE AT THE WAUSAU HOSPITAL. WORK IN FY24 ALSO LED TO THE FY25 IMPLEMENTATION OF THE COMMUNITY CARE PARAMEDIC PROGRAM IN A NEIGHBORING COUNTY (MARATHON COUNTY, WHERE ASPIRUS WAUSAU HOSPITAL IS). IN FY25 IN MERRILL, AFTER BEING ON HOLD FOR THE FIRST HALF OF THE YEAR, NINE PEOPLE WERE SERVED THROUGH THE COMMUNITY CARE PARAMEDIC PROGRAM. ASPIRUS MERRILL PROVIDED FUNDING FOR THE STEPPING ON PROGRAM THROUGH THE AGING AND DISABILITY RESOURCE CENTER (ADRC). THE STEPPING ON PROGRAM HAS BEEN RESEARCHED AND PROVEN TO HELP DECREASE FALLS BY 31%. THOSE WHO COMPLETE THE PROGRAM SHOW FEWER INJURIES, FEWER VISITS TO THE EMERGENCY ROOM, FEWER HOSPITALIZATIONS AND FEWER DEATHS DUE TO A FALL. THIRTEEN PEOPLE PARTICIPATED IN THE PROGRAM. HEALTHY LIFESTYLES ASPIRUS MERRILL HOSPITAL ACTIVELY PARTICIPATED IN THE LINCOLN COUNTY HEALTHY LIFESTYLES COALITION. THE HOSPITAL AND/OR COALITION CONDUCTED A NUMBER OF NUTRITION AND HEALTHY FOOD-RELATED EFFORTS. AFTER BEING ON PAUSE FOR THE THREE YEARS OF THE PANDEMIC, HEALTHY COOKING DEMONSTRATIONS WERE AGAIN CONDUCTED IN FY24 AND FY25. WITH THE LOSS OF FUNDING FOR LOCAL UW-EXTENSION STAFFING HOWEVER, ONLY ONE DEMONSTRATION WAS ABLE TO BE HELD IN FY25. OVER 20 FAMILIES WITH CHILDREN ENROLLED IN HEAD START PARTICIPATED IN EARLY CALENDAR 2025 DEMONSTRATION. EACH FAMILY RECEIVED A GRIDDLE TO TAKE HOME AND USE FOR THE NEW RECIPE. ASPIRUS MERRILL HOSPITAL CONTINUES TO PROVIDE FUNDING TO INCREASE ACCESS TO FRESH FRUITS AND VEGETABLES. FUNDING SUPPORTED: - TRIPLE-YOUR-BUCKS COUPONS AND THE ELECTRONIC BENEFIT TRANSFER (EBT) MACHINE FEES AT THE LOCAL FARMERS MARKET. THE COUPONS ARE SPECIFICALLY FOR INDIVIDUALS WHO PARTICIPATE IN THE FOODSHARE PROGRAM. - ELECTRONIC BENEFIT TRANSFER (EBT) AVAILABILITY. THE AVAILABILITY OF THE EBT MACHINE INCREASES THE ACCESSIBILITY OF THE FARMERS MARKET FOR INDIVIDUALS PARTICIPATING IN FOODSHARE. - A FRUIT AND VEGETABLE PRESCRIPTION PROGRAM. ASPIRUS OFFERS A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM FOR ELIGIBLE PATIENTS. A VOUCHER IS GIVEN TO PATIENTS TO PURCHASE FRUITS AND VEGETABLES FROM LOCAL FARMERS. THE PROGRAM ALSO PROVIDES NUTRITION INFORMATION AND ACCESS TO RECIPES. DURING THE 2025 SEASON, OVER 800 VOUCHERS WERE DISTRIBUTED ACROSS THE SYSTEM.ASPIRUS (AT THE SYSTEM LEVEL) INITIATED A HEALTHY FOOD HOME-DELIVERY PROGRAM THAT HELPS PEOPLE MANAGE DIABETES THROUGH HEALTHY EATING. THE PROGRAM, NOURISHEDRX, IS BEING IMPLEMENTED THROUGH ASPIRUS AT HOME (HOME HEALTH). NOURISHEDRX UTILIZES THE CONCEPT OF "FOOD AS MEDICINE," RECOGNIZING THAT HEALTHY EATING CAN SIGNIFICANTLY IMPACT HEALTH OUTCOMES. IN FY25, 72 PATIENTS PARTICIPATED. ASPIRUS MERRILL HOSPITAL PROVIDED FUNDING TO THE SCHOOL DISTRICT'S SPARK PROGRAM. SPARK IS THE DISTRICT'S ALTERNATIVE EDUCATION PROGRAM. THE ASPIRUS FUNDING SUPPORTED GARDENING, RAISED BEDS, AND LIFE SKILLS COOKING PROGRAM. ASPIRUS MERRILL ALSO PROVIDED SUPPORT FOR THE DISTRICT'S GREEN TEAM. ASPIRUS PROVIDED FUNDING FOR: - HEALTHY NUTRITION RESOURCES. FUNDING (FOR THE HEALTH DEPARTMENT) WAS USED TO PURCHASE PROFESSIONAL PRINTED AND IN HOUSE PRINTED HEALTHY NUTRITION RESOURCES TO INCREASE KNOWLEDGE AND ACCESS TO FOOD, PURCHASING INSULATED TOTES, AND IMPROVING LIFE SKILLS THAT PROMOTE HEALTHY NUTRITION THROUGH EDUCATION AND CONNECTION TO RESOURCES. EIGHT HUNDRED BROCHURE GUIDES WERE PRINTED. THE GUIDES WERE DISTRIBUTED THROUGH COMMUNITY EVENTS AND COMMUNITY PARTNERS (LIBRARIES, SCHOOLS, BACKPACK PROGRAMS, CLINICIANS/HOSPITALS, SENIOR CENTERS, FOOD PANTRIES, ETC.). MENTAL AND EMOTIONAL WELL-BEINGASPIRUS MERRILL IS AN ACTIVE PARTICIPANT IN THE COUNTY'S MENTAL HEALTH AND AODA COALITION. THE COALITION PARTNERS HAVE COMPLETED MANY ACTIVITIES, SOME OF WHICH THE HOSPITAL FUNDED. ACTIVITIES INCLUDED: - A CONNECTEDNESS CAMPAIGN. THE CAMPAIGN, HELD IN MAY AND JUNE 2025, CHALLENGED INDIVIDUALS WITH A LIST OF WAYS TO BE MORE CONNECTED. ONE HUNDRED SIXTEEN PEOPLE COMPLETED THE CHALLENGE, WITH 59% FROM MERRILL. NEARLY ONE-THIRD SAID THE CHALLENGE HELPED IMPROVE THEIR MENTAL HEALTH, AND OVER 60% SAID THE CHALLENGE HELPED IMPROVE THEIR CONNECTIONS WITH OTHERS. - PUBLIC AWARENESS AND SOCIAL NORMS CAMPAIGNS (E.G., HOPELINE, SMALL TALKS, KNOW METH, ADVERSE CHILDHOOD EXPERIENCES [ACES], PARENT PACT, SOCIAL HOST AWARENESS). THE NEW NATIONAL MENTAL HEALTH HOTLINE 988 WAS PROMOTED. THE HOSPITAL FUNDED THE BILLBOARD PROMOTION OF THE COUNTY MENTAL HEALTH RESOURCE GUIDE. - COMMUNITY PRESENTATIONS ABOUT MENTAL HEALTH AND SUBSTANCE ABUSE. - THE DISTRIBUTION OF POSTERS, CARDS, AND RELATED VISUAL MATERIALS (E.G., SUICIDE PREVENTION HOTLINE POSTERS). - FAMILY FUN PACKS THAT PROVIDED FAMILIES WITH ACTIVITIES AND RESOURCES. ORIGINALLY DEVELOPED IN RESPONSE TO SOCIAL ISOLATION NEEDS EARLY IN THE PANDEMIC, THE FAMILY FUN PACKS COORDINATED BY THE LIBRARY CONTINUED TO BE IN DEMAND. THE PACK ACTIVITIES/CRAFTS FOCUS ON STEAM, LITERACY, AND A HEALTHY LIFESTYLE. THE PACK ALSO INCLUDES HEALTHY, KID-FRIENDLY RECIPES, ALONG WITH ACTIVITIES AND CRAFTS TO GET CHILDREN OUTSIDE, READING, AND USING CREATIVE THOUGHT. THE FUN PACKS HAVE BEEN DISTRIBUTED IN SUMMER 2022, 2023, 2024 AND 2025; ASPIRUS MERRILL PROVIDED FINANCIAL SUPPORT FOR THE PACKS. TWO HUNDRED ACTIVITY BAGS WERE DISTRIBUTED IN SUMMER 2025. THE COALITION, LED BY THE HEALTH DEPARTMENT, DISTRIBUTED NEARLY 2000 MENTAL HEALTH RESOURCES (E.G., WALLET CARDS, GRIEF SUPPORT GUIDES, ETC.). THE RESOURCES WERE DISTRIBUTED AT BUSINESSES AND COMMUNITY EVENTS. AS PART OF THE DISTRIBUTION, THE HEALTH DEPARTMENT ASKED WHAT ADDITIONAL TOPICS WOULD BE BENEFICIAL. RESPONSES INCLUDED: ANXIETY; POST-PARTUM DEPRESSION; ISOLATION; YOUTH MENTAL HEALTH AND MORE. ASPIRUS MERRILL HOSPITAL PROVIDED FUNDING TO THE COUNTY'S DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR PROTECTIVE FACTOR AND CAPACITY FRAMEWORK AWARENESS. THE DEPARTMENT PURCHASED PROMOTIONAL / INFORMATIONAL MATERIALS FOR COUNTY-WIDE DISTRIBUTION. MATERIALS FOCUS ON RAISING AWARENESS OF THE PROTECTIVE FACTOR FRAMEWORK FOR STRENGTHENING FAMILIES. CHILDREN THAT LIVE IN HOMES AND COMMUNITIES WITH ENHANCED PROTECTIVE FACTORS HAVE BETTER MENTAL HEALTH OUTCOMES. INFORMATION PROVIDED FOCUSED ON WHAT PROTECTIVE FACTORS ARE AND HOW INDIVIDUALS AND BUSINESSES IN THE COMMUNITY CAN HELP. 1,250 INFORMATIONAL PACKETS WERE ASSEMBLED WITH INFORMATIONAL MATERIALS AND SHARED AT BUSINESSES AND AT COMMUNITY EVENTS. ASPIRUS MERRILL HOSPITAL SUPPORTED THE SCHOOL DISTRICT IN ITS EFFORTS TO ENCOURAGE POSITIVE MENTAL HEALTH. FINANCIAL SUPPORT WAS PROVIDED FOR: BOTVIN LIFE SKILLS PROGRAM AND A POSITIVE BEHAVIOR PROGRAM. ASPIRUS HEALTH OFFERS THE RAISE YOUR VOICE PROGRAM IN MULTIPLE COMMUNITIES, INCLUDING IN MERRILL. 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. DESCRIPTION CONTINUES BELOW. ASPIRUS MERRILL HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. ASPIRUS MERRILL HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 13H: THE FINANCIAL ASSISTANCE POLICY ALSO ALLOWS FOR AN ADMINSTRATIVE REVIEW FOR CATASTROPHIC OR UNIQUE CIRCUMSTANCES. THIS ADDITIONAL PROVISION ALLOWS FOR ADMINSTRATION TO MAKE A DETERMINATION THAT MAY ASSIST A PATIENT IN A UNIQUE TIME OF FINANCIAL NEED. PART V, SECTION B, LINE 11 (CONTINUED): ASPIRUS CONTRACTS WITH THREE BRIDGES RECOVERY TO PROVIDE PEER SUPPORT SPECIALIST SERVICES, WHICH INCLUDES RECOVERY COACHING FOR PATIENTS IN NEED OF SUBSTANCE USE SUPPORT. IN FY25, THE PROGRAM WAS IMPLEMENTED AT THE MERRILL HOSPITAL AND THE HOSPITAL PROVIDED SOME FINANCIAL SUPPORT. THESE SERVICES INCREASE BOTH AVAILABILITY AND ACCESSIBILITY TO VARIOUS PATHWAYS OF SUBSTANCE USE RECOVERY THROUGH COACHING, MENTORING, ACCOUNTABILITY, AND PEER BEHAVIOR MODELING AT NO COST TO THOSE THEY SERVE. COACHES ARE AVAILABLE 24/7 TO RESPOND TO CALLS AND ARE ADVOCATES FOR VULNERABLE INDIVIDUALS TO HELP THEM RECEIVE THE TREATMENT THEY WANT AND NEED. FOR JULY 1, 2024 THROUGH JUNE 30, 2025, WITH ASPIRUS FUNDS, THREE BRIDGES RECOVERY SERVED 243 PEOPLE. OF THOSE, 100 WERE REFERRED FROM ASPIRUS HOSPITALS. THOSE HOSPITALS INCLUDED: DIVINE SAVIOR; LANGLADE; MERRILL; STEVENS POINT; WISCONSIN RAPIDS AND WAUSAU. OTHER THE HOSPITAL ALSO FINANCIALLY SUPPORTED THE SEAL-A-SMILE PROGRAM IN THE MERRILL SCHOOL DISTRICT. IN THE 2024-25 SCHOOL YEAR, THE SEAL-A-SMILE PROGRAM PROVIDED 470 FLUORIDE VARNISH APPLICATIONS, SEALED 549 TEETH AND IDENTIFIED 78 CHILDREN WITH UNTREATED DECAY (AND SHARED THAT INFORMATION WITH THEIR PARENTS). FY25 ASPIRUS MERRILL HOSPITAL ALSO CONTINUED TO IMPLEMENT A FOOD REPURPOSING PROGRAM THAT PACKAGES UNTOUCHED FOOD FROM THE HOSPITAL'S CAFETERIA AND MAKES IT AVAILABLE FOR INDIVIDUALS WHO USE THE FOOD PANTRY. IN FY23, NEARLY 2600 POUNDS WERE DONATED. IN FY24, OVER 1200 POUNDS WERE DONATED. IN FY25, OVER 1100 POUNDS WERE DONATED. THE HOSPITAL PROVIDED FUNDING FOR A NUMBER OF ADDITIONAL SERVICES AND PROGRAMS, INCLUDING: - COUPONS FOR SAFETY LADDERS, GIVEN OUT AT THE EMERGENCY SERVICES NIGHT OUT (AUGUST 2024). - AN AED FOR THE MERRILL LIBRARY. - - - - - - - - - - - -FOR THE CHNA COMPLETED IN JUNE 2023 (FY23), THE NEEDS PRIORITIZED BY THE HOSPITAL WERE THE SAME NEEDS LIVE WELL LINCOLN AND THE COMMUNITY STAKEHOLDERS IDENTIFIED. 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 $2,022,365. 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, WHICH MEETS NEARLY MONTHLY. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS (E.G., MEDICINE, INDUSTRY AND LEGAL). - SUPPORTS ITS STAFF IN PARTICIPATING ON COMMUNITY BOARDS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES.- REVIEWS FUNDING REQUESTS (TO THE HOSPITAL AND/OR HOSPITAL FOUNDATION) AS AN INDICATOR OF LOCAL NEEDS.- INITIATED A SOCIAL NEEDS SCREENING PROCESS THAT, OVER TIME, WILL PROVIDE INSIGHT INTO PATIENT NEEDS IN ADDITION TO THEIR IMMEDIATE CARE. - INVOLVES CARE COORDINATION IN PATIENT DISCHARGE PLANNING (WHICH, OVER TIME, BUILDS AN UNDERSTANDING OF PATIENTS' NEEDS). 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 ORDURING 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 WITHSCREENING AND APPLYING FOR MEDICAL ASSISTANCE. PART VI, LINE 4: THE PRIMARY SERVICE AREA OF THE HOSPITAL IS LINCOLN COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES. LINCOLN COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 878 SQUARE MILES, WITH 32.3 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 27,687 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS 14 YEARS AND UNDER: 14.6%PERSONS 65 YEARS AND OVER: 21.6%WHITE PERSONS: 98.4%AFRICAN AMERICAN PERSONS: 1.4%AMERICAN INDIAN PERSONS: 0.9%ASIAN PERSONS: 0.8%HISPANIC OR LATINO: 1.9%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 2.7%ADULTS AGES 25 AND OVER WITH A HIGH SCHOOL DIPLOMA OR EQUIVALENT: 92%HOUSEHOLDS IN POVERTY: 10%MEDIAN HOUSEHOLD INCOME: $61,100PERCENT WITHOUT HEALTHCARE COVERAGE: 4.8%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 40.3%NUMBER OF HOSPITALS IN THE COUNTY: 2 (INCLUDING ASPIRUS MERRILL HOSPITAL AND ASPIRUS TOMAHAWK HOSPITAL) LINCOLN COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR MENTAL HEALTH. 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. 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 LINCOLN COUNTY HEALTH DEPARTMENT 607 N SALES ST SUITE 101 MERRILL WI 54452 396005714 GOVERNMENT 14358 0 THE COMMUNITY MENTAL HEALTH COALITION PROGRAMS AND ACTIVITIES (E.G., BILLBOARDS); ORAL HEALTH IMPROVEMENT (SEAL-A-SMILE). MERRILL AREA PUBLIC SCHOOLS 1111 N SALES ST MERRILL WI 54452 391421865 GOVERNMENT 6500 0 FUNDS SUPPORTED MULTIPLE YOUTH PREVENTION AND INTERVENTION PROGRAMS. EXAMPLES INCLUDE: SUBSTANCE USE INTERVENTION/EDUCATION (HIGH SCHOOL); PRE-K THROUGH 12TH GRADE SOCIAL-EMOTIONAL LEARNING CURRICULUM; TRUANCY SUPPORT (SUPPLIES AND RELATED RESOURCES THAT ECONOMICALLY AND SOCIALLY SUPPORT STUDENTS TO INCREASE THEIR ATTENDANCE AT SCHOOL) AND LEARNING TO BREATHE (L2B) (MINDFULNESS) INITIATIVES IN A MIDDLE SCHOOL. THE HOSPITAL ALSO PROVIDED FUNDING FOR PERSONAL HYGIENE KITS FOR STUDENTS. 2 0 PART I, LINE 2: GRANTS ARE PROVIDED TO SUPPORT COMMUNITY PARTNERS AND NON-PROFITS THAT THE HOSPITAL AND ASPIRUS INC DETERMINES. GRANTS PROVIDED ARE GENERAL SUPPORT SO THERE IS NOT A FORMAL PROCESS FOR MONITORING USE OF GRANT FUNDS HOWEVER, PRIOR TO PROVIDING ANY GRANT THE HOSPITAL IS AWARE OF WHAT THE INTENDED USE WILL BE. 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 JEFFREY WICKLANDER (NV) PRESIDENT-ASPIRUS CENT. REG. 0 601670 0 214609 0 81750 0 10350 0 106338 0 1014717 0 79128 JAMES CYGAN MD BOARD MEMBER (THRU 09/24)/PHYSICIAN 0 929507 0 0 0 7322 0 10350 0 37314 0 984493 0 0 CONSTANCE BRADLEY SVP-PRES. REG. MARKETS 0 557181 0 172222 0 57121 0 10350 0 115419 0 912293 0 52586 MICHAEL WALTERS SVP-SYSTEM CHIEF MEDICAL OFFICER 0 508507 0 193167 0 61812 0 10350 0 107316 0 881152 0 56910 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 0 486205 0 186599 0 72384 0 8565 0 106951 0 860704 0 58001 ELIZABETH RENAKER-JANSEN DO BOARD MEMBER/PHYSICIAN 0 776703 0 0 0 15022 0 10350 0 33297 0 835372 0 0 JENNIFER REDMAN-SCHELL (NV) SVP & PRESIDENT-AMG 0 524479 0 198502 0 4398 0 10350 0 94801 0 832530 0 0 JERRY M YANG SVP-CHIEF FINANCIAL OFFICER 0 616776 0 25000 0 35464 0 10350 0 128044 0 815634 0 0 WILL WEIDER SVP-CHIEF INFORMATION OFFICER 0 472935 0 180578 0 7157 0 2778 0 103017 0 766465 0 0 RYAN ANDREWS VP-SYSTEM SR. PHYSICIAN EXEC. 0 485773 0 119991 0 11777 0 10350 0 42083 0 669974 0 0 ERIC ANDERSON CHIEF COMPLIANCE OFFICER 0 454003 0 109647 0 2193 0 2636 0 96945 0 665424 0 0 SUSAN SCHNEIDER VP-SYSTEM SR. PHYSICIAN EXEC. 0 459962 0 116101 0 4692 0 10350 0 25557 0 616662 0 0 CHOON P'NG REGIONAL MEDICAL DIRECTOR 532649 0 0 0 11731 0 10350 0 37958 0 592688 0 0 0 LAWRENCE LEIBERT MD BOARD MEMBER (THRU 09/24)/PHYSICIAN 0 522654 0 0 0 8564 0 7555 0 30694 0 569467 0 0 DAVID BITTNER SVP-ENTERPRISE DEVELOPMENT 0 402065 0 25000 0 16617 0 10350 0 110472 0 564504 0 0 LORI PECK VP-FINANCE 0 360993 0 151157 0 27645 0 9303 0 2184 0 551282 0 25874 JOSEPH ROBERTS PHYSICIAN 488167 0 0 0 5402 0 10350 0 38255 0 542174 0 0 0 STEPHEN HUBBARD PHYSICIAN 517967 0 0 0 5000 0 9287 0 0 0 532254 0 0 0 MICHAEL CLARK PHYSICIAN 464944 0 0 0 5264 0 9952 0 38895 0 519055 0 0 0 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 0 244957 0 149328 0 61332 0 10350 0 31536 0 497503 0 0 ERIKA CROCKFORD DO BOARD MEMBER/PHYSICIAN 0 436575 0 0 0 5432 0 7675 0 3100 0 452782 0 0 JENNIFER ENMAN-BOURGON DO BOARD MEMBER/PHYSICIAN 0 394480 0 17582 0 20538 0 10350 0 1950 0 444900 0 0 CRAIG DESTREE MD BOARD MEMBER/PHYSICIAN 0 402105 0 0 0 5533 0 10350 0 26170 0 444158 0 0 TOU SHOUA LOR MD BOARD MEMBER/PHYSICIAN 0 364291 0 0 0 5537 0 7465 0 38711 0 416004 0 0 MICHAEL UMLAND MD BOARD MEMBER/PHYSICIAN 0 320371 0 0 0 6813 0 6724 0 41454 0 375362 0 0 PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS MERRILL 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: M. HEYWOOD $198,152 S. SCZYGELSKI $481,861 J. WICKLANDER $79,128 J. MATHESON $58,001 M. WALTERS $56,910 C. BRADLEY $52,586 L. PECK $25,874 KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 13% FOR SENIOR VICE PRESIDENT OR PRESIDENT, 15% FOR SVP & CHIEF FINANCIAL OFFICER, AND 20% FOR THE PRESIDENT & CHIEF EXECUTIVE OFFICER. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; 24 MONTHS FROM THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH. PART I, LINE 7 SHORT-TERM AND LONG-TERM INCENTIVE BONUSES ARE CALCULATED USING AN OBJECTIVE FORMULA THAT INCLUDES FISCAL YEAR MEASURES APPROVED BY THE BOARD IN AREAS OF CLINICAL QUALITY AND SERVICE, EMPLOYEE SATISFACTION, AND FINANCIAL PERFORMANCE. IN ADDITION, TARGETED RETENTION BONUSES MAY BE IMPLEMENTED TO ENSURE KEY TALENT REMAINS IN PLACE TO MEET STRATEGIC DEMANDS. ALL INCENTIVE PAYMENTS ARE EXAMINED FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD FOR DISQUALIFIED PERSONS OR THROUGH EXECUTIVE MANAGEMENT AND ASPIRUS' HUMAN RESOURCE FUNCTION (FOR NON-DISQUALIFIED PERSONS). A WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTH 391337855 97712JDN0 2021-11-10 5700854 REVENUE BONDS SERIES 2021 0 0 0 A 5700854 40612 5660242 2024 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 MERRILL HOSPITAL & CLINICS, INC., HAS POLICIES AND PROCEDURES IN PLACE TO REVIEW MANAGEMENT AND SERVICE CONTRACTS TO IDENTIFY AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY. ON A CONTRACT BY CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY. SCHEDULE K, PART III, LINE 9 SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, ASPIRUS, INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS COMPRISED OF TEN DIRECTORS. THERE SHALL BE TWO CLASSES OF VOTING DIRECTORS: THE COMMUNITY CLASS AND THE PROVIDER CLASS. NO LESS THAN FOUR INDEPENDENT COMMUNITY CLASS DIRECTORS, SIX PROVIDER CLASS DIRECTOR FROM EACH HOSPITAL, CONSISTING OF PHYSICIANS IN THE ACTIVE CATEGORY OF THE MEDICAL STAFF AT THE HOSPITAL, NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND 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 MERRILL 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 CONTRACT NURSING AND OTHER LABOR: PROGRAM SERVICE EXPENSES 1,778,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,778,364. FOOD SERVICE FEES: PROGRAM SERVICE EXPENSES 53,975. MANAGEMENT AND GENERAL EXPENSES 69,802. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,777. LAB FEES: PROGRAM SERVICE EXPENSES 176,599. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,599. OTHER FEES: PROGRAM SERVICE EXPENSES 477,714. MANAGEMENT AND GENERAL EXPENSES 606,377. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,084,091. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 135,808. MANAGEMENT AND GENERAL EXPENSES 175,632. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,440. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -4,673,537. 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