2024-05-15T09:55:17-05:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 390868982 ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC ASPI 7154229292 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 JERRY M YANG SVP - CHIEF FINANCIAL OFFICER 7158472250 2024-05-14 1 JERRY YANG 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 173648923 0 X WWW.ASPIRUS.ORG X 1912 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 10 6 722 133 170605 0 4007873 1718109 164894307 168194581 4739236 2854593 638315 708196 174279731 173475479 1349 27090 0 0 61321351 59157929 0 0 0 79560453 83740241 140883153 142925260 33396578 30550219 174264879 172257457 52005256 41548521 122259623 130708936 X WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 113182968 27090 168105345 ASPIRUS RIVERVIEW HOSPITAL & CLINICS IS A 39-BED HOSPITAL CAMPUS, LOCATED IN WISCONSIN RAPIDS, WI, PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2023, ASPIRUS RIVERVIEW HOSPITAL & CLINICS TREATED APPROXIMATELY 2,475 ADULTS AND CHILDREN FOR A TOTAL OF APPROXIMATELY 9,985 PATIENT DAYS OF SERVICE. ASPIRUS RIVERVIEW HOSPITAL & CLINICS ALSO OFFERS A WIDE ARRAY OF OUTPATIENT SERVICES TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. EMERGENCY ROOM, URGENT CARE, SURGERY, AMBULANCE, RENAL DIALYSIS, AND REHABILITATION SERVICES ARE AMONG MANY OF THE OUTPATIENT SERVICES PROVIDED. THE HOSPITAL AND ASSOCIATED CLINICS ALSO PROVIDED SERVICES FOR APPROXIMATELY 194,661 OUTPATIENT VISITS, WHICH INCLUDED APPROXIMATELY 5,314 OUTPATIENT SURGERIES AND APPROXIMATELY 19,120 EMERGENCY ROOM VISITS DURING FISCAL YEAR 2023. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 113182968 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 0 722 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X JERRY M YANG 7158472250 2200 WESTWOOD DRIVE WAUSAU WI 54401 SIDNEY C SCZYGELSKI SVP & CHIEF FINANCIAL OFFICER 2.00 50.00 X X 0 1911464 144118 JESSE TISCHER VICE CHAIR/SVP & PRES.-REG MKTS 1.00 50.00 X X 0 781575 128595 JENNIFER REDMAN- SCHELL BOARD MEMBER/SVP & PRES.-AMG 1.00 50.00 X X 0 641148 101726 BONITA KOLRUD MD BOARD MEMBER/OB/GYN PHYSICIAN 1.00 40.00 X 0 337677 48690 MARY MERDAN APNP BOARD MEMBER/NURSE PRACTITIONER 1.00 40.00 X 0 105837 34251 MARY IRONSIDE BOARD CHAIR 1.00 X X 0 0 0 CRAIG BROEREN TREASURER 1.00 X X 0 0 0 SHELLY MONDEIK EDD SECRETARY 1.00 X X 0 0 0 MICHAEL BOVEE BOARD MEMBER 1.00 X 0 0 0 JUSTIN HUEBNER BOARD MEMBER 1.00 X 0 0 0 REBECCA SOMMER PHD BOARD MEMBER 1.00 X 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 1799938 311110 BRIAN KIEF (NV) PRESIDENT-ARH 40.00 1.00 X 0 311163 38822 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 2.00 50.00 X 0 672916 123676 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 2.00 50.00 X 0 539401 110893 TODD RICHARDSON SVP & CHIEF INFO. OFF. (THRU 06/23) 2.00 50.00 X 0 534868 104438 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 2.00 50.00 X 0 519926 106843 CONSTANCE BRADLEY SVP- SYSTEM CHIEF NURSING EXECUTIVE 2.00 50.00 X 0 502032 95550 CHRISTINE HARFF PRESIDENT - REGIONAL UP 2.00 50.00 X 0 459422 103257 DEBRA BALL SVP & CHIEF HR OFFICER 2.00 50.00 X 0 458839 103553 WILLIAM CARROLL VP- INFORMATION TECHNOLOGY 2.00 50.00 X 0 321116 49427 SCOTT REMMICH VP- CHIEF COMPLIANCE OFFICER 2.00 50.00 X 0 304493 45336 NANCY ROTH-MALLEK VP-FINANCE SOUTH REGION 40.00 X 0 266691 53108 KIMBERLY JOHNSON VP-PATIENT CARE & CNO 40.00 X 245213 0 41637 CRYSTAL KIRSCHLING VP-REGIONAL INTEGRATION OFFICER 2.00 50.00 X 0 348443 48718 KEVIN FERREIRA PHYSICIAN 40.00 X 0 573127 52767 SEAN CASHIN PHYSICIAN 40.00 X 0 657286 55089 THOMAS FERK PHYSICIAN 40.00 X 0 525090 46805 DOLLY MYERS PHYSICIAN 40.00 X 0 514271 32808 RICHARD WESSLING PHYSICIAN 40.00 X 0 544778 51912 245213 13631501 2033129 32 0 1 0 MEA EMERGENCY MANAGEMENT PO BOX 634850 CINCINNATI OH 452634850 ER SERVICE 10746884 TOTAL MSP LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 CONTRACT SERVICES 4082077 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 MAINTENANCE CONTRACTS 1352085 ANESTHESIA ASSOCIATES 225 S EXECUTIVE DR BROOKFIELD WI 53005 ANESTHESIA SERVICE 974590 OTIS ELEVATOR COMPANY PO BOX 73579 CHICAGO IL 606733579 ELEVATOR MAINTENANCE/ SERVICE CONTRACT 745535 24 9300 1190648 518161 1718109 PATIENT SERVICES 621500 168006313 168006313 LAB SERVICE FOR NON PATIENTS 621500 50447 50447 137821 99032 38789 168194581 2849673 2849673 768922 172364 596558 596558 596558 6000 1080 4920 4920 4920 CAFETERIA 722514 111638 81369 30269 111638 173475479 168105345 170605 3481420 X 27090 27090 476574 476574 47851099 43408216 4442883 1283495 1283495 6798429 5473073 1325356 2748332 2469962 278370 4146 4146 76921 76921 17039 17039 17500 17500 17317678 17015680 301998 215414 420 214994 181020 102430 78590 229906 122083 107823 2654683 980966 1673717 108078 78406 29672 1806149 1473 1804676 6424008 3391237 3032771 249684 51412 198272 MEDICAL SUPPLIES 23736152 23721072 15080 CORPORATE ALLOCATIONS 21685000 9188233 12496767 REPAIRS & MAINTENANCE 2943533 2396824 546709 BAD DEBT EXPENSE 2911479 2908087 3392 3161851 562809 2599042 142925260 113182968 29742292 0 48940 58058 782139 796647 21456669 21559640 3031993 2996563 116052 373061 193465732 121961783 74632009 71503949 68602163 74681920 5594914 287619 174264879 172257457 8335409 6738364 199421 0 48210257 46036031 -4739831 -11225874 52005256 41548521 X 121030909 129405889 1228714 1303047 122259623 130708936 174264879 172257457 X 30550219 3066289 -25167195 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 17039 17039 0 PART II-B, LINE 1: ASPIRUS RIVERVIEW HOSPITAL & CLINICS PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA), THE WISCONSIN HOSPITAL ASSOCIATION (WHA) AND RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING. AHA HAS NOTIFIED THE HOSPITAL THAT APPROXIMATELY $11,749 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES. WHA HAS NOTIFIED THE HOSPITAL THAT APPROXIMATELY $3,300 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES. RWHC HAS NOTIFIED THE HOSPITAL THAT APPROXIMATELY $1,990 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES. THE HOSPITAL HAS SPENT A TOTAL OF $17,039 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. 3765872 3765872 106453883 56895695 49558188 79962945 63761045 16201900 3283032 1305043 1977989 71503949 RETIREE HEALTHCARE BENEFITS 5342 DEFERRED COMPENSATION 1819190 FINANCE LEASE LIABILITY 183571 MEDICARE REFUNDABLES ADVANCES -15584247 DUE TO RELATED PARTIES 270 ASBESTOS LIABILITY 2350000 -11225874 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, 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 717707 717707 0.00510 22543103 13226267 9316836 0.06650 23260810 13226267 10034543 0.07160 136780 34898 101882 0.00070 31016 31016 0.00020 5091025 2770774 2320251 0.01660 17895 17895 0.00010 218573 82412 136161 0.00100 5495289 2888084 2607205 0.01860 28756099 16114351 12641748 0.09020 1 1561 1561 0.00000 1 2832 2832 0.00000 1 126 7932 7932 0.00010 3 126 12325 12325 0.00010 905417 0 20301321 19576236 725085 X 1 1 1 1 ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC 410 DEWEY STREET WISCONSIN RAPIDS WI 54495 ASPIRUS.ORG/FIND-A-LOCATION/ASPIRUS-RI WI #11 X X X ASPIRUS RIVERVIEW HOSPITAL & CLINICS IN 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS X 1 21 1 WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS 0 1 X 200.000000000000 300.000000000000 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 RIVERVIEW HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 5: FOR THE CHNA COMPLETED IN FY22 (SPRING 2022), INPUT WAS GATHERED FROM PERSONS WHO REPRESENT THE COMMUNITY IN THE FOLLOWING WAYS: (1) COMMUNITY-WIDE SURVEY. THE SURVEY WAS DISTRIBUTED ELECTRONICALLY AND ON PAPER. NUMEROUS ORGANIZATIONS INCLUDING UNITED WAY, YMCA, CHAMBERS OF COMMERCE, WOOD COUNTY HEALTH DEPARTMENT, AGING AND DISABILITY RESOURCE CENTER, SCHOOL DISTRICTS, COMMUNITY FOUNDATIONS, FOOD PANTRIES, COALITIONS AND MORE DISTRIBUTED THE SURVEY. ADDITIONALLY, COMMUNITY HEALTH WORKERS WORKING WITH COMMUNITIES OF COLOR AND AT MASS VACCINATION CLINICS DISTRIBUTED THE SURVEY. (2) KEY INFORMANT INTERVIEWS. NINE COMMUNITY LEADERS REPRESENTING GOVERNMENTAL PUBLIC HEALTH, YOUTH, OLDER INDIVIDUALS, INDIVIDUALS IN RECOVERY, INDIVIDUALS WHO ARE MORE VULNERABLE AND OTHER SECTORS WERE INTERVIEWED.(3) COMMUNITY STAKEHOLDER MEETINGS. TWO MEETINGS OF COMMUNITY STAKEHOLDERS WERE HELD. INVITED STAKEHOLDERS INCLUDED REPRESENTATIVES FROM THE HEALTH DEPARTMENT, EDUCATION, LAW ENFORCEMENT, BUSINESS, YOUTH PROGRAMMING, RECOVERY, UNIVERSITY OF WISCONSIN-EXTENSION, PUBLIC OFFICE AND OTHERS. ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 6A: FOR THE CHNA COMPLETED IN FY22 (SPRING 2022), THE HOSPITAL COLLABORATED WITH MARSHFIELD CLINIC HEALTH SYSTEM (MARSHFIELD MEDICAL CENTER - MARSHFIELD). ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 6B: FOR THE CHNA COMPLETED IN FY22 (SPRING 2022), ASPIRUS RIVERVIEW HOSPITAL COLLABORATED WITH THE WOOD COUNTY HEALTH DEPARTMENT. ASPIRUS RIVERVIEW HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS RIVERVIEW HOSPITAL. ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 11: THE ASPIRUS BEHAVIORAL HEALTH CLINIC IN WISCONSIN RAPIDS HAS CONTINUED TO GROW AND IS STAFFED WITH TWO FULL-TIME THERAPISTS, ONE PART-TIME THERAPIST, TWO ADULT PHYSICIAN ASSISTANTS SPECIALIZING IN PSYCHIATRIC CARE AND AN ADULT PSYCHIATRIST. ONE ADULT PSYCHIATRIC CERTIFIED NURSE PRACTITIONER AND ONE CHILD PSYCHIATRIST PROVIDE OUTREACH TO THE CLINIC.- ASPIRUS BEHAVIORAL HEALTH CONTINUES TO SEE A HIGH NUMBER OF REFERRALS DAILY; ON AVERAGE THE ASPIRUS SYSTEM IS RECEIVING OVER 100 REFERRALS A DAY (MONDAY FRIDAY; MINIMAL AMOUNTS ON THE WEEK) AND OVER 2000 REFERRALS A MONTH.- THE ASPIRUS BEHAVIORAL HEALTH CLINIC AND THE WOOD COUNTY JAIL CONTINUE TO HAVE A PARTNERSHIP FOR MENTAL HEALTH SERVICES. ONE FULL-TIME AND ONE PART-TIME THERAPIST PROVIDE SERVICE ONSITE AT THE WOOD COUNTY JAIL.- THREE TELEHEALTH ROOMS ARE AVAILABLE FOR PATIENT TELEHEALTH APPOINTMENTS AND MYASPIRUS VIDEO VISITS ARE AVAILABLE TO PATIENTS FROM THEIR HOMES. - THE BEHAVIORAL HEALTH CLINIC IS CONTINUING TO GROW THE MEDICATION ASSISTED TREATMENT (MAT) PROGRAM. THE PROGRAM SUPPORTS A FULL-TIME MAT NURSE, WHO PROVIDES CASE MANAGEMENT FOR PATIENTS WITH AODA CONCERNS WHO ARE PRESCRIBED SUBOXONE, VIVITROL AND OTHER TREATMENTS FOR ADDICTIONS. THE ADULT PSYCHIATRIST FOR WISCONSIN RAPIDS THAT STARTED IN SEPTEMBER 2022 IS ACTIVELY GROWING HIS SUBOXONE PRACTICE AT THE WISCONSIN RAPIDS CLINIC.ASPIRUS CONTRACTS WITH THREE BRIDGES RECOVERY THROUGH THE VOICES OF RECOVERY ED2 GRANT TO PROVIDE PEER RECOVERY COACHES AS A RESOURCE TO PATIENTS AFFECTED BY SUBSTANCE USE DISORDER (SUD). ASPIRUS RIVERVIEW STAFF CAN ACCESS THESE COACHES 24 HOURS A DAY. THE PATIENT CAN CHOOSE TO MEET WITH A COACH DURING THEIR TIME AT THE HOSPITAL OR BE CONNECTED WITH A COACH UPON DISCHARGE. THIS RESOURCE HAS BEEN A HIGHLY UTILIZED SERVICE WITH THE INCREASE IN THE NUMBER OF PATIENTS AFFECTED BY SUD. NAVIGATING RECOVERY RESOURCES ON YOUR OWN CAN BE DIFFICULT AND THIS SERVICE PROVIDES A WARM HAND OFF TO PATIENTS, PROVIDING THEM WITH SUPPORT ON THEIR PATHWAY TO RECOVERY. THE HOSPITAL PROVIDED FUNDING FOR THE WOOD COUNTY HEALTH DEPARTMENT TO ADDRESS COMMUNITY MENTAL HEALTH AND SUBSTANCE USE ISSUES THROUGH PROGRAMS SUCH AS AMERICORPS AND PATCH (PROVIDERS AND TEENS COMMUNICATING FOR HEALTH).THE HOSPITAL PROVIDED FUNDING FOR THE BOYS AND GIRLS CLUB OF THE WISCONSIN RAPIDS AREA FOR PROJECT LEARN. PROJECT LEARN FOCUSES ON INCREASING ACADEMIC SKILLS AND MENTAL HEALTH. OTHERASPIRUS HEALTH, PRIMARILY THROUGH CARE MANAGEMENT, IMPLEMENTED A FRUIT AND VEGETABLE PRESCRIPTION (FVRX) PROGRAM ACROSS THE SYSTEM. PATIENTS WITH CHRONIC DISEASE WERE SCREENED FOR FOOD INSECURITY AND 'PRESCRIBED' FRUITS AND VEGETABLES. THE FVRX CAN BE USED LIKE CASH AT THE LOCAL FARMERS MARKET.STARTING IN SPRING 2022, ASPIRUS BEGAN PARTICIPATING IN A COLLABORATIVE REGIONAL GRANT PROJECT THAT IS FOCUSED ON INCREASING FOOD EQUITY AT FARMER'S MARKETS. ASPIRUS CONTINUED PARTICIPATING IN FY23 AND ALSO PROVIDED SOME GRANT WRITING ASSISTANCE WHEN THE GROUP WROTE FOR AN IMPLEMENTATION GRANT. ASPIRUS PROVIDES FUNDING AND IN-KIND TIME FOR TWO COMMUNITY MEALS PER YEAR THROUGH THE NEIGHBORHOOD TABLE. AS ONE STRATEGY TO ADDRESS FOOD INSECURITY, THE NEIGHBORHOOD TABLE PROVIDES MEALS ONCE A WEEK AND SERVES APPROXIMATELY 120 PEOPLE EACH WEEK. ASPIRUS RIVERVIEW SERVES APPROXIMATELY 1300 MEALS TO COMMUNITY MEMBERS EACH MONTH. THE FOOD IS PREPARED BY THE HOSPITAL'S FOOD AND NUTRITION SERVICES DEPARTMENT AND IS DELIVERED BY VOLUNTEERS FROM THE COMMUNITY. MEALS ARE CHARGED AT A NOMINAL FEE. - - - - - - - - - - - - - - - - -THE FOUR NEEDS THAT WERE NOT PRIORITIZED BY THE HOSPITAL ARE: - SOCIAL DETERMINANT SOCIAL CONNECTEDNESS. - SOCIAL DETERMINANT TRANSPORTATION - SOCIAL DETERMINANT FOOD SECURITY - ACCESS TO CARE ORAL, MEDICAL, MENTAL THESE FOUR ISSUES WERE NOT SELECTED FOR A NUMBER OF REASONS. HOSPITAL LEADERS, IN REVIEWING THE TOP-IDENTIFIED ISSUES FROM THE STAKEHOLDER MEETING (MENTAL HEALTH, SUBSTANCE USE AND SOCIAL CONNECTEDNESS) NOTED THAT WHILE SOCIAL CONNECTEDNESS IS A SUBSTANTIAL ISSUE, HOSPITAL CAPACITY WAS LIMITED AND THAT SOCIAL CONNECTEDNESS CAN BE ADDRESSED AS PART OF THE STRATEGY TO IMPROVE MENTAL HEALTH AND SUBSTANCE USE. THE ISSUES OF TRANSPORTATION, FOOD SECURITY AND ACCESS TO CARE WERE RANKED MUCH LOWER BY COMMUNITY STAKEHOLDERS. STRATEGIES TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE MAY INCLUDE EFFORTS TO MEET TRANSPORTATION, FOOD INSECURITY AND ACCESS NEEDS. ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. 7 1 - ASPIRUS DOCTORS CLINIC 2031 PEACH STREET WISCONSIN RAPIDS WI 54494 CLINIC 2 - ASPIRUS CANCER CARE WISCONSIN RAPIDS 410 DEWEY STREET WISCONSIN RAPIDS WI 54495 CANCER CENTER 3 - ASPIRUS RIVERVIEW CLINIC WI RAPIDS 420 DEWEY STREET PO BOX 8080 WISCONSIN RAPIDS WI 54495 CLINIC 4 - APIRUS RIVERVIEW CLINIC NEKOOSA 1015 ANGELUS DRIVE NEKOOSA WI 54457 CLINIC 5 - ASPIRUS RIVERVIEW CLINIC MARSHFIELD 146 N CENTRAL AVENUE MARSHFIELD WI 54449 CLINIC 6 - ASPIRUS RIVERVIEW CLINIC ADAMS 419 N OAK STREET ADAMS WI 53910 CLINIC 7 - ASPIRUS RIVERVIEW DENTAL 820 TWO MILE AVENUE WISCONSIN RAPIDS WI 54494 DENTAL 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 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSE, EXCLUDING THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE ORGANIZATION. THE ORGANIZATION ALSO PROVIDES DISCOUNTS TO ELIGIBLE UNINSURED OR UNDERINSURED PATIENTS UNDER ITS CHARITABLE CARE POLICY. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED OR UNDERINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE ORGANIZATION. PART I, LINE 7G: THE ABOVE COSTS OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE ASPIRUS RIVERVIEW CLINIC ADAMS, ASPIRUS RIVERVIEW CLINIC NEKOOSA, AND BEHAVIORAL HEALTH CLINIC. ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. UTILIZED AN INTERNAL DEPARTMENTAL FINANCIAL STATEMENT TO REPORT THE COST AND DIRECT OFFSETTING REVENUE THAT CALCULATES THE COMMUNITY BENEFIT EXPENSE. THE ASPIRUS RIVERVIEW CLINIC ADAMS REPORTED COSTS OF $1,024,210 WITH OFFSETTING REVENUE OF $571,781. THE ASPIRUS RIVERVIEW CLINIC NEKOOSA REPORTED COSTS OF $1,823,696 WITH OFFSETTING REVENUE OF $1,451,412. THE BEHAVIORAL HEALTH CLINIC REPORTED COSTS OF $2,243,118 WITH OFFSETTING REVENUE OF $747,581. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24E, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $2,911,479. 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. ASPIRUS RIVERVIEW 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.PROJECT SEARCH IS "A BUSINESS LED COLLABORATION THAT ENABLES YOUNG ADULTS WITH DISABILITIES TO GAIN AND MAINTAIN EMPLOYMENT THROUGH TRAINING AND CAREER EXPLORATION." (HTTPS://DWD.WISCONSIN.GOV/DVR/PROGRAMS/PROJECT-SEARCH/) THE HOSPITAL SUPPORTS ON-SITE PROJECT SEARCH EFFORTS, THEREBY INCREASING THE CAPACITY OF THE LOCAL WORKFORCE AND ALSO HELPING INDIVIDUALS GAIN SKILLS THAT CAN LEAD TO GAINFUL EMPLOYMENT. EMPLOYMENT AND INCOME ARE ECONOMIC DETERMINANTS OF HEALTH. 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/WEEKLY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. 3. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE REVIEWED BY THE FINANCIAL COUNSELOR TEAM LEAD AND APPROVED BY THE MANAGER/DIRECTOR, THEN SUBMITTED TO FISCAL SERVICES 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 LANGLADE 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, 2023 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, INCLUDING ACADEMIA, INDUSTRY/BUSINESS, PHILANTHROPY, FINANCE, AND HEALTHCARE.- 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. 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 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 FROM CENTRAL BILLING OFFICE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. IF ASPIRUS FINANCIAL COUNSELORS NOTICE THE PATIENT HAS NOT BEEN OFFERED AN APPLICATION WITHIN THE PAST YEAR, THEY WILL ALSO ASK IF THE PATIENT WOULD LIKE ONE MAILED OR IF THE PATIENT SHOWS FINANCIAL DISTRESS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS. PART VI, LINE 4: THE PRIMARY SERVICE AREA OF THE HOSPITAL IS WOOD COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES. WOOD COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 793 SQUARE MILES, WITH 93.6 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 74,516 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER 14 YEARS OLD: 17.3%PERSONS 65 YEARS AND OVER: 21.6%WHITE PERSONS: 95.4%AFRICAN AMERICAN PERSONS: 1.4%AMERICAN INDIAN PERSONS: 1.1%ASIAN PERSONS: 2.1%HISPANIC OR LATINO: 3.4%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 4.6%HIGH SCHOOL GRADUATE OR HIGHER: 92.7%PERSONS BELOW POVERTY LEVEL: 9.4%MEDIAN HOUSEHOLD INCOME: $54,913PERCENT UNINSURED: 6%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 41.0%%NUMBER OF HOSPITALS IN THE COUNTY: 2 (INCLUDING ASPIRUS RIVERVIEW HOSPITAL)WOOD COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR MENTAL HEALTH, DENTAL CARE AND PRIMARY CARE. PART VI, LINE 5: THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH AND COMMUNITY BENEFIT WORK. ADDITIONALLY, THE HOSPITAL: - MAINTAINS A BOARD OF DIRECTORS THAT REFLECTS THE COMMUNITY. - BRINGS ITS EXPERTISE INTO THE COMMUNITY THROUGH PROGRAMS, SCREENINGS, AND COMMUNITY BOARD AND ADVISORY COMMITTEE MEMBERSHIP.- PROVIDES HIGH QUALITY SERVICES AND IMPLEMENTS ONGOING QUALITY IMPROVEMENT INITIATIVES. - BUDGETS FOR CUTTING EDGE TECHNOLOGIES AND EQUIPMENT THAT SUPPORT PATIENT HEALTH.- OFFERS TRANSPORTATION ASSISTANCE FOR PATIENTS AS APPROPRIATE. - PROVIDES PRECEPTORS FOR HEALTH PROFESSIONS STUDENTS-IN-TRAINING, WHICH ADVANCES THE HEALTH CARE WORKFORCE. - PROVIDES HEALTH CAREER EXPLORATION OPPORTUNITIES (E.G., SHADOWING, VOLUNTEERING) AND PRESENTATIONS TO AREA YOUTH. - SUPPORTS PROJECT SEARCH, WHICH ENGAGES YOUNG ADULTS WITH DISABILITIES IN WORKFORCE CAREER EXPLORATION AND TRAINING. - PROMOTES AREA 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 NON-PROFIT, COMMUNITY-DIRECTED HEALTHCARE SYSTEM BASED IN WAUSAU, WISCONSIN. ITS 11,000 EMPLOYEES ARE FOCUSED ON IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE THROUGHOUT WISCONSIN AND UPPER MICHIGAN. ASPIRUS SERVES COMMUNITIES THROUGH FOUR HOSPITALS IN MICHIGAN AND 13 HOSPITALS IN WISCONSIN, 75 CLINICS, HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND AIR-MEDICAL TRANSPORT, MEDICAL GOODS, NURSING HOMES AND A BROAD NETWORK OF PHYSICIANS. THE COMBINED EFFORTS ARE ABLE TO PROVIDE SMALLER COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. FOR MORE INFORMATION, VISIT ASPIRUS.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES WI 1 BOYS & GIRLS CLUB OF THE WISCONSIN RAPIDS AREA 501 W GRAND AVE WISCONSIN RAPIDS WI 54495 391745942 501(C)(3) 12000 0 FUNDING FOR PROJECT LEARN 1 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. 0 1 0 0 0 0 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 0 1228335 0 567185 0 4418 0 18619 0 292491 0 2111048 0 0 SIDNEY C SCZYGELSKI SVP & CHIEF FINANCIAL OFFICER 0 649845 0 1057600 0 204019 0 20794 0 123324 0 2055582 0 195109 JESSE TISCHER VICE CHAIR/SVP & PRES.-REG MKTS 0 580082 0 150199 0 51294 0 18561 0 110034 0 910170 0 50242 MICHAEL HOLZHUETER SVP-GENERAL COUNSEL 0 479018 0 135622 0 58276 0 18672 0 105004 0 796592 0 55822 JENNIFER REDMAN- SCHELL BOARD MEMBER/SVP & PRES.-AMG 0 490009 0 148789 0 2350 0 17929 0 83797 0 742874 0 0 SEAN CASHIN PHYSICIAN 0 651476 0 0 0 5810 0 17954 0 37135 0 712375 0 0 JAMES MATHESON SVP-CHIEF STRATEGY OFFICER 0 386985 0 110566 0 41850 0 17683 0 93210 0 650294 0 32339 TODD RICHARDSON SVP & CHIEF INFO. OFF. (THRU 06/23) 0 378807 0 112026 0 44035 0 18079 0 86359 0 639306 0 39964 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 0 399954 0 117991 0 1981 0 17740 0 89103 0 626769 0 0 KEVIN FERREIRA PHYSICIAN 0 567317 0 0 0 5810 0 16690 0 36077 0 625894 0 0 CONSTANCE BRADLEY SVP- SYSTEM CHIEF NURSING EXECUTIVE 0 385875 0 113420 0 2737 0 16421 0 79129 0 597582 0 0 RICHARD WESSLING PHYSICIAN 0 538536 0 0 0 6242 0 17894 0 34018 0 596690 0 0 THOMAS FERK PHYSICIAN 0 518931 0 0 0 6159 0 9394 0 37411 0 571895 0 0 CHRISTINE HARFF PRESIDENT - REGIONAL UP 0 338109 0 82831 0 38482 0 19524 0 83733 0 562679 0 34464 DEBRA BALL SVP & CHIEF HR OFFICER 0 349805 0 106987 0 2047 0 13179 0 90374 0 562392 0 0 DOLLY MYERS PHYSICIAN 0 468901 0 40000 0 5370 0 17894 0 14914 0 547079 0 0 CRYSTAL KIRSCHLING VP-REGIONAL INTEGRATION OFFICER 0 291308 0 56573 0 562 0 12036 0 36682 0 397161 0 0 BONITA KOLRUD MD BOARD MEMBER/OB/GYN PHYSICIAN 0 330446 0 0 0 7231 0 17398 0 31292 0 386367 0 0 WILLIAM CARROLL VP- INFORMATION TECHNOLOGY 0 267466 0 51102 0 2548 0 18436 0 30991 0 370543 0 0 BRIAN KIEF (NV) PRESIDENT-ARH 0 308548 0 0 0 2615 0 9472 0 29350 0 349985 0 0 SCOTT REMMICH VP- CHIEF COMPLIANCE OFFICER 0 251612 0 49272 0 3609 0 17778 0 27558 0 349829 0 0 NANCY ROTH-MALLEK VP-FINANCE SOUTH REGION 0 231229 0 33270 0 2192 0 16203 0 36905 0 319799 0 0 KIMBERLY JOHNSON VP-PATIENT CARE & CNO 211632 0 32803 0 778 0 13955 0 27682 0 286850 0 0 0 PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. RELIED ON THE RELATED ORGANIZATIONS TO ESTABLISH 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. PART I, LINE 4B SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: J. TISCHER $50,242 S. SCZYGELSKI $195,109 C. HARFF $34,464 J. MATHESON $32,339 M. HOLZHUETER $55,822 T. RICHARDSON $39,964 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. A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97712DMG8 2015-05-07 26748065 REFINANCE 2008 BOND 1 0 0 B WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97712DMG9 2015-05-07 18738269 REFINANCE 2010 BOND 1 0 0 C WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97712DC53 2017-11-02 15000000 NEW CONSTRUCRTION 0 0 0 A 535000 26748065 26380444 367621 2011 0 1 1 1 B 1030000 18738269 18615377 122892 2011 0 1 1 1 C 325000 15000000 167011 14832989 2019 0 0 0 1 A 0 0 1 0 0 0 0 1 B 0 1 1 0 0 0.00200 0.00200 0 0 1 C 0 0 1 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 PART III - LINE 3A AND 3B: ASPIRUS, INC. THE PARENT ORGANIZATION OF ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. HAS POLICY 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. PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982), ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. (EIN 38-3236977), AND ASPIRUS KEWEENAW HOSPITAL (EIN 38-1443361). INFORMATION REGARDING THE SERIES 2015 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION, RESPECTIVELY. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2015 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2015 BONDS.] PART VI: THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. (EIN 38-2908586); AND ASPIRUS ONTONAGON HOSPITAL, INC. (EIN 26-0806477). INFORMATION REGARDING THE SERIES 2017 BONDS IS REPORTED IN 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 2017 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2017 BONDS.] PART III, LINE 9 SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. PART IV: FOR BONDS A & B, THE DATE THE LAST REBATE COMPUTATION WAS PERFORMED WAS 05/01/2021. 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 DIRECTORS OF THE ORGANIZATION: 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 OFFICER; 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 ACCUMULATED ALL FORM 990 AND FORM 990-T INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE FORM 990 AND THE FORM 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE NOTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS RIVERVIEW 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 MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 81,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,900. LAB FEES: PROGRAM SERVICE EXPENSES 2,270,561. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,270,561. FOOD SERVICE: PROGRAM SERVICE EXPENSES 99,060. MANAGEMENT AND GENERAL EXPENSES 64,911. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,971. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 218,146. MANAGEMENT AND GENERAL EXPENSES 9,480. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 227,626. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,432,686. MANAGEMENT AND GENERAL EXPENSES 207,673. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,640,359. CONTRACTED NURSING AND OTHER LABOR: PROGRAM SERVICE EXPENSES 11,913,327. MANAGEMENT AND GENERAL EXPENSES 19,934. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,933,261. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS - AWH 1,314,994. INTERCOMPANY TRANSFERS - AI -28,402,567. INTERCOMPANY TRANSFERS - ACI 1,628,709. INTERCOMPANY TRANSFERS - VNA -11,189. INTERCOMPANY TRANSFERS - AIW -3,617. INTERCOMPANY TRANSFERS - AIR -2,375. INTERCOMPANY TRANSFERS - ADS -31,861. INTERCOMPANY TRANSFERS - AKH 853. INTERCOMPANY TRANSFERS - ASP -40,284. INTERCOMPANY TRANSFERS - ASH 362. INTERCOMPANY TRANSFERS - AMR -1,990. INTERCOMPANY TRANSFERS - ARN 312,548. INTERCOMPANY TRANSFERS - HYMC 47,767. INTERCOMPANY TRANSFERS - AMH 31,281. INTERCOMPANY TRANSFERS - AER -497. POSTRETIREMENT BENEFIT ADJUSTMENT -9,329. ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTHCARE WI 501 (C) 3 LINE 12B, II N/A 0 ASPIRUS WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391138241 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391406537 PROPERTY LEASING WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS EXTENDED SERVICES INC 333 PINE RIDGE BLVD WAUSAU WI 54401 390782130 NURSING HOME SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS MEDICAL GROUP INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391670223 MEDICAL SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS ONTONAGON HOSPITAL INC 601 SEVENTH STREET ONTONAGON MI 49953 260806477 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS VNA HOME HEALTH INC 520 N 32ND AVENUE WAUSAU WI 54401 390808511 HOME HEALTH CARE SERVICES WI 501 (C) 3 LINE 10 ASPIRUS INC 1 ASPIRUS VNA EXTENDED CARE INC 520 N 32ND AVENUE WAUSAU WI 54401 391597350 PERSONAL CARE SERVICES WI 501 (C) 3 LINE 10 ASPIRUS VNA HOME HEALTH INC 1 ASPIRUS HEALTH FOUNDATION INC 425 PINE RIDGE BLVD WAUSAU WI 54401 391256656 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 7 ASPIRUS INC 1 ASPIRUS IRON RIVER HOSPITAL & CLINICS INC 1400 W ICE LAKE ROAD IRON RIVER MI 49935 383236977 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS IRONWOOD HOSPITAL & CLINICS INC N 10561 GRAND VIEW LANE IRONWOOD MI 49938 382908586 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS KEWEENAW HOSPITAL 205 OSCEOLA STREET LAURIUM MI 49913 381443361 HOSPITAL MI 501 (C) 3 LINE 3 ASPIRUS INC 1 DIVINE SAVIOR HEALTHCARE INC 2817 NEW PINERY ROAD PORTGAGE WI 53901 390806250 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MEDFORD HOSPITAL & CLINICS INC 135 S GIBSON STREET MEDFORD WI 54451 390964813 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MEDFORD FOUNDATION INC 135 S GIBSON STREET MEDFORD WI 54451 391777081 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 7 ASPIRUS INC 1 ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 390808443 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC 900 ILLINOIS AVENUE STEVENS POINT WI 54481 391657410 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 12A, I ASPIRUS INC 1 ASPIRUS STANLEY HOSPITAL & CLINICS INC 1120 PINE STREET STANLEY WI 54768 390807065 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MERRILL HOSPITAL & CLINICS INC 601 S CENTER AVENUE MERRILL WI 54452 390808503 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS MERRILL HOSPITAL FOUNDATION INC 601 S CENTER AVENUE MERRILL WI 54452 391627755 CHARITABLE FOUNDATION WI 501 (C) 3 LINE 12A, I ASPIRUS INC 1 ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC 2251 NORTH SHORE DRIVE RHINELANDER WI 54501 391390638 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC 201 HOSPITAL ROAD EAGLE RIVER WI 54521 390985690 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 THE HOWARD YOUNG MEDICAL CENTER INC 240 MAPLE STREET WOODRUFF WI 54568 390873606 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF WI 54568 391499115 HEALTHCARE WI 501 (C) 3 LINE 12B, II ASPIRUS INC 1 ASPIRUS MEDICAL GROUP - 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