2024-05-15T09:32:39-05:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 390964813 ASPIRUS MEDFORD HOSPITAL & CLINICS INC ASPI 7157488100 135 SOUTH GIBSON STREET MEDFORD WI 54451 JERRY M YANG SVP - CHIEF FINANCIAL OFFICER 7157488100 2024-05-14 1 JERRY YANG 999009999 1 MICHAEL J PETERSON CPA P01833529 2187224705 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 115028927 0 X WWW.ASPIRUS.ORG X 1958 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. X 11 4 568 32 4428996 0 2235625 1464925 100181136 103917697 6493768 2518232 232716 136983 109143245 108037837 0 64662 0 0 42148072 37790818 0 0 0 47627730 55627017 89775802 93482497 19367443 14555340 213096478 76839231 24356332 19502614 188740146 57336617 X WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 49359397 64662 70086035 HOSPITAL SERVICES - ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL IN MEDFORD, WISCONSIN. DURING THE YEAR ENDED JUNE 30, 2023, THE HOSPITAL HAD 3,503 INPATIENT DAYS AND 90,273 OUTPATIENT VISITS. SURGERY, EMERGENCY CARE, RADIOLOGY, LABORATORY, CHEMOTHERAPY/INFUSION, DIALYSIS, AND THERAPIES ARE JUST SOME OF THE OTHER SERVICES THAT AMHC PROVIDES WITHIN THE HOSPITAL. AS A CRITICAL ACCESS HOSPITAL, AMHC PROVIDES ACCESS TO LOCAL HEALTH CARE FOR THE COMMUNITIES OF WHICH THEY SERVE.AMHC ALSO PROMISES TO THE COMMUNITY TO PROVIDE HEALTH CARE SERVICES TO THOSE IN NEED REGARDLESS OF THEIR ABILITY TO PAY AS DEFINED IN AMHC'S CHARITY AND COMMUNITY CARE POLICIES AND PROGRAMS. DURING FISCAL YEAR 2023, AMHC'S CHARITY CARE PROGRAM AWARDED APPROXIMATELY $1,802,625 IN FINANCIAL ASSISTANCE THROUGH CHARGE REDUCTIONS TO PATIENTS WHO COULD NOT OTHERWISE AFFORD CARE. ADDITIONAL INFORMATION ON THE COST OF PROVIDING CHARITY CARE TO PATIENTS CAN BE FOUND IN SCHEDULE H OF THE FORM 990. IN ADDITION TO PROVIDING CHARITY CARE SERVICES, AMHC ALSO PROVIDES A SIGNIFICANT NUMBER OF SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS. THESE SERVICES ARE CONSIDERED A LARGE NEED IN THE COMMUNITY AND AMHC IS OFTEN REIMBURSED AT RATES BELOW THE COST OF PROVIDING THE CARE FOR THESE PATIENTS. 13294636 0 18877223 CLINIC SERVICES - AMHC OPERATES FIVE OUTPATIENT CLINICS IN THE COMMUNITIES OF ATHENS, GILMAN, MEDFORD, PHILLIPS, AND PRENTICE (ALL LOCATED WITHIN THE STATE OF WISCONSIN). DURING THE YEAR ENDED JUNE 30, 2023, THE CLINICS HAD 47,871 VISITS. AMHC PROVIDES ACCESS TO PRIMARY CARE PHYSICIANS IN THESE RURAL AND MEDICALLY UNDERSERVED AREAS.THE CLINICS ALSO SERVES A LARGE PORTION OF ELDERLY, DISABLED, AND LOW-INCOME PATIENTS WHO ARE COVERED UNDER THE MEDICARE AND WISCONSIN MEDICAID PROGRAMS. PATIENTS OF THE AMHC CLINICS ARE ALSO ELIGIBLE FOR CHARITY CARE AS DEFINED BY AMHC'S CHARITY CARE POLICY. CHARITY CARE AMOUNTS FOR THE CLINICS ARE INCLUDED IN THE TOTAL NOTED UNDER 4A ABOVE. 7329293 0 10406956 SENIOR CARE SERVICES - AMHC OPERATES A 50-BED SKILLED NURSING FACILITY (SNF), 10 CBRF APARTMENTS, AND A 28-UNIT RCAC. DURING THE YEAR ENDED JUNE 30, 2023, THE SNF HAD A DAILY CENSUS OF 25.13 AND THE RCAC HAD A DAILY CENSUS OF 26.84. THROUGH THESE SENIOR CARE SERVICES, AMHC PROVIDES CARE AND ASSISTANCE TO THE ELDERLY IN OUR COMMUNITY. MANY OF THE RESIDENTS RECEIVING SENIOR CARE SERVICES AT AMHC RECEIVE CARE UNDER THE WISCONSIN MEDICAID OR FAMILY CARE PROGRAMS. AMHC RECOGNIZES THAT THE COST OF CARING FOR THESE INDIVIDUALS OFTEN EXTENDS BEYOND THE AMOUNT THAT IS PAID TO AMHC BY THE MEDICAID PROGRAM. ADDITIONAL INFORMATION ON THE COST OF PROVIDING SERVICES TO MEDICAID PROGRAM BENEFICIARIES CAN BE FOUND IN SCHEDULE H OF THE FORM 990. 69983326 1 1 0 1 0 0 0 0 0 1 1 0 0 1 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 1 0 1 1 1 0 0 1 81 0 1 568 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 4 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 X JESSE G TISCHER BOARD MEMBER/SVP & PRES-REG. MKTS. 1.00 50.00 X X 0 781575 128595 MATTHEW BREWER SECRETARY/TREASURER/VP-REGIONAL OPS 2.00 50.00 X X 0 290861 44790 MICHAEL HOLZHUETER ASST SECRETARY/SVP-GEN. COUNSEL 1.00 40.00 X X 0 672916 123676 SUSAN SCHNEIDER BOARD MEMBER/PHYSICIAN ASSISTANT 40.00 1.00 X 0 541839 39761 JAMES MATHESON VICE CHAIR/SVP-CHIEF STRATEGY OFF. 2.00 50.00 X 0 539401 110893 RACHEL DIXON BOARD MEMBER/PHYSICIAN ASSISTANT 1.00 40.00 X 0 108456 41300 DIANE ANDERSON BOARD MEMBER/NURSE PRACTITIONER 1.00 40.00 X 0 209483 38395 LEONARD W HAMMAN CHAIR 1.00 1.00 X X 0 0 0 RANDY L JUEDES BOARD MEMBER 1.00 1.00 X 0 0 0 JOHNATHON R LANGE BOARD MEMBER 1.00 1.00 X 0 0 0 COURTNEY GRAFF BOARD MEMBER (THRU 05/23) 1.00 1.00 X 0 0 0 WILLIAM G ARCISCZEWSKI BOARD MEMBER 1.00 1.00 X 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 1799938 311110 DALE HUSTEDT (NV) PRESIDENT - NW WI DIVISION 50.00 2.00 X 375459 0 93306 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 2.00 50.00 X 0 1911464 144118 GREG SHAW VP OF FINANCE 50.00 2.00 X 0 220782 30975 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 2.00 50.00 X 0 321116 49427 CONSTANCE BRADLEY SVP-SYSTEM CHIEF NURSING EXECUTIVE 2.00 50.00 X 0 502032 95550 CRYSTAL KIRSCHLING VP-REGIONAL INTEGRATION OFFICER 2.00 50.00 X 0 348443 48718 DEBRA BALL SVP & CHIEF HR OFFICER 2.00 50.00 X 0 458839 103553 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 2.00 50.00 X 0 519926 106843 JANELLE KOMMERS-MARKGRAF VP-HR NORTH REGION 2.00 50.00 X 0 236917 44327 SCOTT REMMICH VP-CHIEF COMPLIANCE OFFICER 2.00 50.00 X 0 304493 45336 TODD RICHARDSON SVP-CHIEF INFORMATION OFFICER 2.00 50.00 X 0 534868 104438 TYLER HACK VP- FINANCE NORTH REGION 2.00 50.00 X 0 246807 27314 CLINT SEMRAU PHYSICIAN 40.00 X 0 549833 46562 DAVID VANDERKIN RADIOLOGIST 40.00 X 0 530163 42754 PHILIP BOVET PHYSICIAN 40.00 X 0 376465 47411 CARY TAUCHMAN PHYSICIAN 40.00 X 0 329505 45580 SHIRIN SULTANA PHYSICIAN 40.00 X 0 316688 56910 375459 12652810 1971642 28 0 1 0 TOTAL MSP LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 CONTRACTED LABOR SERVICES 1963503 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 CONTRACTED LABOR SERVICES 1238852 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 CONTRACTED SERVICES 601953 AMERICAN RADIOLOGY SC 372 E16TH PL LOMBARD IL 60148 CONTRACTED LABOR SERVICES 517996 RJC MEDICAL SERVICES SC W5287 CORRECTION LANE MEDFORD WI 54451 CONTRACTED LABOR SERVICES 340400 18 231969 1219330 13626 1464925 PATIENT SERVICE REVENUE 621110 88714740 88712022 2718 PHARMACY REVENUE 456110 15066470 10640192 4426278 CONTRACT SERVICE REVENUE 621110 101594 101594 34893 18000 16893 103917697 3041382 3041382 183286 272477 -89191 -89191 -89191 6158997 1833 6683980 0 -524983 1833 -523150 -523150 121039 34633 86406 86406 CAFETERIA REVENUE 722514 139282 139282 486 486 139768 108037837 99370214 4428996 2773702 64662 64662 402431 402431 29597804 25449340 4148464 764880 693642 71238 5041972 4125189 916783 1983731 1702332 281399 12350 12350 8038 8038 11179 11179 8772725 8522089 250636 380662 1494 379168 166368 105120 61248 184722 153749 30973 1020199 120206 899993 134746 88915 45831 1048 1048 546087 22610 523477 3420071 2480560 939511 250437 20461 229976 MEDICAL SUPPLIES 22482899 22482899 CORPORATE ALLOCATIONS 12931155 12931155 REPAIRS AND MAINTENANCE 1640612 1040309 600303 BAD DEBT EXPENSE 1561232 1561232 2102487 1347469 755018 93482497 69983326 23499171 0 42134883 0 13558689 13060033 1515751 1642278 79381 4923 104646439 51944130 54756441 52702309 86234713 0 14816620 9429688 213096478 76839231 5134074 4931206 895790 188800 12890402 12111709 5436066 2270899 24356332 19502614 X 188740146 57336617 188740146 57336617 213096478 76839231 X 14555340 -1751486 -144207383 X 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 8038 8038 0 PART II-B, LINE 1: ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) 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 AMHC 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 27.297% FOR THE AHA AND 11.1% FOR WHA FOR DOLLAR AMOUNTS OF $4,267 AND $1,033, RESPECTIVELY. AMHC IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). THE RWHC PROVIDES SUPPORT SERVICES FOR SEVERAL ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE AIDING ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO PROVIDES ANALYSIS ON CURRENT HEALTH CARE ISSUES TO PROMOTE AND IMPROVE HEALTH CARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS INCLUDES SOME LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. $2,738 OR 11.5% OF THESE DUES WERE RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTH CARE ENVIRONMENT IN THE STATE OF WISCONSIN. 97316 1740 99056 145315 -36638 11361 97316 143901 27506 26092 145315 143320 581 143901 131985 11335 143320 0.00000 0.70000 0.30000 0 1 1 470299 470299 77312818 33877323 43435495 26863322 18066807 8796515 52702309 DEFERRED COMPENSATION 2003511 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 6881799 RELATED PARTY RECEIVABLE 18288 OPERATING LEASE 174205 MEDICARE REFUNDS RECEIVABLE 5489 FINANCE LEASE 89597 SLEEP LAB PROJECT 256799 9429688 DEFERRED COMPENSATION 2003511 FINANCE LEASE OBLIGATION 90136 OPERATING LEASE OBLIGATION 174205 RELATED PARTY PAYABLES 3047 2270899 X PART V, LINE 4: TERM-ENDOWMENT FUNDS HELD BY ASPIRUS MEDFORD FOUNDATION, INC.; ANY AMOUNT ABOVE $120,000 MAY BE USED TO PURCHASE ITEMS FOR THE COUNTRY GARDEN ASSISTED LIVING FACILITY AT ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. 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 729993 729993 0.00790 11870244 9930665 1939579 0.02110 2848704 2217608 631096 0.00690 15448941 12148273 3300668 0.03590 264380 264380 0.00290 24398 24398 0.00030 44599 44599 0.00050 333377 333377 0.00370 15782318 12148273 3634045 0.03960 2 1180 1180 0.00000 2 20 1628 1628 0.00000 4 20 2808 2808 0.00000 1 632239 0 11486349 11779616 -293267 X 1 1 1 1 ASPIRUS MEDFORD HOSPITAL 135 SOUTH GIBSON STREET MEDFORD WI 54451 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 1024 X X X X ASPIRUS MEDFORD HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 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 MEDFORD HOSPITAL PART V, SECTION B, LINE 5: DURING THE COURSE OF 2022 ASPIRUS MEDFORD COLLABORATED WITH TAYLOR COUNTY HEALTH DEPARTMENT TO COMPLETE THIS WORK. NO CONSULTANTS OR VENDORS WERE UTILIZED. MORE THAN 400 TAYLOR COUNTY RESIDENTS SHARED THEIR THOUGHTS ON THE TOP COMMUNITY HEALTH NEEDS BY PARTICIPATING IN AN ANONYMOUS SURVEY, WITH EVEN MORE PARTICIPATING IN THE SEVEN IN-PERSON CONVERSATIONS. AN INTENTIONAL EFFORT WAS MADE TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS REPRESENTED THE DIVERSE NEEDS AND PERSPECTIVES OF THE COMMUNITY, AS WELL AS THOSE THAT ARE SERVED BY ASPIRUS INCLUDING USING EFFECTIVE PUBLIC HEALTH PRACTICES WHILE ADDRESSING THE NEEDS OF INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, ARE LOW INCOME, AND/OR ARE MINORITY POPULATIONS. OVER A COUPLE OF MONTHS, A DIVERSE COLLECTION OF COMMUNITY LEADERS REPRESENTING GOVERNMENT, HEALTH CARE, SCHOOLS, LAW ENFORCEMENT, HUMAN SERVICES, POLICY MAKERS, AND OTHER COMMUNITY STAKEHOLDERS GATHERED TO UNDERSTAND HOW THE HEALTH OF RESIDENTS CAN IMPACT THE COMMUNITY. EXPERTS FROM ASPIRUS AND THE TAYLOR COUNTY HEALTH DEPARTMENT FACILITATED INFORMATION SHARING SESSIONS THAT INCLUDED ANALYZING WHAT DATA AND RESOURCES WERE CURRENTLY AVAILABLE, AND THEN LED A PRIORITIZATION SESSION ON JANUARY 20, 2022, TO IDENTIFY TOP CONCERNS IN TAYLOR COUNTY. TO ASSIST IN PRIORITIZING THE IDENTIFIED COMMUNITY HEALTH NEEDS, A LIST OF POSSIBLE CRITERIA FOR PRIORITIZATION WAS DEVELOPED. STAKEHOLDERS, COMMUNITY LEADERS AND COMMUNITY MEMBERS CONDUCTED A NOMINAL GROUP EXERCISE, IN WHICH EACH PARTICIPANT OF THE GROUP WAS ASKED TO IDENTIFY THEIR TOP THREE PRIORITIES. KEY INFORMANT SESSIONS WERE HELD AS FOLLOWS: ASPIRUS MEDFORD HOSPITAL & CLINICS BOARD OF DIRECTORS - FEBRUARY 23, 2022TAYLOR COUNTY DRUG OPPOSITION PARTNERS - MARCH 1, 2022TAYLOR COUNTY BOARD OF SUPERVISORS - MARCH 4, 2022 MEDFORD CHAMBER OF COMMERCE ECONOMIC DEVELOPMENT - MARCH 8, 2022COMMUNITY MEMBER SESSION I - MARCH 9, 2022COMMUNITY MEMBER SESSION II - MARCH 16, 2022ADDITIONAL REPRESENTATIVES WERE PRESENT FROM THE FOLLOWING ORGANIZATIONS: ASPIRUS HEALTH, TAYLOR COUNTY DRUG OPPOSITION PARTNERS, TAYLOR COUNTY MENTAL HEALTH COUNCIL, HUEY'S HIDEAWAY CHILDREN'S MUSEUM, MEDFORD SCHOOL DISTRICT, MEDFORD CHAMBER OF COMMERCE, MEDFORD AREA DEVELOPMENT FOUNDATION, VILLAGE OF GILMAN; MEMORIAL MEMBER ASSOCIATION, GILMAN PTO, TAYLOR COUNTY BOARD OF HEALTH, TAYLOR COUNTY BOARD OF SUPERVISORS, MEDFORD POLICE DEPARTMENT, ASPIRUS BOARD OF DIRECTORS, TAYLOR COUNTY SHERIFF'S OFFICE, MARSHFIELD CLINIC HEALTH SYSTEM; IMMANUEL LUTHERAN SCHOOL; ADRC OF THE NORTHWOODS, TAYLOR COUNTY HOUSING AUTHORITY; TAYLOR COUNTY SUPPORTIVE HOUSING, WISCONSIN BALANCE OF STATE HOMELESS COALITION; MEDFORD CHAMBER AMBASSADOR, NICOLET NATIONAL BANK, TAYLOR COUNTY LITERACY COUNCIL; TAYLOR COUNTY MENTAL HEALTH COUNCIL; MEDFORD ADULT DIPLOMA ACADEMY; MEDFORD CARES MODEL, TAYLOR COUNTY HUMAN SERVICES, HEALTHFIRST NETWORK, TAYLOR COUNTY HEALTH DEPARTMENT, RIB LAKE SCHOOL DISTRICT; THE STAR NEW; KIWANIS; ASPIRUS MEDFORD FOUNDATION ASPIRUS MEDFORD HOSPITAL PART V, SECTION B, LINE 6B: ASPIRUS MEDFORD HOSPITAL COLLABORATED WITH THE TAYLOR COUNTY HEALTH DEPARTMENT AND THE PRICE COUNTY HEALTH DEPARTMENT. ASPIRUS MEDFORD HOSPITAL'S CHNA WAS AUTHORED BY ASPIRUS MEDFORD HOSPITAL. ASPIRUS MEDFORD HOSPITAL PART V, SECTION B, LINE 11: ASPIRUS MEDFORD HOSPITAL & CLINICS (AMHC) HAS IDENTIFIED OUR TOP 4 HEALTH PRIORITIES VIA OUR COMMUNITY HEALTH NEEDS ASSESSMENT: MENTAL HEALTH, SUBSTANCE MISUSE (INCLUDING ALCOHOL, VAPING, AND TOBACCO), HEALTHCARE QUALITY AND ACCESS AND COMMUNITY ENGAGEMENT. MENTAL HEALTH: THE MENTAL HEALTH PRIORITY CONTINUES TO BE ADDRESSED VIA THE CARES MODEL IN OUR LOCAL SCHOOLS AND EXPANSION TO THE COMMUNITY, INITIATIVES TARGETING INCREASED ACCESS TO BEHAVIORAL HEALTH SERVICES INCLUDING TELEMEDICINE, AND COLLABORATION AND RESOURCES SHARED THROUGHOUT THE COMMUNITY. IN 2022, ASPIRUS HOSTED ITS FIRST ANNUAL ASPIRUS FAMILY NIGHT TO CREATE AN ACTIVITY FOR FAMILIES TO CONNECT IN A POSITIVE WAY, WHILE HAVING ACCESS TO MENTAL HEALTH INFORMATION. IN ADDITION, IN 2022, ASPIRUS PARTNERED WITH THE MEDFORD SCHOOL DISTRICT TO OFFER ITS FIRST ANNUAL CARES CONFERENCE FOR BOTH PROFESSIONALS AND CAREGIVERS TO ADVANCE THEIR KNOWLEDGE ON A VARIETY OF MENTAL HEALTH AND BEHAVIORAL TOPICS. IN ADDITION, PARTNERSHIP IN THE TAYLOR COUNTY MENTAL HEALTH AWARENESS COUNCIL HAS SUPPORTED EFFORTS THROUGHOUT THE COMMUNITY TO CREATE AWARENESS SURROUNDING MENTAL HEALTH ISSUES. SUBSTANCE MISUSE (INCLUDING ALCOHOL, VAPING, AND TOBACCO): AODA INITIATIVES INCLUDE CONTINUED COLLABORATION WITH THE TAYLOR COUNTY DRUG OPPOSITION PARTNERS REGARDING YOUTH AND COMMUNITY EDUCATION AND AWARENESS CAMPAIGNS, DECREASING ACCESS TO OPIATES AND DECREASING CONSUMPTION OF TOBACCO/VAPING AND ALCOHOL PRODUCTS AMONG YOUTH. ASPIRUS CONTINUES TO SUPPORT THE ANNUAL TAYLOR COUNTY STUDENT LEADERSHIP EVENT IN WHICH STUDENTS FROM ALL THREE SCHOOL DISTRICTS COME TOGETHER TO LEARN LEADERSHIP SKILLS AND THE EFFECTS SUBSTANCE ABUSE CAN HAVE ON THE BODY. HEALTHCARE QUALITY AND ACCESS: HEALTHCARE ACCESS IS SUPPORTED BY WORK TO INCREASE ACCESS TO PRIMARY CARE SERVICES AND SAME DAY HEALTH CARE SERVICES. ASPIRUS MEDFORD IS WORKING TO OPEN AN URGENT CARE TO INCREASE SAME DAY ACCESS TO HEALTHCARE SERVICES WITHIN OUR COMMUNITY. IN ADDITION, WORK WILL BE DONE TO INCREASE HEALTH LITERACY AND ACCESS TO COMMUNITY HEALTH RESOURCES. COMMUNITY ENGAGEMENT: INCREASING SOCIAL AND COMMUNITY ENGAGEMENT WILL BE ADDRESSED BY EXPANDED SUPPORT OPPORTUNITIES FOR VOLUNTEERISM AND CIVIC ENGAGEMENT IN THE COMMUNITY. ADDITIONAL ISSUES WERE BROUGHT TO COMMUNITY STAKEHOLDERS FOR REVIEW AND INPUT. THESE WILL NOT BE FORMALLY ADDRESSED THROUGH THE IMPLEMENTATION STRATEGY; HOWEVER, ASPIRUS IS COMMITTED TO CONTRIBUTE TO OPPORTUNITIES TO ADDRESS THESE PRIORITIES AS THEY PRESENT THROUGH COMMUNITY INVESTMENT. THESE ISSUES INCLUDE: - EDUCATION ACCESS & QUALITY SPECIFICALLY, CHILDCARE ACCESS, QUALITY, AND AFFORDABILITY - NEIGHBORHOOD & BUILT ENVIRONMENT INCLUDING OPPORTUNITIES FOR PHYSICAL ACTIVITY AND RECREATION, INTERNET ACCESS AND INFRASTRUCTURE AND TRANSPORTATION- SOCIAL & COMMUNITY CONTEXT - AWARENESS OF COMMUNITY RESOURCES HOSPITAL LEADERS, IN REVIEWING THE TOP NOTED THAT SOCIAL & COMMUNITY CONTEXT AWARENESS OF COMMUNITY RESOURCES WILL BE ADDRESSED AS A PART OF THE STRATEGY TO IMPROVE COMMUNITY ENGAGEMENT.IN ADDITION, AFTER THE SPRING 2022 COMMUNITY STAKEHOLDER INPUT SESSIONS, THE NEED FOR GREATER ACCESS TO QUALITY EDUCATION SPECIFICALLY CHILDCARE ACCESS BECAME A SUBSTANTIAL ISSUE. HOWEVER, HOSPITAL CAPACITY WAS LIMITED, AND HOSPITAL LEADERS SUGGESTED THAT IT WILL SUPPORT COMMUNITY EFFORTS TO IMPROVE CHILDCARE ACCESS, HOWEVER, IT WILL NOT BE ADDRESSED AS A PART OF THE IMPLEMENTATION STRATEGY. AMHC HAS ADOPTED OUR IMPLEMENTATION A PLAN TO ADDRESS THESE PRIORITIES THROUGH THE ESTABLISHMENT OF GOALS, OBJECTIVES AND STRATEGIES THAT TARGET SPECIFIC ISSUES IDENTIFIED BY THE PRIORITIES. MORE DETAILED INFORMATION REGARDING THESE GOALS, OBJECTIVES AND STRATEGIES CAN BE FOUND IN OUR COMMUNITY HEALTH IMPLEMENTATION PLAN LOCATED HERE: HTTPS://WWW.ASPIRUS.ORG/UPLOADS/PUBLIC/DOCUMENTS/REPORTS/2022%20CHNA%20REPORTS/2022_MEDFORD_ASSMT_PLAN.PDF ASPIRUS MEDFORD HOSPITAL PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. 11 1 - ASPIRUS MEDFORD CLINIC 143 SOUTH GIBSON STREET MEDFORD WI 54451 OUTPATIENT CLINIC 2 - ASPIRUS PHARMACY - MEDFORD 139 SOUTH GIBSON STREET MEDFORD WI 54451 RETAIL PHARMACY 3 - ASPIRUS THERAPY & FITNESS - MEDFORD 103 SOUTH GIBSON STREET MEDFORD WI 54451 THERAPY FITNESS CENTER 4 - ASPIRUS CARE & REHAB 135 SOUTH GIBSON STREET MEDFORD WI 54451 SKILLED NURSING FACILITY 5 - ASPIRUS KIDNEY CARE - MEDFORD 111 SOUTH GIBSON STREET MEDFORD WI 54451 DIALYSIS CENTER 6 - ASPIRUS PRENTICE CLINIC 1511 RAILROAD AVENUE PRENTICE WI 54456 OUTPATIENT CLINIC 7 - ASPIRUS PHILLIPS CLINIC 625 PETERSON AVENUE PHILLIPS WI 54555 OUTPATIENT CLINIC 8 - ASPIRUS ATHENS CLINIC 729 PINE STREET ATHENS WI 54411 OUTPATIENT CLINIC 9 - ASPIRUS COUNTRY GARDENS 635 WEST CEDAR STREET MEDFORD WI 54451 ASSISTED LIVING CENTER 10 - ASPIRUS THERAPY - PRENTICE 619 BRIDGE STEET PRENTICE WI 54456 THERAPY FITNESS CENTER 11 - ASPIRUS GILMAN CLINIC 320 EAST MAIN STREET MEDFORD WI 54433 OUTPATIENT 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 24E, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $1,561,232. 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., CHILDCARE) NEEDED FOR A ROBUST ECONOMY.ASPIRUS' ACTIVE PARTICIPATION ON LOCAL NON-PROFIT BOARDS (E.G., JUNIOR ACHIEVEMENT) AND LOCAL NON-PROFIT EFFORTS (E.G., CANS FOR A CAUSE) CONTRIBUTES TO THE HEALTH OF THE COMMUNITY IN MULTIPLE WAYS. FIRST, ASPIRUS CAN BRING RESOURCES. ASPIRUS LEADERS HAVE A STRONG UNDERSTANDING OF WORKFORCE TRENDS, HEALTH CARE TRENDS, AND HUMAN RESOURCE ISSUES (AS AN EMPLOYER). IN ADDITION, ASPIRUS LEADERS SERVING ON BOARDS ARE CONNECTED TO PROVIDERS AND OTHERS WITH EXPERTISE THAT CAN BE OFFERED TO AREA NON-PROFITS. LASTLY, CONNECTING WITH LOCAL NON-PROFITS HELPS ASPIRUS IDENTIFY OPPORTUNITIES FOR INTERNAL SYSTEM IMPROVEMENTS AS WELL AS EXTERNAL COMMUNITY HEALTH IMPROVEMENT PROGRAMS. 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 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, 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 LOCAL BOARD OF DIRECTORS, WHICH MEETS QUARTERLY. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS, INCLUDING 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 (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 TAYLOR COUNTY, ALTHOUGH IT DOES SERVE NEIGHBORING COUNTIES INCLUDING PRICE. TAYLOR COUNTY IS A RURAL COUNTY IN CENTRAL WISCONSIN. IT COVERS 975 SQUARE MILES, WITH 20.4 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 19,923 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER 18 YEARS OLD: 23.3%PERSONS 65 YEARS AND OVER: 19.6%WHITE PERSONS: 97.3%AFRICAN AMERICAN PERSONS: 0.5%AMERICAN INDIAN PERSONS: 0.5%ASIAN PERSONS: 0.6%HISPANIC OR LATINO: 2.4%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 4.4%HIGH SCHOOL GRADUATE OR HIGHER: 88.2%PERSONS BELOW POVERTY LEVEL: 9.6%MEDIAN HOUSEHOLD INCOME: $52,860PERCENT UNINSURED: 8%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 37.2%NUMBER OF HOSPITALS IN THE COUNTY: 1 (INCLUDING ASPIRUS MEDFORD HOSPITAL)TAYLOR COUNTY IS A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR MENTAL HEALTH, DENTAL CARE AND PRIMARY CARE.ANOTHER GROUP WITHIN OUR COMMUNITY IS "THE PLAIN PEOPLE," CONSISTING OF INDIVIDUALS FROM THE AMISH, MENNONITE, GERMAN BAPTIST AND OLD GERMAN BAPTIST RELIGIONS. THE PLAIN PEOPLE ALSO REQUIRE SPECIAL CONSIDERATION BY ASPIRUS MEDFORD AND THE HEALTH DEPARTMENTS BECAUSE OF THEIR NON-MAINSTREAM LIFESTYLE. DEPENDING ON THE GROUP, BELIEFS MAY INFLUENCE THEIR USE OF PREVENTIVE HEALTH CARE, TREATMENT FOR ILLNESSES AND INJURIES, USE OF INSURANCE, USE OF ELECTRICITY, TRANSPORTATION AND VARIOUS OTHER FACETS OF DAILY LIFE. IN ADDITION, ANOTHER UNIQUE CONSIDERATION FOR OUR COMMUNITY IS THAT OUR POPULATION NEARLY TRIPLES IN SIZE DURING THE WORK WEEK DUE TO THE NUMBER OF INDUSTRY EMPLOYERS WE HAVE. THERE IS A LARGE POPULATION OF PEOPLE THAT TRAVEL TO MEDFORD FOR WORK, BUT LIVE IN OUTLYING, MORE RURAL PARTS OF OUR COUNTY. 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. - IN ADDITION, A NUMBER OF COMMUNITY EFFORTS ARE SUPPORTED BY ASPIRUS MEDFORD INCLUDING COMMUNITY EVENTS SUCH AS PARKFEST, SUMMER SOLSTACE, 5K RUNS, CHAMBER EVENTS, COMMUNITY HEALTH FAIRS AND MANY OTHERS. 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 GILMAN SCHOOL DISTRICT 325 N 5TH AVE GILMAN WI 54433 396002230 GOVERNMENT 12500 0 TO SUPPORT THE CARES PROGRAM WHICH ADDRESS SOCIAL, EMOTIONAL, BEHAVIORAL AND MENTAL HEALTH NEEDS OF STUDENTS AND FAMILIES. 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. X X X X 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 SCZYGELSKI SR. VP OF FINANCE/CFO 0 649844 0 1057601 0 204019 0 20794 0 123324 0 2055582 0 195109 JESSE G TISCHER BOARD MEMBER/SVP & PRES-REG. MKTS. 0 580082 0 150199 0 51294 0 18561 0 110034 0 910170 0 50242 MICHAEL HOLZHUETER ASST SECRETARY/SVP-GEN. COUNSEL 0 479018 0 135622 0 58276 0 18672 0 105004 0 796592 0 55822 JAMES MATHESON VICE CHAIR/SVP-CHIEF STRATEGY OFF. 0 386985 0 110566 0 41850 0 17683 0 93210 0 650294 0 32339 TODD RICHARDSON SVP-CHIEF INFORMATION OFFICER 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 CONSTANCE BRADLEY SVP-SYSTEM CHIEF NURSING EXECUTIVE 0 385875 0 113420 0 2737 0 16421 0 79129 0 597582 0 0 CLINT SEMRAU PHYSICIAN 0 535563 0 8730 0 5540 0 9150 0 37412 0 596395 0 0 SUSAN SCHNEIDER BOARD MEMBER/PHYSICIAN ASSISTANT 0 445792 0 92863 0 3184 0 16507 0 23254 0 581600 0 0 DAVID VANDERKIN RADIOLOGIST 0 522841 0 0 0 7322 0 17894 0 24860 0 572917 0 0 DEBRA BALL SVP & CHIEF HR OFFICER 0 349805 0 106987 0 2047 0 13179 0 90374 0 562392 0 0 DALE HUSTEDT (NV) PRESIDENT - NW WI DIVISION 279433 0 60753 0 35273 0 18056 0 75250 0 468765 0 28030 0 PHILIP BOVET PHYSICIAN 0 370641 0 0 0 5824 0 10104 0 37307 0 423876 0 0 CRYSTAL KIRSCHLING VP-REGIONAL INTEGRATION OFFICER 0 291308 0 56573 0 562 0 12036 0 36682 0 397161 0 0 CARY TAUCHMAN PHYSICIAN 0 316938 0 0 0 12567 0 15314 0 30266 0 375085 0 0 SHIRIN SULTANA PHYSICIAN 0 271156 0 40000 0 5532 0 21267 0 35643 0 373598 0 0 WILLIAM CARROLL VP-INFORMATION TECHNOLOGY 0 267466 0 51102 0 2548 0 18436 0 30991 0 370543 0 0 SCOTT REMMICH VP-CHIEF COMPLIANCE OFFICER 0 251612 0 49272 0 3609 0 17778 0 27558 0 349829 0 0 MATTHEW BREWER SECRETARY/TREASURER/VP-REGIONAL OPS 0 247654 0 42650 0 557 0 10229 0 34561 0 335651 0 0 JANELLE KOMMERS-MARKGRAF VP-HR NORTH REGION 0 203520 0 29058 0 4339 0 14791 0 29536 0 281244 0 0 TYLER HACK VP- FINANCE NORTH REGION 0 214263 0 28807 0 3737 0 13090 0 14224 0 274121 0 0 GREG SHAW VP OF FINANCE 0 191783 0 27247 0 1752 0 12702 0 18273 0 251757 0 0 DIANE ANDERSON BOARD MEMBER/NURSE PRACTITIONER 0 202520 0 1250 0 5713 0 10159 0 28236 0 247878 0 0 PART I, LINE 4B AMHC SPONSORS A NONQUALIFIED TAX EQUALIZED ANNUITY PLAN COVERING EMPLOYED PHYSICIANS. PHYSICIANS ARE ELIGIBLE TO PARTICIPATE IN THE PLAN AFTER ONE YEAR OF SERVICE. PARTICIPANTS IN THE PLAN ARE IMMEDIATELY 100% VESTED. SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: J. MATHESON $32,339 D. HUSTEDT $24,855 J. TISCHER $50,242 S. SCZYGELSKI $195,109 T. RICHARDSON $39,964 M. HOLZHUETER $55,822 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 WI HEALTH & EDUCATION FACILITIES AUTHORITY 391337855 97710B7X4 2013-04-12 16902595 CONSTRUCT, RENOVATE, AND EQUIP FACILITIES 0 0 0 A 730000 16902595 198812 16703783 2016 1 0 1 1 A 0 1 1 0 0 0.00890 0.00100 0.00990 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 2013 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (EIN 39-0964813); ASPIRUS IRONWOOD HOSPITAL (EIN 38-2908586); AND LANGLADE HOSPITAL HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429). INFORMATION REGARDING THE SERIES 2013 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 2013 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS.] SCHEDULE K, PART III, LINES 3A AND 3B: ASPIRUS, INC., A MEMBER OF ASPIRUS MEDFORD 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-FINANCE PROPERTY. ON A CONTRACT-BY-CONTRACT BASIS, ASPIRUS, INC. WILL SEEK HELP FROM BOND COUNSEL AS MANAGEMENT DEEMS NECESSARY. PART III, LINE 9 SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS: POLICY STATES THAT WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. INVESTMENT ACCOUNT (EQUITY SECURITIES, FIXED INCOME, ETC) 2023-01-01 74778534 FMV (HI/LO DAILY AVERAGE) 391328331 ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 501(C)(3) 1 0 0 0 PART II THE ORGANIZATION TRANSFERRED THEIR INVESTED RESERVE ASSETS TO THEIR PARENT AND SUPPORTING ORGANIZATION, ASPIRUS INC. IN JANUARY OF 2023. 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 DIRECTORS 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 THE 990-T ARE REVIEWED 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 MEDFORD HOSPITAL & CLINICS, INC. RELIES 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 VII, SECTION A, EXPLANATION OF HOURS WORKED: SOME OFFICERS AND DIRECTORS ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS - AWH 221,302. INTERCOMPANY TRANSFERS - AI -144,986,959. INTERCOMPANY TRANSFERS - AES -315. INTERCOMPANY TRANSFERS - ACI 244,381. INTERCOMPANY TRANSFERS - VNA -9,752. INTERCOMPANY TRANSFERS - AIW 26. INTERCOMPANY TRANSFERS - AIR 973. INTERCOMPANY TRANSFERS - ARH -31,281. INTERCOMPANY TRANSFERS - ADS -726. INTERCOMPANY TRANSFERS - AKH 770,373. INTERCOMPANY TRANSFERS - ASP 748. INTERCOMPANY TRANSFERS - ASH 14,106. INTERCOMPANY TRANSFERS - AMR -921. INTERCOMPANY TRANSFERS - ARN -455,376. INTERCOMPANY TRANSFERS - ATH 130. INTERCOMPANY TRANSFERS - AER -529. INTERCOMPANY TRANSFERS - HYMC 26,437. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE OF THE ASPIRUS, INC. BOARD PROVIDES OVERSIGHT OF THE AUDIT PROCESS. ASPIRUS MEDFORD FOUNDATION INC 135 S GIBSON STREET MEDFORD WI 54451 390964813 HOSPITAL FOUNDATION WI 501 (C) 3 LINE 7 ASPIRUS INC 1 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 RIVERVIEW HOSPITAL & CLINICS INC 410 DEWEY STREET WISCONSIN RAPIDS WI 54494 390868982 HOSPITAL WI 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 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 - NORTHERN WISCONSIN 2251 NORTH SHORE DRIVE RHINELANDER WI 54501 391965593 HOSPITAL WI 501 (C) 3 LINE 3 ASPIRUS INC 1 WESTERN UPPER MICHIGAN EYE CARE LLC 131 W GENESEE STREET IRON RIVER MI 49935 272324957 EYE CARE SERVICES MI N/A 0 0 THE WESTWOOD CONFERENCE CENTER LLC 333 PINE RIDGE BLVD WAUSAU WI 54401 571184256 REAL ESTATE INVESTMENT WI N/A 0 0 ASPIRUS NETWORK INC 3000 WESTHILL DRIVE 202 WAUSAU WI 54401 391931678 HEALTH CARE SERVICES WI N/A C 1 ASPIRUS KEWEENAW ENTERPRISES INC 205 OSCEOLA STREET LAURIUM MI 49913 383390273 PHARMACY MI N/A C 1 ASPIRUS HEALTH VENTURES INC 3000 WESTHILL DRIVE 303 WAUSAU WI 54401 474925640 OTHER INS RELATED - INS HOLDING COMPANY WI N/A C 1 ASPIRUS ARISE HEALTH PLAN OF WI INC 3000 WESTHILL DRIVE 303 WAUSAU WI 54401 364832569 HEALTH INSURANCE PLANS WI N/A C 1 ASPIRUS ARISE HEALTH PLAN OF MI INC 3000 WESTHILL DRIVE 303 WAUSAU WI 54401 475448266 HEALTH INSURANCE PLANS MI N/A C 1 ASPIRUS CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC 2200 WESTWOOD DRIVE WAUSAU WI 54401 842513742 ASSOCIATION WI N/A C 0 0 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 ASPIRUS KEWEENAW HOSPITAL P 807375 COST ASPIRUS MEDFORD FOUNDATION INC C 231969 COST ASPIRUS MEDICAL GROUP INC J 56728 COST ASPIRUS MEDICAL GROUP INC O 277078 COST ASPIRUS MEDICAL GROUP INC P 52765 COST ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC Q 463360 COST ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC Q 52619 COST ASPIRUS WAUSAU HOSPITAL INC I 83188 COST ASPIRUS WAUSAU HOSPITAL INC M 152223 COST ASPIRUS WAUSAU HOSPITAL INC O 250694 COST ASPIRUS WAUSAU HOSPITAL INC P 137760 COST ASPIRUS WAUSAU HOSPITAL INC Q 168307 COST ASPIRUS INC I 76167 COST ASPIRUS INC M 13227471 COST ASPIRUS INC O 36796137 COST ASPIRUS INC P 20462395 COST ASPIRUS INC Q 156990 COST ASPIRUS INC S 23392870 COST