2023-05-12T13:08:04-05:00 2022-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2021-07-01 390964813 ASPIRUS MEDFORD HOSPITAL & CLINICS INC ASPI 7157488100 135 SOUTH GIBSON MEDFORD WI 54451 SIDNEY C SCZYGELSKI SENIOR VP OF FINANCE & CFO 7158472250 2023-05-12 1 SIDNEY SCZYGELSKI 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2023-05-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MATTHEW HEYWOOD 2200 WESTWOOD DRIVE WAUSAU WI 54401 109408577 0 X WWW.ASPIRUS.ORG X 1958 WI WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 11 5 634 20 1538672 0 5251980 2235625 95320241 100181136 5005414 6493768 74837 232716 105652472 109143245 0 0 0 0 41226144 42148072 0 0 0 44816896 47627730 86043040 89775802 19609432 19367443 193217464 213096478 34159645 24356332 159057819 188740146 X WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 48365342 0 73198754 HOSPITAL SERVICES - ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL IN MEDFORD, WISCONSIN. DURING THE YEAR ENDED JUNE 30, 2022, THE HOSPITAL HAD 3,729 INPATIENT DAYS AND 95,313 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 2022, AMHC'S CHARITY CARE PROGRAM AWARDED APPROXIMATELY $1,737,834 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 AMOUNT OF SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS. DURING FISCAL YEAR 2022, APPROXIMATELY 60.3% OF THE PATIENT SERVICES PROVIDED BY AMHC WERE PROVIDED TO MEDICARE AND MEDICAID PROGRAM BENEFICIARIES. 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. 13934249 0 21010154 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, 2022, THE CLINICS HAD 52,921 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. 2670367 0 4026398 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, 2022, THE SNF HAD A DAILY CENSUS OF 27.78 AND THE RCAC HAD A DAILY CENSUS OF 26.37. THROUGH THESE SENIOR CARE SERVICES, AMHC PROVIDES CARE AND ASSISTANCE TO THE ELDERLY IN OUR COMMUNITY. A MAJORITY 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. 64969958 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 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 34 0 634 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 5 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X SIDNEY C SCZYGELSKI 7158472250 2200 WESTWOOD DRIVE WAUSAU WI 54401 X MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X X 0 2684221 266094 JESSE TISCHER SVP & PRESIDENT-REGIONAL MARKETS 2.00 50.00 X X 0 644385 101649 SUSAN SCHNEIDER PHYSICIAN 40.00 1.00 X 0 539718 39249 JAMES MATHESON VICE CHAIRPERSON/SVP-CHIEF STRATEGY OFFICER 2.00 50.00 X 0 452729 89948 DALE HUSTEDT PRESIDENT 50.00 2.00 X X 329623 0 82452 MATTHEW BREWER SECRETARY/TREASURER/VP-OPS. 2.00 50.00 X X 0 313780 42259 RACHEL DIXON PHYSICIAN 40.00 1.00 X 0 96792 37884 LEONARD HAMMAN CHAIRPERSON 1.00 2.00 X X 0 0 0 MICHAEL HOLZHUETER ASST SECRETARY/SVP-GEN. COUNSEL 1.00 40.00 X X 0 449756 89333 RANDY JUEDES BOARD MEMBER 1.00 2.00 X 0 0 0 JOHN LANGE BOARD MEMBER 1.00 2.00 X 0 0 0 COURTNEY GRAFF BOARD MEMBER 1.00 2.00 X 0 0 0 MICHAEL RIGGLE BOARD MEMBER (THRU JUL) 1.00 2.00 X 0 0 0 RUTH RISLEY-GRAY VICE CHAIR (THRU SEPT)/SVP SYS. CNO 2.00 50.00 X X 0 329902 52673 DEBBIE WOODS BOARD MEMBER (THRU DEC) 1.00 2.00 X 0 0 0 SUSAN FRAZIER MEDICAL DIRECTOR (THRU DEC) 32.00 2.00 X 27847 0 10082 GREG SHAW CFO 50.00 2.00 X 217492 0 40001 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 2.00 50.00 X 0 915379 141626 BENJAMIN BARSOTTI CHIEF MEDICAL INFORMATION OFFICER 2.00 50.00 X 0 462446 50766 BRETT DAVIS PRESIDENT-ASPIRUS HEALTH PLAN 2.00 50.00 X 0 394127 62857 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 2.00 50.00 X 0 495034 104300 JENNIFER REDMAN-SCHELL SVP & PRESIDENT-AMG 2.00 50.00 X 0 572454 92664 JOHN HEISLER SVP & CHIEF HUMAN RESOURCES OFFICER 2.00 50.00 X 0 751984 56650 LISA ROWE-PEPLINSKI VP-CARE QUALITY & PAT. SAFETY 2.00 50.00 X 0 367202 18878 PAUL VAN DEN HEUVEL VP-NETWORKS STRATEGY 2.00 50.00 X 0 340811 45098 RENEE SMITH EXECUTIVE DIRECTOR-ANI 2.00 50.00 X 0 460002 93775 RUTH RISLEY-GRAY SVP & SYSTEM CNO 2.00 50.00 X 0 329902 52673 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 2.00 50.00 X 0 516494 97286 WENDY ANGELO VP-CMO - POPULATION HEALTH 2.00 50.00 X 0 363857 42762 ROBERT MIDDLETON DIRECTOR- PHARMACY 40.00 X 185808 0 35024 KERRY LINGEN NURSE PRACTICIONER-MEDFORD CLINIC 40.00 X 146183 0 42861 TODD PEISSIG PHARMACIST 40.00 X 149058 0 20969 TERRENCE RUNGE LEAD PHARMACIST 40.00 X 147561 0 43284 BARBARA LATO VP PATIENT CARE & CNO 2.00 50.00 X 164245 0 31468 MICHAEL MCGRAIL MD FORMER SVP & SYSTEM CMO 0.00 0.00 X 0 449085 0 1367817 11930060 1884565 26 1 1 0 TOTAL MSP LLC 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 CONTRACTED LABOR SERVICES 1310789 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 CONTRACTED LABOR SERVICES 1131615 AMERICAN RADIOLOGY SC 372 E16TH PL LOMBARD IL 60148 CONTRACTED LABOR SERVICES 554151 WEATHERBY LOCUMS INC PO BOX 972633 DALLS TX 75397 CONTRACTED LABOR SERVICES 517580 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 CONTRACTED SERVICES 504206 16 239598 1993464 2563 2235625 PATIENT SERVICE REVENUE 621110 92756118 92735918 20200 PHARMACY REVENUE 446110 6999860 5481388 1518472 CONTRACT SERVICE REVENUE 621110 375392 375392 49766 18000 31766 100181136 4287605 4287605 152674 157888 -5214 -5214 -5214 2262653 0 56490 2262653 -56490 2206163 2206163 136939 50954 85985 85985 CAFETERIA REVENUE 722514 151441 151441 504 504 151945 109143245 98235306 1538672 7133642 596569 596569 32315733 28257264 4058469 926808 809762 117046 6215739 5111155 1104584 2093223 1765225 327998 1841000 1841000 573 573 6821 6821 14096 14096 8043345 7765983 277362 144288 1306 142982 114767 61708 53059 145165 130263 14902 943726 128476 815250 242321 185677 56644 558074 20391 537683 3710320 2746985 963335 200001 44257 155744 MEDICAL SUPPLIES 15346415 15337322 9093 CORPORATE ALLOCATIONS 12736708 -138896 12875604 REPAIRS AND MAINTENANCE 1445253 989978 455275 BAD DEBT EXPENSE 913235 906943 6292 1221622 846159 375463 89775802 64969958 24805844 0 39596757 42134883 10810869 13558689 1381231 1515751 62515 79381 103448357 48691916 29336699 54756441 95601479 86234713 1986979 0 14440935 14816620 193217464 213096478 7916744 5134074 895790 895790 13619095 12890402 11728016 5436066 34159645 24356332 X 157070840 188740146 1986979 0 159057819 188740146 193217464 213096478 X 19367443 -15738329 26053213 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 6821 6821 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 26.47% FOR THE AHA AND 15.3% FOR WHA FOR DOLLAR AMOUNTS OF $1,626 AND $2,763, 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. $2,432 OR 12.3% OF THESE DUES WERE RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTH CARE ENVIRONMENT IN THE STATE OF WISCONSIN. 145315 -36638 11361 97316 143901 27506 26092 145315 143320 581 143901 131985 11335 143320 124340 7645 131985 0.00000 0.70000 0.30000 0 1 1 607268 607268 82353648 32635336 49718312 20087915 15903234 4184681 399526 153346 246180 54756441 DEFERRED COMPENSATION 1837159 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 7455241 RELATED PARTY RECEIVABLE 5304406 OPERATING LEASE 218534 LONG-TERM INSURANCE RECEIVABLE 1280 14816620 DEFERRED COMPENSATION 1837159 LONG-TERM INSURANCE LIABILITY 33280 FINANCE LEASE OBLIGATION 141382 OPERATING LEASE OBLIGATION 218534 MEDICARE REFUNDABLE ADVANCE 2723266 RELATED PARTY PAYABLES 482445 5436066 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, 2022. 1 1 X 1 X 1 X 1 1 1 0 1 1 768321 768321 0.00860 12441955 1303579 11138376 0.12530 2667429 2545063 122366 0.00140 15877705 3848642 12029063 0.13530 305834 658 305176 0.00340 250 250 0.00000 1249195 959074 290121 0.00330 85840 42423 43417 0.00050 1641119 1002155 638964 0.00720 17518824 4850797 12668027 0.14250 2 312 312 0.00000 1 20 1144 1144 0.00000 3 20 1456 1456 0.00000 0 403754 0 13449364 13621745 -172381 X 1 1 1 1 ASPIRUS MEDFORD HOSPITAL 135 SOUTH GIBSON STREET MEDFORD WI 54451 WWW.ASPIRUS.ORG/FIND-A-LOCATION/ASPIRU 1027 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-RESOURCES X 1 21 1 WWW.ASPIRUS.ORG/COMMUNITY-RESOURCES 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X HTTPS://WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X HTTPS://WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X HTTPS://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, 2022ABRA RICHTER ASPIRUS HEALTHAMANDA LANGE ASPIRUS HEALTH, MEDFORD; TAYLOR COUNTY DRUG OPPOSITION PARTNERS, TAYLOR COUNTY MENTAL HEALTH COUNCIL, HUEY'S HIDEAWAY CHILDREN'S MUSEUMAMANDA PETERSON TAYLOR COUNTY DRUG OPPOSITION PARTNERS, MEDFORD SCHOOL DISTRICTAEMUS BALSIS TASO; TAYLOR COUNTY DRUG OPPOSITION PARTNERSBILLIE HENRICHS MEDFORD CHAMBER OF COMMERCE BRIAN HALLGREN MEDFORD AREA DEVELOPMENT FOUNDATIONCANDICE GRUNSETH VILLAGE OF GILMAN; MEMORIAL MEMBER ASSOCIATION, GILMAN PTOCAROL TUMA TAYLOR COUNTY BOARD OF HEALTHCATHERINE LEMKE TAYLOR COUNTY BOARD OF SUPERVISORSCHAD LISKE MEDFORD POLICE DEPARTMENT; TAYLOR COUNTY DRUG OPPOSITION PARTNERSCHIP COURTNEY TAYLOR COUNTY BOARD OF SUPERVISORS; ASPIRUS BOARD OF DIRECTORSCHUCK ZENNER TAYLOR COUNTY BOARD OF SUPERVISORSCOREY DASSOW TAYLOR COUNTY SHERIFF'S OFFICE; TAYLOR COUNTY DRUG OPPOSITION PARTNERSCOURTNEY GRAF ASPIRUS HEALTH BOARD OF DIRECTORSDALE HUSTEDT ASPIRUS HEALTH, MEDFORDDAVE ROIGER TAYLOR COUNTY BOARD OF SUPERVISORSDIANE ALBRECHT TAYLOR COUNTY BOARD OF SUPERVISORSDOUG GASEK MEDFORD AREA DEVELOPMENT FOUNDATIONEMILY LOERSCHER MARSHFIELD CLINIC HEALTH SYSTEM; TAYLOR COUNTY DRUG OPPOSITION PARTNERSFRANK VAN BROCKLIN IMMANUEL LUTHERAN SCHOOL; TAYLOR COUNTY DRUG OPPOSITION PARTNERSGENE KNOLL TAYLOR COUNTY BOARD OF SUPERVISORSGREG KNIGHT TAYLOR COUNTY BOARD OF SUPERVISORSHEIDI EISNER ADRC OF THE NORTHWOODSHILARY THUMS TAYLOR COUNTY DRUG OPPOSITION PARTNERSJESSICA MUDGETT TAYLOR COUNTY HOUSING AUTHORITY; TAYLOR COUNTY SUPPORTIVE HOUSING, WISCONSIN BALANCE OF STATE HOMELESS COALITION; MEDFORD CHAMBER AMBASSADORJAMES MATHESON ASPIRUS HEALTHJAMES STOKES MEDFORD AREA DEVELOPMENT FOUNDATIONJESSE TISCHER ASPIRUS HEALTHJESSICA FAUDE ASPIRUS MEDFORDJIM GEBAUER TAYLOR COUNTY BOARD OF SUPERVISORSJIM METZ TAYLOR COUNTY BOARD OF SUPERVISORSJOHN LANGE ASPIRUS MEDFORD BOARD OF DIRECTORS; MEMORIAL MEMBER ASSOCIATION; MEDFORD ECONOMIC DEVELOPMENT FOUNDATION, NICOLET NATIONAL BANKJOSEPH GREGET MEDFORD AREA SCHOOL DISTRICT; TAYLOR COUNTY LITERACY COUNCIL; TAYLOR COUNTY DRUG OPPOSITION PARTNERS; TAYLOR COUNTY MENTAL HEALTH COUNCIL; MEDFORD ADULT DIPLOMA ACADEMY; MEDFORD CARES MODEL JULIE CLARKSON TAYLOR COUNTY HUMAN SERVICESJULIE ZEPS ASPIRUS MEDFORDJUSTINE THICKE HEALTHFIRST NETWORKKACI KLEMM ASPIRUS HEALTH, MEDFORDKAREN KROPP-MUELLER TAYLOR COUNTY HEALTH DEPARTMENTKARI SCHRAUFNAGEL ADRC OF THE NORTHWOODSKIRSTEN BUDIMLIJA RIB LAKE SCHOOL DISTRICT; TAYLOR COUNTY DRUG OPPOSITION PARTNERSKRISTY BUNKLEMAN TAYLOR COUNTY DRUG OPPOSITION PARTNERS, MEDFORD SCHOOL DISTRICTKRIS O'LEARY THE STAR NEW; KIWANIS; ASPIRUS MEDFORD FOUNDATION; MEDFORD CHAMBER OF COMMERCEKYLIE WEILER TAYLOR COUNTY DRUG OPPOSITION PARTNERS; MEDFORD SCHOOL DISTRICTLEN HAMMAN ASPIRUS MEDFORD BOARD OF DIRECTORS, MEMORIAL MEMBER ASSOCIATIONLESTER LEWIS TAYLOR COUNTY BOARD OF SUPERVISORSLISA CARBAUGH TAYLOR COUNTY BOARD OF SUPERVISORSLYNN ROSEMEYER TAYLOR COUNTY BOARD OF SUPERVISORSMATT BREWER ASPIRUS HEALTH ASPIRUS MEDFORD HOSPITAL PART V, SECTION B, LINE 6B: TAYLOR COUNTY HEALTH DEPARTMENTPRICE COUNTY HEALTH DEPARTMENT ASPIRUS MEDFORD HOSPITAL PART V, SECTION B, LINE 11: ASPIRUS MEDFORD HOSPITAL & CLINICS 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. 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. HEALTHCARE QUALITY AND ACCESS: HEALTHCARE ACCESS IS SUPPORTED BY WORK TO INCREASE ACCESS TO PRIMARY CARE SERVICES AND SAME DAY HEALTH CARE SERVICES. 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 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 CARE & REHAB 135 SOUTH GIBSON STREET MEDFORD WI 54451 SKILLED NURSING FACILITY 3 - ASPIRUS THERAPY & FITNESS - MEDFORD 103 SOUTH GIBSON STREET MEDFORD WI 54451 THERAPY FITNESS CENTER 4 - ASPIRUS PHARMACY - MEDFORD 139 SOUTH GIBSON STREET MEDFORD WI 54451 RETAIL PHARMACY 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 PERTERSON AVENUE PHILLIPS WI 54555 OUTPATIENT CLINIC 8 - ASPIRUS ATHENS CLINIC 729 PINE STREET ATHENS WI 54411 OUTPATIENT CLINIC 9 - ASPIRUS GILMAN CLINIC 320 EAST MAIN STREET MEDFORD WI 54433 OUTPATIENT CLINIC 10 - ASPIRUS COUNTRY GARDENS 635 WEST CEDAR STREET MEDFORD WI 54451 ASSISTED LIVING CENTER 11 - ASPIRUS THERAPY - PRENTICE 619 BRIDGE STEET PRENTICE WI 54456 THERAPY FITNESS CENTER PART I, LINE 3C: THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF: PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% OF FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200%, THE 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 THE EXCESS OF $4,000 AT THE TIME OF APPLICATION. SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS 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, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE - DIALYSIS - WHICH HAD COSTS OF $1,249,195 WITH DIRECT OFFSETTING REVENUE OF $959,074. 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 $913,235. PART II, COMMUNITY BUILDING ACTIVITIES: ONE OF THE LARGER COMMUNITY BUILDING ACTIVITIES ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) IS INVOLVED IN IS GETTING PHYSICIANS AND HEALTH CARE WORKERS TO THE AREA TO IMPROVE THE ACCESS TO HEALTH CARE NEEDS IN THE SERVICE AREA. AMHC ALSO PROMOTES HEALTH CARE RELATED JOBS AND EDUCATION TO THE STUDENTS IN THE COMMUNITY. 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 3. COLLECTION PHONE CALLS 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 FIRST BILLING TO THE PATIENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. II. BAD DEBT RECOVERIES A. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. B. 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. C. 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 AMHC 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, RADIOLOGY, AMBULANCE, AND REHABILITATION SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, CLINICAL PHYSICIAN PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, SURGICAL, AND CLINICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT AMHC PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2022 AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICES 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: UPON A PATIENTS APPROVAL FOR FINANCIAL ASSISTANCE, THIS IS LOADED AS AN INSURANCE COVERAGE TO THE PATIENTS ACCOUNT WITH AN EFFECTIVE AND TERMINATION DATE TO ASSURE CAPTURING ALL CHARGES FOR THE PATIENT FOR ADJUSTMENT IN A WORK QUEUE PRIOR TO ANY REMAINING BALANCE BEING MOVED TO PATIENT LIABILITY AND THEREFORE PREVENTING UNDISCOUNTED SERVICES FROM BEING BILLED TO A PATIENT. PART VI, LINE 2: ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) UTILIZES NUMEROUS METHODS IN ASSESSING COMMUNITY HEALTH CARE NEEDS. SOME OF THEM ARE AS FOLLOWS: WORKING CLOSELY WITH THE LOCAL HEALTH DEPARTMENT, SCHOOL DISTRICT, COUNTY AGING DEPARTMENT, AND OTHER ORGANIZATIONS IN THE COMMUNITY; DEMOGRAPHIC DATA FROM SURROUNDING COMMUNITIES; AND EXTERNAL REPORTS, PARTICULARLY THOSE PUBLISHED BY THE LOCAL DEPARTMENT OF HEALTH. AMHC, AT THE END OF FISCAL YEAR 2016, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND WILL USE THE DATA AND FINDINGS OF THIS REPORT TO GUIDE AMHC IN THE FUTURE TO BE ABLE TO RESPOND TO THOSE NEEDS. PART VI, LINE 3: ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS 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. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS DURING COLLECTION CALLS. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT AT WELL AS MEDICAL ASSISTANCE APPLICATIONS. CARDON OUTREACH IS USED TO REVIEW ALL PATIENTS THAT ARE INPATIENT OR PRESENT TO THE ED TO ASSIST WITH MEDICAL ASSISTANCE APPLICATIONS. PART VI, LINE 4: ALTHOUGH ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) IS LOCATED IN MEDFORD, WISCONSIN, WE HAVE HISTORICALLY DEFINED OUR "COMMUNITY" AS A MUCH BROADER AREA, INCLUDING ALL OF TAYLOR COUNTY, THE SOUTHERN AREA OF PRICE COUNTY, THE NORTHEAST PORTION OF CLARK COUNTY, AND THE NORTHWEST CORNER OF MARATHON COUNTY. WITHIN THIS AREA OUR PRIMARY SERVICE AREA CONSISTS OF A 5 TO 20 MILE RADIUS AROUND MEDFORD. APPROXIMATELY 80% OF OUR PATIENT VOLUME COMES FROM OUR PRIMARY AREA. TAYLOR AND PRICE COUNTIES ARE LARGELY CAUCASIAN AND ARE ALMOST EXCLUSIVELY RURAL WITH 14% OF ADULTS BEING UNINSURED AND 24% OF CHILDREN IN THE MEDFORD SCHOOL DISTRICT ARE ELIGIBLE FOR FREE OR REDUCED SCHOOL LUNCHES. FROM AN EDUCATIONAL STAND POINT, 59% OF OUR SERVICE AREA ONLY HAS A HIGH SCHOOL DIPLOMA OR LESS. THE MEDIAN HOUSEHOLD INCOME IS BELOW THE STATE AVERAGE, WHILE THE STATE AVERAGE IS ALSO BELOW THE NATIONAL AVERAGE. THE MAJOR OCCUPATIONS IN THE COMMUNITY ARE MANUFACTURING, AGRICULTURE, HEALTHCARE, AND SALES/OFFICE POSITIONS. PART VI, LINE 5: ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) IS IN A PHYSICIAN SHORTAGE AREA AND WORKS HARD TO RECRUIT PROVIDERS TO OUR AREA TO FILL THE NEEDS OF OUR COMMUNITY. WE ALSO HAVE EMPLOYEES THAT ARE REPRESENTING AMHC AND ARE ACTIVE IN OTHER GROUPS TO HELP IN BUILDING COMMUNITY EFFORTS TO IMPROVE HEALTHCARE IN OUR SERVICE AREA. AMHC ALSO GIVES CASH DONATIONS TO PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS IN THE COMMUNITY.ONE-THIRD OF AMHC'S GOVERNING BODY IS COMPRISED OF RESIDENTS THAT ARE IN AMHC'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE FAMILY MEMBERS THEREOF. AMHC ALSO EXTENDS MEDICAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY TO ENSURE THAT OUR SERVICE AREA HAS THE HEALTHCARE NEEDED. PART VI, LINE 6: ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) IS A PARTNER WITH ASPIRUS, INC. A MULTI-SPECIALTY HEALTH SYSTEM WITH A BASE LOCATION IN WAUSAU, WISCONSIN. AMHC WORKS WITH ASPIRUS TO PROMOTE HEALTH AND WELLNESS INITIATIVES IN THE COMMUNITIES THEY SERVE. AS NOTED PREVIOUSLY IN THE FORM 990, SEVERAL REPRESENTATIVES FROM ASPIRUS HAVE ROLES ON THE BOARD OF DIRECTORS OF AMHC AND TOGETHER PROMOTE THE MISSION OF ASPIRUS. ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM, WHICH LEADS BY ADVANCING INITIATIVES TO IMPROVING THE HEALTH OF ALL IT SERVES. ASPIRUS WORKS COLLABORATIVELY WITH OTHERS WHO SHARE ITS PASSION FOR EXCELLENCE AND COMPASSION FOR PEOPLE. ASPIRUS AND AMHC WORK COLLABORATIVELY TO STREAMLINE PROCESSES TO CONTINUE TO PROVIDE HIGH QUALITY CARE TO MEMBERS OF COMMUNITIES WHICH OTHERWISE WITHOUT THE EFFORTS OF A COMBINED PARTNERSHIP MAY NOT HAVE ACCESS TO THIS CARE LOCALLY. PART VI, LINE 7, REPORTS FILED WITH STATES WI X 1 1 X X X X 0 1 0 0 0 0 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 0 1051076 0 1629342 0 3803 0 17346 0 248748 0 2950315 0 0 SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO 0 610115 0 177495 0 127769 0 20196 0 121430 0 1057005 0 112143 JOHN HEISLER SVP & CHIEF HUMAN RESOURCES OFFICER 0 289961 0 426149 0 35874 0 13626 0 43024 0 808634 0 25179 JESSE TISCHER SVP & PRESIDENT-REGIONAL MARKETS 0 501025 0 142821 0 539 0 11714 0 89935 0 746034 0 0 JENNIFER REDMAN-SCHELL SVP & PRESIDENT-AMG 0 405520 0 113119 0 53815 0 17346 0 75318 0 665118 0 51368 TODD RICHARDSON SVP & CHIEF INFORMATION OFFICER 0 357568 0 105424 0 53502 0 17346 0 79940 0 613780 0 50634 ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP. 0 382299 0 111001 0 1734 0 17346 0 86954 0 599334 0 0 SUSAN SCHNEIDER PHYSICIAN 0 426445 0 82047 0 31226 0 17346 0 21903 0 578967 0 28531 RENEE SMITH EXECUTIVE DIRECTOR-ANI 0 315463 0 89914 0 54625 0 17346 0 76429 0 553777 0 53547 JAMES MATHESON VICE CHAIRPERSON/SVP-CHIEF STRATEGY 0 322706 0 94649 0 35374 0 16347 0 73601 0 542677 0 26065 MICHAEL HOLZHUETER ASST SECRETARY/SVP-GEN. COUNSEL 0 399152 0 25600 0 25004 0 8700 0 80633 0 539089 0 0 BENJAMIN BARSOTTI CHIEF MEDICAL INFORMATION OFFICER 0 367202 0 65298 0 29946 0 17346 0 33420 0 513212 0 23406 BRETT DAVIS PRESIDENT-ASPIRUS HEALTH PLAN 0 260587 0 127333 0 6207 0 16557 0 46300 0 456984 0 0 MICHAEL MCGRAIL MD FORMER SVP & SYSTEM CMO 0 0 0 0 0 449085 0 0 0 0 0 449085 0 449085 DALE HUSTEDT PRESIDENT 254714 0 71383 0 3526 0 17346 0 65106 0 412075 0 0 0 WENDY ANGELO VP-CMO - POPULATION HEALTH 0 316829 0 44644 0 2384 0 7418 0 35344 0 406619 0 0 LISA ROWE-PEPLINSKI VP-CARE QUALITY & PAT. SAFETY 0 287310 0 55655 0 24237 0 17283 0 1595 0 386080 0 22695 PAUL VAN DEN HEUVEL VP-NETWORKS STRATEGY 0 302649 0 31790 0 6372 0 11252 0 33846 0 385909 0 0 RUTH RISLEY-GRAY VICE CHAIR (THRU SEPT)/SVP SYS. CNO 0 213913 0 91534 0 24455 0 17417 0 35256 0 382575 0 19718 RUTH RISLEY-GRAY SVP & SYSTEM CNO 0 213913 0 91534 0 24455 0 17417 0 35256 0 382575 0 19718 MATTHEW BREWER SECRETARY/TREASURER/VP-OPS. 0 241222 0 47427 0 25131 0 9318 0 32941 0 356039 0 24855 GREG SHAW CFO 179267 0 33388 0 4837 0 12236 0 27765 0 257493 0 0 0 ROBERT MIDDLETON DIRECTOR- PHARMACY 164864 0 15522 0 5422 0 8223 0 26801 0 220832 0 0 0 BARBARA LATO VP PATIENT CARE & CNO 131367 0 31006 0 1872 0 8183 0 23285 0 195713 0 0 0 TERRENCE RUNGE LEAD PHARMACIST 145773 0 600 0 1188 0 8326 0 34958 0 190845 0 0 0 KERRY LINGEN NURSE PRACTICIONER-MEDFORD CLINIC 134761 0 8933 0 2489 0 7717 0 35144 0 189044 0 0 0 TODD PEISSIG PHARMACIST 147937 0 600 0 521 0 7949 0 13020 0 170027 0 0 0 PART I, LINE 1A PAUL VAN DEN HEUVEL ($4,050) HAD A TAXABLE HOUSING ALLOWANCE. 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 $26,065 M. BREWER $24,855 S. SCZYGELSKI $112,143 S. SCHNEIDER $28,531 J. REDMAN-SCHELL $51,368 J. HEISLER $25,179 L. ROWE-PEPLINSKI $22,695 M. MCGRAIL $449,085 R. SMITH $53,547 R. RISLEY-GRAY $19,718 T. RICHARDSON $50,634 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 680000 16902595 16902595 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 WE WILL SEEK BOND COUNSEL OPINION ON ALL REMEDIAL ACTIONS. FORM 990, PART VI, SECTION A, LINE 4 AS A RESULT OF ASPIRUS, INC. PURCHASING MEMORIAL MEMBER, INC.'S 50% SHARE OF THE ORGANIZATION THE ARTICLES OF INCORPORATION AND BYLAWS HAVE CHANGED. THE SOLE CORPORATE MEMBER IS NOW ASPIRUS, INC. AND THE STRUCTURE OF THE BOARD OF DIRECTORS AS DESCRIBED ON SCHEDULE O. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAD TWO CORPORATE MEMBERS: MEMORIAL MEMBER ASSOCIATION, INC. (50%) AND ASPIRUS, INC. (50%), BOTH WISCONSIN NONSTOCK CORPORATIONS UNTIL JUNE 30, 2022. ON JUNE 30, 2022, THE PARENT ORGANIZATION, ASPIRUS, INC. BECAME THE SOLE MEMBER OF THE FOUNDATION BY PURCHASING MEMORIAL MEMBER ASSOCIATION, INC.'S 50% OWNERSHIP IN ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. FORM 990, PART VI, SECTION A, LINE 7A PRIOR TO ASPIRUS, INC. BECOMING THE SOLE CORPORATE MEMBER ON JUNE 30, 2022: AMHC'S BOARD OF DIRECTORS IS ELECTED AS FOLLOWS: (A) FOUR DIRECTORS ARE APPOINTED BY MEMORIAL MEMBER ASSOCIATION. (B) FOUR DIRECTORS ARE APPOINTED BY ASPIRUS, INC. (C) TWO DIRECTORS REPRESENT PROVIDERS ASSOCIATED WITH THE CORPORATION AS FOLLOWS: TWO PROVIDER CLASS DIRECTORS, CONSISTING OF LICENSED HEALTH PROFESSIONALS IN THE ACTIVE MEDICAL OR ALLIED HEALTH CATEGORIES OF THE MEDICAL STAFF OF THE HOSPITAL, WITH CONSIDERATION TO INPUT FROM THE CORPORATION'S BOARD, AND ELECTED JOINTLY BY MMA & ASPIRUS INC. WHEN ASPIRUS, INC. BECAME THE SOLE CORPORATE MEMBER ON JUNE 30, 2022 BY PURCHASING MEMORIAL MEMBER ASSOCIATION, INC.'S 50% OWNERSHIP IN ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.: THERE SHALL BE A MINIMUM OF 10 VOTING DIRECTORS ALLOCATED AS FOLLOW. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN SIX INDEPENDENT COMMUNITY CLASS DIRECTORS, TWO ASPIRUS CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., TWO PROVIDER CLASS DIRECTOR NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBI 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: CHANGE IN INTEREST IN FOUNDATION -239,598. OTHER CHANGES IN NET ASSETS 26,292,811. 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 MEMORIAL MEMBER ASSOCIATION INC 135 S GIBSON STREET MEDFORD WI 54451 392016506 MEMBER ASSOCIATION WI 501 (C) 3 LINE 12B, II 0 CEDAR COURT APARTMENTS INC 135 S GIBSON ST MEDFORD WI 54451 391412339 LOW-INCOME HOUSING WI 501(C)(3) LINE 10 MEMORIAL MEMBER ASSOCIATION 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 - 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