2022-05-09T09:55:05-05:00 2021-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2020-07-01 390806429 LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN LANG 7156232331 112 EAST FIFTH AVENUE ANTIGO WI 54409 TYLER HACK CFO 7156232331 2022-05-06 1 TYLER HACK 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2022-04-29 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ASPIRUS LANGLADE HOSPITAL TYLER HACK 112 EAST FIFTH AVENUE ANTIGO WI 54409 128059688 0 X WWW.ASPIRUS.ORG X 1933 WI THE COMMUNITY BENEFIT CONTRIBUTION OF ASPIRUS LANGLADE HOSPITAL INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES. 10 6 571 123 253282 0 230331 7243702 113182813 117845848 3183911 2818351 98397 92368 116695452 128000269 156218 51179 0 0 46516499 44998606 0 0 0 50716869 53128360 97389586 98178145 19305866 29822124 252501956 297378498 50350828 45172309 202151128 252206189 AS A MINISTRY OF JESUS WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. 0 0 67724920 51179 117183095 ACUTE GENERAL CARE HOSPITAL WITH BOTH INPATIENT AND OUTPATIENT RELATED SERVICES ALONG WITH A HOSPICE PROGRAM. INPATIENTS - 1,077 ADMISSIONS WITH 3,722 PATIENT DAYS AND 232 BIRTHS; OUTPATIENTS - 10,026 EMERGENCY VISITS, 8,396 WALK IN VISITS, 29,722 IMAGING PROCEDURES, 186,194 LAB TESTS, 33,737 THERAPY TREATMENTS, AND 10,709 SPECIALTY CLINIC VISITS; SURGICAL SERVICES - 2,132 TOTAL PATIENTS TREATED; HOSPICE - 6,943 VISITS. 67724920 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 64 0 571 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X TYLER HACK 7156239215 112 EAST FIFTH AVENUE ANTIGO WI 54409 MICHAEL OLSON PHYSICIAN RADIOLOGIST 40.00 X 969242 0 52164 SIDNEY SCZYGELSKI SVP OF FIN/CFO (VOTE THRU 09/20) 2.00 50.00 X 0 861658 62993 NOEL DEEP PHYSICIAN 2.00 40.00 X 0 569367 51307 JESSE TISCHER SVP & PRESIDENT- REGIONAL MARKETS 2.00 50.00 X X 0 551417 54431 JAMES MATHESON SVP & CHIEF STRATEGY OFFICER 2.00 X 0 314187 51164 MIKE WINTER CHAIRMAN 1.00 X X 0 0 0 ANGELA CLOSE BOARD MEMBER 1.00 X 0 0 0 JOHN REETZ BOARD MEMBER 1.00 X 0 0 0 ANN ROLLER BOARD MEMBER 1.00 X 0 0 0 CHARLIE ZANAYED BOARD MEMBER 1.00 X 0 0 0 ANGEL ZIMMERMAN BOARD MEMBER 1.00 X 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 1316596 71205 ANDREW BARTH PRESIDENT-ASPIRUS LANGLADE (THRU 03/21) 50.00 1.00 X 422187 0 49666 SHERRY BUNTEN INTERIM PRESIDENT - ALH (BEG 03/21) 40.00 X 228021 0 46876 TYLER HACK VP-FINANCE ALH 50.00 X 202551 0 24529 JOHN HEISLER SVP & CHRO 2.00 50.00 X 0 571823 43247 RENEE SMITH EXECUTIVE DIRECTOR ANI 2.00 50.00 X 0 506661 49619 ERIC ANDERSON SVP- SERVICE LINE & PATIENT EXP. 2.00 50.00 X 0 475604 56304 JENNIFER REDMAN-SCHELL SVP & PRESIDENT- ASPIRUS CLINICS 2.00 50.00 X 0 481240 39357 TODD RICHARDSON SVP & SYSTEM CIO 2.00 50.00 X 0 455671 52263 RUTH RISLEY-GRAY SVP & SYSTEM CNO 2.00 50.00 X 0 419745 45966 MICHAEL MCGRAIL SVP & SYSTEM CHIEF MEDICAL OFF. 2.00 50.00 X 0 426022 0 RICK NEVERS SVP-REG OPS SYSTEM INT. OFFICER 2.00 50.00 X 0 371883 30050 PATRICK TINCHER JR VP-FINANCE REGIONAL OPERATIONS 2.00 50.00 X 0 294389 54241 JANELLE KOMMERS-MARKGRAF VP-HR & OFF CAMPUS SERVICES 40.00 X 211181 0 37830 FRANCIS HERZOG DIRECTOR - PHARMACY 40.00 X 151157 0 17038 BRETT DAVIS PRESIDENT - ASPIRUS HEALTH PLAN 2.00 50.00 X 0 303898 26541 KENNETH BOWMAN PHYSICIAN RADIOLOGIST 40.00 X 305453 0 30365 ZOEY ZOROMSKI PHARMACIST ALH 40.00 X 132086 0 39479 ANGELA KOCA DIRECTOR - SURGICAL SERVICES 40.00 X 128106 0 39160 DEBORAH KITCH PHARMACIST ALH 40.00 X 131446 0 30968 DIANA MUELLER DIRECTOR - INPATIENT SERVICES 40.00 X 128747 0 7796 CARI LOGEMANN SVP & GENERAL COUNSEL (THRU 06/20) 2.00 50.00 X 0 437354 22668 3010177 8357515 1087227 24 1 1 0 PROGRESSIVE ANESTHESIA SOLUTIONS PO BOX 290 ANTIGO WI 54409 CLINICAL SERVICES 1008429 TOMO THERAPY INC PO BOX 204793 DALLAS TX 75320 CLINICAL SERVICES 481438 ARAMARK UNIFORM SERVICES INC 5330 INDUSTRIAL BLVD NE SUITE 616 FRIDLEY MN 55421 CLINICAL SERVICES 389332 ABBOTT LABORATORIES PO BOX 92679 CHICAGO IL 60675 CLINICAL SERVICES 372930 KSHAMATA SHALINI W6668 HOMEWOOD AVE SHAWANO WI 54166 CLINICAL SERVICES 320427 15 7242142 1560 7243702 HOSPITAL SERVICES 621990 108261066 108261066 340 B PROGRAM 446110 5730190 5730190 INDEPENDENT AND ASSISTED LIVING 623000 2406631 2406631 PHYSICIAN PRIMARY CLINICS 621110 265899 265899 1182062 519309 253282 409471 117845848 2818351 2818351 151787 59419 92368 92368 92368 128000269 117183095 253282 3320190 X 51179 51179 1855142 1855142 33746737 29625749 4120988 1816956 1505334 311622 5423506 4430617 992889 2156265 1728667 427598 81683 81683 16632 16632 10054741 9602574 452167 9900 1294 8606 133944 56336 77608 1971721 32717 1939004 1147696 412460 735236 121548 96592 24956 959608 726 958882 4752315 3450393 1301922 295178 94168 201010 SUPPLIES 15039164 14844364 194800 CORPORATE ALLOCATIONS 14482791 215745 14267046 REPAIRS & MAINTENANCE 1703176 1146882 556294 BAD DEBT EXPENSE 1187589 44760 1142829 1170674 384363 786311 98178145 67724920 30453225 0 10102612 21975975 71391130 82299960 12826027 14867914 1843790 2018212 259361 127920 102987408 57347994 49079722 45639414 91976205 114866991 3982461 3508562 11040648 12073550 252501956 297378498 5596144 6299769 23734041 23170576 21020643 15701964 50350828 45172309 X 201647584 251727288 503544 478901 202151128 252206189 252501956 297378498 X 29822124 20271848 -38911 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4140 4140 0 PART II-B, LINE 1: ASPIRUS LANGLADE HOSPITAL PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING AND MATERIALS. THE WHA HAS NOTIFIED ASPIRUS LANGLADE HOSPITAL THAT APPROXIMATELY $100 OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTH CARE ENVIRONMENT. ASPIRUS LANGLADE HOSPITAL IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, ASPIRUS LANGLADE HOSPITAL PAYS MEMBERSHIP FEES TO THE RWHC. THE RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO 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 IN AN EFFORT TO PROMOTE AND IMPROVE HEALTH CARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. ONE OF THESE EFFORTS ALSO INCLUDES SOME LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. THE RWHC DETERMINED THAT APPROXIMATELY $3,325 OF THE FEES PAID BY ASPIRUS LANGLADE HOSPITAL IN FY2021 RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTH CARE ENVIRONMENT IN THE STATE OF WISCONSIN. ALSO, DUES PAID TOWARDS LOBBYING ASSOCIATED WITH THE AMERICAN MEDICAL ASSOCIATION (AMA) BY ASPIRUS LANGLADE HOSPITAL WAS DETERMINED TO BE $715 FOR FY2021. 1382049 1382049 41236200 16534958 24701242 624378 624378 0 59408143 40120279 19287864 336638 68379 268259 45639414 DEFERRED COMPENSATION 1330964 OTHER LONG-TERM LIABILITIES 446619 FINANCE LEASE LIABILITIES 205609 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 9727244 RELATED PARTY RECEIVABLES 3167379 DEFERRED US HHS STIMULUS GRANT REVENUE 824149 15701964 147105040 20271848 -1167077 19104771 128000269 0 128000269 97059684 59419 59419 97000265 1177880 1177880 98178145 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 59,419. BAD DEBT EXPENSE -1,177,880. CHANGE IN INTEREST OF CONSOLIDATED AFFILIATE - WESTWOOD CONFERENCE CENTER -48,616. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 59,419. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,177,880. 1 1 X 1 X 1 X 1 1 1 0 1 1 845174 845174 0.00860 12850182 10242431 2607751 0.02660 13695356 10242431 3452925 0.03520 2181028 1913542 267486 0.00270 1150843 1061188 89655 0.00090 3331871 2974730 357141 0.00360 17027227 13217161 3810066 0.03880 1 428851 22156637 21533712 622925 X 1 1 1 1 ASPIRUS LANGLADE HOSPITAL 112 E 5TH AVENUE ANTIGO WI 54409 1055 X X X ASPIRUS LANGLADE HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE PART V, SECTION C, LINE 7D X X 1 18 1 SEE PART V, SECTION C, LINE 7D 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X 1 X WWW.ASPIRUS.ORG/FINANCIALAID X WWW.ASPIRUS.ORG/FINANCIALAID X WWW.ASPIRUS.ORG/FINANCIALAID X X X X X X 1 X 0 X X X X 1 X 0 0 ASPIRUS LANGLADE HOSPITAL PART V, SECTION B, LINE 5: KEY INFORMANT INTERVIEWS WERE CONDUCTED, THE LISTING INCLUDES INDIVIDUALS FROM THE VARIOUS TWELVE SECTORS. (YOUTH, PARENTS, BUSINESSES, MEDIA, SCHOOLS, YOUTH SERVING ORGANIZATIONS, LAW ENFORCEMENT, RELIGIOUS/FRATERNAL ORGANIZATIONS, CIVIC OR VOLUNTEER GROUPS HEALTHCARE PROFESSIONS, STATE OR LOCAL GOVERNMENTAL AGENCIES). ALL COMMUNITY MEMBERS HAD THE OPPORTUNITY TO TAKE A PUBLIC OPINION SURVEY BY AN ONLINE LINK OR PAPER. OVER 600 COMMUNITY MEMBERS TOOK THE SURVEY THAT WAS REFERENCED ABOVE. ASPIRUS LANGLADE HOSPITAL PART V, SECTION B, LINE 6B: IT WAS COMPLETED IN COLLABORATION WITH THE LANGLADE COUNTY HEALTH DEPARTMENT. ASPIRUS LANGLADE HOSPITAL PART V, SECTION B, LINE 7D: LINE 7A & 10A:HTTPS://WWW.ASPIRUS.ORG/UPLOADS/PUBLIC/DOCUMENTS/CHNAS/ALH-CHNA%202019-22.PDF ASPIRUS LANGLADE HOSPITAL PART V, SECTION B, LINE 11: THE CAUSES OF COMMUNITY HEALTH PROBLEMS ARE ALL ENCOMPASSING, AND ONE AGENCY CANNOT IMPROVE THEM INDEPENDENTLY. BECAUSE OF THESE COMPLEXITIES, THESE PROBLEMS REQUIRE A SYSTEM PERSPECTIVE AND MULTI-FACETED APPROACH. THE ABILITY TO PARTNER EFFECTIVELY WITH OTHER INDIVIDUALS AND ORGANIZATIONS, BOTH INSIDE AND OUTSIDE THE COMMUNITY, IS ESSENTIAL TO DOING THE WORK OF BUILDING HEALTHY COMMUNITIES. COLLABORATING ACROSS THE COMMUNITY ALLOWS THE COMMUNITY TO 1) LEVERAGE EXISTING ASSETS IN THE COMMUNITY CREATING THE OPPORTUNITY FOR BROADER IMPACT 2) AVOID UNNECESSARY DUPLICATION OF PROGRAMS OR SERVICES THEREBY MAXIMIZING THE USES OF RESOURCES 3) INCREASE THE CAPACITY OF COMMUNITY MEMBERS TO ENGAGE IN CIVIL DIALOGUE AND COLLABORATIVE PROBLEM SOLVING TO POSITION THE COMMUNITY TO BUILD ON AND SUSTAIN HEALTH IMPROVEMENT ACTIVITIES.THE FOLLOWING TOP HEALTH PRIORITIES WERE IDENTIFIED FOR LANGLADE COUNTY:1. SUBSTANCE ABUSE & MENTAL HEALTH2. CHRONIC DISEASE PREVENTION & MANAGEMENT3. ACCESS & AFFORDABILITY OF HEALTHCARE SERVICESSTRATEGIES WERE ADVANCED IN FY2021 IN THE FOLLOWING WAYS:SUBSTANCE ABUSE:1. THE OPENING OF AN 8 BED SOBER LIVING FACILITY IN LANGLADE COUNTY. AS WRITTEN IN THE ORIGINAL IMPLEMENTATION STRATEGY, ASPIRUS LANGLADE HAD COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS TO EXPLORE PROVIDING A NEEDED RESOURCE TO LANGLADE COUNTY, SOBER LIVING. "HOPE HOUSE ANTIGO" WAS DEVELOPED TO HELP LANGLADE COUNTY RESIDENTS WITH THEIR RECOVERY IN A SAFE, SUPPORTIVE ENVIRONMENT. THE FACILITY OPENED IN ANTIGO APRIL OF 2021.2. RECOVERY COACHING, ORIGINALLY PILOTED AT ASPIRUS LANGLADE AND ASPIRUS WAUSAU WAS EXPANDED ACROSS THE ASPIRUS SYSTEM TO INCLUDE ASPIRUS MEDFORD AND ASPIRUS COMMUNITIES IN MICHIGAN. THIS SERVICE CONTINUED FOR OUR PATIENTS DURING COVID. IT WAS IMPORTANT WITH MANY TREATMENT FACILITIES CLOSING, OUR PATIENTS WERE PROVIDED A SERVICE FOR RECOVERY IN NEEDED. CHRONIC DISEASE PREVENTION AND MANAGEMENT3. VERTICAL GARDENS WERE IMPLEMENTED TO INCREASE FRESH PRODUCE FOR EMPLOYEES AND VISITORS AT ASPIRUS LANGLADE. THE TECHNIQUE GROWS A VARIETY OF PRODUCE AND FOOD GROWN IS UTILIZED IN THE CAF WHICH IS OPEN TO THE PUBLIC.4. ASPIRUS LANGLADE PROVIDED THE FRUIT AND VEGETABLE PRESCRIPTION PROGRAM "FVRX" FOR PATIENTS FOR ANOTHER YEAR. ASPIRUS LOCATIONS NOW HAVE THIS PROGRAM CONNECTED TO LOCAL FARMERS MARKETS. THIS PROGRAM PROVIDES A COUPON TO BE USED AS DOLLARS AT THE LOCAL FARMER'S MARKET. THE PROGRAM IS TO INTRODUCE AND PROVIDE ACCESS TO FRESH PRODUCE FOR FAMILIES AND COMMUNITY MEMBERS IN NEED THOUGH PHYSICIAN REFERRAL PROCESS.5. CONTINUE WEEKEND BACKPACK PROGRAM WITH FAMILIES AND YOUTH: PRIMARILY FUNDED AND STAFFED WITH EMPLOYEES FROM ALH, THIS PROGRAM CONTINUES TO ADDRESS CHILDHOOD FOOD INSECURITY WITHIN LANGLADE COUNTY. THE PROGRAM RUNS OUT OF THE FOOD PANTRY BUILDING OWNED BY THE HOSPITAL. WITHOUT THE PARTNERSHIP OF ASPIRUS LANGLADE, THIS PROGRAM WOULD NOT CONTINUE TO RUN AND SERVE THE NEED IDENTIFIED IN THE COMMUNITY. EACH WEEK THROUGHOUT THE SCHOOL YEAR, APPROXIMATELY 350 CHILDREN ARE SERVED FOR 29 WEEKENDS. ASPIRUS LANGLADE WAS ABLE TO CONTINUE THE WEEKEND BACKPACK PROGRAM DURING VIRTUAL SCHOOL TO MAKE SURE STUDENTS HAD FOOD.ACCESS AND AFFORDABILITY OF HEALTHCARE SERVICES6. ASPIRUS PARTNERED WITH "FIND HELP.ORG". THE RESOURCE WAS LAUNCHED FOR STAFF, PATIENTS, AND COMMUNITY MEMBERS. "FIND HELP" IS A SEARCH TOOL TO HELP FIND AND NAVIGATE SOCIAL DETERMINANTS OF HEALTH NEEDS. THE TOOL ALLOWS COMMUNITY-BASED ORGANIZATIONS TO CLOSE THE GAP BETWEEN REFERRALS WITH THE HOPE TO INCREASE UTILIZATION AND UNDERSTANDING OF LOCAL RESOURCES. COMMUNITY ENGAGEMENT TRAINING SESSIONS WERE IMPLEMENTED FOR ORGANIZATIONS INTERESTED IN JOINING THE PLATFORM. 7. CONTINUE PREVENTION FUND, A PROGRAM TO ASSIST PATIENTS WITH AN IMMEDIATE MEDICAL NEED WHO DO NOT HAVE FINANCIAL RESOURCES AT TIME OF SERVICE (I.E. MEDICATION, INHALERS, ETC.): ASPIRUS LANGLADE HOSPITAL HAS COMMITTED $10,000 EACH YEAR TO ADDRESSING IMMEDIATE NEEDS IF PATIENTS WHO CANNOT AFFORD THE MATERIALS AND OR SERVICES. EACH PATIENT AND FINANCIAL NEED IS TRACKED AND FOLLOWED UP ON THROUGHOUT ONE YEAR WITH THE GOAL TO PREVENT AND DECREASE READMISSIONS DUES TO UNMET MEDICAL NEEDS.DUE TO COVID, SEVERAL INITIATIVES LISTED IN THE CHNA FOR MULTIPLE COMMUNITY PARTNERS AND ORGANIZATIONS WERE HALTED DUE TO SERVING IMMEDIATE NEEDS OF THE COMMUNITY. NOW THAT THOSE RESTRICTIONS HAVE BEEN LIFTED AND NORMALCY IS BEGINNING TO BE RESTORED, STAKEHOLDERS ARE NOW REVISITING PREVIOUS PLANS TO DECIDE WHETHER IT IS APPROPRIATE AND NEEDED TO CONTINUE WITH THE ORIGINAL STRATEGY OR TO REEVALUATE BASED ON CURRENT NEEDS. ASPIRUS LANGLADE HOSPITAL PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. 5 1 - ASPIRUS ANTIGO CLINIC 110 E 5TH AVE ANTIGO WI 54409 CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES 2 - ASPIRUS ELCHO CLINIC W10618 CLINIC ST ELCHO WI 54428 CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES 3 - ASPIRUS BIRNAMWOOD CLINIC 400 RAILROAD BIRNAMWOOD WI 54414 CLINIC PROVIDING A WIDE RANGE OF OUTPATIENT SERVICES 4 - ROSALIA GARDENS 525 FLIGHT RD ANTIGO WI 54409 ASSISTED LIVING 5 - PINE MEADOWS 525 FLIGHT RD ANTIGO WI 54409 SENIOR HOUSING 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: THE COST OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE HOSPICE AND DIALYSIS PROGRAMS OF ASPIRUS LANGLADE HOSPITAL. ASPIRUS LANGLADE USED A COST TO CHARGE RATIO TO ESTIMATE THE COST OF EACH DEPARTMENT AND USED INTERNAL DEPARTMENT REPORTS TO DETERMINE THE DIRECT REVENUE OFFSET. THE DIALYSIS PROGRAM HAD AN ESTIMATED COST OF $1,150,843 WITH DIRECT REVENUE OFFSET OF $1,061,188. PART II, COMMUNITY BUILDING ACTIVITIES: ASPIRUS LANGLADE HOSPITAL PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE HOSPITAL BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT COMMUNITY BENEFIT WHICH IS NOT QUANTIFIED. ASPIRUS LANGLADE HOSPITAL, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY. BEYOND INPATIENT HOSPITALIZATIONS, THE HOSPITAL PROVIDES LOCAL ACCESS TO MANY OTHER HEALTH SERVICES. THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES FOCUS ON EFFORTS TO ENRICH THE LIVES OF COMMUNITY MEMBERS WHO ARE STRUGGLING WITH ISSUES THAT MAY HAVE A NEGATIVE IMPACT ON THEIR HEALTH. PART III, LINE 2: TOTAL BAD DEBT MULTIPLIED BY THE COST TO CHARGE RATIO. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY:IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, ASPIRUS LANGLADE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, ASPIRUS LANGLADE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE AMOUNTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS AND PATIENTS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), ASPIRUS LANGLADE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. PART III, LINE 8: WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTH CARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. ANY SHORTFALL IS TREATED AS A COMMUNITY BENEFIT SINCE THE HOSPITAL IS PROVIDING SERVICES AT A LOSS WHICH ARE ESSENTIAL TO THE COMMUNITY. THE AMOUNTS OF MEDICARE ALLOWANCE COSTS ARE DETERMINED USING THE PRINCIPLES OF MEDICARE REIMBURSEMENT. PART III, LINE 9B: UPON A PATIENT'S 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: KEY INFORMANT INTERVIEWS, COMMUNITY SURVEY, HEALTH AND SOCIAL DATA AND TRENDS TO DETERMINE WHETHER THERE IS AN UNMET NEED WITHIN THE COMMUNITY. 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: ASPIRUS LANGLADE HOSPITAL SERVES THE POPULATION OF LANGLADE COUNTY AND SURROUNDING COUNTIES. LANGLADE COUNTY IS A RURAL COUNTY WITH NO TOWNS OF ANY SIGNIFICANT SIZE. THE POPULATION IS AGING, AND PROJECTIONS INDICATE 50% OF THE POPULATION WILL BE OVER 64 YEARS OF AGE BY 2021. VERY LITTLE GROWTH IS PROJECTED FOR THE SERVICE AREA IN THE COMING YEARS. LANGLADE COUNTY HAS TRADITIONALLY SEEN HIGH RATES OF UNEMPLOYMENT. THERE ARE NO OTHER HOSPITALS IN THE IMMEDIATE AREA THAT SERVE LANGLADE COUNTY. THERE ARE HOSPITALS IN RHINELANDER AND IN WAUSAU; HOWEVER, DEPENDING UPON LOCATION IN LANGLADE COUNTY, THESE FACILITIES WOULD BE FAIRLY FAR AWAY. PART VI, LINE 5: THE BOARD OF DIRECTORS IS COMPRISED OF 10 INDIVIDUALS FROM THE SURROUNDING AREA. OF THESE 10 BOARD MEMBERS, 6 ARE INDEPENDENT. THE HOSPITAL DOES EXTEND PRIVILEGES TO ALL QUALIFIED LOCAL PHYSICIANS. THE HOSPITAL PARTICIPATES IN LOCAL HEALTH FAIRS AND PROVIDES FREE SCREENINGS THROUGH THESE HEALTH FAIRS. PART VI, LINE 6: ASPIRUS LANGLADE HOSPITAL IS A PARTNER WITH ASPIRUS, INC. (ASPIRUS) A MULTI-SPECIALTY HEALTH SYSTEM WITH A BASE LOCATION IN WAUSAU, WISCONSIN. LANGLADE HOSPITAL WORKS WITH ASPIRUS TO PROMOTE HEALTH AND WELLNESS INITIATIVES IN THE COMMUNITIES THEY SERVE. A NUMBER OF REPRESENTATIVES FROM ASPIRUS HAVE ROLES ON THE BOARD OF DIRECTORS OF LANGLADE HOSPITAL AND TOGETHER PROMOTE THE MISSION OF ASPIRUS. ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTH CARE 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 LANGLADE HOSPITAL 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 1 ANTIGO AREA COMMUNITY FOOD PANTRY 2120 PROGRESS BLVD ANTIGO WI 54409 454834406 501(C)(3) 21000 PROGRAM ASSISTANCE 1 0 PART I, LINE 2: THE ORGANIZATION PROVIDES BOARD APPROVED CAPITAL DISTRIBUTIONS, WAGES AND BENEFITS TO RELATED ENTITIES AND NON-RELATED ENTITIES; NO FORMAL MONITORING IS REQUIRED. X X X X X 1 1 0 0 0 0 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 0 992466 0 321290 0 2840 0 17196 0 54009 0 1387801 0 0 MICHAEL OLSON PHYSICIAN RADIOLOGIST 955222 0 8200 0 5820 0 17196 0 34968 0 1021406 0 0 0 SIDNEY SCZYGELSKI SVP OF FIN/CFO (VOTE THRU 09/20) 0 571336 0 102719 0 187603 0 20046 0 42947 0 924651 0 174000 NOEL DEEP PHYSICIAN 0 564305 0 0 0 5062 0 16021 0 35286 0 620674 0 0 JOHN HEISLER SVP & CHRO 0 339009 0 66240 0 166574 0 17196 0 26051 0 615070 0 152214 JESSE TISCHER SVP & PRESIDENT- REGIONAL MARKETS 0 458373 0 92613 0 431 0 11473 0 42958 0 605848 0 0 RENEE SMITH EXECUTIVE DIRECTOR ANI 0 381673 0 68268 0 56720 0 17196 0 32423 0 556280 0 55911 ERIC ANDERSON SVP- SERVICE LINE & PATIENT EXP. 0 399509 0 67809 0 8286 0 17196 0 39108 0 531908 0 0 JENNIFER REDMAN-SCHELL SVP & PRESIDENT- ASPIRUS CLINICS 0 411201 0 69616 0 423 0 17196 0 22161 0 520597 0 0 TODD RICHARDSON SVP & SYSTEM CIO 0 341475 0 67414 0 46782 0 17196 0 35067 0 507934 0 43823 ANDREW BARTH PRESIDENT-ASPIRUS LANGLADE (THRU 03/ 353720 0 68003 0 464 0 17196 0 32470 0 471853 0 0 0 RUTH RISLEY-GRAY SVP & SYSTEM CNO 0 309508 0 60518 0 49719 0 20046 0 25920 0 465711 0 41695 CARI LOGEMANN SVP & GENERAL COUNSEL (THRU 06/20) 0 228246 0 78456 0 130652 0 15527 0 7141 0 460022 0 129488 MICHAEL MCGRAIL SVP & SYSTEM CHIEF MEDICAL OFF. 0 0 0 0 0 426022 0 0 0 0 0 426022 0 425671 RICK NEVERS SVP-REG OPS SYSTEM INT. OFFICER 0 263896 0 64103 0 43884 0 17172 0 12878 0 401933 0 39905 JAMES MATHESON SVP & CHIEF STRATEGY OFFICER 0 267259 0 33127 0 13801 0 16127 0 35037 0 365351 0 7532 PATRICK TINCHER JR VP-FINANCE REGIONAL OPERATIONS 0 253981 0 33626 0 6782 0 16372 0 37869 0 348630 0 0 KENNETH BOWMAN PHYSICIAN RADIOLOGIST 297024 0 0 0 8429 0 17196 0 13169 0 335818 0 0 0 BRETT DAVIS PRESIDENT - ASPIRUS HEALTH PLAN 0 244032 0 59522 0 344 0 13276 0 13265 0 330439 0 0 SHERRY BUNTEN INTERIM PRESIDENT - ALH (BEG 03/21) 194092 0 29562 0 4367 0 12792 0 34084 0 274897 0 0 0 JANELLE KOMMERS-MARKGRAF VP-HR & OFF CAMPUS SERVICES 179126 0 27449 0 4606 0 11419 0 26411 0 249011 0 0 0 TYLER HACK VP-FINANCE ALH 172793 0 26112 0 3646 0 11335 0 13194 0 227080 0 0 0 ZOEY ZOROMSKI PHARMACIST ALH 131965 0 0 0 121 0 7004 0 32475 0 171565 0 0 0 FRANCIS HERZOG DIRECTOR - PHARMACY 135225 0 15625 0 307 0 7112 0 9926 0 168195 0 0 0 ANGELA KOCA DIRECTOR - SURGICAL SERVICES 117915 0 9952 0 239 0 6743 0 32417 0 167266 0 0 0 DEBORAH KITCH PHARMACIST ALH 131303 0 0 0 143 0 7004 0 23964 0 162414 0 0 0 PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A - SEVERANCE PAY MICHAEL MCGRAIL RECEIVED SEVERANCE PAY TOTALING $426,022 FOR CALENDAR YEAR 2020. SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $174,000 J. MATHESON $7,532 J. HEISLER $152,214 C. LOGEMANN $129,488 M. MCGRAIL $425,671 R. NEVERS $39,905 T. RICHARDSON $43,823 R. RISLEY-GRAY $41,695 R. SMITH $55,912 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: 9% FOR VICE PRESIDENT, 13% FOR SENIOR LEADERSHIP COUNCIL, AND 15% FOR THE CEO. 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; 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 27000592 CONSTRUCT, RENOVATE, AND EQUIP FACILITIES 0 0 0 A 3725000 27000592 27000592 2013 0 0 1 1 A 0 0 1 0 0 0.00200 0.00200 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WI HEALTH & EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/05/2018 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 GRAND VIEW (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.] PART III - LINE 3 AND 3B ASPIRUS, INC., A MEMBER OF ASPIRUS LANGLADE HOSPITAL, HAS A POLICY 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. MAUREEN WINTER FAMILY MEMBER OF MIKE WINTER, BOARD MEMBER 58933 EMPLOYMENT COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 6 THE HOSPITAL HAS TWO MEMBERS, THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH HEALTH CORPORATION (55%) AND ASPIRUS, INC. (45%). FORM 990, PART VI, SECTION A, LINE 7A SEE EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7B. FORM 990, PART VI, SECTION A, LINE 7B THE HOSPITAL OPERATES UNDER THE CONTROL AND DIRECTION OF THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH HEALTH CORPORATION (RHSJ), A RELIGIOUS CONGREGATION OF THE ROMAN CATHOLIC CHURCH AND ASPIRUS, INC. EACH OF WHICH APPOINT 3 BOARD MEMBERS AND JOINTLY APPROVE THE REMAINING MEMBERS. 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 BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE HOSPITAL'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 LANGLADE HOSPITAL RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G LAB PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,568,401. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,568,401. INTERPRETER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,012. MANAGEMENT AND GENERAL EXPENSES 3,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,012. LAUNDRY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 71,769. MANAGEMENT AND GENERAL EXPENSES 201,792. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 273,561. PHARMACY DISPENSING FEES: PROGRAM SERVICE EXPENSES 1,647,184. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,647,184. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,103,486. MANAGEMENT AND GENERAL EXPENSES 182,389. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,285,875. FOOD PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 186,675. MANAGEMENT AND GENERAL EXPENSES 64,986. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 251,661. CRNA PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,019,047. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,019,047. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 9,705. CHANGE IN INTEREST OF CONSOLIDATED AFFILIATE - WESTWOOD CONFERENCE CENTER -48,616. FORM 990, PART XII, LINE 3B THE ORGANIZATION IS REQUIRED TO BE INCLUDED IN A SINGLE AUDIT FOR THE YEAR ENDED 06/30/2021. THE DEADLINE FOR THIS FILING FALLS AFTER THE DEADLINE FOR THE 990 FOR THE SAME FISCAL YEAR END. THE SINGLE AUDIT WILL NOT BE FINALIZED AT THE TIME OF THIS SUBMISSION. RELIGIOUS HOSPITALLERS OF ST JOSEPH HEALTH CORP 411 E WIS AVE STE 700 MILWAUKEE WI 53202 271341591 HEALTH CARE WI 501(C)(3) LINE 1 N/A 0 ASPIRUS INC 333 PINE RIDGE BLVD WAUSAU WI 54401 391328331 HEALTH CARE WI 501(C)(3) LINE 12B, II N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 ASPIRUS INC M 16204047 CASH ASPIRUS INC O 43400472 CASH ASPIRUS INC P 409563 CASH