ASPIRUS MEDFORD HOSPITAL & CLINICS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ASPIRUS MEDFORD HOSPITAL & CLINICS INC (EIN 39-0964813)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-04-06
IRS object ID: 201810969349301016
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-04-06T16:58:44-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Wipfli LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 8010	AddressLine1Txt
City	Wausau	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	544028010	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390964813	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Aspirus Medford Hospital & Clinics Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ASPI	BusinessNameControlTxt
Phone	7157488100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	135 South Gibson	AddressLine1Txt
City	Medford	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54451	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GREG SHAW	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7157488100	PhoneNum
Signature	2018-03-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kathleen J LaBrake CPA	PreparerPersonNm
PTIN	P00164006	PTIN
Phone	7158453111	PhoneNum
Preparation	2018-03-10	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	50.50.56.238	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-03-10	IPDt
IP Tm	11:51:17	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	FEDE6E2ED2B59B1C13DC36E78E84E5663127854C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Rick Nevers	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	135 SOUTH GIBSON STREET	AddressLine1Txt
City	MEDFORD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54451	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$85,825,532	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.aspirus.org/AspirusMedfordHospital	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1958	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	We heal people, promote health and strengthen communities.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	687	TotalEmployeeCnt
Total Volunteers	103	TotalVolunteersCnt
Total Gross UBI	$1,918,727	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$360,588	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$108,125	PYContributionsGrantsAmt
CY Contributions Grants	$307,322	CYContributionsGrantsAmt
PY Program Service Revenue	$75,967,486	PYProgramServiceRevenueAmt
CY Program Service Revenue	$80,849,120	CYProgramServiceRevenueAmt
PY Investment Income	$355,197	PYInvestmentIncomeAmt
CY Investment Income	$2,476,015	CYInvestmentIncomeAmt
PY Other Revenue	$128,976	PYOtherRevenueAmt
CY Other Revenue	$218,212	CYOtherRevenueAmt
PY Total Revenue	$76,559,784	PYTotalRevenueAmt
CY Total Revenue	$83,850,669	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,054,385	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$58,334	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$38,046,820	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$37,806,289	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$31,116,414	PYOtherExpensesAmt
CY Other Expenses	$35,718,750	CYOtherExpensesAmt
PY Total Expenses	$71,217,619	PYTotalExpensesAmt
CY Total Expenses	$73,583,373	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,342,165	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,267,296	CYRevenuesLessExpensesAmt
Total Assets BOY	$111,066,092	TotalAssetsBOYAmt
Total Assets EOY	$123,460,502	TotalAssetsEOYAmt
Total Liabilities BOY	$25,123,980	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$24,823,378	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$85,942,112	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$98,637,124	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	We heal people, promote health and strengthen communities.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$42,321,763	ExpenseAmt
Grant	$58,334	GrantAmt
Revenue	$57,420,836	RevenueAmt
Desc	HOSPITAL SERVICES - ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (AMHC) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL IN MEDFORD, WISCONSIN. DURING THE YEAR ENDED JUNE 30, 2017, THE HOSPITAL HAD 2,043 INPATIENT DAYS AND 72,758 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 IN 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 2017, AMHC'S CHARITY CARE PROGRAM AWARDED APPROXIMATLEY $1,970,207 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 2017, APPROXIMATELY 55 PERCENT 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$11,533,893	ExpenseAmt
Revenue	$15,648,823	RevenueAmt
Desc	CLINIC SERVICES - AMHC OPERATES SIX OUTPATIENT CLINICS IN THE COMMUNITIES OF ABBOTSFORD, GILMAN, MEDFORD, PHILLIPS, PRENTICE AND RIB LAKE (ALL LOCATED WITHIN THE STATE OF WISCONSIN). DURING THE YEAR ENDED JUNE 30, 2017, THE CLINICS HAD 66,177 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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,292,938	ExpenseAmt
Revenue	$4,467,755	RevenueAmt
Desc	SENIOR CARE SERVICES - AMHC OPERATES A 99-BED SKILLED NURSING FACILITY (SNF), 10 CBRF APARTMENTS, AND A 28-UNIT RCAC. DURING THE YEAR ENDED JUNE 30, 2017, THE SNF HAD A DAILY CENSUS OF 60.86 AND THE RCAC HAD A DAILY CENSUS OF 27.54. 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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$57,148,594	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	110	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	687	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GREG SHAW CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7157488100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	135 SOUTH GIBSON STREET	AddressLine1Txt
City	MEDFORD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54451	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Ruth Risley-Gray
Board Member	1.00	49.00	Yes (X)	$0	$347,049	$74,562
Patrick Belson
Board Member/Physician	40.00		Yes (X)	$340,136	$0	$34,986
Troy D Sennholz Termed 0117
Chief of Staff / Board Mem	40.00		Yes (X)	$400,457	$0	$37,620
Cathy Reuter Termed 0816
Physician / Board Member	40.00		Yes (X)	$165,933	$0	$6,112
Leonard HAmman
Board Member	1.00		Yes (X)	$0	$0	$0
Michael Plooy
Board Member	1.00		Yes (X)	$0	$0	$0
Michael Riggle
Chairman	1.00	1.00		$0	$0	$0	Yes (X)
F Dean Danner Jr
Vice Chair	1.00	48.00		$0	$367,581	$72,374	Yes (X)
Debbie Woods
Treasurer	1.00			$0	$0	$0	Yes (X)
Susan Frazier
Secretary/Physician	40.00			$289,234	$0	$25,796	Yes (X)
Matthew Heywood
Board Member/Asst. Secreta	1.00	50.00		$0	$994,138	$146,997	Yes (X)
Rick Nevers
Interim CEO Efec 02/14/17	1.00	50.00		$0	$381,217	$70,836	Yes (X)
Gregory A Olson termed 0217
President/CEO	40.00	2.00		$378,382	$0	$32,534	Yes (X)
Greg Shaw
CFO	40.00			$178,955	$0	$29,356	Yes (X)
Sidney Sczygelski
SVP of Finance and CFO	1.00	50.00		$0	$562,384	$93,647	Yes (X)
Angela Hupf
VP Human Resources	40.00			$177,621	$0	$29,773		Yes (X)
Kathryne McGowan
SVP Population Health, Exe	1.00	50.00		$0	$309,566	$70,073		Yes (X)
Cari Logemann
SVP & General Counsel	1.00	50.00		$0	$359,569	$76,513		Yes (X)
Todd Richardson
SVP & CIO	1.00	50.00		$0	$393,488	$80,991		Yes (X)
Michael McGrail MD
SVP System CMO	1.00	50.00		$0	$485,324	$82,591		Yes (X)
John Heisler
SVP & Chief HR Officer	1.00	49.00		$0	$331,227	$67,055		Yes (X)
Erick T Branstetter
Physician	40.00			$572,157	$0	$37,394			Yes (X)
Sujatha Roberts
Physician	40.00			$417,818	$0	$37,536			Yes (X)
Amy A Falkenberg
Physician	40.00			$388,839	$0	$39,024			Yes (X)
Mohammas Taha
Physician	40.00			$364,267	$0	$39,024			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,673,799	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,531,543	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,184,794	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	48	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	Echo, sleep lab, physician, and other	$8,609,762
Aspirus Inc
333 PINE RIDGE BLVD	WAUSAU	WI	54401	Corporate Services	$8,484,858
Miron Construction Co Inc
PO Box 1372	GREEN BAY	WI	54305	Contracted Construction Co	$1,166,931
Shared Medical Services Inc
209 Limestone Pass	Cottage Grove	WI	53527	Contracted Imaging Services	$487,603
Philips Medical Systems
PO Box 100355	Atlanta	GA	30384	Contracted Maintenance	$451,460

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
Related Organizations	$307,322	RelatedOrganizationsAmt
Total Contributions	$307,322	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICE REVENUE	621110	$71,896,630	$71,895,245	$1,385
PHARMACY REVENUE	446110	$7,559,512	$5,642,170	$1,917,342
OTHER OPERATING REVENUE	621110	$696,793			$696,793
CONTRACT SERVICE REVENUE	621110	$468,706			$468,706
CAFETERIA	621990	$227,479			$227,479

Field	Value	IRS element (for citing)
Total Program Service Revenue	$80,849,120	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,636,178	TotalRevenueColumnAmt
Exclusion	$1,636,178	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$136,005	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$25,990	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$110,015	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$110,015	TotalRevenueColumnAmt
Exclusion	$110,015	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,755,938	SecuritiesAmt
Other	$32,772	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,860,566	SecuritiesAmt
Other	$88,307	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$895,372	SecuritiesAmt
Other	-$55,535	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$839,837	TotalRevenueColumnAmt
Exclusion	$839,837	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Gain on sale of Unconsolidated Af	Desc
Business	900099	BusinessCd
Total Revenue Column	$108,197	TotalRevenueColumnAmt
Exclusion	$108,197	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$108,197	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$83,850,669	TotalRevenueColumnAmt
Related Or Exempt Func Income	$77,537,415	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,918,727	UnrelatedBusinessRevenueAmt
Exclusion	$4,087,205	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$58,334	TotalAmt
Program Services	$58,334	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,218,633	TotalAmt
Program Services	$2,483,674	ProgramServicesAmt
Management And General	$734,959	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$25,440,671	TotalAmt
Program Services	$23,138,751	ProgramServicesAmt
Management And General	$2,301,920	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,435,923	TotalAmt
Program Services	$1,292,727	ProgramServicesAmt
Management And General	$143,196	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,836,484	TotalAmt
Program Services	$5,046,498	ProgramServicesAmt
Management And General	$789,986	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,874,578	TotalAmt
Program Services	$1,683,202	ProgramServicesAmt
Management And General	$191,376	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$45,932	TotalAmt
Management And General	$45,932	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$10,376	TotalAmt
Management And General	$10,376	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,604,441	TotalAmt
Program Services	$4,587,282	ProgramServicesAmt
Management And General	$10,017,159	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$176,689	TotalAmt
Management And General	$176,689	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$134,882	TotalAmt
Program Services	$124,117	ProgramServicesAmt
Management And General	$10,765	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$183,082	TotalAmt
Management And General	$183,082	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,114,540	TotalAmt
Program Services	$1,436,921	ProgramServicesAmt
Management And General	$677,619	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$204,973	TotalAmt
Program Services	$102,860	ProgramServicesAmt
Management And General	$102,113	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$263,263	TotalAmt
Program Services	$226,744	ProgramServicesAmt
Management And General	$36,519	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,711,329	TotalAmt
Program Services	$3,279,328	ProgramServicesAmt
Management And General	$432,001	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$260,619	TotalAmt
Program Services	$66,412	ProgramServicesAmt
Management And General	$194,207	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$11,389,083	$11,238,004	$151,079
BAD DEBT EXPENSE	$1,728,502	$1,728,502
LICENSES AND FEES	$537,290	$326,942	$210,348
EQUIPMENT RENTAL/MAINTE	$353,749	$328,296	$25,453

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$73,583,373	TotalAmt
Program Services	$57,148,594	ProgramServicesAmt
Management And General	$16,434,779	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$17,668,485	BOYAmt
EOY	$18,025,743	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,491,332	BOYAmt
EOY	$10,063,980	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,112,166	BOYAmt
EOY	$1,248,635	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$443,593	BOYAmt
EOY	$481,053	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$66,190,487	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$34,386,988	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$31,246,395	BOYAmt
EOY	$31,803,499	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$44,955,564	BOYAmt
EOY	$52,654,263	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,088,976	BOYAmt
EOY	$1,672,126	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,059,581	BOYAmt
EOY	$7,511,203	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$111,066,092	BOYAmt
EOY	$123,460,502	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,053,336	BOYAmt
EOY	$7,013,778	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,667,559	BOYAmt
EOY	$15,333,867	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,403,085	BOYAmt
EOY	$2,475,733	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,123,980	BOYAmt
EOY	$24,823,378	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$84,400,495	BOYAmt
EOY	$96,964,998	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,421,617	BOYAmt
EOY	$1,552,126	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$120,000	BOYAmt
EOY	$120,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$85,942,112	BOYAmt
EOY	$98,637,124	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$111,066,092	BOYAmt
EOY	$123,460,502	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$10,267,296	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,427,716	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$8,938	OtherActivitiesAmt
Total Lobbying Expenditures	$8,938	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1(I), OTHER LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	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 21.8% for the AHA and 11.5% for WHA for dollar amounts of $2,913 and $1,864, respectively. AMHC IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (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 INCLUDES SOME LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. $4,162 OR 20.5% OF THESE DUES WERE RELATED TO LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE HEALTH CARE ENVIRONMENT IN THE STATE OF WISCONSIN.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$121,904	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,436	InvestmentEarningsOrLossesAmt
End Year Balance	$124,340	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$131,113	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$9,209	InvestmentEarningsOrLossesAmt
End Year Balance	$121,904	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$129,531	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,582	InvestmentEarningsOrLossesAmt
End Year Balance	$131,113	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$127,340	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,191	InvestmentEarningsOrLossesAmt
End Year Balance	$129,531	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$127,536	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$196	InvestmentEarningsOrLossesAmt
End Year Balance	$127,340	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.97000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.03000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$227,478	OtherCostOrOtherBasisAmt
Book Value	$227,478	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,230,517	OtherCostOrOtherBasisAmt
Depreciation	$19,712,398	DepreciationAmt
Book Value	$23,518,119	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,651,638	OtherCostOrOtherBasisAmt
Depreciation	$13,017,920	DepreciationAmt
Book Value	$6,633,718	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,080,854	OtherCostOrOtherBasisAmt
Depreciation	$1,656,670	DepreciationAmt
Book Value	$1,424,184	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$31,803,499	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Deferred Compensation	$2,443,733
Estimated Third-Party Payor Settlements	$4,659,359
Accounts Receivable Other	$408,111

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$7,511,203	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Deferred Compensation	$2,443,733
Long-Term Insurance Liability	$32,000

Field	Value	IRS element (for citing)
Total Liability	$2,475,733	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$84,324,086	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,427,716	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$2,427,716	RevenueNotReportedAmt
Revenue Subtotal	$81,896,370	RevenueSubtotalAmt
Other Revenues Not Included	$1,954,299	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,954,299	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$83,850,669	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$71,936,396	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$81,525	OtherExpensesIncludedAmt
Expenses Not Reported	$81,525	ExpensesNotReportedAmt
Expenses Subtotal	$71,854,871	ExpensesSubtotalAmt
Other Expenses Not Included	$1,728,502	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,728,502	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$73,583,373	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 GARDENS ASSISTED LIVING FACILITY AT ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Part X, Line 2:	AMHC IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AMHC IS ALSO ENGAGED, TO A LIMITED EXTENT, IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). INCOME TAXES ON UBI ARE NOT SIGNIFICANT.
Part XI, Line 4b - Other Adjustments:	Change in interest in Net Assets of AMHC Foundation, Inc. 307,322. Provision for bad debts 1,728,502. Loss on Sale of Fixed Assets -55,535. Rental Expenses -25,990.
Part XII, Line 2d - Other Adjustments:	Loss on Sale of Fixed Assets 55,535. Rent expense 25,990.
Part XII, Line 4b - Other Adjustments:	PROVISION FOR BAD DEBTS 1,728,502. Contribution Expense

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,019,193	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,019,193	NetCommunityBenefitExpnsAmt
Total Expense	0.01420	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,379,698	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,605,253	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,774,445	NetCommunityBenefitExpnsAmt
Total Expense	0.02470	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$212,969	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$191,522	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,447	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,611,860	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,796,775	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,815,085	NetCommunityBenefitExpnsAmt
Total Expense	0.03920	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$265,159	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$264,774	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,817	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,817	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,044,701	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$789,366	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$255,335	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,545	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$68,545	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,391,222	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$789,751	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$601,471	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,003,082	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,586,526	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,416,556	NetCommunityBenefitExpnsAmt
Total Expense	0.04770	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$650	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,668	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$68,668	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,318	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$69,318	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$894,159	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$16,310,391	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$15,452,051	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$858,340	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Aspirus Medford Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	135 SOUTH GIBSON STREET	AddressLine1Txt
City	MEDFORD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54451	ZIPCd

Field	Value	IRS element (for citing)
State License	1027	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Aspirus Medford Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.aspirus.org/Uploads/Public/Documents/CHIPReport2016-18%20(Update	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	http://aspirus.org/Uploads/Public/Documents/Comm-Benefit-Report-AMH.pdf	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.aspirus.org/financialaid	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.aspirus.org/financialaid	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.aspirus.org/financialaid	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Aspirus Medford Hospital	Part V, Section B, Line 5: Aspirus Medford Hospital & Clinics gathered qualitative information and perspectives on community health needs through two rounds of one-on-one and small group interviews with key community stakeholders. The primary goal of these interviews were to ascertain a range of perspectives on the community's health needs. AMHC gathered information from the following specified groups within the community: people with special knowledge or expertise in public health - federal, tribal, regional, state or local health or other departments or agencies, with current data or other information relevant to the health needs of the community served by the hospital facility - leaders, representatives of medically underserved populations, low-income populations, minority populations, and populations with chronic disease needs.
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: There were items identified in the CHNA which were not addressed by AMHC; however, all items were considered if a need was brought to the attention of the group during the information gathering phase of the CHNA process. Currently our hospital has a program that funds efforts in our communities that are addressing the identified needs. There is an application process that organizations can apply for funding with and funding is awarded based upon how the identified needs are met. In addition, there are procedural efforts underway in various departments to improve access to care, as well as other needs that have been identified through the assessment process.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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 Pharmacy - Medford
139 SOUTH GIBSON STREET	MEDFORD	WI	54451	RETAIL PHARMACY
4 - Aspirus Therapy & Fitness - Medford
103 SOUTH GIBSON STREET	MEDFORD	WI	54451	THERAPY FITNESS CENTER
5 - Aspirus Country Gardens
635 WEST CEDAR STREET	MEDFORD	WI	54451	ASSISTED LIVING FACILITY
6 - Aspirus Kidney Care - Medford
111 SOUTH GIBSON STREET	MEDFORD	WI	54451	DIALYSIS CENTER
7 - Aspirus Prentice Clinic
1511 RAILROAD AVENUE	PRENTICE	WI	54456	OUTPATIENT CLINIC
8 - Aspirus Phillips Clinic
625 PETERSON AVENUE	PHILLIPS	WI	54555	OUTPATIENT CLINIC
9 - Aspirus Therapy - Prentice
619 BRIDGE STREET	PRENTICE	WI	54456	THERAPY FITNESS CENTER
10 - Aspirus Rib Lake Clinic
1121 HIGHWAY 102	RIB LAKE WI	WI	54451	OUTPATIENT CLINIC
11 - Aspirus Gilman Clinic
320 EAST MAIN STREET	MEDFORD	WI	54433	OUTPATIENT CLINIC
12 - Aspirus FastCare Clinic - Abbotsford
1011 East Spruce St Suite 6	Abbotsford	WI	54405	OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 excced 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:	Dialysis had costs of $1,044,701 with direct offsetting revenue of $789,366.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 1,728,502.
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 costing methodology used on Form 990 is based on a cost to charge ratio which is developed based on AMHC's total operating expenses, excluding the provision for bad debts divided by gross patient service revenue. This cost to charge ratio is applied against the total charges that are written off during the fiscal year to estimate the cost of the care of patients that have accounts that are deemed to be bad debts to AMHC. AMHC also recognizes that it also provides a discount to self-pay or uninsured patients. These amounts are included in the contractual adjustments on the financial statements and are not included in the ratio as described above and approved by the IRS for use on form 990. If considered, these additional write-off amounts to uninsured accounts would also increase the estimated bad debt expense amount associated with these uncollectible accounts to AMHC.
Part III, Line 3:	MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS FOR WHICH PATIENTS ARE PERSONALLY RESPONSIBLE, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE.
Part III, Line 4:	Patient Accounts Receivable and Credit Policy: In evaluating the collectability of patient accounts receivable, AMHC analyzes past results and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources or revenue in evaluating the sufficiency of the allowance for uncollectible accounts. Specifically, for receivables associated with services provided to patients who have third-party coverage, AMHC 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 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), AMHC records a significant provision for bad debts in the period of service on the basis of its 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:	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 PHYSICAN 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, 2014 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).
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 workqueue 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 SEVERAL 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 Finacial 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 INSURE 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, A NUMBER OF 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	AS A MAJOR EMPLOYER AND COMMUNITY SUPPORTER, ASPIRUS MEDFORD HOSPITALS & CLINICS, INC. (AMHC) RECEIVES MANY REQUESTS FOR DONATIONS OF BOTH MONEY AND MATERIAL GOODS BY VARIOUS LOCAL AGENCIES AND INDIVIDUALS. AS A NONPROFIT, AMHC MUST CONTINUOUSLY JUSTIFY ITS TAX-EXEMPT STATUS TO THE IRS. AMHC NEEDS TO UTILIZE ITS RESOURCES AND ENDORSE THOSE ACTIVITIES THAT SUPPORT ITS TAX-EXEMPT PURPOSE, WHICH IS TO PROVIDE HEALTH CARE SERVICES AND PROMOTE HEALTH AND WELLNESS TO THE COMMUNITIES IT SERVES. REQUESTS ARE CHANNELED IN A WAY THAT MAXIMIZES BENEFIT TO THE COMMUNITY AND ASSURES COMPLIANCE WITH CORPORATE NOT-FOR-PROFIT RULES. AMHC'S WRITTEN DONATIONS POLICY OUTLINES ACCEPTABLE RECIPIENTS AND APPROPRIATE OBJECTIVES PRIOR TO AWARDING ANY ASSISTANCE. DUE TO THE CHARITABLE NATURE OF THE GRANTS AND ALLOCATIONS AWARDED, NO FORMAL MONITORING IS REQUIRED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ruth Risley-Gray
Board Member	$0	$263,353	$0	$56,735	$0	$26,961	$0	$17,865	$0	$56,697	$0	$421,611	$0	$0
Patrick Belson
Board Member/Physician	$323,263	$0	$0	$0	$16,873	$0	$13,056	$0	$21,930	$0	$375,122	$0	$0	$0
Troy D Sennholz Termed 0117
Chief of Staff / Board Mem	$374,024	$0	$9,511	$0	$16,922	$0	$13,056	$0	$24,564	$0	$438,077	$0	$0	$0
Cathy Reuter Termed 0816
Physician / Board Member	$155,065	$0	$0	$0	$10,868	$0	$6,003	$0	$109	$0	$172,045	$0	$0	$0
F Dean Danner Jr
Vice Chair	$0	$281,530	$0	$50,514	$0	$35,537	$0	$17,796	$0	$54,578	$0	$439,955	$0	$0
Susan Frazier
Secretary/Physician	$271,532	$0	$0	$0	$17,702	$0	$13,056	$0	$12,740	$0	$315,030	$0	$0	$0
Matthew Heywood
Board Member/Asst. Secreta	$0	$734,056	$0	$257,815	$0	$2,267	$0	$18,830	$0	$128,167	$0	$1,141,135	$0	$0
Rick Nevers
Interim CEO Efec 02/14/17	$0	$287,340	$0	$59,975	$0	$33,902	$0	$18,830	$0	$52,006	$0	$452,053	$0	$0
Gregory A Olson termed 0217
President/CEO	$268,366	$0	$57,003	$0	$53,013	$0	$13,056	$0	$19,478	$0	$410,916	$0	$0	$0
Greg Shaw
CFO	$150,821	$0	$21,847	$0	$6,287	$0	$5,117	$0	$24,239	$0	$208,311	$0	$0	$0
Sidney Sczygelski
SVP of Finance and CFO	$0	$441,313	$0	$93,183	$0	$27,888	$0	$18,830	$0	$74,817	$0	$656,031	$0	$0
Angela Hupf
VP Human Resources	$138,754	$0	$20,088	$0	$18,779	$0	$6,112	$0	$23,661	$0	$207,394	$0	$0	$0
Kathryne McGowan
SVP Population Health, Exe	$0	$253,530	$0	$54,574	$0	$1,462	$0	$12,888	$0	$57,185	$0	$379,639	$0	$0
Cari Logemann
SVP & General Counsel	$0	$295,196	$0	$63,114	$0	$1,259	$0	$18,556	$0	$57,957	$0	$436,082	$0	$0
Todd Richardson
SVP & CIO	$0	$284,010	$0	$61,187	$0	$48,291	$0	$18,830	$0	$62,161	$0	$474,479	$0	$0
Michael McGrail MD
SVP System CMO	$0	$382,842	$0	$81,065	$0	$21,417	$0	$11,948	$0	$70,643	$0	$567,915	$0	$0
John Heisler
SVP & Chief HR Officer	$0	$265,586	$0	$56,537	$0	$9,104	$0	$13,026	$0	$54,029	$0	$398,282	$0	$0
Erick T Branstetter
Physician	$497,860	$0	$55,600	$0	$18,697	$0	$13,056	$0	$24,338	$0	$609,551	$0	$0	$0
Sujatha Roberts
Physician	$399,636	$0	$0	$0	$18,182	$0	$13,056	$0	$24,480	$0	$455,354	$0	$0	$0
Amy A Falkenberg
Physician	$371,757	$0	$0	$0	$17,082	$0	$13,056	$0	$25,968	$0	$427,863	$0	$0	$0
Mohammas Taha
Physician	$291,818	$0	$37,500	$0	$34,949	$0	$13,056	$0	$25,968	$0	$403,291	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 1a

TRAVEL for companions, tax indemnification and gross-up payments, AND housing allowance or residence for personal use, WHEN APPLICABLE, WERE ADDED TO THE INDIVIDUAL'S COMPENSATION AT FAIR MARKET VALUE. TRAVEL FOR COMPANIONS - M. HEYWOOD $188; D. DANNER $184; R. NEVERS $206; R. RISLEY-GRAY $152; G. OLSON $199; S. SCZYGELSKI $188; G. Shaw $177; K MCGOWAN $199; J. HEISLER $181 - INCLUDED IN INCOME. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - S. Frazier $1,516; E. BRANSTETTER $15,823; T. SENNHOLZ $1,631; P. Belson $1,528; S. Roberts $1,521: G. Olson $1,518; G. SHAW $842; M. Taha $1,552; A. Hupf $1,072; A. Falkenberg $1,560; C. Reuter $10,094 - INCLUDED IN INCOME.

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: S. SCZYGELSKI $ 20,721 D. DANNER $ 30,171 R. NEVERS $ 31,318 T. RICHARDSON $ 47,095 R. RISLEY-GRaY $ 24,196

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WI HEALTH & EDUCATION FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	391337855	BondIssuerEIN
CUSIP	97710B7X4	CUSIPNum
Bond Issued	2013-04-12	BondIssuedDt
Issue Price	$16,902,595	IssuePriceAmt
Purpose	CONSTRUCT, RENOVATE, AND EQUIP FACILITIES	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$1,165,000	RetiredAmt
Total Proceeds	$16,902,595	TotalProceedsAmt
Substantial Completion	2006	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	0	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Concerning UBI	0.01400	PrivateBusConcerningUBIPct
Total Private Business Use	0.01400	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: WI HEALTH & EDUCATION FACILITIES AUTHORITY Date the Rebate Computation was Performed: 06/19/2015
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, Lines 3A and 3B	Aspiurs, 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Leonard Hamman	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Bank officer at Nicolet Bank	RelationshipDescriptionTxt
Transaction	$15,359	TransactionAmt
Transaction	Bank and Credit card fees	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 2	Rick Nevers, Matthew Heywood, RUTH RISLEY-GREY AND F. DEAN DANNER, JR. have a bUSINESS RELATIONSHIP. THESE BOARD MEMBERS ARE EMPLOYED BY ASPIRUS, INC. AND IT'S AFFILIATES. (SEE INFORMATION RELATED TO ASPIRUS, INC. DESCRIBED IN FORM 990, PART VI, SECTION A, LINES 6 AND 7.)
Form 990, Part VI, Section A, line 6	The organization has two corporate members: MEMORIAL MEMBER ASSOCIATION, INC. (50%) AND ASPIRUS, INC. (50%), BOTH WISCONSIN NONSTOCK CORPORATIONS.
Form 990, Part VI, Section A, line 7a	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.
Form 990, Part VI, Section A, line 7b	POWERS RESERVED TO THE CORPORATE MEMBERS: IN ADDITION TO DOING ALL THINGS REQUIRED BY LAW AND EXCEPT AS OTHERWISE PROVIDED, THE CORPORATE MEMBERS HAVE THE FOLLOWING SPECIFIC RIGHTS AND RESPONSIBILITIES: (A) INITIATE AND APPROVE ANY CHANGE IN THE PHILOSOPHY, CHARACTER, OR MISSION OF THE CORPORATION AND ITS STRATEGIC PLANS. (B) APPROVE ANY CHANGES TO THE USE OF THE HOSPITAL'S NAME AND BRANDING OF THE HOSPITAL. (C) INITIATE AND APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION. (D) AMEND THE BYLAWS OF THE CORPORATION AND ALL SUBSIDIARIES. (E) TAKE ANY ACTION ABLE TO BE TAKEN BY THE JOINT MEMBERS COUNCIL. (F) INITIATE AND APPROVE THE ADDITION OF NEW MEMBERS OF THE CORPORATION. (G) INITIATE AND APPROVE BORROWING OF MONEY AND OTHER FORMS OF INDEBTEDNESS. (H) INITIATE AND APPROVE THE PURCHASE, SALE, LEASE, DISPOSITION, ENCUMBRANCE OR ALIENATION OF PROPERTY WITH A VALUE IN EXCESS OF $1,000,000. (I) APPROVE THE ESTABLISHMENT, TRANSFER OF OWNERSHIP AND/OR DISSOLUTION OF ANY SUBSIDIARY CORPORATIONS. (J) INITIATE AND APPROVE ANY PLAN OF DISSOLUTION OR MERGER, CONSOLIDATION. (K) APPROVES STRATEGIC ALLIANCES AND AFFILIATIONS OF CORPORATION WITH OTHER HOSPITALS AND HEALTH SYSTEMS. (L) SELECTION AND RETENTION OF THE PRESIDENT/CEO. (M) FINAL APPROVAL OF OPERATING AND CAPITAL BUDGETS.
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	EACH BOARD MEMBER AND EMPLOYEE SHALL DISCLOSE TO THE APPROPRIATE LEVEL OF MANAGEMENT ANY CIRCUMSTANCE UNDER WHICH THE BOARD MEMBER, EMPLOYEE, OR AN IMMEDIATE FAMILY MEMBER, BY VIRTUE OF A FINANCIAL INTEREST, MAY BE INFLUENCED, OR MAY APPEAR TO BE INFLUENCED, EITHER IN WHOLE OR IN PART, BY ANY PURPOSE OR MOTIVE OTHER THAN THE SUCCESS AND WELL BEING OF AMHC AND ITS SUBSIDIARIES AND THE ACHIEVEMENT OF ITS PUBLIC CHARITABLE PURPOSES. PRIOR TO ENTERING INTO ANY ARRANGEMENT WITH AN OUTSIDE ORGANIZATION, INDIVIDUALS MUST DISCLOSE POTENTIAL CONFLICTS OF INTEREST TO THEIR RESPECTIVE SUPERVISOR; BOARD MEMBERS TO THE BOARD PRESIDENT. EACH CIRCUMSTANCE OF A POTENTIAL CONFLICT OF INTEREST WILL BE REVIEWED ON AN INDIVIDUAL BASIS. THE MANAGER WILL RESPOND IN WRITING (WITH A COPY TO THE PERSONNEL FILE) AFTER CONSULTATION WITH THE APPROPRIATE VICE PRESIDENT AS TO WHETHER THE ARRANGEMENT IS OR IS NOT ACCEPTABLE.
Form 990, Part VI, Section B, line 15	FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABISHING 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	AMHC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
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 IX, line 11g	Contracted/Purchased Services: Program service expenses 1,883,908. Management and general expenses 259,036. Fundraising expenses 0. Total expenses 2,142,944. Medical Fees: Program service expenses 1,678,716. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,678,716. Lab Purchased Services: Program service expenses 671,917. Management and general expenses 0. Fundraising expenses 0. Total expenses 671,917. Pharmacy Purchased Services: Program service expenses 352,741. Management and general expenses 0. Fundraising expenses 0. Total expenses 352,741. Allocations: Program service expenses 0. Management and general expenses 9,440,558. Fundraising expenses 0. Total expenses 9,440,558. Consulting Fees: Program service expenses 0. Management and general expenses 61,368. Fundraising expenses 0. Total expenses 61,368. Recruitment: Program service expenses 0. Management and general expenses 247,275. Fundraising expenses 0. Total expenses 247,275. Customer Relations: Program service expenses 0. Management and general expenses 6,218. Fundraising expenses 0. Total expenses 6,218. Laundry Purchased Services: Program service expenses 0. Management and general expenses 2,594. Fundraising expenses 0. Total expenses 2,594. Collection Expense: Program service expenses 0. Management and general expenses 110. Fundraising expenses 0. Total expenses 110.
FORM 990, PART XII, LINE 2C:	The Audit Committee of the Aspirus, Inc. Board provides oversight of the audit process.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Grand View Hospital Auxiliary
N 10561 Grand View Lane	Ironwood	MI	49938	237178363	Supporting organization to hospital and lifeline emergency system	MI	501(c)(3)	Line 10	Aspirus Ironwood Hospital & Clinics Inc	Yes (1)
CEDAR COURT APARTMENTS INC
135 SOUTH GIBSON STREET	MEDFORD	WI	54451	391412339	LOW INCOME HOUSING	WI	501(c)(3)	Line 7	MEMORIAL MEMBER ASSOCIATION INC	Yes (1)
Aspirus Inc
333 Pine Ridge Blvd	Wausau	WI	54401	391328331	Hospital	WI	501(c)(3)	Line 12b, II		0	N/A
Aspirus Wausau Hospital Inc
333 Pine Ridge Blvd	wausau	WI	54401	391138241	Hospital	WI	501(c)(3)	Line 3	Aspirus Inc	Yes (1)
Aspirus VNA Home Health Inc
520 N 32nd Avenue	Wausau	WI	54401	390808511	Home healthcare center	WI	501(c)(3)	Line 10	Aspirus Inc	Yes (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	Yes (1)
Aspirus Riverview Hospital & Clinics Inc
410 Dewey Street	WIsconsin Rapids	WI	54494	390868982	Hospital	WI	501(c)(3)	Line 3	Aspirus Inc	Yes (1)
Aspirus Ontonagon Hospital Inc
601 Seventh St	Ontonagon	MI	49953	260806477	Hospital	MI	501(c)(3)	Line 3	Aspirus Inc	Yes (1)
ASPIRUS MEDFORD FOUNDATION INC
135 SOUTH GIBSON STREET	MEDFORD	WI	54451	391777081	CHARITABLE FOUNDATION	WI	501(c)(3)	Line 7	MEMORIAL MEMBER ASSOCIATION INC	Yes (1)
ASPIRUS KEWEENAW HOSPITAL
205 OSCEOLA STREET	LARIUM	MI	49913	381443361	HOSPITAL	MI	501(c)(3)	Line 3	ASPIRUS INC	Yes (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	Yes (1)
Aspirus Health FOundation Inc
425 Pine Ridge Blvd	Wausau	WI	54401	391256656	ChariTABLE FOUNDATION	WI	501(c)(3)	Line 7	Aspirus Inc	Yes (1)
Aspirus Ironwood Hospital & Clinics Inc
N 10561 Grand View Lane	Ironwood	MI	49938	382908586	HOspital	MI	501(c)(3)	Line 3	Aspirus Inc	Yes (1)
Aspirus Extended Services Inc
425 Pine Ridge Blvd	Wausau	WI	54401	390782130	Nursing Home Services	WI	501(c)(3)	Line 10	Aspirus Inc	Yes (1)
Aspirus Clinics Inc
425 Pine Ridge Blvd	Wausau	WI	54401	391670223	Medical services	WI	501(c)(3)	Line 10	Aspirus Inc	Yes (1)
Aspirus Buildings Inc
333 Pine Ridge Blvd	Wausau	WI	54401	391406537	Property Leasing	WI	501(c)(3)	Line 10	Aspirus Inc	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Aspirus Network Inc
3000 Westhill Drive 202	Wausau	WI	54401	391931678	Health Care Services	WI	N/A	C	Yes (1)
ASPIRUS KEWEENAW ENTERPRISES INC
205 OSCEOLA STREET	LAURIUM	MI	49913	383390273	PHARMACY	MI	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Aspirus Wausau Hospital
L	$85,380	Cost
Aspirus Wausau Hospital
P	$7,625,619	Cost
Aspirus Inc
M	$9,485,624	Cost
Aspirus Inc
L	$208,570	Cost
Aspirus Inc
O	$298,630	Cost
Aspirus Inc
P	$59,518	Cost
Aspirus Clinics Inc
O	$565,426	Cost
Aspirus Clinics Inc
M	$73,278	cost
Aspirus Extended Services
L	$59,358	cost

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part V, Line 1D	FormAndLineReferenceDesc
Explanation	All outstanding obligated group debt is guaranteed by all membe4rs of the obligated group.	ExplanationTxt