TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)
(1) James E Wanserski Chair	1.0	X	0	0
(2) Kathy J Strasser Vice Chair	1.0	X	0	0
(3) Brian J Prunty Secretary	1.0	X	0	0
(4) Todd R Nicklaus Treasurer	1.0	X	0	0
(5) Robert J Bernklau Board Member	1.0	X	0	0
(6) R Mark Campbell Board Member	1.0	X	0	0
(7) Kathy Kelsey Foley Board Member	1.0	X	0	0
(8) Stephen P Fox MD Board Member	1.0	X	0	0
(9) Wendy L Hanneman Board Member/Physician	1.0	X	510,603	34,268
(10) David M Heck Board Member	1.0	X	0	0
(11) Ronald L Klimish Board Member	1.0	X	0	0
(12) Jon G Krueger Board Member	1.0	X	0	0
(13) Jeffery M Nehring Board Member	1.0	X	0	0
(14) Kevin J O'Connell MD Board Member	1.0	X	0	0
(15) Christopher A Reising MD Board Member	1.0	X	0	0
(16) Fernando A Riveron MD Board Member	1.0	X	0	0
(17) Matthew D Rowe Board Member	1.0	X	0	0

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Brian D Smith MD Board Member/Physician	1.0	X					0	320,004	34,268
(19) Stephen B Stine MD Board Member	1.0	X					0	0	0
(20) Alan Verploegh Board Member	1.0	X					0	0	0
(21) Thomas A Voelker MD Board Member/Physician	1.0	X					0	285,038	33,686
(22) Mark A Voss MD Board Member	1.0	X					0	0	0
(23) Duane L Erwin CEO	40.0		X				0	637,361	106,584
(24) Diane S Postler-Slattery President/COO	40.0		X				344,020	0	52,821
(25) Peter L Hessert Sr. V.P. & General Counsel	40.0		X				0	324,538	53,257
(26) Sidney C Sczygelski Sr. V.P. of Finance CFO	40.0		X				0	351,315	55,062
(27) Jeanne Rowe Sr.VP of Medical Affairs	40.0			X			342,023	0	42,657
(28) Norma Jean Burgener VP Extended Services	40.0			X			0	200,160	21,549
(29) Kathryn J Drengler VP Clinical Services	40.0			X			0	180,087	36,194
(30) Timothy P Gengler Chief Nursing Officer	40.0			X			183,589	0	38,793
(31) Marita Hattem VP Physician Support Services	40.0			X			199,919	0	33,935
(32) Jeanne D Scinto VP Corp Quality&Patient Safety	40.0			X			180,664	0	40,643
(33) Rick L Nevers Administrator/COO (MI)	40.0			X			0	219,761	44,330
(34) Joel Rueber Exec Dir-Aspirus Netwrk	40.0			X			185,216	0	16,704
(35) Thomas Rengel Physician	40.0				X		399,478	0	13,330
(36) Jeffrey Limmer Chief Medical Physicist	40.0				X		195,159	0	28,699
(37) Rick R Reding Physician	40.0				X		0	303,512	34,268
(38) David Tange Physician	40.0				X		0	257,336	34,268
(39) Robert Millican NEPHROLOGY PHYSICIAN	40.0				X		0	274,449	34,268
(40) Leland Olkowski Former Board Member/Admin Cons	24.0					X	0	137,931	21,186
(41) Robert Erickson Former Board Member/Reg COO	40.0					X	0	74,196	16,039

(A) Name and business address	(B) Description of services	(C) Compensation
Mc Kesson Drug Co 12748 COLLECTION CENTER DR WAUSAU,IL60693	ER Physicians	13,112,653
Medline Industries Inc DEPT CH 14400 CHICAGO,IL600554400	Equip. Maintenance	9,174,468
Wisconsin Emergency Medical 333 Pine Ridge Blvd MILWAUKEE,WI54401	Family Physician	5,909,045
Prescription Service Division PO BOX 840336 PLOVER,TX752840336	Laundry	4,673,625
Medtronic Sofamor Danek 4642 COLLECTION CENTER DR MEGUON,IL60693	Insurance	3,752,965
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 195

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	355,975	355,975
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	5,000	5,000
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	3,441,056		3,441,056
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	101,625,459	68,645,965	32,979,494
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	4,950,866	3,300,594	1,650,272
9	Other employee benefits .......	17,755,220	11,837,405	5,917,815
10	Payroll taxes ...........	7,203,578	4,802,409	2,401,169
11	Fees for services (non-employees):
a	Management ......	1,823,445		1,823,445
b	Legal .........	190,265		190,265
c	Accounting ...........	304,043		304,043
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	259,009		259,009
g	Other ..........	31,317,741	20,878,598	10,439,143
12	Advertising and promotion ....	2,316,734	1,544,564	772,170
13	Office expenses .......	66,169,538	44,113,246	22,056,292
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	9,173,267	6,115,542	3,057,725
17	Travel ............	376,878	251,253	125,625
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	602,076	401,404	200,672
20	Interest ...........	2,656,766	1,771,266	885,500
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	15,438,581	10,292,439	5,146,142
23	Insurance ..............	101,531	67,688	33,843
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	Hospital Tax	8,138,981	5,426,014	2,712,967
b	Bad Debt	3,926,868	3,926,868
c	Equipment Rental & Maintenance	3,390,343	2,260,240	1,130,103
d	Residency Program	1,972,755	1,315,177	657,578
e	Amortization	119,830		119,830
f	All other expenses	29,308,025	19,539,660	9,768,365
25	Total functional expenses. Add lines 1 through 24f	312,923,830	206,851,307	106,072,523	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	41,139,903	1	33,916,131
2	Savings and temporary cash investments .......	4,474,938	2	4,720,695
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	43,696,866	4	44,589,661
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	22,667	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	5,693,768	8	5,726,054
9	Prepaid expenses and deferred charges ............	1,223,060	9	1,063,830
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	291,517,986
b	Less: accumulated depreciation. .....	10b	165,886,015	126,434,867	10c	125,631,971
11	Investments—publicly traded securities ..........	120,253,189	11	149,322,405
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..	3,090,070	13	2,844,097
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	5,022,800	15	13,008,635
16	Total assets. Add lines 1 through 15 (must equal line 34)...	351,052,128	16	380,823,479
	17	Accounts payable and accrued expenses .	32,418,130	17	23,006,233
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	107,615,000	20	104,985,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities. Complete Part X of Schedule D.....	9,882,886	25	9,276,619
26	Total liabilities. Add lines 17 through 25.....	149,916,016	26	137,267,852
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	201,136,112	27	243,555,627
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	201,136,112	33	243,555,627
34	Total liabilities and net assets/fund balances .....	351,052,128	34	380,823,479

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

ASPIRUS WAUSAU HOSPITAL INC

Employer identification number

39-1138241

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

ASPIRUS WAUSAU HOSPITAL INC

Employer identification number

39-1138241

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization ASPIRUS WAUSAU HOSPITAL INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization ASPIRUS WAUSAU HOSPITAL INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
ASPIRUS WAUSAU HOSPITAL INC

Employer identification number

39-1138241

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ASPIRUS WAUSAU HOSPITAL INC

Employer identification number

39-1138241

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

8,642

Total. lines 1c through 1i ...................................

8,642

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
LOBBYING ACTIVITIES	PART II-B LINE 1i	Wisconsin Hospital Association, Inc membership dues for: WHA dues of $80,767 includes 10.7% of lobbying.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ASPIRUS WAUSAU HOSPITAL INC

Employer identification number

39-1138241

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	9,080,160		9,080,160
b	Buildings ................	172,467,454	86,576,129	85,891,325
c	Leasehold improvements ............	183,331	52,567	130,764
d	Equipment ................	90,652,600	74,308,701	16,343,899
e	Other .................	19,134,441	4,948,618	14,185,823
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				125,631,971

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
AMOUNTS PAYABLE TO 3RD PARTY REIMB.		368,360
RETIREE HEALTHCARE BENEFITS		2,788,642
INTEREST RATE SWAP		4,575,000
DEFERRED COMPENSATION ACCRUAL		811,145
LONG TERM INSURANCE LIABILITY		733,471




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		9,276,619
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ASPIRUS WAUSAU HOSPITAL INC

Employer identification number

39-1138241

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..			15,501,816		15,501,816	5.020 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .			35,690,247	20,502,812	15,187,435	4.920 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....			3,878,417	3,876,656	1,761
dTotal Charity Care and Means-Tested Government Programs .....			55,070,480	24,379,468	30,691,012	9.940 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	42	13,142	1,197,858	991,544	206,314	0.070 %
f Health professions education (from Worksheet 5) ..	3	1,351	1,869,412		1,869,412	0.600 %
g Subsidized health services (from Worksheet 6) ..	5	2,033	5,171,965	3,491,371	1,680,594	0.540 %
h Research (from Worksheet 7)	1		103,000		103,000	0.030 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	8	6,833	45,589		45,589	0.010 %
jTotal Other Benefits ...	59	23,359	8,387,824	4,482,915	3,904,909	1.250 %
kTotal. Add lines 7d and 7j. ..	59	23,359	63,458,304	28,862,383	34,595,921	11.190 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	5		3,234		3,234
3	Community support	4	232	23,094		23,094	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	3	167	3,843		3,843
7	Community health improvement advocacy	1		8,542	55	8,487
8	Workforce development	5	465	3,729		3,729
9	Other
10	Total	18	864	42,442	55	42,387	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

1,511,844

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

81,052,074

Enter Medicare allowable costs of care relating to payments on line 5.....

85,967,943

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-4,915,869

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	Aspirus Wausau Hospital Inc 333 Pine Ridge Blvd Wausau,WI54401	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:Aspirus Wausau Hospital Inc

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?3
Name and address		Type of Facility (Describe)
1	Northwoods Surgery Center LLC 611 Veterans Parkway Woodruff,WI54568	GENERAL MEDICAL & SURGICAL
2	Northwoods Surgery Center LLC 611 Veterans Parkway Woodruff,WI54568	GENERAL MEDICAL & SURGICAL
3	Northwoods Surgery Center LLC 611 Veterans Parkway Woodruff,WI54568	GENERAL MEDICAL & SURGICAL
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
PART I, LINE 7		The costing methodology used was the patient care cost to charge ratio which was derived from the calculation on IRS worksheet 2. The provision for bad debts of $3,926,868 is based on management's assessment of historical and expected net collection considering business and economic conditions, trends in healthcare coverage, and other collection indicators. Throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon these trends. The results of this review are then used to make any modifications to the provision for bad debts to establish an estimated allowance for uncollectible accounts. Accounts receivable are written off after all collection efforts have been followed in accordance with Aspirus' policies. Bad Debt Policy and Procedure: I. Wausau Hospital's financial policy requires settlement of a patient bill in one of four manners: A. Payment in full in 45 days. B. 3-4 equal monthly payments. C. Placing the account on a medical note. D. Special arrangements made through the Financial Counselor. II. Failure to meet these requirements will result in the account being considered a bad debt once all collection efforts have been exhausted. The account will be removed from accounts receivable and turned over to an outside agency for collection. Prior to this happening, the following criteria must be met: A. Patient Financial Services staff will make reasonable collection efforts by way of: 1. Monthly statements 2. Collection letters 3. Collection phone calls III. The number of statement (minimum of 3) and collection letters (minimum of 1) is determined by the parameters set to the financial codes. Collection calls are made Monday through Friday from 8:00 a.m. through 8:00 p.m. and on Saturday from 8:00 a.m. through 5:00 p.m. IV. All collection activity and patient contacts will be completely documented electronically on the individual accounts. V. A Medicare account must be over 120 days outstanding from the date of the initial bill to the patient before it can be considered a bad debt and placed with a collection agency. Commercial and Self-pay accounts that have received their final 10-day letter could then be considered a bad debt and placed with a collection agency. A default order with the state can be filed for Worker's Compensation accounts that are over $5,000.00 with no response from the insurer after 60 days. The state will send a letter to the insurer requesting the review and will allow the insurer 20 days to respond. VI. All collection accounts are to be treated the same regardless of payor type: self-pay, general insurance, Medicare, or Medical Assistance. VII. Patient Financial Services staff will use sound business judgment when working with the account. At the discretion of the Financial Counselor, credit reports will be requested from the Credit Bureau and property verification obtained through the County Treasurer's Office. VIII. All individuals qualifying for Community Care under the Hospital's policy are considered indigent. These accounts are written to the Community Care allowance once eligibility is determined. There is no minimum waiting period.
PART II		As any good corporate citizen, Aspirus Wausau Hospital is involved in a wide range of community building activities. And while some of these are undertaken simply because there is a community need and Aspirus is in a position to help, others are undertaken for much more specific reasons. The goal of Aspirus Wausau Hospitals community benefits activities is to address key community health issues as identified by two community needs assessments: The Marathon County LIFE Report spearheaded by the United Way of Marathon County, and the Healthy Marathon County Report produced by the Marathon County Health Department. As explained in Question Two of this section, Aspirus Wausau Hospital collaborated with the United Way and the county health department in the design and production of these reports. The following is a list of Community Building activities reported in Part II and brief descriptions of them. Economic Development (F2) Centergy (Administration): Centergy is an organization comprising business and civic leaders working together to address the regions workforce, business and community development needs. It works to encourage business sector development, support local businesses, attract new businesses, achieve growth for higher education facilities, and improve life in general for all central Wisconsin residents. Central Wausau Progress (Administration): This is another community development program that combines the vision, resources and efforts of many partners throughout the Wausau area. City County IT Meeting (Administration): This group collaborates to address information technology issues in Wausau and Marathon County. As the countys largest employer, Aspirus Wausau Hospital plays a significant role. MCDEVCO (Administration): Marathon County Economic Development Corporation, in private and public partnership with Marathon County Government and The Wausau Region Chamber of Commerce, provides leadership for reviewing and recommending all initiatives related to education and economic development. MCDEVCO is committed to business growth, as well as providing a high quality of life and building strong communities in the Marathon County Region. Wausau Region Chamber: The local member of the US Chamber of Commerce, the Wausau Region Chamber dedicates itself to improving the local business community and economy through advocacy, growth/development, marketing and professional development. Aspirus Wausau Hospital is a longtime Chamber member and provides a leadership role in multiple ways. Community Support (F3) Boy Scouts of America (Administration): BSA has a thriving council, the Samoset, located in Wausau. This organization encourages the physical, civic, social and educational development of boys and Aspirus Wausau Hospital supports its efforts. BSA activities help address two of the Marathon County LIFE Reports Key Calls to Action: Early Childhood Success, and Healthy Lifestyles. Rotary (Administration): Rotary is a worldwide organization of business and professional leaders that provides humanitarian service, encourages high ethical standards in all vocations, and helps build goodwill and peace in the world. The Object of Rotary is to encourage and foster the ideal of service as a basis of worthy enterprise. The local club has about 85 members and truly benefits the community. United Way (Administration): Aspirus Wausau Hospital has deep and longstanding involvement with the local United Way. As a pacesetter organization, Aspirus demonstrates leadership in its internal support campaign to benefit the United Way, which has restructured to follow a road map to community success that directs its support to organizations that improve Education, Health and Income in the community. Wausau Child Care (Administration): Aspirus Wausau Hospital supports this not-for-profit provider of child care services. This helps address the Marathon County LIFE Reports Key Call to Action: Early Childhood Success. YMCA Foundation (Administration): The YMCA provides family-centered, values-focused programs that build healthy spirits, minds and bodies. This helps address the Marathon County LIFE Reports Key Call to Action of Early Childhood Success, and the Healthy Marathon County Reports Health Priority of Obesity and Related Disorders. YWCA of Wausau (Administration): The YWCA of Wausau is dedicated to eliminating racism, empowering women, and promoting peace, justice, dignity and freedom for all. The focus on women, girls and families addresses the Marathon County LIFE Reports Key Call to Action of Early Childhood Success. Coalition Building (F6) Healthy Marathon County (Heart and Vascular Institute): Aspirus Wausau Hospital has been an active partner in the creation of this community health report, which is spearheaded by the Marathon County Health Department. Healthy Marathon County includes activities such as: Healthy Eating Active Living (Heart and Vascular Institute): An action team established to address the Healthy Marathon County Reports Health Priority of Obesity and Related Disorders. Aspirus employees have had leadership roles in this action teams activities, and continue to participate in efforts to increase physical activity and health eating habits in Marathon County. Healthy Babies for Marathon County (Womens Health Administration): An action team established to address the Healthy Marathon County Reports Health Priority of Utilization of Prenatal Care and the Marathon County LIFE Reports Key Call to Action of Early Childhood Success. The group seeks to increase healthy activities in pregnant women, such as seeking regular and timely prenatal health care and quitting tobacco use. Community Health Improvement Advocacy (F7) Wisconsin Hospital Association (Administration): Through involvement with this organization, Aspirus Wausau Hospital is able to address issues such as health care workforce shortages and health care quality. Workforce Development (F8) Junior Achievement (Administration): This is another opportunity for the leaders of Aspirus Wausau Hospital to give their time in the community, educating young people about careers in the health care industry and what it takes to pursue them. NTC Foundation (Administration): Northcentral Technical College (NTC) is a thriving source of well-trained, dedicated health care workers that feeds Aspirus Wausau Hospitals workforce. Through work with the NTC Foundation, Aspirus Wausau Hospital maintains a strong relationship with NTC and intimate involvement with the schools operations. Young Adult Medicine Class: Through innovative educational initiatives such as the Young Adult Medicine Class, Aspirus Wausau Hospital is supporting an elevated understanding of health care and planting the seeds for future health care workers. Clinical Preceptor Program: Through collaboration with Northcentral Technical College, Aspirus Wausau Hospital provides a vital job shadow program that offers real-life work exposure to NTC students entering the health care field.
PART III, LINE 4		The provision for bad debts is based on management's assessment of historical and expected net collection considering business and economic conditions, trends in healthcare coverage, and other collection indicators. Throughtout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon these trends. The results of this review are then used to make any modifications to the provision for bad debts to establish an estimated allowance for uncollectible accounts. Accounts receivable are written off after all collection efforts have been followed in accordance with Aspirus' policies. Bad Debt Policy and Procedure: I. Wausau Hospital's financial policy requires settlement of a patient bill in one of four manners: A. Payment in full in 45 days. B. 3-4 equal monthly payments. C. Placing the account on a medical note. D. Special arrangements made through the Financial Counselor. II. Failure to meet these requirements will result in the account being considered a bad debt once all collection efforts have been exhausted. The account will be removed from accounts receivable and turned over to an outside agency for collection. Prior to this happening, the following criteria must be met: A. Patient Financial Services staff will make reasonable collection efforts by way of: 1. Monthly statements 2. Collection letters 3. Collection phone calls III. The number of statement (minimum of 3) and collection letters (minimum of 1) is determined by the parameters set to the financial codes. Collection calls are made Monday through Friday from 8:00 a.m. through 8:00 p.m. and on Saturday from 8:00 a.m. through 5:00 p.m. IV. All collection activity and patient contacts will be completely documented electronically on the individual accounts. V. A Medicare account must be over 120 days outstanding from the date of the initial bill to the patient before it can be considered a bad debt and placed with a collection agency. Commercial and Self-pay accounts that have received their final 10-day letter could then be considered a bad debt and placed with a collection agency. A default order with the state can be filed for Worker's Compensation accounts that are over $5,000.00 with no response from the insurer after 60 days. The state will send a letter to the insurer requesting the review and will allow the insurer 20 days to respond. VI. All collection accounts are to be treated the same regardless of payor type: self-pay, general insurance, Medicare, or Medical Assistance. VII. Patient Financial Services staff will use sound business judgment when working with the account. At the discretion of the Financial Counselor, credit reports will be requested from the Credit Bureau and property verification obtained through the County Treasurer's Office. VIII. All individuals qualifying for Community Care under the Hospital's policy are considered indigent. These accounts are written to the Community Care allowance once eligibility is determined. There is no minimum waiting period.
PART III, LINE 8		The costing methodology is CMS2552 as filed cost report. Aspirus Wausau Hospital feels that the medicare shortfall should be treated as a community benefit. Aspirus is there to treat the community and they have a large percentage of medicare benefit patients. If those patients were to be refused, then they would not receive healthcare.
PART III, LINE 9B		Aspirus Wausau Hospital uses reasonable efforts to determine if financial assistance should be offered before assigning a case to a collection agency. Aspirus informs patients and offers them charity care application forms at the time of registration, in emergency rooms, financial service offices, the billing office, and on statements and letters. Aspirus only pursues the applicants who complete the forms in their entirety.
NEEDS ASSESSMENT		In many ways, Aspirus Wausau Hospital is a leader in needs assessment. It has developed strong partnerships with the Marathon County Health Department and with the United Way of Marathon County. These two organizations have spearheaded initiatives to assess the community's health needs and other needs supporting a high quality of life and vibrant community. In 1996, the United Way led a collaborative effort to perform a community health assessment that focused on data rather than perception. With support from Aspirus and other community partners, the United Way performed a community assessment and published in June 1997 the first issue of what was called the Marathon County LIFE Report. Since that time, Aspirus Wausau Hospital has maintained strong involvement in the community assessment process, from pledging cash support and in-kind donations to steering committee members. The seventh and most recent version of the needs assessment (2009-2011) identified five Key Calls to Action: o Alcohol Use/Abuse o Basic Needs - Food and Housing/Jobs o Domestic Abuse/Child Abuse and Neglect o Early Childhood Success o Healthy Lifestyles - Obesity, Oral Health, Tobacco In addition to the above-listed five health priorities, the 2009-2011 LIFE Report also identified "Elder Issues" as an issue to watch. As the largest local health care provider, Aspirus Wausau Hospital has a mission and ability to address Healthy Lifestyles. Here's what the report summary said about the issue: "Preventing behaviors that increase the risk of serious health issues and improving people's health and wellness can positively affect their productivity, lower their health care costs, and lengthen life expectancy." Here are some facts about Marathon County: o Of surveyed residents, 29 percent did not have health insurance for part or all of the previous year. That is up from 14 percent in 2007 9 percent in 2005. o Of surveyed residents, 52 percent said they get physical activity three or more days per week, meaning that 48 percent don't exercise regularly. o In 2008, 18 percent of the adult population was reported as smokers. That number was unchanged from 2007, and down just 1 percent from 2006. o In 2009, the LIFE Report found that, based on Body Mass Index, 37 percent of the population was obese and another 27 percent of the population was overweight. In addition to the United Way's Marathon County LIFE Report, which is produced every two years, Aspirus also works closely with the Marathon County Health Department to produce a separate report called Healthy Marathon County. The first such report was completed in 2003, and a second report identified needs for 2006-2010. It was intended to: o Analyze health data to identify and prioritize health needs of Marathon County residents and monitor change over time. o Develop coordinated and collaborative action plans to address the priorities o Engage community leaders to commit resources towards health improvement o Help Marathon County residents improve their health. In certain ways, this report is a wonderful blueprint for Aspirus Wausau Hospital's community benefits activities, because it identified health priorities and created action teams to address them. Based on expert interviews and a household survey, Healthy Marathon County identified seven health priorities: -Alcohol Use and Misuse -Concerns About The Cost of Health Care -Health Care for the Elderly -Obesity and Related Disorders -Suicide and Mental Health -Tobacco Use and Exposure -Utilization of Prenatal Care The following link provides wonderful context for the action teams that were created often with leadership from Aspirus Wausau Hospital experts to address the health priorities. http://healthymarathoncounty.org/_support/doc/Marathon%20County%20Communit y%20Health%20Assessment%202006-2010.ppt#257,1,Marathon County Community Health Assessment 2006-2010
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE		Aspirus Wausau Hospital makes lists of available government assistance programs available to patients and families in the cashiers office, which is located off the main lobby. In addition, all patients are made aware of Aspirus Wausau Hospitals financial aid programs through statements and follow-up letters. Financial counselors seek to meet one-on-one with any patients who do not have insurance, so counselors can explain all options available.
COMMUNITY INFORMATION		According to the U.S. Census Bureau, Marathon County had a population of 134,063. And while there are demographic and population numbers for the areas that Aspirus Wausau Hospital considers its primary and secondary market areas, Marathon County bears special attention, as it is the home of Aspirus Wausau Hospital and many of the systems corporate functions. In fact, Marathon County in many respects is the "home" of Aspirus and is the single largest source of patients among the counties Aspirus serves. About Marathon County: Persons per square mile (2010) 86.8 Persons under 5 years old (2010) 6.5% Persons under 18 years old (2010) 24.5% Persons 65 years and over (2010) 14.2% White persons (2010) 91.3% Asian persons (2010) 5.3% Persons per household (2010) 2.49 Persons below poverty level (2010) 8.7% Service Areas and Demographics Aspirus Wausau Hospital monitors its market share relative to 13 counties in north and central Wisconsin. These counties represent its primary and secondary service areas and account for 95.9 percent of all admissions. The following table presents data on the demographics of these counties. AWH monitors its market share focusing on 13 counties located in north and central Wisconsin. These counties represent its primary and secondary service areas and account for 95.9% of all admissions. The following table presents data about the demographics of the counties that make up this area. 2009 2009 % of Median 11/2010 2000 2010 Pop. Household Unemploy- Primary Area Pop. Pop. Incr. Age 65+ Income ment Rate Langlade Co 20,740 21,868 5.4% 19.5% $39,858 8.5% Lincoln Co 29,641 30,822 4.0% 17.0% $47,816 9.3% Marathon Co 125,834 136,874 8.8% 13.7% $50,495 7.3% Taylor Co 19,680 20,181 2.5% 15.7% $42,559 8.4% Area Subtotal 195,895 209,745 7.1% 15.0% 7.8% Secondary Area Clark Co 33,557 34,950 4.2% 14.6% $42,518 7.9% Forest Co 10,024 10,540 5.1% 20.8% $37,100 8.9% Iron Co 6,861 7,093 3.4% 23.7% $34,201 10.0% Oneida Co 36,776 39,282 6.8% 20.2% $46,126 8.8% Portage Co 67,182 71,242 6.0% 12.1% $50,494 5.5% Price Co 15,822 16,182 2.3% 19.3% $39,608 7.3% Shawano Co 40,664 42,752 5.1% 17.0% $45,497 8.3% Vilas Co 21,033 23,422 11.4% 24.0% $40,770 9.9% Wood Co 75,555 77,123 2.1% 16.7% $45,309 7.0% Area Subtotal 307,474 322,586 4.9% 16.8% 7.4% Grand Total 503,369 532,331 5.8% 16.1% 7.6% Wisconsin 5,363,715 5,695,950 6.2% 13.5% $49,994 7.1% _______________ Source: U.S. Department of Agriculture Economic Research Service, Wisconsin Department of Work Force Development, Wisconsin Department of Administration and Wisconsin Department of Health and Family Services. The largest employers in Marathon County include: # of Employer Employees Aspirus Wausau Hospital 3,000 Kolbe and Kolbe Millworks 1,600 Greenheck Fan Corp 1,500 Wausau School District 1,325 Footlocker.com/Eastbay 1,241 Wausau Papers 1,055 North Central Health Care 1,000 UMR/FiservHealth/Wausau Benes 820 Liberty Mutual 800 Marathon Cheese 798 _______________ Source: Comprehensive Annual Financial Report Marathon County, Wisconsin for the Year Ended December 31, 2010. Much of north central and central Wisconsin and the Upper Peninsula of Michigan qualify as health professional shortage areas and medically underserved areas. According to the Health Resources and Services Administration, all or part of the following 16 counties are designated as health professional shortage areas: Clark, Florence, Forest, Iron (WI), Langlade, Marathon, Oneida, Price, Shawano, Taylor, Vilas, Wood, Gogebic, Iron (MI), Keweenaw, and Ontonagon. The following 14 counties are designated as health professional shortage areas for mental health: Clark, Florence, Forest, Iron (WI), Langlade, Marathon, Oneida, Price, Shawano, Taylor, Vilas, Wood, Gogebic, and Iron (MI). Similarly, all or part of the following 18 counties are designated as medically underserved areas: Clark, Florence, Forest, Iron (WI), Langlade, Marathon, Portage, Price, Shawano, Taylor, Vilas, Wood, Baraga, Gogebic, Houghton, Iron (MI), Keweenaw, and Ontonagon.
PROMOTION OF COMMUNITY HEALTH		Aspirus Wausau Hospital is a true community organization. It was created three decades ago when community members came together and decided that the two local hospitals operating in that day could be more effective and more efficient if they merged into one larger facility. Today, that community leadership and vision is maintained. Aspirus Wausau Hospital is guided by a community board of directors, which the organizations bylaws state must consist of eight or nine physicians and 11 to 14 community members. This board helps ensure that strategic and operational decisions at Aspirus Wausau Hospital are made with the communitys best interest in mind. In addition, Aspirus Wausau Hospital maintains an open medical staff, meaning that it extends medical staff privileges to all qualified physicians in the community. As a not-for-profit organization, Aspirus Wausau Hospital reinvests surplus funds in health services for the community. For example, new technology that advances care and improved access to health services are areas these surplus funds are applied. Aspirus Wausau Hospital also works collaboratively with other health care and academic entities to offer professional health education opportunities that benefit the communities. For example, the University of Wisconsin Wausau Family Medicine Residency Program is based on the Aspirus Wausau Hospital medical campus, and produces skilled, dedicated family medicine physicians. The vast majority of residency graduates end up practicing in north central Wisconsin, making the residency program incredibly valuable to the ongoing easy access to high-quality primary health care. Aspirus Wausau Hospital is also the vehicle by which extensive volunteer efforts are organized. There are more than 1,000 Aspirus Volunteers who support the provision of excellent medical care at the hospital and in other venues. These volunteers also provide valuable community outreach through the Lifeline home health monitoring program, the HANDS program that teaches young children the importance of hand hygiene, and Meals on Wheels. Aspirus Wausau Hospital also supports valuable clinical research through the Aspirus Heart & Vascular Institute - Research & Education and through the Aspirus Regional Cancer Center. The AHVI-Research & Education has about 10 open trials at any given time, and seeks to advance the safe, effective and compassionate practice of cardiovascular medicine in north central Wisconsin. Through our research affiliation with the University of Wisconsin Comprehensive Cancer Center in Madison, we are a part of a satellite system called Wisconsin Oncology Network offering clinical trials to patients with advanced disease. In addition, we are also able to offer federally sponsored studies available through the Eastern Cooperative Oncology Group and the Radiologic Therapy Oncology Group.
AFFILIATED HEALTH CARE SYSTEM		Aspirus Wausau Hospital is one of six hospitals under the Aspirus, Inc. umbrella. While each of the other five hospitals is a small, critical access facility, though, Aspirus Wausau Hospital is a regional tertiary care facility. The Aspirus system is relatively young, especially in the Upper Peninsula of Michigan, where three of the critical access hospitals are located. These facilities all operate as local sources of charity care and strong corporate citizens. In fact, Aspirus Keweenaw Hospital received in January 2011 the Winks Gundlach Award for strong and consistent support of the Keweenaw Community Foundation. This commitment to local community is reflected throughout the Aspirus service area. In Wausau, Wis. the Aspirus Health Foundation raises money for various health related initiatives in the community and within Aspirus. In addition to raising money and receiving community gifts, the Foundation also determines the best way to utilize its resources to make the biggest impact on the community. Throughout the Aspirus service area, affiliated foundations serve the needs of their respective communities: -The Community Health Foundation serves Antigo, Wis. and surrounding communities. -Memorial Health Center Foundation serves Medford, Wis. and surrounding communities. -Aspirus Ontonagon Foundation serves Ontonagon, Mi. and surrounding communities. -Aspirus Grand View Foundation serves Ironwood, Mi. and surrounding communities. While Aspirus has grown and expanded its service area rapidly in the past five years, system leaders are making a concerted effort to collaborate internally, to make the continuum of care as seamless as possible for customers. This means providing high-quality, efficient service from primary care to specialty services and post-acute care such as rehabilitation and home care. By integrating services, and communicating effectively among providers, Aspirus is better able to meet patient needs and improve outcomes. This could be the most important community benefit of all.
STATE FILING OF COMMUNITY BENEFIT REPORT		Aspirus has three hospitals within Wisconsin. They are Aspirus Wausau Hospital in Wausau, Langlade Hospital in Antigo and Memorial Health Center in Medford. Each of these centers files a community benefit report. Aspirus also has three hospitals in Michigans Upper Peninsula. They are Aspirus Keweenaw Hospital in Laurium, Aspirus Grand View in Ironwood and Aspirus Ontonagon Hospital in Ontonagon. Each of these facilities is responsible for its own community benefits reporting.

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
ASPIRUS WAUSAU HOSPITAL INC

Employer identification number
39-1138241

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) WOODSON YMCA FOUNDATION INC707 THIRD STREET WAUSAU,WI54403	39-6066206	501(c)(3)	10,000	PLEDGE
(2) WAUSAU AREA MOBILE MEALS610 SCOTT STREET STE G WAUSAU,WI54403	39-1238060	501(c)(3)	22,000	General Support
(3) WAUSAU DANCE THEATREPO BOX 18015 MERRIFIELD,VA22118	23-7367344	501(c)(3)	7,500	SPONSORSHIP
(4) COMMUNITY FOUNDATION OF NORTH CENTRAL WI500 FIRST STREET WAUSAU,WI54403	39-1577472	501(c)(3)	162,897	GENERAL SUPPORT
(5) HODAG FACILITIES FOUNDATION INCPO BOX 1522 RHINELANDER,WI54501	05-0572723	501(c)(3)	31,250	GENERAL SUPPORT
(6) MARATHON COUNTY HEALTH DEPARTMENT1200 LAKEVIEW DRIVE WAUSAU,WI54401	23-7240695	501(c)(3)	35,000	GENERAL SUPPORT
(7) CENTERGY INC500 FIRST ST STE 15 WAUSAU,WI54403	39-1643470	170(c)(1)	10,000	GENERAL SUPPORT
(8) LEIGH YAWKEY WOODSON ART MUSEUM700 N TWELFTH STREET WAUSAU,WI54403	23-7281913	N/A	7,500	GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Form 990, Schedule I	Description of Organization's Procedures for Monitoring the Use of Grants-	THE EXECUTIVE DIRECTOR OF ASPIRUS HEALTH FOUNDATION ADMINISTERS THE FUNDS IN THE ASPIRUS COMMUNITY PARTNER FUND (CPF). THE FUNDS FROM CPF ARE GIVEN TO COMMUNITY PROGRAMS TO INCREASE THE QUALITY OF LIFE IN THE REGION OR ARE RELATED TO HEALTH INITIATIVES. THEY ARE NOT USED, IN GENERAL, FOR SPONSORSHIPS OR MARKETING-ALBEIT, WE WORK CLOSELY WITH MARKETING WHEN DISPERSING FUNDS FROM THE ACCOUNT. AN ANNUAL BUDGET IS SET FOR THE CPF AND THROUGH OUT THE YEAR WE MAINTAIN RECORDS TO TRACK WHO GETS THE FUNDS, AMOUNTS DISPERSED AND WHY.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ASPIRUS WAUSAU HOSPITAL INC

Employer identification number

39-1138241

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) Wendy L Hanneman	(i) (ii)	0 494,387	0 0	0 16,216	0 16,864	0 17,404	0 544,871	0 0
(2) Brian D Smith MD	(i) (ii)	0 303,163	0 0	0 16,841	0 16,864	0 17,404	0 354,272	0 0
(3) Thomas A Voelker MD	(i) (ii)	0 261,869	0 15,000	0 8,169	0 16,864	0 16,822	0 318,724	0 0
(4) Duane L Erwin	(i) (ii)	0 493,111	0 129,735	0 14,515	0 11,140	0 95,444	0 743,945	0 0
(5) Diane S Postler-Slattery	(i) (ii)	255,162 0	63,113 0	25,745 0	13,332 0	39,489 0	396,841 0	0 0
(6) Peter L Hessert	(i) (ii)	0 262,981	0 53,373	0 8,184	0 13,332	0 39,925	0 377,795	0 0
(7) Sidney C Sczygelski	(i) (ii)	0 277,510	0 68,937	0 4,868	0 13,332	0 41,730	0 406,377	0 0
(8) Thomas Rengel	(i) (ii)	341,156 0	39,833 0	18,489 0	4,900 0	8,430 0	412,808 0	0 0
(9) Jeffrey Limmer	(i) (ii)	166,403 0	20,158 0	8,598 0	10,460 0	18,239 0	223,858 0	0 0
(10) Jeanne Rowe	(i) (ii)	278,958 0	59,312 0	3,753 0	9,116 0	33,541 0	384,680 0	0 0
(11) Norma Jean Burgener	(i) (ii)	0 141,615	0 28,525	0 30,020	0 7,244	0 14,305	0 221,709	0 0
(12) Kathryn J Drengler	(i) (ii)	0 151,090	0 25,851	0 3,146	0 9,228	0 26,966	0 216,281	0 0
(13) Timothy P Gengler	(i) (ii)	150,872 0	28,619 0	4,098 0	7,981 0	30,812 0	222,382 0	0 0
(14) Marita Hattem	(i) (ii)	153,478 0	25,050 0	21,391 0	6,284 0	27,651 0	233,854 0	0 0
(15) Jeanne D Scinto	(i) (ii)	151,379 0	25,725 0	3,560 0	7,985 0	32,658 0	221,307 0	0 0
(16) Rick L Nevers	(i) (ii)	0 166,149	0 40,933	0 12,679	0 10,387	0 33,943	0 264,091	0 0
(17) Joel Rueber	(i) (ii)	168,132 0	10,000 0	7,084 0	3,143 0	13,561 0	201,920 0	0 0
(18) Rick R Reding	(i) (ii)	0 284,950	0 0	0 18,562	0 16,864	0 17,404	0 337,780	0 0
(19) Leland Olkowski	(i) (ii)	0 123,544	0 0	0 14,387	0 7,924	0 13,262	0 159,117	0 0
(20) David Tange	(i) (ii)	0 236,623	0 0	0 20,713	0 16,864	0 17,404	0 291,604	0 0
(21) Robert Millican	(i) (ii)	0 258,143	0 0	0 16,306	0 16,864	0 17,404	0 308,717	0 0
(22) Robert Erickson	(i) (ii)	0 51,311	0 0	0 22,885	0 6,504	0 9,535	0 90,235	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Supplemental Compensation Information		HOUSING ALLOWANCE: INTERIM HOUSING-JOEL RUEBER $6,000; TRAVEL FOR COMPANIONS: RETREAT IN WHICH SPOUSES ATTENDED, SPOUSAL PORTION TAXED COMPANION TRAVEL: WENDY HANNEMANN: $234 BRIAN SMITH: $199 THOMAS VOELKER: $234 DIANE POSTLER-SLATTERY: $117 DUANE ERWIN: $234 SIDNEY SCZYGELSKI: $137 JEANNE ROWE: $234 GROSS-UP PAYMENTS: WENDY HANNEMANN: $8,099 BRIAN SMITH: $8,099 RICK REDING: $8,099 DAVID TANGE: $6,699 ROBERT MILLICAN $6,699 CLUB DUES: PETER HESSERT: $1,055 DUANE ERWIN: $803 JEANNE ROWE: $556 JEAN BURGENER: $556 KATHRYN DRENGER: $803 TIMOTHY GENGLER: $995 MARITA HATTEM: $556 JEANNE SCINTO: $1,054 RICK NEVERS: $995 JOEL RUEBER $211 ROBERT ERICKSON $381
Compensation Information	Schedule J, Part III, Line 4b	4B) SUPPLEMENTAL NONQUALIFIED RETIREMENT 457F DISTRIBUTION- DIANE POSTLER-SLATTERY: $23,506 JEAN BURGENER: $23,443 MARITA HATTEM: $11,958 RICK NEVERS: $9,991 LELAND OLKOWSKI: $12,602 ROBERT ERICKSON: $18,526
457(F) Retirement Plan Profile		KEY EMPLOYEES OF THE COMPANY OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN 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 EXECUTIVES POSITION, WHICH ARE AS FOLLOWS: 9% FOR VICE PRESIDENT; 13% FOR SENIOR LEADERSHIP COUNCIL; AND 15% FOR THE CEO. IF THE 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 MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT, TO 12. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANTS' 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.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
ASPIRUS WAUSAU HOSPITAL INC

Employer identification number
39-1138241

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	Wisconsin Health & Educational Facilities Auth	39-1337855	97710BLY6	10-07-2009	23,000,000	Refund Bonds Issued 3/18/2009		X		X		X
B	Wisconsin Health & Educational Facilities Auth	39-1337855	97710BLW0	10-07-2009	27,200,000	Refund Bonds Issued 3/18/2009		X		X		X
C	Wisconsin Health & Educational Facilities Auth	39-1337855	97710BLV2	10-07-2009	20,000,000	Series 1998B-Var Rate Demand		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	0		0		0
2 Amount of bonds defeased . . . .	0		0		0
3 Total proceeds of issue . . . .	24,345,462		27,833,241		20,841,864
4 Gross proceeds in reserve funds . .	0		0		0
5 Capitalized interest from proceeds.	0		0		0
6 Proceeds in refunding escrow. . . . .	0		0		0
7 Issuance costs from proceeds . . .	1,064,490		1,429,347		340,678
8 Credit enhancement from proceeds.	0		0		0
9 Working capital expenditures from proceeds . .	0		0		0
10 Capital expenditures from proceeds . .	23,280,972		26,403,894		20,501,186
11 Other spent proceeds . .	0		0		0
12 Other unspent proceeds. . .	0		0		0
13 Year of substantial completion . . .	2001		2006		1999
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X		X
15 Were the bonds issued as part of an advance refunding issue?		X		X		X
16 Has the final allocation of proceeds been made? . .	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	1.460 %		0.960 %		1.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0 %		0 %		0 %
6 Total of lines 4 and 5 . . .. . . . . .	1.460 %		0.960 %		1.110 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .	X		X		X
2 Is the bond issue a variable rate issue?	X		X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X		X
b Name of provider .	NA		NA		NA
c Term of hedge . .	0.		0.		0.
d Was the hedge superintegrated? .		X		X		X
e Was a hedge terminated? .		X		X		X
4a Were gross proceeds invested in a GIC? .		X		X		X
b Name of provider .	NA		NA		NA
c Term of GIC . .	0.		0.		0.
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .		X		X		X
5 Were any gross proceeds invested beyond an available temporary period? .		X		X		X
6 Did the bond issue qualify for an exception to rebate? . . .	X		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

ASPIRUS WAUSAU HOSPITAL INC

Employer identification number

39-1138241

Identifier	Return Reference	Explanation
DELEGATION OF CONTROL OVER MANAGEMENT DUTIES	Form 990, Part VI, Question 3	ASPIRUS WAUSAU HOSPITAL, INC. HAS AN AGREEMENT WITH NORTH CENTRAL HEALTH CARE TO MANAGE THE BEHAVIORAL HEALTH DEPARTMENT.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, QUESTION 6	ASPIRUS, INC. IS THE SOLE CORPORATE MEMBER OF ASPIRUS WAUSAU HOSPITAL, INC.
Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights	Form 990, Part VI, Question 7b	THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS WAUSAU HOSPITAL: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG RANGE PLANS. Describe the Process used by Management &/or Governing Body to Review 990 FORM 990, PART VI, LINE 11A THE RETURN WAS REVIEWED BY MANAGEMENT PRIOR TO FILING.
Description of Process to Monitor Transactions for Conflicts of Interest	Form 990, Part VI, Question 12c	BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE NOTED IN THE MEETING MINUTES.
Offices & Positions for Which Process was Used, & Year Process was Begun	Form 990, Part VI, Question 15a & 15b	THE ORGANIZATION HAD AN INDEPENDENT AUDIT FOR EXECUTIVE COMPENSATION WHICH INCLUDED BASE SALARY, INCENTIVE PLANS, AND BENEFITS FOR ALL OFFICER AND EXECUTIVE POSITIONS. THE REVIEW WAS COMMISSIONED BY THE COMPENSATION COMMITTEE OF THE BOARD AND WAS CONDUCTED BY AN INDEPENDENT CONSULTING FIRM. THE MARKET ANALYSIS WAS COMPLETED IN JUNE AND JULY OF 2009 AND PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD IN AUGUST FOR FINAL COMPENSATION DETERMINATION.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Question 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
Hours Devoted to Related Organizations	Form 990, Part VII	THE HOURS DEVOTED TO THE POSITIONS REPORTED ON PART VII AND SCHEDULE J REFLECT THE AGGREGATE TOTAL HOURS THESE INDIVIDUALS DEVOTE TO THEIR POSITIONS FOR ASPIRUS WAUSAU HOSPITAL, INC. AND ASPIRUS, INC. SUBSIDIARIES.
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	Unrealized gain on investments 15,735,629 Interest rate swap (517,979) Interest rate swap valuation adjustment (53,965) Postretirement healthcare benefit adjustment (264,787) Net asset transfer (13,000,000) Total adjustments 1,898,898
Schedule K, Part I, Bond B		ASPIRUS WAUSAU HOSPITAL IS A MEMBER OF AN OBLIGATED GROUP FOR THIS BOND THAT INCLUDES MEMORIAL HEALTH CENTER, INC. ASPIRUS WAUSAU HOSPITAL'S SHARE OF THE PROCEEDS WAS $44,750,000.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ASPIRUS WAUSAU HOSPITAL INC

Employer identification number

39-1138241

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Stevens Point Surgery Center LLC 5409 Vern Holmes Drive Stevens Point,WI54481 20-2259562	Medical Srvs	WI	1,036,099	267,734	NA

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Aspirus Inc 425 Pine Ridge Blvd Wausau,WI54401 39-1328331	Healthcare	WI	501(C)(3)	11- Type II	NA
(2) Aspirus Doctor's Clinic Inc 420 Dewey Street Wisconsin Rapids,WI54495 39-1972671	Medical Serv	WI	501(c)(3)	9	Aspirus Inc
(3) Aspirus Grand View N 10561 Grand View Lane Ironwood,WI49938 38-2908586	Hospital	WI	501(c)(3)	3	Aspirus Inc
(4) Aspirus Buildings Inc 333 Pine Ridge Blvd Wausau,WI54401 39-1406537	Leasing	WI	501(c)(3)	9	Aspirus Inc
(5) Aspirus Specialists Inc 425 Pine Ridge Blvd Wausau,WI54401 39-1945080	Medical Svcs	WI	501(c)(3)	9	Aspirus Inc
(6) Aspirus Extended Services 425 Pine Ridge Blvd Wausau,WI54401 39-0782130	Nursing Home	WI	501(C)(3)	9	Aspirus Inc
(7) Aspirus Clinics Inc 425 Pine Ridge Blvd Wausau,WI54401 39-1670223	Medical Srvcs	WI	501(c)(3)	9	Aspirus Inc
(8) Aspirus VNA Home Health Inc 520 N 32nd Avenue Wausau,MI54401 39-0808511	Home Health	WI	501(c)(3)	9	Aspirus Inc
(9) Aspirus VNA Extended Care Inc 520 N 32nd Avenue Wausau,WI54401 39-1597350	Personal Care	WI	501(c)(3)	9	Aspirus Inc
(10) Aspirus Ontonagon Hospital Inc 601 Seventh Street Ontonagon,WI49953 26-0806477	Hospital	WI	501(c)(3)	3	Aspirus Inc
(11) Aspirus Health Foundation 39-1256656	Public Fdn		501(c)(3)	7	Aspirus Inc

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) Aspirus Network Inc 3000 Westhill Drive Suite 300 Wasau,WI54401 39-1931679	Medical Contracts	WI	NA	C Corp

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved
(1) Aspirus Buildings Inc	J	481,521
(2) Aspirus Buildings Inc	N	112,104
(3) Aspirus Buildings Inc	P	135,548
(4) Aspirus Clinics Inc	G	897,483
(5) Aspirus Clinics Inc	I	2,562,419
(6) Aspirus Clinics Inc	J	1,124,015
(7) Aspirus Clinics Inc	K	162,714
(8) Aspirus Clinics Inc	L	533,438
(9) Aspirus Clinics Inc	N	4,301,963
(10) Aspirus Clinics Inc	O	2,264,292
(11) Aspirus Clinics Inc	P	3,035,107
(12) Aspirus Clinics Inc	R	67,870
(13) Aspirus Doctors Clinic	K	229,705
(14) Aspirus Doctors Clinic	N	1,132,693
(15) Aspirus Doctors Clinic	P	177,784
(16) Aspirus Extended Services Inc	N	622,514
(17) Aspirus Extended Services Inc	P	1,060,993
(18) Aspirus Grand View	N	511,292
(19) Aspirus Health Foundation	C	366,926
(20) Aspirus Health Foundation	N	75,695
(21) Aspirus Network Inc	K	50,100
(22) Aspirus Network Inc	N	137,603
(23) Aspirus Ontonogon Hospital	N	998,792
(24) Aspirus Ontonogon Hospital	P	304,146
(25) Aspirus Specialists Inc	L	135,699
(26) Aspirus Specialists Inc	P	172,570
(27) Aspirus Stevens Point Surgery Center	I	198,737
(28) Aspirus Stevens Point Surgery Center	N	64,663
(29) Aspirus Visiting Nurses Association	I	80,360
(30) Aspirus Visiting Nurses Association	J	96,825
(31) Aspirus Visiting Nurses Association	N	1,506,703
(32) Aspirus Visiting Nurses Association	P	466,922

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: ASPIRUS IS AN INTEGRATED, COMMUNITY-GOVERNED HEALTHCARE SYSTEM WHICH LEADS BY ADVANCING INITIATIVES DEDICATED TO IMPROVING THE HEALTH OF ALL WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	19
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,728
6	Total number of volunteers (estimate if necessary) ....	6	683
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	1,296,467
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	294,239

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	613,805	560,171
9	Program service revenue (Part VIII, line 2g) .........	318,563,395	344,511,521
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,020,147	5,935,482
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,246,680	2,437,273
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	323,444,027	353,444,447
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	169,467	360,975
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	127,567,119	134,976,179
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	167,892,712	177,586,676
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	295,629,298	312,923,830
19	Revenue less expenses. Subtract line 18 from line 12......	27,814,729	40,520,617
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	351,052,128	380,823,479
21	Total liabilities (Part X, line 26)............	149,916,016	137,267,852
22	Net assets or fund balances. Subtract line 21 from line 20 .....	201,136,112	243,555,627

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 206,851,307 including grants of $ 360,975 ) (Revenue $ 345,969,254 )
	ASPIRUS WAUSAU HOSPITAL, INC. PROVIDES HOSPITAL SERVICES FOR RESIDENTS OF WAUSAU AND THE SURROUNDING COMMUNITIES REGARDLESS OF ABILITY TO PAY.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 206,851,307

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,030,068	4,076,291	826,809

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		559,471
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		700
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			560,171
			Business Code
2a	PATIENT SERVICE REVENUE		621,400	285,887,800	285,887,800
b	LAB REVENUE		621,400	50,338,025	50,001,050	336,975
c	RENTAL REVENUE		532,000	3,770,053	3,770,053
d	CONTRACT SERVICE REVENUE		621,400	2,684,173	2,684,173
e	MOBILE UNIT REVENUE		621,400	567,176	567,176
f	All other program service revenue .			1,264,294	1,264,294
g	Total. Add lines 2a–2f........			344,511,521
3	Investment income (including dividends, interest
	and other similar amounts).....			6,041,080			6,041,080
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	8,366,155	921,061
b	Less: cost or other basis and sales expenses	8,451,705	941,109
c	Gain or (loss)	-85,550	-20,048
d	Net gain or (loss)..........			-105,598	-20,048		-85,550
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	INVESTMENT IN WESTWOOD		523,000	518,760		518,760
b	CAFETERIA AND VENDING		722,210	1,497,461	1,404,567	92,894
c	PHONE RENTAL		561,439	267,249		267,249
d	All other revenue ....			153,803	73,214	80,589
e	Total. Add lines 11a–11d ......			2,437,273
12	Total revenue. See Instructions....			353,444,447	345,632,279	1,296,467	5,955,530


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			41,139,903	1	33,916,131
2	Savings and temporary cash investments .......			4,474,938	2	4,720,695
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			43,696,866	4	44,589,661
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			22,667	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			5,693,768	8	5,726,054
9	Prepaid expenses and deferred charges ............			1,223,060	9	1,063,830
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	291,517,986
b	Less: accumulated depreciation. .....	10b	165,886,015	126,434,867	10c	125,631,971
11	Investments—publicly traded securities ..........			120,253,189	11	149,322,405
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..			3,090,070	13	2,844,097
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			5,022,800	15	13,008,635
16	Total assets. Add lines 1 through 15 (must equal line 34)...			351,052,128	16	380,823,479
17	Accounts payable and accrued expenses .			32,418,130	17	23,006,233
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			107,615,000	20	104,985,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities. Complete Part X of Schedule D.....			9,882,886	25	9,276,619
26	Total liabilities. Add lines 17 through 25.....			149,916,016	26	137,267,852
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			201,136,112	27	243,555,627
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			201,136,112	33	243,555,627
34	Total liabilities and net assets/fund balances .....			351,052,128	34	380,823,479