TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) KATHY J STRASSER...................................................................... BOARD MEMBER (THRU 09/22)	1.00 ................. 1.00	X			11,667	0	0
(2) BRIAN J PRUNTY...................................................................... BOARD MEMBER	1.00 ................. 1.00	X			0	0	0
(3) DAVID M HECK...................................................................... BOARD MEMBER	1.00 ................. 1.00	X			8,750	0	0
(4) JOSEPH V FONTI...................................................................... BOARD MEMBER	1.00 .................	X			8,750	0	0
(5) GRAHAM CHIP COURTNEY...................................................................... BOARD MEMBER	1.00 .................	X			17,500	0	0
(6) SHERRI L LEMMER...................................................................... SECRETARY/TREASURER	1.00 ................. 1.00	X	X		11,667	0	0
(7) NOEL DEEP MD...................................................................... BOARD MEMBER/PHYSICIAN	1.00 ................. 40.00	X			0	544,943	57,774
(8) KATHY KELSEY FOLEY...................................................................... VICE CHAIR	1.00 ................. 1.00	X	X		11,667	0	0
(9) MATTHEW HEYWOOD...................................................................... PRESIDENT & CEO ASPIRUS	50.00 ................. 3.00	X	X		1,799,938	0	311,110
(10) RICHARD V POIRIER...................................................................... CHAIR	1.00 ................. 1.00	X	X		11,667	0	0
(11) CHARLIE ZANAYED...................................................................... BOARD MEMBER (THRU 09/22)	1.00 .................	X			0	0	0
(12) NOEL SONNEK MD...................................................................... BOARD MEMBER/PHYSICIAN (THRU 09/22)	1.00 ................. 40.00	X			341,071	0	40,716
(13) JEANNIE WORDEN...................................................................... BOARD MEMBER	1.00 .................	X			0	0	0
(14) SIDNEY SCZYGELSKI...................................................................... SR. VP OF FINANCE/CFO	50.00 ................. 6.00		X		1,911,464	0	144,118
(15) JAMES MATHESON...................................................................... SVP-CHIEF STRATEGY OFFICER	50.00 ................. 2.00			X	539,401	0	110,893
(16) DEBRA BALL...................................................................... SVP & CHIEF HUMAN RESOURCES OFFICER	50.00 ................. 2.00			X	458,839	0	103,553
(17) CRYSTAL KIRSCHLING...................................................................... VP-REGIONAL INTEGRATION OFFICER	50.00 ................. 2.00			X	120,187	228,256	48,718

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) WILLIAM CARROLL........................................................................ VP-INFORMATION TECHNOLOGY	50.00 .......................2.00	X		321,116	0	49,427
(19) MICHAEL HOLZHUETER........................................................................ SVP-GENERAL COUNSEL	50.00 .......................2.00	X		672,916	0	123,676
(20) MATTHEW BREWER........................................................................ VP-TERTIARY SERVICES	50.00 .......................2.00	X		290,861	0	44,790
(21) JESSE TISCHER........................................................................ SVP & PRESIDENT-REGIONAL MARKETS	50.00 .......................2.00	X		781,575	0	128,595
(22) TODD RICHARDSON........................................................................ SVP & CHIEF INFO. OFF. (THRU 06/23)	50.00 .......................2.00	X		534,868	0	104,438
(23) WILL FLETT........................................................................ VP-FINANCE AWH & AI	20.00 .......................20.00	X		341,904	0	55,615
(24) ERIC ANDERSON........................................................................ SVP-SERVICE LINE & PATIENT EXP.	50.00 .......................2.00	X		519,926	0	106,843
(25) SCOTT REMMICH........................................................................ VP-CHIEF COMPLIANCE OFFICER	50.00 .......................2.00	X		304,493	0	45,336
(26) STEVEN PHILLIPSON........................................................................ DIRECTOR-REGIONAL MEDICAL DIRECTOR	40.00 .......................		X	0	869,231	61,306
(27) SUSAN SCHNEIDER........................................................................ VP-SENIOR SYS. PHYSICIAN EXECUTIVE	40.00 .......................		X	0	541,839	39,761
(28) ROBYN SCHERTZ........................................................................ VP-SENIOR SYS. PHYSICIAN EXECUTIVE	40.00 .......................		X	0	484,983	35,184
(29) DANIEL GUTMANN........................................................................ DIRECTOR-REG. MED. DIRECTOR	40.00 .......................		X	0	408,596	19,355
(30) JENNIFER ENMAN-BOURGON........................................................................ DIRECTOR-REG. MED. DIRECTOR	40.00 .......................		X	0	365,014	53,134

(A) Name and business address	(B) Description of services	(C) Compensation
CDW GOVERNMENT LLC 75 REMITTANCE DR STE 1515 CHICAGO,IL60675	PROFESSIONAL SERVICES AND IT	14,766,588
NORDIC CONSULTING PO BOX 415000 NASHVILLE,TN372417579	BUSINESS SERVICES & MISC	10,520,648
EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE,WI53288	PROFESSIONAL SERVICES AND IT	9,304,379
THE CHARTIS GROUP LLC 220 KINZIE STREET THIRD FLOOR CHICAGO,IL60654	HEATLHCARE SERVICES	7,362,456
THE CSI COMPANIES INC 9995 GATE PARKWAY N SUITE 100 JACKSONVILLE,FL32246	STAFFING SERVICES	5,547,747
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 135

- TIN:

SCHEDULE A
(Form 990)

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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

ASPIRUS INC

Employer identification number

39-1328331

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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. See section 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................21

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

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) ASPIRUS WAUSAU HOSPITAL INC	391138241	3	Yes		0	73,270,922
(B) ASPIRUS BUILDINGS INC	391406537	10	Yes		0	0
(C) ASPIRUS VNA HOME HEALTH INC	390808511	10	Yes		0	0
(D) ASPIRUS VNA EXTENDED CARE INC	391597350	10	Yes		0	337,378
(E) ASPIRUS EXTENDED SERVICES INC	390782130	10	Yes		0	0
(F) ASPIRUS HEALTH FOUNDATION INC	391256656	7	Yes		0	9,794
(G) ASPIRUS ONTONAGON HOSPITAL INC	260806477	3	Yes		0	1,473,875
(H) ASPIRUS IRONWOOD HOSPITAL & CLINICS	382908586	3	Yes		0	674,074
(I) ASPIRUS IRON RIVER HOSPITAL & CLINICS INC	383236977	3	Yes		0	5,508,652
(J) ASPIRUS RIVERVIEW HOSPITAL & CLINICS	390868982	3	Yes		0	23,180,967
(K) ASPIRUS MEDFORD HOSPITAL & CLINICS INC	390964813	3	Yes		0	11,683,846
(L) LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN	390806429	3	Yes		0	13,771,208
(M) ASPIRUS KEWEENAW HOSPITAL	381443361	3	Yes		0	9,321,703
(N) DIVINE SAVIOR HEALTHCARE INC	390806250	3	Yes		0	0
(O) ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC	390808443	3	Yes		0	18,565,299
(P) ASPIRUS STANLEY HOSPITAL & CLINICS INC	390807065	3	Yes		0	2,296,734
(Q) ASPIRUS MERRILL HOSPITAL & CLINICS INC	390808503	3	Yes		0	2,608,631
(R) ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC	391390638	3	Yes		0	25,058,244
(S) ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC	390985690	3	Yes		0	2,181,331
(T) THE HOWARD YOUNG MEDICAL CENTER INC	390873606	3	Yes		0	4,599,727
(U) ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN	391965593	3	Yes		0	0
Total 21					0	194,542,385

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

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

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

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. 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—2021. If the organization did not check a 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—2022. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. 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 VI 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) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 on 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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Yes

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
PART IV, SECTION A, LINE 1:	ASPIRUS, INC.'S GOVERNING DOCUMENTS DO NOT LIST EACH INDIVIDUAL ENTITY AS A SUPPORTING ORGANIZATION. HOWEVER THE GOVERNING DOCUMENTS INDICATE ASPIRUS, INC. MAY SUPPORT ORGANIZATIONS FROM TIME TO TIME AS LONG AS AT LEAST ONE OFFICER OR DIRECTOR ARE IN COMMON AT ALL TIMES, AND THE OFFICERS AND DIRECTORS OF ASPIRUS, INC. SHALL ENDEAVOR TO HAVE A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH THE OFFICERS AND DIRECTORS OF ASPIRUS, INC.'S VARIOUS NONPROFIT SUPPORTED ORGANIZATIONS. IN ADDITION, ASPIRUS, INC. IS THE SOLE CORPORATE MEMBER FOR MAJORITY OF THE SUPPORTED ORGANIZATIONS.
PART I, LINE 12G(VI):	ASPIRUS, INC. IS A NON-PROFIT, COMMUNITY-DIRECTED HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN. WITH MORE THAN 11,000 EMPLOYEES, ASPIRUS SERVES COMMUNITIES THROUGHOUT 27 COUNTIES IN NORTHERN AND CENTRAL WISCONSIN, AS WELL AS THE WESTERN UPPER PENINSULA OF MICHIGAN. ASPIRUS, INC.'S INTEGRATED HEALTH SYSTEM INCLUDES FOUR HOSPITALS IN MICHIGAN AND 13 HOSPITALS IN WISCONSIN, 75 CLINICS, HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND HELICOPTER TRANSPORT, MEDICAL GOODS, NURSING HOMES, AND HIGH-QUALITY AFFILIATED PHYSICIANS. ASPIRUS IS AN INTEGRATED, COMMUNITY GOVERNED HEALTHCARE SYSTEM. THE ASPIRUS MISSION - WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES. THE ASPIRUS VISION - ASPIRUS IS A CATALYST FOR CREATING HEALTHY, THRIVING COMMUNITIES, TRUSTED, AND ENGAGED ABOVE ALL OTHERS. ASPIRUS, INC. PROVIDES SUPPORT TO THE SUPPORTED ORGANIZATIONS IN MORE WAYS THAN JUST MONETARY SUPPORT INCLUDING BUT NOT LIMITED TO HUMAN RESOURCES, REVENUE CYCLE MANAGEMENT, INFORMATION TECHNOLOGY SERVICES, AND OTHER MANAGEMENT SERVICES.
PART IV, SECTION C, LINE 1:	EACH SUPPORTED ORGANIZATION HAS ITS OWN DIRECTORS/TRUSTEES. HOWEVER, LEADERSHIP OF ASPIRUS, INC. HAVE SEATS ON EACH OF THE SUPPORTED ORGANIZATION'S BOARDS. IN ADDITION, ASPIRUS, INC. IS THE SOLE CORPORATE MEMBER FOR THE MAJORITY OF THE SUPPORTED ORGANIZATIONS.

Schedule A (Form 990) 2022

Additional Data

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Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

ASPIRUS INC

Employer identification number

39-1328331

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization ASPIRUS INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization ASPIRUS INC		Employer identification number 39-1328331

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization ASPIRUS INC			Employer identification number 39-1328331
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(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) (2022)

Additional Data

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SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ASPIRUS INC

Employer identification number

39-1328331

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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 can 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" on 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, 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)

Revenue included on 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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on 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	Net investment earnings, gains, and 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 current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements	1,166,163	673,607	492,556
d	Equipment ....	137,063,743	93,920,923	43,142,820
e	Other .....	18,243,766	791,018	17,452,748
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				61,088,124

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)EQUITY IN EARNINGS OF LANGLADE HOSPITAL, INC.	127,562,314	C
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	127,562,314

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	11,912,507
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	ASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2023.

Schedule D (Form 990) 2021

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
ASPIRUS INC

Employer identification number
39-1328331

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) UNITED WAY OF MARATHON COUNTY 705 S 24TH AVE STE 400B WAUSAU,WI54401	39-0935496	501(C)(3)	148,200	0			PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

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

(1) TRANSITION ASSISTANCE	553	74,747
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

IN AN EFFORT TO STREAMLINE THE PROCESS FOR EXPLORING EXTERNAL GRANT FUNDING AT ASPIRUS AND TO ENSURE LEADERSHIP SUPPORT PRIOR TO PURSUIT OF GRANT PROJECTS AND SUBMISSION APPLICATIONS, THE FOLLOWING APPROVAL PROCESS IS UTILIZED: ALL GRANTS REQUIRE THE INVOLVEMENT OF THE FOUNDATION AND APPROVAL BY FISCAL. THE FOLLOWING TYPES OF GRANT PROPOSALS REQUIRE APPROVAL FROM THE RESPECTIVE PRESIDENT AND VICE PRESIDENT, PLUS PRESENTATION TO CEC BY AHF AND THE APPROPRIATE DEPARTMENT/ENTITY REPRESENTATIVE: 1. NEW GRANTS OVER $50,000. 2. NEW GRANTS REQUIRING OR INCLUDING FINANCIAL MATCH OF ANY AMOUNT OR ADDITIONAL FTES. 3. REAPPLICATION FOR GRANTS ACHIEVED IN THE PAST FOR OVER $100,000 REGARDLESS OF MATCHING FUND REQUIREMENT. THE FOLLOWING TYPES OF GRANT PROPOSALS REQUIRE APPROVAL FROM THE RESPECTIVE PRESIDENT AND VICE PRESIDENT ONLY. AN INFORMATIONAL REPORT OR MEMO WOULD BE PROVIDED TO CEC: 1. REAPPLICATION FOR GRANTS ACHIEVED IN THE PAST THAT ARE LESS THAN $100,000 AND DO NOT HAVE MAJOR CHANGES TO SCOPE OF WORK. 2. NEW GRANTS UNDER $50,000 THAT DO NOT REQUIRE MATCHING FUNDS OR ADDITIONAL FTES.

Schedule I (Form 990) 2022

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

ASPIRUS INC

Employer identification number

39-1328331

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 on 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 on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

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

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS	(i) (ii)	1,228,335 ------------- 0	567,185 ------------- 0	4,418 ------------- 0	18,619 ------------- 0	292,491 ------------- 0	2,111,048 ------------- 0	0 ------------- 0
2SIDNEY SCZYGELSKI SR. VP OF FINANCE/CFO	(i) (ii)	649,845 ------------- 0	1,057,600 ------------- 0	204,019 ------------- 0	20,794 ------------- 0	123,324 ------------- 0	2,055,582 ------------- 0	195,109 ------------- 0
3STEVEN PHILLIPSON DIRECTOR-REGIONAL MEDICAL DIRECTOR	(i) (ii)	0 ------------- 772,896	0 ------------- 88,726	0 ------------- 7,609	0 ------------- 26,215	0 ------------- 35,091	0 ------------- 930,537	0 ------------- 0
4JESSE TISCHER SVP & PRESIDENT-REGIONAL MARKETS	(i) (ii)	580,082 ------------- 0	150,199 ------------- 0	51,294 ------------- 0	18,561 ------------- 0	110,034 ------------- 0	910,170 ------------- 0	50,242 ------------- 0
5MICHAEL HOLZHUETER SVP-GENERAL COUNSEL	(i) (ii)	479,018 ------------- 0	135,622 ------------- 0	58,276 ------------- 0	18,672 ------------- 0	105,004 ------------- 0	796,592 ------------- 0	55,822 ------------- 0
6JAMES MATHESON SVP-CHIEF STRATEGY OFFICER	(i) (ii)	386,985 ------------- 0	110,566 ------------- 0	41,850 ------------- 0	17,683 ------------- 0	93,210 ------------- 0	650,294 ------------- 0	32,339 ------------- 0
7TODD RICHARDSON SVP & CHIEF INFO. OFF. (THRU 06/23)	(i) (ii)	378,807 ------------- 0	112,026 ------------- 0	44,035 ------------- 0	18,079 ------------- 0	86,359 ------------- 0	639,306 ------------- 0	39,964 ------------- 0
8ERIC ANDERSON SVP-SERVICE LINE & PATIENT EXP.	(i) (ii)	399,954 ------------- 0	117,991 ------------- 0	1,981 ------------- 0	17,740 ------------- 0	89,103 ------------- 0	626,769 ------------- 0	0 ------------- 0
9NOEL DEEP MD BOARD MEMBER/PHYSICIAN	(i) (ii)	0 ------------- 529,758	0 ------------- 14,987	0 ------------- 198	0 ------------- 19,847	0 ------------- 37,927	0 ------------- 602,717	0 ------------- 0
10SUSAN SCHNEIDER VP-SENIOR SYS. PHYSICIAN EXECUTIVE	(i) (ii)	0 ------------- 445,792	0 ------------- 92,863	0 ------------- 3,184	0 ------------- 16,507	0 ------------- 23,254	0 ------------- 581,600	0 ------------- 0
11DEBRA BALL SVP & CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	349,805 ------------- 0	106,987 ------------- 0	2,047 ------------- 0	13,179 ------------- 0	90,374 ------------- 0	562,392 ------------- 0	0 ------------- 0
12ROBYN SCHERTZ VP-SENIOR SYS. PHYSICIAN EXECUTIVE	(i) (ii)	0 ------------- 405,390	0 ------------- 78,645	0 ------------- 948	0 ------------- 0	0 ------------- 35,184	0 ------------- 520,167	0 ------------- 0
13DANIEL GUTMANN DIRECTOR-REG. MED. DIRECTOR	(i) (ii)	0 ------------- 385,775	0 ------------- 14,943	0 ------------- 7,878	0 ------------- 17,894	0 ------------- 1,461	0 ------------- 427,951	0 ------------- 0
14JENNIFER ENMAN-BOURGON DIRECTOR-REG. MED. DIRECTOR	(i) (ii)	0 ------------- 356,647	0 ------------- 7,881	0 ------------- 486	0 ------------- 19,394	0 ------------- 33,740	0 ------------- 418,148	0 ------------- 0
15WILL FLETT VP-FINANCE AWH & AI	(i) (ii)	283,022 ------------- 0	53,311 ------------- 0	5,571 ------------- 0	17,817 ------------- 0	37,798 ------------- 0	397,519 ------------- 0	0 ------------- 0
16CRYSTAL KIRSCHLING VP-REGIONAL INTEGRATION OFFICER	(i) (ii)	119,937 ------------- 171,371	0 ------------- 56,573	250 ------------- 312	3,714 ------------- 8,322	15,755 ------------- 20,927	139,656 ------------- 257,505	0 ------------- 0
17NOEL SONNEK MD BOARD MEMBER/PHYSICIAN (THRU 09/22)	(i) (ii)	335,354 ------------- 0	0 ------------- 0	5,717 ------------- 0	17,319 ------------- 0	23,397 ------------- 0	381,787 ------------- 0	0 ------------- 0
18WILLIAM CARROLL VP-INFORMATION TECHNOLOGY	(i) (ii)	267,466 ------------- 0	51,102 ------------- 0	2,548 ------------- 0	18,436 ------------- 0	30,991 ------------- 0	370,543 ------------- 0	0 ------------- 0
19SCOTT REMMICH VP-CHIEF COMPLIANCE OFFICER	(i) (ii)	251,612 ------------- 0	49,272 ------------- 0	3,609 ------------- 0	17,778 ------------- 0	27,558 ------------- 0	349,829 ------------- 0	0 ------------- 0
20MATTHEW BREWER VP-TERTIARY SERVICES	(i) (ii)	247,654 ------------- 0	42,650 ------------- 0	557 ------------- 0	10,229 ------------- 0	34,561 ------------- 0	335,651 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 4B

SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $195,109 J. MATHESON $32,339 J. TISCHER $50,242 M. HOLZHUETER $55,822 T. RICHARDSON $39,964 L. MINGUS $16,745 KEY EMPLOYEES OF THE ORGANIZATION OR A PARTICIPATING AFFILIATE ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN YEAR IS JANUARY 1 TO DECEMBER 31ST. EMPLOYER CONTRIBUTIONS: THE CONTRIBUTION MADE BY THE EMPLOYER IS A THREE-TIERED STRUCTURE DEPENDING UPON THE EXECUTIVE'S POSITION, WHICH ARE AS FOLLOWS: 13% FOR SENIOR VICE PRESIDENT OR PRESIDENT, 15% FOR SVP & CHIEF FINANCIAL OFFICER, AND 20% FOR THE PRESIDENT & CHIEF EXECUTIVE OFFICER. IF A PARTICIPANT TERMINATES DURING THE YEAR, THE PARTICIPANT'S EXECUTIVE ALLOWANCE IS PRORATED BASED ON THE NUMBER OF FULL CALENDAR MONTHS FROM THE BEGINNING OF THE PLAN YEAR TO THE BEGINNING OF THE CALENDAR YEAR MONTH CLOSEST TO THE CHANGE OR TERMINATION OF EMPLOYMENT. DISTRIBUTIONS: CONTINUATION OF EMPLOYMENT THROUGH THE DEFERRED VESTING DATE; THE DATE ON WHICH THE PARTICIPANT'S EMPLOYMENT IS TERMINATED AS A RESULT OF DEATH OR DISABILITY; 24 MONTHS FROM THE DATE ON WHICH THE PARTICIPANT INCURS AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT REASONABLE CAUSE OR THE DATE THAT IS 24 MONTHS FOLLOWING THE PARTICIPANT'S SEPARATION FROM SERVICE, BUT ONLY IF THE PARTICIPANT'S INTEREST HAS NOT BEEN FORFEITED FOR COMPETITION DURING SUCH 24 MONTH PERIOD AND THE PARTICIPANT HAS NOT ENGAGED IN COMPETITION AFTER HIS OR HER SEPARATION FROM SERVICE AND PRIOR TO HIS OR HER DEATH, THE PARTICIPANT SHALL BE VESTED AT HIS OR HER DATE OF DEATH.

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

ASPIRUS INC

Employer identification number

39-1328331

Return Reference	Explanation
FORM 990, PART IV, LINE 24A	ASPIRUS, INC. IS A MEMBER OF THE ASPIRUS, INC. OBLIGATED GROUP. THE ORGANIZATION HAS ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM. THE ORGANIZATION'S POLICY STATES IT WILL SEEK BOND COUNSEL'S OPINION FOR ALL REMEDIAL ACTIONS. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241). THESE WERE REFINANCED INTO THE 2009 BONDS. INFORMATION REGARDING THE SERIES 2009 BONDS IS REPORTED IN THE SCHEDULE K FOR THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2009 BONDS LOANED TO THE ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2009 BONDS. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS MEDICAL GROUP, INC. (EIN 39-1670223). INFORMATION REGARDING THE SERIES 2001 BONDS IS NOT REQUIRED TO BE REPORTED IN THE SCHEDULE K FOR THAT ORGANIZATION. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2004 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241). THESE BONDS WERE REFINANCED INTO THE 2009 BONDS. INFORMATION REGARDING THE SERIES 2009 BONDS IS REPORTED IN THE SCHEDULE K FOR THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2009 BONDS LOANED TO THE ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2009 BONDS. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2013 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241); ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (EIN 39-0964813); ASPIRUS GRAND VIEW (EIN 38-2908586); AND LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN (EIN 39-0806429). INFORMATION REGARDING THE SERIES 2013 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION, RESPECTIVELY. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2013 BONDS LOANED TO THE ORGANIZATION, RESPECTIVELY. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2013 BONDS. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2015 AND SERIES 2015A (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982); ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. (EIN 38-3236977); AND ASPIRUS KEWEENAW HOSPITAL (EIN 38-1443361). THE PROCEEDS OF THE SERIES 2015 BONDS WERE USED TO REFINANCE THE ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC SERIES 2008 BONDS AND THE ASPIRUS RIVERVIEW & CLINICS, INC SERIES 2010 BONDS. THE PROCEEDS OF THE SERIES 2015A BONDS WERE USED TO REFINANCE THE ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. SERIES 2008 BONDS AND FUND NEW CONSTRUCTION AT ASPIRUS KEWEENAW HOSPITAL. INFORMATION REGARDING THE SERIES 2015 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2015 BONDS LOANED TO THE ORGANIZATION, RESPECTIVELY. FOR EACH ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2015 BONDS. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY REVENUE BONDS, SERIES 2017 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY ASPIRUS WAUSAU HOSPITAL, INC. (EIN 39-1138241), ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. (EIN 39-0868982), ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. (EIN 38-2908586), AND ASPIRUS ONTONAGON HOSPITAL, INC. (EIN 26-0806477). INFORMATION REGARDING THE SERIES 2017 BONDS IS REPORTED IN SCHEDULE K FOR THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II, AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2017 BONDS LOANED TO THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED THE FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2017 BOND. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY REVENUE BONDS, SERIES 2020 BONDS (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY DIVINE SAVIOR HEALTHCARE, INC. (EIN 39-0806250). THE PROCEEDS OF THE SERIES 2020 BONDS WERE USED TO REFINANCE THE DIVINE SAVIOR HEALTHCARE, INC., SERIES 2016 BONDS (REFINANCING OF SERIES 2006 BONDS) AND SERIES 2019 BONDS (REFINANCING OF SERIES 2009, 2012, 2014 BONDS). INFORMATION REGARDING THE SERIES 2020 BONDS IS REPORTED IN SCHEDULE K FOR THAT ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART I, PART II AND PART III OF SCHEDULE K RELATES ONLY TO THE PORTION OF THE SERIES 2020 BONDS LOANED TO THE ORGANIZATION. FOR THE ENTITY THAT BORROWED FUNDS, THE INFORMATION REPORTED IN PART IV OF SCHEDULE K RELATES TO THE ENTIRE ISSUE OF THE SERIES 2020 BONDS. THE PROCEEDS OF THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2021 (ASPIRUS, INC. OBLIGATED GROUP) WERE BORROWED BY THE FOLLOWING ORGANIZATIONS: ASPIRUS WAUSAU HOSPITAL & CLINICS, INC. (EIN 39-1138241); ASPIRUS BUILDINGS, INC. (EIN 39-1406537); ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. (EIN 39-0808443); ASPIRUS STANLEY HOSPITAL & CLINICS, INC. (EIN 39-0807065); ASPIRUS MERRILL HOSPITAL & CLINICS, INC. (EIN 39-0808503); ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS, INC. (EIN 39-1390638); ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC. (EIN 39-0985690); AND THE HOWARD YOUNG MEDICAL CENTER, INC. (EIN 39-0873606). INFORMATION REGARDING THE SERIES 2021 BONDS IS REPORTED IN THE SCHEDULE K FOR EACH ORGANIZATION. [THE INFORMATION REPORTED IN PART I, PART II AND PART III RELATES ONLY TO THE PORTION OF THE SERIES 2021 BONDS LOANED TO THE ORGANIZATION. THE INFORMATION REPORTED IN PART IV RELATES TO THE ENTIRE ISSUE OF THE SERIES 2021 BONDS.]
FORM 990, PART VI, SECTION B, LINE 11B	THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 AND 990-T INFORMATION, INCLUDING THE UBIT CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 AND THE 990-T ARE REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS IF ANY ACTIONS ARE REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15	FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR IS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, SECTION A PART VII, LINE 1A - EXPLANATION FOR HOURS WORKED:	SOME OFFICERS, DIRECTORS, AND KEY EMPLOYEES ALSO PROVIDED SERVICE TO OTHER RELATED ORGANIZATIONS OTHER THAN ASPIRUS, INC. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B.
FORM 990, PART XI, LINE 9:	EQUITY CHANGE IN INVESTMENT - ALH 12,476,873. SUBSIDIARY VALUATION ADJUSTMENT 316,287. OTHER CHANGES IN NET ASSETS 632,670. UNCONSOLIDATED AFFILIATES ADJUSTMENT -6,156. INTERCOMPANY TRANFER - AWH 230,125,785. INTERCOMPANY TRANFER - ABI -11,801,466. INTERCOMPANY TRANFER - ACI -33,847,218. INTERCOMPANY TRANFER - AOH -1,350,983. INTERCOMPANY TRANFER - AVNA -54,498. INTERCOMPANY TRANFER - AIW 21,467,805. INTERCOMPANY TRANFER - AIR -2,553,049. INTERCOMPANY TRANFER - ARH 28,402,568. INTERCOMPANY TRANFER - ADS 29,584,452. INTERCOMPANY TRANFER - AKH 3,444,321. INTERCOMPANY TRANFER - AES -340,031. INTERCOMPANY TRANFER - ANI 69,000. INTERCOMPANY TRANFER - ASP 2,065,366. INTERCOMPANY TRANFER - ASH 909,042. INTERCOMPANY TRANFER - AMR 5,975,524. INTERCOMPANY TRANFER - ARN -12,351,951. INTERCOMPANY TRANFER - ATH 5,731,409. INTERCOMPANY TRANFER - AER 2,717,000. INTERCOMPANY TRANFER - HYMC -8,263,490. INTERCOMPANY TRANFER - HYHC 50,654. INTERCOMPANY TRANFER - AMNW -87,090. INTERCOMPANY TRANFER - PNW BB 144,986,958. INTERCOMPANY TRANFER - PNW -955,495. POSTRETIREMENT BENEFIT ADJUSTMENT 17,712. PRIOR PERIOD ADJUSTMENT -2.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ASPIRUS INC

Employer identification number

39-1328331

Part I

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

(a) Name, address, and EIN (if applicable) 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

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 entity?
(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 WAUSAU HOSPITAL INC 333 PINE RIDGE BLVD WAUSAU,WI54401 39-1138241	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(2)ASPIRUS BUILDINGS INC 333 PINE RIDGE BLVD WAUSAU,WI54401 39-1406537	PROPERTY LEASING	WI	501 (C) 3	LINE 10	ASPIRUS INC	Yes
(3)ASPIRUS EXTENDED SERVICES INC 333 PINE RIDGE BLVD WAUSAU,WI54401 39-0782130	NURSING HOME SERVICES	WI	501 (C) 3	LINE 10	ASPIRUS INC	Yes
(4)ASPIRUS MEDICAL GROUP INC 333 PINE RIDGE BLVD WAUSAU,WI54401 39-1670223	MEDICAL SERVICES	WI	501 (C) 3	LINE 10	ASPIRUS INC	Yes
(5)ASPIRUS ONTONAGON HOSPITAL INC 601 SEVENTH STREET ONTONAGON,MI49953 26-0806477	HOSPITAL	MI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(6)ASPIRUS VNA HOME HEALTH INC 520 N 32ND AVENUE WAUSAU,WI54401 39-0808511	HOME HEALTH CARE SERVICES	WI	501 (C) 3	LINE 10	ASPIRUS INC	Yes
(7)ASPIRUS VNA EXTENDED CARE INC 520 N 32ND AVENUE WAUSAU,WI54401 39-1597350	PERSONAL CARE SERVICES	WI	501 (C) 3	LINE 10	ASPIRUS VNA HOME HEALTH INC	Yes
(8)ASPIRUS HEALTH FOUNDATION INC 425 PINE RIDGE BLVD WAUSAU,WI54401 39-1256656	CHARITABLE FOUNDATION	WI	501 (C) 3	LINE 7	ASPIRUS INC	Yes
(9)ASPIRUS IRON RIVER HOSPITAL & CLINICS INC 1400 W ICE LAKE ROAD IRON RIVER,MI49935 38-3236977	HOSPITAL	MI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(10)ASPIRUS IRONWOOD HOSPITAL & CLINICS INC N 10561 GRAND VIEW LANE IRONWOOD,MI49938 38-2908586	HOSPITAL	MI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(11)ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC 410 DEWEY STREET WISCONSIN RAPIDS,WI54494 39-0868982	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(12)ASPIRUS KEWEENAW HOSPITAL 205 OSCEOLA STREET LAURIUM,MI49913 38-1443361	HOSPITAL	MI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(13)DIVINE SAVIOR HEALTHCARE INC 2817 NEW PINERY ROAD PORTGAGE,WI53901 39-0806250	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(14)ASPIRUS MEDFORD HOSPITAL & CLINICS INC 135 S GIBSON STREET MEDFORD,WI54451 39-0964813	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(15)ASPIRUS MEDFORD FOUNDATION INC 135 S GIBSON STREET MEDFORD,WI54451 39-1777081	CHARITABLE FOUNDATION	WI	501 (C) 3	LINE 7	ASPIRUS INC	Yes
(16)ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC 900 ILLINOIS AVENUE STEVENS POINT,WI54481 39-0808443	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(17)ASPIRUS STEVENS POINT HOSPITAL FOUNDATION INC 900 ILLINOIS AVENUE STEVENS POINT,WI54481 39-1657410	CHARITABLE FOUNDATION	WI	501 (C) 3	LINE 12A, I	ASPIRUS INC	Yes
(18)ASPIRUS STANLEY HOSPITAL & CLINICS INC 1120 PINE STREET STANLEY,WI54768 39-0807065	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(19)ASPIRUS MERRILL HOSPITAL & CLINICS INC 601 S CENTER AVENUE MERRILL,WI54452 39-0808503	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(20)ASPIRUS MERRILL HOSPITAL FOUNDATION INC 601 S CENTER AVENUE MERRILL,WI54452 39-1627755	CHARITABLE FOUNDATION	WI	501 (C) 3	LINE 12A, I	ASPIRUS INC	Yes
(21)ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC 2251 NORTH SHORE DRIVE RHINELANDER,WI54501 39-1390638	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(22)ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC 201 HOSPITAL ROAD EAGLE RIVER,WI54521 39-0985690	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(23)THE HOWARD YOUNG MEDICAL CENTER INC 240 MAPLE STREET WOODRUFF,WI54568 39-0873606	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes
(24)HOWARD YOUNG HEALTH CARE INC 240 MAPLE STREET WOODRUFF,WI54568 39-1499115	HEALTHCARE	WI	501 (C) 3	LINE 12B, II	ASPIRUS INC	Yes
(25)ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN 2251 NORTH SHORE DRIVE RHINELANDER,WI54501 39-1965593	HOSPITAL	WI	501 (C) 3	LINE 3	ASPIRUS INC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) WESTERN UPPER MICHIGAN EYE CARE LLC 131 W GENESEE STREET IRON RIVER,WI49935 27-2324957	EYE CARE SERVICES	MI	N/A				No			No
(2) THE WESTWOOD CONFERENCE CENTER LLC 333 PINE RIDGE BLVD WAUSAU,WI54401 57-1184256	REAL ESTATE INVESTMENT	WI	N/A				No			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)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(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)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ASPIRUS NETWORK INC 3000 WESTHILL DRIVE 202 WAUSAU,WI54401 39-1931678	HEALTH CARE SERVICES	WI	ASPIRUS INC	C	3,215,352	6,029,911	100.000 %	Yes
(2) ASPIRUS KEWEENAW ENTERPRISES INC 205 OSCEOLA STREET LAURIUM,MI49913 38-3390273	PHARMACY	MI	N/A	C				Yes
(3) ASPIRUS HEALTH VENTURES 3000 WESTHILL DR SUITE 303 WAUSAU,WI54401 47-4925640	HEALTH INSURANCE PLAN	WI	ASPIRUS INC	C	175,540,295	64,328,833	100.000 %	Yes
(4) ASPIRUS ARISE HEALTH PLAN OF WI INC 3000 WESTHILL DR SUITE 303 WAUSAU,WI54401 36-4832569	HEALTH INSURANCE PLAN	WI	ASPIRUS HEALTH VENTURES	C	175,540,295	67,793,030	100.000 %	Yes
(5) ASPIRUS ARISE HEALTH PLAN OF MI INC 3000 WESTHILL DR SUITE 303 WAUSAU,WI54401 47-5448266	HEALTH INSURANCE PLAN	MI	ASPIRUS HEALTH VENTURES	C			100.000 %	Yes
(6) ASPIRUS CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC 2200 WESTWOOD DRIVE WAUSAU,WI54401 84-2513742	ASSOCIATION	WI	N/A	C					No

Schedule R (Form 990) 2021

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity .....................

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

Yes

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

Yes

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

Yes

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

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

Yes

i Exchange of assets with related organization(s) ............................

Yes

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

Yes

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

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ASPIRUS WAUSAU HOSPITAL INC	C	180,820,319	COST
(2) ASPIRUS WAUSAU HOSPITAL INC	I	3,596,958	COST
(3) ASPIRUS WAUSAU HOSPITAL INC	K	629,657	COST
(4) ASPIRUS WAUSAU HOSPITAL INC	L	101,311,477	COST
(5) ASPIRUS WAUSAU HOSPITAL INC	M	739,396	COST
(6) ASPIRUS WAUSAU HOSPITAL INC	O	327,334,729	COST
(7) ASPIRUS WAUSAU HOSPITAL INC	P	2,789,853	COST
(8) ASPIRUS WAUSAU HOSPITAL INC	Q	307,852,134	COST
(9) ASPIRUS WAUSAU HOSPITAL INC	R	93,031	COST
(10) ASPIRUS WAUSAU HOSPITAL INC	S	94,252,379	COST
(11) ASPIRUS MEDICAL GROUP INC	J	393,259	COST
(12) ASPIRUS MEDICAL GROUP INC	L	19,470,386	COST
(13) ASPIRUS MEDICAL GROUP INC	O	95,661,258	COST
(14) ASPIRUS MEDICAL GROUP INC	Q	41,905,671	COST
(15) ASPIRUS MEDICAL GROUP INC	R	3,067,710	COST
(16) ASPIRUS EXTENDED SERVICES INC	O	559,669	COST
(17) ASPIRUS EXTENDED SERVICES INC	S	840,004	COST
(18) ASPIRUS ONTONAGON HOSPITAL INC	B	941,632	COST
(19) ASPIRUS ONTONAGON HOSPITAL INC	L	1,949,275	COST
(20) ASPIRUS ONTONAGON HOSPITAL INC	O	5,146,362	COST
(21) ASPIRUS ONTONAGON HOSPITAL INC	Q	4,152,423	COST
(22) ASPIRUS ONTONAGON HOSPITAL INC	R	1,651,758	COST
(23) ASPIRUS VNA HOME HEALTH INC	B	157,033	COST
(24) ASPIRUS VNA HOME HEALTH INC	M	3,069,510	COST
(25) ASPIRUS VNA HOME HEALTH INC	N	2,659,844	COST
(26) ASPIRUS VNA HOME HEALTH INC	O	23,916,331	COST
(27) ASPIRUS VNA HOME HEALTH INC	P	4,471,181	COST
(28) ASPIRUS VNA HOME HEALTH INC	Q	8,089,532	COST
(29) ASPIRUS VNA HOME HEALTH INC	R	12,425,780	COST
(30) ASPIRUS VNA HOME HEALTH INC	S	8,810,093	COST
(31) ASPIRUS IRONWOOD HOSPITAL & CLINICS INC	C	4,784,989	COST
(32) ASPIRUS IRONWOOD HOSPITAL & CLINICS INC	M	9,714,413	COST
(33) ASPIRUS IRONWOOD HOSPITAL & CLINICS INC	O	29,296,747	COST
(34) ASPIRUS IRONWOOD HOSPITAL & CLINICS INC	Q	109,320	COST
(35) ASPIRUS IRONWOOD HOSPITAL & CLINICS INC	R	5,708,016	COST
(36) ASPIRUS IRONWOOD HOSPITAL & CLINICS INC	S	30,694,666	COST
(37) ASPIRUS IRON RIVER HOSPITAL & CLINICS INC	B	6,321,808	COST
(38) ASPIRUS IRON RIVER HOSPITAL & CLINICS INC	L	6,217,620	COST
(39) ASPIRUS IRON RIVER HOSPITAL & CLINICS INC	O	15,755,161	COST
(40) ASPIRUS IRON RIVER HOSPITAL & CLINICS INC	Q	20,976,617	COST
(41) ASPIRUS IRON RIVER HOSPITAL & CLINICS INC	R	7,205,504	COST
(42) ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC	B	4,223,865	COST
(43) ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC	I	164,057	COST
(44) ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC	L	20,348,036	COST
(45) ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC	O	58,234,940	COST
(46) ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC	Q	53,271,892	COST
(47) ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC	R	4,935,969	COST
(48) ASPIRUS BUILDINGS INC	J	472,811	COST
(49) ASPIRUS BUILDINGS INC	M	634,825	COST
(50) ASPIRUS BUILDINGS INC	P	6,176,586	COST
(51) ASPIRUS BUILDINGS INC	Q	66,781	COST
(52) ASPIRUS HEALTH FOUNDATION INC	L	157,781	COST
(53) ASPIRUS HEALTH FOUNDATION INC	O	337,237	COST
(54) ASPIRUS HEALTH FOUNDATION INC	Q	73,629	COST
(55) ASPIRUS KEWEENAW HOSPITAL	B	3,117,434	COST
(56) ASPIRUS KEWEENAW HOSPITAL	L	9,418,113	COST
(57) ASPIRUS KEWEENAW HOSPITAL	O	28,673,438	COST
(58) ASPIRUS KEWEENAW HOSPITAL	Q	29,755,137	COST
(59) ASPIRUS KEWEENAW HOSPITAL	R	4,179,340	COST
(60) ASPIRUS MEDFORD HOSPITAL & CLINICS INC	I	76,167	COST
(61) ASPIRUS MEDFORD HOSPITAL & CLINICS INC	L	13,227,471	COST
(62) ASPIRUS MEDFORD HOSPITAL & CLINICS INC	O	36,796,137	COST
(63) ASPIRUS MEDFORD HOSPITAL & CLINICS INC	P	156,990	COST
(64) ASPIRUS MEDFORD HOSPITAL & CLINICS INC	Q	20,462,395	COST
(65) ASPIRUS MEDFORD HOSPITAL & CLINICS INC	R	23,392,870	COST
(66) ASPIRUS MEDFORD FOUNDATION INC	O	61,297	COST
(67) DIVINE SAVIOR HEALTHCARE INC	I	52,324	COST
(68) DIVINE SAVIOR HEALTHCARE INC	M	13,744,565	COST
(69) DIVINE SAVIOR HEALTHCARE INC	O	37,751,158	COST
(70) DIVINE SAVIOR HEALTHCARE INC	P	36,089,637	COST
(71) DIVINE SAVIOR HEALTHCARE INC	S	2,384,632	COST
(72) ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC	L	25,397,723	COST
(73) ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC	O	54,948,730	COST
(74) ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC	Q	61,506,698	COST
(75) ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC	R	24,390,045	COST
(76) ASPIRUS STANLEY HOSPITAL & CLINICS INC	I	76,263	COST
(77) ASPIRUS STANLEY HOSPITAL & CLINICS INC	L	3,460,636	COST
(78) ASPIRUS STANLEY HOSPITAL & CLINICS INC	O	8,534,065	COST
(79) ASPIRUS STANLEY HOSPITAL & CLINICS INC	Q	7,314,940	COST
(80) ASPIRUS STANLEY HOSPITAL & CLINICS INC	R	2,312,801	COST
(81) ASPIRUS MERRILL HOSPITAL & CLINICS INC	L	3,635,962	COST
(82) ASPIRUS MERRILL HOSPITAL & CLINICS INC	O	10,276,428	COST
(83) ASPIRUS MERRILL HOSPITAL & CLINICS INC	Q	7,762,234	COST
(84) ASPIRUS MERRILL HOSPITAL & CLINICS INC	R	1,830,378	COST
(85) ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS INC	L	35,843,005	COST
(86) ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS INC	O	111,651,997	COST
(87) ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS INC	Q	77,066,000	COST
(88) ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS INC	S	22,792,256	COST
(89) ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC	L	3,270,583	COST
(90) ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC	O	8,820,664	COST
(91) ASPIRUS EAGLE RIVER HOSPITAL & CLINIC INC	Q	3,178,263	COST
(92) ASPIRUS EAGLE RIVER HOSPITAL & CLINIC INC	S	1,928,643	COST
(93) THE HOWARD YOUNG MEDICAL CENTER INC	I	1,040,525	COST
(94) THE HOWARD YOUNG MEDICAL CENTER INC	L	5,303,529	COST
(95) THE HOWARD YOUNG MEDICAL CENTER INC	O	17,381,863	COST
(96) THE HOWARD YOUNG MEDICAL CENTER INC	P	15,679,661	COST
(97) THE HOWARD YOUNG MEDICAL CENTER INC	S	3,801,780	COST
(98) HOWARD YOUNG HEALTH CARE INC	S	56,267	COST

Schedule R (Form 990) 2021

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

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
SCHEDULE R, PART V, LINE 1D:	ALL OUTSTANDING OBLIGATED GROUP DEBT IS GUARANTEED BY ALL MEMBERS OF THE OBLIGATED GROUP.

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: WE HEAL PEOPLE, PROMOTE HEALTH, AND STRENGTHEN COMMUNITIES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	2,319
6	Total number of volunteers (estimate if necessary) .............	6	8
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	911,193
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	31,074	992,904
9	Program service revenue (Part VIII, line 2g) .........	1,426,191	1,535,642
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,069,100	21,601,212
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	49,244	29,621
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	7,575,609	24,159,379
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	84,792	261,147
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)	0	0
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–24e)....	-2,396,485	615,574
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	-2,311,693	876,721
19	Revenue less expenses. Subtract line 18 from line 12.......	9,887,302	23,282,658
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	605,601,756	991,277,969
21	Total liabilities (Part X, line 26).............	174,020,434	97,420,153
22	Net assets or fund balances. Subtract line 21 from line 20.....	431,581,322	893,857,816

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 261,147 including grants of $ 261,147 ) (Revenue $ 654,070 )
	TO PROVIDE HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ASPIRUS, INC. PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS COMMUNITY CARE POLICY WITHOUT CHARGE. THE ESTIMATED COST OF PROVIDING CARE UNDER THIS POLICY AGGREGATED TO APPROXIMATELY $10,584,000 IN FY2023. (THIS COST INCLUDES ASPIRUS, INC. AND ITS CONSOLIDATED AFFILIATES.) THE COST WAS CALCULATED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR ASPIRUS, INC. BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING THE COMMUNITY CARE.AS PART OF ITS PATIENT SERVICES, ASPIRUS, INC. ALSO PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE AND MEDICAID PROGRAMS WHICH OFTEN REIMBURSE THE ORGANIZATION BASED ON PREDETERMINED FEE SCHEDULES WHICH ARE OFTEN BELOW THE COST OF PROVIDING CARE TO THESE INDIVIDUALS. THESE PROGRAMS PROVIDE HEALTH CARE SERVICES TO A LARGE PORTION OF THE ELDERLY, LOW INCOME, AND DISABLED MEMBERS OF THE COMMUNITY WHO NEED ACCESS TO HIGH QUALITY CARE.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	ASPIRUS, INC. PROVIDES CORPORATE FUNCTIONAL SUPPORT SERVICES TO THE AFFILIATED ENTITIES IN ORDER TO ALLOW THOSE ENTITIES TO FOCUS ON THEIR MISSIONS OF PROVIDING HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.

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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses261,147

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,020,227	3,442,862	1,684,342

1a	Federated campaigns..		1a
b	Membership dues..		1b	71,890
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	921,014

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		992,904

		Business Code
2a	CONTRACT SERVICE REVENUE	621110	1,484,796	573,603	911,193
b
c
d
e
f	All other program service revenue.		50,846	50,846
g	Total. Add lines 2a–2f .....		1,535,642

3 Investment income (including dividends, interest, and othersimilar amounts) ......			18,970,117			18,970,117
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		2,633,507	7a
b	Less: cost or other basis and sales expenses	2,412	0	7b
c	Gain or (loss)	-2,412	2,633,507	7c
d	Net gain or (loss).........			2,631,095			2,631,095
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	BAD DEBT RECOVERIES		621110	29,621	29,621
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			29,621
12	Total revenue. See instructions.....			24,159,379	654,070	911,193	21,601,212

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	186,400	186,400
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	74,747	74,747
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	CORPORATE ALLOCATIONS	615,574		615,574
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	876,721	261,147	615,574	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			134,476,565	1	81,969,122
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			-2,279,195	4	4,318,001
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			6,302	8	27,524
9	Prepaid expenses and deferred charges ......			17,605,178	9	11,774,564
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	156,473,672
b	Less: accumulated depreciation	10b	95,385,548	62,406,852	10c	61,088,124
11	Investments—publicly traded securities .			265,681,938	11	682,831,941
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			114,731,193	13	127,562,314
14	Intangible assets ...............			650,000	14	650,000
15	Other assets. See Part IV, line 11 ...........			12,322,923	15	21,056,379
16	Total assets. Add lines 1 through 15 (must equal line 33)...			605,601,756	16	991,277,969

17	Accounts payable and accrued expenses .....	57,510,902	17	46,600,277
18	Grants payable ...		18
19	Deferred revenue .........	0	19	181,721
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	64,692,726	23	38,725,648
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	51,816,806	25	11,912,507
26	Total liabilities. Add lines 17 through 25..	174,020,434	26	97,420,153

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	431,581,322	27	893,857,816
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	431,581,322	32	893,857,816
33	Total liabilities and net assets/fund balances ........	605,601,756	33	991,277,969