SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ASPIRUS WAUSAU HOSPITAL Inc
 
Employer identification number

39-1138241
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    16,354,354 0 16,354,354 5.030 %
b Medicaid (from Worksheet 3,
column a) .... 		    36,960,604 19,602,067 17,358,537 5.340 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		    5,619,708 4,268,570 1,351,138 0.420 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		    58,934,666 23,870,637 35,064,029 10.790 %
Other Benefits
 33 3,948 4,033,448 2,695,412 1,338,036 0.410 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		46 1,415 3,190,288 15,280 3,175,008 0.980 %
g Subsidized health services
(from Worksheet 6) .. 		4 2,044 6,774,837 4,175,567 2,599,270 0.800 %
h Research (from Worksheet 7) 1 0 142,640 0 142,640 0.040 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		7 300 13,536 0 13,536 0 %
j Total. Other Benefits .. 91 7,707 14,154,749 6,886,259 7,268,490 2.230 %
k Total. Add lines 7d and 7j . 91 7,707 73,089,415 30,756,896 42,332,519 13.020 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development 2   488   488  
3 Community support 3   784   784  
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building 2 15 808   808  
7 Community health improvement advocacy 1   1,354   1,354  
8 Workforce development 4 119 1,816   1,816  
9 Other            
10 Total 12 134 5,250   5,250  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
4,195,775
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
76,048,555
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
89,471,969
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-13,423,414
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVD
WAUSAU,WI54401 		X X         X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ASPIRUS WAUSAU HOSPTIAL INC
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 11
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 150.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17 Yes  
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address Type of Facility (describe)
1 northwoods surgery center LLC
611 Veterans Parkway
woodruff,WI54568 		general medical & surgical
2 Pine ridge surgery center
2500 pine ridge blvd
wausau,WI54401 		general medical & surgical
3 Stevens point surgery center llc
5409 vern holmes drive
stevens point,WI54481 		general medical & surgical
4
5
6
7
8
9
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
part I, line 7   The provision for bad debts is based on management's assessment of historical and expected net collection considering business and economic conditions, trends in healthcare coverage, and other collection indicators. Throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon these trends. The results of this review are then used to make any modifications to the provision for bad debts to establish an estimated allowance for uncollectible accounts. Accounts receivable are written off after all collection efforts have been followed in accordance with Aspirus' policies. Bad Debt Policy and Procedure: POLICY: I. Aspirus financial policy 5360 requires settlement of a patient self-pay bill or account will be referred for outside collection. II. Failure to meet these requirement in policy 5360 will result in the account being considered for bad debt once all collection efforts have been exhausted. The account will be removed from accounts receivable and turned over to an outside agency or law firm for collection. Prior to this happening, the following criteria must be met: A. Patient Financial Services staff will make reasonable collection efforts by way of: 1. Monthly statements 2. Collection letters 3. Collection phone calls III. All collection activity and patient contacts will be documented on the individual accounts. IV. All collection accounts are to be treated the same regardless of payor type: self-pay, general insurance, Medicare, or Medical Assistance. V. Patient Financial Services staff will use sound business judgment when working with the account. At the discretion of the Financial Counselor, credit reports will be requested from the Credit Bureau and property verification obtained through the County Treasurers Office. PROCEDURE: I. The final step is to submit the account to a collection agency or law firm. Each account is reviewed to determine if the account has met the bad debt criteria. Once it has been determined that all requirements have been met, the account is transferred from accounts receivable to bad debt by the Financial Counselor. Specific procedures pertaining to the detailed procedural steps for transferring to the Agency can be found in Policy/Procedure ID# 7155 dated 6/11/10. A. Additional information regarding Medicare bad debts: 1. The debt must be related to covered services and derived from deductible and coinsurance amounts. 2. Aspirus Wausau Hospital must provide reasonable collection efforts. 3. The debt is actually not collectable (at least 120 days outstanding from the date of the first billing to the patient). 4. Sound business judgment establishes that there was no likelihood of recovery at any time in the future. II. BAD DEBT RECOVERIES A. Payments on monthly remittance advices from outside collection agencies will be posted to each individual account. B. Payments made directly to Aspirus, but intended for collection accounts will be posted to the appropriate account and reported daily/weekly to collection agencies for reconciliation of their records. C. Invoices for commissions due to collection agencies will be processed monthly. Invoice and remittance advice will be reviewed by the Financial Counselor Team Lead and approved by the Manager/Director, then submitted to Fiscal Services for check processing and payment to agencies for commissions due.
Part II   As any good corporate citizen, Aspirus Wausau Hospital is involved in a wide range of community building activities. And while some of these are undertaken simply because there is a community need and Aspirus is in a position to help, others are undertaken for much more specific reasons. The goal of Aspirus Wausau Hospitals community benefits activities is to address key community health issues as identified by the community needs assessment: The Marathon County LIFE Report spearheaded by the United Way of Marathon County. The following is a list of "Community Building" activities reported in Part II and brief descriptions of them. Economic Development (F2) -Centergy: Centergy is an organization comprising business and civic leaders working together to address the regions workforce, business and community development needs. It works to encourage business sector development, support local businesses, attract new businesses, achieve growth for higher education facilities, and improve life in general for all central Wisconsin residents. -Central Wausau Progress: This is another community development program that combines the vision, resources, and efforts of many partners throughout the Wausau area. -City County IT Meeting: This group collaborates to address information technology issues in Wausau and Marathon County. As the countys largest employer, Aspirus Wausau Hospital plays a significant role. -MCDEVCO: Marathon County Economic Development Corporation, in private and public partnership with Marathon County Government and The Wausau Region Chamber of Commerce, provides leadership for reviewing and recommending all initiatives related to education and economic development. MCDEVCO is committed to business growth, as well as providing a high quality of life and building strong communities in the Marathon County Region. -Wausau Region Chamber: The local member of the US Chamber of Commerce, the Wausau Region Chamber dedicates itself to improving the local business community and economy through advocacy, growth/development, marketing and professional development. Aspirus Wausau Hospital is a longtime Chamber member and provides a leadership role in multiple ways. Community Support (F3) -Boy Scouts of America: BSA has a thriving council, the Samoset, located in Wausau. This organization encourages the physical, civic, social and educational development of boys and Aspirus Wausau Hospital supports its efforts. BSA activities help address the following Marathon County LIFE Report Key Calls to Action: Alcohol and Drug Misuse, and Overweight and Obesity. -Rotary: Rotary is a worldwide organization of business and professional leaders that provides humanitarian service, encourages high ethical standards in all vocations, and helps build goodwill and peace in the world. The Object of Rotary is to encourage and foster the ideal of service as a basis of worthy enterprise. The local club has about 85 members and truly benefits the community. -United Way: Aspirus Wausau Hospital has deep and longstanding involvement with the local United Way. As a pacesetter organization, Aspirus demonstrates leadership in its internal support campaign to benefit the United Way, which has restructured to follow a road map to community success that directs its support to organizations that improve Education, Health and Income in the community.
Part III, Line 4   The provision for bad debts is based on management's assessment of historical and expected net collection considering business and economic conditions, trends in health care coverage, and other collection indicators. Throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon these trends. The results of this review are then used to make any modifications to the provision for bad debts to establish an estimated allowance for uncollectible accounts. Accounts receivable are written off after all collection efforts have been followed in accordance with Aspirus' policies. Overall, the allowance for uncollectible accounts as a percentage of accounts receivable has not changed significantly for the year ended June 30, 2013 Part III Line 4 The costing methodology used was the patient care cost to charge ratio which was derived from the calculation on IRS Worksheet 2. Part III Line 8 The costing methodology is CMS2552 as filed cost report. Aspirus Wausau Hospital feels that the Medicare shortfall should be treated as a community benefit. Aspirus is there to treat the community and they have a large percentage of Medicare benefit patients. If those patients were to be refused, then they would not receive health care. Part III Line 9B Aspirus Wausau Hospital makes reasonable efforts to determine if financial assistance should be offered before assigning a case to a collection agency. Aspirus informs patients and offers them Financial Assistance Application forms at the time of registration, in emergency rooms, financial service offices, the billing office, and on statements and letters. Aspirus can only pursue the applicants who have completed the financial assistance application forms in their entirety.
Part V, Section A   Aspirus Wausau Hospital, Inc operates 1 hospital facility. Aspirus Wausau Hospital, Inc 333 Pine Ridge Blvd Wausau, WI 54401 Part V, Section B Ministry St. Clare's Hospital 3400 Ministry Pkwy. Weston, WI 54476
NEEDS ASSESSMENT   Aspirus Wausau Hospital is a leader in assessing the health needs of the community. It has developed strong partnerships with key community agencies and helped spearhead initiatives to assess the communitys health needs and factors supporting a high quality of life and vibrant community. In 1996, the United Way led a collaborative effort to perform a community health assessment that focused on data rather than perception. With support from Aspirus and other community partners, the United Way performed a community assessment and published in June 1997 the first issue of what was called the Marathon County Local Indicators For Excellence (LIFE) Report. Since that time, Aspirus Wausau Hospital has maintained strong involvement in the community assessment process, from pledging cash support and in kind donations to steering committee chairs and members. The eighth and most recent version of the needs assessment (2011-2013) identified five Top Calls to Action: - Unemployment/Jobs Providing a Living Wage - Alcohol and Drug Misuse - Development of Young Children - Ages 0-6 - Overweight/Obesity - Basic Needs - Food and Shelter In addition to the above listed five health priorities, the 2011-2013 LIFE Report also identified two Issues to Watch: Aging Issues and Domestic Abuse. Here are some facts about Marathon County: - Of surveyed residents, 76.8 percent agreed that obesity is a concern in the community. - 12.2 percent of residents live at or below the poverty level, and 18.7 percent of children live at or below the poverty level. - 14.2 percent of Marathon County residents are 65 or older. - In 2010, there were 760 Driving While Intoxicated arrests in Marathon County. Patient education of eligibility for assistance Aspirus Wausau Hospital makes lists of available government assistance programs available to patients and families in the cashiers office, which is located off the main lobby. In addition, all patients are made aware of Aspirus Wausau Hospitals financial aid programs through statements and follow up letters. Financial counselors seek to meet one on one with any patients who do not have insurance, so counselors can explain all options available.
Community Information   According the U.S. Census Bureau, Marathon County had a population of 134,063 in 2010. And while there are demographic and population numbers for the areas that Aspirus Wausau Hospital considers its primary and secondary market areas, Marathon County bears special attention, as it is the home of Aspirus Wausau Hospital and many of the systems corporate functions. In fact, Marathon County in many respects is the "home" of Aspirus and is the single largest source of patients among the counties Aspirus serves. The importance of Marathon County to the business of Aspirus Wausau Hospital cannot be overstated. From May 2011 through April 2012: -80 percent of patients treated and released at the Aspirus Wausau Hospital Emergency Department were Marathon County residents. -53 percent of non-newborn inpatient discharges were patients who live in Marathon County. Aside from Wausau, the county seat classified by the U.S. Census Bureau as a 'Metropolitan Statistical Area,' Marathon County is largely rural. With a total area of 1,576 square miles, it is the largest county in Wisconsin by land area. Here are some details about its population. About Marathon County (2010): Persons per square mile: 86.8 Persons under 5 years old: 6.5% Persons under 18 years old: 24.5% Persons 65+ years old: 14.2% White: 91.3% Asian: 5.3% People per household: 2.49 % Population below poverty level: 8.7 Median household income: $49,356 Source: US Census Bureau Service Areas and Demographics Aspirus Wausau Hospital. The AWH considers its market to be 13 counties located in North Central Wisconsin and four counties located in Upper Michigan. The 13 North Central Wisconsin counties represent its primary and secondary service areas and accounted for 94.1% of all admissions in calendar year 2012. In our primary service area, which includes Langlade, Lincoln, Marathon, and Taylor county, total population in 2011 was 203,472, population aged 65 and older was 15.8%, median income was $51,212, and the unemployment rate was 6.7%. In our secondary services area, including Clark, Forest, Iron, Oneida, Portage, Price, Shawano, Vilas, and Wood counties, total population in 2011 was 308,214, population aged 65 and older was 17.9%, median income was $46,170, and the unemployment rate was 6.9%. In our Michigan service area, including Gogebic, Houghton, Keweenaw, and Ontonagon Counties, total population in 2011 was 61,991, population aged 65 and older was 14.1%, median income was $48,669, and the unemployment rate was 8.9%. Please see our complete Community Health Needs Assessment for additional data. Source: U.S. Census Bureau, Wisconsin Department of Work Force Development, Michigan Department of Technology, Management, and Budget, January 2013. Aspirus is the largest employers in Marathon County: Aspirus Wausau Hospital: 3,000 employees Greenheck Fan Corp.: 1,500 employees Wausau School District: 1,476 employees Footlocker.com/Eastbay: 1,300 employees Kolbe & Kolbe Millworks Inc.: 1,122 employees Wausau Papers: 984 employees Prime Healthcare/UMR: 820 employees Marathon Cheese: 800 employees Marathon County: 752 employees North Central Health Care: 685 employees Source: Comprehensive Annual Financial Report Marathon County, Wisconsin, December 31, 2011 Much of north central and central Wisconsin and the Upper Peninsula of Michigan qualify as health professional shortage areas and medically underserved areas. According to the Health Resources and Services Administration, all or part of the following 16 counties is designated as health professional shortage areas: Clark, Florence, Forest, Iron (WI), Langlade, Marathon, Oneida, Price, Shawano, Taylor, Vilas, Wood, Gogebic, Iron (MI), Keweenaw, and Ontonagon. The following 14 counties are designated as health professional shortage areas for mental health: Clark, Florence, Forest, Iron (WI), Langlade, Marathon, Oneida, Price, Shawano, Taylor, Vilas, Wood, Gogebic, and Iron (MI). Similarly, all or part of the following 18 counties are designated as medically underserved areas: Clark, Florence, Forest, Iron (WI), Langlade, Marathon, Portage, Price, Shawano, Taylor, Vilas, Wood, Baraga, Gogebic, Houghton, Iron (MI), Keweenaw, and Ontonagon.
Promotion of Community Health   Aspirus Wausau Hospital is a true community organization. It was created in the 1970s when community leaders decided the two local hospitals operating at that time could be more effective and more efficient if they merged. Today, that community leadership and vision endures. Aspirus Wausau Hospital is guided by a community board of directors, which the organizations bylaws state must consist of eight or nine physicians and 11 to 14 community members. This board helps ensure that strategic and operational decisions at Aspirus Wausau Hospital are made with the communitys best interest in mind. In addition, Aspirus Wausau Hospital maintains an open medical staff, meaning that it extends medical staff privileges to all qualified physicians in the community. As a not-for-profit organization, Aspirus Wausau Hospital reinvests surplus funds in health services for the community, such as new technology that advances care and improves access. Aspirus Wausau Hospital also works collaboratively with other health care and academic entities to offer professional health education opportunities that benefit the communities. For example, the University of Wisconsin Wausau Family Medicine Residency Program is based on the Aspirus Wausau Hospital medical campus, and produces skilled, dedicated family medicine physicians. The vast majority of residency graduates end up practicing in north central Wisconsin, making the residency program incredibly valuable to the ongoing easy access to high quality primary health care. Aspirus Wausau Hospital is the vehicle by which extensive volunteer efforts are organized. There are more than 1,000 Aspirus Volunteers who support the provision of excellent medical care at the hospital and in other venues. These volunteers also provide valuable community outreach through the Lifeline home health monitoring program, the HANDS program that teaches young children the importance of hand hygiene, and Meals on Wheels. Aspirus Wausau Hospital also supports valuable clinical research through Aspirus Heart & Vascular Institute (AHVI) Research & Education and through the Aspirus Regional Cancer Center (ARCC). AHVI Research & Education has about 10 open trials at any given time, and seeks to advance the safe, effective and compassionate practice of cardiovascular medicine in north central Wisconsin. Through a research affiliation with the University of Wisconsin Comprehensive Cancer Center in Madison, ARCC is part of a satellite system called Wisconsin Oncology Network offering clinical trials to patients with advanced disease. ARCC is also able to offer federally sponsored studies available through the Eastern Cooperative Oncology Group and the Radiologic Therapy Oncology Group.
Affiliated Health Care System   Aspirus Wausau Hospital is one of six hospitals under the Aspirus, Inc. umbrella. Each of the other five hospitals is a small, critical access facility, while Aspirus Wausau Hospital is a regional tertiary care facility. The Aspirus system is relatively young, especially in the Upper Peninsula of Michigan, where three of the critical access hospitals are located. These facilities all operate as local sources of charity care and strong corporate citizens. In fact, Aspirus Keweenaw Hospital received in January 2011 the Winks Gundlach Award for strong and consistent support of the Keweenaw Community Foundation. This commitment to local community is reflected throughout the Aspirus service area. In Wausau, the Aspirus Health Foundation raises money for various health related initiatives in the community and within Aspirus. In addition to raising money and receiving community gifts, the Foundation also determines the best way to utilize its resources to make the biggest impact on the community. Throughout the Aspirus service area, affiliated foundations serve the needs of their respective communities: - The Community Health Foundation serves Antigo, WI and surrounding communities. - Memorial Health Center Foundation serves Medford, WI and surrounding communities. - Aspirus Ontonagon Foundation serves Ontonagon, MI and surrounding communities. - Aspirus Grand View Foundation serves Ironwood, MI and surrounding communities. While Aspirus has grown and expanded its service area rapidly in the past six years, system leaders are making a concerted effort to collaborate internally to make the continuum of care as seamless as possible for customers. This means providing high quality, efficient service from primary care to specialty services and post-acute care such as rehabilitation and home care. By integrating services, and communicating effectively among providers, Aspirus is better able to meet patient needs and improve outcomes. This could be the most important community benefit of all.
State Filing of Community Benefit Report   Aspirus, Inc. has three hospitals in Wisconsin: Aspirus Wausau Hospital in Wausau, Langlade Hospital in Antigo and Memorial Health Center in Medford. Each of these centers files a community benefit report. Aspirus, Inc. also has three hospitals in Michigans Upper Peninsula: Aspirus Keweenaw Hospital in Laurium, Aspirus Grand View in Ironwood and Aspirus Ontonagon Hospital in Ontonagon. Each of these facilities is responsible for its own community benefits reporting.
Schedule H (Form 990) 2012
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