Aspirus Extended Services Inc.

“The organization has two members: the parent organization, aspirus, inc. (80%), and memorial member association, inc. (20%).”

“See comments for form 990, part vi, line 7b”

“The following actions must be approved by the members of the organization: 1) change or amend the articles of incorporation or bylaws; 2) change the mission, purpose or scope of the corporation; 3) ratification or removal of directors or officers; 4) change the formula or methodology for determining physician compensation; 5) approval of annual operating and capital expenditure budgets, strategic and long range plans.”

“The form 990 is prepared by an independent accounting firm and reviewed by the organization's management. The form 990 is provided to board members for review and approval prior to filing.”

“Board members and key employees are required to sign annual conflict of interest statements and all managers are required to sign biannual conflict of interest statements. The organization's ceo and board chair review the statements and highlight potential conflicts. The board determines on a case by case basis any actions required. Individuals are not permitted to vote on any transaction where a conflict has been determined to exist. All conflicts and proceedings are documented in the meeting minutes.”

“The organization does not make its governing documents, conflict of interest policy, nor its financial statements available to the public.”

“Duane l. Erwin, sidney c. Sczygelski, and darrell lentz are employed by aspirus, inc., a related organization. Aspirus, inc's purpose is to serve as a supporting organization to multiple subsidiary organizations. Duane l. Erwin, sidney c. Sczygelski, and darrell lentz devote their time providing management services to the related tax-exempt entities. These hours are reflected in line 2 of column b. In addition, some officers and directors also provide services to other related organizations other than aspirus extended services, inc. These hours are reflected in line 2 of column b.”

“The audit committee of the board of directors of aspirus, inc., the parent organization of aspirus extended services, inc., assumes the responsibility for the oversight of the consolidated audit of the financial statement and selection of the independent accountant. There was no change to this process in the current year.”