Aspirus Inc.

“The accounting department accumulates all 990 and 990-t information, including the ubi calculations. These documents are reviewed by the cfo. The 990 and the 990-t are reviewed 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.”

“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.”

“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 estabishing compensation for such individuals: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee.”

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

“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.”

“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). Information regarding the series 1998 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 1998 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 1998 bonds. 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). Information regarding the series 2004 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 2004 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 2004 bonds. The proceeds of the wisconsin health and educational facilities authority revenue bonds, series 2012a (aspirus, inc. Obligated group) were borrowed by aspirus wausau hospital, inc. (ein 39-1138241). Information regarding the series 2012a 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 2012a 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 2012a 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 (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). 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 a”

“Postretirement healthcare benefit adjustment 555,323. Aspirus medford hospital & clinics equity adjustments 67,020. Arise health ventures equity adjustments -80,060. Aspirus langlade hospital equity adjustments 99,937. Transfer from vna 356,000. Transfer from aes 27,334. Transfer from awh 39,221,661. Transfer from abi 1,861,667. Transfer from aiw 1,195,000. Transfer from arh 2,729,000. Transfer from air 855,000. Transfer from aci 6,620,132. Transfer from akh 1,669,832. Transfer to aoh -5,159,412. Transfer from ani 34,000. Equity change in investment in amh 4,231,812. Equity change in investment in alh 7,203,397. Equity change in investment in arise health ventures -5,509,191. Equity change in investment in aspirus extended services -369,482.”

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