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 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.”

“The organization does not make its governing documents, conflict of interest policy, nor is 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). 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 clinics 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 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 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 riverv”

“Retiree medical benefits 61,615. Arise health ventures equity adjustments -2,700,000. Transfer to vna 1,948,430. Transfer from aes 27,593. Transfer from awh 67,208,378. Transfer from abi -2,567,207. Transfer from aiw -9,187,794. Transfer from arh 38,666,808. Transfer to air -11,131,770. Transfer from aci 22,818,252. Transfer to akh -11,659,790. Transfer to aoh -1,589,983. Transfer from ani 49,000. Transfer from amh 178,747. Equity change in investment in amh 5,084,882. Equity change in investment in alh 8,565,395. Equity change in investment in aspirus extended services -436,949. Other changes in equity -142,634. Realized gain on affiliates 69,795,896. Unrestricted net assets- ads -86,588,000.”