ASPIRUS IRON RIVER HOSPITAL & CLINICS INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ASPIRUS IRON RIVER HOSPITAL & CLINICS INC (EIN 38-3236977)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-14
IRS object ID: 202631349349301633
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-14T07:55:04-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	393647910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI ADVISORY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	383236977	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS IRON RIVER HOSPITAL & CLINICS	BusinessNameLine1Txt
Business Name Line2	INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ASPI	BusinessNameControlTxt
Phone	9062656121	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1400 W ICE LAKE RD	AddressLine1Txt
City	IRON RIVER	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49935	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LORI PECK	PersonNm
Person Title	INTERIM CFO	PersonTitleTxt
Phone	7158472118	PhoneNum
Signature	2026-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2026-04-21	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MATTHEW HEYWOOD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1400 W ICE LAKE RD	AddressLine1Txt
City	IRON RIVER	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49935	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$45,371,576	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ASPIRUS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	201	TotalEmployeeCnt
Total Volunteers	20	TotalVolunteersCnt
Total Gross UBI	$14,641	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$11,021	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$465,337	PYContributionsGrantsAmt
CY Contributions Grants	$79,976	CYContributionsGrantsAmt
PY Program Service Revenue	$40,468,536	PYProgramServiceRevenueAmt
CY Program Service Revenue	$45,100,829	CYProgramServiceRevenueAmt
PY Investment Income	$99,402	PYInvestmentIncomeAmt
CY Investment Income	$51,349	CYInvestmentIncomeAmt
PY Other Revenue	$136,464	PYOtherRevenueAmt
CY Other Revenue	$137,933	CYOtherRevenueAmt
PY Total Revenue	$41,169,739	PYTotalRevenueAmt
CY Total Revenue	$45,370,087	CYTotalRevenueAmt
PY Grants And Similar Paid	$242	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$16,468,739	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$16,792,797	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$25,314,957	PYOtherExpensesAmt
CY Other Expenses	$27,226,843	CYOtherExpensesAmt
PY Total Expenses	$41,783,938	PYTotalExpensesAmt
CY Total Expenses	$44,019,640	CYTotalExpensesAmt
PY Revenues Less Expenses	-$614,199	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,350,447	CYRevenuesLessExpensesAmt
Total Assets BOY	$27,103,194	TotalAssetsBOYAmt
Total Assets EOY	$25,259,639	TotalAssetsEOYAmt
Total Liabilities BOY	$19,698,790	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,987,991	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,404,404	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$21,271,648	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE HEAL PEOPLE, PROMOTE HEALTH AND STRENGTHEN COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$32,442,690	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$45,086,188	RevenueAmt
Desc	ASPIRUS IRON RIVER HOSPITAL (AIR) PROVIDES COMPREHENSIVE INPATIENT, OUTPATIENT, EMERGENCY, MEDICAL AND PHYSICIAN CLINIC SERVICES. AIR HAD 432 INPATIENT AND SWING BED DISCHARGES AND 1,825 INPATIENT DAYS ALONG WITH 7,999 EMERGENCY DEPARTMENT VISITS WITH AN EMERGENCY PROVIDER STAFFED 24/7. AIR HAS 2 PROVIDER CLINICS, ONE ON THE HOSPITAL CAMPUS AND ONE LOCATED 15 MILES AWAY IN CRYSTAL FALLS, MI., BOTH PROVIDED 19,465 PATIENT VISITS IN 2025. THE HOSPITAL HAS FULLY FUNCTIONING LAB AND RADIOLOGY DEPARTMENTS THAT ARE SUPPLEMENTED BY A MOBILE MRI UNIT THAT VISITS THE HOSPITAL CAMPUS TWO TIMES A WEEK. BOTH IP AND OP SURGERIES ARE PERFORMED WITH TOTAL OR CASES OF 647 IN 2025. BECAUSE OF REGIONAL AFFILIATION, AIR IS ALSO ABLE TO PROVIDE ORTHOPEDIC, CARDIOLOGY, BEHAVIORAL HEALTH, WOUND CARE, VASCULAR, PODIATRY AND ONCOLOGY SERVICES.	Desc
Total Program Service Expenses	$32,442,690	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	201	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LORI PECK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7158472118	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 WESTWOOD DRIVE	AddressLine1Txt
City	WAUSAU	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN D MATONICH
CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
JENNIFER REDMAN-SCHELL
VICE CHAIR/SVP & PRESIDENT-AMG	1.00	50.00	Yes (X)	Yes (X)	$0	$727,379	$105,151
KIRK SCHOTT
TREASURER (THRU 12/24)	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
KATIE CLARK
SECRETARY/TREASURER	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
HANNAH GOODMAN
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
RICHARD KOUBEK PHD
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
CHARLY LOPER
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
ROBIN MENEZUGGO
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
JOHN PIETILA MD
BOARD MEMBER/RADIOLOGIST	1.00	40.00	Yes (X)		$0	$962,327	$50,605
CONSTANCE BRADLEY
BOARD MEMBER/SVP-PRES. REG. MKTS.	1.00	50.00	Yes (X)		$0	$786,524	$125,769
DANIEL LUKES DO
BOARD MEMBER/PHYSICIAN	1.00	50.00	Yes (X)		$0	$807,264	$41,045
LORI PECK
BOARD MEMBER/VP-FINANCE	1.00	50.00	Yes (X)		$0	$539,795	$11,487
JONATHAN BRUEGGEMAN
BOARD MEMBER/MEDICAL DIRECTOR	1.00	50.00	Yes (X)		$0	$471,847	$51,071
PATRICK TINCHER JR
BOARD MEMBER/VP-FIN REG OPS (THRU 01/24)	1.00	50.00	Yes (X)		$0	$369,291	$50,390
KRISTEN MESKE NP-C
BOARD MEMBER/NP (THRU 09/24)	40.00	1.00	Yes (X)		$161,684	$0	$4,057
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS	2.00	50.00		Yes (X)	$0	$3,868,734	$361,440
JERRY M YANG
SVP-CHIEF FINANCIAL OFFICER	2.00	50.00		Yes (X)	$0	$677,240	$138,394
CHRISTINE HARFF
(NV) PRESIDENT-UP REGION (THRU 11/24)	1.00	50.00		Yes (X)	$0	$421,827	$34,131
NATALIE SEABER
(NV)PRES.-ASP. MI REG. (BEG MAY '25)	1.00	40.00		Yes (X)	$0	$0	$0
MICHAEL HOLZHUETER
SVP-CHIEF HR OFFICER	2.00	50.00			$0	$879,825	$136,340	Yes (X)
MICHAEL WALTERS
SVP-SYSTEM CHIEF MEDICAL OFFICER	2.00	50.00			$0	$763,486	$117,666	Yes (X)
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER	2.00	50.00			$0	$745,188	$115,516	Yes (X)
WILL WEIDER
SVP-CHIEF INFORMATION OFFICER	2.00	50.00			$0	$660,670	$105,795	Yes (X)
ERIC ANDERSON
CHIEF COMPLIANCE OFFICER	2.00	50.00			$0	$565,843	$99,581	Yes (X)
SUSAN SCHNEIDER
VP-SYSTEM SR. PHYSICIAN EXEC.	2.00	50.00			$0	$580,755	$35,907	Yes (X)
WILLIAM CARROLL
VP-INFORMATION TECHNOLOGY	2.00	50.00			$0	$455,617	$41,886	Yes (X)
THOMAS POWELL
VP-CHIEF MEDICAL INFO OFFICER	2.00	50.00			$0	$439,263	$18,469	Yes (X)
DONALD PATTON
PHYSICIAN	40.00				$225,876	$0	$35,877		Yes (X)
KRISTINE FLOWERS
PHYSICIAN	40.00				$231,431	$0	$48,013		Yes (X)
CARLOS CONDADO
CRNA	40.00				$268,701	$0	$36,894		Yes (X)
AMY NIELSEN
PHYSICIAN	40.00				$350,304	$0	$20,151		Yes (X)
MEDHAT FANOUS
PHYSICIAN	40.00				$636,223	$0	$44,876		Yes (X)
SIDNEY SCZYGELSKI
SVP OF FINANCE/CFO (FORMER)	2.00	50.00			$0	$1,470,041	$37,990			Yes (X)
JESSE TISCHER
SVP & PRESIDENT-AWH (FORMER)	0.00	0.00			$0	$732,979	$5,855			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,874,219	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$16,925,895	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,874,356	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	34	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
INNOVA EMERGENCY SERVICES
700 N COLORADO BLVD SUITE 109	DENVER	CO	80206	EMERGENCY DEPT PROVIDERS	$2,618,145
TOTAL MSP LLC
221 W COLLEGE AVE FLOOR 2	APPLETON	WI	54911	CONTRACTED RN STAFFING	$458,683
TELEHEALTH SOLUTIONS PLLC
PO BOX 950505	ST LOUIS	MO	63195	LOCUM DOCTOR	$434,150
ORTHOPEDIC SOLUTIONS
N10565 GRANDVIEW LN	IRONWOOD	MI	49938	LOCUM DOCTOR	$386,149
UPPER PENINSULA HEALTH CARE SOLUTIONS
853 W WASHINGTON	MARQUETTE	MI	49855	MOBILE MRI SERVICES	$299,608

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	8	CntrctRcvdGreaterThan100KCnt
Government Grants	$79,976	GovernmentGrantsAmt
Total Contributions	$79,976	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621110	$43,920,591	$43,920,591
PHARMACY REVENUE	456110	$1,117,630	$1,117,630
CONTRACT SERVICE REVENUE	621110	$47,967	$47,967
LAB REVENUE	621500	$14,641		$14,641

Field	Value	IRS element (for citing)
Total Program Service Revenue	$45,100,829	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,558	TotalRevenueColumnAmt
Exclusion	$48,558	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$75,649	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$75,649	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,649	TotalRevenueColumnAmt
Exclusion	$75,649	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,280	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$1,489	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,280	SecuritiesAmt
Other	-$1,489	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,791	TotalRevenueColumnAmt
Exclusion	$2,791	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA SALES	Desc
Business	621990	BusinessCd
Total Revenue Column	$62,284	TotalRevenueColumnAmt
Exclusion	$62,284	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$62,284	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,370,087	TotalRevenueColumnAmt
Related Or Exempt Func Income	$45,086,188	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,641	UnrelatedBusinessRevenueAmt
Exclusion	$189,282	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$13,674,827	TotalAmt
Program Services	$11,544,289	ProgramServicesAmt
Management And General	$2,130,538	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$398,701	TotalAmt
Program Services	$313,778	ProgramServicesAmt
Management And General	$84,923	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,834,382	TotalAmt
Program Services	$1,443,659	ProgramServicesAmt
Management And General	$390,723	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$884,887	TotalAmt
Program Services	$696,406	ProgramServicesAmt
Management And General	$188,481	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$17,937	TotalAmt
Management And General	$17,937	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,944	TotalAmt
Management And General	$4,944	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,947	TotalAmt
Management And General	$1,947	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,863,953	TotalAmt
Program Services	$4,438,232	ProgramServicesAmt
Management And General	$2,425,721	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$13,295	TotalAmt
Program Services	$8,597	ProgramServicesAmt
Management And General	$4,698	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,112	TotalAmt
Program Services	$37,770	ProgramServicesAmt
Management And General	$1,342	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,896	TotalAmt
Program Services	$4,459	ProgramServicesAmt
Management And General	$2,437	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$637,485	TotalAmt
Program Services	$66,808	ProgramServicesAmt
Management And General	$570,677	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$72,967	TotalAmt
Program Services	$47,180	ProgramServicesAmt
Management And General	$25,787	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,594	TotalAmt
Program Services	$1,677	ProgramServicesAmt
Management And General	$917	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$826,635	TotalAmt
Management And General	$826,635	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,751,224	TotalAmt
Program Services	$598,218	ProgramServicesAmt
Management And General	$1,153,006	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$199,537	TotalAmt
Program Services	$20,911	ProgramServicesAmt
Management And General	$178,626	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CORPORATE ALLOCATIONS	$6,382,989	$3,347,194	$3,035,795
MEDICAL SUPPLIES	$5,740,128	$5,543,242	$196,886
HOSPITAL ASSESSMENT TAX	$2,207,265	$2,207,265
BAD DEBT EXPENSE	$1,282,316	$1,282,316

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,175,619	TotalAmt
Program Services	$840,689	ProgramServicesAmt
Management And General	$334,930	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$44,019,640	TotalAmt
Program Services	$32,442,690	ProgramServicesAmt
Management And General	$11,576,950	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,647,884	BOYAmt
EOY	$2,449,874	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$186,982	BOYAmt
EOY	$205,973	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,479,023	BOYAmt
EOY	$5,132,261	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$910,664	BOYAmt
EOY	$915,580	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$141,671	BOYAmt
EOY	$157,180	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$49,529,462	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$33,609,437	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,219,889	BOYAmt
EOY	$15,920,025	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$517,081	BOYAmt
EOY	$478,746	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,103,194	BOYAmt
EOY	$25,259,639	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$768,597	BOYAmt
EOY	$1,014,164	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$15,915,000	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,015,193	BOYAmt
EOY	$2,973,827	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,698,790	BOYAmt
EOY	$3,987,991	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,404,404	BOYAmt
EOY	$21,271,648	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,404,404	BOYAmt
EOY	$21,271,648	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,103,194	BOYAmt
EOY	$25,259,639	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,350,447	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$12,525	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$12,504,272	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$4,944	OtherActivitiesAmt
Total Lobbying Expenditures	$4,944	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	MEMBERSHIP DUES ARE PAID TO THE MICHIGAN HOSPITAL ASSOCIATION (MHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA). A PORTION OF THOSE DUES ARE COMMITTED TO LOBBYING PURPOSES. MHA INVOICE STATES 9.87% OF $10,857 ($1,072) GOES FOR LOBBYING ON INVOICE COVERING THE PERIOD OF 7/1/24-6/30/25. SIMILARLY, AHA DUES COMMITTED TO LOBBYING WAS 39.00% OF $9,927 ($3,872).	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,026	OtherCostOrOtherBasisAmt
Book Value	$210,026	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,487,836	OtherCostOrOtherBasisAmt
Depreciation	$21,972,085	DepreciationAmt
Book Value	$13,515,751	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,797,873	OtherCostOrOtherBasisAmt
Depreciation	$11,637,352	DepreciationAmt
Book Value	$2,160,521	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,727	OtherCostOrOtherBasisAmt
Book Value	$33,727	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$15,920,025	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$2,760,089
LONG TERM PENSION	$125,713
FINANCE LEASE LIABILITY	$87,763
DEFERRED POSTRETIREMENT BENEFITS	$262

Field	Value	IRS element (for citing)
Total Liability	$2,973,827	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2025.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$270,870	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$270,870	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,880,979	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,681,367	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,199,612	NetCommunityBenefitExpnsAmt
Total Expense	0.07490	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,151,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,681,367	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,470,482	NetCommunityBenefitExpnsAmt
Total Expense	0.08120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,802	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,802	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,305	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,305	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,309,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,171,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$138,538	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,983	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,983	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,373,907	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,171,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$202,628	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,525,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,852,646	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,673,110	NetCommunityBenefitExpnsAmt
Total Expense	0.08600	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$443,778	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$8,565,889	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$8,648,750	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$82,861	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS IRON RIVER HOSPITAL & CLINICS INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1400 W ICE LAKE ROAD	AddressLine1Txt
City	IRON RIVER	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49935	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ASPIRUS.ORG	WebsiteAddressTxt
State License	1060000150	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ASPIRUS IRON RIVER HOSPITAL & CLINICS I	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.ASPIRUS.ORG/COMMUNITY-REPORTS-NEEDS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 5: THE FOLLOWING DESCRIPTION IS FOR THE CHNA COMPLETED IN FY25 (SPRING 2025). ASPIRUS INVITED OVER 50 KEY STAKEHOLDERS FROM THE UPPER PENINSULA AND NORTHERN WISCONSIN TO PARTICIPATE IN AT LEAST ONE OF TWO LISTENING SESSIONS HELD IN MARCH 2025. A CONCERTED EFFORT WAS MADE TO ENSURE THAT THE STAKEHOLDERS REPRESENTED THE NEEDS AND PERSPECTIVES OF: 1) PUBLIC HEALTH PRACTICE; 2) INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, HAVE LOW INCOME, OR ARE CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL; AND 3) THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED. KEY INFORMANTS PROVIDING INPUT ON THE TOP ISSUES INCLUDED REPRESENTATIVES FROM MULTIPLE SECTORS AND GROUPS: GOVERNMENTAL PUBLIC HEALTH; SUBSTANCE USE; BASIC NEEDS (E.G., HOUSING, FOOD INSECURITY); LOCAL GOVERNMENT; EARLY CHILDHOOD; EDUCATION AND YOUTH DEVELOPMENT; LONG TERM CARE; AGING; EDUCATION; COMMUNITY AND ECONOMIC DEVELOPMENT; BEHAVIORAL HEALTH; HEALTHCARE; SOCIAL SERVICES.
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 6A: FOR THE CHNA COMPLETED IN FY25 (SPRING 2025), THE HOSPITAL COLLABORATED WITH ASPIRUS KEWEENAW HOSPITAL AND ASPIRUS IRONWOOD HOSPITAL.
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 11: IN FY25, ASPIRUS CONTINUED TO IMPLEMENT BOTH CROSS-ORGANIZATIONAL AS WELL AS LOCAL STRATEGIES. CROSS-ORGANIZATIONAL STRATEGIES ARE IMPLEMENTED (AS APPROPRIATE) LOCALLY BUT BENEFIT FROM THE EXPERTISE AND STRUCTURE AVAILABLE WITHIN THE SYSTEM. DESCRIPTIONS BELOW REFLECT BOTH CROSS-ORGANIZATIONAL AND LOCAL STRATEGIES. IN FY25, THE HOSPITAL'S SIGNIFICANT NEEDS WERE: MENTAL HEALTH; SUBSTANCE USE; CHRONIC DISEASES. TO ADDRESS THESE NEEDS, THE HOSPITAL AND/OR CLINIC: - CONDUCTED DEPRESSION SCREENING WITH PATIENTS. - PROVIDED ACCESS TO ADDICTION-RELATED TREATMENT, INCLUDING SUBOXONE. - FACILITATED REFERRALS TO LOCAL NON-PROFIT BEHAVIORAL HEALTH SERVICES ORGANIZATIONS FOR PATIENTS WITH SIGNIFICANT MENTAL HEALTH AND SUBSTANCE USE ISSUES. - FACILITATED A MONTHLY DIABETES SUPPORT GROUP. THE GROUP STARTED IN FEBRUARY 2023 AND AVERAGES ABOUT FIVE PEOPLE PER SESSION. - PROVIDED NUTRITION INFORMATION AT IRON COUNTY ON THE MOVE WELLNESS WEDNESDAY (A REGULAR INFORMATION SESSION SPONSORED BY THE IRON AREA HEALTH FOUNDATION). - PROVIDED FREE SPORTS PHYSICALS TO AREA STUDENTS. APPROXIMATELY 120 STUDENTS WERE SERVED. - PROVIDED FUNDING FOR PHOENIX HOUSE. PHOENIX HOUSE PROVIDES RESIDENTIAL AND OUTPATIENT SERVICES FOR INDIVIDUALS SEEKING RECOVERY FROM ADDICTION. THIS FUNDING HELPED LAY THE GROUNDWORK FOR A PEER RECOVERY PROGRAM IN THE UPPER PENINSULA OF MICHIGAN. - PROVIDED FUNDING TO THE IRON AREA HEALTH FOUNDATION, OUR PLACE COMMUNITY CENTER AND THE SUPERIOR HEALTH FOUNDATION. - PROVIDED TIME AND EXPERTISE TO THE IRON AREA HEALTH FOUNDATION, MICHIGAN TECH ADVISORY BOARD, AND THE NMU STUDENT LEADERSHIP FELLOWSHIP PROGRAM. - PROVIDES SEXUAL ASSAULT NURSE EXAMINER SERVICES.- INITIATED (THROUGH ASPIRUS AT THE SYSTEM LEVEL) A HEALTHY FOOD HOME-DELIVERY PROGRAM THAT HELPS PEOPLE MANAGE DIABETES THROUGH HEALTHY EATING. THE PROGRAM, NOURISHEDRX, IS BEING IMPLEMENTED THROUGH ASPIRUS AT HOME (HOME HEALTH). NOURISHEDRX UTILIZES THE CONCEPT OF "FOOD AS MEDICINE," RECOGNIZING THAT HEALTHY EATING CAN SIGNIFICANTLY IMPACT HEALTH OUTCOMES. IN FY25, 72 PATIENTS PARTICIPATED. - CONTINUED IMPLEMENTING A SOCIAL NEEDS SCREENING PROCESS THAT, OVER TIME, WILL PROVIDE INSIGHT INTO PATIENT NEEDS IN ADDITION TO THEIR IMMEDIATE CARE.- - - - - - - - - - - - - - - FOR THE 2022-2025 CHNA, FROM THE AUGUST 2021 COMMUNITY SURVEY, THE TOP-SELECTED ISSUES WERE: - HEALTH INSURANCE IS EXPENSIVE OR HAS HIGH COSTS FOR CO-PAYS AND DEDUCTIBLES- DRUG ABUSE- LACK OF HEALTH INSURANCE- UNEMPLOYMENT, WAGES AND ECONOMIC CONDITIONSFROM THIS LIST, THE HOSPITAL IS ADDRESSING DRUG ABUSE (SUBSTANCE USE). THE OTHER THREE ISSUES WERE NOT SELECTED FOR THE FOLLOWING REASONS. - THE LACK OF AFFORDABLE HEALTH INSURANCE IS OF HIGH CONCERN FOR MANY PEOPLE IN THE UPPER PENINSULA. ASPIRUS PROVIDES FINANCIAL ASSISTANCE FOR PATIENTS WHO STRUGGLE TO AFFORD CARE. ASPIRUS HOSPITALS MAY CONTRIBUTE TO EFFORTS THAT IMPROVE THE AVAILABILITY AND THE AFFORDABILITY OF HEALTH INSURANCE, HOWEVER, THEIR PRIMARY FOCUS IS TO DELIVER HIGH QUALITY MEDICAL CARE. - UNEMPLOYMENT, WAGES AND ECONOMIC CONDITIONS ARE IMPORTANT ISSUES FOR ASPIRUS. ASPIRUS WORKS TO PAY FAIR WAGES AND PROVIDE REASONABLE BENEFITS PACKAGES. ASPIRUS HOSPITALS MAY CONTRIBUTE TO EFFORTS THAT IMPROVE ECONOMIC CONDITIONS, HOWEVER, THEIR PRIMARY FOCUS IS TO DELIVER HIGH QUALITY MEDICAL CARE. FOR THE 2025-2028 CHNA, THE HOSPITAL WILL FORMALLY ADDRESS THE FOLLOWING ISSUES THROUGH THEIR COMMUNITY HEALTH NEEDS ASSESSMENT AND CORRESPONDING IMPLEMENTATION STRATEGY: MENTAL HEALTH; ACCESS TO CARE.FOR THE 2025-2028 CHNA, THE HOSPITAL IS NOT ADDRESSING THE FOLLOWING NEEDS FOR THE FOLLOWING REASONS: - SUBSTANCE USE. SUBSTANCE USE WAS THE THIRD-HIGHEST RATED PRIORITY AREA IN THE COMMUNITY MEETING AND ASPIRUS HAS LIMITED CAPACITY TO LEAD COMMUNITY-LEVEL EFFORTS IN THIS AREA. THE HOSPITALS WILL CONTINUE TO ADDRESS SUBSTANCE USE THROUGH TREATMENT AND REFERRALS, AS WELL AS SYSTEM-LEVEL STRATEGIES (E.G., RECOVERY COACHES). - CHRONIC DISEASE. CHRONIC DISEASE WAS THE FOURTH-HIGHEST RATED PRIORITY AREA IN THE COMMUNITY MEETING AND ASPIRUS HAS LIMITED CAPACITY TO LEAD COMMUNITY-LEVEL EFFORTS IN THIS AREA. THE HOSPITALS WILL CONTINUE TO ADDRESS CHRONIC DISEASE THROUGH TREATMENT AND REFERRALS, AS WELL AS SYSTEM-LEVEL STRATEGIES (E.G., FRUIT AND VEGETABLE PRESCRIPTION PROGRAM).
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY.
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC.	PART V, SECTION B, LINE 13H: THE FINANCIAL ASSISTANCE POLICY ALSO ALLOWS FOR AN ADMINISTRATIVE REVIEW FOR CATASTROPHIC OR UNIQUE CIRCUMSTANCES. THIS ADDITIONAL PROVISION ALLOWS FOR ADMINISTRATION TO MAKE A DETERMINATION THAT MAY ASSIST A PATIENT IN A UNIQUE TIME OF FINANCIAL NEED.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ASPIRUS IRON RIVER CLINIC
814 S ICE LAKE ROAD	IRON RIVER	MI	49935	PHYSICIAN PRACTICES, REHAB, LAB AND XRAY
2 - CRYSTAL FALLS CLINIC
1328 US HWY 2	CRYSTAL FALLS	MI	49920	PHYSICIAN PRACTICES, LAB AND XRAY

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE PATIENT/GUARANTOR, HUSBAND OR WIFE, AND DEPENDENTS MAY NOT HAVE PROPERTY IN EXCESS OF THE FOLLOWING (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY): PRIMARY RESIDENCE IS EXEMPT FOR PATIENTS UNDER 200% FEDERAL POVERTY GUIDELINES. FOR THOSE OVER 200% EQUITY ALLOWANCE IS $75,000 (FINANCIAL STATEMENTS AND TAX BILLS ARE REQUIRED). INCOME PRODUCING LAND (E.G., DAIRY FARM) IS EVALUATED INDIVIDUALLY ON A CASE-BY-CASE BASIS. CASH ASSETS IN EXCESS OF $4,000 AT THE TIME OF APPLICATION (EXCEPT FOR BALANCES INCURRED AT HOSPITALS THAT PARTICIPATE IN THE NATIONAL HEALTH SERVICE CORPS PROGRAM (NHSC) AND/OR MICHIGAN STATE LOAN REPAYMENT PROGRAM (MSLRP) WHERE THIS CRITERIA DOES NOT APPLY). SPECIFICALLY EXCLUDED FROM CONSIDERATION ARE IRA AND PENSION PLANS WHERE RETIREMENT WITHDRAWALS HAVE NOT BEGUN AND IRREVOCABLE BURIAL TRUST FUNDS. TOTAL NET ASSETS CANNOT EXCEED 800% OF FEDERAL POVERTY GUIDELINES. THIS INCLUDES ALL ASSETS INCLUDING CASH ASSETS ABOVE.
PART I, LINE 7:	THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990.
PART I, LINE 7G:	THE ABOVE COSTS OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE EMERGENCY DEPARTMENT. ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. UTILIZED AN INTERNAL DEPARTMENTAL FINANCIAL STATEMENT TO REPORT THE COST AND DIRECT OFFSETTING REVENUE THAT CALCULATES THE COMMUNITY BENEFIT EXPENSE. THE EMERGENCY DEPARTMENT REPORTED COSTS OF $6,309,817 WITH OFFSETTING REVENUE OF $6,171,279.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,282,316.
PART III, LINE 2:	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 RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. 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 3:	THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS.
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 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 RECEIVABLES 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 REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. II. FAILURE TO MEET THESE REQUIREMENTS IN ASPIRUS POLICY 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 INCLUDING PLAIN LANGUAGE SUMMARY (PLS) 3. COLLECTION PHONE CALLS 4. VERIFICATION THAT CHARITY CARE WAS OFFERED WITHIN THE PAST 12-MONTHS AS RECORDED IN THE ELECTRONIC HEALTH RECORD (EMR) WITH STAFF HAVING THE DISCRETION TO OFFER AGAIN WITHIN THE 12-MONTHS. 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 TREASURER'S OFFICE. PROCEDURE: VI. 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 THE INTERNAL POLICY. A. ADDITIONAL INFORMATION REGARDING MEDICARE BAD DEBTS: 1. THE DEBT MUST BE RELATED TO COVERED SERVICES AND DERIVED FROM DEDUCTIBLE AND COINSURANCE AMOUNTS. 2. THE HOSPITAL MUST PROVIDE REASONABLE COLLECTION EFFORTS. 3. THE DEBT IS NOT COLLECTABLE (AT LEAST 120 DAYS OUTSTANDING FROM THE DATE OF THE LAST PATIENT PAYMENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. B. BAD DEBT RECOVERIES 1. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. 2. PAYMENTS MADE DIRECTLY TO ASPIRUS BUT INTENDED FOR COLLECTION ACCOUNTS WILL BE POSTED TO THE APPROPRIATE ACCOUNT AND REPORTED DAILY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. 3. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED TWO TIMES MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE SUBMITTED TO ACCOUNTS PAYABLE AND APPROVED BY THE DIRECTOR FOR CHECK PROCESSING AND PAYMENT TO AGENCIES FOR COMMISSIONS DUE.
PART III, LINE 8:	THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2025, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS.
PART III, LINE 9B:	PATIENT FINANCIAL SERVICES (PFS) PROACTIVELY IDENTIFIES UNINSURED PATIENTS AND UNDER-INSURED PATIENTS AND SCREENS THEM FOR FINANCIAL ASSISTANCE AND COUNSELING WITHOUT REGARD TO RACE, ETHNICITY, GENDER, RELIGION, OR NATIONAL ORIGIN. THESE SERVICES ARE PROVIDED AT NO CHARGE. PFS COUNSELORS WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO HELP THEM UNDERSTAND THE SYSTEM'S FINANCIAL ASSISTANCE/DISCOUNTING POLICIES AND HOW THEY CAN QUALIFY FOR ASSISTANCE AND/OR DISCOUNTS INCLUDING A REFERRAL TO PUBLIC AND PRIVATE PROGRAMS TO DETERMINE ELIGIBILITY.
PART VI, LINE 2:	IN ADDITION TO ASSESSING NEEDS THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL AND CLINICS:- SYSTEMATICALLY REVIEWS PATIENT EXPERIENCE DATA TO UNDERSTAND OPPORTUNITIES TO ADDRESS PATIENT CONCERNS. - MAINTAINS AN INVOLVED REGIONAL BOARD OF DIRECTORS, WITH LOCAL REPRESENTATION. HOSPITAL BOARD MEMBERS ARE FROM MULTIPLE SECTORS (E.G., ACADEMIA, INDUSTRY/BUSINESS, PHILANTHROPY, FINANCE, HEALTHCARE).- SUPPORTS ITS STAFF IN PARTICIPATING ON AND PRESENTING TO COMMUNITY BOARDS AND COMMITTEES THAT PROVIDE INSIGHT ON LOCAL CIRCUMSTANCES.- REVIEWS FUNDING REQUESTS TO THE HOSPITAL AS AN INDICATOR OF LOCAL NEEDS. - INITIATED A SOCIAL NEEDS SCREENING PROCESS THAT, OVER TIME, WILL PROVIDE INSIGHT INTO PATIENT NEEDS IN ADDITION TO THEIR IMMEDIATE CARE.
PART VI, LINE 3:	ALL PATIENT STATEMENTS PROVIDE INFORMATION REGARDING THE ASPIRUS FINANCIAL AID PROGRAM. THIS INCLUDES A TELEPHONE NUMBER TO REQUEST IN-PERSON ASSISTANCE, INFORMATION ABOUT THE PROGRAM AS WELL AS HOW TO REQUEST AN APPLICATION. THE STATEMENT ALSO PROVIDES THE WEB ADDRESS WHICH DIRECTS PATIENTS TO OUR FINANCIAL AID POLICY AS WELL AS THE APPLICATION AND PLAIN LANGUAGE SUMMARY. LETTERS SENT FROM THE FINANCIAL CLEARANCE STAFF INFORM PATIENTS THAT ASPIRUS HAS A FAP. THE FAP IS OFFERED AT THE TIME OF REGISTRATION ANNUALLY TO ALL PATIENTS. FINANCIAL COUNSELORS OFFER FAP TO PATIENTS WHEN REQUESTED OR DURING COLLECTION CALLS, WHEN APPLICABLE. ASPIRUS HAS CERTIFIED APPLICATION COUNSELORS THAT ARE AVAILABLE TO ASSIST WITH MARKETPLACE ENROLLMENT. ELEVATE PFS (CONTRACTED ENTITY) IS USED TO ASSIST ALL UNINSURED PATIENTS WITH SCREENING AND APPLYING FOR MEDICAL ASSISTANCE.
PART VI, LINE 4:	ASPIRUS IRON RIVER HOSPITAL IS ONE OF THREE ASPIRUS SYSTEM HOSPITALS IN A 5-COUNTY RURAL REGION OF THE UPPER PENINSULA OF MICHIGAN. THE 5-COUNTY REGION INCLUDES HOUGHTON, KEWEENAW, ONTONAGON, IRON AND GOGEBIC COUNTIES. ASPIRUS IRON RIVER HOSPITAL IS LOCATED IN IRON COUNTY. IRON COUNTY COVERS 1166 SQUARE MILES, WITH 10.0 PEOPLE PER SQUARE MILE AND AN OVERALL POPULATION OF 11,631 PEOPLE. HERE ARE SOME DETAILS ABOUT ITS POPULATION: PERSONS UNDER AGE 18: 17.4%PERSONS 65 YEARS AND OVER: 30.9%WHITE PERSONS: 94.0%AFRICAN AMERICAN PERSONS: <1%AMERICAN INDIAN PERSONS: <1%ASIAN PERSONS: <1%TWO OR MORE RACES: 4.2%HISPANIC OR LATINO: 1.8%LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 2.0%ADULTS AGES 25 AND OVER WITH A HIGH SCHOOL DIPLOMA OR EQUIVALENT: 93.4% PERSONS IN POVERTY: 16.9%MEDIAN HOUSEHOLD INCOME: $53,614 PERCENT WITHOUT HEALTHCARE COVERAGE: 4.7%PERCENT USING PUBLIC INSURANCE (MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.): 55.2% NUMBER OF HOSPITALS IN THE COUNTY: 1 (ONLY ASPIRUS) THE COUNTY IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY CARE, MENTAL HEALTH AND DENTAL HEALTH. THE COUNTY IS ALSO DESIGNATED AS MEDICALLY UNDERSERVED.
PART VI, LINE 5:	THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH AND COMMUNITY BENEFIT WORK. ADDITIONALLY, THE HOSPITAL: - MAINTAINS A REGIONAL BOARD OF DIRECTORS THAT REFLECTS THE COMMUNITY AND THE REGION. - BRINGS ITS EXPERTISE INTO THE COMMUNITY THROUGH PROGRAMS, SCREENINGS, AND COMMUNITY BOARD AND ADVISORY COMMITTEE MEMBERSHIP.- PROVIDES HIGH QUALITY SERVICES AND IMPLEMENTS ONGOING QUALITY IMPROVEMENT INITIATIVES. - BUDGETS FOR CUTTING EDGE TECHNOLOGIES AND EQUIPMENT THAT SUPPORT PATIENT HEALTH.- OFFERS RESOURCES AND/OR REFERRALS FOR TRANSPORTATION ASSISTANCE FOR PATIENTS AS APPROPRIATE. - PROVIDES PRECEPTORS FOR HEALTH PROFESSIONS STUDENTS-IN-TRAINING, WHICH ADVANCES THE HEALTH CARE WORKFORCE. - HOSTS ON-SITE BLOOD DRIVES.- PROVIDES OFFICE SPACE FOR COMMUNITY PARTNERS THAT MAY NOT BE ABLE TO AFFORD RENTING SPACE ON THEIR OWN.AS PART OF A LARGER NETWORK OF ASPIRUS HEALTHCARE FACILITIES, THE HOSPITAL HAS ACCESS TO: - LOW-COST TEMPORARY LODGING AT ASPIRUS' FLAGSHIP TERTIARY CARE HOSPITAL PARTNER (IN WAUSAU, WI) SO THAT PATIENTS AND/OR THEIR FAMILY NEEDING EXTENDED SPECIALTY CARE HAVE ACCOMMODATIONS. - PROFESSIONAL DEVELOPMENT FOR STAFF, ASSURING THE CARE PROVIDED INCORPORATES THE MOST UP-TO-DATE BEST PRACTICES. - CROSS-TRAINING OPPORTUNITIES. FOR INSTANCE, A WAUSAU-BASED BEREAVEMENT COORDINATOR TRAINS STAFF ACROSS THE SYSTEM ON NORMAL GRIEF RESPONSE, RESILIENCE AND HOSPICE CARE AND SUPPORT. THE COORDINATOR TRAINS THROUGH THE NURSE RESIDENCY PROGRAM AS WELL AS IN UNIT/DEPARTMENT MEETINGS. UNIT/DEPARTMENT LEADERS CAN REQUEST BEREAVEMENT INFORMATION AND SUPPORT FOR THEIR TEAM. SIMILARLY, HOSPITALS HAVE ACCESS TO INJURY PREVENTION EXPERTISE AND RESOURCES THROUGH THE LEVEL 2 TRAUMA CENTER IN WAUSAU. - A MARKETING/COMMUNICATIONS TEAM THAT SUPPORTS THE ONLINE ASPIRUS MEDIA CENTER FEATURING MEDICAL EXPERTS. THE TEAM DEVELOPS AND PROMOTES HEALTH EDUCATION INFORMATION (E.G., ON DIABETES, TICK BITES, SNOWMOBILE SAFETY) FOR PATIENTS AND THE GENERAL PUBLIC.
PART VI, LINE 6:	ASPIRUS HEALTH IS A NONPROFIT, COMMUNITY-DIRECTED HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN, SERVING NORTHEASTERN MINNESOTA, NORTHERN AND CENTRAL WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. THE HEALTH SYSTEM OPERATES 17 HOSPITALS AND 130 OUTPATIENT LOCATIONS WITH NEARLY 14,000 TEAM MEMBERS, INCLUDING 1,300 EMPLOYED PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ASPIRUS SERVES COMMUNITIES THROUGH HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND AIR-MEDICAL TRANSPORT, MEDICAL GOODS, AND ADULT LIVING AND CARE FACILITIES. THE COMBINED EFFORTS PROVIDE RURAL COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. FOR MORE INFORMATION, VISIT ASPIRUS.ORG.
PART VI, LINE 7, REPORTS FILED WITH STATES	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MATTHEW HEYWOOD
PRESIDENT & CEO ASPIRUS	$0	$1,523,574	$0	$2,122,736	$0	$222,424	$0	$10,350	$0	$351,090	$0	$4,230,174	$0	$198,152
SIDNEY SCZYGELSKI
SVP OF FINANCE/CFO (FORMER)	$0	$418,918	$0	$474,490	$0	$576,633	$0	$9,284	$0	$28,706	$0	$1,508,031	$0	$481,861
MICHAEL HOLZHUETER
SVP-CHIEF HR OFFICER	$0	$632,337	$0	$239,983	$0	$7,505	$0	$10,350	$0	$125,990	$0	$1,016,165	$0	$0
JOHN PIETILA MD
BOARD MEMBER/RADIOLOGIST	$0	$931,556	$0	$0	$0	$30,771	$0	$10,350	$0	$40,255	$0	$1,012,932	$0	$0
CONSTANCE BRADLEY
BOARD MEMBER/SVP-PRES. REG. MKTS.	$0	$557,181	$0	$172,222	$0	$57,121	$0	$10,350	$0	$115,419	$0	$912,293	$0	$52,586
MICHAEL WALTERS
SVP-SYSTEM CHIEF MEDICAL OFFICER	$0	$508,507	$0	$193,167	$0	$61,812	$0	$10,350	$0	$107,316	$0	$881,152	$0	$56,910
JAMES MATHESON
SVP-CHIEF STRATEGY OFFICER	$0	$486,205	$0	$186,599	$0	$72,384	$0	$8,565	$0	$106,951	$0	$860,704	$0	$58,001
DANIEL LUKES DO
BOARD MEMBER/PHYSICIAN	$0	$799,942	$0	$0	$0	$7,322	$0	$10,350	$0	$30,695	$0	$848,309	$0	$0
JENNIFER REDMAN-SCHELL
VICE CHAIR/SVP & PRESIDENT-AMG	$0	$524,479	$0	$198,502	$0	$4,398	$0	$10,350	$0	$94,801	$0	$832,530	$0	$0
JERRY M YANG
SVP-CHIEF FINANCIAL OFFICER	$0	$616,776	$0	$25,000	$0	$35,464	$0	$10,350	$0	$128,044	$0	$815,634	$0	$0
WILL WEIDER
SVP-CHIEF INFORMATION OFFICER	$0	$472,935	$0	$180,578	$0	$7,157	$0	$2,778	$0	$103,017	$0	$766,465	$0	$0
JESSE TISCHER
SVP & PRESIDENT-AWH (FORMER)	$0	$29,283	$0	$73,104	$0	$630,592	$0	$2,566	$0	$3,289	$0	$738,834	$0	$0
MEDHAT FANOUS
PHYSICIAN	$629,979	$0	$0	$0	$6,244	$0	$4,015	$0	$40,861	$0	$681,099	$0	$0	$0
ERIC ANDERSON
CHIEF COMPLIANCE OFFICER	$0	$454,003	$0	$109,647	$0	$2,193	$0	$2,636	$0	$96,945	$0	$665,424	$0	$0
SUSAN SCHNEIDER
VP-SYSTEM SR. PHYSICIAN EXEC.	$0	$459,962	$0	$116,101	$0	$4,692	$0	$10,350	$0	$25,557	$0	$616,662	$0	$0
LORI PECK
BOARD MEMBER/VP-FINANCE	$0	$360,993	$0	$151,157	$0	$27,645	$0	$9,303	$0	$2,184	$0	$551,282	$0	$25,874
JONATHAN BRUEGGEMAN
BOARD MEMBER/MEDICAL DIRECTOR	$0	$435,027	$0	$36,010	$0	$810	$0	$10,350	$0	$40,721	$0	$522,918	$0	$0
WILLIAM CARROLL
VP-INFORMATION TECHNOLOGY	$0	$244,957	$0	$149,328	$0	$61,332	$0	$10,350	$0	$31,536	$0	$497,503	$0	$0
THOMAS POWELL
VP-CHIEF MEDICAL INFO OFFICER	$0	$152,526	$0	$0	$0	$286,737	$0	$4,252	$0	$14,217	$0	$457,732	$0	$0
CHRISTINE HARFF
(NV) PRESIDENT-UP REGION (THRU 11/24	$0	$307,485	$0	$95,223	$0	$19,119	$0	$7,674	$0	$26,457	$0	$455,958	$0	$0
PATRICK TINCHER JR
BOARD MEMBER/VP-FIN REG OPS (THRU 01	$0	$291,270	$0	$68,420	$0	$9,601	$0	$9,203	$0	$41,187	$0	$419,681	$0	$0
AMY NIELSEN
PHYSICIAN	$299,918	$0	$45,000	$0	$5,386	$0	$7,706	$0	$12,445	$0	$370,455	$0	$0	$0
CARLOS CONDADO
CRNA	$262,494	$0	$0	$0	$6,207	$0	$5,410	$0	$31,484	$0	$305,595	$0	$0	$0
KRISTINE FLOWERS
PHYSICIAN	$224,617	$0	$0	$0	$6,814	$0	$7,055	$0	$40,958	$0	$279,444	$0	$0	$0
DONALD PATTON
PHYSICIAN	$218,397	$0	$0	$0	$7,479	$0	$5,568	$0	$30,309	$0	$261,753	$0	$0	$0
KRISTEN MESKE NP-C
BOARD MEMBER/NP (THRU 09/24)	$160,013	$0	$0	$0	$1,671	$0	$3,200	$0	$857	$0	$165,741	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS IRON RIVER HOSPITAL & CLINIC, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINES 4A-B	SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENT: J. TISCHER $569,088 T. POWELL $237,748 W. CARROLL $41,555 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) DISTRIBUTION: S. SCZYGELSKI $481,861 M. HEYWOOD $198,152 J. MATHESON $58,001 C. BRADLEY $52,586 L. PECK $25,874 M. WALTERS $56,910 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.
PART I, LINE 7	SHORT-TERM AND LONG-TERM INCENTIVE BONUSES ARE CALCULATED USING AN OBJECTIVE FORMULA THAT INCLUDES FISCAL YEAR MEASURES APPROVED BY THE BOARD IN AREAS OF CLINICAL QUALITY AND SERVICE, EMPLOYEE SATISFACTION, AND FINANCIAL PERFORMANCE. IN ADDITION, TARGETED RETENTION BONUSES MAY BE IMPLEMENTED TO ENSURE KEY TALENT REMAINS IN PLACE TO MEET STRATEGIC DEMANDS. ALL INCENTIVE PAYMENTS ARE EXAMINED FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD FOR DISQUALIFIED PERSONS OR THROUGH EXECUTIVE MANAGEMENT AND ASPIRUS' HUMAN RESOURCE FUNCTION (FOR NON-DISQUALIFIED PERSONS).

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DONALD PATTON MD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	DONALD PATTON AND KRISTEN MESKE (BOARD MEMBER) HAVE A FAMILY RELATIONSHIP	RelationshipDescriptionTxt
Transaction	$244,250	TransactionAmt
Transaction	PAYROLL	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE PARENT ORGANIZATION, ASPIRUS INC., IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THERE SHALL BE A MINIMUM OF 9 VOTING DIRECTORS ALLOCATED AS FOLLOW. THERE SHALL BE THREE CLASSES OF VOTING DIRECTORS: THE ASPIRUS CLASS, COMMUNITY CLASS, AND THE PROVIDER CLASS. NO LESS THAN FOUR INDEPENDENT COMMUNITY CLASS DIRECTORS, THREE ASPIRUS CLASS DIRECTORS NOMINATED AND ELECTED BY ASPIRUS, INC., TWO PROVIDER CLASS DIRECTOR NOMINATED BY THE CORPORATION'S BOARD AND ELECTED BY ASPIRUS, INC.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING ACTIONS MUST BE APPROVED BY THE DIRECTORS 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.
FORM 990, PART VI, SECTION B, LINE 11B	THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS THEN 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	ANNUALLY, BOARD MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS TO THE BOARD. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS. AN INTERESTED PERSON IS A DIRECTOR, PRINCIPAL, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. AFTER DISCLOSURE, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING MEMBERS SHALL DECIDE IF A CONFLICT EXISTS. THE MEMBER WILL ABSTAIN FROM VOTING ON THIS ISSUE IF A CONFLICT OF INTEREST IS DISCOVERED.
FORM 990, PART VI, SECTION B, LINE 15	FOR PURPOSES OF DETERMINING COMPENSATION, ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CHIEF ADMINISTRATIVE OFFICER, 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 HAS DEEMED THAT ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE THE PROPERTY OF THE ORGANIZATION AND ARE NOT AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART IX, LINE 11G	LAB FEES: PROGRAM SERVICE EXPENSES 349,778. MANAGEMENT AND GENERAL EXPENSES 191,172. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 540,950. PHARMACY FEES: PROGRAM SERVICE EXPENSES 108,827. MANAGEMENT AND GENERAL EXPENSES 59,479. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 168,306. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,233,310. MANAGEMENT AND GENERAL EXPENSES 1,767,169. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,000,479. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 115,676. MANAGEMENT AND GENERAL EXPENSES 63,223. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 178,899. OTHER SERVICES: PROGRAM SERVICE EXPENSES 630,641. MANAGEMENT AND GENERAL EXPENSES 344,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 975,319.
FORM 990, PART XI, LINE 9:	INTERCOMPANY TRANSFERS 12,504,272.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASPIRUS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391328331	HEALTHCARE	WI	501(C)(3)	LINE 12B, II	N/A	0
ASPIRUS WAUSAU HOSPITAL INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391138241	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS EXTENDED SERVICES INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	390782130	NURSING HOME SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS BUILDINGS INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391406537	PROPERTY LEASING	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS MEDICAL GROUP INC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	391670223	MEDICAL SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS ONTONAGON HOSPITAL INC
601 SEVENTH STREET	ONTONAGON	MI	49953	260806477	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS AT HOME INC
520 N 32ND AVENUE	WAUSAU	WI	54401	390808511	HOME HEALTH CARE SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS INC
ASPIRUS VNA EXTENDED CARE INC
520 N 32ND AVENUE	WAUSAU	WI	54401	391597350	PERSONAL CARE SERVICES	WI	501(C)(3)	LINE 10		Yes (1)	ASPIRUS AT HOME INC
ASPIRUS HEALTH FOUNDATION INC
425 PINE RIDGE BLVD	WAUSAU	WI	54401	391256656	CHARITABLE FOUNDATION	WI	501(C)(3)	LINE 7		Yes (1)	ASPIRUS INC
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
N 10561 GRAND VIEW LANE	IRONWOOD	MI	49938	382908586	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
410 DEWEY STREET	WISCONSIN RAPIDS	WI	54494	390868982	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS KEWEENAW HOSPITAL
205 OSCEOLA STREET	LAURIUM	MI	49913	381443361	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
DIVINE SAVIOR HEALTHCARE INC
2817 NEW PINERY ROAD	PORTGAGE	WI	53901	390806250	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
135 S GIBSON STREET	MEDFORD	WI	54451	390964813	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC
900 ILLINOIS AVENUE	STEVENS POINT	WI	54481	390808443	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS STANLEY HOSPITAL & CLINICS INC
1120 PINE STREET	STANLEY	WI	54768	390807065	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS MERRILL HOSPITAL & CLINICS INC
601 S CENTER AVENUE	MERRILL	WI	54452	390808503	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS RHINELANDER & TOMAHAWK HOSPITAL & CLINICS INC
2251 NORTH SHORE DRIVE	RHINELANDER	WI	54501	391390638	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS INC
201 HOSPITAL ROAD	EAGLE RIVER	WI	54521	390985690	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREET	WOODRUFF	WI	54568	390873606	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREET	WOODRUFF	WI	54568	391499115	HEALTHCARE	WI	501(C)(3)	LINE 12B, II		Yes (1)	ASPIRUS INC
ASPIRUS MEDICAL GROUP - NORTHERN WISCONSIN INC
2251 NORTH SHORE DRIVE	RHINELANDER	WI	54501	391965593	MEDICAL SERVICES	WI	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ST LUKE'S HOSPITAL OF DULUTH
915 EAST 1ST STREET	DULUTH	MN	55805	410714079	HOSPITAL	MN	501(C)(3)	LINE 3		Yes (1)	ASPIRUS INC
ST LUKE'S FOUNDATION
1000 EAST 1ST STREET NO 102	DULUTH	MN	55805	411448118	CHARITABLE FOUNDATION	MN	501(C)(3)	LINE 12A, I		Yes (1)	ST LUKE'S HOSPITAL OF DULUTH
LAKE VIEW MEMORIAL HOSPITAL INC
325 11TH AVENUE	TWO HARBORS	MN	55616	410786046	HOSPITAL	MN	501(C)(3)	LINE 3		Yes (1)	ST LUKE'S HOSPITAL OF DULUTH
LAKE VIEW MEMORIAL HOSPITAL FOUNDATION OF NORTHEAST MINNESOTA
325 11TH AVENUE	TWO HARBORS	MN	55616	411700972	CHARITABLE FOUNDATION	MN	501(C)(3)	LINE 12A, I		Yes (1)	LAKE VIEW MEMORIAL HOSPITAL INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
WESTERN UPPER MICHIGAN EYE CARE LLC
131 W GENESEE STREET	IRON RIVER	MI	49935	272324957	EYE CARE SERVICES	MI	N/A	0	0
THE WESTWOOD CONFERENCE CENTER LLC
333 PINE RIDGE BLVD	WAUSAU	WI	54401	571184256	REAL ESTATE INVESTMENT	WI	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
ASPIRUS NETWORK INC
3000 WESTHILL DRIVE 202	WAUSAU	WI	54401	391931678	HEALTH CARE SERVICES	WI	N/A	C	Yes (1)
ASPIRUS KEWEENAW ENTERPRISES INC
205 OSCEOLA STREET	LAURIUM	MI	49913	383390273	PHARMACY	MI	N/A	C	Yes (1)
ASPIRUS HEALTH VENTURES
3000 WESTHILL DR SUITE 303	WAUSAU	WI	54401	474925640	HEALTH INSURANCE PLAN	WI	N/A	C	Yes (1)
ASPIRUS ARISE HEALTH PLAN OF WI INC
300 WESTHILL DR SUITE 303	WAUSAU	WI	54401	364832569	HEALTH INSURANCE PLAN	WI	N/A	C	Yes (1)
ASPIRUS ARISE HEALTH PLAN OF MI INC
300 WESTHILL DR SUITE 303	WAUSAU	WI	54401	475448266	HEALTH INSURANCE PLAN	MI	N/A	C	Yes (1)
ASPIRUS CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC
2200 WESTWOOD DRIVE	WAUSAU	WI	54401	842513742	ASSOCIATION	WI	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ASPIRUS INC
I	$403,162	COST
ASPIRUS INC
M	$6,398,526	COST
ASPIRUS INC
O	$15,817,881	COST
ASPIRUS INC
P	$32,142,690	COST
ASPIRUS INC
S	$4,598,007	COST
ASPIRUS WAUSAU HOSPITAL INC
Q	$466,033	COST
ASPIRUS WAUSAU HOSPITAL INC
R	$495,910	COST
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
Q	$72,935	COST
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
R	$72,935	COST
ASPIRUS MEDICAL GROUP INC
O	$960,861	COST
ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
P	$234,344	COST