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Critical access hospital · Ironwood, Michigan · 25 beds · CMS certification number 231333

Aspirus Ironwood Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, amended, stamped by CMS June 11, 2026. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$85.3M
$85,323,447 · G-3 line 3
Operating expenses
$79.4M
$79,419,983 · G-3 line 4
Result from patient care
$5.9M
$5,903,464 · G-3 line 5
Margin on patient care
6.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $9.9M in its first year on file (2005) to $85.3M in 2025.
  • Its result from patient care: −$2.3M (2023), $1.0M (2024), $5.9M (2025).
  • None of the 5 critical access hospital peers below with a margin on file reports a gain on patient care for fiscal year 2025.
  • Medicaid paid for 1.7% of its inpatient days and Medicare for 33.3%.
  • ASPIRUS, INC holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

21 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2005
settled
$9.9M
$8.9M
2006
settled
$36.9M
$36.3M
2007
settled with audit
$37.9M
$37.7M
2008
settled
$42.6M
$43.6M
2009
settled
$40.0M
$43.4M
2010
settled
$39.4M
$42.8M
2011
settled
$20.5M
$21.9M
2012
reopened
$39.4M
$41.9M
2013
reopened
$43.1M
$44.2M
2014
reopened
$44.3M
$47.9M
2015
settled
$47.3M
$52.5M
2016
settled
$52.2M
$57.4M
2017
settled
$57.8M
$61.0M
2018
settled
$54.7M
$61.7M
2019
settled
$56.2M
$61.0M
2020
settled with audit
$54.3M
$59.9M
2021
settled
$61.4M
$61.6M
2022
settled
$67.3M
$65.7M
2023
reopened
$65.4M
$67.7M
2024
settled with audit
$72.5M
$71.5M
2025
amended
$85.3M
$79.4M

Beside its peers

Critical access hospitals in Michigan with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Aspirus Ironwood Hospital25$85,323,447$79,419,9836.9%
Beacon Dowagiac, Dowagiac25$15,926,668$17,898,575−12.4%
Helen Newberry Joy Hospital & Healthcare Center, Newberry25$39,937,840$43,005,038−7.7%
McKenzie Health System, Sandusy25$32,931,672$34,391,995−4.4%
Mymichigan Medical Center Standish, Standish25$25,898,893$26,537,237−2.5%
Scheurer Health - Pigeon, Pigeon25$67,021,252$73,901,821−10.3%

Patients and payers

Discharges
969
S-3 line 14, col 15
Inpatient days
4,766
S-3 line 14, col 8
Beds in use, on an average day
13.1
days ÷ days in year
Occupancy
52.2%
days ÷ bed days
Medicare share of days
33.3%
S-3 cols 6 ÷ 8
Medicaid share of days
1.7%
S-3 cols 7 ÷ 8

Who owns it

  • ASPIRUS, INC100%

Related organizations on its own cost report: ACI, healthcare; AKH, hospital; VNA, healthcare; AI (70%), healthcare; AOH, hospital.

Other hospitals with the same owner: Aspirus Iron River Hospital & Clinics (MI), Aspirus Keweenaw Hospital (MI), Aspirus St. Lukes Hospital (MN), Aspirus Lake View Hospital (MN), Aspirus Stevens Point Hospital & Clinics (WI), Aspirus Rhinelander Hospital (WI), Aspirus Wausau Hospital (WI).

Type of control on its cost report: voluntary nonprofit, other.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by ASPIRUS IRONWOOD HOSPITAL & CLINICS INC (employer identification number 382908586) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$5,091,746IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$407,966IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$4,672,483IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$5,080,449IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$11,297IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0748IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202411369349304181. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by ASPIRUS IRONWOOD HOSPITAL &amp; CLINICS INC (employer identification number 382908586) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
ANDREW COSTICVP-FINANCE - UP REGIONKey employee$0$272,701$24,274
CHRISTINE HARFF(NV) PRESIDENT - REGIONAL UPOfficer$0$459,422$103,257
CONSTANCE BRADLEYSVP-SYSTEM CHIEF NURSING EXECKey employee$0$502,032$95,550
CRYSTAL KIRSCHLINGVP-REGIONAL INTEGRATION OFFICERKey employee$0$348,443$48,718
DANIEL J LUKES DOBOARD MEMBER/PHYSICIANTrustee/director$0$802,805$46,236
DEBRA BALLSVP & CHIEF HR OFFICERKey employee$0$458,839$103,553
ENRICO BRAUCHERPHYSICIANHighest-compensated employee$0$728,410$40,004
ERIC ANDERSONSVP-SERVICE LINE & PATIENT EXP.Key employee$0$519,926$106,843
JAMES HUBBARDPHYSICIANHighest-compensated employee$0$713,239$52,471
JAMES MATHESONSVP-CHIEF STRATEGY OFFICERKey employee$0$539,401$110,893
JAMES R RICHARDSONBOARD MEMBERTrustee/director$0$0$0
JENNIFER REDMAN-SCHELLVICE CHAIR/SVP & PRESIDENT-AMGTrustee/director, Officer$0$641,148$101,726
JESSE TISCHERBOARD MEMBER/SVP & PRES.-REG. MKTS.Trustee/director$0$781,575$128,595
JOHN MATONICHCHAIRPERSONTrustee/director, Officer$0$0$0
JOHN PIETILABOARD MEMBER/RADIOLOGISTTrustee/director$0$876,739$57,266
JONATHAN BRUEGGEMANBOARD MEMBER/CMO-UP REGIONTrustee/director$0$450,639$55,802
KATIE L CLARKSECRETARYTrustee/director, Officer$0$0$0
KIRK R SCHOTTBOARD MEMBER/PHYSICIANTrustee/director$0$0$0
KRISTEN D MESKE NP-CBOARD MEMBER/NURSE PRACTITIONERTrustee/director$0$136,910$5,756
MATTHEW HEYWOODPRESIDENT & CEO ASPIRUSOfficer$0$1,799,938$311,110
MICHAEL HOLZHUETERSVP-GENERAL COUNSELKey employee$0$672,916$123,676
PATRICK TINCHER JRBOARD MEMBER/VP-FINANCE REG. OPS.Trustee/director$0$336,475$56,521
PAULA CHERMSIDEPRESIDENT-CAO - AIWKey employee$295,728$0$31,255
RICHARD KOUBEKBOARD MEMBERTrustee/director$0$0$0
ROBIN MENEZUGGOBOARD MEMBERTrustee/director$0$0$0
SCOTT NOVASCONEREGISTERED NURSEHighest-compensated employee$119,442$0$26,048
SCOTT REMMICHVP-CHIEF COMPLIANCE OFFICERKey employee$0$304,493$45,336
SIDNEY SCZYGELSKISR. VP OF FINANCE/CFOOfficer$0$1,911,464$144,118
STEVEN TINTITREASURERTrustee/director, Officer$0$0$0
SUSAN TICEREGISTERED NURSE - AIW MNAHighest-compensated employee$164,635$0$19,173
TATYANA BOMBARDRADIOLOGISTHighest-compensated employee$0$753,856$54,720
TODD RICHARDSONSVP & CHIEF INFO. OFF. (THRU 06/23)Key employee$0$534,868$104,438
WILLIAM CARROLLVP-INFORMATION TECHNOLOGYKey employee$0$321,116$49,427

E-file object id 202411369349304181. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 231333. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read June 11, 2026.