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Critical access hospital · Tomahawk, Wisconsin · 18 beds · CMS certification number 521313

Aspirus Rhinelander & Tomahawk Hospitals & Clinics

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 25, 2025. 25 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$15.5M
$15,479,114 · G-3 line 3
Operating expenses
$15.8M
$15,806,199 · G-3 line 4
Result from patient care
−$327K
−$327,085 · G-3 line 5
Margin on patient care
−2.1%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue fell from $18.4M in its first year on file (2001) to $15.5M in 2025.
  • Its result from patient care: −$287K (2023), −$849K (2024), −$327K (2025).
  • 2 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 0.8% of its inpatient days and Medicare for 45.1%.
  • ASPIRUS, INC holds 100% of it, on its Medicare enrollment.

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

25 years of filings

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

Net patient revenueOperating expenses
2001
settled
$18.4M
$19.6M
2002
settled
$58.5M
$52.7M
2003
settled
$60.0M
$57.3M
2004
settled
$69.2M
$64.8M
2005
settled
$75.8M
$71.6M
2006
settled
$80.2M
$79.4M
2007
reopened
$89.7M
$77.6M
2008
reopened
$95.2M
$92.6M
2009
reopened
$107.9M
$92.5M
2010
reopened
$15.6M
$12.1M
2011
reopened
$19.8M
$12.2M
2012
settled
$20.5M
$13.7M
2013
reopened
$10.9M
$10.2M
2014
reopened
$19.2M
$13.5M
2015
settled
$18.2M
$12.9M
2016
settled
$18.0M
$12.4M
2017
settled
$19.9M
$11.7M
2018
settled
$16.9M
$14.6M
2019
settled
$17.4M
$14.4M
2020
settled
$15.7M
$15.2M
2021
settled
$18.3M
$17.7M
2022
settled
$14.3M
$14.0M
2023
settled
$13.5M
$13.8M
2024
settled
$13.9M
$14.7M
2025
as submitted
$15.5M
$15.8M

Beside its peers

Critical access hospitals in Wisconsin with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Aspirus Rhinelander & Tomahawk Hospitals & Clinics18$15,479,114$15,806,199−2.1%
Mayo Clinic Health System-Osseo, Osseo18$37,151,552$39,220,448−5.6%
Spooner Health System, Spooner20$36,332,399$32,139,97811.5%
HSHS St. Clare Memorial Hospital, Oconto Falls23$30,832,121$41,386,714−34.2%
Stoughton Hospital, Stoughton20$75,894,988$70,046,9397.7%
Vernon Health Hospital, Viroqua18$92,877,754$81,874,69711.8%

Patients and payers

Discharges
257
S-3 line 14, col 15
Inpatient days
1,576
S-3 line 14, col 8
Beds in use, on an average day
4.3
days ÷ days in year
Occupancy
24.0%
days ÷ bed days
Medicare share of days
45.1%
S-3 cols 6 ÷ 8
Medicaid share of days
0.8%
S-3 cols 7 ÷ 8

Who owns it

  • ASPIRUS, INC100%

Related organizations on its own cost report: ASPIRUS INC. (100%), health system.

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

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 521313. 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 December 25, 2025.