Aspire Rural Health System

Legal name: Hills & Dales General Hospital Inc

Nonprofit profile at a glance

EIN
381619577
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Cass City, MI, US
Phone
+1-989-635-4000
Rating
80
Verdict
STRONG
Rating confidence
Moderate
Sector
Hospitals

Official website

Reported finances

Revenue
$96,657,734
Expenses
$87,762,385
Assets
$54,392,188
Liabilities
$22,224,690

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

19 people listed

Executive titles in this filing

  • ANDREW DANIELS (PRESIDENT AND CO-CEO)
  • ANGELA MCCONNACHIE (CO-CEO)

Highest reported compensation

  • JIAB SULEIMAN (PHYSICIAN): $1,269,370 total reported compensation
  • DAVID KOMASARA (PHYSICIAN): $568,863 total reported compensation
  • ERIC SHOEMAKER (PHYSICIAN): $567,645 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Providing exceptional care close to home as the leading rural healthcare organization.

What it reported doing in 2024

The organizaion provided nursing and professional services for acute & swing bed patients, emergency, and outpatients. During the period january 1, 2024 to december 31, 2024, hdgh provided care including 1,182 inpatient days, 1,931 swing bed days, 8,220 emergency room visits, over 86,376 physician visits, for a total registrations of 164,702 . During the year, 68.7% of the services provided were to governmental programs, which reimburse below actual costs. In addition, the hospital provided approximately $385,506 in charity care and was unable to collect from uninsured and underinsured patients. Community benefits are also provided through free programs such as, health fairs, public service announcements, education on specific disease conditions, lectures, blood pressure screening, tb training. The hospital also provided reduce fee services.

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 76
  • Transparency & Controls: 74
  • Accountability: 100
  • Sustainability: 48
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 81.5%; rating input score 82
  • Program expense ratio: 89.9%; rating input score 90
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 95.8%; rating input score 96; 29th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 9.2%; rating input score 70; 70th percentile among comparable filings
  • Total-asset coverage ratio: 0.62; rating input score 24; 24th percentile among comparable filings
  • Liabilities to assets ratio: 0.41; rating input score 44; 44th percentile among comparable filings
  • Officer compensation ratio: 4.4%; rating input score 21; 21st percentile among comparable filings

Growth

  • Program expense growth: 9.4% per year; rating input score 100; 72nd percentile among comparable filings
  • Revenue growth: 8.6% per year; rating input score 100; 70th percentile among comparable filings
  • Asset growth: 9.1% per year; rating input score 100; 66th percentile among comparable filings

Details

  • What they do: 3 programs and campaigns described on the official site · 4 operating locations identified
  • Where the money goes: 81.5% of revenue deployed · 89.9% of spending went to programs
  • Governance: 11 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $78.9M in reported program spending
  • Leadership: top reported pay $1.3M · 19 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $8.9M reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 9 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • Related organizations: 11 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 24/100.
  • High — Sustainability: Officer compensation ratio scored 21/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 44/100.