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SPOONER HEALTH SYSTEM INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
SPOONER HEALTH SYSTEM INC (EIN 39-0892183)
Tax period
2024-04-01 to 2025-03-31
Filed
2026-02-06
IRS object ID
202630379349301428
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 ReturnHeader

FieldValueIRS element (for citing)
Return2026-02-06T13:15:46-06:00ReturnTs
Tax Period End2025-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110401 W INNOVATION DR STE 300AddressLine1Txt
CityWAUWATOSACityNm
State AbbreviationWIStateAbbreviationCd
ZIP53226ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390892183EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPOONER HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSPOOBusinessNameControlTxt
Phone7156352111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11280 CHANDLER DRIVEAddressLine1Txt
CitySPOONERCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL D SCHAFERPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone7156352111PhoneNum
Signature2026-02-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKRISTEN DONLEVYPreparerPersonNm
PTINP01670215PTIN
Phone4144761880PhoneNum
Preparation2026-02-05PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL D SCHAFERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11280 CHANDLER DRIVEAddressLine1Txt
CitySPOONERCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$47,530,590GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SPOONERHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1955FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH QUALITY HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee177TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,075PYContributionsGrantsAmt
CY Contributions Grants$9,534CYContributionsGrantsAmt
PY Program Service Revenue$31,261,847PYProgramServiceRevenueAmt
CY Program Service Revenue$33,742,717CYProgramServiceRevenueAmt
PY Investment Income$1,512,301PYInvestmentIncomeAmt
CY Investment Income$1,393,530CYInvestmentIncomeAmt
PY Other Revenue$168,189PYOtherRevenueAmt
CY Other Revenue$174,833CYOtherRevenueAmt
PY Total Revenue$32,949,412PYTotalRevenueAmt
CY Total Revenue$35,320,614CYTotalRevenueAmt
PY Grants And Similar Paid$6,317PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$17,767CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,384,930PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,365,668CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$17,974,136PYOtherExpensesAmt
CY Other Expenses$19,264,466CYOtherExpensesAmt
PY Total Expenses$31,365,383PYTotalExpensesAmt
CY Total Expenses$33,647,901CYTotalExpensesAmt
PY Revenues Less Expenses$1,584,029PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,672,713CYRevenuesLessExpensesAmt
Total Assets BOY$65,877,495TotalAssetsBOYAmt
Total Assets EOY$67,259,170TotalAssetsEOYAmt
Total Liabilities BOY$20,259,977TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,511,656TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$45,617,518NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$47,747,514NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HIGH QUALITY HEALTHCARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,580,702ExpenseAmt
Grant$17,767GrantAmt
Revenue$33,375,603RevenueAmt
DescSPOONER HEALTH SYSTEM IS A 25 BED CRITICAL ACCESS HOSPITAL THAT PLAYS A VITAL ROLE IN THE HEALTH AND WELL-BEING OF THE COMMUNITY BY OFFERING SERVICES TO PATIENTS SUCH AS 24-HOUR EMERGENCY CARE, ACUTE CARE, SURGICAL, REHABILITATION, DIAGNOSTIC, HOSPICE AND WOUND CARE. FOR THE FISCAL YEAR ENDING 3/31/2025, THERE WERE 1,248 INPATIENT DAYS, 314 INPATIENT DISCHARGES, 25,134 OUTPATIENT VISITS, 7,288 EMERGENCY ROOM VISITS, AND 421 SURGERIES ALONG WITH 556 SCOPE PROCEDURES. SPOONER HEALTH SYSTEM PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS SUCH AS MEDICARE AND MEDICAID AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. A FINANCIAL ASSISTANCE PROGRAM, WHICH INCLUDES FEE DISCOUNTS AS WELL AS 100% FREE CARE, IS ALSO AVAILABLE FOR PATIENTS FINANCIALLY UNABLE TO PAY FOR SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$641,365ExpenseAmt
Grant$0GrantAmt
Revenue$367,114RevenueAmt
DescTHE HOME HEALTH AGENCY PROVIDES ESSENTIAL NURSING AND REHABILITATION SERVICES TO PATIENTS IN THEIR HOME. FOR THE FISCAL YEAR ENDING 3/31/2025, THERE WERE 1,956 HOME HEALTH VISITS SERVING 323 PATIENTS, 95 ADMITTED CASES, AND 95 DISCHARGED CASES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$28,222,067TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee177EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REBECCA BUSCHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7159391732PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11280 CHANDLER DRIVEAddressLine1Txt
CitySPOONERCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMIE MORALES
BOARD PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
TIM REEDY
BOARD VICE PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
NICOLE TIMS
BOARD TREASURER1.000.00Yes (X)Yes (X)$0$0$0
MARK VAN ETTEN MD
BOARD SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
BRIAN GASKILL DO
BOARD MEMBER/CHIEF OF STAFF2.000.00Yes (X)$0$0$0
MATT THOMPSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
SUE CHURCHILL
BOARD MEMBER1.000.00Yes (X)$0$0$0
REBECCA BUSCH
CHIEF FINANCIAL OFFICER40.000.00Yes (X)$188,178$0$32,274
MICHAEL SCHAFER
CHIEF EXECUTIVE OFFICER40.000.00Yes (X)$0$0$0
PHILIP MOFLE MD
SURGERY MEDICAL DIRECTOR40.000.00$355,702$0$54,906Yes (X)
TAMARA DANIELS MD
E.D. MEDICAL DIRECTOR33.000.00$325,933$0$59,982Yes (X)
TIMOTHY BASSETT
PHARMACY DIRECTOR40.000.00$197,909$0$15,431Yes (X)
CONNOR SCHMIDT
CRNA40.000.00$322,951$0$53,504Yes (X)
JENNIFER ZIMMER
APNP40.000.00$166,261$0$44,993Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,556,934TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$261,090TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K22IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WAPITI MEDICAL GROUP
912 INDUSTRIAL DRIVE STE 102MILBANKSD57252ED PHYSICIAN COVERAGE$1,933,665
ARAMARK
27310 NETWORK PLACECHICAGOIL60673CULINARY SERVICES/STAFFING$1,181,314
HEALTHTECH MANAGEMENT SERVICES
2745 N DALLAS PKWY SUITE 100PLANOTX75093MANAGEMENT FEES$904,889
ESSENTIA HEALTH
532 EAST FIRST STREETDULUTHMN55805EHR/HOSPITALIST/RENT/MEDICAL DIRECTOR$791,364
MEDICAL SOLUTIONS LLC
1010 NORTH 102ND STREETOMAHANE68114CONTRACT STAFFING$676,976
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Fundraising$9,134FundraisingAmt
All Other Contributions$400AllOtherContributionsAmt
Total Contributions$9,534TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621400$33,179,206$33,179,206
OTHER PATIENT REVENUE FROM JV621400$563,511$563,511
FieldValueIRS element (for citing)
Total Program Service Revenue$33,742,717TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,304,832TotalRevenueColumnAmt
Exclusion$1,304,832ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$36,338RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$36,338RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,338TotalRevenueColumnAmt
Exclusion$36,338ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$12,286,248SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,169,459SecuritiesAmt
Other$28,091OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$116,789SecuritiesAmt
Other-$28,091OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$88,698TotalRevenueColumnAmt
Exclusion$88,698ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$11,896FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$9,134ContriRptFundraisingEventAmt
Fundraising Direct Expenses$12,426FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$530TotalRevenueColumnAmt
Exclusion-$530ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEAL INCOME900099$98,200$98,200
MISCELLANEOUS900099$40,825$40,825
FieldValueIRS element (for citing)
Other Revenue Total$139,025OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,320,614TotalRevenueColumnAmt
Related Or Exempt Func Income$33,742,717RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,568,363ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$11,121TotalAmt
Program Services$11,121ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,646TotalAmt
Program Services$6,646ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$215,131TotalAmt
Management And General$215,131ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,882,302TotalAmt
Program Services$9,500,940ProgramServicesAmt
Management And General$1,381,362ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$428,682TotalAmt
Program Services$376,298ProgramServicesAmt
Management And General$52,384ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,066,538TotalAmt
Program Services$1,786,667ProgramServicesAmt
Management And General$279,871ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$773,015TotalAmt
Program Services$663,327ProgramServicesAmt
Management And General$109,688ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,099,719TotalAmt
Management And General$1,099,719ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$78,783TotalAmt
Management And General$78,783ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$108,756TotalAmt
Management And General$108,756ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$6,633TotalAmt
Management And General$6,633ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$231,308TotalAmt
Management And General$231,308ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,310,764TotalAmt
Program Services$3,120,958ProgramServicesAmt
Management And General$189,806ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$292,420TotalAmt
Management And General$292,420ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$269,173TotalAmt
Program Services$136,193ProgramServicesAmt
Management And General$132,980ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,086,001TotalAmt
Program Services$308,203ProgramServicesAmt
Management And General$777,798ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,433,362TotalAmt
Program Services$1,413,956ProgramServicesAmt
Management And General$19,406ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$118,400TotalAmt
Program Services$104,740ProgramServicesAmt
Management And General$13,660ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$40,369TotalAmt
Program Services$34,166ProgramServicesAmt
Management And General$6,203ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$455,707TotalAmt
Program Services$455,707ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,079,401TotalAmt
Program Services$2,079,401ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$158,573TotalAmt
Management And General$158,573ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS$5,256,912$5,256,912
MEDICAL SUPPLIES$1,602,624$1,547,678$54,946
BAD DEBT EXPENSE$1,276,615$1,276,615
MISCELLANEOUS$147,744$1,161$146,583

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$211,202TotalAmt
Program Services$141,378ProgramServicesAmt
Management And General$69,824ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,647,901TotalAmt
Program Services$28,222,067ProgramServicesAmt
Management And General$5,425,834ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,202,366BOYAmt
EOY$3,406,283EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$827,002BOYAmt
EOY$836,870EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,138,644BOYAmt
EOY$4,539,767EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$609,737BOYAmt
EOY$556,808EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$479,027BOYAmt
EOY$557,379EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,198,444LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,652,240LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,309,548BOYAmt
EOY$17,546,204EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$36,567,347BOYAmt
EOY$38,171,744EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$646,714BOYAmt
EOY$732,575EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,097,110BOYAmt
EOY$911,540EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$65,877,495BOYAmt
EOY$67,259,170EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,412,724BOYAmt
EOY$3,297,271EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,571,527BOYAmt
EOY$14,659,210EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,275,726BOYAmt
EOY$1,555,175EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,259,977BOYAmt
EOY$19,511,656EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,617,518BOYAmt
EOY$47,747,514EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$45,617,518BOYAmt
EOY$47,747,514EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,877,495BOYAmt
EOY$67,259,170EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,672,713ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$457,283NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$6,633OtherActivitiesAmt
Total Lobbying Expenditures$6,633TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF THE MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, WISCONSIN HOSPITAL ASSOCIATION AND RURAL WISCONSIN HEALTH COOPERATIVE ARE USED TO LOBBY ON BEHALF OF SPOONER HEALTH AND OTHER MEMBERS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,215,671OtherCostOrOtherBasisAmt
Book Value$1,215,671BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,671,869OtherCostOrOtherBasisAmt
Depreciation$9,807,578DepreciationAmt
Book Value$10,864,291BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$861,381OtherCostOrOtherBasisAmt
Depreciation$700,721DepreciationAmt
Book Value$160,660BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,441,435OtherCostOrOtherBasisAmt
Depreciation$9,143,941DepreciationAmt
Book Value$5,297,494BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,088OtherCostOrOtherBasisAmt
Book Value$8,088BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,546,204TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD PARTY PAYOR PAYABLE$626,000
LEASE LIABILITY$929,175
FieldValueIRS element (for citing)
Total Liability$1,555,175TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$34,269,974TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$457,283NetUnrealizedGainsInvstAmt
Revenue Not Reported$457,283RevenueNotReportedAmt
Revenue Subtotal$33,812,691RevenueSubtotalAmt
Investment Expenses Not Incld$231,308InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,276,615OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,507,923RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$35,320,614TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$32,139,978TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$32,139,978ExpensesSubtotalAmt
Investment Expenses Not Incld2$231,308InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$1,276,615OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,507,923ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$33,647,901TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE SYSTEM IS CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS SUBJECTED TO FEDERAL INCOME TAX ONLY ON NET UNRELATED BUSINESS INCOME. THE SYSTEM FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE SYSTEM FOLLOWS THE ACCOUNTING STANDARD FOR INCOME TAXES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 1,276,615.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 1,276,615.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$21,030GrossReceiptsEvent1Amt
Charitable Contri Event1$9,134CharitableContriEvent1Amt
Gross Revenue Event1$11,896GrossRevenueEvent1Amt
Non Cash Prizes Event1$5,216NonCashPrizesEvent1Amt
Rent Facility Costs Event1$3,920RentFacilityCostsEvent1Amt
Food And Beverage Event1$2,760FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$530OtherDirectExpensesEvent1Amt
Gross Receipts Total$21,030GrossReceiptsTotalAmt
Charitable Contributions Tot$9,134CharitableContributionsTotAmt
Gross Revenue Total Events$11,896GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,216NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$3,920RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$2,760FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$530OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$12,426DirectExpenseSummaryEventsAmt
Net Income Summary-$530NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served153PersonsServedCnt
Total Community Benefit Expns$175,878TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$175,878NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,792,132TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,270,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,522,132NetCommunityBenefitExpnsAmt
Total Expense0.04700TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served153PersonsServedCnt
Total Community Benefit Expns$4,968,010TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,270,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,698,010NetCommunityBenefitExpnsAmt
Total Expense0.05240TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs26ActivitiesOrProgramsCnt
Persons Served2303PersonsServedCnt
Total Community Benefit Expns$112,325TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,077DirectOffsettingRevenueAmt
Net Community Benefit Expns$96,248NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served45PersonsServedCnt
Total Community Benefit Expns$55,742TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$55,742NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served323PersonsServedCnt
Total Community Benefit Expns$766,333TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$366,487DirectOffsettingRevenueAmt
Net Community Benefit Expns$399,846NetCommunityBenefitExpnsAmt
Total Expense0.01240TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs34ActivitiesOrProgramsCnt
Persons Served30PersonsServedCnt
Total Community Benefit Expns$32,047TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,047NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs69ActivitiesOrProgramsCnt
Persons Served2701PersonsServedCnt
Total Community Benefit Expns$966,447TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$382,564DirectOffsettingRevenueAmt
Net Community Benefit Expns$583,883NetCommunityBenefitExpnsAmt
Total Expense0.01810TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs69ActivitiesOrProgramsCnt
Persons Served2854PersonsServedCnt
Total Community Benefit Expns$5,934,457TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,652,564DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,281,893NetCommunityBenefitExpnsAmt
Total Expense0.07050TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,428TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,428NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served74PersonsServedCnt
Total Community Benefit Expns$2,609TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,609NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,138TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,138NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served14PersonsServedCnt
Total Community Benefit Expns$1,379TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,379NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served88PersonsServedCnt
Total Community Benefit Expns$6,554TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,554NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,276,615BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,303,401ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,468,877CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$165,476MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPOONER HEALTH SYSTEM INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11280 CHANDLER DRIVEAddressLine1Txt
CitySPOONERCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54801ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SPOONERHEALTH.COMWebsiteAddressTxt
State License1024StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherHOME HEALTH AGENCYOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SPOONER HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted25CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION B LINE 7DOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION B LINE 7DStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, LINE 16JFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE LINE 16JFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE LINE 16JFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SPOONER HEALTH SYSTEMPART V, SECTION B, LINE 5: A SURVEY WAS CONDUCTED TO ACQUIRE INPUT FROM COMMUNITY MEMBERS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY REGARDING THE HEALTH NEEDS OF WASHBURN COUNTY. A LINK TO THE SURVEY WAS DISTRIBUTED AND PROMOTED VIA THE FOLLOWING METHODS, INCLUDING PRINT ADS, WEB ADS, AND EMAIL DISTRIBUTION LISTS, AND WAS AVAILABLE ON THE SPOONER HEALTH SYSTEM (SH) WEBSITE. PAPER COPIES OF THE SURVEY WERE DISTRIBUTED IN VARIOUS PUBLIC LOCATIONS, INCLUDING COMMUNITY FLU SHOT CLINICS HELD AT SEVERAL LOCATIONS IN WASHBURN COUNTY, THE HEALTH DEPARTMENT, LIBRARIES, MEALS ON WHEELS, CLINICS, AND SH. AFTER THE SURVEY DATA WERE COLLECTED, A PRIORITIZATION MEETING WAS HELD TO REVIEW THE DATA COLLECTED AND PRIORITIZE THE HEALTH NEEDS. A GROUP OF INDIVIDUALS THAT REPRESENTED THE INTERESTS OF THE COUNTY AND/OR HAD SPECIFIC EXPERTISE REGARDING THE HEALTH NEEDS OF THE VULNERABLE AND UNDERSERVED POPULATIONS WERE ASKED TO PARTICIPATE. THE GROUP INCLUDED PEOPLE REPRESENTING NORTH LAKES COMMUNITY CLINIC, SPOONER MEMORIAL LIBRARY, WC PUBLIC HEALTH, INDIANHEAD MEDICAL CENTER, SPOONER HEALTH, ESSENTIA HEALTH, SPOONER AREA SCHOOL DISTRICT, HEALTHY WASHCO (INCLUDES COMMUNITY ALLIANCE FOR PREVENTION AND MENTAL HEALTH TASK FORCE), UWEXTENSION, WASHBURN COUNTY HEALTH & HUMAN SERVICES, WASHBURN COUNTY SHERIFF'S DEPARTMENT, AND LAKELAND FAMILY RESOURCE CENTER.
SPOONER HEALTH SYSTEMPART V, SECTION B, LINE 6A: INDIANHEAD MEDICAL CENTER
SPOONER HEALTH SYSTEMPART V, SECTION B, LINE 6B: SPOONER HEALTH SYSTEM PARTNERED WITH WASHBURN COUNTY PUBLIC HEALTH DEPARTMENT TO COMPLETE THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT.
SPOONER HEALTH SYSTEMPART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://SPOONERHEALTH.COM/CHNA/CHNA DIRECT LINK:HTTPS://SPOONERHEALTH.COM/WP-CONTENT/UPLOADS/2025/09/CHNA_IMPLEMENTATION_PLAN_WASHBURN2025_FINAL-COPY.PDFIMPLEMENTATION DIRECT LINK:HTTPS://SPOONERHEALTH.COM/WP-CONTENT/UPLOADS/2025/05/CHNA_IMPLEMENTATION_PLAN_SPOONER_2022_FINAL-COPY.PDFIF A READER USES THIS INFORMATION TO ACCESS THE FORM ONLINE, BE SURE TO FORMAT THE URL WITH LOWERCASE LETTERS WHEN COPYING AND PASTING THE DIRECT LINKS.
SPOONER HEALTH SYSTEMPART V, SECTION B, LINE 11: DURING THE FISCAL YEAR, SPOONER HEALTH (SH) COMPLETED THEIR 2025 CHNA AND WORKED ON THE IMPLEMENTATION PLAN TO ADDRESS THE NEEDS IDENTIFIED. WHILE THE IMPLEMENTATION PLAN WAS BEING DEVELOPED, SH FOCUSED ON THE THREE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA TO FOCUS THEIR EFFORTS IN ORDER TO SEEK THE MOST EFFICIENT USE OF RESOURCES WHILE GAINING THE MOST IMPACTFUL OUTCOMES. 1. MENTAL HEALTH - IMPLEMENT PROGRAMS THAT ENHANCE MENTAL HEALTH AWARENESS AND INCREASE UTILIZATION OF COMMUNITY RESOURCES THAT SUPPORT MENTAL WELL-BEING. SH SUPPORTS A DEMENTIA FRIENDLY COMMUNITY THROUGH LEADING AND MANAGING THE APHASIA SUPPORT GROUP. THE APHASIA SUPPORT GROUP PROVIDES INDIVIDUALS WITH TANGIBLE TOOLS TO ASSIST IN COPING WITH APHASIA AS WELL AS A FORUM TO SHARE SIMILAR EXPERIENCES WITH OTHERS. SH ALSO PROVIDES REPRESENTATION ON THE MENTAL HEALTH TASK FORCE OF WASHBURN COUNTY, CREATED IN 2018 TO SUPPORT MENTAL HEALTH PREVENTION AND AWARENESS PROGRAMMING. ALL STAFF HAVE UNDERGONE TRAINING IN TRAUMA INFORMED CARE AND WILL INCORPORATE THIS INTO SERVICES PROVIDED AT SH. AN UPDATED LIST OF RESOURCES FOR PATIENTS IS AVAILABLE ON THE SH WEBSITE AND THROUGH OUR CAREGIVERS. THESE RESOURCES ARE INCORPORATED INTO DISCHARGE PLANNING AND CASE MANAGEMENT AS APPLICABLE AND ARE COMMUNICATED TO THE PUBLIC THROUGH THE SH WEBSITE, SOCIAL MEDIA AND COMMUNITY NEWSLETTER. SPOONER HEALTH CONTRACTS WITH A TELEPSYCHIATRY MENTAL HEALTH SERVICE WHO ASSISTED 30 PATIENTS IN THE EMERGENCY DEPARTMENT DURING FY 25. THIS SERVICE PROVIDES 24/7 VIRTUAL ACCESS TO PSYCHIATRY PROVIDERS WHO CAN ASSESS PATIENTS, MANAGE MEDICATIONS, AND COORDINATE TRANSFER LOGISTICS TO OTHER FACILITIES. 2. SUBSTANCE ABUSE - PROVIDE EDUCATION, SUPPORT AND HEALTHY ALTERNATIVES TO PREVENT SUBSTANCE USE AND MISUSE. PROGRESS TOWARD THIS GOAL INCLUDES CONTINUED REPORTING OF OPIOID DISPENSING TO WISCONSIN VIA THE PRESCRIPTION DRUG MONITORING PROGRAM. SH HAS INCREASED THE AMOUNT OF INFORMATION ABOUT OPIOIDS THAT IS INCLUDED IN EVERY AFTER-VISIT SUMMARY. SH PROVIDES REPRESENTATION ON SEVERAL COLLABORATIVE COMMUNITY GROUPS SUCH AS THE WASHBURN COUNTY COMMUNITY ALLIANCE FOR PREVENTION COMMITTEE AND THE DRUG ENDANGERED CHILDREN M-TEAM, WHICH IS A MULTI-DISCIPLINARY TEAM TO PROVIDE SERVICES FOR CHILDREN FOUND AT DRUG LAB SITES. THE SH PAIN MANAGEMENT CLINIC OPENED IN 2018 AND TREATED 165 PATIENTS IN FISCAL YEAR 2025. THE CLINIC HELPS PEOPLE TAKE AN ACTIVE ROLE IN MANAGING CHRONIC PAIN WITH A COMBINATION OF THERAPIES RATHER THAN TURNING TO OTHER SUBSTANCES TO FIND RELIEF FROM PAIN. AN UPDATED LIST OF RESOURCES FOR PATIENTS IS AVAILABLE ON THE SH WEBSITE AND THROUGH OUR CAREGIVERS. 3. ACCESS TO CARE - INCREASE ACCESS AVAILABILITY AND AWARENESS OF AVAILABLE PRIMARY CARE AND SPECIALTY CARE PROVIDERS AND SERVICES. SH OFFERS MANY SPECIALTY SERVICES. PHYSICIANS PROVIDE SERVICES SUCH AS OPHTHALMOLOGY, GASTROENTEROLOGY, PAIN MEDICINE, AND UROLOGY. SH RECOGNIZES THE NEED FOR PATIENTS TO BE ABLE TO RECEIVE SPECIALTY CARE CLOSE TO HOME AND THE DIFFERENCE THIS CAN MAKE ON HEALTH OUTCOMES. THESE SERVICES ARE ADVERTISED THROUGH NEWSPAPERS, THE SH WEBSITE, NEWSLETTERS AND SOCIAL MEDIA POSTS AS WELL AS AN ELECTRONIC SIGN BOARD INSIDE THE HOSPITAL ENTRANCE SCROLLING UPCOMING CLINICS. SH ALSO EMPLOYS A GENERAL SURGEON WHO PERFORMS ROUTINE SURGERIES SUCH AS HERNIA REPAIRS, APPENDECTOMIES AND GALLBLADDER REMOVALS ALLOWING PATIENTS TO REMAIN CLOSE TO HOME FOR SURGICAL NEEDS. SH HAS TELEMEDICINE EQUIPMENT IN ITS EMERGENCY DEPARTMENT TO PROVIDE STROKE VICTIMS 24/7 ACCESS TO A NEUROLOGIST WHO CAN PROMPTLY ASSESS A PATIENT'S SYMPTOMS RESULTING IN QUICKER DIAGNOSIS AND TREATMENT. 84 PATIENTS WERE ABLE TO BENEFIT FROM THIS TECHNOLOGY IN FY25. SH MAKES INFORMATION ON FINANCIAL ASSISTANCE WIDELY AVAILABLE THROUGH OUR WEBSITE AND EMPLOYS A PATIENT FINANCIAL COUNSELOR TO WORK DIRECTLY WITH PATIENTS TO EDUCATE THEM ON AVAILABLE OPTIONS. SH CONTINUES TO OFFER FREE LABORATORY SERVICES TO PATIENTS OF THE RICE LAKE AREA FREE CLINIC, WHOSE FOCUS IS THE UNDERSERVED POPULATION IN THE AREA. SH HOLDS NUMEROUS FLU SHOT CLINICS AT VARIOUS LOCATIONS IN THE COMMUNITY WHERE OVER 380 COMMUNITY MEMBERS WERE ABLE TO RECEIVE THEIR FLU VACCINATION IN 2024. SH ORGANIZES AN ANNUAL HEALTH FAIR WHERE FREE LAB CHOLESTEROL SCREENINGS ARE PROVIDED ONSITE. IN FISCAL YEAR 2025, OVER 24 COMMUNITY MEMBERS TOOK ADVANTAGE OF THE FREE LAB SCREENINGS. SH COORDINATES AND HOSTS THE POWER UP VOICE & MOVEMENT GROUP GEARED TOWARD PEOPLE WITH PARKINSON'S DISEASE AND OTHER NEUROLOGICAL CONDITIONS TO HELP MAINTAIN MOBILITY TO FUNCTION MORE SAFELY AND INDEPENDENTLY. FOUR COMMUNITY HEALTH NEEDS WERE IDENTIFIED IN THE 2022 CHNA PROCESS THAT SH WILL NOT SPECIFICALLY ADDRESS BUT WILL WORK WITHIN OUR RESOURCES TO SUPPORT ORGANIZATIONS WITH MORE EXPERTISE IN THESE AREAS. 1. CHRONIC DISEASE THESE ARE ALREADY SERVICES INCORPORATED INTO THE CARE AT SH AND PREVENTION EFFORTS ARE LED DOMINANTLY BY LOCAL PUBLIC HEALTH. 2. LACK OF COMMUNITY EDUCATION ALTHOUGH MOST COMMUNITY EDUCATION STEMS FROM COUNTY AND PUBLIC HEALTH SERVICES, SH DOES PROVIDE EDUCATION WHEN OPPORTUNITIES ARISE. MOST RECENTLY, REPRESENTATIVES FROM SH REHABILITATION SERVICES HAVE BEEN PROVIDING EDUCATION PROGRAMMING AT THE SPOONER SENIOR CENTER ON TOPICS SUCH AS MEMORY, BALANCE, AND JOINT PROTECTION WHEN GARDENING. 3. POVERTY AND BASIC NEEDS - THE HOSPITAL DOES NOT HAVE ADEQUATE RESOURCES TO PROVIDE DIRECT SERVICES THAT CAN HELP IN THESE AREAS; HOWEVER, IT DOES PASS ALONG INFORMATION TO ITS PATIENTS AS NEEDED REGARDING SOURCES OF HELP IN THE COMMUNITY. 4. COVID-19 - THIS HAS BECOME PART OF OPERATIONS AT THE HOSPITAL AND WILL CONTINUE TO BE A SIGNIFICANT HEALTH NEED THAT IS ALWAYS ADDRESSED. THE HOSPITAL CHOSE TO FOCUS ON THE THREE OTHER PRIORITIES MENTIONED IN THEIR IMPLEMENTATION PLAN.
SPOONER HEALTH SYSTEMPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE WEBSITE AT HTTPS://WWW.SPOONERHEALTH.COM/PATIENTS-VISITORS/PATIENT-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE/. THE APPLICATION IS ON THE WEBSITE: HTTPS://SPOONERHEALTH.COM/WP-CONTENT/UPLOADS/2025/04/FA-APPLICATION-AND-PLAIN-LANGUAGE-SUMMARY-1-1-2024-COPY-COPY.PDFTHE PLAIN LANGUAGE SUMMARY IS ON THE WEBSITE: HTTPS://SPOONERHEALTH.COM/WP-CONTENT/UPLOADS/2025/04/SPOONER-HEALTH-PLAIN-LANGUAGE-SUMMARY-1-1-2024-COPY-COPY.PDF.THE INFORMATION ON THE WEBSITES EXPLAINS EXACTLY WHAT TO DO IN ORDER TO APPLY FOR FINANCIAL ASSISTANCE. THE APPLICATION FORM IS ALSO AVAILABLE AT REGISTRATION. A FINANCIAL ASSISTANCE APPLICATION AND LETTER IS SENT OUT TO PATIENTS WHO ARE NOT ABLE TO PAY THEIR BALANCES DUE.IF A READER USES THIS INFORMATION TO ACCESS THE FORM ONLINE, BE SURE TO FORMAT THE URL WITH LOWERCASE LETTERS WHEN COPYING AND PASTING THE DIRECT LINKS.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED PRIMARILY ON HOUSEHOLD INCOME COMPARED TO FEDERAL POVERTY GUIDELINES. HOWEVER, QUALIFIED HOUSEHOLD ASSETS ARE ALSO CONSIDERED WHEN DETERMINING AN INDIVIDUAL'S ABILITY TO PAY FOR HEALTHCARE SERVICES. FINALLY, INSURANCE STATUS CAN IMPACT A PERSON'S ELIGIBILITY IF THEY HAVE ACCESS TO HEALTH INSURANCE, THIRD-PARTY REIMBURSEMENT OR GOVERNMENTAL ASSISTANCE BUT FAIL TO TAKE ADVANTAGE OF IT OR FAIL TO MAINTAIN ELIGIBILITY.
PART I, LINE 7:THE AMOUNTS REPORTED IN PART I, LINE 7A-C WERE COMPUTED USING THE COST TO CHARGE RATIO FROM WORKSHEET 2 OF THE SCHEDULE H, IRS INSTRUCTIONS. THE AMOUNTS REPORTED IN LINES 7E-I WERE REPORTED BASED ON DIRECT COSTS INCURRED BY SH.
PART I, LINE 7G:INCLUDED IN PART I, LINE 7G IS THE HOME HEALTH AGENCY. THIS SERVICE IS LISTED AS A SUBSIDIZED HEALTH SERVICE BECAUSE IT IS OPERATED BY SH TO PROVIDE A SERVICE THAT IS NEEDED IN THE COMMUNITY BUT THAT CANNOT BE SUSTAINED ON ITS OWN. THE TOTAL COMMUNITY BENEFIT EXPENSE FOR THE HOME HEALTH AGENCY WAS $766,333 WITH DIRECT OFFSETTING REVENUE OF $366,487 RESULTING IN A NET COMMUNITY BENEFIT EXPENSE OF $399,846.
PART I, LN 7 COL(F):THE HOSPITAL IS REPORTING $1,276,615 OF BAD DEBT EXPENSE IN FORM 990, PART IX, LINE 24C. TOTAL EXPENSE, LESS THIS AMOUNT, ARE $32,139,978. THIS AMOUNT IS USED TO CALCULATE THE PERCENTAGE OF TOTAL EXPENSE IN SCHEDULE H, PART I, LINE 7, COLUMN F.
PART II, COMMUNITY BUILDING ACTIVITIES:SPOONER HEALTH (SH) CONTINUES TO BE A COMMUNITY DROP OFF LOCATION FOR INFECTIOUS WASTE, WHICH IS ROUTINELY COLLECTED AND PROPERLY DISPOSED OF FOR ENVIRONMENTAL SAFETY IN THE REGION. SH PROVIDES FREE MEETING ROOM SPACE TO MANY NON-PROFIT COMMUNITY GROUPS, INCLUDING HOSTING THE HEALTH & AGING DAY FOR THE LEADERSHIP WASHBURN COUNTY PROGRAM. ADDITIONAL ACTIVITIES RELATED TO COMMUNITY BUILDING ARE REPORTED IN THE COMMUNITY HEALTH IMPROVEMENT CATEGORY INCLUDING REPRESENTATION ON SEVERAL COMMUNITY HEALTH RELATED COMMITTEES INCLUDING THE WASHBURN COUNTY INTERDISCIPLINARY TEAM AND THE BURNETT COUNTY CRISIS OVERSIGHT COMMITTEE. TO PROMOTE HEALTHCARE WORKFORCE DEVELOPMENT, SH HAS A REPRESENTATIVE ON THE ADVISORY BOARD FOR NORTHWOODS TECHNICAL COLLEGE, OFFERS JOB SHADOW OPPORTUNITIES FOR HIGH SCHOOL STUDENTS, AND STARTED AN AFTER-SCHOOL CAREER EXPLORATION CLUB DESIGNED TO INTRODUCE HEALTHCARE CAREER PATHS TO MIDDLE SCHOOL STUDENTS.
PART III, LINE 2:THE AMOUNT OF BAD DEBT EXPENSE REPORTED IN PART III, LINE 2 IS CALCULATED AS FOLLOWS: PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS.
PART III, LINE 3:A PORTION OF THE BAD DEBT EXPENSES REPORTED IN LINE 2 WOULD BE CONSIDERED CHARITY CARE IF THE PROPER PAPERWORK WAS COMPLETED BY THE PATIENTS, HOWEVER THIS AMOUNT CANNOT BE QUANTIFIED.
PART III, LINE 4:FOR INFORMATION ABOUT BAD DEBT EXPENSE, SEE THE "PATIENT ACCOUNTS RECEIVABLES AND ALLOWANCE FOR CREDIT LOSSES" SECTION OF NOTE 1 ON PAGES 7-8 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:FROM PART III, LINE 6, THE TOTAL ALLOWABLE COST REPORTED TO MEDICARE WAS BASED ON THE 2025 FILED MEDICARE COST REPORT.
PART III, LINE 9B:AFTER FINANCIAL ASSISTANCE IS PROVIDED, SPOONER HEALTH SYSTEM WILL CONTINUE TO WORK WITH PATIENTS TO RESOLVE THE REMAINDER OF THEIR BALANCE AFTER FINANCIAL ASSISTANCE. SPOONER HEALTH SYSTEM MAKES ALL REASONABLE ATTEMPTS TO CONFIRM THAT PATIENTS ARE NOT ELIGIBLE FOR OTHER ASSISTANCE PROGRAMS PRIOR TO COLLECTION AGENCY ASSIGNMENT. PRIOR TO TRANSFER TO A COLLECTION AGENCY, SPOONER HEALTH SYSTEM WILL SEND STATEMENTS AND COLLECTION LETTERS TO THE PATIENT AT THE ADDRESS PROVIDED BY THE PATIENT. STATEMENTS AND COMMUNICATIONS WILL INFORM THE PATIENT OF THEIR FINANCIAL RESPONSIBILITY AFTER FINANCIAL ASSISTANCE. AFTER PAYMENT PLAN ARRANGEMENTS HAVE BEEN MADE AND BEFORE TRANSFER TO A COLLECTION AGENCY, SPOONER HEALTH SYSTEM WILL SEND A NOTICE TO PATIENTS WHO HAVE FAILED TO MAKE PAYMENT ARRANGEMENTS OR WHO DO NOT COMPLY WITH MUTUALLY AGREED UPON PAYMENT PLANS. THE NOTICE WILL ALERT THE PATIENT OF THEIR BALANCE AND THAT IF THEIR FINANCIAL SITUATION HAS CHANGED, THEY MAY HAVE THE OPPORTUNITY FOR A NEW PAYMENT PLAN.
PART VI, LINE 2:THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT REPORTED IN PART V, SECTION B WAS THE ONLY ASSESSMENT OF THE COMMUNITY'S HEALTH NEEDS CONDUCTED DURING THE FISCAL YEAR.
PART VI, LINE 3:PATIENTS WITHOUT INSURANCE ARE GIVEN THE FINANCIAL ASSISTANCE (FA) APPLICATION. OUR FINANCIAL COUNSELOR CALLS THEM AFTER DISCHARGE AND EXPLAINS WHAT ASSISTANCE (FROM THE GOVERNMENT OR SHS) MAY BE AVAILABLE TO THEM. SHE ASKS THEM TO FILL IT OUT AND MAKES AN APPOINTMENT WITH THEM IN THE OFFICE IF THEY NEED ASSISTANCE WITH THE FA APPLICATION OR GOING TO WWW.ACCESS.WISCONSIN.GOV TO APPLY FOR GOVERNMENTAL ASSISTANCE. WHEN THEY COME IN, SHE WILL ASSIST THEM WITH THE APPLICATION PROCESS AS MUCH AS SHE CAN. IF THEY NEED FURTHER ASSISTANCE, ARE OF RETIREMENT AGE, OR IF THERE IS A DISABILITY INVOLVED, SHE REFERS THEM TO THE WASHBURN COUNTY AGING AND DISABILITY RESOURCE CENTER WHERE THEY WILL HELP THE PATIENTS IN GETTING ADDITIONAL ASSISTANCE. OUR FINANCIAL COUNSELOR ALSO REFERS PATIENTS TO THE COUNTY'S PUBLIC HEALTH DEPARTMENT IF THEY NEED FAMILY OR WOMEN'S HEALTH ASSISTANCE. WE ALSO PUBLICIZE THE AVAILABILITY OF FA IN OUR ANNUAL REPORT TO THE COMMUNITY THAT IS SENT OUT TO EVERY ADDRESS IN OUR PRIMARY SERVICE AREA.
PART VI, LINE 4:SPOONER HEALTH SYSTEM PRIMARILY SERVES THE COMMUNITIES WITHIN WASHBURN COUNTY IN NORTHWESTERN WISCONSIN. WASHBURN COUNTY IS THE 30TH LARGEST COUNTY BY LAND AREA IN WISCONSIN WITH AN ESTIMATED POPULATION OF 16,749 (PER JULY 2023 US CENSUS BUREAU). THE MEDIAN HOUSEHOLD INCOME IS $61,270 WITH 11.7% OF PERSONS BELOW POVERTY LEVEL (PER 2023 DATA). WASHBURN COUNTY HAD A 3.5% UNEMPLOYMENT RATE IN AUGUST 2025 PER THE WISCONSIN DEPARTMENT OF WORKFORCE DEVELOPMENT.
PART VI, LINE 5:THE MAJORITY OF OUR ORGANIZATION'S GOVERNING BOARD MEMBERS LIVE IN THE PRIMARY SERVICE AREA FOR SPOONER HEALTH. SPOONER HEALTH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PROVIDERS IN OUR COMMUNITY. SURPLUS FUNDS GENERATED BY SPOONER HEALTH ARE INVESTED BACK INTO THE FACILITY AND ITS EQUIPMENT TO CONTINUE OFFERING HIGH QUALITY HEALTHCARE INCLUDING EXPANDING SERVICES WHEN POSSIBLE FOR OUR COMMUNITY AND SERVICE AREA.
PART VI, LINE 6:SPOONER HEALTH SYSTEM IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
SCHOLARSHIPS FOR HIGH SCHOOL AND NON-TRADITIONAL STUDENTS GOING INTO A HEALTHCARE RELATED FIELD3$3,000
TUITION ASSISTANCE FOR STUDENTS ATTENDING CMA AND PHARMACY TECH PROGRAMS2$3,646

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationSPOONER HEALTH AWARDS SCHOLARSHIPS TO HIGH SCHOOL SENIORS OR NON-TRADITIONAL STUDENTS WHO ARE GOING ON TO POSTSECONDARY EDUCATION IN A HEALTHCARE RELATED FIELD. SPOONER HEALTH ALSO OFFERS TUITION ASSISTANCE FOR EMPLOYEES WHO ARE FURTHERING THEIR EDUCATION TO ENHANCE THEIR JOB RELATED SKILLS AND KNOWLEDGE. FUNDS ARE PAID DIRECTLY TO THE SCHOOL OR REIMBURSED TO THE EMPLOYEE AFTER PROOF OF COURSE COMPLETION TO ENSURE THEY ARE USED FOR THE PURPOSE OF TUITION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PHILIP MOFLE MD
SURGERY MEDICAL DIRECTOR$355,702$0$0$0$0$0$14,000$0$40,906$0$410,608$0$0$0
TAMARA DANIELS MD
E.D. MEDICAL DIRECTOR$325,933$0$0$0$0$0$14,000$0$45,982$0$385,915$0$0$0
CONNOR SCHMIDT
CRNA$322,951$0$0$0$0$0$14,000$0$39,504$0$376,455$0$0$0
REBECCA BUSCH
CHIEF FINANCIAL OFFICER$188,178$0$0$0$0$0$9,763$0$22,511$0$220,452$0$0$0
TIMOTHY BASSETT
PHARMACY DIRECTOR$197,909$0$0$0$0$0$10,055$0$5,376$0$213,340$0$0$0
JENNIFER ZIMMER
APNP$166,261$0$0$0$0$0$4,083$0$40,910$0$211,254$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3HEALTHTECH MANAGEMENT SERVICES PERFORMS A SALARY REVIEW OF THE CEO OF SPOONER HEALTH SYSTEM EACH YEAR AND PROVIDES THE APPROPRIATE INFORMATION, INCLUDING COMPENSATION SURVEYS, TO SPOONER HEALTH SYSTEM'S BOARD OF DIRECTORS. THROUGH THIS REVIEW, THE BOARD OF DIRECTORS IS ABLE TO REVIEW THE COMPARABILITY DATA RELIED UPON IN DETERMINING THE CEO'S COMPENSATION. THE INFORMATION IS PRESENTED BY THE MANAGEMENT COMPANY TO THE BOARD OF DIRECTORS OF SPOONER HEALTH SYSTEM, ALONG WITH A PERFORMANCE EVALUATION AND A RECOMMENDATION OF A SALARY LEVEL, WHICH IS THEN APPROVED BY THE BOARD OF DIRECTORS OF SPOONER HEALTH SYSTEM.
FORM 990, PART VII, SECTION A, LINE 5SPOONER HEALTH SYSTEM, INC. CONTRACTS WITH ESSENTIA HEALTH TO PROVIDE SERVICES DIRECTLY RELATING TO THE HOSPITAL AND MEDICAL MANAGEMENT. INCLUDED IN THE FEES PAID TO ESSENTIA HEALTH IS THE COMPENSATION FOR DR. BRIAN GASKILL, CHIEF OF STAFF AND BOARD MEMBER. THE EXACT FIGURES REGARDING DR. GASKILL'S COMPENSATION REMAINS UNATTAINABLE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WI HEALTH AND EDUCATIONAL FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
Bond Issued2022-02-24BondIssuedDt
Issue Price$17,630,000IssuePriceAmt
PurposeCONSTRUCTING REPLACEMENT HOSPITALPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$940,000RetiredAmt
Total Proceeds$17,630,000TotalProceedsAmt
Issuance Costs From Proceeds$259,587IssuanceCostsFromProceedsAmt
Other Spent Proceeds$17,370,413OtherSpentProceedsAmt
Substantial Completion2022SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: WI HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/24/2022ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD PRESIDENT, VICE-PRESIDENT, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE POWER AND AUTHORITY OF THE BOARD OF DIRECTORS TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 3SPOONER HEALTH SYSTEM, INC. CONTRACTS WITH HEALTHTECH MANAGEMENT SERVICES TO PROVIDE MANAGEMENT SERVICES. INCLUDED IN THE FEES PAID TO HEALTHTECH MANAGEMENT SERVICES IS THE COMPENSATION FOR THE CEO. DURING 2024, THE CEO RECEIVED $366,046 OF TAXABLE PAY, $49,393 OF NONTAXABLE DEFERRED COMPENSATION AND $46,473 OF OTHER NONTAXABLE BENEFITS FROM HEALTHTECH MANAGEMENT SERVICES FOR HIS SERVICES TO SPOONER HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 WAS REVIEWED BY MANAGEMENT BEFORE BEING FORWARDED TO THE BOARD OF DIRECTORS. AT THE BOARD OF DIRECTORS MEETING, THE 990 WAS REVIEWED WITH THE BOARD MEMBERS WHO APPROVED IT. THE 990 WAS THEN FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CIT IS THE POLICY OF SPOONER HEALTH SYSTEM THAT ALL POTENTIAL CONFLICTS OF INTEREST SHOULD BE IDENTIFIED BY ANY OFFICER, BOARD MEMBER, OR KEY EMPLOYEE OF THE ORGANIZATION ON AN ANNUAL BASIS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE PERSON WITH THE CONFLICT SHALL LEAVE MEETINGS DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15MICHAEL SCHAFER, CEO, IS AN EMPLOYEE OF THE UNRELATED MANAGEMENT COMPANY THAT PROVIDES SERVICES TO SPOONER HEALTH SYSTEM. SPOONER HEALTH SYSTEM PAYS THE MANAGEMENT COMPANY A MANAGEMENT FEE FOR MICHAEL SCHAFER'S SERVICES AS CEO. THE MANAGEMENT COMPANY PERFORMS A SALARY REVIEW OF THE CEO OF SPOONER HEALTH SYSTEM EACH YEAR AND PROVIDES THE APPROPRIATE INFORMATION, INCLUDING COMPENSATION SURVEYS, TO SPOONER HEALTH SYSTEM'S BOARD OF DIRECTORS. THROUGH THIS REVIEW, THE BOARD OF DIRECTORS IS ABLE TO REVIEW THE COMPARABILITY DATA RELIED UPON IN DETERMINING THE CEO'S COMPENSATION. THE INFORMATION IS PRESENTED BY THE MANAGEMENT COMPANY TO THE BOARD OF DIRECTORS OF SPOONER HEALTH SYSTEM, ALONG WITH A PERFORMANCE EVALUATION AND A RECOMMENDATION OF A SALARY LEVEL, WHICH IS THEN APPROVED BY THE BOARD OF DIRECTORS OF SPOONER HEALTH SYSTEM. ALL OFFICERS AND KEY EMPLOYEES' COMPENSATION IS REVIEWED ON AN ANNUAL BASIS AND COMPARED TO MARKET DATA GATHERED BY THE HUMAN RESOURCES DEPARTMENT. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025.
FORM 990, PART VI, SECTION C, LINE 19THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.