2024-10-31T11:50:24-05:00 2023-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2023-01-01 391681547 FAMILY HEALTH CENTER OF MARSHFIELD INC FAMI 7152215700 1307 NORTH SAINT JOSEPH AVENUE MARSHFIELD WI 54449 GREG NYCZ CEO 7152215700 2024-10-30 1 1 JESSICA TOADER P01464604 3122071040 2024-10-29 2023 2024-10-15 13:58:12Z X GREG NYCZ 1307 NORTH SAINT JOSEPH AVENUE MARSHFIELD WI 54449 60496656 0 X WWW.FAMILYHEALTHCENTER.NET X 1990 WI THE MISSION OF FAMILY HEALTH CENTER OF MARSHFIELD, INC. IS TO PROVIDE ACCESS TO HIGH QUALITY HEALTH CARE SERVICES FOR THE UNDERSERVED AND TO ENHANCE THE HEALTH OF OUR COMMUNITIES. 10 10 449 10 0 0 17327574 12598964 57786692 37274461 1161471 2554457 6000 15500 76281737 52443382 2478790 1981586 0 0 207536 27037325 0 0 0 55371781 30289635 58058107 59308546 18223630 -6865164 98767077 103817330 3007624 13615822 95759453 90201508 THE MISSION OF FAMILY HEALTH CENTER OF MARSHFIELD, INC. IS TO PROVIDE ACCESS TO HIGH QUALITY HEALTH CARE SERVICES FOR THE UNDERSERVED AND TO ENHANCE THE HEALTH OF OUR COMMUNITIES. 0 0 49579389 1981586 37274461 IN TOTAL, FAMILY HEALTH CENTER OF MARSHFIELD, INC. (FHC) SERVED APPROXIMATELY 42,361 UNIQUE PATIENTS FOR THE 12 MONTHS ENDING DECEMBER 31, 2023; MANY OF WHOM WOULD NOT OTHERWISE RECEIVE CARE OR WOULD FACE SIGNIFICANT BARRIERS TO ACCESSING IT. FHC CONTRACTED ALL HEALTHCARE AND ADMINSTRATIVE STAFF TO PROVIDE CARE DIRECTLY TO PATIENTS WITHIN THEIR COMMUNITIES, WITH THE EXCEPTION OF THE CHIEF EXECUTIVE OFFICER. ON APRIL 1, 2023, THESE CONTRACTED STAFF MEMBERS TRANSITIONED TO FHC EMPLOYEES, CONTINUING TO ADMINISTRATE AND DELIVER CARE DIRECTLY TO PATIENTS. FHC ALSO MAINTAINS A NETWORK OF CONTRACTED HEALTHCARE PROVIDERS THROUGHOUT CENTRAL AND NORTHERN WISCONSIN TO ENSURE COMPREHENSIVE MEDICAL, ORAL, AND BEHAVIORAL CARE SERVICES. 49579389 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 49 0 1 449 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X AMANDA SPINDLER 7152215727 1307 NORTH SAINT JOSEPH AVENUE MARSHFIELD WI 54449 JON KAISER PRESIDENT 1.00 0.00 X X 0 0 0 RONDA KOPELKE VICE PRESIDENT 1.00 0.00 X X 0 0 0 RITA KIRCHOFF TREASURER 1.00 0.00 X X 0 0 0 CINDY KOCH SECRETARY 1.00 0.00 X X 0 0 0 MARLA HEMKE BOARD MEMBER 1.00 0.00 X 0 0 0 SHERRY MOORE BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID BAXTER BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD KUMMEROW BOARD MEMBER 1.00 0.00 X 0 0 0 AUSTIN JIRSCHELE BOARD MEMBER 1.00 0.00 X 0 0 0 TENA QUACKENBUSH BOARD MEMBER 1.00 0.00 X 0 0 0 ANTON ZIELSER PRESIDENT - PART YEAR 1.00 0.00 X X 0 0 0 GREG NYCZ CHIEF EXECUTIVE OFFICER 40.00 0.00 X 178611 0 15335 AMANDA SPINDLER CHIEF FINANCIAL OFFICER 40.00 0.00 X 165926 0 25506 MARY DORSCH CHIEF OF OPERATIONS 40.00 0.00 X 160510 0 21271 DAVID CHAUDIER CHIEF OF STAFF 40.00 0.00 X 158344 0 10762 SIRIN CHUNDU DENTIST-PEDIATRICS 40.00 0.00 X 312355 0 36020 DEEPAK NEELAGIRI DENTIST 40.00 0.00 X 275937 0 16556 SCOTT MURPHY DENTIST 40.00 0.00 X 264167 0 30472 MARK SCHLICHTIG DENTIST 40.00 0.00 X 249375 0 29584 BRIAN SERRES DENTIST 40.00 0.00 X 249375 0 32241 2014600 0 217747 36 0 1 0 ONEEVEN CONSULTING LLC PO BOX 202 CEDAR GROVE WI 53013 INTERIM CAO AND CONSULTING SERVICES 217063 1 692121 11906146 697 12598964 NET PATIENT SERVICE REVENUE 621400 32795531 32795531 PHARMACY REVENUE 621400 3914640 3914640 MISC OTHER OP REVENUE 621400 341430 341430 PREPAID HEALTH SERVICE REVENUE 621400 222860 222860 37274461 2602375 2602375 15500 0 15500 15500 15500 7984064 21292 8053274 0 -69210 21292 -47918 -47918 52443382 37274461 0 2569957 X 3042 3042 1978544 1978544 736267 280208 456059 20255409 16420586 3834823 1069651 847822 221829 3340690 2586123 754567 1635308 1315264 320044 217063 217063 80156 80156 80245 80245 104652 104652 19716561 16667626 3048935 12719 12719 554269 454146 100123 135864 29054 106810 1505625 1320970 184655 53648 36472 17176 202166 134685 67481 1643156 1643156 155229 155229 MEDICAL SUPPLIES 4793413 4763387 30026 MISC OTHER OP EXPENSES 1190130 788398 401732 BAD DEBT EXPENSE 18929 18929 CAPITATION -174190 -174190 59308546 49579389 9729157 0 17543148 7301191 1821874 1955707 -4534600 3799482 990756 1133920 181431 886306 56355466 27225977 26752443 29129489 54590413 57931279 1421612 1679956 98767077 103817330 1547908 4714302 209542 7450411 1250174 0 1451109 3007624 13615822 X 95759453 90201508 95759453 90201508 98767077 103817330 X -6865164 1220669 86550 X 0 1 X 1 1 1 X 14218719 5151159 31609863 17327574 12598964 80906279 14218719 5151159 31609863 17327574 12598964 80906279 13990054 66916225 591880 116973 410963 1169899 2617875 4907590 85813869 197666254 0.77980 0.78640 X PART II: BECAUSE OF THE SHORT YEAR-END FILING, THE COLUMNS IN SCHEDULE A PART II CORRESPOND TO THE FOLLOWING TAX YEARS: 2019 = FYE 9/30/20 2020 = SHORT YEAR-END 12/31/20 2021 = FYE 12/31/21 2022 = FYE 12/31/22 2023 = FYE 12/31/23 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 0 0 0 0 0 0 0 FORM 990 SCH C PART II-B FAMILY HEALTH CENTER OF MARSHFIELD, INC. (FHC) MAY OFFER RECOMMENDATIONS CONCERNING LEGISLATION OR REGULATIONS BEING CONSIDERED THAT HAVE A RELATIONSHIP TO THE ORGANIZATION'S OPERATIONS. 1513971 1513971 30639694 11635564 19004130 1109749 541068 568681 17801230 14414437 3386793 5290822 634908 4655914 29129489 RIGHT OF USE OP LEASE LIABILITY 1451109 1451109 X 51464894 1220669 -75740 1144929 50319965 104652 2018765 2123417 52443382 57022841 -107842 -107842 57130683 104652 2073211 2177863 59308546 PART X, LINE 2: FAMILY HEALTH CENTER OF MARSHFIELD, INC. (FHC) IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. FHC IS, HOWEVER, SUBJECT TO FEDERAL AND STATE INCOME TAXES ON ANY UNRELATED BUSINESS INCOME UNDER THE PROVISIONS OF SECTION 511 OF THE CODE. AS OF DECEMBER 31, 2023 AND 2022, FHC HAD NO UNRELATED BUSINESS INCOME. IF THERE WERE UNRELATED BUSINESS INCOME, FHC APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES (ASC 740), WHICH CLARIFIES THE ACCOUNTING FOR THE UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION OR EXPECTED TO BE TAKEN. UNDER ASC 740, TAX POSITIONS WILL BE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND WILL PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. FHC DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 AND 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: REALIZED LOSS ON INVESTMENT -75,740. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE 1,978,544. GAIN ON SALE OF ASSETS 21,292. BAD DEBT 18,929. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN ON SALE OF ASSETS -21,292. NET ASSET TRANSFER FROM MARSHFIELD CLINIC, INC -86,550. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE 1,978,544. BAD DEBT 18,929. REALIZED LOSS ON INVESTMENT 75,738. 1 0 0 CHARITY CARE 2735 1978544 PART I, LINE 2: FAMILY HEALTH CENTER PROVIDED CHARITY CARE FOR MEDICAL, DENTAL, MENTAL HEALTH, AND SUBSTANCE ABUSE SERVICES TO ELIGIBLE PATIENTS THROUGH VARIOUS PROGRAMS INCLUDING A PREPAID HEALTH SERVICES PROGRAM, FINANCIAL ASSISTANCE BASED ON A SLIDING FEE DISCOUNT SCHEDULE, AND UNTIL OCTOBER 2023, A COMMUNITY HEALTH ACCESS PROGRAM. PATIENTS CAN APPLY FOR CHARITY CARE REGARDLESS OF AGE, GENDER, HEALTH CONDITIONS, RACE/ETHNICITY, OR CITIZENSHIP STATUS. OUR GOAL IS TO ELIMINATE ALL BARRIERS, INCLUDING FINANCIAL, TO CARE FOR AT-RISK POPULATIONS. OUR PROGRAMS ARE BOARD-APPROVED AND CONSIDER VARIOUS FACTORS, INCLUDING PATIENT INPUT. X X X X 0 0 0 0 0 0 0 0 0 SIRIN CHUNDU DENTIST-PEDIATRICS 312355 0 0 0 0 0 9371 0 26649 0 348375 0 0 0 SCOTT MURPHY DENTIST 264167 0 0 0 0 0 7925 0 22547 0 294639 0 0 0 DEEPAK NEELAGIRI DENTIST 275937 0 0 0 0 0 8278 0 8278 0 292493 0 0 0 BRIAN SERRES DENTIST 249375 0 0 0 0 0 7481 0 24760 0 281616 0 0 0 MARK SCHLICHTIG DENTIST 249375 0 0 0 0 0 7481 0 22103 0 278959 0 0 0 GREG NYCZ CHIEF EXECUTIVE OFFICER 178611 0 0 0 0 0 3992 0 11343 0 193946 0 0 0 AMANDA SPINDLER CHIEF FINANCIAL OFFICER 160926 0 5000 0 0 0 4978 0 20528 0 191432 0 0 0 MARY DORSCH CHIEF OF OPERATIONS 160510 0 0 0 0 0 4815 0 16456 0 181781 0 0 0 DAVID CHAUDIER CHIEF OF STAFF 147115 0 11229 0 0 0 4750 0 6012 0 169106 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FHC CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REVIEW THE COMPLETED FORM 990. BEFORE FILING WITH THE IRS, A FINAL DRAFT OF THE FORM, ALONG WITH ALL REQUIRED SCHEDULES, IS SHARED WITH THE FHC BOARD OF DIRECTORS IN EITHER ELECTRONIC OR PAPER FORMAT FOR REVIEW AND FINAL APPROVAL. DOCUMENTATION OF THE BOARD'S APPROVAL IS RECORDED IN THE MEETING NOTES. FORM 990, PART VI, SECTION B, LINE 12C FHC HAS ADOPTED A CONFLICT OF INTEREST POLICY. EACH DIRECTOR, OFFICER, AND INDIVIDUAL IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER FHC'S DECISIONS IS REQUIRED TO COMPLETE AND SIGN A DISCLOSURE STATEMENT ANNUALLY AS PART OF THE POLICY. THEY MUST ALSO DISCLOSE ANY POTENTIAL CONFLICTS AND ALL MATERIAL FACTS TO THE GOVERNING BOARD AS SOON AS THEY ARE AWARE THAT A POTENTIAL CONFLICT MAY ARISE. POTENTIAL CONFLICTS ARE REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS OF FHC IS RESPONSIBLE FOR THE CEO'S ANNUAL EVALUATION AND MERIT CHANGES. THE FHC PERSONNEL COMMITTEE CONDUCTS THE PROCESS RELATED TO THESE ACTIVITIES AND MAKES A RECOMMENDATION TO THE FULL BOARD FOR APPROVAL. THE FHC PERSONNEL COMMITTEE UTILIZES A HUMAN RESOURCE REPRESENTATIVE WHO PROVIDES THEM WITH SALARY SURVEY INFORMATION RELEVANT TO THE POSITION. FORM 990, PART VI, SECTION C, LINE 19 FHC DOES NOT MAKE ITS CURRENT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UNLESS INCLUDED AS PART OF A FORM THAT IS REQUIRED TO BE PUBLICLY AVAILABLE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 16,667,626. MANAGEMENT AND GENERAL EXPENSES 3,048,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,716,561. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER FROM MARSHFIELD CLINIC, INC 86,550. FLAMBEAU HOSPITAL INC 98 SHERRY AVE PARK FALLS WI 54552 390973724 HOSPITAL WI 501(C)(3) LINE 3 MCHS HOSP 0 LAKEVIEW MEDICAL CENTER INC 1700 W STOUT ST RICE LAKE WI 54868 390837206 HOSPITAL WI 501(C)(3) LINE 3 MCHS HOSP 0 VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL 1700 W STOUT ST RICE LAKE WI 54868 391329084 SUPPORT ORG WI 501(C)(3) LINE 12D, III-O N/A 0 MARSHFIELD CLINIC HEALTH SYSTEM INC 1000 N OAK AVE MARSHFIELD WI 54449 461495343 SUPPORT ORG WI 501(C)(3) LINE 12D, III-O N/A 0 MARSHFIELD CLINIC INC 1000 N OAK AVE MARSHFIELD WI 54449 390452970 MEDICAL SVCS WI 501(C)(3) LINE 3 MCHS 0 SECURITY HEALTH PLAN OF WISCONSIN INC 1515 N ST JOSEPH AVE MARSHFIELD WI 54449 391572880 HMO WI 501(C)(4) N/A MCHS 0 MCHS HOSPITALS INC 1000 N OAK AVE MARSHFIELD WI 54449 810977948 HOSPITAL WI 501(C)(3) LINE 3 MCHS 0 MCHS FOUNDATION INC 1000 N OAK AVE MARSHFIELD WI 54449 812822823 PHILANTHROPY WI 501(C)(3) LINE 7 MCHS 0 BEAVER DAM COMMUNITY HOSPITALS INC 707 S UNIVERSITY AVE BEAVER DAM WI 53916 391157876 HOSPITAL WI 501(C)(3) LINE 3 MCHS HOSP 0 MEMORIAL HOSPITAL INC N3708 RIVER AVE NEILLSVILLE WI 54456 390806828 HOSPITAL WI 501(C)(3) LINE 3 MCHS HOSP 0 DICKINSON COUNTY HEALTHCARE SYSTEM 1721 S STEPHENSON AVE IRON MOUNTAIN MI 49801 382780429 HOSPITAL MI 501(C)(3) LINE 3 MCHS HOSP 0 THE DIAGNOSTIC & TREATMENT CENTER LLC 3401 CRANBERRY BLVD WESTON WI 54476 200691634 MEDICAL SVCS WI N/A 0 0 0 0 1 0 0 0 0 1 0 1 1 0 0 1 0 1 1 0 0 SECURITY HEALTH PLAN OF WISCONSIN INC P 192900 COST