2021-08-16T14:20:46-05:00 2020-09-30 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2019-10-01 461495343 Marshfield Clinic Health System Inc % Cathy Bukowski VP of Financ MARS 7153875511 1000 N OAK AVENUE MARSHFIELD WI 54449 GORDON T EDWARDS COO/CFO 7153875511 2021-08-16 true MONROE J GIERL P01413237 6123055000 2021-08-16 2019 2022-09-23 18:48:47Z Susan Turney MD CEO 1000 N OAK AVENUE MARSHFIELD WI 54449 231118200 false X www.marshfieldclinic.org/health-system X 2012 WI WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. 25 13 11506 0 0 0 182188 173688 240577563 227881831 5252645 2930082 78 0 246012474 230985601 864938 856705 0 0 143451552 147671036 0 0 0 116167678 107238122 260484168 255765863 -14471694 -24780262 731327577 945887022 376554921 596698689 354772656 349188333 X WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. false false 255765863 856705 227881831 SEE SCHEDULE O 255765863 true true false true false false false false false false true true true false false true false true false false true false false false false false false true true true true false false false false false false false false true false false false false false false true true true true false true 1155 0 true 11506 true false false false false false false false false false false false false true false X 25 13 true false false false false false false true true false false true true true true true true true true true true X Cathy Bukowski VP of Financ 7153875511 1000 N Oak Avenue Marshfield WI 54449 Susan Turney MD MCHS CEO 50.0 5.0 X 2421029 0 290941 Narayana Murali MD MCHS Chief Strategy Officer 50.0 5.0 X 923371 0 56431 Jerard Jensen MCHS General Counsel 50.0 5.0 X 871749 0 54160 Elvis Peter MD Board Member 3.0 52.0 X 0 769077 51473 Gordon Edwards MCHS CFO/COO 50.0 5.0 X 759168 0 56820 Nicholas Bodmer MD Board Member 2.0 52.0 X 0 754422 55463 Seth Fagbemi MD Board Member 2.0 52.0 X 0 750393 53129 Jayanth Vedre MD Board Member 2.0 52.0 X 0 680097 58441 David Junker MD Board Member 2.0 52.0 X 0 671715 59350 Edward Fernandez MD Board Member 3.0 54.0 X 0 618306 60064 Matthew Thomas MD Board Member 3.0 55.0 X 0 599671 54965 Julie Brussow MCHS Health Plan CEO 50.0 1.0 X 520809 0 46463 Sushma Thappeta MD Board Member 2.0 52.0 X 0 418505 56631 Timothy Wengert MD Board Member 2.0 52.0 X 0 373064 48475 Neelakantan Namboodiri MD Board Member 2.0 53.0 X 0 372460 47109 Kent Ray DO Board Member 3.0 53.0 X 0 338827 53473 Ivan Schaller MD Secretary (Thru Jan 2020) 4.0 54.0 X X 0 206039 55883 Alpa Shah MD Secretary 4.0 39.0 X X 0 220242 29241 Mark Bugher Chair 9.0 1.0 X X 33000 0 0 Michael Luebke Board Member 4.0 1.0 X 20000 0 0 Terry Frankland Board Member 4.0 1.0 X 9500 0 0 Chuck Nason Board Member 4.0 1.0 X 7500 0 0 Richard Leinenkugel Treasurer 4.0 0.0 X X 7000 0 0 Mark Bradley Vice Chair 4.0 2.0 X X 6500 0 0 David Shore Board Member 4.0 0.0 X 6500 0 0 Fritz Wenzel Board Member 4.0 0.0 X 6500 0 0 Bernie Patterson Board Member 2.0 0.0 X 5500 0 0 Janet Lindemann MD Board Member 4.0 0.0 X 5500 0 0 Leah Brash Board Member 4.0 0.0 X 5100 0 0 Bill Fonti Board Member 2.0 0.0 X 4500 0 0 George Brown MD Board Member 2.0 0.0 X 4500 0 0 5586126 6772818 1188512 800 false true false TRIAGE LLC PO BOX 3291 OMAHA NE 68103 MEDICAL SVCS 13230871 CA INDUSTRIES INC PO BOX 3037 OMAHA NE 68103 MEDICAL SVCS 2070497 KPMG LLP PO BOX 120754 DALLAS TX 75312 PROFESSIONAL SVCS 1990627 CHANGE HEALTHCARE SOLUTIONS LLC 22423 NETWORK PLACE CHICAGO IL 60673 PROFESSIONAL SVCS 1915338 SIGHTPATH MEDICAL LLC PO BOX 204253 DALLAS TX 75320 MEDICAL SVCS 1469614 75 173688 0 173688 Intercompany Revenue 561000 218620765 218620765 Contract Revenue 561000 9261066 9261066 227881831 2515335 2515335 0 0 0 0 0 547346 54984 77615 492362 -77615 414747 414747 0 0 0 0 0 0 0 0 0 0 230985601 227881831 2930082 X 685398 685398 171307 171307 0 0 5223471 5223471 0 89674305 89674305 9547231 9547231 36894506 36894506 6331523 6331523 0 1998476 1998476 954967 954967 981436 981436 0 0 28716594 28716594 4051067 4051067 3709529 3709529 31378576 31378576 0 4291546 4291546 1272562 1272562 0 14686 14686 1860 1860 0 25524866 25524866 2313152 2313152 Medical supplies 759710 759710 Dues, subscriptions, licenses 540640 540640 Recruitment expenses 527917 527917 Taxes 115987 115987 84551 84551 255765863 255765863 0 0 47750620 19115286 498154 244683 0 0 238976727 376167389 0 0 0 0 10158101 10161300 296521 48 11696931 9596414 188407036 122399977 82011969 66007059 31998998 71396974 51259162 99793808 256680394 289937067 0 3301138 0 165856 731327577 945887022 376152953 596356569 0 0 342667 222804 0 0 0 0 0 0 59301 119316 0 0 0 0 376554921 596698689 X 354772656 349188333 0 0 354772656 349188333 731327577 945887022 X -24780262 5210668 13985271 X false true X true true true X X 3 MARSHFIELD CLINIC INC 390452970 3 true 0 0 LAKEVIEW MEDICAL CENTER INC OF RICE LAKE 390837206 3 true 0 0 FLAMBEAU HOSPITAL INC 390973724 3 true 0 0 3 true false false false false true false false false false false false false false false true true true X true true Form 990 Sch A Part IV Line Section A Line 6 THE COMMUNITY ENGAGEMENT DEPARTMENT PROVIDES SUPPORTS TO VARIOUS LOCAL NONPROFIT ORGANIZATIONS. Form 990 Sch A Part IV Line Section D Line 3 SUPPORTING ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES AND USE OF ITS INCOME OR ASSETS BY VIRTUE OF THE OVERLAP OF BOARD AND EXECUTIVE OVERSIGHT. Form 990 Sch A Part IV Line Section E Line 3a MCHS HAS THE RIGHT TO APPOINT, ELECT OR APPROVE/DISAPPROVE MEMBERS OF MOST OF THE SUPPORTED ORGANIZATIONS' BOARDS. IN THE CASE OF MARSHFIELD CLINIC, INC., MCHS DOES NOT ELECT OR APPOINT, BUT THE 11 MEMBERS OF THE MARSHFIELD CLINIC BOARD ARE ALSO MEMBERS OF THE MCHS BOARD. Form 990 Sch A Part IV Line Section E Line 3b THERE IS EITHER BOARD OVERLAP OR EXECUTIVE OVERLAP IN EACH OF THE AFFILIATED ORGANIZATIONS. EXECUTIVE LEADERS FROM EACH SUPPORTED ORGANIZATION REPORT TO MCHS EXECUTIVES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 940226 false true 41210 981436 false Form 990 Sch C Part II-B WHERE ITS EXPERIENCE MAY BE HELPFUL, MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) MAY OFFER RECOMMENDATIONS CONCERNING LEGISLATION OR REGULATIONS BEING CONSIDERED. IN ADDITION, IT MAY ANALYZE AND TAKE POSITIONS ON ISSUES THAT HAVE A RELATIONSHIP TO THE ORGANIZATION'S OPERATIONS. OCCASIONALLY STAFF MEMBERS WILL SEND MAIL TO MEMBERS OF CONGRESS AND THEIR STAFF. MCHS IS ALSO A MEMBER OF VARIOUS HEALTHCARE ASSOCIATIONS (I.E. WISCONSIN HOSPITAL ASSOCIATION) THAT MAY PERFORM SOME LOBBYING ACTIVITY. TOTAL DUES PAID BY MCHS ARE REPORTED ON LINE 1-I. 77550 77550 8776103 1593549 7182554 288227 176661 111566 179256575 120626029 58630546 8581 3738 4843 66007059 LTD PTNSHIP COMM INV 99793808 99793808 289937067 0 0 X Form 990 Sch D Part X Line 2 THE ORGANIZATION APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES (ASC 740), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'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 TAKEN 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. BASED ON AN ANALYSIS PREPARED BY THE ORGANIZATION, IT WAS DETERMINED THAT THE APPLICATION OF ASC 740 HAD NO MATERIAL EFFECT ON THE ORGANIZATION AT SEPTEMBER 30, 2020 OR 2019. false false true false false false true Marshfield Area United Way 156 S Central Ave PO Box 771 Marshfield WI 54449 391035073 501(c)(3) 107750 General Support General Support United Way of Marathon 137 River Dr Wausau WI 54403 390935496 501(c)(3) 31000 General Support General Support Marshfield Area YMCA 410 W McMillan St Marshfield WI 54449 391557086 501(c)(3) 28750 General Support General Support St Vincent De Paul Outreach 149 N Central Ave Marshfield WI 54449 391396428 501(c)(3) 27500 General Support General Support Univ of WI Foundation 750 Highland Ave Madison WI 53705 390743975 501(c)(3) 15000 General Support General Support Eau Claire City County 720 Second Ave Eau Claire WI 54703 396005436 501(c)(3) 15000 General Support General Support Lakeland Union High School 9573 Hwy 70 West Minocqua WI 54548 396025018 501(c)(3) 12500 General Support General Support United Way of Greater Chippewa Valley 3603 N Hastings Way STE 200 Eau Claire WI 54703 391077901 501(c)(3) 11250 General Support General Support Peyton's Promise PO Box 271 Schofield WI 54476 352393280 501(c)(3) 10000 General Support General Support Lakeland Family Resource 819 Ash St Spooner WI 54801 391842386 501(c)(3) 10000 General Support General Support Prince of Peace Lutheran 5030 Hwy 70 West PO Box 535 Eagle River WI 54521 391691317 501(c)(3) 10000 General Support General Support St Croix Chippewa Indians 4404 State Rd 70 Webster WI 54893 391210835 501(c)(3) 10000 General Support General Support Nekoosa School District 600 S Section St Nekoosa WI 54457 396003616 501(c)(3) 10000 General Support General Support County of Washburn 850 W Beaverbrook Ave STE 4 Spooner WI 54801 396005753 501(c)(3) 10000 General Support General Support Soc of St Vincent De Paul 503 S Center Ave STE 2 Merrill WI 54452 450508546 501(c)(3) 10000 General Support Sokaogon Chippewa Community 3051 Sand Lake Rd Crandon WI 54520 391180139 501(c)(3) 10000 General Support Catholic Charities of the Diocese of LaCrosse 3710 East Ave LaCrosse WI 54601 391896823 501(c)(3) 10000 General Support Soup or Socks Inc PO Box 146 Marshfield WI 54449 391740536 501(c)(3) 10000 General Support North Central Community Action 2111 8th St South STE 102 Wisconsin Rapids WI 54494 391080179 501(c)(3) 10000 General Support So Wood Emerging Pantry 2511 8th St S 242 Wisconsin Rapids WI 54494 475327773 501(c)(3) 10000 General Support Feed My People Food Bank 2610 Alpine Rd Eau Claire WI 54703 361488941 501(c)(3) 10000 General Support Rhinelander Area Food 627 Coon St Rhinelander WI 54501 331141966 501(c)(3) 10000 General Support Lakeland Pantry PO Box 470 Woodruff WI 54568 391521169 501(c)(3) 10000 General Support United Way of Portage County 1100 Centerpoint Dr Ste 302 Stevens Point WI 54481 390831152 501(c)(3) 10000 General Support Salvation Army 202 Callon St Wausau WI 54401 362167910 501(c)(3) 10000 General Support Mfld Area Community Fdn PO Box 456 Marshfield WI 54449 396578767 501(c)(3) 10000 General Support Chippewa Falls High School 735 Terrill St Chippewa Falls WI 54729 396008493 501(c)(3) 10000 General Support Forest Co Potawatomi PO Box 340 Crandon WI 54520 391225059 501(c)(3) 9980 General Support School District of Horicon 611 Mill St Horicon WI 53032 396002646 501(c)(3) 9863 General Support County of Jackson 307 Main St Black River Falls WI 54615 396005703 501(c)(3) 9620 General Support Create Portage County PO Box 565 Stevens Point WI 54481 201960836 501(c)(3) 8090 General Support Embrace Timeout Family 107 Lindoo Ave East Ladysmith WI 54848 391372488 501(c)(3) 8000 General Support Wood County Health Dept 111 W Jackson St Wisconsin Rapids WI 54494 396005763 501(c)(3) 7500 General Support WI Health News LLC PO Box 1856 Madison WI 53701 274392311 501(c)(3) 7000 General Support Menomoniee Indian Tribe PO Box 910 Keshena WI 54135 391205576 501(c)(3) 6375 General Support YMCA of Dodge County 220 Corporate Dr Beaver Dam WI 53916 390975426 501(c)(3) 6000 General Support Feed our Rural Kids Inc 4887 Echo Ridge Dr Eagle River WI 54521 842181844 501(c)(3) 5250 General Support 37 Patient Cost Charitable Benefit 330 171307 FMV N/A Form 990 Sch I Part I Line 2 MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) PROVIDES ASSISTANCE (PRIMARILY CONTRIBUTIONS) TO A VARIETY OF ORGANIZATIONS, ALL OF WHICH ARE 501(C)(3). MCHS MAKES DETERMINATIONS ON GRANTS AND OTHER ASSISTANCE BASED ON THE RECIPIENT ORGANIZATION'S MISSION, REPUTATION AND THE ORGANIZATION'S INTENDED USE OF FUNDS. X X true true X X X X X false true false true true true true false false Alpa Shah MD Secretary 0 217704 0 0 0 2538 0 29241 0 0 0 249483 0 0 Edward Fernandez MD Board Member 0 424947 0 170387 0 22972 0 29241 0 30823 0 678370 0 0 Neelakantan Namboodiri MD Board Member 0 348917 0 0 0 23543 0 29241 0 17868 0 419569 0 0 Sushma Thappeta MD Board Member 0 329140 0 86779 0 2586 0 29241 0 27390 0 475136 0 0 Nicholas Bodmer MD Board Member 0 475030 0 257848 0 21544 0 29241 0 26222 0 809885 0 0 Kent Ray DO Board Member 0 336031 0 0 0 2796 0 29241 0 24232 0 392300 0 0 Jayanth Vedre MD Board Member 0 413886 0 244667 0 21544 0 29241 0 29200 0 738538 0 0 David Junker MD Board Member 0 599919 0 50000 0 21796 0 29241 0 30109 0 731065 0 0 Seth Fagbemi MD Board Member 0 727421 0 0 0 22972 0 29241 0 23888 0 803522 0 0 Timothy Wengert MD Board Member 0 368126 0 0 0 4938 0 29241 0 19234 0 421539 0 0 Matthew Thomas MD Board Member 0 567875 0 10000 0 21796 0 29241 0 25724 0 654636 0 0 Elvis Peter MD Board Member 0 766281 0 0 0 2796 0 29241 0 22232 0 820550 0 0 Narayana Murali MD MCHS Chief Strategy Officer 740819 0 131250 0 51302 0 29241 0 27190 0 979802 0 0 0 Julie Brussow MCHS Health Plan CEO 442018 0 66243 0 12548 0 29241 0 17222 0 567272 0 0 0 Jerard Jensen MCHS General Counsel 763409 0 102974 0 5366 0 29241 0 24919 0 925909 0 0 0 Gordon Edwards MCHS CFO/COO 634788 0 82380 0 42000 0 29241 0 27579 0 815988 0 0 0 Susan Turney MD MCHS CEO 1724990 0 350200 0 345839 0 270641 0 20300 0 2711970 0 241400 0 Ivan Schaller MD Secretary (Thru Jan 2020) 198215 969 6855 29241 28202 263482 0 0 Form 990 Sch J Part I Line 1a THE ORGANIZATION MAY OCCASIONALLY REIMBURSE OR PROVIDE A HOUSING ALLOWANCE FOR KEY EXECUTIVES IN ORDER TO ASSIST WITH RELOCATING TO THE AREA. THE ORGANIZATION MAY ALSO CONTRIBUTE TO OR REIMBURSE FOR HEALTH AND SOCIAL CLUB DUES AS DEEMED NECESSARY IN ORDER TO SUPPORT A BUSINESS NEED. Form 990 Sch J Part I Line 3 THE MARSHFIELD CLINIC HEALTH SYSTEM'S (MCHS) INDEPENDENT COMPENSATION COMMITTEE (THE COMMITTEE) HAS FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS EMPLOYED BY ANY OF THE ORGANIZATIONS IN THE SYSTEM. THE COMMITTEE USES COMBINATIONS OF THE FOLLOWING TO EVALUATE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND WRITTEN EMPLOYMENT CONTRACTS. Form 990 Sch J Part I Line 4b 457(F) PLAN SUSAN TURNEY, MD - $254,127 Form 990 Sch J Part I Line 5a PART I LINE 5A & 5B SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS. Form 990 Sch J Part I Line 6a PART I LINE 6A & 6B SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS. A Wisconsin Health and Ed Facilities Authority 391337855 97710BZ54 2012-06-13 107540304 ACQUISITION, CONSTRUCTION, & RENOV false false false B Wisconsin Health and Ed Facilities Authority 391337855 97712DUG9 2016-10-05 316977541 SEE PART VI false false false C Wisconsin Health and Ed Facilities Authority 391337855 97712DA71 2017-09-13 328044486 REFUNDING OF SERIES 2017A BONDS false false false D Wisconsin Health and Ed Facilities Authority 391337855 977121DQ5 2018-09-26 100000000 SEE PART VI false false false A 2645000 0 107928259 0 0 0 1440312 0 0 106487947 0 0 false false true true B 7735000 0 316990839 0 6038 0 2672884 0 0 102907260 211404657 0 2017 true false true true C 6615000 0 328044486 0 0 0 3044486 0 0 0 325000000 0 true false true true D 50000000 0 100000000 0 0 0 737000 0 0 99263000 0 0 false false false true A false true true true true true 0 false false false true B false true true true true true 0.00560 0.00560 false true 0.00034 true true C false true true true true true 0.01210 0.01210 false true 0.00494 true true D false true true true true true 0 false false false true A false false false true false false 0 false 0 false true B false true true false true false 0 false 0 false true C false true true false false false 0 false 0 false true D false true true false true false 0 false 0 false true A true B true C true D true Bond A: PART II, LINE 3: THE DIFFERENCE BETWEEN PART II, LINE 3 AND PART I (E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART IV, LINE 2C: THE REBATE COMPUTATION PERFORMED AS OF 02/15/2017 CONFIRMED THAT NO REBATE WAS DUE ON THE BONDS. Bond B: PART I(F): THE BONDS WERE ISSUED TO REIMBURSE THE BORROWER FOR COSTS ASSOCIATED WITH ITS NEW MONEY PROJECT AS WELL AS TO REISSUE THE SERIES 2012 BONDS (ISSUED ON 4/13/12), REFUND THE SERIES 2006B BONDS (ISSUED ON 1/31/06) REFINANCE A LINE OF CREDIT BY JP MORGAN CHASE BANK, N.A. (DRAWN ON 2/16/16) LINE OF CREDIT ISSUED ON (4/1/12), REFUND VARIOUS USDA LOANS AND PAY THE CHIPPEWA LEASE (ISSUED JULY 14, 2006). PART II, LINE 3: THE DIFFERENCE BETWEEN PART II, LINE 3 AND PART I (E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART IV, LINE 2B: THE CURRENT REFUNDING PORTION OF THE BONDS MET THE 6 MONTH EXCEPTION TO REBATE. Bond C: PART I(F): THE SERIES 2017A TAXABLE BONDS WERE ISSUED ON 06/30/2017. PART IV, LINE 2B: THE 2017BC BONDS MET THE 6 MONTH EXCEPTION TO REBATE. Bond D: PART I(F): THE BONDS WERE ISSUED TO FINANCE OR REIMBURSE THE BORROWER FOR COSTS ASSOCIATED WITH THE ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF THE PROJECT AS WELL AS TO PAY ISSUANCE COSTS. PART IV, LINE 2B: ALL PROCEEDS OF THE BONDS WERE EXPENDED WITHIN 6 MONTHS OF THE ISSUE DATE, AND HAVE THUS MET THE REQUIREMENTS OF THE 6 MONTH EXCEPTION TO REBATE. A WI Health and Educational Facilities Authority 391337855 000000000 2019-09-30 52700000 See Part VI false false false B WI Health and Educational Facilities Authority 391337855 97712D6Y7 2020-06-30 318530787 See Part VI false false false A 1620000 0 53167458 0 0 0 334352 0 0 20023192 0 32809913 false false false true B 0 0 318531490 0 0 0 1197766 1726605 0 99783072 215606416 217630 true false false true A false true true true true true 0 false false false true B false true true true true true 0 false false false true A false true false false true false 0 false 0 false true B false true true false false false 0 false 0 false true A true B true BOND E: Part I(f) The Borrower acquired Beaver Dam Community Hospitals, including all of its outstanding debt. Proceeds of the Bonds were used to refinance all or portions of Beaver Dam's outstanding 2012A, 2012B, and 2013A Bonds. For tax purposes, the Bonds were treated as an acquisition/new money issuance. BOND F: Part I(f): The Bonds were issued to pay all or a portion of the costs of the Project, to pay the costs of the current refunding of the Authority's (i) Variable Rate Revenue Bonds, Series 2017D (Marshfield Clinic Health System, Inc.) issued on December 28, 2017, (ii) Adjustable Rate Revenue Bonds, Series 2018B (Marshfield Clinic Health System, Inc.) issued on September 26, 2018, (iii) Adjustable Rate Revenue Bonds, Series 2018C (Marshfield Clinic Health System, Inc. issued on November 8, 2018, and to pay certain costs associated with the issuance of the Bonds including the premium on the Bond Insurance Policy. Part II, Line 3: The difference between Part II, Line 3 and Part I (e) is due to interest earnings on bond proceeds. Part IV, Line 2b: The current refunding portion of the Bonds met the 6 month exception to rebate. Julie Koplitz Family Relationship 83138 Compensation false Justin Koplitz Family Relationship 133689 Compensation false Form 990 Part III Line 4a MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) WAS INCORPORATED IN OCTOBER 2012 AS PART OF A PROSPECTIVE REORGANIZATION OF MARSHFIELD CLINIC AND ITS AFFILIATED ENTITIES INTO AN INTEGRATED HEALTHCARE SYSTEM. THE REORGANIZATION WAS IMPLEMENTED UPON RECEIPT OF AN INTERNAL REVENUE SERVICE (IRS) DETERMINATION LETTER RECOGNIZING MCHS AS A TAX-EXEMPT ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) IN 2014. MCHS AS A STANDALONE ENTITY HOUSES CERTAIN ADMINISTRATIVE FUNCTIONS THAT SUPPORT THE SYSTEM AS A WHOLE. Form 990 Part VI Line 2 BOARD MEMBERS BERNIE PATTERSON AND CHUCK NASON HAVE A BUSINESS RELATIONSHIP. BOARD MEMBERS RICHARD LEINENKUGEL AND MARK BRADLEY HAVE A FAMILY RELATIONSHIP. Form 990 Part VI Line 11b MARSHFIELD CLINIC HEALTH SYSTEM, INC. ENGAGES A PUBLIC ACCOUNTING FIRM TO PREPARE AND REVIEW THE FORM 990 IN ADDITION TO REVIEW BY THE SYSTEM CFO/COO AND TAX DEPARTMENT. PRIOR TO FILING THE FORM WITH THE IRS, THE CFO AND HIS/HER DESIGNEE WILL PROVIDE TO EACH MEMBER OF THE SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE (A SUBCOMMITTEE OF THE BOARD OF DIRECTORS) A COPY IN ELECTRONIC OR PAPER FORM OF THE COMPLETED FORM 990 (AND ALL REQUIRED SCHEDULES) FOR REVIEW. Form 990 Part VI Line 12c ALL OFFICERS, BOARD DIRECTORS, AND KEY EMPLOYEES OF EVERY MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) ENTITY, AS WELL AS ANY OTHER PERSON DESIGNATED BY THE AUDIT AND COMPLIANCE COMMITTEE (ACC) TO BE A REQUIRED REPORTER BY VIRTUE OF HIS OR HER POSITION AT A SYSTEM ENTITY, SHALL ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. SUCH FORMS SHALL BE DISTRIBUTED AND RECORDED BY THE SYSTEM'S DESIGNATED COMPLIANCE OFFICER. ALL FINANCIAL INTERESTS DISCLOSED AS PART OF THE ANNUAL DISCLOSURE PROCESS SHALL BE REVIEWED BY THE ACC. THE ACC SHALL INFORM THE BOARD OF DISCLOSED FINANCIAL INTERESTS WHICH MAY BEAR UPON OR RELATE TO A TRANSACTION UPON WHICH THE BOARD OR ANOTHER BOARD, COMMITTEE OR OTHER BODY OF A SYSTEM ENTITY, MAY DELIBERATE OR ACT. IN ADDITION TO THE ANNUAL DISCLOSURES, IF AT ANY TIME BETWEEN ANNUAL DISCLOSURES, A REQUIRED REPORTER BECOMES AWARE THAT THE BOARD, OR A BOARD, COMMITTEE OR OTHER BODY, OF ANY SYSTEM ENTITY MAY DELIBERATE OR ACT UPON ANY TRANSACTION THAT MAY HAVE ANY BEARING OF ANY KIND UPON, OR MAY RELATE IN ANY MANNER TO, AN EXISTING, INTENDED OR EXPECTED FINANCIAL INTEREST OF THE REQUIRED REPORTER, HE OR SHE SHALL DISCLOSE THE FINANCIAL INTEREST TO THE RELEVANT SYSTEM ENTITY BOARD, COMMITTEE OR BODY CHAIR, AS WELL AS TO THE SYSTEM'S COMPLIANCE OFFICER, IN ADVANCE OF ANY DELIBERATIONS OR ACTION, WRITTEN DISCLOSURE OF THE EXISTENCE, NATURE AND EXTENT OF HIS OR HER FINANCIAL INTEREST. ALL WRITTEN OR ORAL DISCLOSURES OF FINANCIAL INTERESTS SHALL BE RECORDED IN THE MINUTES OF THE BOARD AND BY THE OFFICE OF THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER SHALL DISCLOSE THE COMPLETED FORMS AS NECESSARY TO THOSE MCHS EMPLOYEES RESPONSIBLE FOR COMPLETION OF THE IRS FORM 990. Form 990 Part VI Line 15a & 15B THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE (COMPENSATION COMMITTEE) SHALL HAVE FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DIQUALIFIED PERSONS (AS THAT TERM IS DEFINED IN 4958 OF THE INTERNAL REVENUE CODE (THE CODE)) EMPLOYED BY THE CORPORATION, INCLUDING BUT NOT LIMITED TO THE CORPORATION'S CEO. THE TERM DISQUALIFIED PERSONS INCLUDES (BUT IS NOT LIMITED TO) ANY PERSON (OR THE PERSON'S FAMILY MEMBER) WHO WAS, AT ANY TIME DURING THE 5-YEAR PERIOD ENDING ON THE DATE OF THE TRANSACTION, IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. IT SHALL BE THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE TO INSURE THAT THE SYSTEM DOES NOT PAY AN AMOUNT THAT EXCEEDS REASONABLE COMPENSATION FOR ANY DISQUALIFIED PERSON. THE COMPENSATION COMMITTEE AND ITS OPERATING PROCEDURES SHALL BE DESIGNED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS OF COMPENSATION OUTLINED IN TREASURY REG. SEC. 53.4958-6 WITH RESPECT TO EACH DISQUALIFIED PERSON. IN DETERMINING REASONABLENESS OF COMPENSATION, THE COMPENSATION COMMITTEE SHALL EVALUATE APPROPRIATE INFORMATION AS TO THE COMPARABILITY OF COMPENSATION, INCLUDING BUT NOT LIMITED TO: COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE SYSTEM'S GEOGRAPHIC AREA; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN JOB OFFERS FROM SIMILAR INSTITUTIONS. THE COMPENSATION COMMITTEE SHALL HAVE INDEPENDENT AUTHORITY TO OBTAIN OUTSIDE EXPERT OPINIONS ON THE REASONABLENESS AND FAIR MARKET VALUE OF COMPENSATION AND GATHER OTHER INFORMATION IT CONSIDERS NECESSARY OR APPROPRIATE TO MAKE ITS DECISIONS ON COMPENSATION. THE COMPENSATION COMMITTEE SHALL TIMELY DOCUMENT ITS DETERMINATION OF REASONABLENESS OF COMPENSATION. Form 990 Part VI Line 19 MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) 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 XI Line 9 OTHER CHANGES IN NET ASSETS NET ASSETS RELEASED FROM RESTRICTION: $674,637 EQUITY INCOME FROM FLAMBEAU: $1,197,443 EQUITY INCOME FROM SHP: $99,020,894 EQUITY INCOME FROM MC HHJV, LLC: ($86,661) NET ASSET TRANSFERS WITH RELATED ORGS: ($86,821,042) -------------------- TOTAL OTHER CHANGE IN NET ASSETS: $13,985,271 FORM 990 PART IX LINE 11G DESCRIPTION:Consulting expenses TOTAL FEES:12451873 FORM 990 PART IX LINE 11G DESCRIPTION:Collection agency fees TOTAL FEES:2290714 FORM 990 PART IX LINE 11G DESCRIPTION:Purchased services TOTAL FEES:13974007 SECURITY HEALTH PLAN OF WISCONSIN INC 1515 N ST JOSEPH AVE MARSHFIELD WI 54449 391572880 HMO WI 501(C)(4) N/A NA true FLAMBEAU HOSPITAL INC 98 SHERRY AVE PARK FALLS WI 54552 390973724 HOSPITAL WI 501(C)(3) 3 MCHS HOSP false LAKEVIEW MEDICAL CENTER INC 1700 W STOUT ST RICE LAKE WI 54868 390837206 HOSPITAL WI 501(C)(3) 3 MCHS HOSP false MARSHFIELD CLINIC INC 1000 N OAK AVE MARSHFIELD WI 54449 390452970 MEDICAL SVCS WI 501(C)(3) 3 NA true VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL 1700 W STOUT ST RICE LAKE WI 54868 391329084 SUPPORT ORG WI 501(C)(3) 12-TYPE III NA false FAMILY HEALTH CENTER OF MARSHFIELD INC 1000 N OAK AVE MARSHFIELD WI 54449 391681547 COM HLTH CTR WI 501(C)(3) 7 NA false MCHS HOSPITALS INC 1000 N OAK AVE MARSHFIELD WI 54449 810977948 HOSPITAL WI 501(C)(3) 3 NA true MCHS FOUNDATION INC 1000 N OAK AVE MARSHFIELD WI 54449 812822823 PHILANTHROPY WI 501(C)(3) 7 NA true BEAVER DAM COMMUNITY HOSPITALS INC 707 S UNIVERSITY AVE BEAVER DAM WI 53916 391157876 HOSPITAL WI 501(C)(3) 3 MCHS HOSP false MEMORIAL HOSPITAL INC 216 SUNSET PL NEILLSVILLE WI 54456 390806828 HOSPITAL WI 501(C)(3) 3 MCHS HOSP false THE DIAGNOSTIC & TREATMENT CENTER LLC 3401 CRANBERRY BLVD WESTON WI 54476 200691634 MEDICAL SERVICES WI NA RELATED 0 0 false 0 false false false true false false false false false false false false false false false false true false true true MCHS FOUNDATION INC c 173688 Cost MARSHFIELD CLINIC INC p 96399 Cost LAKEVIEW MEDICAL CENTER INC OF RICE LAKE p 1494716 Cost SECURITY HEALTH PLAN OF WISCONSIN INC p 3248170 Cost MCHS HOSPITALS INC p 9584248 Cost Form 990 Sch R Part V Line 1 MARSHFIELD CLINIC HEALTH SYSTEM, INC. (A 501(C)3 ORGANIZATION), IS THE PARENT ORGANIZATION OF THE FOLLOWING ORGANIZATIONS: MARSHFIELD CLINIC, INC. SECURITY HEALTH PLAN OF WISCONSIN, INC. MCHS HOSPITALS, INC. MARSHFIELD CLINIC HEALTH SYSTEM FOUNDATION, INC.