2021-08-16T14:17:45-05:00 2020-09-30 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2019-10-01 391681547 FAMILY HEALTH CENTER OF MARSHFIELD INC % Amanda Spindler FAMI 7152215700 1000 N Oak Avenue Marshfield WI 54449 GREG NYCZ Executive Director 7152215720 2021-08-12 true MONROE J GIERL P01413237 6123055000 2021-08-13 2019 2022-09-23 18:48:47Z Greg Nycz 1000 N Oak Avenue Marshfield WI 54449 68206475 false X www.familyhealthcenter.net X 1990 WI See Schedule O. 10 10 1 10 0 0 9002617 14218719 69681189 44344513 1073134 825351 6750 6000 79763690 59394583 5498612 3171859 0 0 213682 199242 0 0 0 78980340 61195876 84692634 64566977 -4928944 -5172394 85418675 80148727 24320568 23677926 61098107 56470801 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. false false 58842476 3171859 44344513 IN TOTAL, FAMILY HEALTH CENTER OF MARSHFIELD, INC. (FHC) SERVED APPROXIMATELY 51,326 UNIQUE PATIENTS ON A CALENDAR YEAR BASIS WHO WOULD NOT OTHERWISE RECEIVE CARE OR WOULD NEED TO OVERCOME SIGNIFICANT BARRIERS TO ACCESS CARE. FHC DOES THIS BY CONTRACTING FOR HEALTH CARE AND ADMINISTRATIVE STAFF TO PROVIDE CARE DIRECTLY TO PATIENTS WITHIN PROXIMITY TO THEIR COMMUNITIES, AND BY CONTRACTING FOR HEALTH CARE SERVICES FOR PATIENTS THROUGH A NETWORK OF HEALTH CARE PROVIDERS IN CENTRAL AND NORTHERN WISCONSIN. HEALTH CARE IS INCLUSIVE OF MEDICAL, ORAL, BEHAVIORAL AND VISION CARE. 58842476 true true false true false false false false false false true false false false false true true true false false false false false false false false false true true true false false false false false false false false false false false false false true false false false true 59 0 true 1 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true false false X Amanda Spindler 7152215727 1000 N Oak Avenue Marshfield WI 54449 Roderick Koehler MD Ex-Officio Board Member 1.0 40.0 X 0 389972 53263 Marty Anderson Ex-Officio Board Member 1.0 40.0 X 0 203102 56285 Greg Nycz Executive Director 40.0 0.0 X 195980 0 8028 Rita Kirchoff Treasurer 1.0 0.0 X X 0 0 0 Marla Hemke Secretary 1.0 0.0 X X 0 0 0 Robert Wiltrout Board Member 1.0 0.0 X 0 0 0 Ronda Kopelke Board Member 1.0 0.0 X 0 0 0 Richard Kummerow Board Member 1.0 0.0 X 0 0 0 Tena Quackenbush Board Member 1.0 0.0 X 0 0 0 David Baxter Board Member 1.0 0.0 X 0 0 0 Austin Jirschele Board Member 1.0 0.0 X 0 0 0 Robert Twobears Ex-Officio Board Member 1.0 0.0 X 0 0 0 Sherry Moore Vice President 1.0 0.0 X X 0 0 0 Anton Ziesler President 1.0 0.0 X X 0 0 0 195980 593074 117576 1 false true false 0 574364 13644128 227 14218719 Net Patient Service Revenue 621400 39369857 39369857 Pharmacy Revenue 621400 4122558 4122558 MISC OTHER OPERATING REVENUE 621400 509433 509433 PREPAID HEALTH SERVICE REVENUE 621400 342665 342665 44344513 585880 585880 0 0 6000 6000 0 6000 6000 9051363 8811892 239471 239471 239471 0 0 0 0 0 0 0 0 0 0 59394583 44344513 831351 X 12089 12089 3159770 3159770 0 0 179203 179203 0 0 0 8765 8765 11274 11274 0 0 0 0 0 40830 40830 42067606 36819957 5247649 121606 121544 62 589211 555351 33860 138173 121577 16596 0 1462342 1325701 136641 53941 42784 11157 0 78437 59093 19344 331728 331728 0 2045056 2045056 26288 26288 Capitation 10028836 10028836 Medical Supplies 3990727 3971607 19120 Misc Other Operating Expenses 221095 221095 64566977 58842476 5724501 0 8495008 8824197 852136 892199 1051336 819639 22361029 21893790 0 0 0 0 0 0 844264 888954 285182 162431 51827829 24381934 29340957 27445895 22188763 18879570 0 0 0 0 0 0 0 342052 85418675 80148727 11828095 10306829 0 0 200043 1737700 0 0 0 0 0 0 12292430 11633397 0 0 0 0 24320568 23677926 X 61098107 56470801 0 0 61098107 56470801 85418675 80148727 -5172394 545088 X false true X true true true X 26424071 8895359 9263655 9002617 14218719 67804421 0 0 26424071 8895359 9263655 9002617 14218719 67804421 19640132 48164289 873451 841383 908721 933203 591880 4148638 0 0 71953059 358578644 0.66939 0.48922 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false false false false false 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. 0 1513971 1513971 0 30624587 9133758 21490829 0 794762 357903 436859 0 18675122 14749664 3925458 0 219387 140609 78778 27445895 0 0 X 56787883 545088 0 545088 56242795 40830 3110958 3151788 59394583 61415179 0 0 61415179 40830 3110968 3151798 64566977 Form 990 Sch D 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 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 BOTH SEPTEMBER 30, 2020 AND 2019, FHC HAD NO UNRELATED BUSINESS INCOME. IF THERE WERE UNRELATED BUSINESS INCOME, FHC WOULD APPLY 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. AS OF BOTH SEPTEMBER 30, 2020 AND 2019, FHC HAD NO UNCERTAIN TAX POSITIONS. FORM 990 SCH D PART XI, LINE 4B AND PART XII, LINE 4B INTER-COMPANY CONTRIBUTIONS: $5,364 PROVISION FOR BAD DEBTS: $-54,176 CHARITY CARE $3,159,770 ---------------- TOTAL: $3,110,958 true MCHS Foundation Inc 1000 N Oak Avenue Marshfield WI 54449 812822823 501(c)(3) 10000 HOPE FUND 1 Charity Care Assistance to Individuals 9810 3159770 FORM 990 SCH I PART I LINE 2 FAMILY HEALTH CENTER PROVIDES CHARITY CARE FOR MEDICAL, DENTAL, AND MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO ELIGIBLE PATIENTS THROUGH A COMMUNITY HEALTH ACCESS PROGRAM, A PREPAID HEALTH SERVICES PROGRAM AND FINANCIAL ASSISTANCE BASED ON A SLIDING FEE DISCOUNT SCHEDULE. PATIENTS ARE ABLE TO APPLY FOR CHARITY CARE REGARDLESS OF AGE, GENDER, HEALTH CONDITIONS, RACE/ETHNICITY, CITIZENSHIP STATUS, ETC. IT IS THE GOAL OF OUR HEALTH CENTER TO ELIMINATE ALL BARRIERS, INCLUDING FINANCIAL, TO CARE FOR OUR AT-RISK POPULATIONS. OUR PROGRAMS ARE BOARD APPROVED AND BASED ON MANY FACTORS INCLUDING PATIENT INPUT. X X false false false false false false false false false Marty Anderson Ex-Officio Board Member 0 198764 0 0 0 4338 0 29241 0 27044 0 259387 0 0 Roderick Koehler MD Ex-Officio Board Member 0 386000 0 0 0 3972 0 29241 0 24022 0 443235 0 0 Greg Nycz Executive Director 191464 0 0 0 4516 0 0 0 8028 0 204008 0 0 0 Form 990 Part I Line 1 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. FORM 990 PART VI LINE 11B THE MARSHFIELD CLINIC HEALTH SYSTEM TAX DEPARTMENT, THE FHC EXECUTIVE DIRECTOR AND FHC DIRECTOR OF FINANCE SHALL REVIEW THE COMPLETED FORM 990. AFTER THEIR REVIEW AND PRIOR TO FILING FORM 990 WITH THE IRS, A FINAL COPY OF THE FORM 990 AND ALL REQUIRED SCHEDULES WILL BE SHARED WITH THE FHC BOARD OF DIRECTORS IN ELECTRONIC OR PAPER FORM FOR REVIEW AND FINAL APPROVAL. Form 990 Part VI Line 12c FHC HAS ADOPTED A CONFLICT OF INTEREST POLICY. EACH DIRECTOR, OFFICER, AND OTHER PERSON WHO IS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER DECISIONS OF FHC IS REQUIRED TO ANNUALLY COMPLETE AND SIGN A DISCLOSURE STATEMENT THAT IS PART OF THE POLICY. THEY MUST ALSO DISCLOSE THE EXISTENCE OF A POTENTIAL CONFLICT AND ALL MATERIAL FACTS TO THE GOVERNING BOARD AS SOON AS THE PERSON HAS KNOWLEDGE THAT A POTENTIAL CONFLICT MAY OCCUR. Form 990 Part VI Line 15a THE BOARD OF DIRECTORS OF FHC IS RESPONSIBLE FOR THE EXECUTIVE DIRECTOR'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. THE FHC PERSONNEL COMMITTEE ALSO UTILIZES RECOMMENDATIONS FROM THE MARSHFIELD CLINIC HEALTH SYSTEM INDEPENDENT COMPENSATION COMMITTEE. Form 990 Part VI 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 5 ALL PERSONNEL SERVICES FOR FHC ARE PERFORMED BY EMPLOYEES OF MARSHFIELD CLINIC, INC. AND MARSHFIELD CLINIC HEALTH SYSTEM, INC. WITH THE EXCEPTION OF THE EXECUTIVE DIRECTOR. Marshfield Clinic, Inc. and Marshfield Clinic Health System, Inc. file all corresponding federal payroll forms. FORM 990 PART IX LINE 11G DESCRIPTION:Purchased Services TOTAL FEES:42067606 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 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 MARSHFIELD CLINIC HEALTH SYSTEM INC 1000 N OAK AVE MARSHFIELD WI 54449 461495343 SUPPORT ORG WI 501(C)(3) 12-TYPE III NA false MARSHFIELD CLINIC INC 1000 N OAK AVE MARSHFIELD WI 54449 390452970 MEDICAL SVCS WI 501(C)(3) 3 MCHS false SECURITY HEALTH PLAN OF WISCONSIN INC 1515 N ST JOSEPH AVE MARSHFIELD WI 54449 391572880 HMO WI 501(C)(4) N/A MCHS false MCHS HOSPITALS INC 1000 N OAK AVE MARSHFIELD WI 54449 810977948 HOSPITAL WI 501(C)(3) 3 MCHS false MCHS FOUNDATION INC 1000 N OAK AVE MARSHFIELD WI 54449 812822823 PHILANTHROPY WI 501(C)(3) 7 MCHS false 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 SVCS WI NA RELATED 0 0 false 0 false false true true false false false false true false true true false false false false true true false false SECURITY HEALTH PLAN OF WISCONSIN INC p 192900 COST