2019-08-13T15:38:59-05:00 2018-09-30 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2017-10-01 391681547 Family Health Center of Marshfield Inc % Amanda Spindler FAMI 7152215700 1000 N Oak Avenue Marshfield WI 54449 GREG NYCZ Executive Director 7152215720 2019-07-03 true MONROE J GIERL P01413237 6123055000 2019-07-03 167.68.102.5 41438720192255000003 2019-08-13 P 4D20E2B6203F6DF8F278F52D8F141165BAD3568A EA4B65EE71D42BE71D1FFD4325509DD549A18899 2017 2019-02-21 02:37:17Z Greg Nycz 1000 N Oak Avenue Marshfield WI 54449 102041396 false X www.familyhealthcenter.net X 1990 WI See Schedule O 9 9 1 12 0 0 8895359 9263655 85948372 76346075 863816 650897 3340 11500 95710887 86272127 1803 1497 0 0 210820 211379 0 0 0 105574147 94436110 105786770 94648986 -10075883 -8376859 125141842 113413179 51059869 48569545 74081973 64843634 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 88027732 1497 76346075 IN TOTAL, FAMILY HEALTH CENTER OF MARSHFIELD, INC. (FHC) SERVES APPROXIMATELY 82,723 UNIQUE PATIENTS ANNUALLY WHO WOULD NOT OTHERWISE RECEIVE CARE OR WOULD NEED TO OVERCOME SIGNIFICANT BARRIERS TO ACCESS CARE. FHC DOES THIS BY CONTRACTING FOR HEALTH, DENTAL AND BEHAVIORAL 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. 88027732 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 false false true false false false false false false false false false false false false false true false false false true 48 0 true 1 true false false false false false false false false false false X 9 9 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 Anton Ziesler President 1.0 0.0 X X 0 0 0 Sherry Moore Vice President 1.0 0.0 X X 0 0 0 Robert Wiltrout Treasurer 1.0 0.0 X X 0 0 0 Jean Schwanebeck Secretary (thru Dec 2017) 1.0 0.0 X X 0 0 0 Marla Hemke Secretary 1.0 0.0 X 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 Janine Schiszek Board Member 1.0 0.0 X 0 0 0 Josephine Hegeholz Board Member 1.0 0.0 X 0 0 0 David Baxter Board Member 1.0 0.0 X 0 0 0 Jean Frenzel Board Member 1.0 0.0 X 0 0 0 Mithoor Bhat Board Member 1.0 0.0 X 0 0 0 Robert Twobears Ex-Officio Board Member 1.0 0.0 X 0 0 0 Marty Anderson Ex-Officio Board Member 1.0 40.0 X 0 160885 45704 Roderick Koehler MD Ex-Officio Board Member 1.0 40.0 X 0 326354 56713 Greg Nycz Executive Director 40.0 0.0 X 195285 0 7899 195285 487239 110316 1 false true false NONE 0 0 544000 8708052 11603 9263655 Net Patient Service Revenue 621400 71250151 71250151 Pharmacy Revenue 621400 4588220 4588220 Prepaid Health Service Revenue 621400 459317 459317 Misc Other Operating Revenue 621400 48387 48387 76346075 897221 897221 0 0 11500 11500 0 11500 11500 15518915 4030 15741843 27426 -222928 -23396 -246324 -246324 0 0 0 0 0 0 0 0 0 0 86272127 76346075 662397 X 1497 1497 0 0 0 192421 192421 0 0 0 8155 8155 10803 10803 0 170141 170141 560 560 0 0 0 50288178 44308763 5979415 9982 8899 1083 823462 756932 66530 168332 152589 15743 0 1272376 1166314 106062 272726 214135 58591 0 18463 15634 2829 354382 354382 0 2285432 2285432 134567 134567 Capitation 33904848 33904848 Medical Supplies 3838771 3829850 8921 Misc Other Operating Expenses 425533 425533 Bad Debt Expense 464107 464107 4250 4250 94648986 88027732 6621254 0 11054210 9441533 799561 806311 1215914 1219731 43686019 44995857 0 0 0 0 0 0 743686 943028 98544 93203 50943732 20339599 32266433 30604133 35277475 25309383 0 0 0 0 0 0 0 0 125141842 113413179 36771006 35183621 0 0 154884 167066 0 0 0 0 0 0 14133979 13218858 0 0 0 0 51059869 48569545 X 74081973 64843634 0 0 0 0 74081973 64843634 125141842 113413179 -8376859 -861480 X false true X true true true X 17621348 24189609 26424071 8895359 9263655 86394042 0 0 17621348 24189609 26424071 8895359 9263655 86394042 49140154 37253888 679101 831171 873451 841383 908721 4133827 0 0 90527869 378433587 0.41152 0.36109 X false true false false false false false false false false Form 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 30518993 7596366 22922627 0 765170 260739 504431 0 17926211 12366904 5559307 0 219387 115590 103797 30604133 0 0 X 86273437 -861480 1303500 23396 465416 85808021 464106 464106 86272127 95511776 1303500 23396 1326896 94184880 464106 464106 94648986 Form 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, 2018 AND 2017, 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, 2018 AND 2017, FHC HAD NO UNCERTAIN TAX POSITIONS. FORM SCH D, PART XI AND XII PART XI, LINE 2D AND PART XII, LINE 2D: NET GAIN/LOSS ON DISPOSAL OF ASSETS: $23,396 PART XI, LINE 4B AND PART XII, LINE 4B: PROVISION FOR BAD DEBTS: $464,106 X X false false false false false false false false false Marty Anderson Ex-Officio Board Member 0 157448 0 0 3437 0 21137 0 25744 0 207766 0 0 Roderick Koehler MD Ex-Officio Board Member 0 310430 0 11952 0 3972 0 27486 0 31433 0 385273 0 0 Greg Nycz Executive Director 190792 0 0 4493 0 0 0 9326 0 204611 0 0 0 Form 990 Part I Line 1 THE MISSION OF FAMILY HEALTH CENTER OF MARSHFIELD, INC. (FHC) IS TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR THE MEDICALLY UNDERSERVED AND TO ENHANCE THE HEALTH OF OUR COMMUNITIES. THE PURPOSE IS TO OPERATE UNDER 42 USC SECTION 254C, WHICH SERVES MEDICALLY UNDERSERVED POPULATIONS. Form 990 Part VI Line 11b The Marshfield Clinic Health System VP of Finance, the Marshfield Clinic Health System Controller, the FHC Executive Director and FHC Accounting Manager 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. 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:50288178 MARSHFIELD CLINIC HERITAGE FNDTN INC 1000 N OAK AVE MARSHFIELD WI 54449 391865942 HONOR INDVDLS WI 501(C)(3) 12-TYPE I NA false FLAMBEAU HOSPITAL INC 98 SHERRY AVE PARK FALLS WI 54552 390973724 HOSPITAL WI 501(C)(3) 3 NA false LAKEVIEW MEDICAL CENTER INC 1700 W STOUT ST RICE LAKE WI 54868 390837206 HOSPITAL WI 501(C)(3) 3 MCHS 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 JOSEPHS 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 THE DIAGNOSTIC & TREATMENT CENTER LLC 3401 CRANBERRY BLVD WESTON WI 54476 200691634 MEDICAL SVCS WI NA RELATED 0 0 false 0 false 0.00000 false false true false false false false true false true true false false false false true true false true SECURITY HEALTH PLAN OF WISCONSIN INC p 192900 COST