FAMILY HEALTH CENTER OF MARSHFIELD INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH CENTER OF MARSHFIELD INC (EIN 39-1681547)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-15
IRS object ID
201822279349301772
Schema version
2016v3.1
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)
Return2018-08-15T10:59:44-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14200 Wells Fargo Ctr 90 S 7thAddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391681547EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Family Health CenterBusinessNameLine1Txt
Business Name Line2of Marshfield IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% AMANDA SPINDLERInCareOfNm
Business Name ControlFAMIBusinessNameControlTxt
Phone7152215700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 N Oak AvenueAddressLine1Txt
CityMarshfieldCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54449ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREG NYCZPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone7152215720PhoneNum
Signature2018-08-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMONROE J GIERLPreparerPersonNm
PTINP01413237PTIN
Phone6123055000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGreg NyczPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 N Oak AvenueAddressLine1Txt
CityMarshfieldCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54449ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$107,490,002GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.familyhealthcenter.netWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionSee Schedule OActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$26,424,071PYContributionsGrantsAmt
CY Contributions Grants$8,895,359CYContributionsGrantsAmt
PY Program Service Revenue$82,258,495PYProgramServiceRevenueAmt
CY Program Service Revenue$85,948,372CYProgramServiceRevenueAmt
PY Investment Income$845,492PYInvestmentIncomeAmt
CY Investment Income$863,816CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$3,340CYOtherRevenueAmt
PY Total Revenue$109,528,058PYTotalRevenueAmt
CY Total Revenue$95,710,887CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,803CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$204,623PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$210,820CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$99,902,183PYOtherExpensesAmt
CY Other Expenses$105,574,147CYOtherExpensesAmt
PY Total Expenses$100,106,806PYTotalExpensesAmt
CY Total Expenses$105,786,770CYTotalExpensesAmt
PY Revenues Less Expenses$9,421,252PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,075,883CYRevenuesLessExpensesAmt
Total Assets BOY$130,112,365TotalAssetsBOYAmt
Total Assets EOY$125,141,842TotalAssetsEOYAmt
Total Liabilities BOY$45,238,925TotalLiabilitiesBOYAmt
Total Liabilities EOY$51,059,869TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$84,873,440NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$74,081,973NetAssetsOrFundBalancesEOYAmt
MissionThe 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$94,678,851ExpenseAmt
Grant$1,803GrantAmt
Revenue$85,948,372RevenueAmt
DescIn total, Family Health Center (FHC) serves approximately 89,700 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, behavioral and vision care.Desc
Total Program Service Expenses$94,678,851TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document152IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAMANDA SPINDLERPersonNm
Phone7152215339PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 N Oak AvenueAddressLine1Txt
CityMarshfieldCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54449ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

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 CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
Sherry Moore
President1.00.0Yes (X)Yes (X)$0$0$0
Anton Ziesler
Vice President1.00.0Yes (X)Yes (X)$0$0$0
Jean Schwanebeck
Secretary1.00.0Yes (X)Yes (X)$0$0$0
Robert Wiltrout
Treasurer1.00.0Yes (X)Yes (X)$0$0$0
David Samter
Board Member1.00.0Yes (X)$0$0$0
Janine Schiszek
Board Member1.00.0Yes (X)$0$0$0
Jean Frenzel
Board Member1.00.0Yes (X)$0$0$0
Marla Hemke
Board Member1.00.0Yes (X)$0$0$0
Mithoor Bhat
Board Member1.00.0Yes (X)$0$0$0
Nora Ritter
Board Member1.00.0Yes (X)$0$0$0
Robert Twobears
Ex-Officio Board Member1.00.0Yes (X)$0$0$0
Roderick Koehler MD
Ex-Officio Board Member1.040.0Yes (X)$0$359,791$58,512
Marty Anderson
Ex-Officio Board Member1.040.0Yes (X)$0$137,749$39,283
Greg Nycz
Executive Director40.01.0$191,664$0$7,741Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$191,664TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$497,540TotReportableCompRltdOrgAmt
Total Other Compensation$105,536TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonArchitectural Design Group LLCPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 Wisconsin St Mailbox 2AddressLine1Txt
CityEau ClaireCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54703ZIPCd
FieldValueIRS element (for citing)
ServicesProfessional svcsServicesDesc
Compensation$186,075CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$535,000RelatedOrganizationsAmt
Government Grants$8,294,342GovernmentGrantsAmt
All Other Contributions$66,017AllOtherContributionsAmt
Total Contributions$8,895,359TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621400$81,517,499$81,517,499
Pharmacy Revenue621400$3,929,820$3,929,820
Prepaid Health Service Revenue621400$453,412$453,412
Misc Other Operating Revenue621400$47,641$47,641
FieldValueIRS element (for citing)
Total Program Service Revenue$85,948,372TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$838,043TotalRevenueColumnAmt
Exclusion$838,043ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,340RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,340RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,340TotalRevenueColumnAmt
Exclusion$3,340ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,803,888SecuritiesAmt
Other$1,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,731,067SecuritiesAmt
Other$48,048OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$72,821SecuritiesAmt
Other-$47,048OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,773TotalRevenueColumnAmt
Exclusion$25,773ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,710,887TotalRevenueColumnAmt
Related Or Exempt Func Income$85,948,372RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$867,156ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,803TotalAmt
Program Services$1,803ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$192,265TotalAmt
Management And General$192,265ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,848TotalAmt
Management And General$7,848ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,707TotalAmt
Management And General$10,707ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,099TotalAmt
Management And General$20,099ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$51,345,879TotalAmt
Program Services$40,983,243ProgramServicesAmt
Management And General$10,362,636ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,151TotalAmt
Program Services$9,081ProgramServicesAmt
Management And General$2,070ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$878,313TotalAmt
Program Services$807,704ProgramServicesAmt
Management And General$70,609ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$149,240TotalAmt
Program Services$118,247ProgramServicesAmt
Management And General$30,993ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,279,518TotalAmt
Program Services$1,175,250ProgramServicesAmt
Management And General$104,268ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$266,339TotalAmt
Program Services$217,589ProgramServicesAmt
Management And General$48,750ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,420TotalAmt
Program Services$12,834ProgramServicesAmt
Management And General$1,586ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$356,480TotalAmt
Program Services$356,480ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,353,021TotalAmt
Program Services$2,353,021ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$171,153TotalAmt
Program Services$171,153ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Capitation$43,254,756$43,254,756
Medical Supplies$4,019,127$4,016,207$2,920
Misc Other Operating Expenses$1,454,651$1,201,483$253,168

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$105,786,770TotalAmt
Program Services$94,678,851ProgramServicesAmt
Management And General$11,107,919ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,079,411BOYAmt
EOY$11,054,210EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$548,333BOYAmt
EOY$799,561EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,050,241BOYAmt
EOY$1,215,914EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$43,496,108BOYAmt
EOY$43,686,019EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$686,785BOYAmt
EOY$743,686EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$264,073BOYAmt
EOY$98,544EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$50,539,240LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,272,807LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,343,051BOYAmt
EOY$32,266,433EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$39,644,363BOYAmt
EOY$35,277,475EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$130,112,365BOYAmt
EOY$125,141,842EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,588,681BOYAmt
EOY$36,771,006EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$292,213BOYAmt
EOY$154,884EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,358,031BOYAmt
EOY$14,133,979EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,238,925BOYAmt
EOY$51,059,869EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$84,873,440BOYAmt
EOY$74,081,973EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$84,873,440BOYAmt
EOY$74,081,973EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$130,112,365BOYAmt
EOY$125,141,842EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,075,883ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$718,896NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,312OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,787,244CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,621,348CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,189,609CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,424,071CurrentTaxYearMinus1YearAmt
Current Tax Year$8,895,359CurrentTaxYearAmt
Total$101,917,631TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,787,244CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,621,348CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,189,609CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,424,071CurrentTaxYearMinus1YearAmt
Current Tax Year$8,895,359CurrentTaxYearAmt
Total$101,917,631TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$64,100,601SubstantialContributorsTotAmt
Public Support Total170$37,817,030PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$411,907CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$679,101CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$831,171CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$873,451CurrentTaxYearMinus1YearAmt
Current Tax Year$841,383CurrentTaxYearAmt
Total$2,813,199TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$104,730,830TotalSupportAmt
Gross Receipts Rltd Activities$418,943,077GrossReceiptsRltdActivitiesAmt
Public Support CY1700.36109PublicSupportCY170Pct
Public Support PY1700.30009PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$2,830DirectContactLegislatorsAmt
Total Lobbying Expenditures$2,830TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSch C Part II-BFormAndLineReferenceDesc
ExplanationFamily Health Center of Marshfield, Inc. (FHC) may offer recommendations concerning legislation or regulations being considered that have a relationship to the organizations operations. Occasionally staff members will send mail to legislators and their staff.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,513,971OtherCostOrOtherBasisAmt
Book Value$1,513,971BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$30,444,067OtherCostOrOtherBasisAmt
Depreciation$6,808,393DepreciationAmt
Book Value$23,635,674BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$765,170OtherCostOrOtherBasisAmt
Depreciation$215,905DepreciationAmt
Book Value$549,265BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$17,596,645OtherCostOrOtherBasisAmt
Depreciation$11,146,938DepreciationAmt
Book Value$6,449,707BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$219,387OtherCostOrOtherBasisAmt
Depreciation$101,571DepreciationAmt
Book Value$117,816BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$32,266,433TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$95,279,344TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$718,896NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$904,426DonatedServicesAndUseFcltsAmt
Other Revenue$50,360OtherRevenueAmt
Revenue Not Reported$235,890RevenueNotReportedAmt
Revenue Subtotal$95,043,454RevenueSubtotalAmt
Other Revenues Not Included$667,433OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$667,433RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$95,710,887TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$106,070,811TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$904,426DonatedServicesUseFcltsAmt
Other Expenses Included$47,048OtherExpensesIncludedAmt
Expenses Not Reported$951,474ExpensesNotReportedAmt
Expenses Subtotal$105,119,337ExpensesSubtotalAmt
Other Expenses Not Included$667,433OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$667,433ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$105,786,770TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch D Part X Line 2FHC 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, 2017 and 2016, 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, 2017 and 2016, FHC had no uncertain tax positions.
Sch D Part XI and XIIPart XI, Line 2D: Net Gain/Loss on Disposal of Assets: $47,048 Transfer from Related Organization: $3,312 ------- Total $50,360 Part XII, Line 2D: Net Gain/Loss on Disposal of Assets: $47,048 Part XI, Line 4B and Part XII, Line 4B: Provision for Bad Debts: $667,433

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther 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 OrgsCompReportPrior990RltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmt
Roderick Koehler MD
Ex-Officio Board Member$336,440$20,339$3,012$0$30,062$0$29,695$0$419,548$0$0
Marty Anderson
Ex-Officio Board Member$135,195$2,554$0$18,634$0$21,223$0$177,606$0$0
Greg Nycz
Executive Director$0$0$8,540$0$200,204$0$0$0$187,878$3,786

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 Part I Line 1THE MISSION OF 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 11bThe Marshfield Clinic Health System Chief Financial Officer, the Marshfield Clinic Health System VP of Finance, the Marshfield Clinic Health System Controller and the Family Health Center of Marshfield, Inc. Executive Director 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 12cFamily Health Center of Marshfield, Inc. (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 15aThe Board of Directors of Family Health Center of Marshfield, Inc. (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 19Family Health Center of Marshfield, Inc. 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 5All personnel services for Family Health Center are performed by employees of Marshfield Clinic, Inc., with the exception of the executive director. Marshfield Clinic, Inc. files all corresponding Federal Forms W-2.
Form 990 Part XI Line 9Transfer from Related Organization - $3,312
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:51345879

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MARSHFIELD CLINIC HERITAGE FNDTN INC
1000 N OAK AVEMARSHFIELDWI54449391865942HONOR INDVDLSWI501(C)(3)12-TYPE INAfalse
FLAMBEAU HOSPITAL INC
98 SHERRY AVEPARK FALLSWI54552390973724HOSPITALWI501(C)(3)3NAfalse
LAKEVIEW MEDICAL CENTER INC
1700 W STOUT STRICE LAKEWI54868390837206HOSPITALWI501(C)(3)3MCHSfalse
VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL
1700 W STOUT STRICE LAKEWI54868391329084SUPPORT ORGWI501(C)(3)12-TYPE IIINAfalse
MARSHFIELD CLINIC HEALTH SYSTEM INC
1000 N OAK AVEMARSHFIELDWI54449461495343SUPPORT ORGWI501(C)(3)12-TYPE IIINAfalse
MARSHFIELD CLINIC INC
1000 N OAK AVEMARSHFIELDWI54449390452970MEDICAL SVCSWI501(C)(3)3MCHSfalse
SECURITY HEALTH PLAN OF WISCONSIN INC
1515 N ST JOSEPHS AVEMARSHFIELDWI54449391572880HMOWI501(C)(4)N/AMCHSfalse
MCHS HOSPITALS INC
1000 N OAK AVEMARSHFIELDWI54449810977948HOSPITALWI501(C)(3)3MCHSfalse
MCHS FOUNDATION INC
1000 N OAK AVEMARSHFIELDWI54449812822823PHILANTHROPYWI501(C)(3)7MCHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE DIAGNOSTIC & TREATMENT CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13401 CRANBERRY BLVDAddressLine1Txt
CityWESTONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54476ZIPCd
FieldValueIRS element (for citing)
EIN200691634EIN
Primary ActivitiesMEDICAL SVCSPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MCIS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 N FIG AVEAddressLine1Txt
CityMARSHFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54449ZIPCd
FieldValueIRS element (for citing)
EIN472138889EIN
Primary ActivitiesIT SERVICESPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MCHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorpEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Ownership0.00000OwnershipPct
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SECURITY HEALTH PLAN OF WISCONSIN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypepTransactionTypeTxt
Involved$192,900InvolvedAmt
Method Of Amount DeterminationCOSTMethodOfAmountDeterminationTxt

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