Civic Intelligence

Mchs Hospitals Inc

EIN 81-0977948 • 501(c)3 • Marshfield, WI

Profile

We enrich lives to create healthy communities through accessible, affordable, compassionate health care.

1000 N Oak AvenueMarshfield, WI 54449

www.marshfieldclinic.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

99th percentile

1.41x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

65th percentile

0.86x

Higher debt load relative to revenue than 65% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

11th percentile

-6.2%

Higher net margin than 11% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

36th percentile

$2,241,715

Higher top officer pay than 36% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

10th percentile

-2.7%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

20th percentile

-0.5%

Faster revenue growth than 20% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Down

$885,596,688

Down $24,690,770 (-2.7%) from 2023

Liabilities

Up

$1,245,219,696

Up $262,664,370 (+27%) from 2023

Net Assets

Down

-$359,623,008

Down $287,355,140 (-398%) from 2023

Revenue

Down

$1,455,966,010

Down $6,917,899 (-0.5%) from 2023

Expenses

Down

$1,546,622,441

Down $136,591,616 (-8.1%) from 2023

Net Income

Up

-$90,656,431

Up $129,673,717 (+59%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0B$2.0B$1.0B$0-$1.0BAssets 2016: $19,200,498Liabilities 2016: $23,948,298Net Assets 2016: -$4,747,8002016Assets 2017: $378,351,848Liabilities 2017: $387,223,043Net Assets 2017: -$8,871,1952017Assets 2018: $690,611,607Liabilities 2018: $590,070,751Net Assets 2018: $100,540,8562018Assets 2019: $969,917,800Liabilities 2019: $650,989,607Net Assets 2019: $318,928,1932019Assets 2020: $1,758,480,787Liabilities 2020: $972,984,008Net Assets 2020: $785,496,7792020Assets 2021: $1,593,897,920Liabilities 2021: $972,653,007Net Assets 2021: $621,244,9132021Assets 2022: $2,934,686,508Liabilities 2022: $990,998,784Net Assets 2022: $1,943,687,7242022Assets 2023: $910,287,458Liabilities 2023: $982,555,326Net Assets 2023: -$72,267,8682023Assets 2024: $885,596,688Liabilities 2024: $1,245,219,696Net Assets 2024: -$359,623,0082024

Highlighted filing

2024

Assets$885,596,688
Liabilities$1,245,219,696
Net Assets-$359,623,008

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$2.0B$1.5B$1.0B$500M$0-$500MRevenue 2016: $1,640,375Expenses 2016: $6,388,175Net Income 2016: -$4,747,8002016Revenue 2017: $82,336,896Expenses 2017: $86,348,988Net Income 2017: -$4,012,0922017Revenue 2018: $629,858,437Expenses 2018: $611,988,172Net Income 2018: $17,870,2652018Revenue 2019: $1,184,110,469Expenses 2019: $1,023,480,250Net Income 2019: $160,630,2192019Revenue 2020: $365,947,711Expenses 2020: $327,296,267Net Income 2020: $38,651,4442020Revenue 2021: $1,503,791,909Expenses 2021: $1,413,097,877Net Income 2021: $90,694,0322021Revenue 2022: $1,373,193,724Expenses 2022: $1,680,564,505Net Income 2022: -$307,370,7812022Revenue 2023: $1,462,883,909Expenses 2023: $1,683,214,057Net Income 2023: -$220,330,1482023Revenue 2024: $1,455,966,010Expenses 2024: $1,546,622,441Net Income 2024: -$90,656,4312024

Highlighted filing

2024

Revenue$1,455,966,010
Expenses$1,546,622,441
Net Income-$90,656,431

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 4, 2025
Return Version
2024v5.2
Gross Receipts
$1,456,010,157
Mission and Program Overview

Mission

We enrich lives to create healthy communities through accessible, affordable, compassionate health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$612,025,005$576,125,633▼ $35,899,372
Accounts Receivable$231,307,824$191,795,783▼ $39,512,041
Inventories for Sale or Use$43,634,938$48,246,748▲ $4,611,810
Investments Program Related$15,909,827$39,261,128▲ $23,351,301
Other Notes and Loans Receivable, Net-$23,700,000-
Pledges and Grants Receivable$1,202,030$1,078,035▼ $123,995
Savings and Temporary Cash Investments$880,012$826,124▼ $53,888
Prepaid Expenses and Deferred Charges$1,090,697$313,660▼ $777,037
Cash and Non-Interest-Bearing Accounts$61,067$32,820▼ $28,247
Total Assets$910,287,458$885,596,688▼ $24,690,770
Other Assets Total$4,176,058$4,216,757▲ $40,699
Liabilities
Tax Exempt Bond Liabilities$786,242,631$869,432,310▲ $83,189,679
Mortgage Notes Payable Secured by Investment Property$145,570,005$316,608,154▲ $171,038,149
Accounts Payable and Accrued Expenses$34,341,556$42,865,436▲ $8,523,880
Other Liabilities$16,366,588$16,247,048▼ $119,540
Deferred Revenue$34,546$66,748▲ $32,202
Total Liabilities$982,555,326$1,245,219,696▲ $262,664,370
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-72,267,868$-359,623,008▼ $287,355,140
Total Net Assets Fund Balance$-72,267,868$-359,623,008▼ $287,355,140
Total Liabilities and Net Assets / Fund Balance$910,287,458$885,596,688▼ $24,690,770

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$433,595,470$90,859,825$524,455,295
Equipment$109,248,263$264,289,039$373,537,302
Land$24,710,235-$24,710,235
Other Land Buildings$8,419,047$6,294,702$14,713,749
Leasehold Improvements$152,618$1,693,074$1,845,692
Compensation and Service Providers

Employees

NameTitleOtherTotal
Colleen HoernemanChair$5,500$5,500
Mark BradleyVice Chair$5,500$5,500

Board Members and Trustees

NameTitle
David HolmesBoard Member
Doug MathisonBoard Member
Edward Fernandez MdBoard Member
Brian Hoerneman MdBoard Member/interim Mchs CEO
Samantha Klebe DoBoard Member/mchs CMO
Susan Turney MdFormer Mchs CEO
Cathy BukowskiFormer Mchs CFO
Jeanette WojtalewiczInterim Mchs CFO
Kathy BresslerMchs COO
Lisa BoeroMchs General Counsel
Jerard JensenMchs General Counsel (thru Jan 2024)
John BaltusSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Vaya Workforce Solutions LLCProfessional ServicesPO BOX 713427, Chicago, IL 60677$48,115,918
Locumsmart LLCMedical ServicesPO BOX 736389, Dallas, TX 75373$34,052,121
Crothall Healthcare INCFood And Environmental13028 COLLECTION CENTER DRIVE, Chicago, IL 60693$12,228,302
Morrison HealthcareFood And EnvironmentalPO BOX 102289, Atlanta, GA 30368$11,683,451
Total Renal Care INCProfessional ServicesPO BOX 781607, Philadelphia, PA 19178$2,439,411
Revenue and Support

Revenue Composition

Contributions and Grants
$7,126,473
Program Service Revenue
$1,441,201,805
Investment Income
$7,126,176
Other Revenue
$511,556
Change in Net Assets
$-90,656,431
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$798,907,929
Other Expenses$746,827,211
Grants and Similar Amounts Paid$887,301
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$663,816,269$6,295,863-$670,112,132
Other Employee Benefits$81,594,541$833,884-$82,428,425
Fees for Services Other$74,529,594$3,095-$74,532,689
Depreciation Depletion$45,593,940--$45,593,940
Interest$44,103,094--$44,103,094
Payroll Taxes$34,168,827$425,550-$34,594,377
Occupancy$26,341,751$3,486-$26,345,237
Office Expenses$11,887,077$246,931-$12,134,008
Pension Plan Contributions$11,634,221$138,774-$11,772,995
Other Expenses$3,037,813$3,744-$3,041,557
All Other Expenses$2,826,886$23,676-$2,850,562
Travel$1,538,336$33,612-$1,571,948
Information Technology$1,005,782$2,625-$1,008,407
Grants to Domestic Orgs$887,301--$887,301
Advertising$62,027$13,200-$75,227
Fees for Services Legal-$38,075-$38,075
Conferences and Meetings$3,978$2,318-$6,296
Fees for Services Accounting-$4,650-$4,650
Total Functional Expenses$1,334,948,138$211,674,303$0$1,546,622,441
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Beaver Dam Community Hospitals Foundation IncBeaver Dam, WI501(c)(3)Community Initiatives$750,000
Rusk County Public HealthLadysmith, WI501(c)(3)Community Initiatives$133,751
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Asset Retirement Obligation$15,300,999
Operating Lease Payable Long-term$946,049
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Board members colleen hoerneman and brian hoerneman, md have a family relationship.

Form 990, Part VI, Section A, Line 6

Marshfield clinic health system, inc. (a wisconsin nonstock, nonprofit organization described in code section 501(c)(3)) is the sole member of mchs hospitals, inc.

Form 990, Part VI, Section A, Line 7A

Marshfield clinic health system, inc. (as the sole member) has the reserve power to appoint or remove members of the board of directors of mchs hospitals, inc.

Form 990, Part VI, Section A, Line 7B

Marshfield clinic health system, inc. (the sole member) has the right to approve any changes to the articles of incorporation and bylaws of mchs hospitals, inc. Marshfield clinic health system, inc. (the sole member) has the right to initiate and approve long-term borrowing and other forms of long-term indebtedness, initiate and approve the purchase, sale or encumbrance of real and personal property and approve or disapprove annual operating and capital budgets. Marshfield clinic health system, inc. (the sole member) also has the right to initiate and approve any of the following actions: merger, consolidation, affiliation or joint venture with any other entity or entities; liquidation, reorganization or dissolution of the organization; filing of a voluntary petition in bankruptcy; any change in control of the organization.

Form 990, Part VI, Section B, Line 11B

The form 990 is prepared internally by the tax department and reviewed by executive management. The tax department prepares return highlights and key disclosures for the executive management team. An external accounting firm reviews and signs the return. Before the return is filed, a complete copy is provided to the current board of trustees.

Form 990, Part VI, Section B, 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, Section B, Line 15

The system's independent compensation committee (compensation committee) shall have final authority for approving compensation and benefits of all disqualified 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 ensure 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, Section C, Line 19

Mchs hospitals, 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.

Filing and Contact Details

Filer

Filer Name
Mchs Hospitals Inc
EIN
81-0977948
Phone
7153875511
Address
1000 N OAK AVENUE, MARSHFIELD, WI 54449

Signing Officer

Name
Nicholas Olson
Title
Evp, CFO
Phone
6053331000
Signed
2025-11-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Bill Gassen
Formed
2015
Legal Domicile
Wi
Voting Board Members
8
Independent Board Members
4
Employees
0
Volunteers
500

Preparer

Firm
Ernst & Young US Llp
Address
155 N WACKER DRIVE, CHICAGO, IL 60606
Preparer
Jess Wagener
Phone
3128792000
Supplemental Narrative

Additional Explanations

FORM 990, PART IV, LINE 4:

Marshfield clinic health system (including mchs hospitals, inc.) is a member of various healthcare associations (i.e. Wisconsin hospital association) that may perform some lobbying activity. All associated dues are disclosed on the form 990 of marshfield clinic health system, inc.

FORM 990, PART V, LINE 1C:

Compensation reported for the independent contractors has been paid by a related organization and central purchasing organization, marshfield clinic health system, ein 46-1495343. Compensation reported represents services solely provided to mchs hospitals, inc. So is included as if paid by the organization. Marshfield clinic health system has complied with a/p filing requirements.

FORM 990, PART V, LINE 2A:

All personnel services for mchs hospitals, inc. Are performed by employees of marshfield clinic health system, inc. All physician services for mchs hospitals, inc. Are performed by employees of marshfield clinic, inc.

FORM 990, PART X, LINE 20:

Mchs hospitals, inc. Is part of the marshfield clinic health system obligated group. Since the obligated group is responsible for all outstanding financed debt obligations, all bond related reporting is disclosed on the form 990 of marshfield clinic health system inc.

FORM 990, PART XI, LINE 9:

Net asset transfers with related organizations -186,052,661. Equity income from controlled entities -10,646,048.

Financial Statement Notes

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. The system has determined that it doesn't have any material uncertain tax positions as of december 31, 2024 or december 31, 2023.

Raw XML AppendixShowing 400 of 1,531 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0MCHS HOSPITALS, INC. (MCHSH), INCORPORATED IN DECEMBER 2015 AS A NONPROFIT, NONSTOCK CORPORATION WHICH OWNS AND OPERATES THE FOLLOWING ACUTE CARE FACILITIES IN WISCONSIN EITHER DIRECTLY OR THROUGH WHOLLY OWNED SUBSIDIARIES: MARSHFIELD MEDICAL CENTER (MMC) (ACQUIRED IN JULY 2017), MMC-RICE LAKE (THROUGH ITS SUBSIDIARY LAKEVIEW MEDICAL CENTER), MMC-EAU CLAIRE (OPENED IN JULY 2018), MMC-LADYSMITH (ACQUIRED IN SEPTEMBER 2018), MMC-NEILLSVILLE (ACQUIRED IN DECEMBER 2018 THROUGH ITS SUBSIDIARY MEMORIAL HOSPITAL, INC.), MMC-BEAVER DAM (ACQUIRED IN MAY 2019 THROUGH ITS SUBSIDIARY BEAVER DAM COMMUNITY HOSPITALS, INC. (BDCH)), MMC-MINOCQUA (OPENED IN JUNE 2020), CONTINUED ON SCHEDULE OMMC-WESTON (ACQUIRED IN AUGUST 2020), MMC-PARK FALLS (ACQUIRED IN AUGUST 2020 THROUGH ITS SUBSIDIARY FLAMBEAU HOSPITAL, INC.), MMC-DICKINSON (ACQUIRED IN FEBRUARY 2022 THROUGH ITS SUBSIDIARY DICKINSON COUNTY HEALTHCARE SYSTEM) AND MMC-RIVER REGION (OPENED IN MAY 2022).
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