Civic Intelligence

Mchs Hospitals Inc.

990 • Fiscal year 2017 • EIN 81-0977948

Oct 01, 2016 to Sep 30, 2017 • Filed on Aug 13, 2018

1000 N Oak AvenueMarshfield, WI 54449

(715) 387-5511

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

95th percentile

1.02x

Higher debt load relative to assets than 95% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Liabilities / Revenue

93rd percentile

4.70x

Higher debt load relative to revenue than 93% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Net Margin

14th percentile

-4.9%

Higher net margin than 14% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Top Officer Pay

83rd percentile

$1,864,301

Higher top officer pay than 83% of similar nonprofits.

Top officer pay equals 2.3% of source-year revenue.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Asset Growth

100th percentile

1871%

Faster asset growth than 100% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Revenue Growth

100th percentile

4919%

Faster revenue growth than 100% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Assets

Up

$378,351,848

Up $359,151,350 (+1871%) from 2016

Net Assets

Down

-$8,871,195

Down $4,123,395 (-87%) from 2016

Liabilities

Up

$387,223,043

Up $363,274,745 (+1517%) from 2016

Revenue

Up

$82,336,896

Up $80,696,521 (+4919%) from 2016

Expenses

Up

$86,348,988

Up $79,960,813 (+1252%) from 2016

Net Income

Up

-$4,012,092

Up $735,708 (+15%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2017

Assets$378,351,848
Liabilities$387,223,043
Net Assets-$8,871,195

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2017

Revenue$82,336,896
Expenses$86,348,988
Net Income-$4,012,092
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Aug 13, 2018
Return Version
2016v3.1
Gross Receipts
$82,400,299
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$17,468,620$214,435,095▲ $196,966,475
Intangible Assets$0$104,226,533▲ $104,226,533
Accounts Receivable$1,731,878$44,656,943▲ $42,925,065
Cash and Non-Interest-Bearing Accounts$0$10,153,002▲ $10,153,002
Inventories for Sale or Use$0$3,148,186▲ $3,148,186
Prepaid Expenses and Deferred Charges$0$1,549,204▲ $1,549,204
Savings and Temporary Cash Investments$0$182,885▲ $182,885
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$19,200,498$378,351,848▲ $359,151,350
Other Assets Total$0$0→ $0
Liabilities
Tax Exempt Bond Liabilities$0$317,386,296▲ $317,386,296
Mortgage Notes Payable Secured by Investment Property$7,065,000$57,065,000▲ $50,000,000
Accounts Payable and Accrued Expenses$16,883,298$12,771,747▼ $4,111,551
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$23,948,298$387,223,043▲ $363,274,745
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-4,747,800$-8,871,195▼ $4,123,395
Total Net Assets Fund Balance$-4,747,800$-8,871,195▼ $4,123,395
Total Liabilities and Net Assets / Fund Balance$19,200,498$378,351,848▲ $359,151,350

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$133,768,668$968,634$134,737,302
Equipment$67,454,629$4,249,651$71,704,280
Land$12,322,922-$12,322,922
Other Land Buildings$888,876$11,124$900,000
Compensation and Service Providers

Employees

NameTitleOtherTotal
Mark BugherChair$8,500$8,500
Chuck NasonSecretary$5,500$5,500
Mark BradleyVice Chair$2,500$2,500

Board Members and Trustees

NameTitle
Ruwan Dissanayake MDBoard Member
Susan Turney MDBoard Member/MCHS CEO
Ned WolfCAO, Mchsh
Gordon EdwardsMchs CFO
Narayana Murali MDMCHS Chief Strategy Officer
Daniel RamseyMchs COO
Jerard JensenMCHS General Counsel
Julie BrussowMCHS Health Plan CEO
John BaltusTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
None---
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$82,145,203
Investment Income
$17,354
Other Revenue
$174,339
Change in Net Assets
$-4,012,092
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$50,871,160
Salaries, Compensation, and Employee Benefits$35,477,828
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$28,364,927$738,237-$29,103,164
Fees for Services Other$6,655,838$10,485,104-$17,140,942
Depreciation Depletion$5,641,639--$5,641,639
Other Employee Benefits$3,283,970$108,250-$3,392,220
Interest$2,523,756--$2,523,756
Payroll Taxes$1,794,459$51,413-$1,845,872
All Other Expenses$1,688,937--$1,688,937
Office Expenses$1,248,846$21,898-$1,270,744
Occupancy$1,150,470$29,398-$1,179,868
Fees for Services Legal-$872,523-$872,523
Pension Plan Contributions$717,876$22,607-$740,483
Current Officers, Directors, Trustees, and Key Employees-$396,089-$396,089
Information Technology$302,974$808-$303,782
Travel$16,549$6,556-$23,105
Other Expenses$10,371$9,292-$10,371
Insurance$1,414--$1,414
Total Functional Expenses$68,135,586$18,213,402$0$86,348,988
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Part VI 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.

Part VI 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.

Part VI 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) 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.

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, VP of Finance and Controller. 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 and approval.

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.

Part VI Line 15A & 15B

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 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 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 icc shall have independent authority to obtain outside expert opinions on the reasonableness and fair market value of compensation and gather other information the committee considers necessary or appropriate to make its decisions on compensation. The compensation committee shall timely document its determination of reasonableness of compensation.

Part VI 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
In Care Of
% LISA FENHAUS-JOHNSON
Phone
7153875511
Address
1000 N OAK AVENUE, MARSHFIELD, WI 54449

Signing Officer

Name
Narayana Murali Md
Title
President/CEO
Phone
7153875511
Signed
2018-08-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Narayana Murali Md
Formed
2015
Legal Domicile
Wi
Voting Board Members
7
Independent Board Members
4
Employees
0
Volunteers
500

Preparer

Firm
Kpmg Llp
Address
4200 Wells Fargo Ctr 90 S 7th, Minneapolis, MN 55402
Preparer
Monroe J Gierl
Phone
6123055000
Supplemental Narrative

Additional Explanations

Part III Line 2

On June 30, 2017, Marshfield Clinic Health System, Inc. (MCHS) purchased the assets of Saint Joseph's Hospital in Marshfield, Wisconsin and renamed it Marshfield Medical Center (MMC). Assets and liabilities acquired were recorded at fair value as of the date of the acquisition and include property, plant and equipment, patient and other receivables, prepaid and other current assets and accounts payable and accrued expenses. The residual purchase price was assigned to goodwill and is included in other assets in the balance sheet as of September 30, 2017. The operating results of MMC have been included in the statement of operations and change in unrestricted net assets for July 1, 2017 through September 30, 2017.

Part IV Line 24A

Marshfield Clinic, 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 IX Line 11G

DESCRIPTION:Consulting expenses TOTAL FEES:365187

Form 990 Part IX Line 11G

DESCRIPTION:Contracted medical services TOTAL FEES:9622562

Form 990 Part IX Line 11G

DESCRIPTION:Purchased services TOTAL FEES:7153193

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. Based on an analysis, it was determined that the application of asc 740 had no material effect on the organization at september 30, 2017.

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IRS990/Form990PartVIISectionAGrp/PersonNm2Mark Bugher
IRS990/Form990PartVIISectionAGrp/PersonNm3Mark Bradley
IRS990/Form990PartVIISectionAGrp/PersonNm4Chuck Nason
IRS990/Form990PartVIISectionAGrp/PersonNm5John Baltus
IRS990/Form990PartVIISectionAGrp/PersonNm6Ruwan Dissanayake MD
IRS990/Form990PartVIISectionAGrp/PersonNm7Daniel Ramsey
IRS990/Form990PartVIISectionAGrp/PersonNm8Gordon Edwards
IRS990/Form990PartVIISectionAGrp/PersonNm9Jerard Jensen
IRS990/Form990PartVIISectionAGrp/PersonNm10Julie Brussow
IRS990/Form990PartVIISectionAGrp/PersonNm11Ned Wolf
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Board Member/MCHS CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1MCHS Chief Strategy Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt2Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt3Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt4Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt5Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7MCHS COO
IRS990/Form990PartVIISectionAGrp/TitleTxt8MCHS CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt9MCHS General Counsel
IRS990/Form990PartVIISectionAGrp/TitleTxt10MCHS Health Plan CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt11CAO, MCHSH
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