Civic Intelligence

Mchs Hospitals Inc.

990 • Fiscal year 2018 • EIN 81-0977948

Oct 01, 2017 to Sep 30, 2018 • Filed on Aug 08, 2019

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

87th percentile

0.85x

Higher debt load relative to assets than 87% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Liabilities / Revenue

74th percentile

0.94x

Higher debt load relative to revenue than 74% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Net Margin

40th percentile

2.8%

Higher net margin than 40% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Top Officer Pay

92nd percentile

$2,810,254

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Asset Growth

98th percentile

83%

Faster asset growth than 98% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Revenue Growth

100th percentile

665%

Faster revenue growth than 100% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Assets

Up

$690,611,607

Up $312,259,759 (+83%) from 2017

Net Assets

Up

$100,540,856

Up $109,412,051 (+1233%) from 2017

Liabilities

Up

$590,070,751

Up $202,847,708 (+52%) from 2017

Revenue

Up

$629,858,437

Up $547,521,541 (+665%) from 2017

Expenses

Up

$611,988,172

Up $525,639,184 (+609%) from 2017

Net Income

Up

$17,870,265

Up $21,882,357 (+545%) from 2017

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

2018

Assets$690,611,607
Liabilities$590,070,751
Net Assets$100,540,856

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

2018

Revenue$629,858,437
Expenses$611,988,172
Net Income$17,870,265
Jump To
Filing Snapshot
Filing Period
Oct 1, 2017 to Sep 30, 2018
Signed
Aug 8, 2019
Return Version
2017v2.3
Gross Receipts
$630,345,466
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$44,656,943$282,496,936▲ $237,839,993
Land, Buildings, and Equipment, Net$214,435,095$245,547,946▲ $31,112,851
Intangible Assets$104,226,533$119,964,881▲ $15,738,348
Inventories for Sale or Use$3,148,186$24,753,977▲ $21,605,791
Savings and Temporary Cash Investments$182,885$8,874,745▲ $8,691,860
Investments Program Related$0$4,030,931▲ $4,030,931
Prepaid Expenses and Deferred Charges$1,549,204$2,966,213▲ $1,417,009
Cash and Non-Interest-Bearing Accounts$10,153,002$1,975,978▼ $8,177,024
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 in Publicly Traded Securities$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$378,351,848$690,611,607▲ $312,259,759
Other Assets Total$0$0→ $0
Liabilities
Tax Exempt Bond Liabilities$317,386,296$486,349,040▲ $168,962,744
Mortgage Notes Payable Secured by Investment Property$57,065,000$55,484,994▼ $1,580,006
Accounts Payable and Accrued Expenses$12,771,747$32,616,717▲ $19,844,970
Other Liabilities$0$15,620,000▲ $15,620,000
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$387,223,043$590,070,751▲ $202,847,708
Net Assets / Fund Balance
Unrestricted Net Assets$-8,871,195$100,540,856▲ $109,412,051
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$-8,871,195$100,540,856▲ $109,412,051
Total Liabilities and Net Assets / Fund Balance$378,351,848$690,611,607▲ $312,259,759

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$101,945,611$79,904,077$181,849,688
Buildings$129,200,584$7,005,875$136,206,459
Land$13,529,722-$13,529,722
Other Land Buildings$872,029$55,926$927,955
Compensation and Service Providers

Employees

NameTitleOtherTotal
Mark BugherChair$30,000$30,000
Chuck NasonSecretary$6,500$6,500
Mark BradleyVice Chair$1,000$1,000

Board Members and Trustees

NameTitle
Ruwan Dissanayake MDBoard Member
Susan Turney MDBoard Member/MCHS CEO
Narayana Murali MDBoard Member/MCHS CSO
Ned WolfCAO
Daniel RamseyFormer MCHS COO
Gordon EdwardsMchs CFO
Jerard JensenMCHS General Counsel
John BaltusTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
None---
Revenue and Support

Revenue Composition

Contributions and Grants
$730,567
Program Service Revenue
$628,982,742
Investment Income
$-221
Other Revenue
$145,349
Change in Net Assets
$17,870,265
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$413,219,844
Salaries, Compensation, and Employee Benefits$198,755,845
Grants and Similar Amounts Paid$12,483
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$158,476,602$5,569,371-$164,045,973
Fees for Services Other$26,198,199$27,323,415-$53,521,614
Depreciation Depletion$23,503,828--$23,503,828
Other Employee Benefits$16,396,716$678,549-$17,075,265
Interest$14,047,478--$14,047,478
Pension Plan Contributions$8,501,940$342,710-$8,844,650
Payroll Taxes$8,129,637$300,418-$8,430,055
Occupancy$4,367,507$3,553,534-$7,921,041
Other Expenses$6,673,676$35,441,566-$6,673,676
Office Expenses$5,986,452$653,264-$6,639,716
All Other Expenses$1,661,313$31,771-$1,693,084
Information Technology$939,707$139,794-$1,079,501
Fees for Services Legal-$694,115-$694,115
Insurance$388,970--$388,970
Current Officers, Directors, Trustees, and Key Employees-$359,902-$359,902
Travel$274,383$34,671-$309,054
Grants to Domestic Individuals$12,483--$12,483
Advertising$8,295$1,740-$10,035
Total Functional Expenses$536,142,843$75,845,329$0$611,988,172
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Asset Retirement Obligation$15,620,000
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

Form 990 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.

Form 990 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.

Form 990 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.

Form 990 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 complete form 990 (and all required schedules) for review.

Form 990 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.

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.

Form 990 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
% ROBERT MEYER
Phone
7153875511
Address
1000 N OAK AVENUE, MARSHFIELD, WI 54449

Signing Officer

Name
Gordon Edwards
Title
CFO
Signed
2019-08-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Susan Turney MD CEO
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

Form 990 Part III Line 4A

MCHS HOSPITALS, INC. (MCHSH) WAS INCORPORATED IN DECEMBER 2015 AS A NONPROFIT, NONSTOCK CORPORATION TO FACILITATE THE EXPANSION OF MCHS HOSPITAL SERVICES AND, AS OF SEPTEMBER 30, 2018, OPERATES THREE HOSPITALS LOCATED IN MARSHFIELD, EAU CLAIRE AND LADYSMITH, WISCONSIN. IN AUGUST 2018, MCHSH COMPLETED THE PURCHASE OF CERTAIN ASSETS OF RUSK COUNTY MEMORIAL HOSPITAL IN LADYSMITH, WISCONSIN AND IN JULY 2018, MCHSH OPENED A NEW HOSPITAL IN EAU CLAIRE, WISCONSIN. IN JUNE 2017, MCHSH COMPLETED THE PURCHASE OF CERTAIN ASSETS OF SAINT JOSEPH'S HOSPITAL LOCATED IN MARSHFIELD, WISCONSIN. Form 990 Part IV Line 24A 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. 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 9

Other changes in net assets or fund balances: Net asset transfers with related orgs: $90,204,846 Equity Income from Life Link III: $488,820 ------------------------------------------------------ Total Other Changes in Net Assets $90,693,666

Financial Statement Notes

Form 990 Sch D 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 prepared by the system, it was determined that the application of asc 740 had no material effect on the organization at september 30, 2018 or 2017.

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