Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $464,168

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $85,602,303 · related or exempt $85,602,303

• 2b · Program service revenue: MISC OTHER OPERATING REVENUE

  total $3,115,101 · related or exempt $3,115,101

• 2c · Program service revenue: RETAIL TRADE

  total $2,218,608 · unrelated business $2,218,608

• 2d · Program service revenue: DAYCARE REVENUE

  total $785,932 · related or exempt $8,192 · unrelated business $777,740

• 2e · Program service revenue: CAFETERIA REVENUE

  total $459,289 · excluded $459,289

• 3 · Investment income

  total $1,200,294 · excluded $1,200,294

• 6a · Gross rents

  real property $3,613,303

• 6b · Less rental expenses

  real property $2,563,448

• 6c · Rental income or loss

  real property $1,049,855

• 6d · Net rental income or loss

  total $1,049,855 · unrelated business -$84,733 · excluded $1,134,588

• 7a · Gross sales of assets other than inventory

  securities $11,752,176 · other assets $282,042

• 7b · Less cost or other basis and sales expenses

  securities $9,665,011 · other assets $3,932

• 7c · Gain or loss

  securities $2,087,165 · other assets $278,110

• 7d · Net gain or loss

  total $2,365,275 · excluded $2,365,275

Functional expenses

Part IX, the statement of functional expenses.

• 7 · Other salaries and wages

  total $56,402,536 · program services $54,932,666 · management and general $1,469,870

• 8 · Pension plan contributions

  total $5,039,753 · program services $4,959,339 · management and general $80,414

• 9 · Other employee benefits

  total $8,974,480 · program services $8,784,763 · management and general $189,717

• 10 · Payroll taxes

  total $2,982,853 · program services $2,897,509 · management and general $85,344

• 11b · Fees: legal

  total -$49,976 · management and general -$49,976

• 11c · Fees: accounting

  total $15,225 · management and general $15,225

• 11f · Fees: investment management

  total $23,537 · management and general $23,537

• 11g · Fees: other

  total $6,477,853 · program services $6,440,893 · management and general $36,960

• 12 · Advertising and promotion

  total $77,440 · program services $44,883 · management and general $32,557

• 13 · Office expenses

  total $1,987,338 · program services $1,948,824 · management and general $38,514

• 14 · Information technology

  total $1,418,291 · program services $1,364,241 · management and general $54,050

• 16 · Occupancy

  total $3,473,851 · program services $3,455,924 · management and general $17,927

• 17 · Travel

  total $288,226 · program services $282,898 · management and general $5,328

• 19 · Conferences, conventions and meetings

  total $1,592 · program services $130 · management and general $1,462

• 20 · Interest

  total $1,138,784 · program services $1,138,784

• 22 · Depreciation, depletion and amortization

  total $8,170,319 · program services $8,170,319

• 23 · Insurance

  total -$125,852 · program services -$125,852

• 24a · Other expenses: MEDICAL SUPPLIES

  total $14,740,941 · program services $14,740,706 · management and general $235

• 24b · Other expenses: I/C PURCHASED SERVICES

  total $9,863,219 · management and general $9,863,219

• 24c · Other expenses: BAD DEBT EXPENSE

  total $3,066,063 · program services $3,066,063

• 24d · Other expenses: WI MEDICAID ACCESS TAX

  total $1,653,478 · program services $1,653,478

• 24e · All other expenses

  total $1,403,978 · program services $1,401,728 · management and general $2,250

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $9,539,767 · end of year $6,967,007

• 2 · Savings and temporary cash investments

  beginning of year $2,520,994 · end of year $2,371,407

• 3 · Pledges and grants receivable

  beginning of year $4,160,199 · end of year $4,160,199

• 4 · Accounts receivable

  beginning of year $13,580,901 · end of year $13,264,415

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $2,757,969 · end of year $2,834,001

• 9 · Prepaid expenses and deferred charges

  beginning of year $899,323 · end of year $111,750

• 10a · Land, buildings and equipment: cost or other basis

  $180,373,875

• 10b · Land, buildings and equipment: accumulated depreciation

  $109,869,773

• 10c · Land, buildings and equipment, net

  beginning of year $70,653,407 · end of year $70,504,102

• 11 · Investments: publicly traded securities

  beginning of year $37,230,648 · end of year $32,893,047

• 12 · Investments: other securities

  beginning of year $46,251,161 · end of year $39,636,511

• 13 · Investments: program-related

  beginning of year $487 · end of year $3,209

• 14 · Intangible assets

  beginning of year $700,000 · end of year $762,222

• 15 · Other assets

  beginning of year $1,297,840 · end of year $863,017

• 17 · Accounts payable and accrued expenses

  beginning of year $9,124,970 · end of year $3,606,961

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $244,147 · end of year $602,623

• 20 · Tax-exempt bond liabilities

  beginning of year $47,625,799 · end of year $46,014,499

• 21 · Escrow or custodial account liability

  beginning of year $171,317 · end of year $191,525

• 22 · Loans and payables to officers and key people

  end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $7,243,841 · end of year $0

• 24 · Unsecured notes and loans payable

  end of year $0

• 25 · Other liabilities

  beginning of year $2,836,766 · end of year $3,249,903

• 27 · Net assets without donor restrictions

  beginning of year $118,185,657 · end of year $116,545,177

• 28 · Net assets with donor restrictions

  beginning of year $4,160,199 · end of year $4,160,199

The filer's explanations (Part III)

PART I, LINE 3

THE MARSHFIELD CLINIC HEALTH SYSTEM'S (MCHS) INDEPENDENT COMPENSATION COMMITTEE (THE COMMITTEE) HAS FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS EMPLOYED BY ANY OF THE ORGANIZATIONS IN THE SYSTEM. THE COMMITTEE USES COMBINATIONS OF THE FOLLOWING TO EVALUATE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND WRITTEN EMPLOYMENT CONTRACTS.

PART I, LINE 4B

THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN: SUSAN TURNEY, MD - $219,744 THE FOLLOWING INDIVIDUALS PARTICATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BUT DID NOT RECEIVE A DISTRIBUTION OR HAVE AN AMOUNT VEST IN THE PLAN. UNDER THE PLAN, AMOUNTS DO NOT VEST UNTIL TWO YEARS AFTER SEPARATION FROM THE ORGANIZATION: RUWAN DISSANAYAKE, MD JERARD JENSEN GORDON EDWARDS WILLIAM MELMS, MD ANGELIA FOSTER

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• DODGE HEALTH ENTERPRISES LLC

  REFERENCE LAB · WI · income -$982,776 · assets $321,199

  Directly controlled by BDCH

• DELMAN DEVELOPMENT LLC

  REAL ESTATE · WI · income $89,981 · assets $1,095,113

  Directly controlled by BDCH

• BEAVER DAM MEDICAL BUILDING 2 LLC

  BUILDING MANAGEMENT · WI · income -$125,122 · assets $9,034,199

  Directly controlled by BDCH

• WELL LIFE HOME MEDICAL EQUIPMENT AND SUPPLIES LLC

  DURABLE MEDICAL EQUIPMENT · WI · income $0 · assets $0

  Directly controlled by BDCH

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• THE DIAGNOSTIC & TREATMENT CENTER LLC

  MEDICAL SVCS · WI