9601 Townline Rd., Minocqua, WI 54548

Project Details:

Marshfield Clinic Health System (the “Sponsor” or “MCHS”) is requesting an $8.5 million NMTC allocation to expand its existing Minocqua Center that comprises the construction of a 72,000 square foot hospital. The expansion of MCHS’s current site allows MCHS to provide fully-integrated inpatient and outpatient medical treatment that is currently not offered at the location – culminating to a one-stop medical campus. The Project offers 14 licensed beds, a 24 hour emergency room, lab imaging center, and birthing center. The Project will also integrate the existing primary care, urgent care, ambulatory surgery, and counseling services presently offered at the existing Minocqua health clinic – allowing these services to expand and subsequently increase the Sponsor’s presence in serving patients throughout the greater North Central Wisconsin region.

The Project is located in a non-metropolitan community with 25.5% of the population being 65 years or older and 33.4% of the community utilizing Medicare or Medicaid public programs. Additionally, 11.7% of the population is uninsured.

Based on information provided by the Project Sponsor, inpatient and outpatient hospital treatment options are limited to a single service provider – Howard Young Medical Center. However, Howard Young Medical Center has been moving elective or non-urgent procedures and services (Ex. Kidney dialysis, cancer treatments, gallbladder procedures, cancer treatments, elective breast cancer surgeries) to centers 25 to 75 miles outside of Minocqua. Given the percentage of elderly individuals encompassing the community, the relocation of such services has become overwhelming for these populations who need it most yet may lack the travel capabilities or health to travel. The Sponsor has stated that the relocation of these services has placed a commuting burden of up to 105 minutes for certain areas. While further understand the medical climate of the area, the Sponsor has stated Howard Young’s medical facilities have received minimal investment leaving technologies, spatial configurations, and quality of care to decrease relative to the standards of today. The Project looks to combat this gap in services and will provide these residents with the procedural capabilities that can no longer be attained within the community while ensuring a quality of care that is needed for this low-income, rural population base.

The Project will also provide inpatient specialty treatments that the nearby Indian Health Service Clinic cannot provide, with roughly 1.4% of service encounters attributable to Indian Health Clinic’s patients. The addition of services by the Project, specifically the birthing center will play a crucial service roll that cannot be attained in the Native American healthcare community. The Sponsor has stated the Projects importance to the health and well-being of the neighboring native tribes.

Within the first year following completion, the Project is expected to serve 1,344 LIP patients and 3,657 LICR patients. This percentage is projected to grow annually as the Howard Young Medical Center continues to migrate services outside of Oneida County.

In 2017, qualified clinic physicians of the Minocqua Center provided over 70 different types of services such as diagnostic radiology, pulmonary services, neurology and neuromuscular procedures, chemotherapy, hematology, vaccines, and more.

Marshfield Clinic Health System was formed in 1916 by six local physicians. Currently, with more than 50 locations throughout Wisconsin and over 1,250 providers in more than 80 medical specialties from cardiology to dentistry, the Sponsor has grown to be one of the largest private, multispecialty group practices in the United States and a podium for comprehensive medical treatment within the state. The Sponsor’s mission is to enrich lives to create healthy communities through accessible affordable, compassionate healthcare. Consistent with the Sponsor’s mission, this investment will bring needed services closer to the Minocqua community.

Distress Criteria:

  • Severe Distress Under 2011-2015 Census Data
  • Median Family Income: 68.27%
  • Non-Metropolitan

Community Impacts:

  • 96 FTE Jobs Created
  • 182 construction jobs

Community Alignment

The Project is located in a severely distressed non-metropolitan census tract experiencing a median income that is 68.27% of the area median. The project will bring new inpatient, emergency services that are currently not located onsite and are needed to tend to the greater rural community for which such services are currently being relocated outside the travel area. The Project also combats a decline in medical services seen at the existing community hospital and offers a holistic medical campus approach that will commit to the communities’ long-term needs. The project will serve 9,142 patients per year in the areas of emergency treatment, surgical procedures and child delivery. Of the total patient base, 1,344 will be low-income persons and 3,657 are anticipated to be LICRs. Based on the CDE’s mission of providing subsidized financing to medical facilities which support distressed communities in underserved areas this project appears to closely align with the CDE’s mission.