LAKEVIEW MEDICAL CENTER INC OF RICE LAKE: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: LAKEVIEW MEDICAL CENTER INC OF RICE LAKE (EIN 39-0837206)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-16
IRS object ID: 202122289349301777
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-16T14:19:33-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4200 Wells Fargo Ctr 90 S 7th	AddressLine1Txt
City	Minneapolis	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390837206	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAKEVIEW MEDICAL CENTER INC	BusinessNameLine1Txt
Business Name Line2	OF RICE LAKE	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% Cathy Bukowski VP of Financ	InCareOfNm
Business Name Control	LAKE	BusinessNameControlTxt
Phone	7152341515	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 W STOUT STREET	AddressLine1Txt
City	RICE LAKE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54868	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GORDON T EDWARDS	PersonNm
Person Title	COO/CFO	PersonTitleTxt
Phone	7152241515	PhoneNum
Signature	2021-08-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MONROE J GIERL	PreparerPersonNm
PTIN	P01413237	PTIN
Phone	6123055000	PhoneNum
Preparation	2021-08-16	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Susan Turney MD CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 N OAK AVENUE	AddressLine1Txt
City	MARSHFIELD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54449	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$149,476,257	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LAKEVIEWMEDICAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	250	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$34,516	PYContributionsGrantsAmt
CY Contributions Grants	$1,122,342	CYContributionsGrantsAmt
PY Program Service Revenue	$142,960,710	PYProgramServiceRevenueAmt
CY Program Service Revenue	$148,204,540	CYProgramServiceRevenueAmt
PY Investment Income	$348,904	PYInvestmentIncomeAmt
CY Investment Income	$16,635	CYInvestmentIncomeAmt
PY Other Revenue	$2,752	PYOtherRevenueAmt
CY Other Revenue	$5,176	CYOtherRevenueAmt
PY Total Revenue	$143,346,882	PYTotalRevenueAmt
CY Total Revenue	$149,348,693	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,310,967	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,317,843	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$66,163,991	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$60,235,769	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$61,971,722	PYOtherExpensesAmt
CY Other Expenses	$67,353,062	CYOtherExpensesAmt
PY Total Expenses	$129,446,680	PYTotalExpensesAmt
CY Total Expenses	$128,906,674	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,900,202	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,442,019	CYRevenuesLessExpensesAmt
Total Assets BOY	$106,412,465	TotalAssetsBOYAmt
Total Assets EOY	$142,587,331	TotalAssetsEOYAmt
Total Liabilities BOY	$44,212,059	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$59,944,906	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$62,200,406	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$82,642,425	NetAssetsOrFundBalancesEOYAmt
Mission	WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$100,735,248	ExpenseAmt
Grant	$1,317,843	GrantAmt
Revenue	$148,209,716	RevenueAmt
Desc	LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE IS A NOT-FOR-PROFIT 40-BED COMMUNITY HOSPITAL LOCATED IN RICE LAKE, WISCONSIN THAT PROVIDES MEDICAL, SURGICAL, EMERGENCY, OUTPATIENT, DIALYSIS, AMBULANCE, ONCOLOGY, HOSPICE AND HOME HEALTH SERVICES.	Desc
Total Program Service Expenses	$100,735,248	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Cathy Bukowski VP of Financ	PersonNm
Phone	7153875511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 N Oak Avenue	AddressLine1Txt
City	Marshfield	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54449	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	OfficerOfficerInd
Susan Turney MD
MCHS CEO	1.0	54.0	Yes (X)	$0	$2,421,029	$290,941
Narayana Murali MD
MCHS Chief Strategy Officer	1.0	54.0	Yes (X)	$0	$923,371	$56,431
Jerard Jensen
MCHS General Counsel	1.0	54.0	Yes (X)	$0	$871,749	$54,160
Gordon Edwards
MCHS CFO/COO	1.0	54.0	Yes (X)	$0	$759,168	$56,820
Steven Kulick
Chief Exper Off(Thru Mar 2020)	1.0	54.0	Yes (X)	$0	$584,726	$31,301
Ruwan Dissanayake MD
Board Member	1.0	50.0		$0	$472,736	$57,636	Yes (X)
William Melms MD
Chief Medical Officer	1.0	54.0	Yes (X)	$0	$471,468	$29,241
James Peter DO
Board Member (thru May 2020)	1.0	50.0		$0	$396,359	$50,995	Yes (X)
Jeanne Scinto
Chief Transformation Officer	1.0	54.0	Yes (X)	$0	$402,239	$23,724
Neelakantan Namboodiri MD
Board Member (thru May 2020)	1.0	54.0		$0	$372,460	$47,109	Yes (X)
Ned Wolf
Former LMC CEO	0.0	50.0		$0	$361,350	$48,378		Yes (X)
Scott Polenz
Board Member (thru May 2020)	1.0	50.0		$0	$266,353	$52,067	Yes (X)
Cindy Arts-Strenke
Former LMC COO	0.0	50.0		$0	$226,806	$47,123		Yes (X)
Tom Lundquist MD
Board Member (thru May 2020)	1.0	50.0		$0	$218,989	$53,263	Yes (X)
Stephanie Bixler NP
Board Member (thru May 2020)	1.0	50.0		$0	$76,703	$29,077	Yes (X)
Mark Bugher
Chair	1.0	9.0		$33,000	$0	$0	Yes (X)		Yes (X)
CHUCK NASON
Secretary	1.0	4.0		$7,500	$0	$0	Yes (X)		Yes (X)
MARK BRADLEY
VICE CHAIR	1.0	5.0		$6,500	$0	$0	Yes (X)		Yes (X)
Sue Tindell
Chair (thru May 2020)	1.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
Brittany Nielson
Vice Chair (thru May 2020)	1.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
Mark Nymo MD
Secretary (thru May 2020)	1.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
Carol Hakala
Board Member (thru May 2020)	1.0	0.0		$0	$0	$0	Yes (X)
Craig Fowler
Board Member (thru May 2020)	1.0	0.0		$0	$0	$0	Yes (X)
Dan Ringwelski
Board Member (thru May 2020)	1.0	0.0		$0	$0	$0	Yes (X)
Brenda Kupferschmidt
Board Member (thru May 2020)	1.0	0.0		$0	$0	$0	Yes (X)
Bob Berg
Board Member (thru May 2020)	1.0	0.0		$0	$0	$0	Yes (X)
John Baltus
Treasurer	1.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
Susan Sutter
Board Member	1.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$47,000	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,825,506	TotReportableCompRltdOrgAmt
Total Other Compensation	$928,266	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Field	Value	IRS element (for citing)
Person	None	PersonNm

Field	Value	IRS element (for citing)
Contractor Address		ContractorAddress

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,156	RelatedOrganizationsAmt
Government Grants	$1,112,186	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$1,122,342	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621110	$147,605,023	$147,605,023
Intercompany Revenue	621110	$51,549	$51,549
Cafeteria Revenue	621110	$337,855	$337,855
Misc Other Operating Revenue	621110	$197,982	$197,982
Wellness Revenue	621110	$12,131	$12,131

Field	Value	IRS element (for citing)
Total Program Service Revenue	$148,204,540	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$115,109	TotalRevenueColumnAmt
Exclusion	$115,109	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$29,090	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$127,564	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$98,474	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$98,474	TotalRevenueColumnAmt
Exclusion	-$98,474	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Vending Revenue	Desc
Business	900099	BusinessCd
Total Revenue Column	$5,176	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,176	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,176	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$149,348,693	TotalRevenueColumnAmt
Related Or Exempt Func Income	$148,209,716	RelatedOrExemptFuncIncomeAmt
Exclusion	$16,635	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,317,843	TotalAmt
Program Services	$1,317,843	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$319,217	TotalAmt
Management And General	$319,217	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$48,371,118	TotalAmt
Program Services	$47,654,731	ProgramServicesAmt
Management And General	$716,387	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,790,832	TotalAmt
Program Services	$2,720,370	ProgramServicesAmt
Management And General	$70,462	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,899,318	TotalAmt
Program Services	$5,703,820	ProgramServicesAmt
Management And General	$195,498	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,855,284	TotalAmt
Program Services	$2,806,233	ProgramServicesAmt
Management And General	$49,051	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$506	TotalAmt
Management And General	$506	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,736,744	TotalAmt
Program Services	$4,595,761	ProgramServicesAmt
Management And General	$140,983	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,270	TotalAmt
Management And General	$2,270	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$416,768	TotalAmt
Program Services	$356,895	ProgramServicesAmt
Management And General	$59,873	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$305,851	TotalAmt
Program Services	$305,851	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$854,413	TotalAmt
Program Services	$820,863	ProgramServicesAmt
Management And General	$33,550	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$388,003	TotalAmt
Program Services	$386,384	ProgramServicesAmt
Management And General	$1,619	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,410,167	TotalAmt
Program Services	$1,410,167	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,081,427	TotalAmt
Program Services	$4,081,427	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$132,496	TotalAmt
Program Services	$132,496	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
I/C PURCHASED SERVICES	$26,515,219	$26,515,219
MEDICAL SUPPLIES	$23,765,971	$20,481	$23,745,490
BAD DEBT EXPENSE	$2,277,057		$2,277,057
WI MEDICAID ACCESS TAX	$1,470,375		$1,470,375

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$995,795	TotalAmt
Program Services	$949,485	ProgramServicesAmt
Management And General	$46,310	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$128,906,674	TotalAmt
Program Services	$100,735,248	ProgramServicesAmt
Management And General	$28,171,426	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,751,637	BOYAmt
EOY	$26,730,302	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$139,926	BOYAmt
EOY	$143,095	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$32,936,780	BOYAmt
EOY	$51,232,061	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,006,031	BOYAmt
EOY	$2,341,478	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$69,879	BOYAmt
EOY	$37,836	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$110,303,606	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$48,610,799	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$61,078,753	BOYAmt
EOY	$61,692,807	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$57,500	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$429,459	BOYAmt
EOY	$352,252	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$106,412,465	BOYAmt
EOY	$142,587,331	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,356,132	BOYAmt
EOY	$114,107	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$4,853	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$18,440,940	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$42,426,468	BOYAmt
EOY	$41,039,111	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$429,459	BOYAmt
EOY	$345,895	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,212,059	BOYAmt
EOY	$59,944,906	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$62,200,406	BOYAmt
EOY	$82,642,425	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$62,200,406	BOYAmt
EOY	$82,642,425	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$106,412,465	BOYAmt
EOY	$142,587,331	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,442,019	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,503,454	OtherCostOrOtherBasisAmt
Book Value	$4,503,454	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,941,370	OtherCostOrOtherBasisAmt
Depreciation	$24,253,652	DepreciationAmt
Book Value	$46,687,718	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$427,997	OtherCostOrOtherBasisAmt
Depreciation	$273,648	DepreciationAmt
Book Value	$154,349	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,981,943	OtherCostOrOtherBasisAmt
Depreciation	$22,188,776	DepreciationAmt
Book Value	$8,793,167	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,448,842	OtherCostOrOtherBasisAmt
Depreciation	$1,894,723	DepreciationAmt
Book Value	$1,554,119	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$61,692,807	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DEFERRED COMPENSATION	Desc
Amt	$345,895	Amt

Field	Value	IRS element (for citing)
Total Liability	$345,895	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990 Sch D Part X Line 2	FormAndLineReferenceDesc
Explanation	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, 2020 OR 2019.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$485,757	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$485,757	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,216,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,235,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,980,879	NetCommunityBenefitExpnsAmt
Total Expense	0.04610	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,701,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,235,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,466,636	NetCommunityBenefitExpnsAmt
Total Expense	0.04980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,108	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,081	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$232,027	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,212	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,212	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$253,320	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,081	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$238,239	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,955,286	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,250,411	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,704,875	NetCommunityBenefitExpnsAmt
Total Expense	0.05160	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$839,323	BadDebtExpenseAmt
Reimbursed By Medicare	$30,857,652	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$35,900,497	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,042,845	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	None	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARSHFIELD MEDICAL CENTER - RICE LAKE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 W STOUT STREET	AddressLine1Txt
City	RICE LAKE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54868	ZIPCd

Field	Value	IRS element (for citing)
State License	82	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MARSHFIELD MEDICAL CENTER - RICE LAKE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.lakeviewmedical.com	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.lakeviewmedical.com	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Supplemental Information	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Supplemental Information	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Supplemental Information	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 Sch H Part V Line 5	Marshfield Medical Center-Rice Lake (MMC-RL) completed the 2018 CHNA in partnership with Barron County Department of Health and Human Services (DHHS), Wisconsin Division of Public Health, University of Wisconsin-Eau Claire, Wisconsin Indianhead Technical College (WITC), ADRC of Barron, Rusk, and Washburn Counties, and the other healthcare systems in the community. In addition to analyzing demographic information, the group collected secondary data through both an online and paper survey concerning disease, death, disability, injury and community opinions. The survey was translated to Somali and Spanish to include feedback from underserved populations in the county.
Form 990 Sch H Part V Line 6a	The CHNA was conducted with the following hospital facility(s): - Mayo Clinic Health Systems - Cumberland Healthcare - Amery Hospital and Clinic
Form 990 Sch H Part V Line 6b	The CHNA was conducted with the following non-hospital facility(s): - Barron County Department of Health and Human Services (DHHS) - Wisconsin Division of Public Health-Western Region Office - University of Wisconsin-Eau Claire - Western Indianhead Technical College (WITC) - Aging and Disability Resource Center of Barron, Rusk, and Washburn Counties - Rice Lake Area Free Clinic - Northlakes Community Clinic
Form 990 Sch H Part V Line 11	Marshfield Medical Center-Rice Lake will implement many strategies to collaborate with community and Marshfield Clinic Health system partners. Community change is a long-term process that no one organization can accomplish alone, therefor partnerships are essential for success. The following were identified by the Community Health Assessment: - Substance Abuse - Mental Health - Chronic Disease Due to the interconnected nature of the top identified health priorities, MMC-RL chose to combine a number of health priorities and are as follows along with the goals and strategies identified to achieve them. Alcohol and Substance Abuse Community-based goals are to reduce underage and excessive alcohol consumption and opioid related deaths and harm. Strategy 1: Support Implementation of an Alcohol and Other Drug Abuse (AODA) Prevention Curriculum - MMC-RL will partner with local organizations to support the implementation of an AODA prevention curriculum to reduce underage alcohol consumption and/or prevent substance use and abuse. Strategy 2: Support local policy related to underage drinking prevention - MMC-RL will partner with local organization(s) to support the implementation of a new or improved policy related to underage drinking prevention. Strategy 3: Engage in AODA prevention community groups - MMC-RL staff will actively engage in the Barron County Community Coalition (BC3) that addresses AODA. Behavior Health Community-based goals are to decrease suicide rates and improve social and emotional development of children and adolescents. Strategy 1: Support Community Training Related to Mental Health and Suicide Prevention - MMC-RL will support local community organization(s) in providing QPR trainings to 500 Barron County Residents. Strategy 2: Support Community Educational Event(s) Related to Mental Health and/or Suicide Prevention - MMC-RL will partner with at least one community organization to host educational event(s) where the documentary, The Ripple Effect, will be viewed. Strategy 3: Develop AODA and Mental Health Resource App. - MMC-RL will assist in the development of an app focused on providing community members, specifically youth access to information about existing AODA and mental health services and resources. Strategy 4: Engage in Mental Health community groups - MMC-RL staff will actively engage in Community Connections to Prosperity (CCP): Mental Health Action Team that addresses mental health. Chronic Disease Community-based goals are to improve access to healthy foods and physical activity, improve self-management of chronic conditions and reduce tobacco use. Strategy 1: Provide a yearly primary prevention strategy that supports care delivery efforts related to Chronic Disease management - MMC-RL will participate along with Cumberland Healthcare and Mayo Clinic Health System in holding Know Your Numbers events open to the community that screen residents for chronic disease risk factors. Strategy 2: Provide self-management education of pre-diabetes through the National Diabetes Prevention Program - MMC-RL will improve referrals/access to MMC-RL National Diabetes Prevention Program (DPP) Strategy 3: Improve Access to Healthy Choices - MMC-RL will implement an educational campaign regarding sugar sweetened beverages Strategy 4: Engage in Chronic Disease Prevention Community Groups - MMC-RL staff will actively engage in Thrive: Barron County Chronic Disease Prevention coalition that addresses chronic disease The following health priorities will not be addressed by MMC-RL for reasons indicated: - Injury & Violence Prevention: injury and violence are import areas of focus. Instead of leading this charge, MMC-RL staff participate in a variety of community groups supporting this area including, Barron-Washburn County Caregiver Coalition and Community Connections to Prosperity (CCP). Embrace Inc. (a domestic violence and sexual assault agency that provides safe shelter and supportive services for survivors), Aging and Disability Resource Center (ADRC) of Barron, Rusk, and Washburn Counties, and Barron County Department of Health and Human Services (DHHS) lead and have expertise in this area. - Communicable Disease Prevention & Control: This is an important area of focus, MMC-RL has systems and processes in place to prevent and reduce the spread of communicable diseases. The hospital will not take the lead on this area in community outreach as this is an area the Barron County Department of Health and Human Services (DHHS) leads and has expertise in. - Oral Health: Marshfield Clinic Rice Lake Dental Center addresses the community need for oral health by serving patients regardless of ability to pay or insurance status. While MMC-RL addresses oral health it is not listed as one of the top health priorities. - Reproductive & Sexual Health: While MMC-RL does provide this service, community lead initiatives are best lead by the Barron County Department of Health and Human Services (DHHS) and other agencies with expertise in the area. - Environmental & Occupational Health: While MMC-RL does have a vibrant Occupational Health Department, the hospital will not take the lead on this area in community outreach as this is an area the Barron County Department of Health and Human Services (DHHS) leads and has expertise in.
FORM 990 Sch H PART V LINE 16A-C	THE FINANCIAL ASSISTANCE POLICY (INCLUDING THE PLAIN LANGUAGE SUMMARY) AND THE FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE AT THIS URL: HTTPS://WWW.MARSHFIELDCLINIC.ORG/PATIENT-RESOURCES/BILLING/FINANCIAL-ASSIS TANCE

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 Sch H Part I Line 3c	AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON INCOME AS COMPARED WITH FEDERAL POVERTY GUIDELINES. OTHER ELIGIBILITY FACTORS INCLUDE: ASSET LIMITATIONS, INSURANCE STATUS AND RESIDENCY. ACCOUNT BALANCE IS CONSIDERED FOR MEDICAL INDIGENCE ELIGIBILITY.
Form 990 Sch H Part I Line 7	EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE: AMOUNTS CALCULATED IN PART I, LINE 7 ARE DETERMINED BASED ON A COST-TO-CHARGE RATIO. OTHER BENEFITS ARE DETERMINED BASED ON THE DIRECT AND INDIRECT COSTS (WHERE ALLOCATED) ASSOCIATED WITH A PROGRAM NET OF EARNED REVENUE. Form 990 Sch H Part II Marshfield Medical Center-Rice Lake (MMC-RL) participated in various community building activities with the purpose to improve the health of the community, including addressing social determinates of health and health inequities. Due to COVID-19, many community building activities were limited or canceled during this reporting period. However, staff did participate in regional community groups coordinating efforts to address COVID-19. Some examples of community building activities included: Coalition Building Marshfield Medical Center-Rice Lake staff participated in more than ten different community coalitions and collaborations with the purpose of improving the health of the community. A list of coalitions and collaborations are listed in MMC-RL CHNA and IS documents on their main hospital website. Community Support Marshfield Medical Center-Rice Lake staff participated in community programs and events. Examples included: o Diabetes Prevention Program (DPP) o MMC-RL Health and Wellness Center o Breastfeeding Support Groups MMC provided funding to support community needs as a response to the Covid-19 pandemic, some organizations included: The Family House on Heart Island and The Salvation Army of Barron County. Workforce Development Marshfield Medical Center-Rice Lake collaborated with area high schools to offer programs for high school students interested in medical careers as well as observational job experiences for high school graduates. MMC-RL functioned as a clinical site for student nurses, student nursing assistants, preceptors for healthcare jobs, and medical residents and interns. Advocacy for Community Health Improvements and Safety MMC-RL collaborated with community organizations and groups for Community Health Improvements and Safety. Examples included: o Participation in various Health Department driven groups focused on addressing the impacts of COVID-19.
Form 990 Sch H Part III Line 2	BAD DEBT EXPENSE IS REPORTED AT COST USING A COST-TO-CHARGE RATIO.
Form 990 Sch H Part III Line 4	Patient accounts receivable are reduced for explicit price concessions and by an allowance for uncollectible accounts as an implicit price concession. In evaluating the collectability of patients' accounts receivable, the System analyzes its past history and contractual terms and identifies trends for each of its major payor sources of revenue. For receivables associated with patients who have third-party coverage, the System analyzes contractually due amounts and provides an additional implicit discount, if necessary (i.e., for expected uncollectible deductibles and co-payments on accounts for which the third-party payor has not yet paid or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the System records an implicit discount in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance.
Form 990 Sch H Part III Line 9b	The organization has a billing and collection policy which sets forth collection practices for patients who are known to be eligible or presumed to be eligible for financial assistance under the financial assistance policy. Multiple measures are taken to communicate the availability of financial assistance and determine whether a patient is financial assistance eligible before pursuing extraordinary collection actions (ECAs). ECAs may include: reporting to consumer credit reporting agencies, pursuing legal judgments, filing liens, garnishing wages, requiring prepayment for non-emergency services. ECAs will not be initiated and further action will not be taken on existing ECAs once a financial assistance application is in process. If the patient is determined financial assistance eligible, reasonable measures will be taken to reverse any ECA already in place.
Form 990 Sch H Part VI Line 2	Marshfield Medical Center-Rice Lake (MMC-RL) assessed the health care needs of the communities by conducting standard CHNA practices, including: . Review of community partners' reports (i.e. United Way) . Completion of key informant interviews with community leaders about the community's health needs . Review of publicly available community health data (i.e. county health rankings) . Participation in community health committees and boards (i.e. Thrive Steering Committee)
Form 990 Sch H Part VI Line 3	PATIENT ASSISTANCE CENTER COUNSELORS ASSIST INDIVIDUALS WITH IDENTIFYING, REFERRING AND/OR APPLYING FOR PUBLIC, PRIVATE OR CHARITABLE RESOURCES FOR WHICH THE PATIENT MAY QUALIFY. COUNSELORS ARE AVAILABLE VIA PHONE AND IN PERSON TO ASSIST INDIVIDUALS WITH FINANCIAL ASSISTANCE. INFORMATION ON THE MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) FINANCIAL ASSISTANCE POLICY IS POSTED IN HOSPITAL REGISTRATION AND ADMITTING LOCATIONS AND IN THE HOSPITAL EMERGENCY DEPARTMENT. FINANCIAL ASSISTANCE INFORMATION IS PRINTED ON MONTHLY BILLING STATEMENTS AND INCORPORATED INTO OTHER COMMUNICATIONS IN ORDER TO WIDELY PUBLICIZE THE AVAILABILITY OF FINANCIAL ASSISTANCE, AS DESCRIBED IN THE MCHS BILLING AND COLLECTION POLICY. THE MCHS FINANCIAL ASSISTANCE POLICY (INCLUDING THE PLAIN LANGUAGE SUMMARY), THE FINANCIAL ASSISTANCE APPLICATION AND THE BILLING AND COLLECTION POLICY ARE AVAILABLE IN ENGLISH, SPANISH, HMONG AND ANY OTHER LANGUAGE THAT IS THE PRIMARY LANGUAGE SPOKEN BY THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE POPULATION OF THE SERVICE AREA. THE MCHS FINANCIAL ASSISTANCE POLICY (INCLUDING THE PLAIN LANGUAGE SUMMARY), THE FINANCIAL ASSISTANCE APPLICATION AND THE BILLING AND COLLECTION POLICY MAY BE OBTAINED FREE OF CHARGE: ON THE HOSPITAL WEBSITE, IN PERSON, FROM FINANCIAL COUNSELORS, BY PHONE AND BY MAIL.
Form 990 Sch H Part VI Line 4	Marshfield Medical Center-Rice Lake (MMC-RL) serves Barron County. Barron County is located in the Northern region of Wisconsin. The county is comprised of four cities (Barron, Chetek, Cumberland, and Rice Lake), six villages (Almena, Cameron, Dallas, Haugen, New Auburn, Prairie Farm, and Turtle Lake), and 25 townships with a total population of 45,164 and a population percent change of -1.5% in 2018. With 65.9% of Barron County residents living in a rural area. The county is bordered by Dunn, Chippewa, Rusk, Washburn, Burnett, and Polk counties. The racial make-up of Barron County is 93.3% Caucasian, 0.7% Asian, 2.6% Hispanic or Latino, 1.3% two or more races, 1.4% Black or African American, and 1.0% American Indian and Alaska Native. The median household income in Barron County is $49,257 compared to the state average of $56,759. The number of ALICE (Asset Limited, Income Constrained, Employed) households in Barron County is higher than the state average at 31% and 25.8% comparatively with the poverty rate of 13% which is higher than the state average of 11%. The unemployment rate in Barron County is 3.5% which is slightly higher than the state average of 3.3%. The education level of Barron County residents is lower than the statewide average. According to the latest census estimates, 90.6% of Barron residents have a high school diploma, compared to 91.7% statewide. Likewise, 19.5% of Barron residents have a Bachelor's degree or higher, compared to 29% statewide.
Form 990 Sch H Part VI Line 5	Marshfield Medical Center-Rice Lake (MMC-RL) furthered its exempt purpose by promoting the health of the community with the following: . Representation on the Community Connections to Prosperity (CCP) coalition. The mission of the coalition is to help individuals, organizations and agencies understand and deeply appreciate the immense power of poverty. . Representation and facilitation of the Mental Health Action Team (MHAT) developed from the CCP coalition. The mission of this action team is to educate and reduce stigma of mental illness, which will increase awareness and reduce the potentially debilitating consequences of mental illness (including poverty, substance abuse, homelessness and many chronic health conditions). . Offered community members the opportunity to exercise at the MMC-RL Health and Wellness Center while being supervised by medically trained staff. MMC-RL financially supported the operating cost as expenses exceed revenue. . Provided free monthly blood pressure screenings to community members. . Offered the National Diabetes Prevention Program (DPP).
Form 990 Sch H Part VI Line 6	Marshfield Clinic was founded in 1916 by six physicians practicing in Marshfield, a rural central Wisconsin city. At its inception, Clinic founders saw research and education as critical to their practice of health care and that remains so today. The Clinic became a 501(c)(3) nonprofit organization in 1992 and in 2014, Marshfield Clinic Health System, Inc. was formed. The Health System's mission is to enrich lives and create healthy communities through accessible, affordable, compassionate health care. The Health System today is an integrated system serving Wisconsin and beyond, with more than 12,000 employees including over 1,400 providers comprising more than 170 specialties and subspecialties. Its entities provide service and health care to more than two million residents through more than 60r 50 locations in 40 Wisconsin communities in northern, central and western Wisconsin. Primary operations include: Marshfield Clinic; Marshfield Medical Center hospitals in Marshfield, Eau Claire, Beaver Dam, Ladysmith, Minocqua, Neillsville, Rice Lake, Weston, Park Falls, and Marshfield Children's Hospital; Marshfield Clinic Research Institute, Security Health Plan and Marshfield Clinic Health System Foundation. The Clinic operates several dental clinics in northern, central and western Wisconsin, providing general family dentistry and dental hygiene services to more than 60,000 unique patients per year. These centers were launched through a collaboration including Marshfield Clinic, Family Health Center of Marshfield, Inc., and federal and state agencies, to address the need for dental care in underserved areas. The centers serve all patients regardless of ability to pay or insurance status - uninsured/underinsured, private pay and commercial insurance. The Health System deeply believes in promoting community health through building and sustaining strong internal and external partnerships and collaborations. For this reason, the Health System and its affiliated entities work together internally and externally with community partners, stakeholders and residents to improve community health. Unique to the Health System is its Center for Community Health Advancement (CCHA), which builds bridges between the Health System and areas in the community where people live, work and play. The CCHA works with coalitions, businesses, educational systems, law enforcement agencies, Tribal Nations, local governments, and other healthcare providers, nonprofit organizations and other entities to improve community health. The CCHA includes hospital staff who are closely involved in the CHNA and IS in their respective counties. This helps to align community health priorities identified in the CHNA with Health System priorities.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Charity Care	GrantTypeTxt
Recipient	140	RecipientCnt
Cash Grant	$1,317,843	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990 Sch I Part I Line 2	FormAndLineReferenceDesc
Explanation	Marshfield Clinic Health System (including Lakeview Medical Center Inc.) provides emergency and medically necessary health care services for free or at discounted rates to patients who meet certain eligibility criteria. Patients seeking financial assistance apply by completing a financial assistance application. Free care is available for patients with income and excess asset values at or below 200% of the Federal Poverty Guidelines.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	Yes (true)	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Tom Lundquist MD
Board Member (thru May 2020)	$0	$214,586	$0	$0	$0	$4,403	$0	$29,241	$0	$25,692	$0	$273,922	$0	$0
Scott Polenz
Board Member (thru May 2020)	$0	$260,248	$0	$0	$0	$6,105	$0	$29,241	$0	$24,795	$0	$320,389	$0	$0
Neelakantan Namboodiri MD
Board Member (thru May 2020)	$0	$348,917	$0	$0	$0	$23,543	$0	$29,241	$0	$20,073	$0	$421,774	$0	$0
James Peter DO
Board Member (thru May 2020)	$0	$378,640	$0	$14,923	$0	$2,796	$0	$29,241	$0	$23,959	$0	$449,559	$0	$0
Narayana Murali MD
MCHS Chief Strategy Officer	$0	$740,819	$0	$131,250	$0	$51,302	$0	$29,241	$0	$28,854	$0	$981,466	$0	$0
Jerard Jensen
MCHS General Counsel	$0	$763,409	$0	$102,974	$0	$5,366	$0	$29,241	$0	$27,124	$0	$928,114	$0	$0
Gordon Edwards
MCHS CFO/COO	$0	$634,788	$0	$82,380	$0	$42,000	$0	$29,241	$0	$29,784	$0	$818,193	$0	$0
Susan Turney MD
MCHS CEO	$0	$1,724,990	$0	$350,200	$0	$345,839	$0	$270,641	$0	$22,505	$0	$2,714,175	$0	$241,400
Steven Kulick
Chief Exper Off(Thru Mar 2020)	$0	$561,606	$0	$19,148	$0	$3,972	$0	$2,080	$0	$31,426	$0	$618,232	$0	$0
Jeanne Scinto
Chief Transformation Officer	$0	$400,002	$0	$0	$0	$2,237	$0	$2,080	$0	$23,127	$0	$427,446	$0	$0
Ned Wolf
Former LMC CEO	$0	$339,150	$0	$0	$0	$22,200	$0	$29,241	$0	$19,176	$0	$409,767	$0	$0
Cindy Arts-Strenke
Former LMC COO	$0	$213,016	$0	$12,500	$0	$1,290	$0	$29,241	$0	$19,410	$0	$275,457	$0	$0
William Melms MD
Chief Medical Officer	$0	$467,496	$0	$0	$0	$3,972	$0	$29,241	$0	$0	$0	$500,709	$0	$0
Ruwan Dissanayake MD
Board Member	$0	$343,493	$0	$110,079	$0	$19,164	$0	$29,241	$0	$28,395	$0	$530,372	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 Sch J Part I Line 1a	THE ORGANIZATION MAY OCCASIONALLY REIMBURSE OR PROVIDE A HOUSING ALLOWANCE FOR KEY EXECUTIVES IN ORDER TO ASSIST WITH RELOCATING TO THE AREA. THE ORGANIZATION MAY ALSO CONTRIBUTE TO OR REIMBURSE FOR HEALTH AND SOCIAL CLUB DUES AS DEEMED NECESSARY IN ORDER TO SUPPORT A BUSINESS NEED.
Form 990 Sch J 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.
Form 990 Sch J Part I Line 4b	457(F) PLAN SUSAN TURNEY, MD - $254,127
Form 990 Sch J Part I Line 5a & 5b	SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS.
Form 990 Sch J Part I Line 6a & 6b	SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 Part IV Line 4	Marshfield Clinic Health System (including Lakeview Medical Center 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 2 ALL PERSONNEL SERVICES FOR LAKEVIEW MEDICAL CENTER, INC. ARE PERFORMED BY EMPLOYEES OF MARSHFIELD CLINIC HEALTH SYSTEM, INC. ALL PHYSICIAN SERVICES FOR LAKEVIEW MEDICAL CENTER, INC. ARE PERFORMED BY EMPLOYEES OF MARSHFIELD CLINIC, INC. Form 990 Part VI Line 6 MCHS HOSPITALS, INC. (A WISCONSIN NONSTOCK, NONPROFIT ORGANIZATION DESCRIBED IN CODE SECTION 501(C)(3)) IS THE SOLE MEMBER OF LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE.
Form 990 Part VI Line 7a	MCHS HOSPITALS, INC. (AS THE SOLE MEMBER) has the reserve power to appoint or remove member of the board of directors of LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE.
Form 990 Part VI Line 7b	MCHS HOSPITALS, INC. (THE SOLE MEMBER) HAS THE RIGHT TO APPROVE ANY CHANGES TO THE ARTICLES OF INCORPORATION AND BYLAWS OF LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE. MCHS HOSPITALS, 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. MCHS HOSPITALS, 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/COO AND TAX DEPARTMENT. 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 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 Line 19	LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE 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. Form 990 Part X Line 20 Lakeview Medical Center 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MARSHFIELD CLINIC INC
1000 N OAK AVE	MARSHFIELD	WI	54449	390452970	MEDICAL SVCS	WI	501(C)(3)	3	MCHS	false
VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL
1700 W STOUT ST	RICE LAKE	WI	54868	391329084	SUPPORT ORG	WI	501(C)(3)	12-TYPE III	NA	false
SECURITY HEALTH PLAN OF WISCONSIN INC
1515 N ST JOSEPH AVE	MARSHFIELD	WI	54449	391572880	HMO	WI	501(C)(4)	N/A	MCHS	false
FLAMBEAU HOSPITAL INC
98 SHERRY AVE	PARK FALLS	WI	54552	390973724	HOSPITAL	WI	501(C)(3)	3	MCHS HOSP	false
MARSHFIELD CLINIC HEALTH SYSTEM INC
1000 N OAK AVE	MARSHFIELD	WI	54449	461495343	SUPPORT ORG	WI	501(C)(3)	12-TYPE III	NA	false
FAMILY HEALTH CENTER OF MARSHFIELD INC
1000 N OAK AVE	MARSHFIELD	WI	54449	391681547	COM HLTH CTR	WI	501(C)(3)	7	NA	false
MCHS HOSPITALS INC
1000 N OAK AVE	MARSHFIELD	WI	54449	810977948	HOSPITAL	WI	501(C)(3)	3	MCHS	false
MCHS FOUNDATION INC
1000 N OAK AVE	MARSHFIELD	WI	54449	812822823	PHILANTHROPY	WI	501(C)(3)	7	NA	false
BEAVER DAM COMMUNITY HOSPITALS INC
707 S UNIVERSITY AVE	BEAVER DAM	WI	53916	391157876	HOSPITAL	WI	501(C)(3)	3	MCHS HOSP	false
MEMORIAL HOSPITAL INC
216 SUNSET PL	NEILLSVILLE	WI	54456	390806828	HOSPITAL	WI	501(C)(3)	3	MCHS HOSP	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	THE DIAGNOSTIC & TREATMENT CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3401 CRANBERRY BLVD	AddressLine1Txt
City	WESTON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54476	ZIPCd

Field	Value	IRS element (for citing)
EIN	200691634	EIN
Primary Activities	MEDICAL SVCS	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd