2017-08-11T15:02:57-05:00 2016-09-30 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2015-10-01 390452970 Marshfield Clinic Inc % LISA FENHAUS-JOHNSON MARS 7153875511 1000 NORTH OAK AVENUE MARSHFIELD WI 54449 NARAYANA MURALI MD EXECUTIVE DIRECTOR 7153875511 2017-08-15 true Monroe J Gierl P01413237 6123055000 2017-08-15 2015 2021-01-29 14:40:06Z MARSHFIELD CLINIC IVAN SHALLER MD BOARD CHAIR 1000 NORTH OAK AVENUE MARSHFIELD WI 54449 1347150894 false X WWW.MARSHFIELDCLINIC.ORG X 1916 WI WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, AND COMPASSIONATE HEALTH CARE 11 0 7294 400 19277665 -494618 16901635 16964727 1177935002 1222504294 16862103 14837953 -579551 -1056695 1211119189 1253250279 19641034 19332138 0 0 740760146 762277650 0 0 2075733 426361939 441863724 1186763119 1223473512 24356070 29776767 1036704692 1098554278 497556983 483904726 539147709 614649552 X WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, AND COMPASSIONATE HEALTH CARE false false 892790371 19332138 1059968536 PATIENT MEDICAL CARE SEE SCHEDULE O 50484965 20578708 MEDICAL RESEARCH AND EDUCATION SEE SCHEDULE O 67234229 96473584 LABORATORY MEDICINE SEE SCHEDULE O 26016675 26698210 Food Safety 26016675 26698210 1036526240 true true false true false false false true false true true true true false true true false true false true true false false false true true false true false true true false true false false false false false false true false true true false false true true true true true false true 633 0 true 7294 true true true true CA false false false true true false false false false X 11 0 false false false false true true true true true false false true true true true true true true true true true OH WI X LISA FENHAUS-JOHNSON 7153875511 1000 N OAK AVE MARSHFIELD WI 54449 Ivan Schaller MD Board Chair 43.0 4.0 X X 284831 0 53708 John Przyblinski MD Vice Chair 43.0 3.0 X X 219364 0 52126 Matthew Thomas MD Treasurer 43.0 5.0 X X 548302 0 45792 Thomas Leifheit MD Secretary 43.0 3.0 X X 573217 0 53186 Timothy Wengert MD Director 42.0 2.0 X 372970 0 49576 Ruwan Dissanayake MD Director 42.0 3.0 X 460160 0 48961 Alpa Shah MD Director 42.0 2.0 X 180840 0 25001 William Melms MD Director 42.0 2.0 X 249294 0 50469 Jeffrey Lamont MD Director 42.0 2.0 X 206592 0 47226 Peter Cochrane MD Director 42.0 2.0 X 345050 0 48700 Kent Ray Director 42.0 2.0 X 295933 0 62119 Nandita Bhattacharjee MD Corporate Secretary 42.0 2.0 X X 463912 0 58487 Brad Bekkum MD Director 42.0 2.0 X 410201 0 54294 Caesar Gonzaga MD Director 42.0 2.0 X 298821 0 49750 Susan Turney MD CEO, MCHS 1.0 45.0 X 0 1091170 199830 Daniel Ramsey COO MCHS 1.0 44.0 X 0 664272 26151 Gordon Edwards CFO MCHS 1.0 44.0 X 0 128695 8174 Jerard Jensen GENERAL COUNSEL, MCHS 1.0 44.0 X 0 353735 18234 Julie Brussow HEALTH PLAN CEO, MCHS 1.0 44.0 X 0 404938 48520 Patti Haney CHIEF HR OFFICER, MCHS 1.0 43.0 X 0 239839 54661 Narayana Murali MD CHIEF STRATEGY OFFICER, MCHS 1.0 45.0 X 0 558189 59685 Teri Wilczek CHIEF PHILAN OFFICER, MCHS 1.0 44.0 X 0 207692 51593 William Barkley MD Chief Medical Officer 40.0 0.0 X 349066 0 56688 Jim Coleman COO MC 40.0 0.0 X 497044 0 49576 Alan Marshall CFO MC - Term Ended 1/15/16 40.0 0.0 X 372102 0 49216 Donna Andrew Corporate Compliance Officer 40.0 0.0 X 192130 0 43896 Roderick Koehler MD Salary Committee Chair 40.0 1.0 X 327703 0 49576 Charles Strachan MD Retirement Plan Chair 40.0 0.0 X 353551 0 53186 Mark Lepage MD Treasurer 0.0 40.0 X 398154 0 52524 Vivekananda Gonugunta MD Neurosurgeon - Spine 40.0 0.0 X 1230446 0 30062 Scott Paulman MD Retinal Surgeon 40.0 0.0 X 1153083 0 31371 Adedayo Onitilo MD Hematology/Oncology 40.0 0.0 X 1071745 0 49576 David Junker MD Operative-Pain 40.0 0.0 X 990014 0 59669 David Simenstad MD Orthopedics 40.0 0.0 X 950169 0 57844 Brian Ewert MD Former President 40.0 0.0 X 220409 0 53458 Dan Erickson MD Former Vice President 40.0 0.0 X 252099 0 44271 Doug Reding MD Former Vice President 40.0 0.0 X 437940 0 46475 Rod Sorensen MD Former Salary Committee Chair 40.0 0.0 X 306559 0 53186 John Cook Former CFO 0.0 40.0 X 0 201496 8825 David Keefe Director of Human Resources 40.0 0.0 X 192546 0 24308 Tim Swan MD Former Key Employee 40.0 0.0 X 180238 0 34799 Eric Penniman MD Former Key Employee 40.0 0.0 X 308133 0 53644 Greg Burnett MD Former Key Employee 40.0 0.0 X 310050 0 48500 Juan Mesa MD Former Key Employee 40.0 0.0 X 664266 0 58119 John Warner MD Former Key Employee 40.0 0.0 X 540428 0 49344 Gene Shaw MD Former Key Employee 40.0 0.0 X 369818 0 49593 Garry Shulman MD Former Key Employee 40.0 0.0 X 774744 0 57135 Greg Tyler MD Former Key Employee 40.0 0.0 X 480876 0 51576 Laura Nelson MD Former Key Employee 40.0 0.0 X 270576 0 44164 18103376 3850026 2426824 1021 true true false KPMG LLP PO Box 120970 Dallas TX 753120970 Professional SVCS. 1297726 Advantage Purchasing PO Box 509 Neenah WI 549570509 Remodeling 729907 Medical Doctor Assoc LLC PO Box 277185 Atlanta GA 303847185 Locum 597239 Architectural Design Group LLC Building D04 Ste 202 Eau Claire WI 547033521 Architect 432668 PM Holding Group LLP 16060 Collections Center DR CHICAGO IL 60693 Professional SVCS. 310689 24 599280 12645244 3720203 429033 16964727 Patient Medical Care 621500 1059968536 1059968536 Laboratory Medicine 621500 115258840 96473584 18785256 Medical Research and Education 621500 20578708 20578708 Food Safety 621500 26698210 26698210 1222504294 10860487 492409 10368078 484878 484878 416702 416702 472564 257585 214979 0 214979 214979 39589097 81726 36087181 91054 3501916 -9328 3492588 3492588 300579 599280 283759 16820 16820 76685 76685 76685 54895074 57181036 -2285962 -2285962 Cafeteria Sales 900099 504081 504081 504081 1253250279 1203719038 19277665 13288849 19332138 19332138 0 0 0 8916238 4972417 3943821 0 593264965 507179984 84945981 1139000 53305465 44911806 8276336 117323 73285776 58424833 14726410 134533 33505206 27714672 5710152 80382 0 1571661 2243 1569418 182459 182459 90693 90693 0 607375 607375 48477013 35056917 13185462 234634 6531660 22634 6487849 21177 5821691 3065132 2715799 40760 51697480 22298553 29264619 134308 128261 128261 22191629 19155635 3003396 32598 8327719 7035144 1245922 46653 0 268309 253490 14819 7422789 3822711 3600078 0 36680243 34582297 2087155 10791 3027752 1444499 1583211 42 Operating Supplies 225926671 225089870 760367 76434 Maintenance & Repairs 8703532 8382731 320242 559 Operating Expenses 12788563 12595928 186096 6539 OTHER EXPENSES 1418224 1054345 363879 1223473512 1036526240 184871539 2075733 75362836 13475116 20872466 2 2646969 1526345 168035532 217833495 0 0 0 0 21737320 33076433 17979087 22291394 8150802 8833314 761090812 357000732 351961102 404090080 205462948 124740021 30792602 143841091 129174206 123906018 4528822 4940969 0 0 1036704692 1098554278 120187773 111294172 0 0 1914360 1631785 301877221 226631004 0 0 0 0 196634 63803878 0 0 73380995 80543887 497556983 483904726 X 511075161 587005371 14186016 13378471 13886532 14265710 539147709 614649552 1036704692 1098554278 X 29776767 9312800 36412276 X false true X true true true X Part I Line 11a PER IRS INSTRUCTIONS FOR THE FORM 990, THE DEFINITION OF HOSPITALS FOR SCHEDULE A (FORM 990 OR 990-EZ), PART I, IS DIFFERENT FROM THE DEFINITION FOR SCHEDULE H (FORM 990), HOSPITALS. ACCORDINGLY, AN ORGANIZATION THAT CHECKS THIS BOX MAY OR MAY NOT BE REQUIRED TO COMPLETE SCHEDULE H (FORM 990). MARSHFIELD CLINIC IS NOT RECOGNIZED BY ANY STATE AS A HOSPITAL. THEREFORE, WE ARE NOT REQUIRED TO COMPLETE SCHEDULE H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 862226 false false 862226 false Part I-A Line 1 WHERE ITS EXPERIENCE MAY BE HELPFUL, MARSHFIELD CLINIC MAY OFFER RECOMMENDATIONS CONCERNING LEGISLATION OR REGULATIONS BEING CONSIDERED. IN ADDITION, IT MAY ANALYZE AND TAKE POSITIONS ON ISSUES THAT HAVE A RELATIONSHIP TO THE ORGANIZATION'S OPERATIONS. CERTAIN ASSOCIATIONS TO WHICH MARSHFIELD CLINIC IS A MEMBER MAY PERFORM SOME LOBBYING ACTIVITY. COMPONENTS OF DUES PAYMENTS TO THESE ASSOCIATIONS THAT ARE FOR LOBBYING ACTIVITY ARE ALSO REPORTED IN PART II-B. Part II-B Occasionally send mail to members of congress and their staff. 1122408 X true 54751273 394000 6037000 1980000 59202273 55590273 708000 -96000 1451000 54751273 49072273 2366000 5537000 1385000 55590273 43172004 1567033 5577482 1244246 49072273 35848004 1375000 6620000 671000 43172004 0.68280 0.07620 0.24100 false false 20464190 20464190 438097256 178439778 259657478 6793910 2909338 3884572 243968129 167122091 76846038 2205113 43237802 8529525 43237802 404090080 COMMINGLED/PRIVATELY HELD 143841091 143841091 123906018 0 HEALTH PLAN-DEFERRED REVENUE 19500000 UNPAID PROFESSIONAL LIABILITY 8814039 457 PLAN PAYABLE 48831007 MISCELLANEOUS 3398841 80543887 X Part III Line 4 THE MISSION OF MARSHFIELD CLINIC IS TO SERVE PATIENTS THROUGH ACCESSIBLE, HIGH QUALITY HEALTH CARE, RESEARCH AND EDUCATION. AS PART OF SERVING PATIENTS, THE CLINIC STRIVES TO PROVIDE AN INVITING ATMOSPHERE TO TREAT PATIENTS AND ASSIST IN THE HEALING PROCESS. PLEASANT FACILITIES AND GROUNDS, PLUS APPROPRIATE WORKS OF ART ALL ASSIST IN THIS HEALING PROCESS, AS WELL AS SERVE TO ENHANCE THE CLINIC'S EDUCATIONAL MISSION BY DISPLAYING ART WORK FOR SCHOOL CHILDREN AS WELL AS PATIENTS AND VISITORS. Part V Line 4 MARSHFIELD CLINIC MAINTAINS ENDOWMENT FUNDS IN THE FOLLOWING CATEGORIES: GENERAL ENDOWMENT TO FUND OPERATIONS, ENDOWED PROGRAMS TO FUND VARIOUS PATIENT CARE, RESEARCH AND EDUCATION PROGRAMS SUCH AS ONCOLOGY RESEARCH, SUMMER STUDENT INTERN PROGRAMS, AND THE ANGEL FUND; AND ENDOWED CHAIRS AND ENDOWED DISTINGUISHED PHYSICIAN/SCIENTIST AWARDS TO FUND THE RESEARCH, EDUCATION OR ADMINISTRATIVE ACTIVITIES OF THE NAMED CHAIR OR AWARD RECIPIENT. Part X Line 2 THE SYSTEM 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 SYSTEM AT SEPTEMBER 30, 2016 OR 2015. North America 1 20 Program Services FOOD SAFETY TESTS 2445216 Central America and the Caribbean Investments N/A 2182694 1 20 1 20 4627910 4627910 true false false false true false Part I Line 3(f) MARSHFIELD FOOD SAFETY, LLC (MFS), A WHOLLY OWNED SUBSIDIARY OF MARSHFIELD CLINIC (MC) PROVIDES FOOD SAFETY TESTING SERVICES ON -SITE AT OR NEARBY VARIOUS FOOD PRODUCERS FOR THE BENEFIT OF THE PUBLIC. MFS CANADA FOOD SAFETY IS A 100% OWNED SUBSIDIARY OF MFS AND MAINTAINS ITS OPERATIONS IN CANADA. IT COMMENCED ITS OPERATIONS IN 2011 AND INCLUDED THE SAME TYPES OF ACTIVITIES AS MFS. FOR TAX REPORTING PURPOSES, MFS IS A DISREGARDED ENTITY. THE CANADIAN OPERATIONAL INFORMATION IS BEING DISCLOSED ON THE SCHEDULE F TO ASSURE COMPLIANCE WITH 990 REQUIREMENTS. THE LISTED EMPLOYEES ARE EMPLOYEES OF (MC'S SHARE OF MFS ASOF SEPTEMEBER 30, 2015) OR OPERATIONAL EXPENSES INCURRED BY MFS CANADA. AUCTN of CHAMPS 178607 106910 71697 4233 33797 17917 FORE A CURE 153657 106821 46836 920 25545 6582 20 567595 385549 182046 5420 36532 34072 35887 17562 65292 899859 599280 300579 5420 41685 59617 69684 17562 89791 283759 16820 76685 false 76685 76685 WI true false true false 0.31000 0.69000 Tiffany Halan 1000 N Oak Ave Marshfield WI 54449 false Tiffany Halan 5000 COORD. & MANAGEMENT OF CLINIC GAMING ACTIVITIES X false true Family Health Center 1515 St Joseph Ave Marshfield WI 54449 391681547 501 (C) (3) 18818900 Cash Amount none General Support Marshfield Area United Way 156 S Central Ave PO Box 771 Marshfield WI 54449 391035073 501 (C) (3) 74500 Cash Amount none GENERAL SUPPORT General Support City of Eau Claire PO Box 1087 Eau Claire WI 54702 396005436 501 (C) (3) 29040 Cash Amount none GENERAL SUPPORT General Support New Visions Gallery Rent 1000 N Oak Ave Marshfield WI 54449 510190879 501 (C) (3) 27000 Cash Amount none GENERAL SUPPORT General Support United Way of Marathon 137 River Drive Wausau WI 54403 390935496 501 (C) (3) 37500 Cash Amount none GENERAL SUPPORT General Support Community Foundation of North Central WI 500 3rd St Suite 310 Wausau WI 54403 391577472 501 (C) (3) 14000 Cash Amount none GENERAL SUPPORT General Support Marshfield Area YMCA 410 W McMillan Street Marshfield WI 54449 391557086 501 (C) (3) 15000 Cash Amount none GENERAL SUPPORT General Support UWSP 2100 Main Street Stevens Point WI 544813897 396098038 501 (C) (3) 15000 Cash Amount none GENERAL SUPPORT General Support Community Foundation of Chippewa County PO Box 153 Chippewa Falls WI 547290153 392024542 501 (C) (3) 10000 Cash Amount none GENERAL SUPPORT General Support Central Wisconsin Literacy 320 Oak Street Wisconsin Rapids WI 54494 391684056 501 (C) (3) 10000 Cash Amount none GENERAL SUPPORT General Support American Cancer Society PO Box 902 Pewaukee WI 530720902 131788491 501 (C) (3) 10000 Cash Amount none GENERAL SUPPORT General Support WI Health News LLC PO Box 1856 Madison WI 53701 274392311 501 (C) (3) 9999 Cash Amount none GENERAL SUPPORT General Support Friends of Sacred Heart Hospital 900 W Clairemont Avenue Eau Claire WI 54701 371186514 501 (C) (3) 6250 Cash Amount none GENERAL SUPPORT General Support United Way of Chippewa 3603 N Hastings Way Ste 200 Eau Claire WI 547020232 391077901 501 (C) (3) 22500 Cash Amount none GENERAL SUPPORT General Support Lakeland Union High School 9573 Hwy 70 West Minocqua WI 54548 396025018 501 (C) (3) 8000 Cash Amount none GENERAL SUPPORT General Support Village of Hewitt 7810 Mclean Drive Hewitt WI 54441 391182935 501 (C) (3) 40000 Cash Amount none GENERAL SUPPORT General Support Pittsville Youth Baseball Inc 6007 Lindsey Drive Pittsville WI 54466 475268101 501 (C) (3) 25000 Cash Amount none GENERAL SUPPORT General Support Phillips area Aquatic PO Box 12 Phillips WI 545550012 200938415 501 (C) (3) 10000 Cash Amount none GENERAL SUPPORT General Support School District of Marshfield 1010 East 4th Street Marshfield WI 54449 396003302 501 (C) (3) 8750 Cash Amount none GENERAL SUPPORT General Support Eau Claire Area Development CO 7 S Dewey St PO Box 1108 Eau Claire WI 547021108 391488940 501 (C) (3) 7500 Cash Amount none GENERAL SUPPORT General Support Ehealth Initiative Ste 500 818 Connecticut Ave NW Washington DC 20006 522303820 501 (C) (3) 7500 Cash Amount none GENERAL SUPPORT General Support Clark Co 4H and FFA PO Box 30 Neillsville WI 544560030 391657136 501 (C) (3) 7292 Cash Amount none General Support General Support City of Marshfield 630 S Central Ave Ste 502 Marshfield WI 54449 396005518 501 (C) (3) 6000 Cash Amount none General Support General Support University of Wisconsin PO Box 204 Milwaukee WI 532780204 391805963 501 (C) (3) 12500 CASH AMOUNT NONE GENERAL SUPPORT 24 Part I Line 2 MARSHFIELD CLINIC PROVIDES ASSISTANCE (PRIMARILY CONTRIBUTIONS) TO A VARIETY OF ORGANIZATIONS, ALL OF WHICH ARE 501(C)(3) AND SOME OF WHICH ARE AFFILIATES FOR FINANCIAL REPORTING PURPOSES (I.E. FAMILY HEALTH CENTER AND HERITAGE FOUNDATION). THE CLINIC MAKES DETERMINATIONS ON GRANT ASSISTANCE AND OTHER ASSISTANCE (I.E. CONTRIBUTIONS) BASED ON THE RECIPIENT ORGANIZATION'S MISSION, REPUTATION, AND THE ORGANIZATION'S INTENDED USE OF FUNDS. THE LARGEST CONTRIBUTION IS TO FAMILY HEALTH CENTER (FHC), WHICH IS A MEMBER OF THE CLINIC'S OBLIGATED GROUP AND INCLUDED IN THE CLINIC'S CONSOLIDATED FINANCIAL STATEMENTS. FHC'S MISSION AND USE OF FUNDS ARE ALIGNED WITH THE CLINIC'S MISSION AS A 501(C)(3) ORGANIZATION, AND MONITORED CLOSELY. X X X X X false true false true true true true false false Ivan Schaller MD Board Chair 256708 9035 19088 30062 0 24891 0 339784 0 0 0 John Przyblinski MD Vice Chair 210009 5426 3929 30062 0 22977 0 272403 0 0 0 Matthew Thomas MD Treasurer 533188 13689 1425 30062 0 16975 0 595339 0 0 0 Thomas Leifheit MD Secretary 472032 80374 20811 30062 0 24369 0 627648 0 0 0 Timothy Wengert MD Director 339546 30613 2811 30062 0 20759 0 423791 0 0 0 Ruwan Dissanayake MD Director 304111 152805 3244 30062 0 20160 0 510382 0 0 0 Alpa Shah MD Director 175695 3714 1431 25001 0 745 0 206586 0 0 0 William Melms MD Director 221457 25270 2567 30062 0 21359 0 300715 0 0 0 Jeffrey Lamont MD Director 197377 5767 3448 29980 0 18096 0 254668 0 0 0 Peter Cochrane MD Director 333791 8448 2811 30062 0 19883 0 394995 0 0 0 Kent Ray Director 286552 7956 1425 30062 0 33302 0 359297 0 0 0 Susan Turney MD CEO, MCHS 826303 170000 94867 0 181292 0 19783 0 1292245 0 62794 Daniel Ramsey COO MCHS 642776 21496 0 2080 0 25215 0 691567 0 0 Jerard Jensen GENERAL COUNSEL, MCHS 349375 4360 0 2080 0 16997 0 372812 0 0 Julie Brussow HEALTH PLAN CEO, MCHS 395821 1523 7594 0 33062 0 16692 0 454692 0 0 Patti Haney CHIEF HR OFFICER, MCHS 232209 5007 2623 0 30062 0 25594 0 295495 0 0 Narayana Murali MD CHIEF STRATEGY OFFICER, MCHS 528688 9866 19635 0 30062 0 30868 0 619119 0 0 Teri Wilczek CHIEF PHILAN OFFICER, MCHS 201625 4948 1119 0 30062 0 22407 0 260161 0 0 William Barkley MD Chief Medical Officer 338735 7520 2811 30062 0 27871 0 406999 0 0 0 Jim Coleman COO MC 472862 11336 12846 30062 0 20759 0 547865 0 0 0 Alan Marshall CFO MC - Term Ended 1/15/16 341264 9061 21777 30062 0 20399 0 422563 0 0 0 Donna Andrew Corporate Compliance Officer 185649 4501 1980 27610 0 17047 0 236787 0 0 0 David Keefe Director of Human Resources 150614 41932 23006 0 2045 0 217597 0 0 0 Roderick Koehler MD Salary Committee Chair 316875 8017 2811 30062 0 20759 0 378524 0 0 0 Charles Strachan MD Retirement Plan Chair 314621 35153 3777 30062 0 24369 0 407982 0 0 0 Vivekananda Gonugunta MD Neurosurgeon - Spine 1181509 28966 19971 30062 0 1245 0 1261753 0 0 0 Scott Paulman MD Retinal Surgeon 1104033 29415 19635 30062 0 2554 0 1185699 0 0 0 Adedayo Onitilo MD Hematology/Oncology 1025276 24417 22052 30062 0 20759 0 1122566 0 0 0 David Junker MD Operative-Pain 947438 23151 19425 30062 0 30852 0 1050928 0 0 0 David Simenstad MD Orthopedics 903860 25498 20811 30062 0 29027 0 1009258 0 0 0 John Cook Former CFO 193751 7745 0 1542 0 7724 0 210762 0 0 Brian Ewert MD Former President 202208 15688 2513 30062 0 24284 0 274755 0 0 0 Dan Erickson MD Former Vice President 242586 5916 3597 30062 0 15237 0 297398 0 0 0 Mark Lepage MD Treasurer 387289 9230 1635 30062 0 23707 0 451923 0 0 0 Doug Reding MD Former Vice President 386413 51527 30062 0 17357 0 485359 0 0 0 Rod Sorensen MD Former Salary Committee Chair 292798 9984 3777 30062 0 24369 0 360990 0 0 0 Tim Swan MD Former Key Employee 172541 7697 24524 0 10817 0 215579 0 0 0 Eric Penniman MD Former Key Employee 296989 9509 1635 30062 0 23621 0 361816 0 0 0 Greg Burnett MD Former Key Employee 287257 20000 2793 30062 0 19655 0 359767 0 0 0 Juan Mesa MD Former Key Employee 626092 17363 20811 30062 0 29302 0 723630 0 0 0 John Warner MD Former Key Employee 515155 23467 1806 30062 0 20527 0 591017 0 0 0 Gene Shaw MD Former Key Employee 339780 9227 20811 30062 0 19570 0 419450 0 0 0 Garry Shulman MD Former Key Employee 595607 159502 19635 30062 0 28318 0 833124 0 0 0 Greg Tyler MD Former Key Employee 466920 11145 2811 30062 0 22759 0 533697 0 0 0 Laura Nelson MD Former Key Employee 205499 65077 30062 0 14845 0 315483 0 0 0 Nandita Bhattacharjee MD Corporate Secretary 420795 23146 19971 30062 0 29670 0 523644 0 0 0 Brad Bekkum MD Director 321030 69536 19635 30062 0 25477 0 465740 0 0 0 Caesar Gonzaga MD Director 286281 7505 5035 30062 0 20933 0 349816 0 0 0 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. COMPENSATION TO THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR WAS PAID BY RELATED PARTY MARSHFIELD CLINIC HEALTH 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. Part I Line 4b 457(F) Plan SUE TURNEY, MD - $151,230 Part I Line 5a 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. Part I Line 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. Part I Line 6a 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. Part I Line 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. A WI HEALTH & EDUCATIONAL FACILITY AUTHORITY 391337855 97710VZY7 2006-01-31 71937989 BUILDINGS & EQUIPMENT false false false B WI HEALTH & EDUCATIONAL FACILITY AUTHORITY 391337855 97710VZY7 2006-01-31 65000000 BUILDINGS & EQUIPMENT false false false C WI HEALTH & EDUCATIONAL FACILITY AUTHORITY 391337855 000000000 2012-04-03 130115000 REFUNDING REV BONDS false false false D WI HEALTH & EDUCATIONAL FACILITY AUTHORITY 391337855 97710BZ54 2012-06-13 107540304 BUILDINGS & EQUIPMENT false false false A 10770000 0 74755903 5228763 0 0 699591 0 0 68522365 305184 0 2008 false false true true B 10790000 0 69008189 0 0 0 829612 0 0 68178577 0 0 2008 false false true true C 39765000 0 130115000 0 0 0 298298 0 0 0 129816702 0 2012 true false true true D 1220000 0 107953392 0 0 0 1477190 0 0 106476202 0 0 2013 false false true true A false true false false 0.00560 0.00560 false true 0.08740 true true B false false false false 0 false true 0.05450 true true C false false false false 0 false true 0.06170 true true D false false false false 0 false true 0.06530 true true A false false false true false false 0 false 0 false true B true true false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true Supplemental Information Schedule K, Part II, Line 3 Column A includes cumulative investment earnings on the bonds which are different from the proceeds amount reported on Form 8038. Schedule K, Part II, Line 14 The 2012A bonds refunded the following bonds: 1988 August 1, 1988 1990A April 1, 1990 1997 March 15, 1997 1999 November 1, 1999 2001 October 1, 2001 Schedule K, Part IV, Line 2c Computation (report) dates 2006A February 27, 2016 2006B January 25, 2016 HEMA MURALI MD SPOUSE OF NARAYANA MURALI 360476 EMPLOYEE COMPENSATION false SHARON BARKLEY SPOUSE OF BILL BARKLEY 102850 EMPLOYEE COMPENSATION false SUMEDHA PATHAK MD SPOUSE OF RAM PATHAK, MD 330131 EMPLOYEE COMPENSATION false MILIND SHAH MD SPOUSE OF ALPA SHAH, MD 635525 EMPLOYEE COMPENSATION false X 14 122106 fmv/sales price X 16698 fmv/sales price X 8 127139 fmv/sales price X 18 460 fmv/sales price X Travel/Experiences 21 30001 fmv/sales price X Livestock 35 38375 fmv/sales price X Food & Beverage 70 19664 fmv/sales price X Miscellaneous 119 74590 fmv/sales price false true false Form 990 Part III Line 1 The mission of marshfield clinic is to serve patients through accessible, high quality health care, research and education. Through research, education and standardization of quality, our vision is to reduce the burden of disease, disability and cost for our patients and communities. Form 990 Part III Line 4a The Marshfield Clinic system provides patient care, research and education throughout northern, central and western Wisconsin, with locations in 35 communities. Marshfield Clinic (the Clinic) has 680 physicians in 86 medical specialties and subspecialties. For 100 years, the Clinic has provided medical care to all patients regardless of their ability to pay. Charity care determinations are based on financial information provided by the patient and analysis of other relevant information. Because the Clinic anticipates either no or nominal payment for these services, the amounts are excluded from revenues. There were approximately 3,500,000 patient encounters for fiscal year 2016. The Clinic provided Charity Care of $1,982,000 in fiscal year 2016 based on the cost of providing care to patients who cannot afford to pay in accordance with its Charity Care Policy. As a result of implementation of the Affordable Care Act, many patients previously qualifying for the Clinic's charity care program are now enrolled in federally subsidized insurance plans or the State of Wisconsin BadgerCare Medicaid program. Consequently, charity care for this population has decreased significantly. The Clinic also provides substantial community support through the provision of services to individuals supported by public programs such as general relief, Medicare and Medicaid. The Clinic's cost of providing services under these programs in excess of reimbursement received by the Clinic, and the estimated unreimbursed cost of providing care to low income underinsured and uninsured patients through the Clinic's partnership with Family Health Center, a federally funded community health center was $241,542,000 in fiscal year 2016. Form 990 Part III Line 4b THROUGH ITS RESEARCH DIVISION, MARSHFIELD CLINIC RESEARCH FOUNDATION (MCRF), THE CLINIC IS ENGAGED IN MEDICAL AND SCIENTIFIC RESEARCH ON NATIONAL AND INTERNATIONAL LEVELS. THE MCRF MISSION IS TO DISCOVER AND COMMUNICATE SCIENTIFIC KNOWLEDGE THAT SUBSTANTIALLY IMPROVES HUMAN HEALTH AND WELL-BEING. SINCE MCRF'S ESTABLISHMENT IN 1959, RESEARCH DISCOVERIES BY MCRF SCIENTISTS AND CLINIC PHYSICIANS HAVE EXPANDED KNOWLEDGE IN MULTIPLE FIELDS OF HUMAN HEALTH AND REDUCED THE BURDEN OF DISEASE AND DISABILITY. AREAS OF FOCUS INCLUDE CLINICAL RESEARCH, RURAL AND AGRICULTURAL HEALTH AND SAFETY, HUMAN GENETICS, EPIDEMIOLOGY, AND BIOMEDICAL INFORMATICS. THE MARSHFIELD CLINIC EDUCATION DIVISION ALSO HAS A HISTORY OF STRONG COMMITMENT TO EDUCATION AND PUBLIC SERVICE. FULL RESIDENCY PROGRAMS FOR RECENT MEDICAL SCHOOL GRADUATES INCLUDE INTERNAL MEDICINE, PEDIATRICS, MEDICINE AND PEDIATRICS, DERMATOLOGY, AND GENERAL SURGERY. ALL PROGRAMS ARE FULLY ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) OF THE AMERICAN MEDICAL ASSOCIATION. THE CLINIC HAS EXEMPLARY ACCREDITATION STATUS WITH THE ACCREDITATION COUNCIL ON CONTINUING MEDICAL EDUCATION [ACCME] AS A LONGSTANDING PROVIDER OF CONTINUING MEDICAL EDUCATION TO AREA PHYSICIANS AND ALLIED HEALTH PROVIDERS. ADDITIONALLY, WE SERVE AS AN ACADEMIC CLINICAL CAMPUS OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. WE HAVE OVER 80 NATIONAL POST-SECONDARY ACADEMIC AFFILIATIONS AND OVER 30 STATE POST-SECONDARY ACADEMIC AFFILIATIONS FOR STUDENT, RESIDENT, AND FELLOWSHIP TRAINING. MARSHFIELD CLINIC IS RECOGNIZED AS A TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION AND ALSO SPONSORS EDUCATIONAL EVENTS AND TRAINING FOR THE PUBLIC INCLUDING DIABETES EDUCATION MENTAL HEALTH PROGRAMS. Form 990 Part III Line 4c MARSHFIELD LABS PROVIDES COMPREHENSIVE ANATOMICAL AND HIGH-COMPLEXITY DIAGNOSTIC TESTING SERVICES TO PATIENTS OF MARSHFIELD CLINIC AND OTHER AREA MEDICAL FACILITIES. IN ADDITION TO THE PRIMARY LABORATORY LOCATED IN MARSHFIELD, MARSHFIELD LABS IS SERVING THE NEEDS OF SURROUNDING COMMUNITIES WITH SMALLER LABS AT MANY MARSHFIELD CLINIC CENTERS THROUGHOUT CENTRAL AND NORTHERN WISCONSIN. PROXIMITY TO OUR LABORATORIES PROVIDES CONVENIENCE AND EXPEDITIOUS SERVICE TO MARSHFIELD CLINIC PATIENTS. MARSHFIELD LABS HAS BECOME A CENTER FOR THE LATEST TECHNOLOGIES AND MOST ADVANCED TESTING METHODS UTILIZED TODAY. SOME OF THE ADVANCED TESTS AND EMERGING TECHNOLOGIES OFFERED BY MARSHFIELD LABS WOULD NOT OTHERWISE BE AVAILABLE TO PATIENTS IN RURAL AREAS. Form 990 Part VI Line 6 The Corporation has two classes of members: (i) Class A Members, who shall be individuals meeting the requirements set forth in the Corporations bylaws, and (ii) a single Class B member, Marshfield Clinic Health System, Inc., which shall be the sole corporate member. Class A Members have the right to elect the members of the governing body and approve certain significant decisions of the governing body. The Class B Member has the right to approve certain significant decisions of the governing body and to receive the remaining assets of the Corporation (or direct distribution of the assets to other 501(c)(3) organizations) upon dissolution. Form 990 Part VI Line 7a The Class A members have the right to elect the organizations officers and directors. Form 990 Part VI Line 7b The members have the right to approve any changes to the organizations Articles of Incorporation and Bylaws and to approve any dissolution or liquidation of the organization. Form 990 Part VI Line 11a The Marshfield Clinic Health System Chief Financial Officer and Marshfield Clinic Controller shall review the completed Form 990. After their review and prior to filing Form 990 with the IRS, the CFO or his/her designee will provide to each member of the Board of Directors a draft copy in electronic or paper form of the completed Form 990 (and all required schedules). The Systems Audit Committee (a subcommittee of the Board of Directors) reviews and approves all corporate tax returns. In addition, the FY16 form 990 was reviewed by outside tax advisor prior to filing. Form 990 Part VI Line 11b The Chief Financial Officer and VP of Finance shall review the completed Form 990 and Form 990-T in-depth. After their review and prior to filing Form 990 and Form 990-T with the IRS, the CFO or his/her designee will provide to each member of the Board of Directors a copy in electronic or paper form of the completed Form 990 (and all required schedules) and the completed Form 990-T (and all required schedules). Thereafter, at the next Board meeting (or at a special meeting called for this purpose), the CFO and/or his/her designee shall review the forms and schedules with the board members and answer any questions. In addition, the FY15 form 990 was reviewed by KPMG prior to filing. 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 Systems 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 Systems 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 Systems IRS Form 990. Form 990 Part VI Line 15a and 15b The Systems 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 Corporations CEO. The term "disqualified persons" includes (but is not limited to) any person (or the persons 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 Systems 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 MARSHFIELD CLINIC DOES NOT MAKE ITS CURRENT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FEDERAL TAX LAW DOES NOT REQUIRE THAT SUCH DOCUMENTS BE MADE PUBLICLY AVAILABLE UNLESS THEY WERE INCLUDED ON A FORM THAT IS PUBLICLY AVAILABLE. MARSHFIELD CLINIC DOES MAKE AVAILABLE ITS FORM 1023, AS REQUIRED. Form 990 Part XI Line 9 Net Asset Transfer - Lakeview Medical Center $37,145,500 Miscellaneous adjustments ($733,224) TOTAL OTHER CHANGES IN NET ASSETS $36,412,276 MARSHFIELD FOOD SAFETY LLC 1000 N OAK AVE MARSHFIELD WI 54449 201056380 FOOD TESTING WI 682707 11726656 Mfld Clinic SECURITY HEALTH PLAN OF WISCONSIN INC 1515 N ST JOSEPHS 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 NA false LAKEVIEW MEDICAL CENTER OF RICE LAKE 1700 WEST STOUT ST RICE LAKE WI 54868 390837206 HOSPITAL WI 501(C)(3) 3 MCHS false MARSHFIELD CLINIC HERITAGE FNDTN INC 1000 N OAK AVE MARSHFIELD WI 54449 391865942 HONOR INDVDLS WI 501(C)(3) 11-TYPE I NA false MARSHFIELD CLINIC HEALTH SYSTEM INC 1000 N OAK AVE MARSHFIELD WI 54449 461495343 SUPPORT ORG WI 501(C)(3) 11-Type III NA false Volunteer Partners of Lake Med Cntr 1700 WEST STOUT ST RICE LAKE WI 54868 391329084 SUPPORT ORG WI 501(C)(3) 11, III-O NA false Family Health Center of Marshfield Inc 1000 N OAK AVE MARSHFIELD WI 54449 461495343 Comm. Hthcntr 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) 3 MCHS false The Diagnostics & Treatment Center 3401 CRANBERRY BLVD WESTON WI 54476 200691634 MEDICAL SVCS WI NA RELATED 9986314 8107535 false false 0.50000 MCIS Inc 1701 N FIG AVE MARSHFIELD WI 54449 472138889 INFO. TECH. WI MCHS C CORP 0 0 false true true true true false false false false false true true true true false false true true true true Security Health Plan of Wisconsin Inc l 60224755 Cost Security Health Plan of Wisconsin Inc m 343451198 Cost Part I NOTE 1: MARSHFIELD CLINIC HEALTH SYSTEM, INC. (A 501(C)3 ORGANIZATION) IS THE PARENT ORGANIZATION OF MARSHFIELD CLINIC, INC. NOTE 2: THE FOLLOWING COMPANIES ARE RELATED TO MARSHFIELD CLINIC, INC. THROUGH BROTHER/SISTER RELATIONSHIPS (ALL WITH PARENT COMPANY BEING MARSHFIELD CLINIC HEALTH SYSTEM, INC.): - LAKEVIEW MEDICAL CENTER, INC. - SECURITY HEALTH PLAN OF WISCONSIN, INC. - FLAMBEAU HOSPITAL, CIN. (SEE NOTE 5 BELOW) - MCIS, INC. - MCHS HOSPITALS, INC. - MARSHFIELD CLINIC HEALTH SYSTEM FOUNDATION, INC. NOTE 3: THE FOLLOWING COMPANIES ARE SUBSIDIARIES OF MARSHFIELD CLINIC, INC.: - MARSHFIELD FOOD SAFETY, LLC (SEE NOTE 7 BELOW) - MARSHFIELD CLINIC HERITAGE FOUNDATION, INC. - FAMILY HEALTH CENTER OF MARSHFIELD, INC. (SEE NOTE 8 BELOW) - DIAGNOSTIC & TREATMENT CENTER, LLC (SEE NOTE 4 BELOW) NOTE 4: MARSHFIELD CLINIC, INC. OWNS A 50% INTEREST IN THE DIAGNOSTIC & TREATMENT CENTER, LLC (SEE NOTE 4 BELOW) NOTE 5: MARSHFIELD CLINIC HEALTH SYSTEM, INC. OWNS A 50% INTEREST IN FLAMBEAU HOSPITAL, INC. THOSE RESULTS ARE REPORTED ON THE BOOKS AND RECORDS OF MARSHFIELD CLINIC HEALTH SYSTEM, CIN. NOTE 6: VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL CENTER, INC. IS A SUPPORTING ORGANIZATION OF LAKEVIEW MEDICAL CENTER, INC. NOTE 7: MARSHFIELD FOOD SAFETY, INC. IS A 100% OWNED SUBSIDIARY OF MARSHFIELD CLINC, INC. AND IS TREATED AS A DISREGARDED ENTITY OF MARSHFIELD CLINIC, INC. FOR TAX PURPOSES. NOTE 8: MARSHFIELD CLINIC, INC. IS THE SOLE CORPORATE (NON-VOTING) MEMBER OF FAMILY HEALTH CENTER OF MARSHFIELD, INC. MARSHFIELD CLINIC, INC. DOES NOT HAVE THE AUTHORITY TO APPOINT BOARD MEMBERS AND THEREFORE IS NOT CONSIDERED TO HAVE CONTROL (AS DEFINED FOR 990 REPORTING PURPOSES) OVER FAMILY HEALTH CENTER OF MARSHFIELD, INC. NOTE 9: SECURITY ADMINISTRATIVE SERVICES, LLC IS A 100% OWNED SUBSIDIARY OF SECURITY HEALTH PLAN OF WISCONSIN, INC. AND IS TREATED AS A DISREGARDED ENTITY OF SECURITY HEALTH PLAN OF WISCONSIN, INC. FOR TAX PURPOSES.