MARSHFIELD CLINIC INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MARSHFIELD CLINIC INC (EIN 39-0452970)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-13
IRS object ID: 201432259349302328
Schema version: 2012v2.3
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 C
Schedule D
Schedule F
Schedule G
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-13T14:20:10-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	191 W NATIONWIDE BLVD SUITE 500	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	432152568	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390452970	EIN

Name Name

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

Field	Value	IRS element (for citing)
In Care Of Name	% NARAYANA MURALI MD CORP SEC	InCareOfName
Name Control	MARS	NameControl
Phone	7153875511	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 North Oak Avenue	AddressLine1
Address Line2	Suite	AddressLine2
City	Marshfield	City
State	WI	State
ZIP Code	54449	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Alan Marshall	Name
Title	CFO	Title
Phone	7153875511	Phone
Date Signed	2014-08-08	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6142492300	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Brian Ewert MD President	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1000 North Oak Avenue	AddressLine1
City	Marshfield	City
State	WI	State
ZIP Code	54449	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1465040455	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.marshfieldclinic.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1916	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	The mission of Marshfield Clinic is to serve patients through accessible high quality health care, research and education.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	8980	TotalNbrEmployees
Total Nbr Volunteers	400	TotalNbrVolunteers
Total Gross UBI	21522999	TotalGrossUBI
Net Unrelated Business Txbl Income	-2141538	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	13180930	ContributionsGrantsPriorYear
Contributions Grants Current Year	13738812	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1148561271	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1145721419	ProgramServiceRevenueCY
Investment Income Prior Year	14003815	InvestmentIncomePriorYear
Investment Income Current Year	10584540	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1434310	OtherRevenuePriorYear
Other Revenue Current Year	1017890	OtherRevenueCurrentYear
Total Revenue Prior Year	1177180326	TotalRevenuePriorYear
Total Revenue Current Year	1171062661	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	16174737	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	16202937	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	779876055	SalariesEtcPriorYear
Salaries Etc Current Year	783810355	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1914502	TotalFundrsngExpCurrentYear
Other Expense Prior Year	361657322	OtherExpensePriorYear
Other Expenses Current Year	352850567	OtherExpensesCurrentYear
Total Expenses Prior Year	1157708114	TotalExpensesPriorYear
Total Expenses Current Year	1152863859	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	19472212	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	18198802	RevenuesLessExpensesCY
Total Assets BOY	1028178070	TotalAssetsBOY
Total Assets EOY	1040642079	TotalAssetsEOY
Total Liabilities BOY	530554476	TotalLiabilitiesBOY
Total Liabilities EOY	523772494	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	497623594	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	516869585	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	899345353	Expense
Grants	16202937	Grants
Revenue	1014489372	Revenue
Description	Patient Medical Care SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	52938201	Expense
Revenue	14049299	Revenue
Description	MEDICAL RESEARCH AND EDUCATION SEE SCHEDULE O	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	43805006	Expense
Revenue	95659749	Revenue
Description	LABORATORY MEDICINE SEE SCHEDULE O	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	996088560	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	true	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	true	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	true	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	true	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	true	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1009	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	8980	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CA	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	NARAYANA MURALI MD CORP SEC	NamePerson
Telephone Number	7153875511	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1000 N OAK AVE	AddressLine1
City	Marshfield	City
State	WI	State
ZIP Code	54449	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Ivan B Schaller MD
Internal Medicine - East	55.0	1.0	X	209010	0	51839
Dan Erickson MD
Family Practitioner - Northwes	55.0	2.0	X	216249		48483
Matthew Thomas MD
Urology - North	55.0	1.0	X	411580		46645
Ron Martin MD
General Surgeon - Central 1	55.0		X	435267		39175
John Przybylinski MD
Internal Medicine - Central 2	55.0		X	178995		34019
Seth Fagbemi MD
Oncology - Central 3	55.0		X	475926		59981
Jane Stark MD
Occ Med - West	55.0		X	188686		50710
Brian Ewert MD
Nephrologist - President	55.0		X	580597		53947	X
C Todd Stewart
Peds Intensivist - Vice Presid	55.0		X	441482		48638	X
Mark LePage MD
Radiology - Treasurer	55.0	1.0	X	442203		54031	X
Narayana Murali MD
Nephrology - Secretary	55.0	2.0	X	280939		51879	X
Douglas J Reding MD
Oncologist/Hematologist	55.0		X	578775		52947	X
Peter Meyer MD
Emergency Medicine - Treasurer	55.0		X	169658		45192	X
Caesar Gonzaga MD
General Surgery - West	55.0		X	311153		53161
David J Simenstad MD
Orthopaedic Surgeon	55.0			1103538		53947		X
Gary Jankowski
CFO	55.0	1.0		430763		51704		X
Jim Coleman
COO	55.0			445981		53826		X
Ken Letkeman
CIO	55.0			314656		22813		X
David Keefe
DIRECTOR OF HUMAN RESOURCES	55.0			281764		38402		X
Steve Christianson
DIRECTOR OF COMPENSATION	55.0			225253		50552		X
Tom Satkus
TREASURY DIRECTOR	55.0			252415		54634		X
Laura Nelson MD
Chief Medical Officer	55.0			370802		51147		X
Fred Bollow MD
Division Medical Director - Ce	55.0			355941		49412		X
William Yanke MD
Division Medical Director - Ce	55.0			327747		51273		X
Richard Mercier MD
Service Line M.D. - Oncology	55.0			534820		54826		X
Timothy Swan MD
Service Line M.D. Radiology	55.0			500156		48638		X
Rod Sorenson DO
Chair of Physician Salary Comm	55.0			435248		48638		X
Greg Burnett MD
Salary Committee Member	55.0			292561		53826		X
David Cook MD
Salary Committee Member	55.0			277591		53161		X
Roderick Koehler MD
Salary Committee Member	55.0			297838		53826		X
Gene Shaw MD
Division Medical Director - La	55.0			366778		53831		X
Eric Penniman MD
East District 4	55.0			252300		48568		X
Bradley Bekkum MD
West District 1	55.0			320779		48632		X
Theodore Praxel MD
Quality Improvement/Care Mgmt	55.0			339970		55451		X
Scott Paulman MD
Retinal Surgeon	55.0			1268211		33402			X
Sanjay Rao MD
Neurosurgeon - Spine	55.0			1150964		50138			X
Vivekananda Gonugunta MD
Neurosurgeon - Spine	55.0			1048169		33818			X
Adedayo Onitilo MD
Hematology/Oncology	55.0			965648		55942			X
John Neal MD
Nuerosurgeon - Spine	55.0			849955		53632			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	17930368	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1914686	TotalOtherCompensation
Number Individuals GT100 K	1259	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
AE BUSINESS SOLUTIONS
2310 CROSSROADS DR STE 2800	MADISON	WI	53718	SERVICE/CAP. EQUIP	5348946
KNUTSON CONSTRUCTION
7715 WAYZATA BLVD	MINNEAPOLIS	MN	55426	REMODELING	7170841
BOLDT COMPANY
LOCK BOX 285	MILWAUKEE	WI	532880285	REMODELING	5780072
BOLDT PROCUREMENT LLC
PO BOX 419	APPLETON	WI	549120419	REMODELING	3641769
OLYMPUS AMERICA INC
PO BOX 120600	DALLAS	TX	753120600	MAINTENANCE & REPAIR	3218734

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	172	NumberOfContractorsGT100K
Fundraising Events	689118	FundraisingEvents
Related Organizations	181902	RelatedOrganizations
Government Grants	8626281	GovernmentGrants
All Other Contributions	4241511	AllOtherContributions
Noncash Contributions	251925	NoncashContributions
Total Contributions	13738812	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT MEDICAL CARE	621500	1014519506	1014489372	30134
LABORATORY MEDICINE	621500	116901438	95659749	21241689
MEDICAL RESEARCH & EDUCATION	621500	14300475	14049299	251176

Field	Value	IRS element (for citing)
Total Program Service Revenue	1145721419	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8417949	TotalRevenueColumn
Exclusion	$8,417,949	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	-679121	TotalRevenueColumn
Exclusion	-$679,121	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	483807	TotalRevenueColumn
Exclusion	$483,807	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	270996	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	192717	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	78279	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	78279	TotalRevenueColumn
Exclusion	$78,279	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	233141482	Securities
Other	9857904	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	230154383	Securities
Other	9999291	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2987099	Securities
Other	-141387	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2845712	TotalRevenueColumn
Exclusion	$2,845,712	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	343262	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	689118	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	288638	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	54624	TotalRevenueColumn
Exclusion	$54,624	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	48779	GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	48779	TotalRevenueColumn
Exclusion	$48,779	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	53148624	GrossSalesOfInventory
Cost Of Goods Sold	53342765	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-194141	TotalRevenueColumn
Exclusion	-$194,141	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	CAFETERIA SALES	Description
Business Code	900099	BusinessCode
Total Revenue Column	546542	TotalRevenueColumn
Exclusion	$546,542	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	546542	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1171062661	TotalRevenueColumn
Related Or Exempt Function Income	1124198420	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	21522999	UnrelatedBusinessRevenue
Exclusion	$11,602,430	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	16202937	Total
Program Services	16202937	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	13395463	Total
Program Services	4952563	ProgramServices
Management And General	8442900	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	590102100	Total
Program Services	518123472	ProgramServices
Management And General	70949517	ManagementAndGeneral
Fundraising	1029111	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	55179695	Total
Program Services	47598677	ProgramServices
Management And General	7480818	ManagementAndGeneral
Fundraising	100200	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	89841533	Total
Program Services	73091477	ProgramServices
Management And General	16574178	ManagementAndGeneral
Fundraising	175878	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	35291564	Total
Program Services	30026701	ProgramServices
Management And General	5191964	ManagementAndGeneral
Fundraising	72899	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	692232	Total
Program Services	56533	ProgramServices
Management And General	635699	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	208559	Total
Management And General	208559	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	226522	Total
Management And General	226522	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	35120925	Total
Program Services	22499074	ProgramServices
Management And General	12583764	ManagementAndGeneral
Fundraising	38087	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	7814072	Total
Program Services	32702	ProgramServices
Management And General	7778470	ManagementAndGeneral
Fundraising	2900	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6171733	Total
Program Services	3795800	ProgramServices
Management And General	2351641	ManagementAndGeneral
Fundraising	24291	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	35213857	Total
Program Services	22363003	ProgramServices
Management And General	12539470	ManagementAndGeneral
Fundraising	311384	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	131139	Total
Program Services	131139	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	21095106	Total
Program Services	18277752	ProgramServices
Management And General	2782189	ManagementAndGeneral
Fundraising	35165	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	8542731	Total
Program Services	7562836	ProgramServices
Management And General	944877	ManagementAndGeneral
Fundraising	35019	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	409827	Total
Program Services	409670	ProgramServices
Management And General	157	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7426028	Total
Program Services	3917809	ProgramServices
Management And General	3508219	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	30905242	Total
Program Services	29140574	ProgramServices
Management And General	1755649	ManagementAndGeneral
Fundraising	9019	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4145322	Total
Program Services	4117544	ProgramServices
Management And General	27778	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
OPERATING SUPPLIES	174081357	173831337	177653	72367
MAINTENANCE AND REPAIRS	7422236	7111597	307820	2819
OPERATING EXPENSES	11998857	11831804	161690	5363
OTHER EXPENSES	1244822	1013559	231263

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1152863859	Total
Program Services	996088560	ProgramServices
Management And General	154860797	ManagementAndGeneral
Fundraising	1914502	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	35612751	BOY
EOY	55973383	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	65595655	BOY
EOY	7102207	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2777073	BOY
EOY	2213286	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	161012770	BOY
EOY	165120911	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	29710569	BOY
EOY	28681521	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	16001805	BOY
EOY	17884696	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9247956	BOY
EOY	10410627	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	713331334	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	337866824	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	339577954	BOY
EOY	375464510	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	166671940	BOY
EOY	207669691	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	9080903	BOY
EOY	11299537	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	4758783	BOY
EOY	4673435	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	188129911	BOY
EOY	154148275	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1028178070	BOY
EOY	1040642079	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	110688303	BOY
EOY	121476686	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1145000	BOY
EOY	1694004	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	343433355	BOY
EOY	330463189	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	12029179	BOY
EOY	936824	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	63258639	BOY
EOY	69201791	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	530554476	BOY
EOY	523772494	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	473547447	BOY
EOY	490170476	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	23860064	BOY
EOY	26483026	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	216083	BOY
EOY	216083	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	497623594	BOY
EOY	516869585	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1028178070	BOY
EOY	1040642079	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	18198802	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	-4403402	ReconciliationUnrealizedInvest
Reconcilation Other Changes	5450591	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Mailings Members	$100	MailingsMembersAmount
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$853,213	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	853313	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Description of the organization's lobbying activity:	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.
PART II-B	OCCASIONALLY SEND MAIL TO MEMBERS OF CONGRESS, AND THEIR STAFF.	LINE 1 (D)

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts

Held Works Of Art Amts HeldWorksOfArtAmts

Field	Value	IRS element (for citing)
Assets In Part X	1045957	AssetsInPartX

Field	Value	IRS element (for citing)
Collect Used For Public Exhibition	X	CollectUsedForPublicExhibition
Solicited Assets For Sale	true	SolicitedAssetsForSale

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	43172004	BeginningOfYearBalance
Contributions	1567033	Contributions
Investment Earnings Or Losses	5577482	InvestmentEarningsOrLosses
Other Expenditures	1244246	OtherExpenditures
End Of Year Balance	49072273	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	35848004	BeginningOfYearBalance
Contributions	1375000	Contributions
Investment Earnings Or Losses	6620000	InvestmentEarningsOrLosses
Other Expenditures	671000	OtherExpenditures
End Of Year Balance	43172004	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34049063	BeginningOfYearBalance
Contributions	3310280	Contributions
Investment Earnings Or Losses	-266824	InvestmentEarningsOrLosses
Other Expenditures	1244515	OtherExpenditures
End Of Year Balance	35848004	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	29443159	BeginningOfYearBalance
Contributions	2333428	Contributions
Investment Earnings Or Losses	2927520	InvestmentEarningsOrLosses
Other Expenditures	655044	OtherExpenditures
End Of Year Balance	34049063	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	27221448	BeginningOfYearBalance
Contributions	2413872	Contributions
Investment Earnings Or Losses	614273	InvestmentEarningsOrLosses
Other Expenditures	806434	OtherExpenditures
End Of Year Balance	29443159	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.67500	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.32500	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20958547	OtherCostOrOtherBasis
Book Value	20958547	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	345381596	OtherCostOrOtherBasis
Depreciation	141559545	Depreciation
Book Value	203822051	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7872881	OtherCostOrOtherBasis
Depreciation	2509056	Depreciation
Book Value	5363825	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	271577304	OtherCostOrOtherBasis
Depreciation	187550082	Depreciation
Book Value	84027222	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1978641	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	65562364	OtherCostOrOtherBasis
Depreciation	6248141	Depreciation
Book Value	61292864	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	375464509	TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescription	Book ValueBookValue
CASH FOR CURRENT BOND FUNDS	12930437
TRUSTED FUND - REVENUE BONDS	43902329
DEFERRED FINA COST AND OTHER	1909751
LM OR RSTR BY DON FOR SPEC PUR	24530735
LIMT OR RESTR FOR RETIRE PLAN	36471105
RESTRICTED FOR SELF INSURANCE	17776401
RESTRTD FOR UNEMPLOYMENT COMP	4410635
RESTRICTED FUNDS - OTHER	12216882

Field	Value	IRS element (for citing)
Total Book Value Other Assets	154148275	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
HEALTH PLAN PREPAYMENT	$17,035,398
UNPAID PROFESSIONAL LIABILITY	$9,490,636
457 PLAN PAYABLE	$36,471,105
MISCELLANEOUS	$6,204,652

Field	Value	IRS element (for citing)
Total Of Amounts	69201791	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	ExplanationExplanation
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 WORK ENVIRONMENT FOR PHYSICIANS AND STAFF. QUALITY WORKS OF ART ALSO 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 ACTIVITES OF THE NAMED CHAIR OR AWARD RECIPIENT.
PART X, LINE 2	THE CLINIC 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 CLINIC, IT WAS DETERMINED THAT THE APPLICATION OF ASC 740 HAD NO MATERIAL EFFECT ON THE CLINIC AT SEPTEMBER 30, 2013 OR 2012.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	North America	Region
Number Of Offices	1	NumberOfOffices
Number Of Employees	23	NumberOfEmployees
Type Of Activities Conducted	Program Services	TypeOfActivitiesConducted
Specific Services Provided	FOOD SAFETY TESTS	SpecificServicesProvided
Total Expenditures	2757643	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	1	SubtotalNumberOfOffices
Subtotal Number Of Employees	23	SubtotalNumberOfEmployees
Total Number Of Offices	1	TotalNumberOfOffices
Total Number Of Employees	23	TotalNumberOfEmployees
Subtotal Amount Spent	2757643	SubtotalAmountSpent
Total Amount Spent	2757643	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	Part I, Line 3(1)	Identifier
Explanation	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 MFS and not of Marshfield Clinic. The expenditures listed represent 100% (MC's share of MFS as of September 30, 2013) of operational expenses incurred by MFS Canada.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Auction	NameOfEvent1
Gross Receipts Event1	269252	GrossReceiptsEvent1
Charitable Contributions Event1	196309	CharitableContributionsEvent1
Gross Revenue Event1	72943	GrossRevenueEvent1
Cash Prizes Event1	500	CashPrizesEvent1
Non Cash Prizes Event1	10068	NonCashPrizesEvent1
Rent Facility Costs Event1	28763	RentFacilityCostsEvent1
Food And Beverage Event1	3828	FoodAndBeverageEvent1
Entertainment Event1	300	EntertainmentEvent1
Other Direct Expenses Event1	20260	OtherDirectExpensesEvent1
Name Of Event2	Fore a Cure	NameOfEvent2
Gross Receipts Event2	178550	GrossReceiptsEvent2
Charitable Contributions Event2	121656	CharitableContributionsEvent2
Gross Revenue Event2	56894	GrossRevenueEvent2
Non Cash Prizes Event2	2200	NonCashPrizesEvent2
Rent Facility Costs Event2	28101	RentFacilityCostsEvent2
Other Direct Expenses Event2	10617	OtherDirectExpensesEvent2
Total Number Of Other Events	20	TotalNumberOfOtherEvents
Gross Receipts Other Events	584579	GrossReceiptsOtherEvents
Charitable Contrib Other Events	371154	CharitableContribOtherEvents
Gross Revenue Other Events	213425	GrossRevenueOtherEvents
Cash Prizes Other Events	4900	CashPrizesOtherEvents
Non Cash Prizes Other Events	8153	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	34762	RentFacilityCostsOtherEvents
Food And Beverage Other Events	24790	FoodAndBeverageOtherEvents
Entertainment Other Events	11625	EntertainmentOtherEvents
Other Direct Expenses Other Events	99771	OtherDirectExpensesOtherEvents
Gross Receipts Total	1032381	GrossReceiptsTotal
Charitable Contributions Total	689119	CharitableContributionsTotal
Gross Revenue Total Events	343262	GrossRevenueTotalEvents
Cash Prizes Total Events	5400	CashPrizesTotalEvents
Non Cash Prizes Total Events	20421	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	91626	RentFacilityCostsTotalEvents
Food And Beverage Total Events	28618	FoodAndBeverageTotalEvents
Entertainment Total Events	11925	EntertainmentTotalEvents
Other Direct Expenses Total Events	130648	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	288638	DirectExpenseSummaryEvents
Net Income Summary	54624	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	48779	GrossRevenueOtherGaming
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGaming
Gross Revenue Total Gaming	48779	GrossRevenueTotalGaming
Net Gaming Income Summary	48779	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	WI	StatesWhereGamingConducted
Licensed	true	Licensed
License Suspended Etc	false	LicenseSuspendedEtc
Gaming With Nonmembers	true	GamingWithNonmembers
Member Of Other Entity	false	MemberOfOtherEntity
Percentage Of Gaming Own Facility	0.28000	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	0.72000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	Joseph Baierl	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	1000 N Oak Ave	AddressLine1
City	Marshfield	City
State	WI	State
ZIP Code	54449	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	false	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	Joseph Baierl	GamingManagerNamePerson
Gaming Manager Compensation	6339	GamingManagerCompensation
Gaming Manager Services Provided	Coord. & management of Clinic gaming activities	GamingManagerServicesProvided
Gaming Manager Is Employee	X	GamingManagerIsEmployee
Charitable Distrib Required	false	CharitableDistribRequired

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (19 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
FAMILY HEALTH CENTER
1515 ST JOSEPH AVE	MARSHFIELD	WI	54449	391681547	501(C)(3)	15788592	GENERAL SUPPORT
MFLD AREA UNITED WAY
PO BOX 771	MARSHFIELD	WI	54449	391035073	501(C)(3)	72000	GENERAL SUPPORT
COMMUNITY FOUNDATION
500 3RD ST SUITE 310	WAUSAU	WI	54403	391577472	501(C)(3)	31000	GENERAL SUPPORT
NEW VISIONS GALLERY RENT
1000 N OAK AVE	MARSHFIELD	WI	54449	510190879	501(C)(3)		GENERAL SUPPORT	26625	fmv	rent
CITY OF EAU CLAIRE AMBULANCE SERVICE
PO BOX 1087	EAU CLAIRE	WI	54702	396005436	501(C)(3)	27250	GENERAL SUPPORT
FRIENDS OF ST JOSEPH'S
2661 COUNTY HWY I	CHIPPEWA FALLS	WI	54729	390810545	501(C)(3)	17500	GENERAL SUPPORT
COMPETITIVE WISCONSIN
22 N CARROLL STREET STE 200	MADISON	WI	53703	391398399	501(C)(3)	10000	GENERAL SUPPORT
WI WOMENS HEALTH FOUNDATION
2503 TODD DR	MADISON	WI	53713	391900678	501(C)(3)	10000	GENERAL SUPPORT
WMC FOUNDATION INC
PO BOX 352	MADISON	WI	53701	391394068	501(C)(3)	10000	GENERAL SUPPORT
UNITED WAY OF MARATHON
137 RIVER DRIVE	WAUSAU	WI	54403	390935496	501(C)(3)	32202	GENERAL SUPPORT
UNITED WAY OF MERRILL
813 E 1ST ST PO BOX 813	MERRILL	WI	54452	391286800	501(C)(3)	5614	GENERAL SUPPORT
WHA WISCONSIN HOSPITAL ASSOC
PO BOX 259038	MADISON	WI	53725	390969552	501(C)(3)	10000	GENERAL SUPPORT
HERITAGE FOUNDATION
1000 N OAK AVE	MARSHFIELD	WI	54449	391865942	501(C)(3)	14538	GENERAL SUPPORT
MARSHFIELD AREA COMMUNITY FOUNDATION
PO Box 1087	Marshfield	WI	544490456	396578767	501(C)(3)	22000	General Support
UNITED WAY OF CHIPPEWA
3603 N Hastings Way Ste 200	Eau Claire	WI	547020232	391077901	501(C)(3)	20000	General Support
COMMUNITY FOUNDATION OF CENTRAL WI
1501 Clark St PO Box 968	Stevens Point	WI	544810968	390827885	501(C)(3)	12500	General Support
CENTERGY INC
500 1st St STE 15	Wausau	WI	54403	391643470	501(C)(3)	10000	General Support
MARSHFIELD AREA YMCA
410 W McMillian St	Marshfield	WI	54449	391557086	501(C)(3)	7500	General Support
FOUNDATION OF ST JOSEPH HOSPITAL
611 St Josheph Ave	Marshfield	WI	54449	391684957	501(C)(3)	6000	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	19	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule I, Part I, Line 2	Identifier
Explanation	Marshfield Clinic (the Clinic) provides assistance (primarily contributions) to a variety of organizations, most 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (39 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Brian Ewert MD
Internal Medicine - East	207204	0	0	0	1806	0	30540	0	21299	0	260849	0	0	0
Dan Erickson MD
Family Practitioner - Northwes	214443				1806		30540		17943		264732
Matthew Thomas MD
Urology - North	411160				420		30540		16105		458225
Ron Martin MD
General Surgeon - Central 1	417301				17966		30540		8635		474442
John Przybylinski MD
Internal Medicine - Central 2	176540				2455		23652		10367		213014
Seth Fagbemi MD
Oncology - Central 3	457960				17966		30540		29441		535907
Jane Stark MD
Occ Med - West	187294				1392		27939		22771		239396
Brian Ewert MD
Nephrologist - President	562631				17966		30540		23407		634544
C Todd Stewart
Peds Intensivist - Vice Presid	440852				630		30540		18098		490120
Mark LePage MD
Radiology - Treasurer	428343				13860		30540		23491		496234
Narayana Murali MD
Nephrology - Secretary	262810				18129		30540		21339		332818
Douglas J Reding MD
Oncologist/Hematologist	569219		7750		1806		30540		22406		631721
David J Simenstad MD
Orthopaedic Surgeon	1085572				17966		30540		23407		1157485
Gary Jankowski
CFO	403361				27402		30540		21164		482467
Jim Coleman
COO	435138		375		10468		30540		23286		499807
Ken Letkeman
CIO	314026				630		2080		20733		337469
David Keefe
DIRECTOR OF HUMAN RESOURCES	263798				17966		30540		7862		320166
Steve Christianson
DIRECTOR OF COMPENSATION	218414				6839		30409		20143		275805
Tom Satkus
TREASURY DIRECTOR	228852				23563		30540		24094		307049
Laura Nelson MD
Chief Medical Officer	353172				17630		30540		20607		421949
Fred Bollow MD
Division Medical Director - Ce	336635				19306		30540		18872		405353
William Yanke MD
Division Medical Director - Ce	325941				1806		30540		20733		379020
Richard Mercier MD
Service Line M.D. - Oncology	533014				1806		30540		24286		589646
Timothy Swan MD
Service Line M.D. Radiology	481350				18806		30540		18098		548794
Rod Sorenson DO
Chair of Physician Salary Comm	432406		70		2772		30540		18098		483886
Greg Burnett MD
Salary Committee Member	288095		3000		1466		30540		23286		346387
David Cook MD
Salary Committee Member	274608				2983		30540		22621		330752
Roderick Koehler MD
Salary Committee Member	296872				966		30540		23286		351664
Gene Shaw MD
Division Medical Director - La	347972				18806		30540		23291		420609
Scott Paulman MD
Retinal Surgeon	1250406		175		17630		30540		2862		1301613
Sanjay Rao MD
Neurosurgeon - Spine	1150334				630		30540		19598		1201102
Vivekananda Gonugunta MD
Neurosurgeon - Spine	1030539				17630		30540		3278		1081987
Adedayo Onitilo MD
Hematology/Oncology	898696		14000		52952		30540		25402		1021590
Peter Meyer MD
Emergency Medicine - Treasurer	168032				1626		25594		19598		214850
Caesar Gonzaga MD
General Surgery - West	307445				3708		30540		22621		364314
Eric Penniman MD
East District 4	251670				630		30540		18028		300868
Bradley Bekkum MD
West District 1	312727		7632		420		30540		18092		369411
Theodore Praxel MD
Quality Improvement/Care Mgmt	338164				1806		30540		24911		395421
John Neal MD
Nuerosurgeon - Spine	831149				18806		30540		23092		903587

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WI Health & Education Facility Authority
A	391337855	97710vzy7	2006-01-31	71634384	Building & Equipment	false	false	false
WI Health & Education Facility Authority
B	391337855	97710vzy7	2006-01-31	65000000	Building & Equipment	false	false	false
WI Health & Education Facility Authority
C	391337855		2012-04-03	130115000	Refunding Rev Bonds	false	false	false
WI Health & Education Facility Authority
D	391337855	97710bz54	2012-06-13	104090000	Building & Equipment	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	1745000	71634384	6595566	699591	68522365	0	2008	false	false	true	true
B	1770000	65000000	0	829612	68178577	0	2008	false	false	true	true
C	8985000	130115000	1037199	298298	129816702	0	2012	true	false	true	true
D	295000	104090000	0	424385	67592764	36497236	2013	false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Prcntge Bond Financed PropPrcntgeBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	true	false	false	0.00560	0.00560	true	true	0.00020	true	true
B	false	false	false	false	0		true	true	0.00020	true	true
C	false	false	false	false	0		true	true	0.00020	true	true
D	false	false	false	false	0		true	false		false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
0
A	false	false	false	true	false	false	false	0	false	true
0
B	true				true	false	false	0	false	true
0
C	false	true	false	false	false	false	false	0	false	true
0
D	false	true	false	false	false	false	false	0	false	true

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true
D	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PART IV:	Identifier
Return Reference	0	ReturnReference
Explanation	2/23/13	Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	15	NumberOfContributions
Noncash Contribs Rptd F990	3885	NoncashContribsRptdF990
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	2005	NoncashContribsRptdF990
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	9	NumberOfContributions
Noncash Contribs Rptd F990	17389	NoncashContribsRptdF990
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	23	NumberOfContributions
Noncash Contribs Rptd F990	11590	NoncashContribsRptdF990
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (7 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	FOOD & BEVERAGE	24	5760	fmv/sales price
X	JEWELRY	17	8761	fmv/sales price
X	LIVESTOCK	46	41215	fmv/sales price
X	Miscellaneous	195	75485	fmv/sales price
X	Sporting Goods	5	4225	FMV/SALE PRICE
X	Tickets	28	14926	FMV/SALES PRICE
X	Travel/Experience	47	66684	FMV/SALE PRICE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	ExplanationExplanation
Part III, Organization`s Mission, Ln 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. Part III Statement of Program Service Accomplishments- Ln 4a Medical Care: The Marshfield Clinic system provides patient care, research and education throughout northern, central and western Wisconsin, with locations in 37 communities. Marshfield Clinic (the Clinic) has 746 physicians in 86 medical specialties and subspecialties. For 97 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 3,900,000 patient encounters for fiscal year 2013. The Clinic provided Charity Care of $7,883,000 in fiscal year 2013 based on the cost of providing care to patients who cannot afford to pay in accordance with its Charity Care Policy. 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 Clinics partnership with Family Health Center, a federally funded community health center was $203,015,000 in fiscal year 2013. Medical Research and Education, Ln 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 MCRFs 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. Laboratory Medicine, Ln 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.
Part VI, Governance, Management, and Disclosure, Ln 6	As of September 30, 2013 the Marshfield Clinic has 634 physicians who are referred to as "shareholders." As disclosed in the organization`s original 1023, all shareholders sign an agreement that provides that the assets of the organization are held in trust for charitable, educational and scientific purpose. "Shareholders" do not build up equity in the organization and, in the event of dissolution of Marshfield Clinic, all of the assets of the organization would be distributed to another charitable organization.
Part VI, Governance, Management, and Disclosure, Ln 7a	The shareholders have the right to elect the organization's officers and directors.
Part VI, Governance, Management, and Disclosure, Ln 7b	The shareholders have the right to approve any changes to the organization's Articles of Incorporation and Bylaws by a vote of two-thirds of the shareholders present at each of two consecutive shareholder meetings at which a quorum is present. The shareholders have the right to terminate the employment of a physician-shareholder by a vote of four-fifths of the outstanding shares entitled to vote. The shareholders have the right to approve any dissolution or liquidation of the organization by a vote of four-fifths of the shareholders. In the event of liquidation or dissolution of the organization, after payment of liabilities, the shareholders by majority vote of the shareholders shall select the educational, scientific or charitable organizations to which the organization's assets shall be transferred.
Part VI, Governance, Management, and Disclosure, Ln 11a	Describe the process the Organization uses to review the Form 990. (Excerpts from Marshfield Clinics 990/990-T Review Policy) The Chief Financial Officer and Controller 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 FY13 form 990 was reviewed by KPMG prior to filing.
Part VI, Governance, Management, and Disclosure, Ln 12c	Describe how the Organization regularly and consistently monitors and enforces compliance with its Conflict of Interest Policy. (Excerpts from Marshfield Clinics Conflict of Interest Policy) "Each disclosing individual shall complete and submit the disclosure form to the Secretary of the Board of Directors on or before January 1st of each year, or, if earlier, within one month after the individual qualifies as a disclosing individual. Each disclosing individual shall update his/her disclosure form during the year as necessary. The secretary shall maintain the completed disclosure forms in a confidential manner. The Secretary shall make the completed disclosure forms available to the executive committee and/or Board of Directors as necessary to make conflict of interest determinations and decisions concerning the fairness and reasonableness of transactions to Marshfield Clinic. In addition, the Secretary shall disclose the completed forms as necessary to those Clinic employees responsible for completion of the Clinic's IRS Form 990."
Part VI, Governance, Management, and Disclosure, Lines 15a, and 15b	(Excerpts from Compensation Policy) "The Clinic's Independent Compensation Committee (Compensation Committee) shall have final authority for approving compensation of Directors and other "disqualified persons" as that term is defined in 26 CFR sec. 53.4958-3. It shall be the responsibility of the Compensation Committee to insure that the Clinic 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 26 CFR 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: their own independent knowledge and expertise; compensation levels paid by similarly situated organizations for comparable positions; the availability of similar services in the Clinic's geographic area; current compensation surveys compiled by independent firms; and actual written job offers from similar institutions. The Compensation Committee shall timely document its determination of reasonableness of compensation."
Part VI, Governance, Management, and Disclosure, Ln 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.
Part XI, Line 5 - Reconciliation of Net Assets	Net Asset Transfers: Transfer of asset from Family Health Center $34 Transfer of startup cash to Marshfield Clinic Health System ($750,000) Transfer of earnings from Lakeview Medical Center $6,219,000 TOTAL NET ASSET TRANSFERS $5,469,034 Reduction in shareholder equity ($11,000) Miscellaneous adjustments ($7,443) TOTAL OTHER CHANGES IN NET ASSETS $ 5,450,591 Schedule A, Part I 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.
Marshfield Clinic Health System, Inc.	Marshfield Clinic Health System, Inc. (the "Organization") is a Wisconsin non-stock, not-for-profit corporation. The Organization was incorporated on October 12, 2012, as part of the reorganization of certain activities historically conducted by the Marshfield Clinic (the "Clinic") and its affiliates. On February 19, 2014, the Organization received a decision from the US Tax Court, which declared, adjudged and decided that the Organization was qualified as an organization described in IRC section 501(c)(3) and IRC section 509(a)(3), and was exempt from taxation under IRC section 501(a), effective October 12, 2012. The IRS subsequently sent a determination letter on March 7th, 2014 providing that the organization was exempt from federal income tax under 501(c)(3) of the Internal Revenue Code, with an effective date of October 12, 2012. Effective February 28, 2014, the Organization became the sole corporate member of the Clinic and Lakeview Medical Center, Inc. of Rice Lake ("Lakeview") (replacing the Clinic) and one of two corporate members (replacing the Clinic) of Flambeau Hospital, Inc. ("Flambeau"). The Organization is a supporting organization and the supported organizations are the Clinic, Lakeview, and Flambeau (collectively, the "Supported Organizations"). On May 6th, 2014, the Organization also became the sole corporate member of Security Health Plan (the "Plan"). Over a period of four years, the Clinic's leadership and physician shareholders (now Class A Members) engaged in numerous discussions and planning meetings in developing a plan of reorganization for the purpose of creating a comprehensive healthcare system under the strategic direction and control of a common parent entity. The Organization was formed to serve as that parent entity, with its board of directors (the "Board") serving as an overarching governing body exercising fiduciary responsibilities on behalf of the System as a whole. In this regard, the Organization's Board, which is comprised of representatives from each of the Supported Organizations and the Plan, including all eleven of the members of the Clinic's board of directors, as well as thirteen community board members, is tasked with promoting the efficient and effective operation of the System. Up until the time the Organization received confirmation from the IRS recognizing it as an exempt organization described in Section 501(c)(3) of the Code, its activities were conducted largely by its Board and through the lease of certain employees of the Supported Organizations. Since February 28, 2014, the Organization has been in a period of transition, carrying out steps to consolidate certain administrative functions (currently carried on by each Supported Organization and the Plan) at the System level, with the intent of transitioning appropriate personnel and other resources to the Organization accordingly. Such administrative functions will include Fiscal Affairs, Human Resources, Marketing, Corporate Communications, Facilities and Properties, Legal Services, Government Relations, Development and Materials Management. In addition, certain other actions will be taken to more fully integrate the Organization, the Supported Organizations and the Plan within the System. Specifically, as of June 1, 2014, the Organization became a member of the obligated group associated with tax-exempt bonds that have been issued on behalf of the Clinic and Lakeview.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Marshfield Food Safety LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1000 N OAK AVE	AddressLine1
City	MARSHFIELD	City
State	WI	State
ZIP Code	54449	ZIPCode

Field	Value	IRS element (for citing)
EIN	201056380	EIN
Primary Activities	Food Testing	PrimaryActivities
Legal Domicile State	WI	LegalDomicileState
Total Income	22727027	TotalIncome
EOY Assets	11619701	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Security Health Plan Of Wisconsin Inc
1515 N St Josephs Ave	Marshfield	WI	54449	391572880	HMO	WI	501(c)(4)	N/A	NA	false
Lakeview Medical Center Auxiliary Inc
1100 N Main Street	Rice Lake	WI	54868	391329084	Support Org	WI	501(c)(3)	11,III-O	NA	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	na	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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Dgnstc Treatmnt Ctr	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3401 Cranberry Blvd	AddressLine1
City	Weston	City
State	WI	State
ZIP Code	54476	ZIPCode

Field	Value	IRS element (for citing)
EIN	200691634	EIN
Primary Activity	medical svcs	PrimaryActivity
Legal Domicile State	WI	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeType
Share Of Total Income	6782086	ShareOfTotalIncome
Share Of EOY Assets	6710898	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
SECURITY HEALTH PLAN OF WISCONSIN INC
1A	27027	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
1C	180000	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
1D	4298797	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
1K	52656	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
IL	225365811	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
1M	78116634	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
1Q	41969206	COST