2019-08-13T15:38:59-05:00 2018-09-30 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2017-10-01 461495343 Marshfield Clinic Health SystemInc % ROBERT MEYER MARS 7153875511 1000 N OAK AVENUE MARSHFIELD WI 54449 GORDON EDWARDS cfo 2019-08-08 true Monroe J Gierl P01413237 6123055000 2019-08-08 167.68.102.5 41438720192255000000 2019-08-13 P 4D20E2B6203F6DF8F278F52D8F141165BAD3568A EA4B65EE71D42BE71D1FFD4325509DD549A18899 2017 2019-02-21 02:37:17Z Susan Turney MD CEO 1000 N OAK AVENUE MARSHFIELD WI 54449 207964451 false X www.marshfieldclinic.org/health-system X 2012 WI WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. 24 12 4422 0 0 396090 31898 164922 110063089 205246707 985775 2483436 7244 12443 111088006 207907508 455459 542078 0 0 62385919 117980311 0 0 0 46900870 97804335 109742248 216326724 1345758 -8419216 195149614 534326749 77993642 193697802 117155972 340628947 X WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. false false 216326724 542078 205259150 SEE SCHEDULE O 216326724 true true false true false false false false false false true true true false false true false true false false false false false false false false false true false true true false false false false false false false false false false false false false false false true true true true false true 494 0 true 4422 true true true false false false false false false false false false false false X 24 12 true false false false false false false true true false false true true true true true true true true true true X ROBERT MEYER 7153875511 1000 N Oak Avenue Marshfield WI 54449 X Mark Bugher Chair 1.0 1.0 X X 18000 12000 0 Mark Bradley Vice Chair 1.0 1.0 X X 0 1000 0 Timothy Peterson Treasurer 1.0 1.0 X X 7000 3500 0 Ivan Schaller MD Secretary 1.0 42.0 X X 0 356891 56171 Edward Fernandez MD Board Member 1.0 42.0 X 0 553537 56889 Neelakantan Namboodiri MD Board Member 1.0 42.0 X 0 320200 49066 Richard Leinenkugel Board Member 1.0 0.0 X 3000 1500 0 Sushma Thappeta MD Board Member 1.0 41.0 X 0 348998 49805 Richard Fossen MD Board Member 1.0 41.0 X 0 390001 58794 Kent Ray DO Board Member 1.0 41.0 X 0 334352 57701 Jeffrey Lamont MD Board Member 1.0 41.0 X 0 267838 47394 Alpa Shah MD Board Member 1.0 41.0 X 0 290756 29566 Seth Fagbemi MD Board Member 1.0 41.0 X 0 604129 55239 Timothy Wengert MD Board Member 1.0 41.0 X 0 425603 49844 Thomas Leifheit MD Board Member 1.0 41.0 X 0 651102 53479 Matthew Thomas MD Board Member 1.0 42.0 X 0 600685 45837 Elvis Peter MD Board Member 1.0 41.0 X 0 777849 58201 Bill Fonti Board Member 1.0 0.0 X 3000 1500 0 George Isham Board Member 1.0 0.0 X 3000 6000 0 Leah Brash Board Member 1.0 0.0 X 0 0 0 Michael Luebke Board Member 1.0 1.0 X 8000 12000 0 Chuck Nason Board Member 1.0 1.0 X 4500 2000 0 Bernie Patterson Board Member 1.0 0.0 X 3000 4000 0 David Shore Board Member 1.0 0.0 X 4500 2000 0 Janet Lindemann MD Board Member 1.0 0.0 X 3000 1500 0 Fritz Wenzel Board Member/Interim Executive 1.0 0.0 X 97875 2000 0 Terry Frankland Board Member 1.0 1.0 X 3000 4000 0 Narayana Murali MD MCHS Chief Strategy Officer 40.0 5.0 X 745828 0 54804 Julie Brussow MCHS Health Plan CEO 40.0 4.0 X 482391 0 45768 Jerard Jensen MCHS Exec VP/General Counsel 40.0 5.0 X 753441 0 53489 Gordon Edwards MCHS CFO 40.0 5.0 X 595142 0 54743 Susan Turney MD MCHS CEO 40.0 5.0 X 2606795 0 203459 Daniel Ramsey Former MCHS COO 0.0 0.0 X 791395 0 52720 6132867 5974941 1132969 167 true true false HURON CONSULTING GROUP INC 3005 MOMENTUM PLACE CHICAGO IL 60689 PROFESSIONAL SVCS 2175010 BLR FURTHER LLC 1600 RESOURCE DRIVE BIRMINGHAM AL 35242 ADVERTISING AGENCY 2058142 SIGHTPATH MEDICAL LLC PO BOX 204253 DALLAS TX 75320 MEDICAL SVCS 1000759 DELOITTE TOUCHE LLP PO BOX 844708 DALLAS TX 75284 PROFESSIONAL SVCS 781637 HUSCH BLACKWELL LLP PO BOX 790379 SAINT LOUIS MO 63179 PROFESSIONAL SVCS 579191 40 164922 164922 Intercompany Revenue 561000 196774864 196774864 Contract Revenue 561000 6751748 6751748 Misc Other Operating Revenue 561000 1720095 1720095 205246707 2258309 2258309 0 0 0 0 0 276310 5760 56943 276310 -51183 225127 225127 0 0 0 0 0 0 0 0 0 Vending Revenue 900099 12443 12443 12443 207907508 205259150 0 2483436 X 542078 542078 0 0 0 5035100 5035100 0 77827846 77827846 8391072 8391072 20946678 20946678 5779615 5779615 0 1211883 1211883 924845 924845 46659 46659 0 0 23318781 23318781 8863103 8863103 7082441 7082441 28847625 28847625 0 4176792 4176792 1532882 1532882 0 132469 132469 2777 2777 0 18969716 18969716 1383093 1383093 Recruitment expenses 691474 691474 Dues, Subscriptions, Licenses 233467 233467 Taxes 262358 262358 Equipment repairs 123970 123970 216326724 216326724 0 0 56292256 75916991 0 5000000 0 0 38678424 19014256 0 0 0 0 0 0 12459577 0 4747354 10270392 169640133 72531369 25133291 97108764 500000 32787621 0 47267019 57338712 246961706 0 0 0 0 195149614 534326749 77993642 193620048 0 0 0 0 0 0 0 0 0 0 0 77754 0 0 0 0 77993642 193697802 X 117155972 340628947 0 0 0 0 117155972 340628947 195149614 534326749 X -8419216 482257 231409934 X false true X true true true X X 3 MARSHFIELD CLINIC INC 390452970 3 true 0 0 LAKEVIEW MEDICAL CENTER INC OF RICE LAKE 390837206 3 true 0 0 FLAMBEAU HOSPITAL INC 390973724 3 true 0 0 3 true false false false false true false false false false false false false false false true true true X true true Form 990 Sch A Part IV Section A Line 6 THE COMMUNITY ENGAGEMENT DEPARTMENT PROVIDES SUPPORT TO VARIOUS LOCAL NONPROFIT ORGANIZATIONS. Form 990 Sch A Part IV Section D Line 3 SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES AND USE OF ITS INCOME OR ASSETS BY VIRTUE OF THE OVERLAP OF BOARD AND EXECUTIVE OVERSIGHT. Form 990 Sch A Part IV Section E Line 3a MCHS HAS THE RIGHT TO APPOINT, ELECT OR APPROVE/DISAPPROVE MEMBERS OF MOST OF THE SUPPORTED ORGANIZATIONS' BOARDS. IN THE CASE OF MARSHFIELD CLINIC, INC., MCHS DOES NOT ELECT OR APPOINT, BUT THE 11 MEMBERS OF THE MARSHFIELD CLINIC BOARD ARE ALSO MEMBERS OF THE MCHS BOARD. Form 990 Sch A Part IV Section E Line 3b THERE IS EITHER BOARD OVERLAP OR EXECUTIVE OVERLAP IN EACH OF THE AFFILIATED ORGANIZATIONS. EXECUTIVE LEADERS FROM EACH SUPPORTED ORGANIZATION REPORT TO MCHS EXECUTIVES. false true false false false false true 1052426 false true 30500 1082926 false Form 990 Sch C Part II-B WHERE ITS EXPERIENCE MAY BE HELPFUL, MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) 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. OCCASIONALLY STAFF MEMBERS WILL SEND MAIL TO MEMBERS OF CONGRESS AND THEIR STAFF. MCHS IS ALSO A MEMBER OF VARIOUS HEALTHCARE ASSOCIATIONS (I.E. WISCONSIN HOSPITAL ASSOCIATION) THAT MAY PERFORM SOME LOBBYING ACTIVITY. TOTAL DUES PAID BY MCHS ARE REPORTED ON LINE 1-I. 77550 77550 8776103 1158923 7617180 288227 118181 170046 160489672 71251689 89237983 8581 2576 6005 97108764 BOND FUNDS 39299502 APOLLO TOTAL RETURN FUND LP 7967517 47267019 246961706 0 0 X Form 990 Sch D Part X Line 2 THE ORGANIZATION APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES (ASC 740), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC 740, TAX POSITIONS WILL BE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND WILL PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. BASED ON AN ANALYSIS PREPARED BY THE ORGANIZATION, IT WAS DETERMINED THAT THE APPLICATION OF ASC 740 HAD NO MATERIAL EFFECT ON THE ORGANIZATION AT SEPTEMBER 30, 2018 OR 2017. true City of Marshfield 207 W 6th St Marshfield WI 54449 396005518 501(c)(3) 250000 General Support United Way of Marathon 137 River Dr Wausau WI 54403 390935496 501(c)(3) 20300 General Support Marshfield Area Community Foundation PO Box 456 Marshfield WI 54449 396578767 501(c)(3) 16000 General Support United Way of Greater Chippewa Valley 3603 N Hastings Way Ste 200 Eau Claire WI 54702 391077901 501(c)(3) 10000 General Support Central WI State Fair 513 E 17th St Marshfield WI 54449 390796251 501(c)(3) 8336 General Support Northwest WI CEP 422 3rd St W Ste 200 PO Box 616 Ashland WI 54806 391202378 501(c)(3) 7500 General Support Oneida County Economic Development Corp 100 W Keenan St Rhinelander WI 54501 396005723 501(c)(3) 7500 General Support Marshfield Area YMCA 410 W McMillan St Marshfield WI 54449 391557086 501(c)(3) 6250 General Support Boy Scouts of America 3511 Camp Phillips Rd Weston WI 54476 390813397 501(c)(3) 5150 General Support 9 Form 990 Sch I Part I Line 2 MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) PROVIDES ASSISTANCE (PRIMARILY CONTRIBUTIONS) TO A VARIETY OF ORGANIZATIONS, ALL OF WHICH ARE 501(C)(3). MCHS MAKES DETERMINATIONS ON GRANTS AND OTHER ASSISTANCE BASED ON THE RECIPIENT ORGANIZATION'S MISSION, REPUTATION AND THE ORGANIZATION'S INTENDED USE OF FUNDS. X X true true X X X X X true true false true true true true false false Ivan Schaller MD Secretary 333267 18686 4938 0 29566 0 28810 0 415267 0 0 Edward Fernandez MD Board Member 421447 110118 21972 0 29566 0 29528 0 612631 0 0 Neelakantan Namboodiri MD Board Member 297262 22938 0 29566 0 21705 0 371471 0 0 Sushma Thappeta MD Board Member 267411 79242 2345 0 29566 0 22245 0 400809 0 0 Richard Fossen MD Board Member 356887 23026 10088 0 29566 0 31433 0 451000 0 0 Kent Ray DO Board Member 331766 0 2586 0 29566 0 30340 0 394258 0 0 Jeffrey Lamont MD Board Member 260590 0 7248 0 29566 0 19781 0 317185 0 0 Alpa Shah MD Board Member 287713 0 3043 0 29566 0 2116 0 322438 0 0 Seth Fagbemi MD Board Member 582157 0 21972 0 29566 0 27878 0 661573 0 0 Timothy Wengert MD Board Member 403631 18000 3972 0 29566 0 22483 0 477652 0 0 Thomas Leifheit MD Board Member 582730 46400 21972 0 29566 0 26118 0 706786 0 0 Matthew Thomas MD Board Member 554139 25750 20796 0 29566 0 18476 0 648727 0 0 Elvis Peter MD Board Member 769618 5645 2586 0 29566 0 30840 0 838255 0 0 Narayana Murali MD MCHS Chief Strategy Officer 724696 21132 29566 0 27443 0 802837 0 0 0 Julie Brussow MCHS Health Plan CEO 428399 42656 11336 29566 0 18407 0 530364 0 0 0 Jerard Jensen MCHS Exec VP/General Counsel 605202 123257 24982 29566 0 26128 0 809135 0 0 0 Gordon Edwards MCHS CFO 512984 51765 30393 29566 0 27382 0 652090 0 0 0 Susan Turney MD MCHS CEO 1817346 510000 279449 183821 0 21843 0 2812459 0 151230 0 Daniel Ramsey Former MCHS COO 520636 270759 29566 0 24818 0 845779 0 0 0 Form 990 Sch J Part I Line 1a THE ORGANIZATION MAY OCCASIONALLY REIMBURSE OR PROVIDE A HOUSING ALLOWANCE FOR KEY EXECUTIVES IN ORDER TO ASSIST WITH RELOCATING TO THE AREA. THE ORGANIZATION MAY ALSO CONTRIBUTE TO OR REIMBURSE FOR HEALTH AND SOCIAL CLUB DUES AS DEEMED NECESSARY IN ORDER TO SUPPORT A BUSINESS NEED. Form 990 Sch J Part I Line 3 THE MARSHFIELD CLINIC HEALTH SYSTEM'S (MCHS) INDEPENDENT COMPENSATION COMMITTEE (THE COMMITTEE) HAS FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS EMPLOYED BY ANY OF THE ORGANIZATIONS IN THE SYSTEM. THE COMMITTEE USES COMBINATIONS OF THE FOLLOWING TO EVALUATE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND WRITTEN EMPLOYMENT CONTRACTS. Form 990 Sch J Part I Line 4a SEVERANCE DANIEL RAMSEY - $167,241 Form 990 Sch J Part I Line 4b 457(F) PLAN SUSAN TURNEY, MD - $154,255 Form 990 Sch J Part I Line 5a & 5b SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS. Form 990 Sch J Part I Line 6a & 6b SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS. A Wisconsin Health and Ed Facilities Authority 391337855 97710BZ54 2012-06-13 107540304 Acquisition, construction, & renov false false false B Wisconsin Health and Ed Facilities Authority 391337855 97712DUG9 2016-10-05 316977541 See Part VI false false false C Wisconsin Health and Ed Facilities Authority 391337855 97712DA71 2017-09-13 328044486 Refunding of Series 2017A Bonds false false false D Wisconsin Health and Ed Facilities Authority 391337855 97712DQ25 2018-09-26 100000000 See Part VI false false false A 1895000 0 107928259 0 0 0 1440312 0 0 106487947 0 0 false false true true B 3650000 0 316990756 0 6038 0 2672884 0 0 102906241 211404657 935 2017 true false true true C 4460000 0 328044486 0 0 0 2196369 0 0 0 325000000 0 true false true true D 0 0 100000000 0 0 0 737000 0 0 99263000 0 0 false false false true A false true true true true true 0 false false true true B false true true true true true 0.00560 0.00560 false true 0.00010 true true C false true true true true true 0.01210 0.01210 false false false true D false true true true true true 0 false false false true A false false true true false false 0 false 0 false true B false true true false true false 0 false 0 false true C false true true false false false 0 false 0 false true D false true true false true false 0 false 0 false true A true B true C true D true Column A: Column A: PART II, LINE 3: THE DIFFERENCE BETWEEN PART II, LINE 3 AND PART I(E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART IV, LINE 2C: THE REBATE COMPUTATION PERFORMED AS OF 02/15/2017 CONFIRMED THAT NO REBATE WAS DUE ON THE BONDS. Column B: PART I(F): THE BONDS WERE ISSUED TO REIMBURSE THE BORROWER FOR COSTS ASSOCIATED WITH ITS NEW MONEY PROJECT AS WELL AS TO REISSUE THE SERIES 2012 BONDS (ISSUED ON 4/13/12), REFUND THE SERIES 2006B BONDS (ISSUED ON 1/31/06), REFINANCE A LINE OF CREDIT BY JP MORGAN CHASE BANK, N.A. (DRAWN ON 2/16/16) LINE OF CREDIT ISSUED ON (4/1/12), REFUND VARIOUS USDA LOANS AND PAY THE CHIPPEWA LEASE (ISSUED JULY 14,2006). PART II, LINE 3: THE DIFFERENCE BETWEEN PART II, LINE 3 AND PART I (E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART IV, LINE 2B: THE CURRENT REFUNDING PORTION OF THE BONDS MET THE 6 MONTH EXCEPTION TO REBATE. PART IV, LINE 2B: THE CURRENT REFUNDING PORTION OF THE BONDS MET THE 6 MONTH EXCEPTION TO REBATE. Column C: PART I(F): THE SERIES 2017A TAXABLE BONDS WERE ISSUED ON 6/30/2017. PART IV, LINE 2B: THE 2017BC BONDS MET THE 6 MONTH EXCEPTION TO REBATE. Column D: PART I(F): THE BONDS WERE ISSUED TO FINANCE OR REIMBURSE THE BORROWER FOR COSTS ASSOCIATED WITH THE ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF THE PROJECT AS WELL AS TO PAY ISSUANCE COSTS. PART IV, LINE 2B: ALL PROCEEDS OF THE BONDS WERE EXPENDED WITHIN 6 MONTHS OF THE ISSUE DATE, AND HAVE THUS MET THE REQUIREMENTS OF THE 6 MONTH EXCEPTION TO REBATE. Form 990 Part I Line 7b Unrelated business taxable income includes IRC 512(a)(7) qualified transportation fringe benefits that are not revenue and, therefore, not reported as such on Form 990, Part VIII. Form 990 Part III Line 4a MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) WAS INCORPORATED IN OCTOBER 2012 AS PART OF A PROSPECTIVE REORGANIZATION OF MARSHFIELD CLINIC AND ITS AFFILIATED ENTITIES. IN PARTICULAR, MCHS WAS FORMED TO SERVE AS A PARENT ENTITY FOR A REORGANIZED HEALTHCARE SYSTEM THAT INCLUDES MARSHFIELD CLINIC, INC., LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE AND SECURITY HEALTH PLAN OF WISCONSIN, INC. THE REORGANIZATION WAS IMPLEMENTED UPON RECEIPT OF AN INTERNAL REVENUE SERVICE (IRS) DETERMINATION LETTER RECOGNIZING MCHS AS A TAX-EXEMPT ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) IN 2014. SINCE THEN, THE ORGANIZATION HAS BEEN IN A PERIOD OF TRANSITION, CARRYING OUT STEPS TO CONSOLIDATE CERTAIN ADMINISTRATIVE FUNCTIONS AT A SYSTEM LEVEL AND WAS SUBSTANTIALLY COMPLETE WITH THIS PROCESS AT THE END OF FISCAL YEAR 2017. WITH THIS PROCESS AT THE END OF FISCAL YEAR 2017. Form 990 Part VI Line 2 BOARD MEMBERS BERNIE PATTERSON AND CHUCK NASON HAVE A BUSINESS RELATIONSHIP. Form 990 Part VI Line 11b MARSHFIELD CLINIC HEALTH SYSTEM, INC. ENGAGES A PUBLIC ACCOUNTING FIRM TO PREPARE AND REVIEW THE FORM 990 IN ADDITION TO REVIEW BY THE SYSTEM CFO, VP OF FINANCE AND CONTROLLER. PRIOR TO FILING THE FORM WITH THE IRS, THE CFO AND HIS/HER DESIGNEE WILL PROVIDE TO EACH MEMBER OF THE SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE (A SUBCOMMITTEE OF THE BOARD OF DIRECTORS) A COPY IN ELECTRONIC OR PAPER FORM OF THE COMPLETE FORM 990 (AND ALL REQUIRED SCHEDULES) FOR REVIEW. Form 990 Part VI Line 12c ALL OFFICERS, BOARD DIRECTORS, AND KEY EMPLOYEES OF EVERY MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) ENTITY, AS WELL AS ANY OTHER PERSON DESIGNATED BY THE AUDIT AND COMPLIANCE COMMITTEE (ACC) TO BE A REQUIRED REPORTER BY VIRTUE OF HIS OR HER POSITION AT A SYSTEM ENTITY, SHALL ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. SUCH FORMS SHALL BE DISTRIBUTED AND RECORDED BY THE SYSTEM'S DESIGNATED COMPLIANCE OFFICER. ALL FINANCIAL INTERESTS DISCLOSED AS PART OF THE ANNUAL DISCLOSURE PROCESS SHALL BE REVIEWED BY THE ACC. THE ACC SHALL INFORM THE BOARD OF DISCLOSED FINANCIAL INTERESTS WHICH MAY BEAR UPON OR RELATE TO A TRANSACTION UPON WHICH THE BOARD OR ANOTHER BOARD, COMMITTEE OR OTHER BODY OF A SYSTEM ENTITY, MAY DELIBERATE OR ACT. IN ADDITION TO THE ANNUAL DISCLOSURES, IF AT ANY TIME BETWEEN ANNUAL DISCLOSURES, A REQUIRED REPORTER BECOMES AWARE THAT THE BOARD, OR A BOARD, COMMITTEE OR OTHER BODY, OF ANY SYSTEM ENTITY MAY DELIBERATE OR ACT UPON ANY TRANSACTION THAT MAY HAVE ANY BEARING OF ANY KIND UPON, OR MAY RELATE IN ANY MANNER TO, AN EXISTING, INTENDED OR EXPECTED FINANCIAL INTEREST OF THE REQUIRED REPORTER, HE OR SHE SHALL DISCLOSE THE FINANCIAL INTEREST TO THE RELEVANT SYSTEM ENTITY BOARD, COMMITTEE OR BODY CHAIR, AS WELL AS TO THE SYSTEM'S COMPLIANCE OFFICER, IN ADVANCE OF ANY DELIBERATIONS OR ACTION, WRITTEN DISCLOSURE OF THE EXISTENCE, NATURE AND EXTENT OF HIS OR HER FINANCIAL INTEREST. ALL WRITTEN OR ORAL DISCLOSURES OF FINANCIAL INTERESTS SHALL BE RECORDED IN THE MINUTES OF THE BOARD AND BY THE OFFICE OF THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER SHALL DISCLOSE THE COMPLETED FORMS AS NECESSARY TO THOSE MCHS EMPLOYEES RESPONSIBLE FOR COMPLETION OF THE IRS FORM 990. Form 990 Part VI Line 15a & 15b THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE (COMPENSATION COMMITTEE) SHALL HAVE FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DIQUALIFIED PERSONS (AS THAT TERM IS DEFINED IN 4958 OF THE INTERNAL REVENUE CODE (THE CODE)) EMPLOYED BY THE CORPORATION, INCLUDING BUT NOT LIMITED TO THE CORPORATION'S CEO. THE TERM DISQUALIFIED PERSONS INCLUDES (BUT IS NOT LIMITED TO) ANY PERSON (OR THE PERSON'S FAMILY MEMBER) WHO WAS, AT ANY TIME DURING THE 5-YEAR PERIOD ENDING ON THE DATE OF THE TRANSACTION, IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. IT SHALL BE THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE TO INSURE THAT THE SYSTEM DOES NOT PAY AN AMOUNT THAT EXCEEDS REASONABLE COMPENSATION FOR ANY DISQUALIFIED PERSON. THE COMPENSATION COMMITTEE AND ITS OPERATING PROCEDURES SHALL BE DESIGNED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS OF COMPENSATION OUTLINED IN TREASURY REG. SEC. 53.4958-6 WITH RESPECT TO EACH DISQUALIFIED PERSON. IN DETERMINING REASONABLENESS OF COMPENSATION, THE COMPENSATION COMMITTEE SHALL EVALUATE APPROPRIATE INFORMATION AS TO THE COMPARABILITY OF COMPENSATION, INCLUDING BUT NOT LIMITED TO: COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE SYSTEM'S GEOGRAPHIC AREA; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN JOB OFFERS FROM SIMILAR INSTITUTIONS. THE 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 HEALTH SYSTEM, INC. (MCHS) DOES NOT MAKE ITS CURRENT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UNLESS INCLUDED AS PART OF A FORM THAT IS REQUIRED TO BE PUBLICLY AVAILABLE. Form 990 Part XI Line 9 OTHER CHANGES IN NET ASSETS EQUITY INCOME FROM FLAMBEAU: $1,122,407 EQUITY INCOME FROM SHP: $222,593,184 EQUITY INCOME FROM MC HHJV, LLC: $94,164 NET Asset TRANSFERS WITH RELATED ORGS: $7,600,179 ------------------------------------------------------ TOTAL OTHER CHANGE IN NET ASSETS: $231,409,934 FORM 990 PART IX LINE 11G DESCRIPTION:Consulting expenses TOTAL FEES:12750799 FORM 990 PART IX LINE 11G DESCRIPTION:Collection agency fees TOTAL FEES:2684319 FORM 990 PART IX LINE 11G DESCRIPTION:Purchased services TOTAL FEES:7883663 SECURITY HEALTH PLAN OF WISCONSIN INC 1515 N ST JOSEPHS AVE MARSHFIELD WI 54449 391572880 HMO WI 501(C)(4) N/A NA true FLAMBEAU HOSPITAL INC 98 SHERRY AVE PARK FALLS WI 54552 390973724 HOSPITAL WI 501(C)(3) 3 NA false LAKEVIEW MEDICAL CENTER INC 1700 W STOUT ST RICE LAKE WI 54868 390837206 HOSPITAL WI 501(C)(3) 3 NA true MARSHFIELD CLINIC INC 1000 N OAK AVE MARSHFIELD WI 54449 390452970 MEDICAL SVCS WI 501(C)(3) 3 NA true MARSHFIELD CLINIC HERITAGE FNDTN INC 1000 N OAK AVE MARSHFIELD WI 54449 391865942 HONOR INDVDLS WI 501(C)(3) 12-TYPE I NA false VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL 1700 W STOUT ST RICE LAKE WI 54868 391329084 SUPPORT ORG WI 501(C)(3) 12-TYPE III NA false FAMILY HEALTH CENTER OF MARSHFIELD INC 1000 N OAK AVE MARSHFIELD WI 54449 391681547 COM HLTH CTR WI 501(C)(3) 7 NA false MCHS HOSPITALS INC 1000 N OAK AVE MARSHFIELD WI 54449 810977948 HOSPITAL WI 501(C)(3) 3 NA true MCHS FOUNDATION INC 1000 N OAK AVE MARSHFIELD WI 54449 812822823 PHILANTHROPY WI 501(C)(3) 7 NA true THE DIAGNOSTIC & TREATMENT CENTER LLC 3401 CRANBERRY BLVD WESTON WI 54476 200691634 MEDICAL SERVICES WI NA Related 0 0 false false 0.00000 false false true false false false false false false false false false false false false true false true true MCHS FOUNDATION INC c 164922 Cost MCHS FOUNDATION INC r 5000000 Cost SECURITY HEALTH PLAN OF WISCONSIN INC s 12900000 Cost MARSHFIELD CLINIC INC s 68854 Cost MARSHFIELD CLINIC INC p 15868882 Cost LAKEVIEW MEDICAL CENTER INC OF RICE LAKE p 1033876 Cost SECURITY HEALTH PLAN OF WISCONSIN INC p 59257491 Cost MCHS HOSPITALS INC p 821503 Cost Form 990 Sch R Part V Line 1 MARSHFIELD CLINIC HEALTH SYSTEM, INC. (A 501(C)3 ORGANIZATION), IS THE PARENT ORGANIZATION OF THE FOLLOWING ORGANIZATIONS: MARSHFIELD CLINIC, INC. SECURITY HEALTH PLAN OF WISCONSIN, INC. FLAMBEAU HOSPITAL, INC. (SEE ADDITIONAL NOTE BELOW) LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE MCHS HOSPITALS, INC. MARSHFIELD CLINIC HEALTH SYSTEM FOUNDATION, INC. 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, INC.