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 390452970 Marshfield Clinic Inc % ROBERT MEYER MARS 7153875511 1000 N OAK AVENUE MARSHFIELD WI 54449 NARAYANA MURALI MD EXECUTIVE DIRECTOR 2019-08-08 true Monroe J Gierl P01413237 6123055000 2019-08-08 167.68.102.5 41438720192255000001 2019-08-13 P 4D20E2B6203F6DF8F278F52D8F141165BAD3568A EA4B65EE71D42BE71D1FFD4325509DD549A18899 2017 2019-02-21 02:37:17Z IVAN SCHALLER MD BOARD CHAIR 1000 N OAK AVENUE MARSHFIELD WI 54449 1181881389 false X WWW.MARSHFIELDCLINIC.ORG X 1916 WI WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE. 11 0 6302 400 20014414 -1529130 13695720 28163160 1048042696 1017814564 4479946 23549502 8313883 440697 1074532245 1069967923 643873 941542 0 0 638528912 591260424 0 0 0 421523614 533062522 1060696399 1125264488 13835846 -55296565 1134892825 964229849 559798489 524158364 575094336 440071485 X WE ENRICH 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Timothy Wengert MD Board Member 41.0 1.0 X 425603 0 49844 Sushma Thappeta MD Board Member 41.0 1.0 X 348998 0 49805 Seth Fagbemi MD Board Member 41.0 1.0 X 604129 0 55239 Richard Fossen MD Board Member 41.0 1.0 X 390001 0 58794 Jeffrey Lamont MD Board Member 41.0 1.0 X 267838 0 47394 Elvis Peter MD Board Member 41.0 1.0 X 777849 0 58201 Kent Ray DO Board Member 41.0 1.0 X 334352 0 57701 Neelakatan Namboodiri MD Board Member 41.0 2.0 X 320200 0 49066 Narayana Murali MD Executive Director 1.0 44.0 X 0 745828 54804 William Barkley MD Chief Medical Officer 1.0 40.0 X 0 190022 53509 Jerard Jensen MCHS General Counsel 1.0 44.0 X 0 753441 53489 Gordon Edwards MCHS CFO 1.0 44.0 X 0 595142 54743 Susan Turney MD MCHS CEO 1.0 44.0 X 0 2606795 203459 Vivekananda Gonugunta MD Physician 40.0 0.0 X 1420117 0 29566 John Neal MD Physician 40.0 0.0 X 1191833 0 55743 Adedayo Onitilo MD Physician 40.0 0.0 X 1184535 0 59387 Scott Paulman MD Physician 40.0 0.0 X 1120230 0 30895 Sanjay Kumar MD Physician 40.0 0.0 X 1116128 0 55233 Brian Ewert MD Former President 40.0 0.0 X 272033 0 53548 Dan Erickson MD Former Vice President 40.0 0.0 X 187109 0 34271 Rod Sorensen MD Former Salary Committee 40.0 0.0 X 298761 0 54413 Jim Coleman Former COO 0.0 0.0 X 268938 0 2216 Daniel Ramsey Former MCHS COO 0.0 0.0 X 0 791395 52720 12981625 5682623 1515982 1097 true true false SIGHTPATH MEDICAL LLC PO BOX 204253 DALLAS TX 75320 MEDICAL SVCS 352016 KPMG LLP PO BOX 120970 DALLAS TX 75312 PROFESSIONAL SVCS 267084 STRATA DECISION TECHNOLOGY LLC PO BOX 945911 ATLANTA GA 30394 PROFESSIONAL SVCS 247477 HURON CONSULTING GROUP INC 3005 MOMENTUM PLACE CHICAGO IL 60689 PROFESSIONAL SVCS 235771 DELOITTE TOUCHE LLP PO BOX 844708 DALLAS TX 75284 PROFESSIONAL SVCS 225000 14 3428976 24673804 60380 28163160 NET PATIENT SERVICE REVENUE 621110 1000758748 981154758 19603990 INTERCOMPANY REVENUE 621110 7911504 7911504 MISC OTHER OPERATING REVENUE 621110 9144312 9144312 1017814564 6725520 410424 6315096 419728 419728 475038 475038 225878 265481 -39603 0 -39603 -39603 122602231 5450008 111607266 40719 10994965 5409289 16404254 16404254 0 0 0 0 0 0 0 0 0 Vending Revenue 900099 5262 5262 5262 1069967923 998215836 20014414 23574513 903837 903837 37705 37705 0 0 5981436 5981436 0 458133926 443991208 14142718 40071271 38198536 1872735 61349297 58339392 3009905 25724494 24487650 1236844 0 59166 59166 0 0 0 0 8220182 5561179 2659003 374558 360861 13697 9764490 8453359 1311131 4006920 3488119 518801 128250 128250 21166803 21107783 59020 3060512 2775325 285187 0 31287 31287 12362034 12362034 0 35604903 35604903 1682558 1682558 MEDICAL SUPPLIES 285667267 285597155 70112 I/C PURCHASED SERVICES 117315668 117315668 MEDICAL CLAIMS EXPENSE 23768149 23768149 EQUIPMENT REPAIRS 8931878 8798413 133465 917897 897075 20822 1125264488 976574778 148689710 0 X 63903661 0 6584805 2694135 0 0 236748246 68204055 0 0 0 0 32501803 32083518 19224943 23176892 6080417 4452641 817581165 325380745 437674033 492200420 136954519 139822612 154547775 190676867 39883473 9519889 789150 370691 0 1028129 1134892825 964229849 82591560 93675884 0 0 1530961 1159611 386479174 356028439 0 0 0 0 0 0 0 0 89196794 73294430 559798489 524158364 X 574961553 438960586 132783 82770 0 1028129 575094336 440071485 1134892825 964229849 X -55296565 -10462359 -69263927 X false true X true false X Form 990 Sch 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, MARSHFIELD CLINIC IS NOT REQUIRED TO COMPLETE SCHEDULE H. 3627166 X false 55590273 708000 -96000 1451000 54751273 49072273 2366000 5537000 1385000 55590273 false false 20806197 20806197 508287602 205823908 302463694 6867084 3589017 3278067 259534430 105624964 153909466 22085852 10342856 11742996 492200420 BOND FUNDS 125332482 PRIVATELY HELD 65344385 190676867 0 DEFERRED COMPENSATION 60843596 MALPRACTICE CLAIMS RESERVE 9778390 SEVERANCE & SABBATICAL LIABITY 2672444 73294430 X Form 990 Sch D Part III Line 4 THE MISSION OF MARSHFIELD CLINIC IS TO SERVE PATIENTS THROUGH ACCESSIBLE, HIGH QUALITY HEALTH CARE, RESEARCH AND EDUCATION. AS PART OF SERVING PATIENTS, THE CLINIC STRIVES TO PROVIDE AN INVITING ATMOSPHERE TO TREAT PATIENTS AND ASSIST IN THE HEALING PROCESS. PLEASANT FACILITIES AND GROUNDS, PLUS APPROPRIATE WORKS OF ART ALL ASSIST IN THIS HEALING PROCESS, AS WELL AS SERVE TO ENHANCE THE CLINIC'S EDUCATIONAL MISSION BY DISPLAYING ART WORK FOR SCHOOL CHILDREN AS WELL AS PATIENTS AND VISITORS. 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 SYSTEM, IT WAS DETERMINED THAT THE APPLICATION OF ASC 740 HAD NO MATERIAL EFFECT ON THE ORGANIZATION AT SEPTEMBER 30, 2018 OR 2017. Central America and the Caribbean Investments N/A 3136849 0 0 3136849 3136849 true false false false true false true Family Health Center of Marshfield Inc 1000 N Oak Ave Marshfield WI 54449 391681547 501(c)(3) 544000 General Support Kohler Foundation 725X Woodlake Rd Kohler WI 53044 390810536 501(c)(3) 179585 Cost Artwork GENERAL SUPPORT General Support Marshfield Area United Way 156 S Central Ave PO Box 771 Marshfield WI 54449 391035073 501(c)(3) 100350 GENERAL SUPPORT General Support North Central Health Foundation 1100 Lake View Dr Wausau WI 54403 930838179 501(c)(3) 50000 GENERAL SUPPORT General Support United Way of Marathon 137 River Dr Wausau WI 54403 390935496 501(c)(3) 25000 GENERAL SUPPORT General Support St Vincent De Paul Outreach 149 N Central Ave Marshfield WI 54449 391396428 501(c)(3) 37650 GENERAL SUPPORT General Support City of Eau Claire - Ambulance Service PO Box 1087 Eau Claire WI 54702 396005436 501(c)(3) 28956 GENERAL SUPPORT General Support Marshfield Area YMCA 410 W McMillan St Marshfield WI 54449 391557086 501(c)(3) 13750 GENERAL SUPPORT General Support School District of Marshfield 1010 East 4th Street Marshfield WI 54449 396003302 501(c)(3) 11400 GENERAL SUPPORT General Support United Way of Portage County 1100 Centerpoint Dr Ste 302 Stevens Point WI 54481 390831152 501(c)(3) 10000 GENERAL SUPPORT General Support City of Colby PO Box 236 Colby WI 54421 396005416 501(c)(3) 10000 GENERAL SUPPORT General Support University of Wisconsin-Eau Claire 105 Garfield Ave PO Box 4004 Eau Claire WI 54702 390972350 501(c)(3) 8927 GENERAL SUPPORT General Support Lakeland Area Scholarship Fund PO Box 227 Minocqua WI 54548 464259420 501(c)(3) 8000 GENERAL SUPPORT General Support 13 Form 990 Sch I Part I Line 2 MARSHFIELD CLINIC, INC. PROVIDES ASSISTANCE (PRIMARILY CONTRIBUTIONS) TO A VARIETY OF ORGANIZATIONS, ALL OF WHICH ARE 501(C)(3). MARSHFIELD CLINIC 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 Chair 333267 18686 4938 29566 0 28810 0 415267 0 0 0 Edward Fernandez MD Vice Chair 421447 110118 21972 29566 0 29528 0 612631 0 0 0 Alpa Shah MD Secretary 287713 3043 29566 0 2116 0 322438 0 0 0 Thomas Leifheit MD Secretary (through Jan 2018) 582730 46400 21972 29566 0 26118 0 706786 0 0 0 Matthew Thomas MD Treasurer 554139 25750 20796 29566 0 18476 0 648727 0 0 0 Timothy Wengert MD Board Member 403631 18000 3972 29566 0 22483 0 477652 0 0 0 Sushma Thappeta MD Board Member 267411 79242 2345 29566 0 22245 0 400809 0 0 0 Seth Fagbemi MD Board Member 582157 21972 29566 0 27878 0 661573 0 0 0 Richard Fossen MD Board Member 356887 23026 10088 29566 0 31433 0 451000 0 0 0 Jeffrey Lamont MD Board Member 260590 7248 29566 0 19781 0 317185 0 0 0 Elvis Peter MD Board Member 769618 5645 2586 29566 0 30840 0 838255 0 0 0 Kent Ray DO Board Member 331766 2586 29566 0 30340 0 394258 0 0 0 Neelakatan Namboodiri MD Board Member 297262 22938 29566 0 21705 0 371471 0 0 0 Narayana Murali MD Executive Director 724696 21132 0 29566 0 27443 0 802837 0 0 William Barkley MD Chief Medical Officer 187138 2884 0 28208 0 26728 0 244958 0 0 Jerard Jensen MCHS General Counsel 605202 123257 24982 0 29566 0 26128 0 809135 0 0 Gordon Edwards MCHS CFO 512984 51765 30393 0 29566 0 27382 0 652090 0 0 Susan Turney MD MCHS CEO 1817346 510000 279449 0 183821 0 21843 0 2812459 0 151230 Vivekananda Gonugunta MD Physician 1398985 21132 29566 0 2205 0 1451888 0 0 0 John Neal MD Physician 1167763 1132 22938 29566 0 28382 0 1249781 0 0 0 Adedayo Onitilo MD Physician 1163739 20796 29566 0 32026 0 1246127 0 0 0 Scott Paulman MD Physician 1099098 21132 29566 0 3534 0 1153330 0 0 0 Sanjay Kumar MD Physician 1095332 20796 29566 0 27872 0 1173566 0 0 0 Brian Ewert MD Former President 231780 40253 29566 0 25906 0 327505 0 0 0 Dan Erickson MD Former Vice President 170635 12789 3685 25596 0 9983 0 222688 0 0 0 Rod Sorensen MD Former Salary Committee 293395 5366 29566 0 27052 0 355379 0 0 0 Jim Coleman Former COO 268938 0 0 2216 0 271154 0 0 0 Daniel Ramsey Former MCHS COO 520636 0 270759 0 29566 0 24818 0 845779 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 JIM COLEMAN - $268,938 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. HEMA MURALI MD FAMILY RELATIONSHIP 444911 COMPENSATION false SHARON BARKLEY FAMILY RELATIONSHIP 90182 COMPENSATION false SHANA VIFIAN RAY MD FAMILY RELATIONSHIP 323934 COMPENSATION false MILIND SHAH MD FAMILY RELATIONSHIP 729662 COMPENSATION false Form 990 Part III Line 4a MARSHFIELD CLINIC, INC., FOUNDED IN 1916, IS A NOT-FOR-PROFIT GROUP MEDICAL PRACTICE ENGAGED IN PROVIDING HEALTHCARE, HEALTHCARE EDUCATION, MEDICAL RESEARCH, AND COMMUNITY SERVICE. MARSHFIELD CLINIC RESEARCH INSTITUTE, A DIVISION OF MARSHFIELD CLINIC, ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH AND THE PROMOTION OF PUBLIC HEALTH, MEDICAL EDUCATION, AND COMMUNITY SERVICE. Form 990 Part VI Line 6 THE CORPORATION HAS TWO CLASSES OF MEMBERS: (I) CLASS A MEMBERS, WHO SHALL BE INDIVIDUALS MEETING THE REQUIREMENTS SET FORTH IN THE CORPORATION'S BYLAWS, AND (II) A SINGLE CLASS B MEMBER, MARSHFIELD CLINIC HEALTH SYSTEM, INC., WHICH SHALL BE THE SOLE CORPORATE MEMBER. CLASS A MEMBERS HAVE THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND APPROVE CERTAIN SIGNIFICANT DECISIONS OF THE GOVERNING BODY. THE CLASS B MEMBER HAS THE RIGHT TO APPROVE CERTAIN SIGNIFICANT DECISIONS OF THE GOVERNING BODY AND TO RECEIVE THE REMAINING ASSETS OF THE CORPORATION (OR DIRECT DISTRIBUTION OF THE ASSETS TO OTHER 501(C)(3) ORGANIZATIONS) UPON DISSOLUTION. Form 990 Part VI Line 7a CLASS A MEMBERS HAVE THE RIGHT TO ELECT THE ORGANIZATION'S OFFICERS AND DIRECTORS. Form 990 Part VI Line 7b ALL MEMBERS HAVE THE RIGHT TO APPROVE ANY CHANGES TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS AND TO APPROVE ANY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION. Form 990 Part VI Line 11b MARSHFIELD CLINIC HEALTH SYSTEM, INC. ENGAGES A PUBLIC ACCOUNTING FIRM TO PREPARE AND REVIEW THE FORM 990 IN ADDITION TO REVIEW BY THE SYSTEM CFO, 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 DISQUALIFIED PERSONS (AS THAT TERM IS DEFINED IN 4958 OF THE INTERNAL REVENUE CODE (THE CODE)) EMPLOYED BY THE CORPORATION, INCLUDING BUT NOT LIMITED TO THE CORPORATION'S CEO. THE TERM DISQUALIFIED PERSONS INCLUDES (BUT IS NOT LIMITED TO) ANY PERSON (OR THE PERSON'S FAMILY MEMBER) WHO WAS, AT ANY TIME DURING THE 5-YEAR PERIOD ENDING ON THE DATE OF THE TRANSACTION, IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. IT SHALL BE THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE TO INSURE THAT THE SYSTEM DOES NOT PAY AN AMOUNT THAT EXCEEDS REASONABLE COMPENSATION FOR ANY DISQUALIFIED PERSON. THE COMPENSATION COMMITTEE AND ITS OPERATING PROCEDURES SHALL BE DESIGNED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS OF COMPENSATION OUTLINED IN TREASURY REG. SEC. 53.4958-6 WITH RESPECT TO EACH DISQUALIFIED PERSON. IN DETERMINING REASONABLENESS OF COMPENSATION, THE COMPENSATION COMMITTEE SHALL EVALUATE APPROPRIATE INFORMATION AS TO 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, INC. DOES NOT MAKE ITS CURRENT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UNLESS INCLUDED AS PART OF A FORM THAT IS REQUIRED TO BE PUBLICLY AVAILABLE. Form 990 Part X Line 20 MARSHFIELD CLINIC, INC. IS PART OF THE MARSHFIELD CLINIC HEALTH SYSTEM OBLIGATED GROUP. SINCE THE OBLIGATED GROUP IS RESPONSIBLE FOR ALL OUTSTANDING FINANCED DEBT OBLIGATIONS, ALL BOND RELATED REPORTING IS DISCLOSED ON THE FORM 990 OF MARSHFIELD CLINIC HEALTH SYSTEM, INC. Form 990 Part XI Line 9 NET ASSET TRANSFERS WITH RELATED ORGS: $(76,458,222) EQUITY INCOME FROM DTC: $7,194,295 ----------------------------------------------------- TOTAL OTHER CHANGE IN NET ASSETS: $(69,263,927) SECURITY HEALTH PLAN OF WISCONSIN INC 1515 N ST JOSEPHS AVE MARSHFIELD WI 54449 391572880 HMO WI 501(C)(4) N/A MCHS false FLAMBEAU HOSPITAL INC 98 SHERRY AVE PARK FALLS WI 54552 390973724 HOSPITAL WI 501(C)(3) 3 NA false LAKEVIEW MEDICAL CENTER INC 1700 W STOUT ST RICE LAKE WI 54868 390837206 HOSPITAL WI 501(C)(3) 3 MCHS false MARSHFIELD CLINIC HERITAGE FNDTN INC 1000 N OAK AVE MARSHFIELD WI 54449 391865942 HONOR INDVDLS WI 501(C)(3) 12-TYPE I NA false MARSHFIELD CLINIC HEALTH SYSTEM INC 1000 N OAK AVE MARSHFIELD WI 54449 461495343 SUPPORT ORG WI 501(C)(3) 12-TYPE III NA false 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 461495343 COM HLTH CTR WI 501(C)(3) 7 NA false MCHS HOSPITALS INC 1000 N OAK AVE MARSHFIELD WI 54449 810977948 HOSPITAL WI 501(C)(3) 3 MCHS false MCHS FOUNDATION INC 1000 N OAK AVE MARSHFIELD WI 54449 812822823 PHILANTHROPY WI 501(C)(3) 7 MCHS false THE DIAGNOSTIC & TREATMENT CENTER LLC 3401 CRANBERRY BLVD WESTON WI 54476 200691634 MEDICAL SVCS WI NA RELATED 8638025 9014501 false false 0.50000 true true true true false false false false false true true true false false false true true true true Security Health Plan of Wisconsin Inc l 457671 Cost Form 990 Sch R Part I MARSHFIELD CLINIC HEALTH SYSTEM, INC. (A 501(C)3 ORGANIZATION) IS THE PARENT ORGANIZATION OF MARSHFIELD CLINIC, INC. THE FOLLOWING COMPANIES ARE RELATED TO MARSHFIELD CLINIC, INC. THROUGH BROTHER/SISTER RELATIONSHIPS DUE TO A COMMON PARENT ORGANIZATION: LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE SECURITY HEALTH PLAN OF WISCONSIN, INC. FLAMBEAU HOSPITAL, INC. MCHS HOSPITALS, INC. MARSHFIELD CLINIC HEALTH SYSTEM FOUNDATION, INC.