LAKEVIEW MEDICAL CENTER INC OF RICE LAKE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: LAKEVIEW MEDICAL CENTER INC OF RICE LAKE (EIN 39-0837206)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-11
IRS object ID: 201702239349301870
Schema version: 2015v3.0
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 H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-11T15:02:57-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390837206	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% LISA FENHAUS-JOHNSON	InCareOfNm
Business Name Control	LAKE	BusinessNameControlTxt
Phone	7152341515	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRADLEY D GROSETH	PersonNm
Person Title	CAO	PersonTitleTxt
Phone	7152341515	PhoneNum
Signature	2017-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MONROE J GIERL	PreparerPersonNm
PTIN	P01413237	PTIN
Phone	6123055000	PhoneNum
Preparation	2017-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	LAKEVIEW MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	BRADLEY D GROSETH CAO	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$88,388,965	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LAKEVIEWMEDICAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	484	TotalEmployeeCnt
Total Volunteers	161	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$114,560	PYContributionsGrantsAmt
CY Contributions Grants	$55,515	CYContributionsGrantsAmt
PY Program Service Revenue	$86,318,842	PYProgramServiceRevenueAmt
CY Program Service Revenue	$87,571,182	CYProgramServiceRevenueAmt
PY Investment Income	$159,976	PYInvestmentIncomeAmt
CY Investment Income	$206,725	CYInvestmentIncomeAmt
PY Other Revenue	$361,019	PYOtherRevenueAmt
CY Other Revenue	$367,073	CYOtherRevenueAmt
PY Total Revenue	$86,954,397	PYTotalRevenueAmt
CY Total Revenue	$88,200,495	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$523,954	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$31,494,389	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$69,097,415	PYOtherExpensesAmt
CY Other Expenses	$37,101,474	CYOtherExpensesAmt
PY Total Expenses	$69,621,369	PYTotalExpensesAmt
CY Total Expenses	$68,595,863	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,333,028	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$19,604,632	CYRevenuesLessExpensesAmt
Total Assets BOY	$123,504,147	TotalAssetsBOYAmt
Total Assets EOY	$104,801,737	TotalAssetsEOYAmt
Total Liabilities BOY	$52,905,984	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$51,744,442	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$70,598,163	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$53,057,295	NetAssetsOrFundBalancesEOYAmt
Mission	WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$58,932,973	ExpenseAmt
Revenue	$87,492,492	RevenueAmt
Desc	LAKEVIEW MEDICAL CENTER PROVIDES MEDICAL, SURGICAL, EMERGENCY, OUTPATIENT, DIALYSIS, AMBULANCE, ONCOLOGY, HOSPICE, AND HOME HEALTH SERVICES.	Desc
Total Program Service Expenses	$58,932,973	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	32	IRPDocumentCnt
IRP Document W2 G	9	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	484	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LISA FENHAUS-JOHNSON	PersonNm
Phone	7153875511	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Mark Nymo MD
Board Member	1.0	5.0	Yes (X)	$0	$59,658	$7,323
Peter Neal MD
Board Member	1.0	40.0	Yes (X)	$0	$392,078	$48,731
William Barkley MD
Board Member	1.0	40.0	Yes (X)	$0	$349,066	$56,688
Scott Polenz
Board Member	1.0	40.0	Yes (X)	$0	$226,841	$52,127
Sue Tindell
Board Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Carol Hakala
Board - Vice Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Brittany Nielsen
Board Secretary	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Craig Fowler
Board Member	1.0	0.0	Yes (X)	$0	$0	$0
Dan Ringwelski
Board Member	1.0	0.0	Yes (X)	$0	$0	$0
Ned Wolf
CEO, LMC	40.0	0.0		$292,091	$0	$56,294	Yes (X)
Jackie Klein
CFO, LMC	40.0	0.0		$180,265	$0	$50,322	Yes (X)
Teri Wilczek
CHIEF PHILAN OFFICER, MCHS	1.0	44.0		$0	$207,692	$51,593		Yes (X)
Narayana Murali MD
CHIEF STRATEGY OFFICER, MCHS	1.0	45.0		$0	$558,189	$59,685		Yes (X)
Patti Haney
CHIEF HR OFFICER, MCHS	1.0	44.0		$0	$239,839	$54,661		Yes (X)
Julie Brussow
HEALTH PLAN CEO, MCHS	1.0	44.0		$0	$404,938	$45,520		Yes (X)
Jerard Jensen
GENERAL COUNSEL, MCHS	1.0	44.0		$0	$353,735	$18,234		Yes (X)
Gordon Edwards
CFO, MCHS	1.0	44.0		$0	$128,695	$8,174		Yes (X)
Daniel Ramsey
COO of MCHS & MC	1.0	44.0		$0	$664,272	$26,151		Yes (X)
Susan Turney MD
CEO, MCHS	1.0	45.0		$0	$1,091,170	$199,830		Yes (X)
Cindy Arts-Strenke
COO, LMC	40.0	0.0		$199,359	$0	$47,682		Yes (X)
Tyler Geerdes
Pharmacist	40.0	0.0		$115,508	$0	$35,480			Yes (X)
Anna Rogalla
Pharmacist	40.0	0.0		$121,764	$0	$43,156			Yes (X)
Sherry Johnson
Nurse Manager - Hospital	40.0	0.0		$122,458	$0	$15,944			Yes (X)
Roberta Freitag
Pharmacist	40.0	0.0		$125,193	$0	$38,739			Yes (X)
Kate Hillyer
Manager - Pharmacy Services	40.0	0.0		$133,911	$0	$40,289			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,290,549	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,676,173	TotReportableCompRltdOrgAmt
Total Other Compensation	$956,623	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	17	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MCIS INC
1701 N FIG AVE	MARSHFIELD	WI	54449	COMPUTER CONSULTING	$2,027,868
CERNER CORPORATION
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	COMPUTER CONSULTING	$1,909,611
Medical Staffing Solutions Inc
PO Box 101	RICE LAKE	WI	54868	Contract Med. Staff	$375,363
Aramark Corporation
27310 Network Place	CHICAGO	IL	606731273	Management Services	$365,811
Sightpath Medical LLC
PO Box 204253	DALLAS	TX	753204253	Medical Services	$356,872

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$4,706	FederatedCampaignsAmt
Fundraising	$14,556	FundraisingAmt
Related Organizations	$5,500	RelatedOrganizationsAmt
Government Grants	$4,500	GovernmentGrantsAmt
All Other Contributions	$26,253	AllOtherContributionsAmt
Total Contributions	$55,515	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	624100	$85,726,854	$85,726,854
LEASING REVENUE	624100	$1,536,990	$1,536,990
LIFELINE PROGRAM	624100	$137,563	$137,563
OCCUPATIONAL/INDUSTRIAL HEALTH	624100	$28,793	$28,793
ALL OTHER PROGRAM SERVICE REVENUE	624100	$140,982	$62,292	$78,690

Field	Value	IRS element (for citing)
Total Program Service Revenue	$87,571,182	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$230,460	TotalRevenueColumnAmt
Exclusion	$230,460	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$131,679	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$131,679	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$13,201	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$36,936	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$23,735	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$23,735	TotalRevenueColumnAmt
Exclusion	-$23,735	ExclusionAmt

Field	Value	IRS element (for citing)
Contri Rpt Fundraising Event	$14,556	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$19,184	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$19,184	TotalRevenueColumnAmt
Exclusion	-$19,184	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$10,354	GamingGrossIncomeAmt
Gaming Direct Expenses	$671	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,683	TotalRevenueColumnAmt
Exclusion	$9,683	ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Cafeteria Revenue	Desc
Business	624100	BusinessCd
Total Revenue Column	$376,574	TotalRevenueColumnAmt
Exclusion	$376,574	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$376,574	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$88,200,495	TotalRevenueColumnAmt
Related Or Exempt Func Income	$87,492,492	RelatedOrExemptFuncIncomeAmt
Exclusion	$652,488	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$861,785	TotalAmt
Management And General	$861,785	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$22,754,270	TotalAmt
Program Services	$20,373,693	ProgramServicesAmt
Management And General	$2,380,577	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,165,094	TotalAmt
Program Services	$1,912,046	ProgramServicesAmt
Management And General	$253,048	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,072,515	TotalAmt
Program Services	$3,158,768	ProgramServicesAmt
Management And General	$913,747	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,640,725	TotalAmt
Program Services	$1,466,228	ProgramServicesAmt
Management And General	$174,497	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$339,297	TotalAmt
Program Services	$339,297	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$186,613	TotalAmt
Management And General	$186,613	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$81,620	TotalAmt
Management And General	$81,620	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,018,033	TotalAmt
Program Services	$2,882,576	ProgramServicesAmt
Management And General	$1,135,457	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$357,422	TotalAmt
Management And General	$357,422	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,091,942	TotalAmt
Program Services	$784,478	ProgramServicesAmt
Management And General	$307,464	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,164,172	TotalAmt
Program Services	$3,134,974	ProgramServicesAmt
Management And General	$1,029,198	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,542,717	TotalAmt
Program Services	$2,186,737	ProgramServicesAmt
Management And General	$355,980	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$167,604	TotalAmt
Program Services	$167,604	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$151,556	TotalAmt
Program Services	$62,771	ProgramServicesAmt
Management And General	$88,785	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,316,040	TotalAmt
Program Services	$658,020	ProgramServicesAmt
Management And General	$658,020	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,605,439	TotalAmt
Program Services	$3,834,045	ProgramServicesAmt
Management And General	$771,394	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$142,944	TotalAmt
Program Services	$131,858	ProgramServicesAmt
Management And General	$11,086	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
FOOD AND PROVISIONS	$512,433	$512,433
DUES AND SUBSCRIPTIONS	$187,128	$90,931	$96,197
MEDICAL SUPPLIES	$16,321,848	$16,321,848
EQUIPMENT REPAIRS	$914,666	$914,666

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$68,595,863	TotalAmt
Program Services	$58,932,973	ProgramServicesAmt
Management And General	$9,662,890	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,310	BOYAmt
EOY	$2,510	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$33,814,788	BOYAmt
EOY	$15,606,560	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,164,228	BOYAmt
EOY	$14,728,774	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,054,158	BOYAmt
EOY	$1,143,262	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$237,048	BOYAmt
EOY	$324,600	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$114,514,128	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$44,981,271	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$71,599,182	BOYAmt
EOY	$69,532,857	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$13,066	BOYAmt
EOY	$14,432	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,619,367	BOYAmt
EOY	$3,448,742	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$123,504,147	BOYAmt
EOY	$104,801,737	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,352,144	BOYAmt
EOY	$3,374,616	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$49,035,837	BOYAmt
EOY	$47,821,290	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$518,003	BOYAmt
EOY	$548,536	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$52,905,984	BOYAmt
EOY	$51,744,442	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$70,598,163	BOYAmt
EOY	$53,057,295	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$70,598,163	BOYAmt
EOY	$53,057,295	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$123,504,147	BOYAmt
EOY	$104,801,737	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$19,604,632	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$37,145,500	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,205	OtherActivitiesAmt
Total Lobbying Expenditures	$3,205	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B Line 1i	FormAndLineReferenceDesc
Explanation	A percentage of the hospital association dues paid by Lakeview Medical Center are considered payment in support of lobbying efforts. Amounts reported on Schedule C represent the portion attributable to hospital association lobbying efforts.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$5,255,530	OtherCostOrOtherBasisAmt
Book Value	$5,255,530	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$70,793,587	OtherCostOrOtherBasisAmt
Depreciation	$18,078,469	DepreciationAmt
Book Value	$52,715,118	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$35,093,081	OtherCostOrOtherBasisAmt
Depreciation	$25,510,079	DepreciationAmt
Book Value	$9,583,002	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$3,371,930	OtherCostOrOtherBasisAmt
Depreciation	$1,392,723	DepreciationAmt
Book Value	$1,979,207	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$69,532,857	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DEFERRED COMPENSATION	Desc
Amt	$548,536	Amt

Field	Value	IRS element (for citing)
Total Liability	$548,536	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X Line 2d	FormAndLineReferenceDesc
Explanation	LAKEVIEW MEDICAL CENTER INC. OF RICE LAKE IS A NOT-FOR-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THIS ORGANIZATION IS, HOWEVER, SUBJECT TO FEDERAL AND STATE INCOME TAXES ON ANY NET UNRELATED BUSINESS INCOME UNDER THE PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES (ASC 740), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A MORE-LIKELY THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC 740, TAX POSITIONS WILL BE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND WILL PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. BASED ON AN ANALYSIS BY THE CENTER, IT WAS DETERMINED THAT THE APPLICATION OF ASC 740 HAD NO MATERIAL EFFECT ON THE CENTER AT SEPTEMBER 30, 2016 OR 2015.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$317,188	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$317,188	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,615,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,404,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,211,345	NetCommunityBenefitExpnsAmt
Total Expense	0.03260	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,932,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,404,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,528,533	NetCommunityBenefitExpnsAmt
Total Expense	0.03730	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$299,846	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$288,935	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,546	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,546	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,974,714	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,754,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,220,714	NetCommunityBenefitExpnsAmt
Total Expense	0.01800	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,721	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,721	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,346,827	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,764,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,581,916	NetCommunityBenefitExpnsAmt
Total Expense	0.02330	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,279,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,168,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,110,449	NetCommunityBenefitExpnsAmt
Total Expense	0.06060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$815,000	BadDebtExpenseAmt
Bad Debt Expense Attributable	$268,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$17,568,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$19,602,000	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,034,000	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	GENERAL MED & SURGICAL along with ER-24 HOURS	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.LAKEVIEWMEDICAL.COM	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.LAKEVIEWMEDICAL.COM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.LAKEVIEWMEDICAL.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://marshfieldclinic.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE ABOVE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V Line 5	Lakeview Medical Center Inc. of Rice Lake completed its second CHNA in partnership with the Barron County Health Department, the Wisconsin Department of Health, and the other healthcare systems in the community. In addition to analyzing demographic information, the group collected secondary data through both an online and paper survey concerning disease, death, disability, injury, and community opinions. The survey was translated to Somalian and Spanish to include feedback from underserved populations in the county.
Part V Line 6a	The second CHNA was conducted in partnership with two other hospital facilities, Mayo Clinic Health Systems and the Cumberland Clinic and Hospital.
Part V Line 6b	In addition to the two other hospital facilities, the second CHNA was conducted in partnership with the Barron County Health Department and the Wisconsin Department of Health.
Part V Line 11	Upon completion of the CHNA, LMC developed a Hospital Implementation Strategy (HIS) to impact the priorities that were identified. The identified priorities were alcohol and other drug abuse, chronic disease management, and mental health issues. THIS includes goals, objectives, and action plans for the priorities of chronic disease prevention, alcohol and other drug abuse, and mental health issues. As part of LMC's HIS related to chronic disease, LMC offered a free screening for community members to help identify those at risk of diabetes and to educate them on what their screening numbers meant to their health. The National Diabetes Prevention Program was offered to those community members found to be at risk for diabetes. Included in LMC's HIS related to Mental Health, magnets and fliers with the Mental Health Crisis Line information have been developed and provided to schools, nonprofit organizations, law enforcement and various business and industrial worksites The main focus of the Alcohol and Drug Abuse HIS was working with the sheriffs department on the utilization of the driving simulator. It has been used at events such as the Farmer's Market, 50 Plus and the Barron County Fair. The simulator was used in all drivers education classes across Barron County touching almost every young adult in the County that has gotten their driver's license in the last year by letting them experience what it's like to drive under the influence and receive a DWI. The simulator has also served over 1000 adults in 2015/2016. Companies such as Push, Mosiac,3M and Monarch Paving have had their employees use it.
Part V Line 22d	In determining the maximum amount that may be charged to a fap-eligible person, Lakeview Medical Center used the look-back method, including both Medicare fee for services and all private health insurers in determining the gross charges percentage.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I Line 3c	LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE USES THE FEDERAL POVERTY GUIDELINES AT 200% TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE AS STATED IN LINE 3A. DISCOUNTED CARE IS AVAILABLE TO PATIENTS WITH INCOMES BETWEEN 201% AND 400% OF THE FEDERAL POVERTY GUIDELINES. WE ALSO OFFER AN INTEREST FREE PAYMENT PLAN, WITH THE APPROVAL OF THE CREDIT SUPERVISOR, BASED ON THE PATIENT'S CIRCUMSTANCES AND ABILITY TO PAY. THE GUIDELINES FOR THE PAYMENT PLAN INCLUDE: MAXIMUM OF 60 MONTHS, LEVEL PAYMENTS OR A FRONT-END-LOADED ARRANGEMENT (I.E., LOWER INITIAL PAYMENTS WITH A BALLOON PAYMENT IS NOT ACCEPTABLE) AND A MINIMUM OF $25 PER MONTH.
Part I Line 7	The Costing METHOD USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON LMC'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990.
Part I, Line 7(g)	SUBSIDIZED HEALTH SERVICES CONSIST OF AMBULANCE SERVICES, HOME CARE AND HOSPICE SERVICES, AND DIALYSIS SERVICES PROVIDED BY LAKEVIEW MEDICAL CENTER. THESE ARE CLINICAL SERVICES MEETING CRITICAL NEEDS IN OUR RURAL AND AGING COMMUNITY.
Part III Line 2	Bad DEBT EXPENSES REPORTED ARE SHOWN AT COST AND CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY. ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE.
Part III Line 3	The MAJORITY OF BAD DEBT IS INCURRED ON LOW INCOME PATIENTS. ALTHOUGH LMC COMMUNICATES AND ENCOURAGES THESE PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE, MANY DO NOT COMPLETE THE PROCESS. WITHOUT A COMPLETED APPLICATION, THEY ARE TRANSFERRED TO COLLECTION SERVICES AND TREATED AS BAD DEBT EXPENSE. LMC'S TRACKING OF THE FINANCIAL ASSISTANCE SCREENINGS WITH PATIENTS AND THE RELATED NUMBER OF APPLICATIONS NOT COMPLETED WAS USED TO ESTIMATE THE BAD DEBT EXPENSE ATTRIBUTABLE TO THESE PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE WITH COMPLETED APPLICATIONS.
Part III Line 4	Management PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON AN ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE ORGANIZATION HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER LAKEVIEW'S CHARITY CARE POLICY EVEN THOUGH LAKEVIEW PROVIDES THIS INFORMATION TO THEM AND ASSISTANCE WITH THE APPLICATION. WITHOUT A COMPLETED APPLICATION THEY ARE TRANSFERRED TO COLLECTION SERVICES AND TREATED AS BAD DEBT EXPENSE. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE CHARITY APPLICATION, SO THE BAD DEBT EXPENSE ASSOCIATED WITH THEM SHOULD BE ATTRIBUTABLE TO CHARITY CARE AND A COMMUNITY BENEFIT. Please REFER TO FOOTNOTE 15 ON PAGES 29 AND 30 OF THE CONSOLIDATED FINANCIAL STATEMENTS.
Part III Line 8	The TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE LAB AND THERAPY SERVICES REIMBURSED ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. THE COSTING METHOD USED FOR IRS COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2016, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.
Part III Line 9b	Under THE ORGANIZATION'S COLLECTION AND CHARITY CARE POLICIES, LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE, MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE ORGANIZATION'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. ALL INPATIENT SELF-PAY ADMISSIONS ARE SCREENED BY THE HOSPITAL'S PATIENT FINANCIAL COUNSELOR OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO GET ASSISTANCE WITH THEIR APPLICATION DURING THEIR STAY AT THE HOSPITAL. DEPENDING UPON THE PATIENT'S CONDITION, THE PATIENT OR THE PATIENT'S RESPONSIBLE PARTY MAY BE CONTACTED TO COMPLETE AND RETURN THE FORMS AT A LATER TIME WHEN THEIR CARE ALLOWS THIS COMPLETION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. THE ORGANIZATION ALSO PUBLISHES INFORMATION REGARDING ITS CHARITY CARE PROGRAM ON ITS WEBSITE. A DESCRIPTION OF THE CHARITY CARE PROGRAM IS INCLUDED IN THE WELCOME BOOKLET THAT PATIENTS RECEIVE UPON ADMISSION. A CHARITY CARE INFORMATIONAL BROCHURE IS GIVEN TO SELF-PAY PATIENTS DURING THE REGISTRATION PROCESS AND MADE AVAILABLE TO ALL PATIENTS.
Part VI Line 2	Needs Assessment: Lakeview Medical Center, Inc. (LMC) of Rice Lake completed its second community health needs assessment (CHNA) in partnership with the Barron County Health Department, and the following organizations: Wisconsin Department of Health, Marshfield Clinic, Mayo Clinic Health Systems, and Cumberland Clinic and Hospital. The committee has adopted the following name for the initiative: Thrive Barron County (Thrive BC), Growing Together in Health. Our Mission: Thrive BC will work to engage community members and organizations to focus resources and develop and strengthen partnerships to establish sustainable, safe and healthy communities. Our vision: Community members and organizations working together to improve the quality of life for everyone in Barron county. To meet our vision we will meet regularly and systematically collect, assemble, analyze and make available information related to the health of the community. The CHNA was reviewed by LMC's Board of Directors and subsequently published on LMC's public website in August of 2016. Paper copies are available to anyone requesting a printed version. Print copies were available by request via a tear-off post card located in LMC's Community Benefit Report. This report is mailed to over 40,000 households. Along with analyzing demographic information, our coalition has collected secondary data through both an online and paper surveys concerning disease, death, disability, injury, and community opinions. The survey was translated to somali and spanish to include feedback from underserved populations in the county. Also targeted for feedback in this CHNA was the inmate population in the Barron County jail. Over 900 responses out of the county population of 45,445 were completed. Along with the secondary data, the committee analyzed state and national data based on the 12 Wisconsin health priorities. This data was presented to 50 community members, leaders and experts. At a September 30, 2015 meeting attendees came together to review health priority assessment data and accomplishments. From 201 priorities selected, the top 3 health priorities for Barron County were identified as: 1. Alcohol and other drug abuse 2. Mental health issues 3. Chronic disease LMC has representatives actively working on the Thrive BC committees focused on Alcohol and Other Drug Abuse and has representatives serving on the Thrive BC steering committee. Upon completion of the CHNA, LMC completed a hospital implementation strategy (HIS) to impact the priorities identified. The LMC Rice Lake Board of Directors approved the HIS at the August 25, 2016 board meeting and continues to monitor the LMC's community health implementation plan. As part of the HIS related to chronic disease, LMC along with Thrive BC business partners offered a free health screening called Know Your Numbers. This screening enabled community members to help identify risk of diabetes and educated them in regard to what their screening results meant to their health. In 2016 LMC conducted 138 free screenings out of a total of 591 completed collectively. Of the 138 participants screened at LMC, 30% were found to be at risk for developing diabetes. Health education was then offered to participants falling in the risk category. Along with the CHNA, LMC of Rice Lake assesses the health care needs of the communities and areas it serves by reviewing local demographics and trends in patient service utilization to determine which services could and should be made available to the community in a cost-effective manner. In 2015 LMC joined with Barron County in the Barron County Community Health Needs Assessment (CHNA) to collectively identify local health concerns and address local health priorities linked to state and national priorities.
Part VI Line 3	Patient EDUCATION OF ELIGIBILITY FOR ASSISTANCE: UNINSURED AND UNDER INSURED PATIENTS ARE ASKED TO TALK WITH THE HOSPITAL'S PATIENT FINANCIAL COUNSELOR EITHER AT THE TIME SERVICE IS PROVIDED OR WHEN THE PATIENT'S BILL IS GENERATED. THE FINANCIAL COUNSELOR EXPLAINS THE VARIOUS PAYMENT OPTIONS AVAILABLE TO THE PATIENT AS WELL AS THE HOSPITAL'S CHARITY CARE PROGRAM AND OFFERS THE CHARITY CARE APPLICATION WHEN APPROPRIATE. IF OTHER PROGRAMS ARE AVAILABLE TO THE PATIENT, SUCH AS THE WISCONSIN MEDICAL ASSISTANCE OR BADGERCARE PROGRAMS, THESE PATIENTS ARE REFERRED TO THE APPROPRIATE GOVERNMENT AGENCY FOR FURTHER ASSISTANCE. POLICIES ARE ALSO AVAILABLE ON THE WEBSITES.
Part VI Line 4	Community Information: The primary service area for Lakeview Medical Center, Inc. (LMC) encompasses all persons living with a 30 to 40 mile radius of the hospital. Some of the communities included in this area are Rice Lake, Cameron, Barron, Birchwood, Ladysmith, Cumberland, Chetek, and Spooner, Wisconsin among many others. LMC provides a significant portion of its patient services to beneficiaries of the Medicare and Medical Assistance programs. Medicare and Medical Assistance patients accounted for approximately 66% of the LMC's gross patient service revenue for the year. Other Information: LMC of Rice Lake provides significant charity care and other community benefits as defined by the Internal Revenue Service. (IRS) In addition, as an organization, LMC believes that it provides a critically important benefit which is not quantified. Lakeview Medical Center, like most community hospitals, was created and is maintained in order to provide health care locally. Beyond inpatient hospitalizations, some of the major health services LMC provides are: Birthing Center, Diagnostics, Emergency Care, Hospice, Home Care, Dialysis, Infusion Services, Health and Wellness, Laboratory, Occupational Health, Rehabilitation, Sleep Center, Speech Pathology, Surgical, and Women's Health. LMC is governed by an 11 member board of directors which includes 6 community members.
Part VI Line 5	Community building activities promoting the health in the communities served: Lakeview Medical Center (LMC) partnered with Barron County Public Health, along with the county's two other healthcare systems in the Barron County Community Health Improvement Process to identify local health concerns and address local health priorities. The information gathered from this process was used to identify and prioritize community health issues and needs. LMC has focused on education efforts through health programs, and community screenings based on this information. LMC's specific efforts have provided programs to support the Barron County Community Coalition to support the priorities identified in the CHNA: alcohol and other drug abuse, chronic disease, and mental health issues. Excel With Be Well: Lakeview Medical Center is the lead organization in a worksite wellness program. The goal is to engage worksite leaders to adopt best wellness practices at their worksites. LMC coordinates meetings quarterly and provides resources and presenters based on the group's interests and needs. Meetings average an attendance of approximately 40 worksite leaders from a vast array of workforces. LMC coordinated with worksites with our weight loss programs throughout the year with over 20 worksites that participated. Sexual Assault Nurse Examiner (SANE) Program; The SANE program at LMC supports the community effort to address the crime of sexual assault by establishing a process for accurate evidence collection and by providing support for sexual assault survivors. Farmer's Market: LMC has a booth at a local farmer's market that has 200-300 attendees each week. The LMC booth offers health-related information and/or screening related to a different topic each week. LMC administered 175 free blood pressure screenings and 25 flu shots in addition to other activities over the 18 week span that the farmer's market was active. This year the focus was on living a healthy lifestyle which included healthy recipes and food samples, a driving simulator, and balance testing. Not on Tobacco (NOT) Program: Lakeview Medical Center joined the Barron County Community Coalition and led the effort to secure a grant from the Rice Lake Area Health Foundation to reduce tobacco use in the greater Rice Lake area. Through the grant, the Not On Tobacco program was implemented in Barron High School in Barron, Wisconsin and the Restorative Justice Program adopted the NOT program as a sanctioned workshop for rehabilitation. In addition, due to the high statistics of tobacco use during pregnancy, LMC has implemented the First Breath Program. Worksite Wellness Committee: A Worksite Wellness Committee was formed at LMC to share evidence- based best practices for employee health improvements with local employers. 50 Plus: 50 Plus is a free wellness event for those over 50 years old. The event offers a variety of health screenings, community resources, educational presentations and entertainment. This event is coordinated by a coalition of community agencies led by Lakeview Medical Center. Chamber Member: An LMC representative is a member of the Rice Lake Chamber of Commerce Business and Education Committee. This committee focuses on improving business opportunities and education in Rice Lake. United Way Member: An LMC representative is a member of the Rice Lake United Way Coalition serving the community by issuing community improvement grants. HANG ON CHALLENGE: ANOTHER LAKEVIEW MEDICAL CENTER INITIATIVE TO ADDRESS HEALTH RISKS RELATED TO CHRONIC DISEASE IS OUR HANG ON CHALLENGE. THIS IS A COMMUNITY CHALLENGE TO ASSIST COMMUNITY MEMBERS TO LOSE OR MAINTAIN THEIR WEIGHT DURING THE HOLIDAY SEASON. 330 PARTICIPANTS WERE ABLE TO LOSE A TOTAL OF 345 POUNDS DURING THIS 8-WEEK CHALLENGE. LMC HEALTH PROMOTION STAFF PROVIDED PARTICIPANTS WITH WEEKLY NUTRITION AND EXERCISE EDUCATION HAND-OUTS. Coalition serving the community by issuing community improvement grants: The LMC Health Promotions Department's intention is to build sustainable programs for our community that are in alignment with one of the top health concerns identified by the Community Health Improvement Plans and Process (CHIP) of Barron County: obesity, nutrition, and physical activity. The outcomes obtained will be shared with local civic groups and other community organizations to share the program's successes and Lakeview Medical Center's commitment to the health of our communities. Rice LAKE FREE CLINIC: THE HOSPITAL OFFERS FREE RADIOLOGY AND LAB SERVICES TO THE FREE CLINIC SERVING THE UNDERSERVED POPULATION IN THE AREA. HEALTH AND WELLNESS CENTER: THE HEALTH AND WELLNESS CENTER IS THE ONLY ONE IN THE AREA OFFERING COMMUNITY MEMBERS THE OPPORTUNITY TO EXERCISE WHILE BEING SUPERVISED BY MEDICALLY TRAINED STAFF. LMC financially supports the operating cost as expenses exceed the revenue. Free Blood Pressure Screening: Free blood pressure screenings are provided to community members on a monthly basis at the following locations: Rice Lake Senior Center, LMC Health and Wellness Center, and the LMC Cafe. RADIOLOGY STUDENT EDUCATION, WITC NURSING ORIENTATION and Health Information/ Medical Records education: LAKEVIEW MEDICAL CENTER IS COMMITTED TO SUPPORT THE TRAINING OF FUTURE MEDICAL PROFESSIONALS TO IMPACT PROJECTED MEDICAL STAFF SHORTFALLS. National Diabetes Prevention Program: Starting in January of 2016 LMC started offering the National Diabetes Prevention Program. This program has been approved by the Center for Disease Control (CDC) and has been proven to be successful in the prevention of diabetes. Our LMC-trained facilitators teach the skills that participants need to lose weight, be more physically active, and to manage stress. The program consists of 16 weekly sessions aimed at helping participants maintain healthy lifestyle changes. Two main goals of the program are weight loss of 7% and achievement of 150 minutes of exercise each week. From January to September of 2016, 5 groups with a total of 87 participants completed the program. Of the 87 participants, 90% stayed with the program through completion. Results indicated 7% weight loss in 85% of those that finished the program with 90% achieving 150 minutes of exercise per week.
Part VI Line 6	Affiliated Health Care System Roles: Marshfield Clinic Health System, INC. is the sole corporate member of Lakeview Medical Center (LMC). The Marshfield Clinic Health System includes Marshfield Clinic, a multi-specialty physician and healthcare organization comprised of over 50 sites, including a site in Rice Lake, Wisconsin. The integration of LMC and Marshfield Clinic has enhanced the access and quality of health care throughout Rice Lake and the surrounding communities while achieving economic efficiencies.
Part VI Line 7	All states with which the organization files a Community Benefit Report: WI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	Yes (true)	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt
Tyler Geerdes
Pharmacist	$115,412	$96	$15,022	$0	$20,955	$0	$151,485	$0	$0	$0
Anna Rogalla
Pharmacist	$120,750	$414	$17,099	$0	$26,602	$0	$165,465	$0	$0	$0	$600
Roberta Freitag
Pharmacist	$121,995	$1,015	$16,830	$0	$22,390	$0	$164,413	$0	$0	$0	$2,183
Kate Hillyer
Manager - Pharmacy Services	$130,643	$209	$18,225	$0	$22,629	$0	$174,765	$0	$0	$0	$3,059
Teri Wilczek
CHIEF PHILAN OFFICER, MCHS			$0	$30,062	$0	$22,407	$0	$260,161	$0	$0		$201,625	$4,948	$1,119
Narayana Murali MD
CHIEF STRATEGY OFFICER, MCHS			$0	$30,062	$0	$30,868	$0	$619,119	$0	$0		$528,688	$9,866	$19,635
Patti Haney
CHIEF HR OFFICER, MCHS			$0	$30,062	$0	$25,594	$0	$295,495	$0	$0		$232,209	$5,007	$2,623
Julie Brussow
HEALTH PLAN CEO, MCHS			$0	$30,062	$0	$16,692	$0	$451,692	$0	$0		$395,821	$1,523	$7,594
Jerard Jensen
GENERAL COUNSEL, MCHS			$0	$2,080	$0	$16,997	$0	$372,812	$0	$0		$349,375		$4,360
Daniel Ramsey
COO of MCHS & MC			$0	$2,080	$0	$25,215	$0	$691,567	$0	$0		$642,776		$21,496
Susan Turney MD
CEO, MCHS			$0	$181,292	$0	$19,783	$0	$1,292,245	$0	$62,794		$826,303	$170,000	$94,867
Ned Wolf
CEO, LMC	$265,304	$19,980	$30,062	$0	$27,388	$0	$349,541	$0	$0	$0	$6,807
Jackie Klein
CFO, LMC	$174,676	$1,290	$27,007	$0	$24,063	$0	$231,335	$0	$0	$0	$4,299
Cindy Arts-Strenke
COO, LMC	$194,083	$690	$29,265	$0	$19,213	$0	$247,837	$0	$0	$0	$4,586
Peter Neal MD
Board Member			$0	$29,217	$0	$20,759	$0	$442,054	$0	$0		$358,123	$9,616	$24,339
William Barkley MD
Board Member			$0	$30,062	$0	$27,871	$0	$406,999	$0	$0		$338,735	$7,520	$2,811
Scott Polenz
Board Member			$0	$30,062	$0	$22,992	$0	$279,895	$0	$0		$213,832	$5,001	$8,008

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	THE MARSHFIELD CLINIC HEALTH SYSTEMS (MCHS) INDEPENDENT COMPENSATION COMMITTEE (THE "COMMITTEE") HAS FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL "DISQUALIFIED PERSONS" EMPLOYED BY ANY OF THE ORGANIZATIONS IN THE SYSTEM. COMPENSATION TO THE ORGANIZATIONS CEO/EXECUTIVE DIRECTOR WAS PAID BY RELATED PARTY MARSHFIELD CLINIC HEALTH SYSTEM. THE COMMITTEE USES COMBINATIONS OF THE FOLLOWING TO EVALUATE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, and WRITTEN EMPLOYMENT CONTRACTS.
Part I, Line 4B	457(F) Plan SUE TURNEY, MD - $151,230
Part I, Line 5A	SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEMS INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS. Part I, Line 5B SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEMS INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS.
Part I, Line 6A	SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEMS INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS. Part I, Line 6B SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEMS INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 Part IV Line 24a	LAKEVIEW MEDICAL CENTER OF RICE LAKE, INC. (LMC) IS PART OF THE MARSHFIELD CLINIC HEALTH SYSTEM OBLIGATED GROUP. THE OBLIGATED GROUP IS RESPONSIBLE FOR OUTSTANDING FINANCED DEBT OBLIGATIONS, HOWEVER LMC HAS NOT BEEN A DIRECT RECIPIENT OF ANY PROCEEDS FROM THE BORROWINGS. ALL BOND FINANCING RELATED TO THE OBLIGATED GROUP IS DISCLOSED ON THE 990 OF MARSHFIELD CLINIC. Form 990 Part VI Line 6 Marshfield Clinic Health System, Inc. IS THE SOLE CORPORATE MEMBER OF LAKEVIEW MEDICAL CENTER.
Form 990 Part VI Line 7a	Marshfield Clinic Health System, Inc. IS THE SOLE CORPORATE MEMBER OF LAKEVIEW MEDICAL CENTER AND HAS THE AUTHORITY TO APPOINT MAJORITY OF THE CORPORATE BOARD MEMBERS AND APPROVE THE PUBLIC DIRECTORS.
Form 990 Part VI Line 7b	Marshfield Clinic Health System, Inc. IS THE SOLE CORPORATE MEMBER OF LAKEVIEW MEDICAL CENTER AND THE DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF MARSHFIELD CLINIC.
Form 990 Part VI Line 11b	The Marshfield Clinic Health System Chief Financial Officer and Marshfield Clinic Health System VP of Finance shall review the completed Form 990. After their review and prior to filing Form 990 with the IRS, the CFO or his/her designee will provide to each member of the Board of Directors a draft copy in electronic or paper form of the completed Form 990 (and all required schedules). The Systems Audit Committee (a subcommittee of the Board of Directors) reviews and approves all corporate tax returns. In addition, the FY16 form 990 was reviewed by outside tax advisor prior to filing.
Form 990 Part VI Line 12c	Excerpts from System Conflict of Interest Policy: All officers, Board directors, and key employees of every Marshfield Clinic Health System (MCHS) entity, as well as any other person designated by the Audit and Compliance Committee (ACC) to be a Required Reporter by virtue of his or her position at a System entity, shall annually complete a conflict of interest disclosure form. Such forms shall be distributed and recorded by the Systems designated Compliance Officer. All Financial Interests disclosed as part of the annual disclosure process shall be reviewed by the ACC. The ACC shall inform the Board of disclosed financial interests which may bear upon or relate to a transaction upon which the Board or another board, committee or other body of a System Entity, may deliberate or act. In addition to the annual disclosures, if at any time between annual disclosures, a Required Reporter becomes aware that the Board, or a board, committee or other body, of any System entity may deliberate or act upon any Transaction that may have any bearing of any kind upon, or may relate in any manner to, an existing, intended or expected Financial Interest of the Required Reporter, he or she shall disclose the Financial Interest to the relevant System Entity board, committee or body chair, as well as to the 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 Systems 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 ensure 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 Compensation Committee 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 document its determination reasonableness of compensation in a timely manner.
Form 990 Part VI Line 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Form 990 Part IX Line 11g	Marshfield Clinic Health System, Inc., is the parent company for both Marshfield Clinic, Inc. (MC) and Lakeview Medical Center, Inc. (LMC). Most LMC staff are employees of MC and all payroll and benefits are paid and administered by MC. These costs are reported as purchased services for purposes of part IX statement of functional expenses.
Form 990 Part XI Line 9	Lakeview Medical Center provided cash distributions to Marshfield Clinic of $37,145,500.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MARSHFIELD CLINIC
1000 NORTH OAK AVENUE	MARSHFIELD	WI	54449	390452970	MEDICAL CARE	WI	501(C)(3)	3	MCHS	false
VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL
1700 WEST STOUT STREET	RICE LAKE	WI	54868	391329084	SUPPORT ORG.	WI	501(C)(3)	11, III-O	NA	false
SECURITY HEALTH PLAN OF WISCONSIN INC
1515 NORTH SAINT JOSEPHS AVEN	MARSHFIELD	WI	54449	391572880	HMO	WI	501(C)(4)	N/A	MCHS	false
MARSHFIELD CLINIC HERITAGE FNDTN
1000 NORTH OAK AVENUE	MARSHFIELD	WI	54449	391865942	HONOR INDVDLS	WI	501(C)(3)	11-TYPE 1	NA	false
FLAMBEAU HOSPITAL INC
98 SHERRY AVENUE	PARK FALLS	WI	54552	390973724	HOSPITAL	WI	501(C)(3)	3	NA	false
MARSHFIELD CLINIC HEALTH SYSTEM INC
1000 NORTH OAK AVENUE	MARSHFIELD	WI	54449	461495343	HOSPITAL	WI	501(C)(3)	11,TYPE III	NA	false
FAMILY HEALTH CENTER OF MARSHFIELD INC
1000 NORTH OAK AVENUE	MARSHFIELD	WI	54449	391681547	COM HLTH CTR	WI	501(C)(3)	7	NA	false
MCHS HOSPITALS INC
1000 NORTH OAK AVENUE	MARSHFIELD	WI	54449	810977948	HOSPITAL	WI	501(C)(3)	3	MCHS	false
MCHS FOUNDATION INC
1000 NORTH OAK AVENUE	MARSHFIELD	WI	54449	812822823	PHILANTHROPY	WI	501(C)(3)	3	MCHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1701 NORTH FIG AVE	AddressLine1Txt
City	MARSHFIELD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54449	ZIPCd

Field	Value	IRS element (for citing)
EIN	472138889	EIN
Primary Activities	IT SERVICES	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corp	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Controlled Organization	false	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SECURITY HEALTH PLAN OF WISCONSIN INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	M	TransactionTypeTxt
Involved	$19,864,514	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I	FormAndLineReferenceDesc
Explanation	Note 1: Marshfield Clinic Health System, Inc. (a 501(c)(3) organization), is the parent organization of Lakeview Medical Center, Inc. Note 2: The following companies are related to Lakeview Medical Center, Inc. through brother/sister relationships (all with parent company being Marshfield Clinic Health System, Inc.): Marshfield Clinic, Inc. Security Health Plan of Wisconsin, Inc. Flambeau Hospital, Inc. (see note 5 below) MCIS, Inc. MCHS Hospitals, Inc. Marshfield Clinic Health System Foundation, Inc. Note 3: The following companies are subsidiaries of Marshfield Clinic, Inc., a related 501(c)(3) organization: Marshfield Food Safety, LLC (see note 7 below) Marshfield Clinic Heritage Foundation, Inc. Family Health Center of Marshfield, Inc. (See note 8 below) Diagnostic & Treatment Center, LLC (see note 4 below) Note 4: Marshfield Clinic, Inc. owns a 50% interest in the Diagnostic & Treatment Center, LLC. Those results are reported on the books and records of Marshfield Clinic, Inc. Note 5: Marshfield Clinic Health System, Inc. owns a 50% interest in Flambeau Hospital, inc. Those results are reported on the books and records of Marshfield Clinic Health System, Inc. Note 6: Volunteer Partners of Lakeview Medical Center, Inc., is a supporting organization of Lakeview Medical Center, Inc. Note 7: Marshfield Food Safety, Inc. is a 100% owned subsidiary of Marshfield Clinic, Inc. and is treated as a disregarded entity of Marshfield Clinic, Inc. for tax purposes. Note 8: Marshfield Clinic, Inc. is the sole corporate (non-voting) member of Family Health Center of Marshfield, Inc. Marshfield Clinic, Inc. does not have the authority to appoint board members and therefore is not considered to have control (as defined for 990 reporting purposes) over Family Health Center of Marshfield, Inc. Note 9: Security Administrative Services, LLC is a 100% owned subsidiary of Security Health Plan of Wisconsin, Inc. and is treated as a disregarded entity of Security Health Plan of Wisconsin, Inc. for tax purposes.	ExplanationTxt