MARSHFIELD CLINIC INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MARSHFIELD CLINIC INC (EIN 39-0452970)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-11
IRS object ID: 201712239349301631
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 F
Schedule G
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
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	390452970	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Marshfield Clinic Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% LISA FENHAUS-JOHNSON	InCareOfNm
Business Name Control	MARS	BusinessNameControlTxt
Phone	7153875511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 NORTH OAK AVENUE	AddressLine1Txt
City	MARSHFIELD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54449	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	NARAYANA MURALI MD	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	7153875511	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	MARSHFIELD CLINIC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	IVAN SHALLER MD BOARD CHAIR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 NORTH OAK AVENUE	AddressLine1Txt
City	MARSHFIELD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54449	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,347,150,894	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MARSHFIELDCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1916	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, AND COMPASSIONATE HEALTH CARE	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	7294	TotalEmployeeCnt
Total Volunteers	400	TotalVolunteersCnt
Total Gross UBI	$19,277,665	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$494,618	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$16,901,635	PYContributionsGrantsAmt
CY Contributions Grants	$16,964,727	CYContributionsGrantsAmt
PY Program Service Revenue	$1,177,935,002	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,222,504,294	CYProgramServiceRevenueAmt
PY Investment Income	$16,862,103	PYInvestmentIncomeAmt
CY Investment Income	$14,837,953	CYInvestmentIncomeAmt
PY Other Revenue	-$579,551	PYOtherRevenueAmt
CY Other Revenue	-$1,056,695	CYOtherRevenueAmt
PY Total Revenue	$1,211,119,189	PYTotalRevenueAmt
CY Total Revenue	$1,253,250,279	CYTotalRevenueAmt
PY Grants And Similar Paid	$19,641,034	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$19,332,138	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$740,760,146	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$762,277,650	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,075,733	CYTotalFundraisingExpenseAmt
PY Other Expenses	$426,361,939	PYOtherExpensesAmt
CY Other Expenses	$441,863,724	CYOtherExpensesAmt
PY Total Expenses	$1,186,763,119	PYTotalExpensesAmt
CY Total Expenses	$1,223,473,512	CYTotalExpensesAmt
PY Revenues Less Expenses	$24,356,070	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,776,767	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,036,704,692	TotalAssetsBOYAmt
Total Assets EOY	$1,098,554,278	TotalAssetsEOYAmt
Total Liabilities BOY	$497,556,983	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$483,904,726	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$539,147,709	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$614,649,552	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, AND COMPASSIONATE HEALTH CARE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$892,790,371	ExpenseAmt
Grant	$19,332,138	GrantAmt
Revenue	$1,059,968,536	RevenueAmt
Desc	PATIENT MEDICAL CARE SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$50,484,965	ExpenseAmt
Revenue	$20,578,708	RevenueAmt
Desc	MEDICAL RESEARCH AND EDUCATION SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$67,234,229	ExpenseAmt
Revenue	$96,473,584	RevenueAmt
Desc	LABORATORY MEDICINE SEE SCHEDULE O	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$26,016,675	ExpenseAmt
Revenue	$26,698,210	RevenueAmt
Desc	Food Safety	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$26,016,675	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$26,698,210	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,036,526,240	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	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	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	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (true)	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	633	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7294	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CA	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	0	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
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

Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ivan Schaller MD
Board Chair	43.0	4.0	Yes (X)	Yes (X)	$284,831	$0	$53,708
John Przyblinski MD
Vice Chair	43.0	3.0	Yes (X)	Yes (X)	$219,364	$0	$52,126
Matthew Thomas MD
Treasurer	43.0	5.0	Yes (X)	Yes (X)	$548,302	$0	$45,792
Thomas Leifheit MD
Secretary	43.0	3.0	Yes (X)	Yes (X)	$573,217	$0	$53,186
Timothy Wengert MD
Director	42.0	2.0	Yes (X)		$372,970	$0	$49,576
Ruwan Dissanayake MD
Director	42.0	3.0	Yes (X)		$460,160	$0	$48,961
Alpa Shah MD
Director	42.0	2.0	Yes (X)		$180,840	$0	$25,001
William Melms MD
Director	42.0	2.0	Yes (X)		$249,294	$0	$50,469
Jeffrey Lamont MD
Director	42.0	2.0	Yes (X)		$206,592	$0	$47,226
Peter Cochrane MD
Director	42.0	2.0	Yes (X)		$345,050	$0	$48,700
Kent Ray
Director	42.0	2.0	Yes (X)		$295,933	$0	$62,119
Nandita Bhattacharjee MD
Corporate Secretary	42.0	2.0	Yes (X)	Yes (X)	$463,912	$0	$58,487
Brad Bekkum MD
Director	42.0	2.0	Yes (X)		$410,201	$0	$54,294
Caesar Gonzaga MD
Director	42.0	2.0	Yes (X)		$298,821	$0	$49,750
Susan Turney MD
CEO, MCHS	1.0	45.0			$0	$1,091,170	$199,830	Yes (X)
Daniel Ramsey
COO MCHS	1.0	44.0			$0	$664,272	$26,151	Yes (X)
Gordon Edwards
CFO MCHS	1.0	44.0			$0	$128,695	$8,174	Yes (X)
Jerard Jensen
GENERAL COUNSEL, MCHS	1.0	44.0			$0	$353,735	$18,234	Yes (X)
Julie Brussow
HEALTH PLAN CEO, MCHS	1.0	44.0			$0	$404,938	$48,520	Yes (X)
Patti Haney
CHIEF HR OFFICER, MCHS	1.0	43.0			$0	$239,839	$54,661	Yes (X)
Narayana Murali MD
CHIEF STRATEGY OFFICER, MCHS	1.0	45.0			$0	$558,189	$59,685	Yes (X)
Teri Wilczek
CHIEF PHILAN OFFICER, MCHS	1.0	44.0			$0	$207,692	$51,593	Yes (X)
William Barkley MD
Chief Medical Officer	40.0	0.0			$349,066	$0	$56,688	Yes (X)
Jim Coleman
COO MC	40.0	0.0			$497,044	$0	$49,576	Yes (X)
Alan Marshall
CFO MC - Term Ended 1/15/16	40.0	0.0			$372,102	$0	$49,216	Yes (X)
Donna Andrew
Corporate Compliance Officer	40.0	0.0			$192,130	$0	$43,896	Yes (X)
Roderick Koehler MD
Salary Committee Chair	40.0	1.0			$327,703	$0	$49,576	Yes (X)
Charles Strachan MD
Retirement Plan Chair	40.0	0.0			$353,551	$0	$53,186	Yes (X)
Mark Lepage MD
Treasurer	0.0	40.0			$398,154	$0	$52,524	Yes (X)
Vivekananda Gonugunta MD
Neurosurgeon - Spine	40.0	0.0			$1,230,446	$0	$30,062		Yes (X)
Scott Paulman MD
Retinal Surgeon	40.0	0.0			$1,153,083	$0	$31,371		Yes (X)
Adedayo Onitilo MD
Hematology/Oncology	40.0	0.0			$1,071,745	$0	$49,576		Yes (X)
David Junker MD
Operative-Pain	40.0	0.0			$990,014	$0	$59,669		Yes (X)
David Simenstad MD
Orthopedics	40.0	0.0			$950,169	$0	$57,844		Yes (X)
Brian Ewert MD
Former President	40.0	0.0			$220,409	$0	$53,458			Yes (X)
Dan Erickson MD
Former Vice President	40.0	0.0			$252,099	$0	$44,271			Yes (X)
Doug Reding MD
Former Vice President	40.0	0.0			$437,940	$0	$46,475			Yes (X)
Rod Sorensen MD
Former Salary Committee Chair	40.0	0.0			$306,559	$0	$53,186			Yes (X)
John Cook
Former CFO	0.0	40.0			$0	$201,496	$8,825			Yes (X)
David Keefe
Director of Human Resources	40.0	0.0			$192,546	$0	$24,308			Yes (X)
Tim Swan MD
Former Key Employee	40.0	0.0			$180,238	$0	$34,799			Yes (X)
Eric Penniman MD
Former Key Employee	40.0	0.0			$308,133	$0	$53,644			Yes (X)
Greg Burnett MD
Former Key Employee	40.0	0.0			$310,050	$0	$48,500			Yes (X)
Juan Mesa MD
Former Key Employee	40.0	0.0			$664,266	$0	$58,119			Yes (X)
John Warner MD
Former Key Employee	40.0	0.0			$540,428	$0	$49,344			Yes (X)
Gene Shaw MD
Former Key Employee	40.0	0.0			$369,818	$0	$49,593			Yes (X)
Garry Shulman MD
Former Key Employee	40.0	0.0			$774,744	$0	$57,135			Yes (X)
Greg Tyler MD
Former Key Employee	40.0	0.0			$480,876	$0	$51,576			Yes (X)
Laura Nelson MD
Former Key Employee	40.0	0.0			$270,576	$0	$44,164			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,103,376	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,850,026	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,426,824	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1021	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
KPMG LLP
PO Box 120970	Dallas	TX	753120970	Professional SVCS.	$1,297,726
Advantage Purchasing
PO Box 509	Neenah	WI	549570509	Remodeling	$729,907
Medical Doctor Assoc LLC
PO Box 277185	Atlanta	GA	303847185	Locum	$597,239
Architectural Design Group LLC
Building D04 Ste 202	Eau Claire	WI	547033521	Architect	$432,668
PM Holding Group LLP
16060 Collections Center DR	CHICAGO	IL	60693	Professional SVCS.	$310,689

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Fundraising	$599,280	FundraisingAmt
Government Grants	$12,645,244	GovernmentGrantsAmt
All Other Contributions	$3,720,203	AllOtherContributionsAmt
Noncash Contributions	$429,033	NoncashContributionsAmt
Total Contributions	$16,964,727	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Medical Care	621500	$1,059,968,536	$1,059,968,536
Laboratory Medicine	621500	$115,258,840	$96,473,584	$18,785,256
Medical Research and Education	621500	$20,578,708	$20,578,708
Food Safety	621500	$26,698,210	$26,698,210

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,222,504,294	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,860,487	TotalRevenueColumnAmt
Unrelated Business Revenue	$492,409	UnrelatedBusinessRevenueAmt
Exclusion	$10,368,078	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$484,878	TotalRevenueColumnAmt
Exclusion	$484,878	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$416,702	TotalRevenueColumnAmt
Exclusion	$416,702	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$472,564	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$257,585	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$214,979	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$214,979	TotalRevenueColumnAmt
Exclusion	$214,979	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$39,589,097	SecuritiesAmt
Other	$81,726	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$36,087,181	SecuritiesAmt
Other	$91,054	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,501,916	SecuritiesAmt
Other	-$9,328	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,492,588	TotalRevenueColumnAmt
Exclusion	$3,492,588	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$300,579	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$599,280	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$283,759	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,820	TotalRevenueColumnAmt
Exclusion	$16,820	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$76,685	GamingGrossIncomeAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$76,685	TotalRevenueColumnAmt
Exclusion	$76,685	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$54,895,074	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$57,181,036	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,285,962	TotalRevenueColumnAmt
Exclusion	-$2,285,962	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Cafeteria Sales	Desc
Business	900099	BusinessCd
Total Revenue Column	$504,081	TotalRevenueColumnAmt
Exclusion	$504,081	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$504,081	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,253,250,279	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,203,719,038	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$19,277,665	UnrelatedBusinessRevenueAmt
Exclusion	$13,288,849	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$19,332,138	TotalAmt
Program Services	$19,332,138	ProgramServicesAmt

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	$8,916,238	TotalAmt
Program Services	$4,972,417	ProgramServicesAmt
Management And General	$3,943,821	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	$593,264,965	TotalAmt
Program Services	$507,179,984	ProgramServicesAmt
Management And General	$84,945,981	ManagementAndGeneralAmt
Fundraising	$1,139,000	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$53,305,465	TotalAmt
Program Services	$44,911,806	ProgramServicesAmt
Management And General	$8,276,336	ManagementAndGeneralAmt
Fundraising	$117,323	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$73,285,776	TotalAmt
Program Services	$58,424,833	ProgramServicesAmt
Management And General	$14,726,410	ManagementAndGeneralAmt
Fundraising	$134,533	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$33,505,206	TotalAmt
Program Services	$27,714,672	ProgramServicesAmt
Management And General	$5,710,152	ManagementAndGeneralAmt
Fundraising	$80,382	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,571,661	TotalAmt
Program Services	$2,243	ProgramServicesAmt
Management And General	$1,569,418	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$182,459	TotalAmt
Management And General	$182,459	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$90,693	TotalAmt
Management And General	$90,693	ManagementAndGeneralAmt

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	$607,375	TotalAmt
Management And General	$607,375	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$48,477,013	TotalAmt
Program Services	$35,056,917	ProgramServicesAmt
Management And General	$13,185,462	ManagementAndGeneralAmt
Fundraising	$234,634	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,531,660	TotalAmt
Program Services	$22,634	ProgramServicesAmt
Management And General	$6,487,849	ManagementAndGeneralAmt
Fundraising	$21,177	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,821,691	TotalAmt
Program Services	$3,065,132	ProgramServicesAmt
Management And General	$2,715,799	ManagementAndGeneralAmt
Fundraising	$40,760	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$51,697,480	TotalAmt
Program Services	$22,298,553	ProgramServicesAmt
Management And General	$29,264,619	ManagementAndGeneralAmt
Fundraising	$134,308	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$128,261	TotalAmt
Program Services	$128,261	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$22,191,629	TotalAmt
Program Services	$19,155,635	ProgramServicesAmt
Management And General	$3,003,396	ManagementAndGeneralAmt
Fundraising	$32,598	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$8,327,719	TotalAmt
Program Services	$7,035,144	ProgramServicesAmt
Management And General	$1,245,922	ManagementAndGeneralAmt
Fundraising	$46,653	FundraisingAmt

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	$268,309	TotalAmt
Program Services	$253,490	ProgramServicesAmt
Management And General	$14,819	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,422,789	TotalAmt
Program Services	$3,822,711	ProgramServicesAmt
Management And General	$3,600,078	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,680,243	TotalAmt
Program Services	$34,582,297	ProgramServicesAmt
Management And General	$2,087,155	ManagementAndGeneralAmt
Fundraising	$10,791	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,027,752	TotalAmt
Program Services	$1,444,499	ProgramServicesAmt
Management And General	$1,583,211	ManagementAndGeneralAmt
Fundraising	$42	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Operating Supplies	$225,926,671	$225,089,870	$760,367	$76,434
Maintenance & Repairs	$8,703,532	$8,382,731	$320,242	$559
Operating Expenses	$12,788,563	$12,595,928	$186,096	$6,539
OTHER EXPENSES	$1,418,224	$1,054,345	$363,879

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,223,473,512	TotalAmt
Program Services	$1,036,526,240	ProgramServicesAmt
Management And General	$184,871,539	ManagementAndGeneralAmt
Fundraising	$2,075,733	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$75,362,836	BOYAmt
EOY	$13,475,116	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,872,466	BOYAmt
EOY	$2	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,646,969	BOYAmt
EOY	$1,526,345	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$168,035,532	BOYAmt
EOY	$217,833,495	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	$21,737,320	BOYAmt
EOY	$33,076,433	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,979,087	BOYAmt
EOY	$22,291,394	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,150,802	BOYAmt
EOY	$8,833,314	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$761,090,812	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$357,000,732	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$351,961,102	BOYAmt
EOY	$404,090,080	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$205,462,948	BOYAmt
EOY	$124,740,021	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$30,792,602	BOYAmt
EOY	$143,841,091	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$129,174,206	BOYAmt
EOY	$123,906,018	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,528,822	BOYAmt
EOY	$4,940,969	EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,036,704,692	BOYAmt
EOY	$1,098,554,278	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$120,187,773	BOYAmt
EOY	$111,294,172	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	$1,914,360	BOYAmt
EOY	$1,631,785	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$301,877,221	BOYAmt
EOY	$226,631,004	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	$196,634	BOYAmt
EOY	$63,803,878	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	$73,380,995	BOYAmt
EOY	$80,543,887	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$497,556,983	BOYAmt
EOY	$483,904,726	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$511,075,161	BOYAmt
EOY	$587,005,371	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,186,016	BOYAmt
EOY	$13,378,471	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,886,532	BOYAmt
EOY	$14,265,710	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$539,147,709	BOYAmt
EOY	$614,649,552	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,036,704,692	BOYAmt
EOY	$1,098,554,278	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$29,776,767	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,312,800	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$36,412,276	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Part I Line 11a	FormAndLineReferenceDesc
Explanation	PER IRS INSTRUCTIONS FOR THE FORM 990, THE DEFINITION OF HOSPITALS FOR SCHEDULE A (FORM 990 OR 990-EZ), PART I, IS DIFFERENT FROM THE DEFINITION FOR SCHEDULE H (FORM 990), HOSPITALS. ACCORDINGLY, AN ORGANIZATION THAT CHECKS THIS BOX MAY OR MAY NOT BE REQUIRED TO COMPLETE SCHEDULE H (FORM 990). MARSHFIELD CLINIC IS NOT RECOGNIZED BY ANY STATE AS A HOSPITAL. THEREFORE, WE ARE NOT REQUIRED TO COMPLETE SCHEDULE H.	ExplanationTxt

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	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$862,226	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$862,226	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I-A Line 1

WHERE ITS EXPERIENCE MAY BE HELPFUL, MARSHFIELD CLINIC MAY OFFER RECOMMENDATIONS CONCERNING LEGISLATION OR REGULATIONS BEING CONSIDERED. IN ADDITION, IT MAY ANALYZE AND TAKE POSITIONS ON ISSUES THAT HAVE A RELATIONSHIP TO THE ORGANIZATION'S OPERATIONS. CERTAIN ASSOCIATIONS TO WHICH MARSHFIELD CLINIC IS A MEMBER MAY PERFORM SOME LOBBYING ACTIVITY. COMPONENTS OF DUES PAYMENTS TO THESE ASSOCIATIONS THAT ARE FOR LOBBYING ACTIVITY ARE ALSO REPORTED IN PART II-B.

Part II-B

Occasionally send mail to members of congress and their staff.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp

Held Works Art HeldWorksArtGrp

Field	Value	IRS element (for citing)
Assets Included	$1,122,408	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	Yes (true)	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,751,273	BeginningYearBalanceAmt
Contributions	$394,000	ContributionsAmt
Investment Earnings Or Losses	$6,037,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,980,000	OtherExpendituresAmt
End Year Balance	$59,202,273	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$55,590,273	BeginningYearBalanceAmt
Contributions	$708,000	ContributionsAmt
Investment Earnings Or Losses	-$96,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,451,000	OtherExpendituresAmt
End Year Balance	$54,751,273	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,072,273	BeginningYearBalanceAmt
Contributions	$2,366,000	ContributionsAmt
Investment Earnings Or Losses	$5,537,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,385,000	OtherExpendituresAmt
End Year Balance	$55,590,273	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$43,172,004	BeginningYearBalanceAmt
Contributions	$1,567,033	ContributionsAmt
Investment Earnings Or Losses	$5,577,482	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,244,246	OtherExpendituresAmt
End Year Balance	$49,072,273	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$35,848,004	BeginningYearBalanceAmt
Contributions	$1,375,000	ContributionsAmt
Investment Earnings Or Losses	$6,620,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$671,000	OtherExpendituresAmt
End Year Balance	$43,172,004	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.68280	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.07620	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.24100	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,464,190	OtherCostOrOtherBasisAmt
Book Value	$20,464,190	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$438,097,256	OtherCostOrOtherBasisAmt
Depreciation	$178,439,778	DepreciationAmt
Book Value	$259,657,478	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,793,910	OtherCostOrOtherBasisAmt
Depreciation	$2,909,338	DepreciationAmt
Book Value	$3,884,572	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$243,968,129	OtherCostOrOtherBasisAmt
Depreciation	$167,122,091	DepreciationAmt
Book Value	$76,846,038	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,205,113	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$43,237,802	OtherCostOrOtherBasisAmt
Depreciation	$8,529,525	DepreciationAmt
Book Value	$43,237,802	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$404,090,080	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	COMMINGLED/PRIVATELY HELD	Desc
Book Value	$143,841,091	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Securities	$143,841,091	TotalBookValueSecuritiesAmt
Total Book Value Program Rltd	$123,906,018	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
HEALTH PLAN-DEFERRED REVENUE	$19,500,000
UNPAID PROFESSIONAL LIABILITY	$8,814,039
457 PLAN PAYABLE	$48,831,007
MISCELLANEOUS	$3,398,841

Field	Value	IRS element (for citing)
Total Liability	$80,543,887	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part III Line 4	THE MISSION OF MARSHFIELD CLINIC IS TO SERVE PATIENTS THROUGH ACCESSIBLE, HIGH QUALITY HEALTH CARE, RESEARCH AND EDUCATION. AS PART OF SERVING PATIENTS, THE CLINIC STRIVES TO PROVIDE AN INVITING ATMOSPHERE TO TREAT PATIENTS AND ASSIST IN THE HEALING PROCESS. PLEASANT FACILITIES AND GROUNDS, PLUS APPROPRIATE WORKS OF ART ALL ASSIST IN THIS HEALING PROCESS, AS WELL AS SERVE TO ENHANCE THE CLINIC'S EDUCATIONAL MISSION BY DISPLAYING ART WORK FOR SCHOOL CHILDREN AS WELL AS PATIENTS AND VISITORS.
Part V Line 4	MARSHFIELD CLINIC MAINTAINS ENDOWMENT FUNDS IN THE FOLLOWING CATEGORIES: GENERAL ENDOWMENT TO FUND OPERATIONS, ENDOWED PROGRAMS TO FUND VARIOUS PATIENT CARE, RESEARCH AND EDUCATION PROGRAMS SUCH AS ONCOLOGY RESEARCH, SUMMER STUDENT INTERN PROGRAMS, AND THE ANGEL FUND; AND ENDOWED CHAIRS AND ENDOWED DISTINGUISHED PHYSICIAN/SCIENTIST AWARDS TO FUND THE RESEARCH, EDUCATION OR ADMINISTRATIVE ACTIVITIES OF THE NAMED CHAIR OR AWARD RECIPIENT.
Part X Line 2	THE SYSTEM APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES (ASC 740), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A MORE-LIKELY THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC 740, TAX POSITIONS WILL BE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND WILL PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. BASED ON AN ANALYSIS PREPARED BY THE SYSTEM, IT WAS DETERMINED THAT THE APPLICATION OF ASC 740 HAD NO MATERIAL EFFECT ON THE SYSTEM AT SEPTEMBER 30, 2016 OR 2015.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
North America	1	20	Program Services	FOOD SAFETY TESTS	$2,445,216
Central America and the Caribbean			Investments	N/A	$2,182,694

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	20	SubtotalEmployeesCnt
Total Office	1	TotalOfficeCnt
Total Employee	20	TotalEmployeeCnt
Subtotal Spent	$4,627,910	SubtotalSpentAmt
Total Spent	$4,627,910	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I Line 3(f)	FormAndLineReferenceDesc
Explanation	MARSHFIELD FOOD SAFETY, LLC (MFS), A WHOLLY OWNED SUBSIDIARY OF MARSHFIELD CLINIC (MC) PROVIDES FOOD SAFETY TESTING SERVICES ON -SITE AT OR NEARBY VARIOUS FOOD PRODUCERS FOR THE BENEFIT OF THE PUBLIC. MFS CANADA FOOD SAFETY IS A 100% OWNED SUBSIDIARY OF MFS AND MAINTAINS ITS OPERATIONS IN CANADA. IT COMMENCED ITS OPERATIONS IN 2011 AND INCLUDED THE SAME TYPES OF ACTIVITIES AS MFS. FOR TAX REPORTING PURPOSES, MFS IS A DISREGARDED ENTITY. THE CANADIAN OPERATIONAL INFORMATION IS BEING DISCLOSED ON THE SCHEDULE F TO ASSURE COMPLIANCE WITH 990 REQUIREMENTS. THE LISTED EMPLOYEES ARE EMPLOYEES OF (MC'S SHARE OF MFS ASOF SEPTEMEBER 30, 2015) OR OPERATIONAL EXPENSES INCURRED BY MFS CANADA.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	AUCTN of CHAMPS	Event1Nm
Gross Receipts Event1	$178,607	GrossReceiptsEvent1Amt
Charitable Contri Event1	$106,910	CharitableContriEvent1Amt
Gross Revenue Event1	$71,697	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$4,233	NonCashPrizesEvent1Amt
Food And Beverage Event1	$33,797	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$17,917	OtherDirectExpensesEvent1Amt
Event2	FORE A CURE	Event2Nm
Gross Receipts Event2	$153,657	GrossReceiptsEvent2Amt
Charitable Contri Event2	$106,821	CharitableContriEvent2Amt
Gross Revenue Event2	$46,836	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$920	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$25,545	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$6,582	OtherDirectExpensesEvent2Amt
Other Events Total	20	OtherEventsTotalCnt
Gross Receipts Other Events	$567,595	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$385,549	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$182,046	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$5,420	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$36,532	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$34,072	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$35,887	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$17,562	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$65,292	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$899,859	GrossReceiptsTotalAmt
Charitable Contributions Tot	$599,280	CharitableContributionsTotAmt
Gross Revenue Total Events	$300,579	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$5,420	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$41,685	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$59,617	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$69,684	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$17,562	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$89,791	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$283,759	DirectExpenseSummaryEventsAmt
Net Income Summary	$16,820	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$76,685	GrossRevenueOtherGamingAmt
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$76,685	GrossRevenueTotalGamingAmt
Net Gaming Income Summary	$76,685	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	WI	StatesWhereGamingConductedCd
Licensed	Yes (true)	LicensedInd
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (true)	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Own Facility	0.31000	GamingOwnFacilityPct
Gaming Other Facility	0.69000	GamingOtherFacilityPct
Individual With Books	Tiffany Halan	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

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)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	Tiffany Halan	GamingManagerPersonNm
Gaming Manager Compensation	$5,000	GamingManagerCompensationAmt
Gaming Manager Services Prov	COORD. & MANAGEMENT OF CLINIC GAMING ACTIVITIES	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	false	CharitableDistributionRqrInd

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
Family Health Center
1515 St Joseph Ave	Marshfield	WI	54449	391681547	501 (C) (3)	$18,818,900	Cash Amount	none	General Support
Marshfield Area United Way
156 S Central Ave PO Box 771	Marshfield	WI	54449	391035073	501 (C) (3)	$74,500	Cash Amount	none	GENERAL SUPPORT General Support
City of Eau Claire
PO Box 1087	Eau Claire	WI	54702	396005436	501 (C) (3)	$29,040	Cash Amount	none	GENERAL SUPPORT General Support
New Visions Gallery Rent
1000 N Oak Ave	Marshfield	WI	54449	510190879	501 (C) (3)	$27,000	Cash Amount	none	GENERAL SUPPORT General Support
United Way of Marathon
137 River Drive	Wausau	WI	54403	390935496	501 (C) (3)	$37,500	Cash Amount	none	GENERAL SUPPORT General Support
Community Foundation of North Central WI
500 3rd St Suite 310	Wausau	WI	54403	391577472	501 (C) (3)	$14,000	Cash Amount	none	GENERAL SUPPORT General Support
Marshfield Area YMCA
410 W McMillan Street	Marshfield	WI	54449	391557086	501 (C) (3)	$15,000	Cash Amount	none	GENERAL SUPPORT General Support
UWSP
2100 Main Street	Stevens Point	WI	544813897	396098038	501 (C) (3)	$15,000	Cash Amount	none	GENERAL SUPPORT General Support
Community Foundation of Chippewa County
PO Box 153	Chippewa Falls	WI	547290153	392024542	501 (C) (3)	$10,000	Cash Amount	none	GENERAL SUPPORT General Support
Central Wisconsin Literacy
320 Oak Street	Wisconsin Rapids	WI	54494	391684056	501 (C) (3)	$10,000	Cash Amount	none	GENERAL SUPPORT General Support
American Cancer Society
PO Box 902	Pewaukee	WI	530720902	131788491	501 (C) (3)	$10,000	Cash Amount	none	GENERAL SUPPORT General Support
WI Health News LLC
PO Box 1856	Madison	WI	53701	274392311	501 (C) (3)	$9,999	Cash Amount	none	GENERAL SUPPORT General Support
Friends of Sacred Heart Hospital
900 W Clairemont Avenue	Eau Claire	WI	54701	371186514	501 (C) (3)	$6,250	Cash Amount	none	GENERAL SUPPORT General Support
United Way of Chippewa
3603 N Hastings Way Ste 200	Eau Claire	WI	547020232	391077901	501 (C) (3)	$22,500	Cash Amount	none	GENERAL SUPPORT General Support
Lakeland Union High School
9573 Hwy 70 West	Minocqua	WI	54548	396025018	501 (C) (3)	$8,000	Cash Amount	none	GENERAL SUPPORT General Support
Village of Hewitt
7810 Mclean Drive	Hewitt	WI	54441	391182935	501 (C) (3)	$40,000	Cash Amount	none	GENERAL SUPPORT General Support
Pittsville Youth Baseball Inc
6007 Lindsey Drive	Pittsville	WI	54466	475268101	501 (C) (3)	$25,000	Cash Amount	none	GENERAL SUPPORT General Support
Phillips area Aquatic
PO Box 12	Phillips	WI	545550012	200938415	501 (C) (3)	$10,000	Cash Amount	none	GENERAL SUPPORT General Support
School District of Marshfield
1010 East 4th Street	Marshfield	WI	54449	396003302	501 (C) (3)	$8,750	Cash Amount	none	GENERAL SUPPORT General Support
Eau Claire Area Development CO
7 S Dewey St PO Box 1108	Eau Claire	WI	547021108	391488940	501 (C) (3)	$7,500	Cash Amount	none	GENERAL SUPPORT General Support
Ehealth Initiative
Ste 500 818 Connecticut Ave NW	Washington	DC	20006	522303820	501 (C) (3)	$7,500	Cash Amount	none	GENERAL SUPPORT General Support
Clark Co 4H and FFA
PO Box 30	Neillsville	WI	544560030	391657136	501 (C) (3)	$7,292	Cash Amount	none	General Support General Support
City of Marshfield
630 S Central Ave Ste 502	Marshfield	WI	54449	396005518	501 (C) (3)	$6,000	Cash Amount	none	General Support General Support
University of Wisconsin
PO Box 204	Milwaukee	WI	532780204	391805963	501 (C) (3)	$12,500	CASH AMOUNT	NONE	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	24	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I Line 2	FormAndLineReferenceDesc
Explanation	MARSHFIELD CLINIC PROVIDES ASSISTANCE (PRIMARILY CONTRIBUTIONS) TO A VARIETY OF ORGANIZATIONS, ALL OF WHICH ARE 501(C)(3) AND SOME OF WHICH ARE AFFILIATES FOR FINANCIAL REPORTING PURPOSES (I.E. FAMILY HEALTH CENTER AND HERITAGE FOUNDATION). THE CLINIC MAKES DETERMINATIONS ON GRANT ASSISTANCE AND OTHER ASSISTANCE (I.E. CONTRIBUTIONS) BASED ON THE RECIPIENT ORGANIZATION'S MISSION, REPUTATION, AND THE ORGANIZATION'S INTENDED USE OF FUNDS. THE LARGEST CONTRIBUTION IS TO FAMILY HEALTH CENTER (FHC), WHICH IS A MEMBER OF THE CLINIC'S OBLIGATED GROUP AND INCLUDED IN THE CLINIC'S CONSOLIDATED FINANCIAL STATEMENTS. FHC'S MISSION AND USE OF FUNDS ARE ALIGNED WITH THE CLINIC'S MISSION AS A 501(C)(3) ORGANIZATION, AND MONITORED CLOSELY.	ExplanationTxt

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 (48 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	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	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt
Ivan Schaller MD
Board Chair	$256,708	$9,035	$19,088	$30,062	$0	$24,891	$0	$339,784	$0	$0	$0
John Przyblinski MD
Vice Chair	$210,009	$5,426	$3,929	$30,062	$0	$22,977	$0	$272,403	$0	$0	$0
Matthew Thomas MD
Treasurer	$533,188	$13,689	$1,425	$30,062	$0	$16,975	$0	$595,339	$0	$0	$0
Thomas Leifheit MD
Secretary	$472,032	$80,374	$20,811	$30,062	$0	$24,369	$0	$627,648	$0	$0	$0
Timothy Wengert MD
Director	$339,546	$30,613	$2,811	$30,062	$0	$20,759	$0	$423,791	$0	$0	$0
Ruwan Dissanayake MD
Director	$304,111	$152,805	$3,244	$30,062	$0	$20,160	$0	$510,382	$0	$0	$0
Alpa Shah MD
Director	$175,695	$3,714	$1,431	$25,001	$0	$745	$0	$206,586	$0	$0	$0
William Melms MD
Director	$221,457	$25,270	$2,567	$30,062	$0	$21,359	$0	$300,715	$0	$0	$0
Jeffrey Lamont MD
Director	$197,377	$5,767	$3,448	$29,980	$0	$18,096	$0	$254,668	$0	$0	$0
Peter Cochrane MD
Director	$333,791	$8,448	$2,811	$30,062	$0	$19,883	$0	$394,995	$0	$0	$0
Kent Ray
Director	$286,552	$7,956	$1,425	$30,062	$0	$33,302	$0	$359,297	$0	$0	$0
Susan Turney MD
CEO, MCHS				$0	$181,292	$0	$19,783	$0	$1,292,245	$0	$62,794	$826,303	$170,000	$94,867
Daniel Ramsey
COO MCHS				$0	$2,080	$0	$25,215	$0	$691,567	$0	$0	$642,776		$21,496
Jerard Jensen
GENERAL COUNSEL, MCHS				$0	$2,080	$0	$16,997	$0	$372,812	$0	$0	$349,375		$4,360
Julie Brussow
HEALTH PLAN CEO, MCHS				$0	$33,062	$0	$16,692	$0	$454,692	$0	$0	$395,821	$1,523	$7,594
Patti Haney
CHIEF HR OFFICER, MCHS				$0	$30,062	$0	$25,594	$0	$295,495	$0	$0	$232,209	$5,007	$2,623
Narayana Murali MD
CHIEF STRATEGY OFFICER, MCHS				$0	$30,062	$0	$30,868	$0	$619,119	$0	$0	$528,688	$9,866	$19,635
Teri Wilczek
CHIEF PHILAN OFFICER, MCHS				$0	$30,062	$0	$22,407	$0	$260,161	$0	$0	$201,625	$4,948	$1,119
William Barkley MD
Chief Medical Officer	$338,735	$7,520	$2,811	$30,062	$0	$27,871	$0	$406,999	$0	$0	$0
Jim Coleman
COO MC	$472,862	$11,336	$12,846	$30,062	$0	$20,759	$0	$547,865	$0	$0	$0
Alan Marshall
CFO MC - Term Ended 1/15/16	$341,264	$9,061	$21,777	$30,062	$0	$20,399	$0	$422,563	$0	$0	$0
Donna Andrew
Corporate Compliance Officer	$185,649	$4,501	$1,980	$27,610	$0	$17,047	$0	$236,787	$0	$0	$0
David Keefe
Director of Human Resources	$150,614		$41,932	$23,006	$0	$2,045	$0	$217,597	$0	$0	$0
Roderick Koehler MD
Salary Committee Chair	$316,875	$8,017	$2,811	$30,062	$0	$20,759	$0	$378,524	$0	$0	$0
Charles Strachan MD
Retirement Plan Chair	$314,621	$35,153	$3,777	$30,062	$0	$24,369	$0	$407,982	$0	$0	$0
Vivekananda Gonugunta MD
Neurosurgeon - Spine	$1,181,509	$28,966	$19,971	$30,062	$0	$1,245	$0	$1,261,753	$0	$0	$0
Scott Paulman MD
Retinal Surgeon	$1,104,033	$29,415	$19,635	$30,062	$0	$2,554	$0	$1,185,699	$0	$0	$0
Adedayo Onitilo MD
Hematology/Oncology	$1,025,276	$24,417	$22,052	$30,062	$0	$20,759	$0	$1,122,566	$0	$0	$0
David Junker MD
Operative-Pain	$947,438	$23,151	$19,425	$30,062	$0	$30,852	$0	$1,050,928	$0	$0	$0
David Simenstad MD
Orthopedics	$903,860	$25,498	$20,811	$30,062	$0	$29,027	$0	$1,009,258	$0	$0	$0
John Cook
Former CFO				$0	$1,542	$0	$7,724	$0	$210,762	$0	$0	$193,751		$7,745
Brian Ewert MD
Former President	$202,208	$15,688	$2,513	$30,062	$0	$24,284	$0	$274,755	$0	$0	$0
Dan Erickson MD
Former Vice President	$242,586	$5,916	$3,597	$30,062	$0	$15,237	$0	$297,398	$0	$0	$0
Mark Lepage MD
Treasurer	$387,289	$9,230	$1,635	$30,062	$0	$23,707	$0	$451,923	$0	$0	$0
Doug Reding MD
Former Vice President	$386,413		$51,527	$30,062	$0	$17,357	$0	$485,359	$0	$0	$0
Rod Sorensen MD
Former Salary Committee Chair	$292,798	$9,984	$3,777	$30,062	$0	$24,369	$0	$360,990	$0	$0	$0
Tim Swan MD
Former Key Employee	$172,541		$7,697	$24,524	$0	$10,817	$0	$215,579	$0	$0	$0
Eric Penniman MD
Former Key Employee	$296,989	$9,509	$1,635	$30,062	$0	$23,621	$0	$361,816	$0	$0	$0
Greg Burnett MD
Former Key Employee	$287,257	$20,000	$2,793	$30,062	$0	$19,655	$0	$359,767	$0	$0	$0
Juan Mesa MD
Former Key Employee	$626,092	$17,363	$20,811	$30,062	$0	$29,302	$0	$723,630	$0	$0	$0
John Warner MD
Former Key Employee	$515,155	$23,467	$1,806	$30,062	$0	$20,527	$0	$591,017	$0	$0	$0
Gene Shaw MD
Former Key Employee	$339,780	$9,227	$20,811	$30,062	$0	$19,570	$0	$419,450	$0	$0	$0
Garry Shulman MD
Former Key Employee	$595,607	$159,502	$19,635	$30,062	$0	$28,318	$0	$833,124	$0	$0	$0
Greg Tyler MD
Former Key Employee	$466,920	$11,145	$2,811	$30,062	$0	$22,759	$0	$533,697	$0	$0	$0
Laura Nelson MD
Former Key Employee	$205,499		$65,077	$30,062	$0	$14,845	$0	$315,483	$0	$0	$0
Nandita Bhattacharjee MD
Corporate Secretary	$420,795	$23,146	$19,971	$30,062	$0	$29,670	$0	$523,644	$0	$0	$0
Brad Bekkum MD
Director	$321,030	$69,536	$19,635	$30,062	$0	$25,477	$0	$465,740	$0	$0	$0
Caesar Gonzaga MD
Director	$286,281	$7,505	$5,035	$30,062	$0	$20,933	$0	$349,816	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WI HEALTH & EDUCATIONAL FACILITY AUTHORITY
A	391337855	97710VZY7	2006-01-31	$71,937,989	BUILDINGS & EQUIPMENT	false	false	false
WI HEALTH & EDUCATIONAL FACILITY AUTHORITY
B	391337855	97710VZY7	2006-01-31	$65,000,000	BUILDINGS & EQUIPMENT	false	false	false
WI HEALTH & EDUCATIONAL FACILITY AUTHORITY
C	391337855	000000000	2012-04-03	$130,115,000	REFUNDING REV BONDS	false	false	false
WI HEALTH & EDUCATIONAL FACILITY AUTHORITY
D	391337855	97710BZ54	2012-06-13	$107,540,304	BUILDINGS & EQUIPMENT	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$10,770,000	$0	$74,755,903	$5,228,763	$0	$0	$699,591	$0	$0	$68,522,365	$305,184	$0	2008	false	false	Yes (true)	Yes (true)
B	$10,790,000	$0	$69,008,189	$0	$0	$0	$829,612	$0	$0	$68,178,577	$0	$0	2008	false	false	Yes (true)	Yes (true)
C	$39,765,000	$0	$130,115,000	$0	$0	$0	$298,298	$0	$0	$0	$129,816,702	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
D	$1,220,000	$0	$107,953,392	$0	$0	$0	$1,477,190	$0	$0	$106,476,202	$0	$0	2013	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	0.00560	0.00560	false	Yes (true)	0.08740	Yes (true)	Yes (true)
B	false	false	false	false	0		false	Yes (true)	0.05450	Yes (true)	Yes (true)
C	false	false	false	false	0		false	Yes (true)	0.06170	Yes (true)	Yes (true)
D	false	false	false	false	0		false	Yes (true)	0.06530	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	Yes (true)				Yes (true)	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information	FormAndLineReferenceDesc
Explanation	Schedule K, Part II, Line 3 Column A includes cumulative investment earnings on the bonds which are different from the proceeds amount reported on Form 8038. Schedule K, Part II, Line 14 The 2012A bonds refunded the following bonds: 1988 August 1, 1988 1990A April 1, 1990 1997 March 15, 1997 1999 November 1, 1999 2001 October 1, 2001 Schedule K, Part IV, Line 2c Computation (report) dates 2006A February 27, 2016 2006B January 25, 2016	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
HEMA MURALI MD
SPOUSE OF NARAYANA MURALI	$360,476	EMPLOYEE COMPENSATION	false
SHARON BARKLEY
SPOUSE OF BILL BARKLEY	$102,850	EMPLOYEE COMPENSATION	false
SUMEDHA PATHAK MD
SPOUSE OF RAM PATHAK, MD	$330,131	EMPLOYEE COMPENSATION	false
MILIND SHAH MD
SPOUSE OF ALPA SHAH, MD	$635,525	EMPLOYEE COMPENSATION	false

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	14	ContributionCnt
Noncash Contributions Rpt F990	$122,106	NoncashContributionsRptF990Amt
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$16,698	NoncashContributionsRptF990Amt
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	8	ContributionCnt
Noncash Contributions Rpt F990	$127,139	NoncashContributionsRptF990Amt
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	18	ContributionCnt
Noncash Contributions Rpt F990	$460	NoncashContributionsRptF990Amt
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Travel/Experiences	21	$30,001	fmv/sales price
Yes (X)	Livestock	35	$38,375	fmv/sales price
Yes (X)	Food & Beverage	70	$19,664	fmv/sales price
Yes (X)	Miscellaneous	119	$74,590	fmv/sales price

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 Part III Line 1	The mission of marshfield clinic is to serve patients through accessible, high quality health care, research and education. Through research, education and standardization of quality, our vision is to reduce the burden of disease, disability and cost for our patients and communities. Form 990 Part III Line 4a The Marshfield Clinic system provides patient care, research and education throughout northern, central and western Wisconsin, with locations in 35 communities. Marshfield Clinic (the Clinic) has 680 physicians in 86 medical specialties and subspecialties. For 100 years, the Clinic has provided medical care to all patients regardless of their ability to pay. Charity care determinations are based on financial information provided by the patient and analysis of other relevant information. Because the Clinic anticipates either no or nominal payment for these services, the amounts are excluded from revenues. There were approximately 3,500,000 patient encounters for fiscal year 2016. The Clinic provided Charity Care of $1,982,000 in fiscal year 2016 based on the cost of providing care to patients who cannot afford to pay in accordance with its Charity Care Policy. As a result of implementation of the Affordable Care Act, many patients previously qualifying for the Clinic's charity care program are now enrolled in federally subsidized insurance plans or the State of Wisconsin BadgerCare Medicaid program. Consequently, charity care for this population has decreased significantly. The Clinic also provides substantial community support through the provision of services to individuals supported by public programs such as general relief, Medicare and Medicaid. The Clinic's cost of providing services under these programs in excess of reimbursement received by the Clinic, and the estimated unreimbursed cost of providing care to low income underinsured and uninsured patients through the Clinic's partnership with Family Health Center, a federally funded community health center was $241,542,000 in fiscal year 2016.
Form 990 Part III Line 4b	THROUGH ITS RESEARCH DIVISION, MARSHFIELD CLINIC RESEARCH FOUNDATION (MCRF), THE CLINIC IS ENGAGED IN MEDICAL AND SCIENTIFIC RESEARCH ON NATIONAL AND INTERNATIONAL LEVELS. THE MCRF MISSION IS TO DISCOVER AND COMMUNICATE SCIENTIFIC KNOWLEDGE THAT SUBSTANTIALLY IMPROVES HUMAN HEALTH AND WELL-BEING. SINCE MCRF'S ESTABLISHMENT IN 1959, RESEARCH DISCOVERIES BY MCRF SCIENTISTS AND CLINIC PHYSICIANS HAVE EXPANDED KNOWLEDGE IN MULTIPLE FIELDS OF HUMAN HEALTH AND REDUCED THE BURDEN OF DISEASE AND DISABILITY. AREAS OF FOCUS INCLUDE CLINICAL RESEARCH, RURAL AND AGRICULTURAL HEALTH AND SAFETY, HUMAN GENETICS, EPIDEMIOLOGY, AND BIOMEDICAL INFORMATICS. THE MARSHFIELD CLINIC EDUCATION DIVISION ALSO HAS A HISTORY OF STRONG COMMITMENT TO EDUCATION AND PUBLIC SERVICE. FULL RESIDENCY PROGRAMS FOR RECENT MEDICAL SCHOOL GRADUATES INCLUDE INTERNAL MEDICINE, PEDIATRICS, MEDICINE AND PEDIATRICS, DERMATOLOGY, AND GENERAL SURGERY. ALL PROGRAMS ARE FULLY ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) OF THE AMERICAN MEDICAL ASSOCIATION. THE CLINIC HAS EXEMPLARY ACCREDITATION STATUS WITH THE ACCREDITATION COUNCIL ON CONTINUING MEDICAL EDUCATION [ACCME] AS A LONGSTANDING PROVIDER OF CONTINUING MEDICAL EDUCATION TO AREA PHYSICIANS AND ALLIED HEALTH PROVIDERS. ADDITIONALLY, WE SERVE AS AN ACADEMIC CLINICAL CAMPUS OF THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH. WE HAVE OVER 80 NATIONAL POST-SECONDARY ACADEMIC AFFILIATIONS AND OVER 30 STATE POST-SECONDARY ACADEMIC AFFILIATIONS FOR STUDENT, RESIDENT, AND FELLOWSHIP TRAINING. MARSHFIELD CLINIC IS RECOGNIZED AS A TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION AND ALSO SPONSORS EDUCATIONAL EVENTS AND TRAINING FOR THE PUBLIC INCLUDING DIABETES EDUCATION MENTAL HEALTH PROGRAMS.
Form 990 Part III Line 4c	MARSHFIELD LABS PROVIDES COMPREHENSIVE ANATOMICAL AND HIGH-COMPLEXITY DIAGNOSTIC TESTING SERVICES TO PATIENTS OF MARSHFIELD CLINIC AND OTHER AREA MEDICAL FACILITIES. IN ADDITION TO THE PRIMARY LABORATORY LOCATED IN MARSHFIELD, MARSHFIELD LABS IS SERVING THE NEEDS OF SURROUNDING COMMUNITIES WITH SMALLER LABS AT MANY MARSHFIELD CLINIC CENTERS THROUGHOUT CENTRAL AND NORTHERN WISCONSIN. PROXIMITY TO OUR LABORATORIES PROVIDES CONVENIENCE AND EXPEDITIOUS SERVICE TO MARSHFIELD CLINIC PATIENTS. MARSHFIELD LABS HAS BECOME A CENTER FOR THE LATEST TECHNOLOGIES AND MOST ADVANCED TESTING METHODS UTILIZED TODAY. SOME OF THE ADVANCED TESTS AND EMERGING TECHNOLOGIES OFFERED BY MARSHFIELD LABS WOULD NOT OTHERWISE BE AVAILABLE TO PATIENTS IN RURAL AREAS.
Form 990 Part VI Line 6	The Corporation has two classes of members: (i) Class A Members, who shall be individuals meeting the requirements set forth in the Corporations bylaws, and (ii) a single Class B member, Marshfield Clinic Health System, Inc., which shall be the sole corporate member. Class A Members have the right to elect the members of the governing body and approve certain significant decisions of the governing body. The Class B Member has the right to approve certain significant decisions of the governing body and to receive the remaining assets of the Corporation (or direct distribution of the assets to other 501(c)(3) organizations) upon dissolution.
Form 990 Part VI Line 7a	The Class A members have the right to elect the organizations officers and directors.
Form 990 Part VI Line 7b	The members have the right to approve any changes to the organizations Articles of Incorporation and Bylaws and to approve any dissolution or liquidation of the organization. Form 990 Part VI Line 11a The Marshfield Clinic Health System Chief Financial Officer and Marshfield Clinic Controller shall review the completed Form 990. After their review and prior to filing Form 990 with the IRS, the CFO or his/her designee will provide to each member of the Board of Directors a draft copy in electronic or paper form of the completed Form 990 (and all required schedules). The Systems Audit Committee (a subcommittee of the Board of Directors) reviews and approves all corporate tax returns. In addition, the FY16 form 990 was reviewed by outside tax advisor prior to filing.
Form 990 Part VI Line 11b	The Chief Financial Officer and VP of Finance shall review the completed Form 990 and Form 990-T in-depth. After their review and prior to filing Form 990 and Form 990-T with the IRS, the CFO or his/her designee will provide to each member of the Board of Directors a copy in electronic or paper form of the completed Form 990 (and all required schedules) and the completed Form 990-T (and all required schedules). Thereafter, at the next Board meeting (or at a special meeting called for this purpose), the CFO and/or his/her designee shall review the forms and schedules with the board members and answer any questions. In addition, the FY15 form 990 was reviewed by KPMG prior to filing.
Form 990 Part VI Line 12c	All officers, Board directors, and key employees of every Marshfield Clinic Health System (MCHS) entity, as well as any other person designated by the Audit and Compliance Committee (ACC) to be a Required Reporter by virtue of his or her position at a System entity, shall annually complete a conflict of interest disclosure form. Such forms shall be distributed and recorded by the Systems designated Compliance Officer. All Financial Interests disclosed as part of the annual disclosure process shall be reviewed by the ACC. The ACC shall inform the Board of disclosed financial interests which may bear upon or relate to a transaction upon which the Board or another board, committee or other body of a System Entity, may deliberate or act. In addition to the annual disclosures, if at any time between annual disclosures, a Required Reporter becomes aware that the Board, or a board, committee or other body, of any System entity may deliberate or act upon any Transaction that may have any bearing of any kind upon, or may relate in any manner to, an existing, intended or expected Financial Interest of the Required Reporter, he or she shall disclose the Financial Interest to the relevant System Entity board, committee or body chair, as well as to the Systems Compliance Officer, in advance of any deliberations or action, written disclosure of the existence, nature and extent of his or her Financial Interest. All written or oral disclosures of Financial Interests shall be recorded in the minutes of the Board and by the office of the Compliance Officer. The Compliance Officer shall disclose the completed forms as necessary to those MCHS employees responsible for completion of the Systems IRS Form 990.
Form 990 Part VI Line 15a and 15b	The Systems Independent Compensation Committee (Compensation Committee) shall have final authority for approving compensation and benefits of all "disqualified persons" (as that term is defined in 4958 of the Internal Revenue Code (the "Code")) employed by the Corporation, including but not limited to the Corporations CEO. The term "disqualified persons" includes (but is not limited to) any person (or the persons family member) who was, at any time during the 5-year period ending on the date of the transaction, in a position to exercise substantial influence over the affairs of the organization. It shall be the responsibility of the Compensation Committee to insure that the System does not pay an amount that exceeds reasonable compensation for any disqualified person. The Compensation Committee and its operating procedures shall be designed to establish the rebuttable presumption of reasonableness of compensation outlined in Treasury Reg. Sec. 53.4958-6 with respect to each disqualified person. In determining reasonableness of compensation, the compensation committee shall evaluate appropriate information as to comparability of compensation, including but not limited to: compensation levels paid by similarly situated organizations for comparable positions; the availability of similar services in the Systems geographic area; current compensation surveys compiled by independent firms; and actual written job offers from similar institutions. The ICC shall have independent authority to obtain outside expert opinions on the reasonableness and fair market value of compensation and gather other information the Committee considers necessary or appropriate to make its decisions on compensation. The Compensation Committee shall timely document its determination of reasonableness of compensation.
Form 990 Part VI Line 19	MARSHFIELD CLINIC DOES NOT MAKE ITS CURRENT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FEDERAL TAX LAW DOES NOT REQUIRE THAT SUCH DOCUMENTS BE MADE PUBLICLY AVAILABLE UNLESS THEY WERE INCLUDED ON A FORM THAT IS PUBLICLY AVAILABLE. MARSHFIELD CLINIC DOES MAKE AVAILABLE ITS FORM 1023, AS REQUIRED.
Form 990 Part XI Line 9	Net Asset Transfer - Lakeview Medical Center $37,145,500 Miscellaneous adjustments ($733,224) TOTAL OTHER CHANGES IN NET ASSETS $36,412,276

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MARSHFIELD FOOD SAFETY LLC	BusinessNameLine1Txt

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)
EIN	201056380	EIN
Primary Activities	FOOD TESTING	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd
Total Income	$682,707	TotalIncomeAmt
End Of Year Assets	$11,726,656	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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
SECURITY HEALTH PLAN OF WISCONSIN INC
1515 N ST JOSEPHS AVE	MARSHFIELD	WI	54449	391572880	HMO	WI	501(C)(4)	N/A	MCHS	false
FLAMBEAU HOSPITAL INC
98 SHERRY AVE	PARK FALLS	WI	54552	390973724	HOSPITAL	WI	501(C)(3)	3	NA	false
LAKEVIEW MEDICAL CENTER OF RICE LAKE
1700 WEST STOUT ST	RICE LAKE	WI	54868	390837206	HOSPITAL	WI	501(C)(3)	3	MCHS	false
MARSHFIELD CLINIC HERITAGE FNDTN INC
1000 N OAK AVE	MARSHFIELD	WI	54449	391865942	HONOR INDVDLS	WI	501(C)(3)	11-TYPE I	NA	false
MARSHFIELD CLINIC HEALTH SYSTEM INC
1000 N OAK AVE	MARSHFIELD	WI	54449	461495343	SUPPORT ORG	WI	501(C)(3)	11-Type III	NA	false
Volunteer Partners of Lake Med Cntr
1700 WEST STOUT ST	RICE LAKE	WI	54868	391329084	SUPPORT ORG	WI	501(C)(3)	11, III-O	NA	false
Family Health Center of Marshfield Inc
1000 N OAK AVE	MARSHFIELD	WI	54449	461495343	Comm. Hthcntr	WI	501(C)(3)	7	NA	false
MCHS Hospitals Inc
1000 N OAK AVE	MARSHFIELD	WI	54449	810977948	HOSPITAL	WI	501(C)(3)	3	MCHS	false
MCHS FOUNDATION INC
1000 N OAK AVE	MARSHFIELD	WI	54449	812822823	PHILANTHROPY	WI	501(C)(3)	3	MCHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	The Diagnostics & 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 SVCS	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
Share Of Total Income	$9,986,314	ShareOfTotalIncomeAmt
Share Of EOY Assets	$8,107,535	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

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 N FIG AVE	AddressLine1Txt
City	MARSHFIELD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54449	ZIPCd

Field	Value	IRS element (for citing)
EIN	472138889	EIN
Primary Activities	INFO. TECH.	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	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	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	Yes (true)	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 (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Security Health Plan of Wisconsin Inc
l	$60,224,755	Cost
Security Health Plan of Wisconsin Inc
m	$343,451,198	Cost

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 MARSHFIELD CLINIC, INC. NOTE 2: THE FOLLOWING COMPANIES ARE RELATED TO MARSHFIELD CLINIC, INC. THROUGH BROTHER/SISTER RELATIONSHIPS (ALL WITH PARENT COMPANY BEING MARSHFIELD CLINIC HEALTH SYSTEM, INC.): - LAKEVIEW MEDICAL CENTER, INC. - SECURITY HEALTH PLAN OF WISCONSIN, INC. - FLAMBEAU HOSPITAL, CIN. (SEE NOTE 5 BELOW) - MCIS, INC. - MCHS HOSPITALS, INC. - MARSHFIELD CLINIC HEALTH SYSTEM FOUNDATION, INC. NOTE 3: THE FOLLOWING COMPANIES ARE SUBSIDIARIES OF MARSHFIELD CLINIC, INC.: - MARSHFIELD FOOD SAFETY, LLC (SEE NOTE 7 BELOW) - MARSHFIELD CLINIC HERITAGE FOUNDATION, INC. - FAMILY HEALTH CENTER OF MARSHFIELD, INC. (SEE NOTE 8 BELOW) - DIAGNOSTIC & TREATMENT CENTER, LLC (SEE NOTE 4 BELOW) NOTE 4: MARSHFIELD CLINIC, INC. OWNS A 50% INTEREST IN THE DIAGNOSTIC & TREATMENT CENTER, LLC (SEE NOTE 4 BELOW) NOTE 5: MARSHFIELD CLINIC HEALTH SYSTEM, INC. OWNS A 50% INTEREST IN FLAMBEAU HOSPITAL, INC. THOSE RESULTS ARE REPORTED ON THE BOOKS AND RECORDS OF MARSHFIELD CLINIC HEALTH SYSTEM, CIN. NOTE 6: VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL CENTER, INC. IS A SUPPORTING ORGANIZATION OF LAKEVIEW MEDICAL CENTER, INC. NOTE 7: MARSHFIELD FOOD SAFETY, INC. IS A 100% OWNED SUBSIDIARY OF MARSHFIELD CLINC, INC. AND IS TREATED AS A DISREGARDED ENTITY OF MARSHFIELD CLINIC, INC. FOR TAX PURPOSES. NOTE 8: MARSHFIELD CLINIC, INC. IS THE SOLE CORPORATE (NON-VOTING) MEMBER OF FAMILY HEALTH CENTER OF MARSHFIELD, INC. MARSHFIELD CLINIC, INC. DOES NOT HAVE THE AUTHORITY TO APPOINT BOARD MEMBERS AND THEREFORE IS NOT CONSIDERED TO HAVE CONTROL (AS DEFINED FOR 990 REPORTING PURPOSES) OVER FAMILY HEALTH CENTER OF MARSHFIELD, INC. NOTE 9: SECURITY ADMINISTRATIVE SERVICES, LLC IS A 100% OWNED SUBSIDIARY OF SECURITY HEALTH PLAN OF WISCONSIN, INC. AND IS TREATED AS A DISREGARDED ENTITY OF SECURITY HEALTH PLAN OF WISCONSIN, INC. FOR TAX PURPOSES.	ExplanationTxt