MARSHFIELD CLINIC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MARSHFIELD CLINIC INC (EIN 39-0452970)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-14
IRS object ID: 201302269349301125
Schema version: 2011v1.5
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)
Timestamp	2013-08-14T09:13:01-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	4200 WELLS FARGO CTR 90 S 7TH ST	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55402	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390452970	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Gary Jankowski	Name
Title	CFO	Title
Date Signed	2013-08-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6123055000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	1233887883	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.marshfieldclinic.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1916	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	The mission of Marshfield Clinic is to serve patients through accessible high quality health care, research and education.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	8998	TotalNbrEmployees
Total Nbr Volunteers	380	TotalNbrVolunteers
Total Gross UBI	22699211	TotalGrossUBI
Net Unrelated Business Txbl Income	-1198385	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	13925149	ContributionsGrantsPriorYear
Contributions Grants Current Year	13180930	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1105037055	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1148561271	ProgramServiceRevenueCY
Investment Income Prior Year	13704633	InvestmentIncomePriorYear
Investment Income Current Year	14003815	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3173823	OtherRevenuePriorYear
Other Revenue Current Year	1434310	OtherRevenueCurrentYear
Total Revenue Prior Year	1135840660	TotalRevenuePriorYear
Total Revenue Current Year	1177180326	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	16062852	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	16174737	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	708667692	SalariesEtcPriorYear
Salaries Etc Current Year	779876055	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1873541	TotalFundrsngExpCurrentYear
Other Expense Prior Year	338611986	OtherExpensePriorYear
Other Expenses Current Year	361657322	OtherExpensesCurrentYear
Total Expenses Prior Year	1063342530	TotalExpensesPriorYear
Total Expenses Current Year	1157708114	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	72498130	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	19472212	RevenuesLessExpensesCY
Total Assets BOY	923892451	TotalAssetsBOY
Total Assets EOY	1028178070	TotalAssetsEOY
Total Liabilities BOY	486354897	TotalLiabilitiesBOY
Total Liabilities EOY	530554476	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	437537554	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	497623594	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	874348101	Expense
Grants	0	Grants
Revenue	1045568233	Revenue
Description	Patient Medical Care SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	52642392	Expense
Grants	10713591	Grants
Revenue	11911251	Revenue
Description	MEDICAL RESEARCH AND EDUCATION SEE SCHEDULE O	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	65594468	Expense
Grants	0	Grants
Revenue	91081787	Revenue
Description	LABORATORY MEDICINE SEE SCHEDULE O	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	992584961	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	true	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	true	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	true	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	true	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	true	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	517	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	8998	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CA	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

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

Form990 Part VII Section A Form990PartVIISectionA (47 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Ivan B Schaller MD
Internal Medicine - East	55.0	X	209252	0	51336
Dan Erickson MD
Family Practitioner - Northwes	55.0	X	216038	0	53544
Matthew Thomas MD
Urology - North	55.0	X	375758	0	47307
Ron Martin MD
General Surgeon - Central 1	55.0	X	293039	0	39782
Humayan Khan MD
Emergency Medicine/Urgent Care	55.0	X	232260	0	48765
John Pryzbylinski MD
Internal Medicine - Central 2	55.0	X	183485	0	45577
Seth Fagbemi MD
Oncology - Central 3	55.0	X	476306	0	58425
Jane Stark MD
Occ Med - West	55.0	X	178222	0	39102
Stephen Blonsky MD
Nephrology - East	55.0	X	309857	0	59342
Humbert Vidaillet MD
Electrophysiologist - Central	55.0	X	430830	0	57057
Qasim Raza MD
Hospitalist - Central 2	55.0	X	280231	0	53697
Matthias Weiss MD
Oncology/Hematology - North	55.0	X	489265	0	58648
John Melski MD
Dermatologist - Central 3	55.0	X	382939	0	53321
Sharlene Kreitlow MD
OB/GYN - Northwest	55.0	X	236242	0	53690
Wallace B Brucker MD
Orthopaedics - West	55.0	X	617989	0	56425
Brian Ewert MD
Nephrologist	55.0		255716	0	51516	X
C Todd Stewart
Peds Intensivist - Vice Presid	55.0		422444	0	53012	X
Mark LePage MD
Radiology - Treasurer	55.0		454714	0	53212	X
Narayana Murali MD
Nephrology - Secretary	55.0		238528	0	51998	X
Karl J Ulrich MD
Psychiatrist	55.0		673080	0	53012	X
Douglas J Reding MD
Oncologist/Hematologist	55.0		625803	0	53433	X
David J Simenstad MD
Orthopaedic Surgeon	55.0		1074143	0	54433	X
Gary Jankowski
CFO	55.0		391319	0	53487		X
Jim Coleman
COO	55.0		397104	0	53503		X
Ken Letkeman
CIO	55.0		335874	0	33330		X
David Keefe
DIRECTOR OF HUMAN RESOURCES	55.0		266704	0	38931		X
Steve Christianson
DIRECTOR OF COMPENSATION	55.0		209134	0	52505		X
Tom Satkus
TREASURY DIRECTOR	55.0		238719	0	34151		X
Laura Nelson MD
Chief Medical Officer	55.0		363326	0	51654		X
Fred Bollow MD
Division Medical Director - Ce	55.0		346267	0	49318		X
William Yanke MD
Division Medical Director - Ce	55.0		325346	0	56925		X
Gary Zimbric MD
Division Medical Director - Ea	55.0		292333	0	54299		X
William Barkley MD
Division Medical Director - We	55.0		222877	0	52607		X
Richard Mercier MD
Service Line Medical Director	55.0		512530	0	54003		X
Timothy Swan MD
Service Line Medical Director	55.0		523515	0	49327		X
John Kelly
Division Administrator - East	55.0		201840	0	48802		X
Rod Sorenson DO
Chair of Physician Salary Comm	55.0		400525	0	50327		X
Greg Brunett MD
Salary Committee Member	55.0		307077	0	52825		X
David Cook MD
Salary Committee Member	55.0		249198	0	51553		X
Roderick Koehler MD
Salary Committee Member	55.0		285585	0	52763		X
Gene Shaw MD
Division Medical Director - La	55.0		380391	0	53012		X
Vicky Strobel
Director of Business Developme	55.0		182484	0	47708		X
Scott Paulman MD
Retinal Surgeon	55.0		1395113	0	33909			X
Thomas Faciszewski MD
Orthopedics - Spine	55.0		1305376	0	53612			X
Sanjay Rao MD
Neurosurgeon - Spine	55.0		1081355	0	51527			X
Vivekananda Gonugunta MD
Neurosurgeon - Spine	55.0		990580	0	32657			X
Adedayo Onitilo MD
Hematology/Oncology	55.0		880331	0	60003			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	20741044	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2369372	TotalOtherCompensation
Number Individuals GT100 K	1255	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SIEMENS MEDICAL SOLUTIONS
DEPT CH 14195	PALATINE	IL	600554195	EQUIPMENT/LEASE	7027199
AE BUSINESS SOLUTIONS
2310 CROSSROADS DR STE 2800	MADISON	WI	53718	SERVICE/CAP. EQUIP	5507037
CHARTER COMMUNICATIONS
PO BOX 2981	MILWAUKEE	WI	532012981	CABLE	3001050
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	753972633	LOCUMS	2568406
LINDSAY STONE BRIGGS
1 SOUTH PINCKNEY ST STE 500	MADISON	WI	53703	ADVERTISING	2550089

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	256	NumberOfContractorsGT100K
Fundraising Events	550954	FundraisingEvents
Related Organizations	115184	RelatedOrganizations
Government Grants	9714583	GovernmentGrants
All Other Contributions	2800209	AllOtherContributions
Noncash Contributions	197202	NoncashContributions
Total Contributions	13180930	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT MEDICAL CARE	621500	1045568233	1045555630	12603
LABORATORY MEDICINE	621500	91081787	68484530	22597257
MEDICAL RESEARCH & EDUCATION	621500	11911251	11821900	89351

Field	Value	IRS element (for citing)
Total Program Service Revenue	1148561271	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5665651	TotalRevenueColumn
Exclusion	$5,665,651	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	903404	TotalRevenueColumn
Exclusion	$903,404	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	511101	TotalRevenueColumn
Exclusion	$511,101	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	251878	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	267787	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-15909	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-15909	TotalRevenueColumn
Exclusion	-$15,909	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	7137892	Securities
Other	478004	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	181136	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	7137892	Securities
Other	296868	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	7434760	TotalRevenueColumn
Exclusion	$7,434,760	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	299084	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	169309	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	129775	TotalRevenueColumn
Exclusion	$129,775	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	36247	GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	36247	TotalRevenueColumn
Exclusion	$36,247	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	56299971	GrossSalesOfInventory
Cost Of Goods Sold	56089325	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	210646	TotalRevenueColumn
Exclusion	$210,646	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	CAFETERIA SALES	Description
Business Code	900099	BusinessCode
Total Revenue Column	562450	TotalRevenueColumn
Exclusion	$562,450	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	562450	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1177180326	TotalRevenueColumn
Related Or Exempt Function Income	1125862060	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	22699211	UnrelatedBusinessRevenue
Exclusion	$15,438,125	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	16174737	Total
Program Services	16174737	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	17940460	Total
Program Services	9966012	ProgramServices
Management And General	7974448	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	587910372	Total
Program Services	516845051	ProgramServices
Management And General	70058545	ManagementAndGeneral
Fundraising	1006776	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	58806455	Total
Program Services	51037215	ProgramServices
Management And General	7674325	ManagementAndGeneral
Fundraising	94915	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	84963850	Total
Program Services	69090224	ProgramServices
Management And General	15707063	ManagementAndGeneral
Fundraising	166563	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	30254918	Total
Program Services	25921037	ProgramServices
Management And General	4273172	ManagementAndGeneral
Fundraising	60709	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	912214	Total
Program Services	48397	ProgramServices
Management And General	863817	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	241598	Total
Management And General	241598	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	243666	Total
Management And General	243666	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	32916002	Total
Program Services	20851945	ProgramServices
Management And General	11998653	ManagementAndGeneral
Fundraising	65404	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	8589445	Total
Program Services	55908	ProgramServices
Management And General	8518492	ManagementAndGeneral
Fundraising	15045	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6077775	Total
Program Services	3254586	ProgramServices
Management And General	2807878	ManagementAndGeneral
Fundraising	15311	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	41510893	Total
Program Services	20043029	ProgramServices
Management And General	21189804	ManagementAndGeneral
Fundraising	278060	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	134324	Total
Program Services	134324	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	20190025	Total
Program Services	17054708	ProgramServices
Management And General	3107536	ManagementAndGeneral
Fundraising	27781	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	8905873	Total
Program Services	7962751	ProgramServices
Management And General	889847	ManagementAndGeneral
Fundraising	53275	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	462515	Total
Program Services	462515	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	9121877	Total
Program Services	4695526	ProgramServices
Management And General	4426351	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	31106635	Total
Program Services	29281877	ProgramServices
Management And General	1815665	ManagementAndGeneral
Fundraising	9093	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2937212	Total
Program Services	2891936	ProgramServices
Management And General	45276	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
OPERATING SUPPLIES	160406579	159566621	763353	76605
MAINTENANCE AND REPAIRS	7568185	7330443	235597	2145
OPERATING EXPENSES	3068561	3011042	55660	1859
BAD DEBTS	25731266	25731266

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1532677	Total
Program Services	1173811	ProgramServices
Management And General	358866	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1157708114	Total
Program Services	992584961	ProgramServices
Management And General	163249612	ManagementAndGeneral
Fundraising	1873541	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	23581434	BOY
EOY	35612751	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	68949433	BOY
EOY	65595655	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2300400	BOY
EOY	2777073	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	171291730	BOY
EOY	161012770	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

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

Receivables From Disqual Persons ReceivablesFromDisqualPersons

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

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	36518491	BOY
EOY	29710569	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	15236070	BOY
EOY	16001805	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6525881	BOY
EOY	9247956	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	656162822	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	316584868	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	326894861	BOY
EOY	339577954	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	149635235	BOY
EOY	166671940	EOY

Investments Other Securities InvestmentsOtherSecurities

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

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	13272812	BOY
EOY	9080903	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	3017211	BOY
EOY	4758783	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	106668893	BOY
EOY	188129911	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	923892451	BOY
EOY	1028178070	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	109057158	BOY
EOY	110688303	EOY

Grants Payable GrantsPayable

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

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	791099	BOY
EOY	1145000	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	282955000	BOY
EOY	343433355	EOY

Escrow Account Liability EscrowAccountLiability

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

Loans From Officers Directors LoansFromOfficersDirectors

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

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	36731548	BOY
EOY	12029179	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	56820092	BOY
EOY	63258639	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	486354897	BOY
EOY	530554476	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	416405020	BOY
EOY	473547447	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	20916451	BOY
EOY	23860064	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	437537554	BOY
EOY	497623594	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	923892451	BOY
EOY	1028178070	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	19472212	ReconcilationRevenueExpenses
Reconcilation Other Changes	40613828	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Mailings Members	$100	MailingsMembersAmount
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$880,165	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	880265	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Description of the organization's lobbying activity:	Where its experience may be helpful, Marshfield Clinic may offer recommendations concerning legislation or regulations being considered. In addition, it may analyze and take positions on issues that have a relationship to the organization's operations.
PART II-B	OCCASIONALLY SEND MAIL TO MEMBERS OF CONGRESS, AND THEIR STAFF.	LINE 1 (D)

Schedule D IRS990ScheduleD

Art Public Exhibition Amts ArtPublicExhibitionAmts

Field	Value	IRS element (for citing)
Assets In Part X	1036727	AssetsInPartX

Field	Value	IRS element (for citing)
Held Works Of Art Amts		HeldWorksOfArtAmts
Collect Used For Public Exhibition	X	CollectUsedForPublicExhibition
Solicited Assets For Sale	true	SolicitedAssetsForSale

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.67400	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.32600	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20958647	OtherCostOrOtherBasis
Book Value	20958647	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	339346882	OtherCostOrOtherBasis
Depreciation	129553456	Depreciation
Book Value	209793426	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7814916	OtherCostOrOtherBasis
Depreciation	3100486	Depreciation
Book Value	4714430	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	259802281	OtherCostOrOtherBasis
Depreciation	178422989	Depreciation
Book Value	81379292	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1956085	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	26284011	OtherCostOrOtherBasis
Depreciation	5507937	Depreciation
Book Value	22732159	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	339577954	TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescription	Book ValueBookValue
RESTRICTED FUNDS - OTHER	12318709
RESTRICTED FOR RETIREMENT PLAN	29868552
RESTRICTED FOR LIAB. INSURANCE	18967059
RESTR FOR UNEMPLOYMENT COMP	4419246
TRUST - REVENUE BOND	87393112
RESTR BY DONORS FOR SPEC PURP	21354309
DEFERRED FINANCING COSTS	1982678
BOND FUNDS	11826246

Field	Value	IRS element (for citing)
Total Book Value Other Assets	188129911	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
HEALTH PLAN PREPAYMENT	$17,500,000
UNPAID PROFESSIONAL LIABILITY CLAIMS	$9,283,669
457 PLAN PAYABLE	$29,868,552
MISCELLANEOUS	$6,606,418

Field	Value	IRS element (for citing)
Total Of Amounts	63258639	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	ExplanationExplanation
PART III, LINE 4	THE MISSION OF MARSHFIELD CLINIC IS TO SERVE PATIENTS THROUGH ACCESSIBLE, HIGH QUALITY HEALTH CARE, RESEARCH AND EDUCATION. AS PART OF SERVING PATIENTS, THE CLINIC STRIVES TO PROVIDE AN INVITING ATMOSPHERE TO TREAT PATIENTS AND ASSIST IN THE HEALING PROCESS. PLEASANT FACILITIES AND GROUNDS, PLUS APPROPRIATE WORKS OF ART ALL ASSIST IN THIS HEALING PROCESS, AS WELL AS SERVE TO ENHANCE THE WORK ENVIRONMENT FOR PHYSICIANS AND STAFF. QUALITY WORKS OF ART ALSO ENHANCE THE CLINIC'S EDUCATIONAL MISSION BY DISPLAYING ART WORK FOR SCHOOL CHILDREN AS WELL AS PATIENTS AND VISITORS.
PART V, LINE 4	MARSHFIELD CLINIC MAINTAINS ENDOWMENT FUNDS IN THE FOLLOWING CATEGORIES: GENERAL ENDOWMENT TO FUND OPERATIONS, ENDOWED PROGRAMS TO FUND VARIOUS PATIENT CARE, RESEARCH AND EDUCATION PROGRAMS SUCH AS ONCOLOGY RESEARCH, SUMMER STUDENT INTERN PROGRAMS, AND THE ANGEL FUND; AND ENDOWED CHAIRS AND ENDOWED DISTINGUISHED PHYSICIAN/SCIENTIST AWARDS TO FUND THE RESEARCH, EDUCATION OR ADMINISTRATIVE ACTIVITES OF THE NAMED CHAIR OR AWARD RECIPIENT.
PART X, LINE 2	EFFECTIVE OCTOBER 1, 2007, THE CLINIC ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC 740), INCOME TAXES, 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, DE-RECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND WILL PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. BASED ON AN ANALYSIS PREPARED BY THE CLINIC, IT WAS DETERMINED THAT THE APPLICATION OF ASC 740 HAD NO MATERIAL EFFECT ON THE CLINIC AT SEPTEMBER 30, 2012 OR 2011.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	North America	Region
Number Of Offices	1	NumberOfOffices
Number Of Employees	21	NumberOfEmployees
Type Of Activities Conducted	Program Services	TypeOfActivitiesConducted
Specific Services Provided	FOOD SAFETY TESTS	SpecificServicesProvided
Total Expenditures	2642418	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	1	SubtotalNumberOfOffices
Subtotal Number Of Employees	21	SubtotalNumberOfEmployees
Total Number Of Offices	1	TotalNumberOfOffices
Total Number Of Employees	21	TotalNumberOfEmployees
Subtotal Amount Spent	2642418	SubtotalAmountSpent
Total Amount Spent	2642418	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	Part I, Line 3(1)	Identifier
Explanation	Marshfield Food Safety, LLC (MFS), a wholly owned subsidiary of Marshfield Clinic (MC) provides food safety testing services on-site at or nearby various food producers for the benefit of the public. MC increased its voting control of MFS from 90% to 100% effective May 31, 2012. MFS Canada Food Safety is a 100% owned subsidiary of MFS and maintains its operations in Canada. It commenced its operations in 2011 and included the same types of activities as MFS. For tax reporting purposes, MFS is a disregarded entity. The Canadian operational information is being disclosed on the Schedule F to assure compliance with 990 requirements. The listed employees are employees of MFS and not of Marshfield Clinic. The expenditures listed represent 100% (MC's share of MFS as of September 30, 2012) of operational expenses incurred by MFS Canada.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Auction	NameOfEvent1
Gross Receipts Event1	235685	GrossReceiptsEvent1
Charitable Contributions Event1	164623	CharitableContributionsEvent1
Gross Revenue Event1	71062	GrossRevenueEvent1
Cash Prizes Event1	5000	CashPrizesEvent1
Non Cash Prizes Event1	1200	NonCashPrizesEvent1
Rent Facility Costs Event1	9335	RentFacilityCostsEvent1
Food And Beverage Event1	65	FoodAndBeverageEvent1
Entertainment Event1	1200	EntertainmentEvent1
Other Direct Expenses Event1	18182	OtherDirectExpensesEvent1
Name Of Event2	Fore a Cure	NameOfEvent2
Gross Receipts Event2	143522	GrossReceiptsEvent2
Charitable Contributions Event2	109524	CharitableContributionsEvent2
Gross Revenue Event2	33998	GrossRevenueEvent2
Non Cash Prizes Event2	1050	NonCashPrizesEvent2
Rent Facility Costs Event2	8400	RentFacilityCostsEvent2
Food And Beverage Event2	1071	FoodAndBeverageEvent2
Other Direct Expenses Event2	21687	OtherDirectExpensesEvent2
Total Number Of Other Events	16	TotalNumberOfOtherEvents
Gross Receipts Other Events	470830	GrossReceiptsOtherEvents
Charitable Contrib Other Events	276807	CharitableContribOtherEvents
Gross Revenue Other Events	194023	GrossRevenueOtherEvents
Cash Prizes Other Events	2820	CashPrizesOtherEvents
Non Cash Prizes Other Events	2355	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	20084	RentFacilityCostsOtherEvents
Food And Beverage Other Events	4672	FoodAndBeverageOtherEvents
Entertainment Other Events	9170	EntertainmentOtherEvents
Other Direct Expenses Other Events	63019	OtherDirectExpensesOtherEvents
Gross Receipts Total	850037	GrossReceiptsTotal
Charitable Contributions Total	550954	CharitableContributionsTotal
Gross Revenue Total Events	299083	GrossRevenueTotalEvents
Cash Prizes Total Events	7820	CashPrizesTotalEvents
Non Cash Prizes Total Events	4605	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	37819	RentFacilityCostsTotalEvents
Food And Beverage Total Events	5808	FoodAndBeverageTotalEvents
Entertainment Total Events	10370	EntertainmentTotalEvents
Other Direct Expenses Total Events	102888	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	169310	DirectExpenseSummaryEvents
Net Income Summary	129773	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	36247	GrossRevenueOtherGaming
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGaming
Gross Revenue Total Gaming	36247	GrossRevenueTotalGaming
Net Gaming Income Summary	36247	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
Licensed	true	Licensed
License Suspended Etc	false	LicenseSuspendedEtc
Gaming With Nonmembers	true	GamingWithNonmembers
Member Of Other Entity	false	MemberOfOtherEntity
Percentage Of Gaming Own Facility	0.34000	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	0.66000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	Joseph Baierl	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

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

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	false	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	Joseph Baierl	GamingManagerNamePerson
Gaming Manager Compensation	6204	GamingManagerCompensation
Gaming Manager Services Provided	Coord. & management of Clinic gaming act	GamingManagerServicesProvided
Gaming Manager Is Employee	X	GamingManagerIsEmployee
Charitable Distrib Required	false	CharitableDistribRequired

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (21 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
FAMILY HEALTH CENTER
1515 ST JOSEPH AVE	MARSHFIELD	WI	54449	391681547	501(C)(3)	15700592	GENERAL SUPPORT
TRANSITIONAL SHELTER DONATION
149 N CENTRAL AVENUE	MARSHFIELD	WI	54449	391396428	501(C)(3)	100000	GENERAL SUPPORT
MFLD AREA UNITED WAY
PO BOX 771	MARSHFIELD	WI	54449	391035073	501(C)(3)	70000	GENERAL SUPPORT
COMMUNITY FOUNDATION
500 3RD ST SUITE 310	WAUSAU	WI	54403	391577472	501(C)(3)	36000	GENERAL SUPPORT
UNITED WAY OF MARATHON
137 RIVER DR	WAUSAU	WI	54403	390935496	501(C)(3)	30800	GENERAL SUPPORT
NEW VISIONS GALLERY RENT
1000 N OAK AVE	MARSHFIELD	WI	54449	510190879	501(C)(3)		GENERAL SUPPORT	25625	fmv	rent
CITY OF EAU CLAIRE AMBULANCE SERVICE
PO BOX 1087	EAU CLAIRE	WI	54702	396005436	501(C)(3)	20180	GENERAL SUPPORT
MOSINEE SCHOOL DISTRICT
591 W HWY 153	MOSINEE	WI	54455	396003531	501(C)(3)	17000	GENERAL SUPPORT
FRIENDS OF ST JOSEPH'S
2661 COUNTY HWY I	CHIPPEWA FALLS	WI	54729	390810545	501(C)(3)	15000	GENERAL SUPPORT
ANGEL ON MY SHOULDER
1611 PINE TREE LANE	ST GERMAIN	WI	54558	391858288	501(C)(3)	15000	GENERAL SUPPORT
ST VINCENT DE PAUL OUTREACH
149 N CENTRAL AVENUE	MARSHFIELD	WI	54449	391396428	501(C)(3)	10500	GENERAL SUPPORT
COMPETITIVE WISCONSIN
22 N CARROLL STREET STE 200	MADISON	WI	53703	391398399	501(C)(3)	10000	GENERAL SUPPORT
WI WOMENS HEALTH FOUNDATION
2503 TODD DR	MADISON	WI	53713	391900678	501(C)(3)	10000	GENERAL SUPPORT
WMC FOUNDATION INC
PO BOX 352	MADISON	WI	53701	391394068	501(C)(3)	10000	GENERAL SUPPORT
UNITED WAY OF MARATHON
137 RIVER DRIVE	WAUSAU	WI	54403	390935496	501(C)(3)	10000	GENERAL SUPPORT
UNITED WAY OF GREATER CHIPPEWAS
3603 N HASTINGS WAY STE 200	EAU CLAIRE	WI	54702	391077901	501(C)(3)	10000	GENERAL SUPPORT
UNITED WAY OF MERRILL
813 E 1ST ST PO BOX 813	MERRILL	WI	54452	391286800	501(C)(3)	6192	GENERAL SUPPORT
OPPORTUNITY DEVELOPMENT
1191 HUNTINGTON AVENUE	WISCONSIN RAPIDS	WI	54494	391044318	501(C)(3)	6000	GENERAL SUPPORT
UNITED FCS
1207 N CENTRAL AVE PO BOX 1080	MARSHFIELD	WI	54449	410696318	501(C)(3)	5494	GENERAL SUPPORT
LAKELAND UNION HIGH SCHOOL
9573 HWY 70 WEST	MINOCQUA	WI	54548	396025018	501(C)(3)	5050	GENERAL SUPPORT
HERITAGE FOUNDATION
1000 N OAK AVE	MARSHFIELD	WI	54449	391865942	501(C)(3)	13969	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule I, Part I, Line 2	Identifier
Explanation	Marshfield Clinic (the Clinic) provides assistance (primarily contributions) to a variety of organizations, most of which are 501 (C)(3) and some of which are affiliates for financial reporting purposes (i.e., Family Health Center and Heritage Foundation). The Clinic makes determinations on grant assistance and other assistance (i.e., contributions) based on the recipient organization's mission, reputation, and the organization's intended use of funds. The largest contribution is to Family Health Center (FHC), which is a member of the Clinic's obligated group and included in the Clinic's consolidated financial statements. FHC's mission and use of funds are aligned with the Clinic's mission as a 501(C)(3) organization, and monitored closely.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (47 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ivan B Schaller MD
207446	0	0	0	1806	0	30728	0	20608	0	260588	0	0	0
Dan Erickson MD
214232	0	0	0	1806	0	28648	0	24896	0	269582	0	0	0
Matthew Thomas MD
361735	0	0	0	14023	0	30728	0	16579	0	423065	0	0	0
Ron Martin MD
276053	0	0	0	16986	0	30728	0	9054	0	332821	0	0	0
Humayan Khan MD
228402	0	2860	0	998	0	30728	0	18037	0	281025	0	0	0
John Pryzbylinski MD
180911	0	0	0	2574	0	26073	0	19504	0	229062	0	0	0
Seth Fagbemi MD
458770	0	70	0	17466	0	30728	0	27697	0	534731	0	0	0
Jane Stark MD
177646	0	0	0	576	0	15163	0	23939	0	217324	0	0	0
Stephen Blonsky MD
306051	0	2000	0	1806	0	30728	0	28614	0	369199	0	0	0
Humbert Vidaillet MD
429024	0	0	0	1806	0	30728	0	26329	0	487887	0	0	0
Qasim Raza MD
235322	0	44279	0	630	0	30728	0	22969	0	333928	0	0	0
Matthias Weiss MD
471806	0	0	0	17459	0	30728	0	27920	0	547913	0	0	0
John Melski MD
361105	0	0	0	21834	0	30728	0	22593	0	436260	0	0	0
Sharlene Kreitlow MD
235612	0	0	0	630	0	30728	0	22962	0	289932	0	0	0
Wallace B Brucker MD
617023	0	0	0	966	0	30728	0	25697	0	674414	0	0	0
Brian Ewert MD
238250	0	0	0	17466	0	30728	0	20788	0	307232	0	0	0
C Todd Stewart
421814	0	0	0	630	0	30728	0	22284	0	475456	0	0	0
Mark LePage MD
454294	0	0	0	420	0	30728	0	22484	0	507926	0	0	0
Narayana Murali MD
212658	0	8950	0	16920	0	30728	0	21270	0	290526	0	0	0
Karl J Ulrich MD
670308	0	0	0	2772	0	30728	0	22284	0	726092	0	0	0
Douglas J Reding MD
616247	0	7750	0	1806	0	30728	0	22705	0	679236	0	0	0
David J Simenstad MD
1073177	0	0	0	966	0	30728	0	23705	0	1128576	0	0	0
Gary Jankowski
364995	0	7052	0	19272	0	30728	0	22759	0	444806	0	0	0
Jim Coleman
388080	0	7218	0	1806	0	30728	0	22775	0	450607	0	0	0
Ken Letkeman
305389	0	30100	0	385	0	2080	0	31250	0	369204	0	0	0
David Keefe
249138	0	100	0	17466	0	30728	0	8203	0	305635	0	0	0
Steve Christianson
203347	0	3981	0	1806	0	29714	0	22791	0	261639	0	0	0
Tom Satkus
218445	0	1002	0	19272	0	11218	0	22933	0	272870	0	0	0
Laura Nelson MD
345413	0	0	0	17913	0	30728	0	20926	0	414980	0	0	0
Fred Bollow MD
327961	0	0	0	18306	0	30728	0	18590	0	395585	0	0	0
William Yanke MD
323540	0	0	0	1806	0	30728	0	26197	0	382271	0	0	0
Gary Zimbric MD
289561	0	0	0	2772	0	30728	0	23571	0	346632	0	0	0
William Barkley MD
222031	0	0	0	846	0	30728	0	21879	0	275484	0	0	0
Richard Mercier MD
510724	0	0	0	1806	0	30728	0	23275	0	566533	0	0	0
Timothy Swan MD
505209	0	0	0	18306	0	30728	0	18599	0	572842	0	0	0
John Kelly
201114	0	100	0	626	0	30728	0	18074	0	250642	0	0	0
Rod Sorenson DO
397253	0	0	0	3272	0	30728	0	19599	0	450852	0	0	0
Greg Brunett MD
295611	0	10000	0	1466	0	30728	0	22097	0	359902	0	0	0
David Cook MD
245431	0	495	0	3272	0	30728	0	20825	0	300751	0	0	0
Roderick Koehler MD
284619	0	0	0	966	0	30728	0	22035	0	338348	0	0	0
Gene Shaw MD
362085	0	0	0	18306	0	30728	0	22284	0	433403	0	0	0
Vicky Strobel
181801	0	100	0	583	0	26836	0	20872	0	230192	0	0	0
Scott Paulman MD
1376390	0	1593	0	17130	0	30728	0	3181	0	1429022	0	0	0
Thomas Faciszewski MD
1304410	0	0	0	966	0	30728	0	22884	0	1358988	0	0	0
Sanjay Rao MD
1080725	0	0	0	630	0	30728	0	20799	0	1132882	0	0	0
Vivekananda Gonugunta MD
973450	0	0	0	17130	0	30728	0	1929	0	1023237	0	0	0
Adedayo Onitilo MD
854411	0	9000	0	16920	0	30728	0	29275	0	940334	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

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

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
1660000	71634384	5405593	699591	68522365	0	2008	false	false	true	true
1715000	65000000	0	829612	68178577	0	2008	false	false	true	true
0	130115000	0	298298	129816702	0	2012	true	false	true	true
0	104090000	0	424385	26207989	77457626	2013	false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	false	false	0.00560	0.00560	true
false	false	false	false	0.00000	0.00000	true
false	false	false	false	0.00000	0.00000	true
false	false	false	false	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	false
0
true	true	false	false	0	false	false
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	STEPHANTE VIDAILLET	NamePerson

Field	Value	IRS element (for citing)
Relationship	employee	Relationship
Amount Of Transaction	53072	AmountOfTransaction
Description Of Transaction	SALARY AND BENEFITS	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	PART IV, COLUMN D	The salary for this individual has BEEN SET BASED ON THE MARSHFIELD CLINIC'S NORMAL SALARY SETTING PROCESS, WHICH INCLUDES DOCUMENTATION AND COMPARISON OF APPLICABLE MARKET RATES AND OTHER COMPARABILITY DATA BASED ON THE INDIVIDUAL'S RESPECTIVE POSITION. BENEFITS ARE ESTABLISHED CONSISTENT WITH THE CLINIC'S BENEFIT PLAN STRUCTURE FOR COMPARABLE POSITIONS.
Reason for Disclosure:		Stephanie Vidaillet - daughter-in-law of director

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	14	NumberOfContributions
Noncash Contribs Rptd F990	23900	NoncashContribsRptdF990
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenues

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

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	8172	NoncashContribsRptdF990
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenues

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

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	7894	NoncashContribsRptdF990
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenues

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

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	22	NumberOfContributions
Noncash Contribs Rptd F990	6545	NoncashContribsRptdF990
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenues

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

Other Non Cash Contributions Table OtherNonCashContributionsTable (7 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	FOOD & BEVERAGE	26	8792	fmv/sales price
X	JEWELRY	22	7706	fmv/sales price
X	LIVESTOCK	42	37652	fmv/sales price
X	Miscellaneous	396	57563	fmv/sales price
X	SPORTING GOODS	5	1005	fmv/sales price
X	TICKETS	39	16338	fmv/sales price
X	TRAVEL/EXPERIENCES	39	21635	fmv/sales price

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	ExplanationExplanation
SUPPLEMENTAL INFORMATION	PART III, ORGANIZATION'S MISSION - 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. Part III Statement of Program Service Accomplishments- Line 4a Medical Care: The Marshfield Clinic system provides patient care, research and education throughout northern, central and western Wisconsin, with locations in 37 communities. Marshfield Clinic (the Clinic) has 750 physicians in 86 medical specialties and subspecialties. For 96 years, the Clinic has provided medical care to all patients regardless of their ability to pay. Charity care determinations are based on financial information provided by the patient and analysis of other relevant information. Because the Clinic anticipates either no or nominal payment for these services, the amounts are excluded from revenues. There were approximately 3,900,000 patient encounters for fiscal year 2012. The Clinic provided Charity Care of $10,085,000 in fiscal year 2012 based on the cost of providing care to patients who cannot afford to pay in accordance with its Charity Care Policy. The Clinic also provides substantial community support through the provision of services to individuals supported by public programs such as general relief, Medicare and Medicaid. The Clinic's cost of providing services under these programs in excess of reimbursement received by the Clinic, and the estimated unreimbursed cost of providing care to low income underinsured and uninsured patients through the Clinic's partnership with Family Health Center, a federally funded community health center was $198,931,000 in fiscal year 2012. Medical Research and Education - 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, general surgery and transitional year. 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. Lastly, each year the Clinic sponsors public educational events including the Lawton Lecture, Faces of Aging, and provides the public with one of the most comprehensive and reliable patient education websites.
Line 4c - Laboratory Medicine	Marshfield Labs provides comprehensive anatomical and high-complexity diagnostic testing services to patients of Marshfield Clinic and other area medical facilities. In addition to the primary laboratory located in Marshfield, Marshfield Labs is serving the needs of surrounding communities with smaller labs at many Marshfield Clinic centers throughout central and northern Wisconsin. Proximity to our laboratories provides convenience and expeditious service to Marshfield Clinic patients. Marshfield Labs has become a center for the latest technologies and most advanced testing methods utilized today. Some of the advanced tests and emerging technologies offered by Marshfield Labs would not otherwise be available to patients in rural areas.
Part VI Governance, Management, and Disclosure, Line 6	As of September 30, 2012 the Marshfield Clinic has 645 physicians who are referred to as "shareholders." As disclosed in the organization's original Form 1023, all shareholders sign an agreement that provides that the assets of the organization are held in trust for charitable, educational and scientific purposes. "Shareholders" do not build up equity in the organization and, in the event of dissolution of Marshfield Clinic, all of the assets of the organization would be distributed to another charitable organization.
Part VI Governance, Management, and Disclosure, Line 7a	The shareholders have the right to elect the organization's officers and directors.
Part VI Governance, Management, and Disclosure, Line 7b	The shareholders have the right to approve any changes to the organization's Articles of Incorporation and Bylaws by a vote of two-thirds of the shareholders present at each of two consecutive shareholder meetings at which a quorum is present. The shareholders have the right to terminate the employment of a physician-shareholder by a vote of four-fifths of the outstanding shares entitled to vote. The shareholders have the right to approve any dissolution or liquidation of the organization by a vote of four-fifths of the shareholders. In the event of liquidation or dissolution of the organization, after payment of liabilities, the shareholders by majority vote of the shareholders shall select the educational, scientific or charitable organizations to which the organization's assets shall be transferred.
Part VI Governance, Management, and Disclosure, Line 11a	The Chief Financial Officer and Controller shall review the completed Form 990 and Form 990-T in-depth. After their review and prior to filing Form 990 and Form 990-T with the IRS, the CFO or his/her designee will provide to each member of the Board of Directors a copy in electronic or paper form of the completed Form 990 (and all required schedules) and the completed Form 990-T (and all required schedules). Thereafter, at the next Board meeting (or at a special meeting called for this purpose), the CFO and/or his/her designee shall review the forms and schedules with the board members and answer any questions. In addition, the FY12 form 990 was reviewed by KPMG prior to filing.
Part VI Governance, Management, and Disclosure, Line 12c	"Each disclosing individual shall complete and submit the disclosure form to the Secretary of the Board of Directors on or before January 1st of each year, or, if earlier, within one month after the individual qualifies as a disclosing individual. Each disclosing individual shall update his/her disclosure form during the year as necessary. The secretary shall maintain the completed disclosure forms in a confidential manner. The Secretary shall make the completed disclosure forms available to the executive committee and/or Board of Directors as necessary to make conflict of interest determinations and decisions concerning the fairness and reasonableness of transactions to Marshfield Clinic. In addition, the Secretary shall disclose the completed forms as necessary to those Clinic employees responsible for completion of the Clinic's IRS Form 990."
Part VI Governance, Management, and Disclosure, Lines 15a, and 15b	(Excerpts from Compensation Policy) "The Clinic's Independent Compensation Committee (Compensation Committee) shall have final authority for approving compensation of Directors and other "disqualified persons" as that term is defined in 26 CFR sec. 53.4958-3. It shall be the responsibility of the Compensation Committee to insure that the Clinic does not pay an amount that exceeds reasonable compensation for any disqualified person. The Compensation Committee and its operating procedures shall be designed to establish the rebuttable presumption of reasonableness of compensation outlined in 26 CFR sec. 53.4958-6 with respect to each disqualified person. In determining reasonableness of compensation, the Compensation Committee shall evaluate appropriate information as to comparability of compensation, including but not limited to: their own independent knowledge and expertise; compensation levels paid by similarly situated organizations for comparable positions; the availability of similar services in the Clinic's geographic area; current compensation surveys compiled by independent firms; and actual written job offers from similar institutions. The Compensation Committee shall timely document its determination of reasonableness of compensation."
Part VI Governance, Management, and Disclosure, Lines 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.
Schedule A, Part I	Per IRS instructions for the Form 990, "the definition of hospitals for Schedule A (Form 990 or 990-EZ), Part I, is different from the definition for Schedule H (Form 990), hospitals. Accordingly, and 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.
Part VII Compensation - Average hours per week devoted to related org.	ALL OF THE FOLLOWING ARE .5 HOURS: Brian Ewert, MD (Nephrologist) C. Todd Stewart, MD (Pediatric Intensivist) Mark LePage, MD (Radiology) Ivan B. Schaller, M.D. (Internal Medicine) Dan Erickson, MD (Family Practitioner) Matthew Thomas, MD (Urology) Ron Martin, MD (General Surgeon) Narayana Murali, MD (Nephrology) John Przybylinski, MD (Internal Medicine) Seth Fagbemi, MD (Oncology) Jane Stark, MD (Occ Med)
Part XI, Line 5 - Reconciliation of Net Assets	Net Asset Transfers: Transfer of Dental software to Family Health Center ($375,370) Transfer of grant funded laptop from Family Health Center $1,927 Transfer of 2012B bond liability to Lakeview Medical Center $23,446,962 Transfer building from Lakeview Medical Center $65,668 Transfer of earnings from Lakeview Medical Center $8,429,000 TOTAL NET ASSET TRANSFERS $31,568,187 Unrealized Gains (Losses) $9,162,934 Current year change in unfunded benefit liability ($214,129) Miscellaneous adjustments $96,837 TOTAL OTHER CHANGES IN NET ASSETS $40,613,828
Part VI, Section A, Line 4	Marshfield Clinic's Bylaws were amended effective January 17, 2012, as follows: The number of Directors on the Board of Directors was changed from eighteen members to eleven members. The Board of Directors is comprised of four Officers and seven "Division Directors". The Clinic's Shareholders elect the four Officers (who concurrently serve as Directors). The Shareholders in each of the Clinic's seven clinical divisions elect one Director, for a total of seven Directors.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Field	Value	IRS element (for citing)
EIN	201056380	EIN
Primary Activities	Food Testing	PrimaryActivities
Legal Domicile State	WI	LegalDomicileState
Total Income	20717981	TotalIncome
EOY Assets	2344453	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Security Health Plan Of Wisconsin Inc
1515 N St Josephs Ave	Marshfield	WI	54449	391572880	HMO	WI	501(c)(4)	N/A	NA	false
The Heritage Foundation
1000 N Oak Ave	Marshfield	WI	54449	391865942	Honor Indivi	WI	501(c)(3)	11 - Type 1	NA	false
Lakeview Medical Center Auxilary Inc
1100 N Main Street	Rice Lake	WI	54868	391329084	Support Org	WI	501(c)(3)	11,III-O	NA	false
Flambeau Hospital Inc
98 Sherry Ave	Park Falls	WI	54552	390973724	hospital	WI	501(c)(3)	3	NA	false
Lakeview Medical Center of Rice Lake
1700 West Stout St	Rice Lake	WI	54868	390837206	Hospital	WI	501(c)(3)	3	na	false

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Diagnostic Treatment Ctr	BusinessNameLine1

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeType
Share Of Total Income	7080883	ShareOfTotalIncome
Share Of EOY Assets	4965988	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	true	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
SECURITY HEALTH PLAN OF WISCONSIN INC
1A	27027	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
1C	115184	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
1D	4880992	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
1J	53033	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
1K	216417076	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
IL	73222313	COST
SECURITY HEALTH PLAN OF WISCONSIN INC
1P	38779354	cost