MARSHFIELD CLINIC INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MARSHFIELD CLINIC INC (EIN 39-0452970)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-10
IRS object ID: 201202239349300715
Schema version: 2010v3.7
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	2012-08-10T08:34:58-05:00	Timestamp
Tax Period End Date	2011-09-30	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	2010-10-01	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)
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	2011-08-06	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6123055000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	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	1432738167	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	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	8129	TotalNbrEmployees
Total Nbr Volunteers	380	TotalNbrVolunteers
Total Gross UBI	22834324	TotalGrossUBI
Net Unrelated Business Txbl Income	-123283	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	16383765	ContributionsGrantsPriorYear
Contributions Grants Current Year	13925149	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1034494382	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1105037055	ProgramServiceRevenueCY
Investment Income Prior Year	4765727	InvestmentIncomePriorYear
Investment Income Current Year	13704633	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3200395	OtherRevenuePriorYear
Other Revenue Current Year	3173823	OtherRevenueCurrentYear
Total Revenue Prior Year	1058844269	TotalRevenuePriorYear
Total Revenue Current Year	1135840660	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	16095160	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	16062852	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	680175628	SalariesEtcPriorYear
Salaries Etc Current Year	708667692	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1464738	TotalFundrsngExpCurrentYear
Other Expense Prior Year	329993630	OtherExpensePriorYear
Other Expenses Current Year	338611986	OtherExpensesCurrentYear
Total Expenses Prior Year	1026264418	TotalExpensesPriorYear
Total Expenses Current Year	1063342530	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	32579851	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	72498130	RevenuesLessExpensesCY
Total Assets BOY	910521045	TotalAssetsBOY
Total Assets EOY	923892451	TotalAssetsEOY
Total Liabilities BOY	529684302	TotalLiabilitiesBOY
Total Liabilities EOY	486354897	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	380836743	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	437537554	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	798848466	Expense
Revenue	1002049837	Revenue
Description	Patient Medical Care SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	50131304	Expense
Grants	11969576	Grants
Revenue	10173890	Revenue
Description	MEDICAL RESEARCH AND EDUCATION SEE SCHEDULE O	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	63372756	Expense
Revenue	92813327	Revenue
Description	LABORATORY MEDICINE SEE SCHEDULE O	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	912352526	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
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	false	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	744	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	8129	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
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	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	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 (44 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	FormerFormer
Stephen Blonsky MD
Nephrology- East	55.0	X	240847	0	57307
Humbert Vidaillet MD
Electrophysiologist - Central	55.0	X	401359	0	54388
Ivan B Schaller MD
Internal Medicine - East	50.0	X	181330	0	45875
Qasim Raza MD
Hospitalist - Central 2	55.0	X	353816	0	52256
C Todd Stewart MD
Pediatric Intensivist - Centra	55.0	X	543756	0	51566
Mark LePage MD
Radiology - Central 3	55.0	X	473245	0	52066
Dan Erickson MD
Family Practitioner - Northwes	55.0	X	175277	0	47168
Matthew Thomas MD
Urology - North	60.0	X	379673	0	46326
Ron Martin MD
General Surgeon - Central 1	70.0	X	354467	0	40761
Matthias Weiss MD
Oncology/Hematology - North	55.0	X	433858	0	57427
John Melski MD
Dermatologist - Central 3	60.0	X	401511	0	52057
Sharlene Kreitlow MD
OB/GYN - Northwest	55.0	X	220678	0	52804
Wallace B Brucker MD
Orthopaedics - West	55.0	X	480487	0	55410
Humayan Khan MD
Emergency Medicine/Urgent Care	55.0	X	208083	0	35894
Karl Ulrich MD
President	65.0		601830	0	51566	X
Doug Reding MD
Oncologist/Hematologist - V P	56.0		581156	0	51676	X
Brian Ewert MD
Nephrologist - Secretary	55.0		248911	0	51725	X
David Simenstad MD
Orthopaedic Surgeon- Treasurer	60.0		1211604	0	52176	X
Gary Jankowski CFO
Chief Financial Officer	55.0		363268	0	52053		X
Jim Coleman
Chief Operating Officer	55.0		369912	0	52805		X
David Keefe
Director of Human Resources	55.0		257102	0	38469		X
Steve Christianson
Director of Compensation	55.0		201024	0	50570		X
Tom Satkus
Treasury Director	55.0		230671	0	22075		X
Paul Liss MD
Chief Medical Officer	55.0		402822	0	50456		X
Theodore Praxel MD
Med Dir Quality Impro	55.0		311391	0	52513		X
Marv Kuehner MD
Division Medical Director	55.0		287785	0	48015		X
William Yanke MD
Division Medical Director	65.0		318381	0	55235		X
Gary Zimbric MD
Division Medical Director	55.0		289200	0	52885		X
Greg Burnett MD
Division Medical Director	55.0		299855	0	51410		X
Richard Mercier MD
Service Line Medical Director	55.0		546786	0	52855		X
Timothy Swan MD
Service Line Medical Director	60.0		531245	0	48150		X
John Kelly
Division Administrator	55.0		184939	0	46026		X
Daniel DeGroot
Division Administrator	55.0		204422	0	36254		X
Fred Bollow MD
Chair of Physician Salary Comm	60.0		327369	0	50052		X
Rod Sorensen MD
Salary Committee Member	50.0		393833	0	54266		X
David Cook MD
Salary Committee Member	55.0		241200	0	50295		X
Rick Koehler MD
Salary Committee Member	55.0		262034	0	51228		X
Gene Shaw MD
Dir. of Lab Pathology Services	55.0		372973	0	51566		X
Chong Lee MD
CVT Surgeon	60.0		1124545	0	53215			X
Scott Paulman MD
Rental Surgeon	60.0		1495896	0	33861			X
Sanjay Rao MD
Neurosurgeon-Spine	60.0		1316580	0	50150			X
Thomas Faciszewski MD
Orthopedics-Spine	60.0		1504420	0	52165			X
Kamal Thapar MD
Neurosurgeon-Spine	80.0		2064678	0	54775			X
Reed Hall
Executive Director	55.0		121808	0	26040				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	21516027	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2145832	TotalOtherCompensation
Number Individuals GT100 K	1170	NumberIndividualsGT100K
Formers Listed	true	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	6490736
MARKET MATERIALS LLC
2350 galloway st - po box 630	EAU CLAIRE	WI	547020630	SUPPLIES/REMODELING	4682511
LINDSAY STONE BRIGGS
1 SOUTH PINCKNEY ST STE 500	MADISON	MN	53703	ADVERTISING	3136517
AE BUSINESS SOLUTIONS
2310 crossroads dr ste 2800	MADISON	WI	53718	SERVICE/CAP EQUIP.	3301130
PHILIPS HEALTHCARE
PO BOX 100355	ATLANTA	GA	303840355	SERVICE/PROD/EQUIP	2524876

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	170	NumberOfContractorsGT100K
Fundraising Events	560820	FundraisingEvents
Related Organizations	58672	RelatedOrganizations
Government Grants	11616264	GovernmentGrants
All Other Contributions	1689393	AllOtherContributions
Noncash Contributions	297896	NoncashContributions
Total Contributions	13925149	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	1002049838	1002048029	1809
LABORATORY MEDICINE	621500	92813327	70073306	22740021
MEDICAL RESEARCH & EDUCATION	621500	10173890	10081396	92494

Field	Value	IRS element (for citing)
Total Program Service Revenue	1105037055	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4357378	TotalRevenueColumn
Exclusion	$4,357,378	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1087780	TotalRevenueColumn
Exclusion	$1,087,780	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	350987	TotalRevenueColumn
Exclusion	$350,987	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	262000	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	228624	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	33376	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	33376	TotalRevenueColumn
Exclusion	$33,376	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	248478347	Securities
Other	35045	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	240220819	Securities
Other	33098	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	8257528	Securities
Other	1947	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	8259475	TotalRevenueColumn
Exclusion	$8,259,475	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	243162	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	209632	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	33530	TotalRevenueColumn
Exclusion	$33,530	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	49640	GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	49640	TotalRevenueColumn
Exclusion	$49,640	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	58351500	GrossSalesOfInventory
Cost Of Goods Sold	56205334	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2146166	TotalRevenueColumn
Exclusion	$2,146,166	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	CAFETERIA SALES	Description
Business Code	900099	BusinessCode
Total Revenue Column	560124	TotalRevenueColumn
Exclusion	$560,124	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	560124	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1135840660	TotalRevenueColumn
Related Or Exempt Function Income	1082202731	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	22834324	UnrelatedBusinessRevenue
Exclusion	$16,878,456	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	16062852	Total
Program Services	16062852	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	14529675	Total
Program Services	7391309	ProgramServices
Management And General	7138366	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	533921506	Total
Program Services	471541642	ProgramServices
Management And General	61577962	ManagementAndGeneral
Fundraising	801902	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	55241023	Total
Program Services	48280226	ProgramServices
Management And General	6879278	ManagementAndGeneral
Fundraising	81519	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	78120249	Total
Program Services	63374461	ProgramServices
Management And General	14606717	ManagementAndGeneral
Fundraising	139071	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	26855239	Total
Program Services	23094737	ProgramServices
Management And General	3712318	ManagementAndGeneral
Fundraising	48184	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	759334	Total
Program Services	53484	ProgramServices
Management And General	705850	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	284784	Total
Management And General	284784	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	227163	Total
Management And General	227163	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	33796512	Total
Program Services	22576952	ProgramServices
Management And General	11114412	ManagementAndGeneral
Fundraising	105148	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	8462283	Total
Program Services	33845	ProgramServices
Management And General	8414941	ManagementAndGeneral
Fundraising	13497	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4060705	Total
Program Services	2528285	ProgramServices
Management And General	1514405	ManagementAndGeneral
Fundraising	18015	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	41062027	Total
Program Services	21755797	ProgramServices
Management And General	19196638	ManagementAndGeneral
Fundraising	109592	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	89086	Total
Program Services	89086	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	20306058	Total
Program Services	17097701	ProgramServices
Management And General	3179929	ManagementAndGeneral
Fundraising	28428	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	8647732	Total
Program Services	7685695	ProgramServices
Management And General	920022	ManagementAndGeneral
Fundraising	42015	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	470962	Total
Program Services	470908	ProgramServices
Management And General	54	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	13450351	Total
Program Services	6887925	ProgramServices
Management And General	6562426	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	28712923	Total
Program Services	26979015	ProgramServices
Management And General	1725267	ManagementAndGeneral
Fundraising	8641	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1992429	Total
Program Services	1951619	ProgramServices
Management And General	40810	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
OPERATING SUPPLIES	137094330	136018832	1011079	64419
MAINTENANCE AND REPAIRS	8540926	8326268	212995	1663
UNRELATED BUSINESS INCOME TAX	-201443	-201443
OPERATING EXPENSES	1021141	939289	79208	2644
BAD DEBTS	28296386	28296386

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1538297	Total
Program Services	1117655	ProgramServices
Management And General	420642	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1063342530	Total
Program Services	912352526	ProgramServices
Management And General	149525266	ManagementAndGeneral
Fundraising	1464738	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	7800788	BOY
EOY	23581434	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	61993094	BOY
EOY	68949433	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2785376	BOY
EOY	2300400	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	146002536	BOY
EOY	171291730	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	37236895	BOY
EOY	36518491	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13284313	BOY
EOY	15236070	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6545016	BOY
EOY	6525881	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	610760883	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	283866022	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	338403408	BOY
EOY	326894861	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	148105733	BOY
EOY	149635235	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	10799743	BOY
EOY	13272812	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2433667	BOY
EOY	3017211	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	135130476	BOY
EOY	106668893	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	910521045	BOY
EOY	923892451	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	105549309	BOY
EOY	109057158	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	715700	BOY
EOY	791099	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	288240000	BOY
EOY	282955000	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	36476621	BOY
EOY	36731548	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	98702672	BOY
EOY	56820092	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	529684302	BOY
EOY	486354897	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	359926725	BOY
EOY	416405020	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	20693935	BOY
EOY	20916451	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	380836743	BOY
EOY	437537554	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	910521045	BOY
EOY	923892451	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	72498130	ReconcilationRevenueExpenses
Reconcilation Other Changes	-15797319	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	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$783,411	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	783411	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of the organization's lobbying activity:	Identifier
Explanation	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.	Explanation

Schedule D IRS990ScheduleD

Art Public Exhibition Amts ArtPublicExhibitionAmts

Field	Value	IRS element (for citing)
Revenues Included	3965	RevenuesIncluded
Assets In Part X	1027022	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	34049063	BeginningOfYearBalance
Contributions	3310280	Contributions
Investment Earnings Or Losses	-266824	InvestmentEarningsOrLosses
Other Expenditures	1244515	OtherExpenditures
End Of Year Balance	35848004	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.68000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.32000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
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	14621700	OtherCostOrOtherBasis
Book Value	14621700	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	330401801	OtherCostOrOtherBasis
Depreciation	115223627	Depreciation
Book Value	215178174	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6394944	OtherCostOrOtherBasis
Depreciation	2642536	Depreciation
Book Value	3752408	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	238724835	OtherCostOrOtherBasis
Depreciation	161171870	Depreciation
Book Value	77552965	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1836524	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	18781079	OtherCostOrOtherBasis
Depreciation	4827989	Depreciation
Book Value	15789614	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	326894861	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
RESTRICTED FUNDS - OTHER	11568961
RESTRICTED FOR RETIREMENT PLAN	22925116
RESTRICTED FOR LIAB. INSURANCE	18320732
RESTR FOR UNEMPLOYMENT COMP	3681869
TRUST - REVENUE BOND	27362722
RESTR BY DONORS FOR SPEC PURP	18829214
DEFERRED FINANCING COSTS	3980279

Field	Value	IRS element (for citing)
Total Book Value Other Assets	106668893	TotalBookValueOtherAssets
Federal Income Tax Liability	124500	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
HEALTH PLAN PREPAYMENT	$17,500,000
ESTIMATED RESERVE - SELF INSUR	$9,597,596
457 PLAN PAYABLE	$22,925,116
MISCELLANEOUS	$6,672,880

Field	Value	IRS element (for citing)
Total Of Amounts	56820092	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, 2011 OR 2010.

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	22	NumberOfEmployees
Type Of Activities Conducted	Program Services	TypeOfActivitiesConducted
Specific Services Provided	FOOD SAFETY TESTS	SpecificServicesProvided
Total Expenditures	1831000	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	1	SubtotalNumberOfOffices
Subtotal Number Of Employees	22	SubtotalNumberOfEmployees
Total Number Of Offices	1	TotalNumberOfOffices
Total Number Of Employees	22	TotalNumberOfEmployees
Subtotal Amount Spent	1831000	SubtotalAmountSpent
Total Amount Spent	1831000	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 joint venture between Marshfield Clinic (MC) and CSA Holdings, LLC, 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 80% to 90% effective May 31, 2011. MFS Canada Food Safety is a 100% owned subsidiary of MFS and maintains its operations in Canada. It commenced its operations in 2011 and include 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 90% (MC's share of MFS as of September 30, 2011) of operational expenses incurred by MFS Canada.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Auct. of Champ.	NameOfEvent1
Gross Receipts Event1	237079	GrossReceiptsEvent1
Charitable Contributions Event1	190784	CharitableContributionsEvent1
Gross Revenue Event1	46295	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	7792	NonCashPrizesEvent1
Rent Facility Costs Event1	8000	RentFacilityCostsEvent1
Food And Beverage Event1	3195	FoodAndBeverageEvent1
Entertainment Event1	500	EntertainmentEvent1
Other Direct Expenses Event1	2332	OtherDirectExpensesEvent1
Name Of Event2	TRAP SHOOT	NameOfEvent2
Gross Receipts Event2	190873	GrossReceiptsEvent2
Charitable Contributions Event2	74623	CharitableContributionsEvent2
Gross Revenue Event2	116250	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	41705	NonCashPrizesEvent2
Rent Facility Costs Event2	22796	RentFacilityCostsEvent2
Food And Beverage Event2	1560	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	16910	OtherDirectExpensesEvent2
Total Number Of Other Events	10	TotalNumberOfOtherEvents
Gross Receipts Other Events	381370	GrossReceiptsOtherEvents
Charitable Contrib Other Events	300753	CharitableContribOtherEvents
Gross Revenue Other Events	80617	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	26432	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	22090	RentFacilityCostsOtherEvents
Food And Beverage Other Events	13770	FoodAndBeverageOtherEvents
Entertainment Other Events	350	EntertainmentOtherEvents
Other Direct Expenses Other Events	42198	OtherDirectExpensesOtherEvents
Gross Receipts Total	809322	GrossReceiptsTotal
Charitable Contributions Total	566160	CharitableContributionsTotal
Gross Revenue Total Events	243162	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	75929	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	52886	RentFacilityCostsTotalEvents
Food And Beverage Total Events	18525	FoodAndBeverageTotalEvents
Entertainment Total Events	850	EntertainmentTotalEvents
Other Direct Expenses Total Events	61440	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	209630	DirectExpenseSummaryEvents
Net Income Summary	33532	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	49640	GrossRevenueOtherGaming
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGaming
Gross Revenue Total Gaming	49640	GrossRevenueTotalGaming
Net Gaming Income Summary	49640	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	WI	StatesWhereGamingConducted
Licensed	true	Licensed
License Suspended Etc	false	LicenseSuspendedEtc
Gaming With Nonmembers	true	GamingWithNonmembers
Member Of Other Entity	false	MemberOfOtherEntity
Percentage Of Gaming Own Facility	0.22000	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	0.78000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	Jill Kurszewski	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	Jill Kurszewski	GamingManagerNamePerson
Gaming Manager Compensation	2769	GamingManagerCompensation
Gaming Manager Services Provided	Coord. & management of Clinic gaming activies	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 (15 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 Josephs Ave	Marshfield	WI	54449	391681547	501(C)(3)	15656590	General Support
Marshfield Area United Way
PO Box 771	Marshfield	WI	54449	391035073	501(C)(3)	93000	General Support
New Visions Gallery rent
1000 N Oak Ave	Marshfield	WI	54449	510190879	501(C)(3)		General Support	25000	FMV	RENT
United Way - Wausau
127 River Drive	Wausau	WI	54403	390935496	501(C)(3)	23000	General Support
Community Foundation
300 3rd st Suite 310	Wausau	WI	54403	391577472	501(C)(3)	14000	General Support
Friends of St Joseph's Hospital
2661 County HWY I	Chippewa Falls	WI	54729	390810545	501(C)(3)	15000	General Support
WI Womens Health Foundation
2503 Todd Dr	Madison	WI	54713	391900678	501(C)(3)	11250	General Support
University of Wisconsin
105 Garfield Ave PO Box 4004	Eau Claire	WI	54702	391805963	501(c)(3)	33584	General Support
Marshfield Area YMCA
410 McMillan St	Marshfield	WI	54449	391557086	501(C)(3)	7500	General Support
UWMC Foundation Inc
Po Box 352	Madison	WI	537010352	391138823	501(c)(3)	11500	General Support
Angel On My Shoulder
1000 W Campus Dr	Wausau	WI	54401	391858288	501(c)(3)	20689	General Support
Heritage Foundation
1000 N Oak Ave	Marshfield	WI	54449	391865942	501(c)(3)	15002	General Support	41439	FMV	Rent
UNITED WAY OF MERRIL
813 E-1ST ST PO BOX 813	MERRIL	WI	54452	391286800	501(C)(3)	5652	General Support
HOPE PREGNANCY RESOURCES
605 24TH AVE SOUTH STE 20	WAUSAU	WI	54401	450474297	501(C)(3)	6350	General Support
MFLD AREA COMMUNITY FDN
PO- BOX 456	MARSHFIELD	WI	54449	396578767	501(C)(3)	11000	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	15	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 (44 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
Karl Ulrich MD
578506	0	0	0	23324	0	30728	0	20837	0	653395	0	0	0
Doug Reding MD
579104	0	0	0	2052	0	30728	0	20947	0	632831	0	0	0
Brian Ewert MD
231199	0	0	0	17712	0	30728	0	20997	0	300636	0	0	0
David Simenstad MD
1193892	0	0	0	17712	0	30728	0	21447	0	1263779	0	0	0
Stephen Blonsky MD
223305	0	0	0	17542	0	30728	0	26579	0	298154	0	0	0
Humbert Vidaillet MD
399307	0	0	0	2052	0	30728	0	23659	0	455746	0	0	0
Ivan B Schaller MD
179679	0	0	0	1651	0	26646	0	19229	0	227205	0	0	0
Qasim Raza MD
352251	0	0	0	1565	0	30728	0	21528	0	406072	0	0	0
C Todd Stewart MD
543126	0	0	0	630	0	30728	0	20837	0	595321	0	0	0
Mark LePage MD
456325	0	0	0	16920	0	30728	0	21337	0	525310	0	0	0
Dan Erickson MD
173652	0	0	0	1625	0	24128	0	23040	0	222445	0	0	0
Matthew Thomas MD
362673	0	0	0	17000	0	30728	0	15597	0	425998	0	0	0
Ron Martin MD
337337	0	0	0	17130	0	30728	0	10032	0	395227	0	0	0
Matthias Weiss MD
419491	0	0	0	14367	0	30728	0	26699	0	491285	0	0	0
John Melski MD
382239	0	0	0	19272	0	30728	0	21328	0	453567	0	0	0
Sharlene Kreitlow MD
220048	0	0	0	630	0	30728	0	22076	0	273482	0	0	0
Wallace B Brucker MD
479865	0	0	0	622	0	30728	0	24682	0	535897	0	0	0
Humayan Khan MD
206809	0	0	0	1274	0	30518	0	5376	0	243977	0	0	0
Gary Jankowski CFO
336835	0	100	0	26333	0	30728	0	21325	0	415321	0	0	0
Jim Coleman
358805	0	400	0	10707	0	30728	0	22077	0	422717	0	0	0
David Keefe
239536	0	100	0	17466	0	30728	0	7740	0	295570	0	0	0
Steve Christianson
195314	0	100	0	5610	0	29133	0	21437	0	251594	0	0	0
Tom Satkus
211299	0	100	0	19272	0	2080	0	19995	0	252746	0	0	0
Paul Liss MD
399830	0	0	0	2992	0	30728	0	19728	0	453278	0	0	0
Theodore Praxel MD
310179	0	0	0	1212	0	30728	0	21785	0	363904	0	0	0
Marv Kuehner MD
285966	0	0	0	1819	0	30728	0	17286	0	335799	0	0	0
William Yanke MD
316521	0	0	0	1860	0	30728	0	24507	0	373616	0	0	0
Gary Zimbric MD
287148	0	0	0	2052	0	30728	0	22156	0	342084	0	0	0
Greg Burnett MD
298154	0	0	0	1701	0	30728	0	20682	0	351265	0	0	0
Richard Mercier MD
544734	0	0	0	2052	0	30728	0	22127	0	599641	0	0	0
Timothy Swan MD
513533	0	0	0	17712	0	30728	0	17422	0	579395	0	0	0
John Kelly
183985	0	100	0	854	0	27954	0	18072	0	230965	0	0	0
Daniel DeGroot
203110	0	100	0	1212	0	27977	0	8277	0	240676	0	0	0
Fred Bollow MD
307679	0	0	0	19690	0	30728	0	19323	0	377420	0	0	0
Rod Sorensen MD
391942	0	0	0	1891	0	30728	0	23537	0	448098	0	0	0
David Cook MD
238428	0	0	0	2772	0	30728	0	19567	0	291495	0	0	0
Rick Koehler MD
261068	0	0	0	966	0	30728	0	20499	0	313261	0	0	0
Gene Shaw MD
355507	0	0	0	17466	0	30728	0	20837	0	424538	0	0	0
Chong Lee MD
1106953	0	0	0	17592	0	30728	0	22487	0	1177760	0	0	0
Scott Paulman MD
1478976	0	0	0	16920	0	30728	0	3133	0	1529757	0	0	0
Sanjay Rao MD
1316160	0	0	0	420	0	30728	0	19422	0	1366730	0	0	0
Thomas Faciszewski MD
1503544	0	0	0	876	0	30728	0	21437	0	1556585	0	0	0
Kamal Thapar MD
2063627	0	0	0	1051	0	30728	0	24047	0	2119453	0	0	0
Reed Hall
120158	0	0	0	1650	0	15656	0	10384	0	147848	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 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	97710VZZ4	2006-01-31	65000000	Building & Equipment	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
1585000	0	74627549	5405593	0	0	699591	0	0	68522365	0	0	2008	false	false	true	true
1665000	0	69008189	0	0	0	829612	0	0	68178577	0	0	2008	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

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

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
true	true	false	false	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Janice Liss spouse of key EMPLOYEE
employee	44162	SALARY AND BENEFITS	false
STEPHANTE VIDAILLET
employee	47674	SALARY AND BENEFITS	false

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	PART IV, COLUMN D	SALARIES FOR THESE INDIVIDUALS HAVE 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 STRUCTURES FOR COMPARABLE POSITIONS.
Reason for Disclosure:		Janice Liss - Spouse of Key Employee 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	19	NumberOfContributions
Noncash Contribs Rptd F990	6059	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	12930	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	6258	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	19	NumberOfContributions
Noncash Contribs Rptd F990	3995	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 (4 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Travel/experiences	60	81144	fmv/sales price
X	Livestock	40	36695	fmv/sales price
X	Food & beverage	77	12583	fmv/sales price
X	Miscellaneous	332	119428	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 (21 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
SUPPLEMENTAL INFORMATION	Part III Statement of Program Service Accomplishments Line 4a - Patient Medical Care Marshfield Clinic (the Clinic) has 765 physicians in 86 medical specialties and subspecialties located in 54 locations throughout northern, central and western Wisconsin. For 95 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 3,800,000 patient encounters for fiscal year 2011. The Clinic provided Charity Care of $6,799,000 in fiscal year 2011 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 $170,303,000 in fiscal year 2011. Line 4b - Medical Research and Education 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, 2011 the Marshfield Clinic has 647 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 FY11 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 In late 2008, the Clinic established an Independent Compensation Committee (the "Committee") to have final authority in approving compensation of directors, officers and other disqualified persons, as defined in IRC Section 4958. The Committee and its operating procedures were designed to establish the rebuttable presumption of reasonableness described in Treas. Reg. 53.4958-6. However, as a result of an internal compliance review conducted in mid-2010, the Clinic discovered that certain parts of the Committee's procedures and documentation may not have fully satisfied the rebuttable presumption requirements. The Clinic's leadership worked with the Committee to improve the procedures and documentation for the upcoming compensation review and approval cycle. As a result, in late 2010, the Committee established compensation for the 2011 calendar year in a manner that complied with the rebuttable presumption requirements. Specifically, the Committee consisted solely of persons having no conflicts of interest. The Committee reviewed appropriate comparability data to confirm that total compensation amounts to be paid were reasonable and comparable to amounts paid by similarly-situated organizations. Finally, the compensation review and approval process was thoroughly and timely documented. Part VI Governance, Management, and Disclosure, 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. 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, any organization that checks this box may or may not be required to complete Schedule H (Form 990)." Marshfield Clinic is not recognized by any State as a hospital. Therefore, Marshfield Clinic is not required to complete Schedule H. Part XI, Line 5 - Reconciliation of Net Assets Net Asset Transfers: Reimbursement from Security Health Plan for remodeling 604,555 Reimbursement from Security Health Plan for support of Clinic initiatives 10,238,197 Transfer building to Lakeview Medical Center (23,945,201) Transfer of earnings from Lakeview Medical Center 3,577,000 Reimbursement to Family Health Center for expenses (14,664) ------------- TOTAL NET ASSET TRANSFERS (9,540,113) Unrealized Gains (Losses) (6,736,979) Current year change in unfunded benefit liability 566,384 Reduction in shareholder equity (9,000) Miscellaneous adjustments (77,609) ------------- TOTAL OTHER CHANGES IN NET ASSETS (15,797,317)
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Stephen Blonsky, MD TITLE:Nephrology- East HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Humbert Vidaillet, MD TITLE:Electrophysiologist - Central HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Ivan B. Schaller, MD TITLE:Internal Medicine - East HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Qasim Raza, MD TITLE:Hospitalist - Central 2 HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:C. Todd Stewart, MD TITLE:Pediatric Intensivist - Centra HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Mark LePage, MD TITLE:Radiology - Central 3 HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Dan Erickson, MD TITLE:Family Practitioner - Northwes HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Matthew Thomas, MD TITLE:Urology - North HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Ron Martin, MD TITLE:General Surgeon - Central 1 HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Matthias Weiss, MD TITLE:Oncology/Hematology - North HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:John Melski, MD TITLE:Dermatologist - Central 3 HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Sharlene Kreitlow, MD TITLE:OB/GYN - Northwest HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Wallace B. Brucker, MD TITLE:Orthopaedics - West HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Humayan Khan, MD TITLE:Emergency Medicine/Urgent Care HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Karl Ulrich, MD TITLE:President HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Doug Reding, MD TITLE:Oncologist/Hematologist - V P HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Brian Ewert, MD TITLE:Nephrologist - Secretary HOURS:1	FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:David Simenstad, MD TITLE:Orthopaedic Surgeon- Treasurer HOURS:1	FORM 990 PART VII

Schedule R IRS990ScheduleR

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
Security Health Plan Of Wisconsin Inc
1515 N St Josephs Ave	Marshfield	WI	54449	391572880	HMO	WI	501(C)(4)	N/A	NA
The Heritage Foundation
1000 N Oak Ave	Marshfield	WI	54449	391865942	Honor Indivi	WI	501(C)(3)	11 - Type 1	NA
Lakeview Medical Center Auxilary Inc
1100 N Main Street	Rice Lake	WI	54868	391329084	Support Org	WI	501(C)(3)	11,III-O	NA
Flambeau Hospital Inc
98 Sherry Ave	Park Falls	WI	54552	390973724	hospital	WI	501(C)(3)	3	NA
Lakeview Medical Center of Rice Lake
1700 West Stout St	Rice Lake	WI	54868	390837206	Hospital	WI	501(C)(3)	3	na

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Marshfield Food Safety
Food testing	WI	NA	Related	-1218511	3157106	false	$0	true	0.90000
Diagnostic Treatment Ctr
medical svcs	WI	NA	Related	6951979	19363882	false	$0	true	0.50000

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 (13 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
SECURITY HEALTH PLAN OF WISCONSIN INC
1P	33078880
SECURITY HEALTH PLAN OF WISCONSIN INC
1Q	297363
SECURITY HEALTH PLAN OF WISCONSIN INC
IR	10852751
MARSHFIELD FOOD SAFETY LLC
1A	348123
MARSHFIELD FOOD SAFETY LLC
1D	4808651
MARSHFIELD FOOD SAFETY LLC
IP	1396032
SECURITY HEALTH PLAN OF WISCONSIN INC
1E	25000000
SECURITY HEALTH PLAN OF WISCONSIN INC
1A	27027
SECURITY HEALTH PLAN OF WISCONSIN INC
1c	58672
SECURITY HEALTH PLAN OF WISCONSIN INC
1d	5422718
SECURITY HEALTH PLAN OF WISCONSIN INC
1j	94253
SECURITY HEALTH PLAN OF WISCONSIN INC
1k	229243228
SECURITY HEALTH PLAN OF WISCONSIN INC
1l	72425651