MARSHFIELD CLINIC INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MARSHFIELD CLINIC INC (EIN 39-0452970)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-15
IRS object ID: 201122279349302617
Schema version: 2009v1.7
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 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	2011-08-15T12:32:49-05:00	Timestamp
Tax Period End Date	2010-09-30	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	303 EAST WACKER DRIVE	AddressLine1
City	CHICAGO	City
State	IL	State
ZIP Code	60601	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	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	2011-08-12	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3126651000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Karl Ulrich 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	1272425175	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	7928	TotalNbrEmployees
Total Nbr Volunteers	200	TotalNbrVolunteers
Total Gross UBI	23761597	TotalGrossUBI
Net Unrelated Business Txbl Income	-65244	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	12849354	ContributionsGrantsPriorYear
Contributions Grants Current Year	16383765	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	976985981	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1034494382	ProgramServiceRevenueCY
Investment Income Prior Year	7705368	InvestmentIncomePriorYear
Investment Income Current Year	4765727	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4086723	OtherRevenuePriorYear
Other Revenue Current Year	3200395	OtherRevenueCurrentYear
Total Revenue Prior Year	1001627426	TotalRevenuePriorYear
Total Revenue Current Year	1058844269	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	11692057	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	16095160	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	666058644	SalariesEtcPriorYear
Salaries Etc Current Year	680175629	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1130235	TotalFundrsngExpCurrentYear
Other Expense Prior Year	306276123	OtherExpensePriorYear
Other Expenses Current Year	329993628	OtherExpensesCurrentYear
Total Expenses Prior Year	984026824	TotalExpensesPriorYear
Total Expenses Current Year	1026264417	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	17600602	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	32579852	RevenuesLessExpensesCY
Total Assets BOY	840984920	TotalAssetsBOY
Total Assets EOY	910521045	TotalAssetsEOY
Total Liabilities BOY	513938503	TotalLiabilitiesBOY
Total Liabilities EOY	529684302	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	327046417	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	380836743	NetAssetsOrFundBalancesEOY
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	778056905	Expense
Grants	16095160	Grants
Revenue	934931546	Revenue
Description	Patient Medical Care SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	46719374	Expense
Revenue	9692196	Revenue
Description	MEDICAL RESEARCH AND EDUCATION SEE SCHEDULE O	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	62836723	Expense
Revenue	89870640	Revenue
Description	LABORATORY MEDICINE SEE SCHEDULE O	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	887613002	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
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	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
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	584	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7928	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
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	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	false	CompensationProcessCEO
Compensation Process Other	false	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	BRIAN EWERT	NamePerson
Telephone Number	7153875511	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (58 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
Aron Adkins MD
Endocrinologist	62.0	X	378192	0	51587
Timothy Boyle MD
Otolaryngologist	55.0	X	416077	0	69184
Eric Penniman DO
Family Practitioner	55.0	X	224868	0	59339
Ivan Schaller MD
Internal Medicine	50.0	X	206921	0	59564
John Crump MD
Pulmonologist	60.0	X	314807	0	48377
Humberto Vidaillet MD
Electrophysiologist	55.0	X	351834	0	82692
Rebecca Campbell MD
Pediatric Neurologist	47.0	X	244955	0	35836
David Cook MD
Emergency Medicine/Urgent Care	55.0	X	244310	0	70679
Erik Dickson MD
Family Practitioner	55.0	X	236406	0	64070
Daniel Erickson MD
Family Practitioner	55.0	X	166401	0	43905
Humayun Khan MD
Emergency Medicine/Urgent Care	55.0	X	228211	0	53770
Ronald Martin MD
General Surgeon	70.0	X	360293	0	73134
William Melms MD
Family Practitioner	45.0	X	178157	0	62196
Elvis Peter MD
Hospitalist	55.0	X	270339	0	54994
Ellen Schumann MD
Pediatrician	55.0	X	188381	0	71940
Karen Shulman MD
Family Practitioner	30.0	X	146262	0	44968
C Todd Stewart MD
Pediatric Intensivist	55.0	X	534904	0	58613
Tim Wengert MD
General Surgeon	60.0	X	461624	0	74667
Mike Wenman MD
Emergency Medicine/Urgent Care	55.0	X	264428	0	88435
Qasim Raza MD
Hospitalist	55.0	X	310018	0	67486
Wallace Brucker MD
Orthopedics	55.0	X	568509	0	69488
Matthew Thomas MD
UROLOGY	60.0	X	407858	0	83221
Matthias Weiss MD
Oncology/Hematology	55.0	X	539904	0	93767
Sharlene Kreitlow MD
OBSTETRICS AND GYNECOLOGY	55.0	X	266550	0	61783
Mark LePage MD
Radiology	55.0	X	488540	0	83499
John Melski MD
Dermatologist	60.0	X	394520	0	89276
Stephen Blonsky MD
Nephrology	55.0	X	248104	0	79460
Karl Ulrich MD
PSYCHIATRIST/PRESIDENT	65.0		573606	0	73462	X
Douglas Reding MD
Oncologist/Hematologist/VP	56.0		565295	0	72902	X
Brian Ewert MD
Nephrologist/SECRETARY	55.0		235895	0	68130	X
David Simenstad MD
Orthopedic Surgeon/TREASURER	60.0		1222122	0	89402	X
Timothy Swan MD
Radiologist	60.0		545128	0	85459		X
Gary Jankowski
Chief Financial Officer	55.0		371389	0	88985		X
Paul Liss MD
Chief Medical Officer	55.0		401603	0	73399		X
Greg Burnett MD
Division Medical Director	55.0		299355	0	72074		X
William Yanke MD
Division Medical Director	65.0		318104	0	75488		X
Gary Zimbric MD
Division Medical Director	55.0		295576	0	63977		X
Laura Nelson MD
Division Medical Director	57.0		332937	0	84074		X
Edna DeVries MD
Division Medical Director	55.0		337193	0	67399		X
Jim Coleman
Chief Operating Officer	55.0		363866	0	70334		X
Daniel DeGroot
Division Administrator	55.0		209308	0	36600		X
David Keefe
Director of Human Resources	55.0		263130	0	71739		X
Gene Shaw MD
Director of Lab Pathology Serv	55.0		391299	0	89099		X
Frederic Bollow MD
Chair of Physician Salary Comm	50.0		465840	0	89974		X
Rodney Sorensen MD
Salary Committee Member	55.0		390144	0	74099		X
Roderick Koehler MD
Salary Committee Member	55.0		265956	0	66495		X
Robert A Carlson MD
Pathology	55.0		366164	0	50587		X
Theodore Praxel MD
Medical Director	55.0		314016	0	73898		X
Gary Pesicka MD
Division Medical Director	55.0		350421	0	88839		X
Juan Mesa MD
Service Line Medical Director	55.0		877631	0	85459		X
Richard Mercier MD
Service Line Medical Director	55.0		581796	0	73324		X
Scott Paulman MD
Retinal Surgeon	60.0		1206133	0	66827			X
John Neal MD
Neurosurgeon - Spine	60.0		1211001	0	90183			X
Sanjay Rao MD
Neurosurgeon - Spine	60.0		1385866	0	65959			X
Thomas Fasciszewski MD
Orthopedics - Spine	60.0		1394134	0	67299			X
Kamal Thapar MD
Neurosurgeon - Spine	80.0		2100807	0	69488			X
Reed Hall
Executive Director	55.0		214571	0	60531				X
Gary P Mayeux MD
Gastroenterologist	55.0		380970	0	74692				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	26872629	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	4076107	TotalOtherCompensation
Number Individuals GT100 K	1119	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	4227843
MARKET MATERIALS LLC
2350 galloway st - po box 630	EAU CLAIRE	WI	547020630	REMOD	4860015
MCGOUGH CONSTRUCTION CO INC
2737 fairview ave north	ST PAUL	MN	551131372	REMOD	5092916
AE BUSINESS SOLUTIONS
2310 crossroads dr ste 2800	MADISON	WI	53718	SERVICE/CAP EQUIP.	5622941
MARKET JOHNSON INC
2350 galloway st - po box 630	EAU CLAIRE	WI	547020630	REMOD	14748117

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	85	NumberOfContractorsGT100K
Federated Campaigns	10000	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	435557	FundraisingEvents
Related Organizations	66327	RelatedOrganizations
Government Grants	10768701	GovernmentGrants
All Other Contributions	5103180	AllOtherContributions
Noncash Contributions	3202639	NoncashContributions
Total Contributions	16383765	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	934931546	934921610	9936
LABORATORY MEDICINE	621500	89870640	66170727	23699913
MEDICAL RESEARCH & EDUCATION	621500	9692196	9640448	51748

Field	Value	IRS element (for citing)
Total Program Service Revenue	1034494382	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5173675	TotalRevenueColumn
Exclusion	$5,173,675	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1321734	TotalRevenueColumn
Exclusion	$1,321,734	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	85890	TotalRevenueColumn
Exclusion	$85,890	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	235778	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	250871	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-15093	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-15093	TotalRevenueColumn
Exclusion	-$15,093	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	151618034	Securities
Other	5464930	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	153392479	Securities
Other	5420167	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-1774445	Securities
Other	44763	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1729682	TotalRevenueColumn
Exclusion	-$1,729,682	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	252217	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	407365	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	71396	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	180821	TotalRevenueColumn
Exclusion	$180,821	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	31661	GrossIncomeGaming
Gaming Direct Expenses	8670	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	22991	TotalRevenueColumn
Exclusion	$22,991	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	56802537	GrossSalesOfInventory
Cost Of Goods Sold	54437323	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2365214	TotalRevenueColumn
Exclusion	$2,365,214	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	CAFETERIA SALES	Description
Business Code	900099	BusinessCode
Total Revenue Column	560572	TotalRevenueColumn
Exclusion	$560,572	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	560572	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1058844269	TotalRevenueColumn
Related Or Exempt Function Income	1010732785	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	23761597	UnrelatedBusinessRevenue
Exclusion	$7,966,122	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	16095160	Total
Program Services	16095160	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	18789115	Total
Program Services	9424190	ProgramServices
Management And General	9364925	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	510537551	Total
Program Services	455912931	ProgramServices
Management And General	54020300	ManagementAndGeneral
Fundraising	604320	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	48345747	Total
Program Services	42493708	ProgramServices
Management And General	5783583	ManagementAndGeneral
Fundraising	68456	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	72846124	Total
Program Services	60098152	ProgramServices
Management And General	12635205	ManagementAndGeneral
Fundraising	112767	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	29657092	Total
Program Services	25721767	ProgramServices
Management And General	3893375	ManagementAndGeneral
Fundraising	41950	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	516818	Total
Program Services	56824	ProgramServices
Management And General	459994	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	181192	Total
Management And General	181192	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	154275	Total
Management And General	154275	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	32571759	Total
Program Services	21794330	ProgramServices
Management And General	10699708	ManagementAndGeneral
Fundraising	77721	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	7948078	Total
Program Services	11828	ProgramServices
Management And General	7912959	ManagementAndGeneral
Fundraising	23291	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7557961	Total
Program Services	3425564	ProgramServices
Management And General	4123259	ManagementAndGeneral
Fundraising	9138	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	33834669	Total
Program Services	19196488	ProgramServices
Management And General	14547149	ManagementAndGeneral
Fundraising	91032	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	26582	Total
Program Services	26582	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	21693190	Total
Program Services	18669428	ProgramServices
Management And General	2990998	ManagementAndGeneral
Fundraising	32764	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	8279448	Total
Program Services	7369628	ProgramServices
Management And General	880929	ManagementAndGeneral
Fundraising	28891	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	390487	Total
Program Services	390487	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	15006882	Total
Program Services	7684470	ProgramServices
Management And General	7322412	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	27552333	Total
Program Services	25894881	ProgramServices
Management And General	1651682	ManagementAndGeneral
Fundraising	5770	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2381165	Total
Program Services	2190819	ProgramServices
Management And General	190346	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
OPERATING SUPPLIES	126089800	126054610	8954	26236
MAINTENANCE AND REPAIRS	6794843	6565662	226632	2549
UNRELATED BUSINESS INCOME TAX	603923	603923
OPERATING EXPENSES	1978715	1813338	160027	5350
BAD DEBTS	35085282	35085282

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1346226	Total
Program Services	1032950	ProgramServices
Management And General	313276	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1026264417	Total
Program Services	887613002	ProgramServices
Management And General	137521180	ManagementAndGeneral
Fundraising	1130235	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	7163735	BOY
EOY	7800788	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	57520659	BOY
EOY	61993094	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	3233174	BOY
EOY	2785376	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	150861134	BOY
EOY	146002536	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	32814304	BOY
EOY	37236895	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	12677862	BOY
EOY	13284313	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4968904	BOY
EOY	6545016	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	595518595	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	257115187	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	304046567	BOY
EOY	338403408	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	127792149	BOY
EOY	148105733	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	10962106	BOY
EOY	10799743	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	40000	BOY
EOY	2433667	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	128904326	BOY
EOY	135130476	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	840984920	BOY
EOY	910521045	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	96114551	BOY
EOY	105549309	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	1263063	BOY
EOY	715700	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	297415000	BOY
EOY	288240000	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	24384461	BOY
EOY	36476621	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	94761428	BOY
EOY	98702672	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	513938503	BOY
EOY	529684302	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	307056755	BOY
EOY	359926725	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19773579	BOY
EOY	20693935	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	327046417	BOY
EOY	380836743	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	840984920	BOY
EOY	910521045	EOY

Field	Value	IRS element (for citing)
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	$714,206	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	714206	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	6584	RevenuesIncluded
Assets In Part X	728662	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	29443159	BeginningOfYearBalance
Contributions	2333428	Contributions
Investment Earnings Or Losses	2927520	InvestmentEarningsOrLosses
Other Expenditures	655044	OtherExpenditures
End Of Year Balance	34049063	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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	0.67000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.33000	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	14208812	OtherCostOrOtherBasis
Book Value	14208812	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	321745321	OtherCostOrOtherBasis
Depreciation	102692199	Depreciation
Book Value	219053122	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4239715	OtherCostOrOtherBasis
Depreciation	2542361	Depreciation
Book Value	1697354	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	211051936	OtherCostOrOtherBasis
Depreciation	147694653	Depreciation
Book Value	63357283	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1639040	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	42633771	OtherCostOrOtherBasis
Depreciation	4185975	Depreciation
Book Value	40086836	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	338403407	TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescription	Book ValueBookValue
COLLATERAL HELD FOR SEC. LOAN	41937140
DEF FIN COSTS AND OTHER	4231045
RESTR BY DONORS FOR SPEC PURP	18121195
RESTRICTED FOR RETIREMENT PLAN	20843197
RESTRICTED FOR LIAB. INSURANCE	18199978
RESTR FOR UNEMPLOYMENT COMP	3655439
TRUST - REVENUE BOND	26331405
RESTRICTED FUNDS - OTHER	1811077

Field	Value	IRS element (for citing)
Total Book Value Other Assets	135130476	TotalBookValueOtherAssets
Federal Income Tax Liability	124500	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
PAYABLE UNDER SECURITIES LENDI	$42,676,235
HEALTH PLAN PREPAYMENT	$17,000,000
ESTIMATED RESERVE - SELF INSUR	$10,529,504
457 PLAN PAYABLE	$20,843,197
MISCELLANEOUS	$7,529,236

Field	Value	IRS element (for citing)
Total Of Amounts	98702672	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part III, Line 4	Identifier
Explanation	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 activities of the named chair or award recipient. Part VIII Student loans may be awarded based on the needs of the Marshfield Clinic. A loan is given for a specific type of degree (CRNA for example) for which the clinic forsees a potential or real shortage in the near future. The agreement provides for the Clinic to sponsor the person through the loan with the intent on hiring if there is a need when the person graduates. The loan is forgiven over a period of time if they are hired by the clinic. Part X, Line 2 Effective October 1, 2007, the Clinic adopted Financial Accounting Standards Board (F'ASB) 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, 2010 or 2009.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Auction Champs	NameOfEvent1
Gross Receipts Event1	198670	GrossReceiptsEvent1
Charitable Contributions Event1	132778	CharitableContributionsEvent1
Gross Revenue Event1	65892	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	15061	NonCashPrizesEvent1
Rent Facility Costs Event1	0	RentFacilityCostsEvent1
Food And Beverage Event1	0	FoodAndBeverageEvent1
Entertainment Event1	500	EntertainmentEvent1
Other Direct Expenses Event1	7988	OtherDirectExpensesEvent1
Name Of Event2	Trap Shoot	NameOfEvent2
Gross Receipts Event2	163258	GrossReceiptsEvent2
Charitable Contributions Event2	62845	CharitableContributionsEvent2
Gross Revenue Event2	100413	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	4085	NonCashPrizesEvent2
Rent Facility Costs Event2	3285	RentFacilityCostsEvent2
Food And Beverage Event2	2338	FoodAndBeverageEvent2
Entertainment Event2	450	EntertainmentEvent2
Other Direct Expenses Event2	25646	OtherDirectExpensesEvent2
Total Number Of Other Events	6	TotalNumberOfOtherEvents
Gross Receipts Other Events	297654	GrossReceiptsOtherEvents
Charitable Contrib Other Events	211742	CharitableContribOtherEvents
Gross Revenue Other Events	85912	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	0	RentFacilityCostsOtherEvents
Food And Beverage Other Events	0	FoodAndBeverageOtherEvents
Entertainment Other Events	3750	EntertainmentOtherEvents
Other Direct Expenses Other Events	8293	OtherDirectExpensesOtherEvents
Gross Receipts Total	659582	GrossReceiptsTotal
Charitable Contributions Total	407365	CharitableContributionsTotal
Gross Revenue Total Events	252217	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	19146	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	3285	RentFacilityCostsTotalEvents
Food And Beverage Total Events	2338	FoodAndBeverageTotalEvents
Entertainment Total Events	4700	EntertainmentTotalEvents
Other Direct Expenses Total Events	41927	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	71396	DirectExpenseSummaryEvents
Net Income Summary	180821	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	31661	GrossRevenueOtherGaming
Cash Prizes Other Gaming	625	CashPrizesOtherGaming
Non Cash Prizes Other Gaming	8045	NonCashPrizesOtherGaming
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGaming
Gross Revenue Total Gaming	31661	GrossRevenueTotalGaming
Cash Prizes Total Gaming	625	CashPrizesTotalGaming
Non Cash Prizes Total Gaming	8045	NonCashPrizesTotalGaming
Direct Expense Summary Gaming	8670	DirectExpenseSummaryGaming
Net Gaming Income Summary	22991	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	0.20000	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	0.80000	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	2594	GamingManagerCompensation
Gaming Manager Services Provided	Coord. & management of Clinic gaming activities	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)	15656589	General Support
Marshfield Area United Way
PO Box 771	Marshfield	WI	54449	391035073	501(C)(3)	75758	General Support
New Visions Gallery
1000 N Oak Ave	Marshfield	WI	54449	510190879	501(C)(3)		General Support	24000	FMV	RENT
United Way - Wausau
127 River Drive	Wausau	WI	54403	390935496	501(C)(3)	25500	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)	10000	General Support
Northcentral Technical College
1000 W Campus Drive	Wausau	WI	54401	391077093	501(c)(3)	6000	General Support
WMC Foundation Inc
Po Box 352	Madison	WI	537010352	391394068	501(c)(3)	12000	General Support
United Way Of Greater Eau Claire
Po Box 232	Eau Claire	WI	547010232	391077901	501(c)(3)	11200	General Support
WI Sport Show
2736 Irene Dr	Eau Claire	WI	54701	010855245		6700	General Support
AM Birkebeiner Ski Fdn
Po Box 911	Hayward	WI	54843	391503175	501(c)(3)	6500	General Support
Deerskin Depot Com -Debra G Moteing
404 Gilbert Ave	Eau Claire	WI	54701	397604142		6372	General Support
Angel On My Shoulder
1000 W Campus Dr	Wausau	WI	54401	391858288	501(C)(3)	5066	General Support
Eau Claire Area Development Co
101 N Farwell St Ste 101	Eau Claire	WI	54702	391488940	501(c)(6)	5050	General Support
Heritage Foundation
1000 N Oak Ave	Marshfield	WI	54449	391865942	501(c)(3)	11309	General Support	41137	FMV	Rent/Service

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	12	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Monitoring Grants	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
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 (58 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
570588	0	0	0	3018	0	54092	0	19371	0	647069	0	0	0
Douglas Reding MD
552077	0	11166	0	2052	0	52728	0	20174	0	638197	0	0	0
Brian Ewert MD
234886	0	0	0	1009	0	47228	0	20902	0	304025	0	0	0
Timothy Swan MD
543916	0	0	0	1212	0	69228	0	16231	0	630587	0	0	0
David Simenstad MD
1220910	0	0	0	1212	0	69228	0	20174	0	1311524	0	0	0
Aron Adkins MD
377314	0	0	0	878	0	28648	0	22939	0	429779	0	0	0
Timothy Boyle MD
415447	0	0	0	630	0	47220	0	21964	0	485261	0	0	0
Eric Penniman DO
224448	0	0	0	420	0	42056	0	17283	0	284207	0	0	0
Ivan Schaller MD
205115	0	0	0	1806	0	39194	0	20370	0	266485	0	0	0
John Crump MD
313001	0	0	0	1806	0	30728	0	17648	0	363183	0	0	0
Humberto Vidaillet MD
343329	0	0	0	8505	0	58228	0	24464	0	434526	0	0	0
Rebecca Campbell MD
243149	0	0	0	1806	0	32928	0	2907	0	280790	0	0	0
David Cook MD
236124	0	6380	0	1806	0	52728	0	17951	0	314989	0	0	0
Erik Dickson MD
235782	0	0	0	624	0	44931	0	19138	0	300475	0	0	0
Daniel Erickson MD
165614	0	0	0	787	0	22699	0	21206	0	210306	0	0	0
Humayun Khan MD
197590	0	29967	0	654	0	47228	0	6542	0	281981	0	0	0
Ronald Martin MD
359663	0	0	0	630	0	63728	0	9406	0	433427	0	0	0
William Melms MD
177608	0	0	0	549	0	42691	0	19506	0	240354	0	0	0
Elvis Peter MD
217765	0	51800	0	774	0	41741	0	13253	0	325333	0	0	0
Ellen Schumann MD
187484	0	0	0	897	0	50354	0	21586	0	260321	0	0	0
Karen Shulman MD
145974	0	0	0	288	0	36815	0	8153	0	191230	0	0	0
C Todd Stewart MD
531426	0	2848	0	630	0	39242	0	19371	0	593517	0	0	0
Tim Wengert MD
460658	0	0	0	966	0	52728	0	21939	0	536291	0	0	0
Mike Wenman MD
256442	0	7020	0	966	0	69228	0	19207	0	352863	0	0	0
Gary Jankowski
362555	0	100	0	8734	0	69228	0	19757	0	460374	0	0	0
Paul Liss MD
399797	0	0	0	1806	0	52728	0	20671	0	475002	0	0	0
Greg Burnett MD
292143	0	6000	0	1212	0	52728	0	19345	0	371428	0	0	0
William Yanke MD
316938	0	200	0	966	0	52728	0	22760	0	393592	0	0	0
Gary Zimbric MD
293524	0	0	0	2052	0	42631	0	21345	0	359552	0	0	0
Laura Nelson MD
332061	0	0	0	876	0	63728	0	20345	0	417010	0	0	0
Edna DeVries MD
335898	0	665	0	630	0	47228	0	20171	0	404592	0	0	0
Jim Coleman
355216	0	100	0	8550	0	51685	0	18648	0	434199	0	0	0
Daniel DeGroot
207996	0	100	0	1212	0	28648	0	7952	0	245908	0	0	0
David Keefe
262400	0	100	0	630	0	63728	0	8011	0	334869	0	0	0
Gene Shaw MD
370900	0	0	0	20399	0	69228	0	19871	0	480398	0	0	0
Frederic Bollow MD
449749	0	400	0	15691	0	69228	0	20745	0	555813	0	0	0
Rodney Sorensen MD
388338	0	0	0	1806	0	52728	0	21371	0	464243	0	0	0
Roderick Koehler MD
265326	0	0	0	630	0	47228	0	19267	0	332451	0	0	0
Scott Paulman MD
1205713	0	0	0	420	0	63728	0	3098	0	1272959	0	0	0
John Neal MD
1210035	0	0	0	966	0	69220	0	20964	0	1301185	0	0	0
Sanjay Rao MD
1385446	0	0	0	420	0	47228	0	18731	0	1451825	0	0	0
Thomas Fasciszewski MD
1393267	0	0	0	867	0	47228	0	20071	0	1461433	0	0	0
Kamal Thapar MD
2096488	0	3443	0	876	0	47228	0	22260	0	2170295	0	0	0
Robert A Carlson MD
364463	0	0	0	1701	0	28648	0	21939	0	416751	0	0	0
Gary P Mayeux MD
380004	0	0	0	966	0	52728	0	21964	0	455662	0	0	0
Reed Hall
204752	0	100	0	9719	0	43773	0	16758	0	275102	0	0	0
Qasim Raza MD
229347	0	79724	0	947	0	47228	0	20258	0	377504	0	0	0
Wallace Brucker MD
537879	0	30000	0	630	0	47228	0	22260	0	637997	0	0	0
Matthew Thomas MD
407480	0	0	0	378	0	63728	0	19493	0	491079	0	0	0
Matthias Weiss MD
538938	0	0	0	966	0	69228	0	24539	0	633671	0	0	0
Sharlene Kreitlow MD
248130	0	18000	0	420	0	41565	0	20217	0	328332	0	0	0
Theodore Praxel MD
313050	0	0	0	966	0	52728	0	21170	0	387914	0	0	0
Gary Pesicka MD
349455	0	0	0	966	0	69228	0	19611	0	439260	0	0	0
Juan Mesa MD
876419	0	0	0	1212	0	69228	0	16231	0	963090	0	0	0
Richard Mercier MD
579990	0	0	0	1806	0	52728	0	20595	0	655119	0	0	0
Mark LePage MD
488162	0	0	0	378	0	63728	0	19771	0	572039	0	0	0
John Melski MD
391748	0	0	0	2772	0	69228	0	20048	0	483796	0	0	0
Stephen Blonsky MD
247138	0	0	0	966	0	54362	0	25098	0	327564	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
WI HEALTH & EDUCATIONAL FACILITY AUTHORITY
391337855	97710VZY7	2006-01-31	71634384	Building & Equipment	false	false
WI HEALTH & EDUCATIONAL FACILITY AUTHORITY
391337855	97710VZZ4	2006-01-31	65000000	Building & Equipment	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Amount DefeasedAmountDefeased	Amount UnspentAmountUnspent	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
74627549	5405593	0	0	699591	0	68522365	2008	false	false	true	true
69008189	0	0	0	829612	0	68178577	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	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	false	false	true	0.00560	0.00000	0.00560	true
false	false	false	false	true	0.00000	0.00000	0.00000	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
false	true	false	false	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Shari Boyle spouse of director
employee	29000	See Schedule O	false
Matthew Volenecson-in-law of direc
employee	17000	See Schedule O	false
Janice Liss spouse of key EMPLOYEE
employee	35000	See Schedule O	false

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	11	NumberOfContributions
Noncash Contribs Rptd F990	2791	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	9268	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	19129	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

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	2960000	NoncashContribsRptdF990
Method Of Determining Revenues	fmv/sales price	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Real Estate Other		RealEstateOther

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	10	NumberOfContributions
Noncash Contribs Rptd F990	2222	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	49	69015	fmv/sales price
X	Livestock	32	23877	fmv/sales price
X	Food & beverage	32	9097	fmv/sales price
X	Miscellaneous	264	107239	fmv/sales price

Field	Value	IRS element (for citing)
Number Of8283 Received	2	NumberOf8283Received
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 (3 entries)

IdentifierIdentifier	ExplanationExplanation
SUPPLEMENTAL INFORMATION	PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS LINE 4a - PATIENT MEDICAL CARE MARSHFIELD CLINIC (THE CLINIC) HAS 777 PHYSICIANS IN 86 MEDICAL SPECIALTIES AND SUBSPECIALTIES LOCATED IN 54 LOCATIONS THROUGHOUT NORTHERN, CENTRAL AND WESTERN WISCONSIN. FOR 94 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 2010. THE CLINIC PROVIDED CHARITY CARE OF $3,222,000 IN FISCAL YEAR 2010 BASED ON THE COST OF PROVIDING CARE TO PATIENTS WHO CANNOT AFFORD TO PAY IN ACCORDANCE WITH ITS CHARITY CARE POLICY. THE STATE OF WISCONSIN EXPANDED ITS MEDICAID PROGRAM IN JULY 2009 TO INCLUDE LOW-INCOME CHILDLESS ADULTS THROUGH THE BADGERCARE PLUS (BC+) CORE PLAN. MANY PATIENTS WERE NOT ACTIVE ON THE PLAN UNTIL THE FALL OF 2009, THE BEGINNING OF THE CLINIC'S FISCAL YEAR 2010. APPROXIMATELY 6,500 CLINIC PATIENTS BECAME ENROLLED IN THE BC+ CORE PLAN. MANY OF THESE PATIENTS PREVIOUSLY QUALIFIED FOR THE CLINIC'S CHARITY CARE PROGRAM. THE ONLY ADDITIONAL ASSISTANCE NEEDED BY THIS POPULATION IS FOR NON-COVERED BC+ CORE PLAN SERVICES. WITH THE SHIFT OF PATIENTS TO BC+ CORE PLAN, CHARITY CARE FOR THIS POPULATION HAS DECREASED SIGNIFICANTLY WITH THE CLINIC RECEIVING MEDICAID REIMBURSEMENT THROUGH THE BADGERCARE PROGRAM FOR PROVISION OF THESE MEDICAL SERVICES. THE CLINIC'S BOARD ALSO APPROVED AN INCREASE OF THE COMMUNITY CARE POVERTY LEVEL THRESHOLD TO 200% OF THE FEDERAL POVERTY LEVEL, UP FROM 185%, MAKING THE CLINIC'S CHARITY CARE PROGRAM AVAILABLE TO MORE PATIENTS. 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 $187,526,000 IN FISCAL YEAR 2010. PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 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. PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 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.
SUPPLEMENTAL INFORMATION	Part VI, Section A, Line 4 Marshfield Clinic's Bylaws were amended effective January 11, 2010 as follows: The number of Directors on the Board of Directors was changed from twenty-three members to eighteen members. The Board of Directors is comprised of four Officers and fourteen "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 two Directors, for a total of fourteen Directors. *There is no longer an Executive Committee of the Board of Directors. Part VI Governance, Management, and Disclosure, Line 6 Marshfield Clinic has 656 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 shareholders 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. 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 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 were thoroughly and timely documented. 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.
SUPPLEMENTAL INFORMATION	Schedule A, Part I Schedule H Requirement 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. Form 990, Part VII, Section A, Column B Estimated hours per week devoted to related organizations: ALL OF THE FOLLOWING ARE .5 HOURS: Karl J. Ulrich, M.D.(Psychiatrist) Douglas J. Reding, M.D. (Oncologist/Hematologist) David J. Simenstad, M.D. (Orthopedic Surgeon) Brian Ewert, MD (Nephrologist) Stephen Blonsky, MD (Nephrology) Humberto Vidaillet, MD (Electrophysiologist) Ivan B. Schaller, M.D. (Internal Medicine) Qasim Raza, MD (Hospitalist) - Central 2 C. Todd Stewart, MD (Pediatric Intensivist) Mark LePage, MD (Radiology) Dan Erickson, MD (Family Practitioner) Matthew Thomas, MD (Urology) Ron Martin, MD (General Surgeon) Matthias Weiss, MD (Oncology/Hematology) John Melski, MD (Dermatologist) Sharlene Kreitlow, MD (OB/GYN) Wallace "Brad" Brucker, MD (Orthopedics) Humayun Khan, MD (Emergency Medicine/Urgent Care) Aron S. Adkins, M.D. (Endocrinologist) Timothy R. Boyle, M.D. (Otolaryngologist) Eric Penniman, DO (Family Practitioner) John Crump, MD (Pulmonologist) Becky Campbell, MD (Pediatric Neurologist) David Cook, MD (Emergency Medicine/Urgent Care) Erik Dickson, MD (Family Practitioner) William Melms, MD (Family Practitioner) Elvis Peter, MD (Hospitalist) Ellen Schumann, MD (Pediatritian) Karen Shulman, MD (Family Practitioner) Tim Wengert, MD (General Surgeon) Mike Wenman, MD (Emergency Medicine/Urgent Care) Robert A. Carlson, MD - 2 hours Business Transactions with Interested Persons Schedule L, 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 structure for comparable positions. Transactions with Related Organizations Schedule R, Part V, Line 2 1a. Health Insurance benefits purchased by Marshfield Clinic (for employees) from Security Health Plan 1b. l 1c. $63,505,939 2a. Security Health Plan loan guaranteed by Marshfield Clinic 2b. d 2c. $5,926,786 3a. Food Safety loan from Marshfield Clinic 3b. d 3c. $4,500,000 4a. Security Health Plan loan to Marshfield Clinic 4b. e 4c. $25,000,000 5a. Lease of office space by Marshfield Clinic from Security Health Plan 5b. j 5c. $238,789 6a. Medical Services provided by Marshfield Clinic to Security Health Plan participants 6b. k 6c. $214,600,580 7a. Reimbursements by Security Health to Marshfield Clinic for proactive health and anticoagulation services 7b. k 7c. $1,582,695 8a. Reimbursements by Security Health to Marshfield Clinic for administrative services 8b. k 8c. $27,560,693 9a. Reimbursements by Security Health to Marshfield Clinic for grounds maintenance 9b. k 9c. $148,753 10a. Payment to Security Health Plan for interest on loan 10b. q 10c. $88,377 11a. Payment from Security Health Plan for patient care initiatives 11b. r 11c. $880,810 12a. Marshfield Clinic transfer of land to Marshfield Food Safety 12b. q 12c. $90,583 13a. Reimbursements by Marshfield Food Safety to Marshfield Clinic for operational expenses 13b. p 13c. $275,938 14a. Marshfield Food Safety partnership distribution to Marshfield Clinic 14b. r 14c. $100,000 15a. Cash and Non-cash Contributions from Security Health Plan 15b. c 15c. $66,327

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
Volunteer Partners of Lakeview Medical C
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	General Or Managing PartnerGeneralOrManagingPartner
Marshfield Food Safety
Food testing	WI	NA	Related	136169	1581412	false	false
Diagnostic Treatment Ctr
medical svcs	WI	NA	Related	5494290	20459939	false	false

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	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	true	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

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1