2024-08-15T11:12:00+00:00 2023-09-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2023-01-01 391606449 GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC GUND 6087827300 1910 SOUTH AVE LA CROSSE WI 54601 SCOTT RATHGABER MD CEO 2024-08-15 true true Emily Upstrom P01765498 3128792000 2023-11-14 2023 2024-08-08 14:25:15Z SCOTT RATHGABER MD 1910 SOUTH AVE LA CROSSE WI 54601 867616443 false X WWW.GUNDERSENHEALTH.ORG X 1987 WI TO SUPPORT GUNDERSEN HEALTH SYSTEM'S HEALTH CARE AND OTHER ORGS MISSIONS THROUGHOUT OUR SERVICES AREA, MANAGING THE LARGER PORTION OF BUISINESS SVCS, EDUCATION AND INVESTING. 6 0 0 291 1606810 0 437720 671591 963115810 840315631 29672366 25048489 514440 269249 993740336 866304960 9341781 835449 0 851847734 714961755 0 0 140101405 107619175 1001290920 823416379 -7550584 42888581 1007573596 1008817960 1095318628 1052629778 -87745032 -43811818 SEE SCHEDULE O. false false 771472250 835449 840315631 GENERAL SERVICES PROVIDED TO GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC. AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES. 771472250 true true false true false false false false false true false false false true true false true false false false false false false false false false true false false true false false false false false true false false true false false false false false true true false false false true 0 0 0 true true false false false false false false false false false false false X 6 0 false false true false true true true true true false false true true true true true true true true true true WI X John Ceelen 6087827300 1900 SOUTH AVENUE NCA LA CROSSE WI 54601 X ANDREA HAUSER RN Board of Trustees - Chief Nursing Officer and Admin Vice President 42.0 5.0 X X 0 0 0 BRYAN ERDMANN Board of Trustees - Chief Operating Officer 42.0 8.0 X X 0 0 0 HEATHER SCHIMMERS RN Board of Trustees - President 42.0 9.0 X X 0 0 0 SCOTT RATHGABER MD Board of Trustees - Chief Executive Officer, Chairman 42.0 6.0 X X 0 0 0 TODD KOWALSKI MD Board of Trustees - Medical Chief Operating Officer 42.0 4.0 X X 0 0 0 JENNIFER KLEVEN MD Board of Trustees - Chief Medical Officer 42.0 5.0 X 0 0 0 CHRISTINE WALLER MD Medical VP, Acute Care and Nursing & Systems Practices 40.0 0.0 X 0 0 0 DANIEL LILLY SECRETARY 48.0 0.0 X 0 0 0 GERALD OETZEL CHIEF FINANCIAL OFFICER AND TREASURER THRU 8/23 42.0 0.0 X 0 0 0 JONATHAN ZLABEK MD MEDICAL VP, CROSS-FUNCTIONAL CARE THRU 10/23 40.0 0.0 X 0 0 0 KELLEY BAHR MD MEDICAL VICE PRESIDENT, AMBULATORY SERVICES 40.0 0.0 X 0 0 0 KRAIG SCHUSTER ADMIN VICE PRESIDENT, COMMUNITY 43.5 0.0 X 0 0 0 MARILU BINTZ MD MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS 43.8 0.0 X 0 0 0 MARY KUFFEL MD INTERIM MEDICAL VP, CROSS-FUNCTIONAL CARE BEGIN 9/23 40.0 0.0 X 0 0 0 MICHAEL MCKEE ADMIN VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICES 42.3 0.0 X 0 0 0 RACHEL ALBRECHT ADMIN VP, AMBULATORY SERVICES 40.5 0.0 X 0 0 0 STEPHANIE NEUMAN MD MEDICAL VICE PRESIDENT, AMBULATORY SERVICES 40.0 0.0 X 0 0 0 STEVE LITTLE INTERIM CHIEF FINANCIAL OFFICER AND TREASURER BEGIN 8/23 42.0 0.0 X 0 0 0 TINA LECHNIR ADMIN VP, CROSS-FUNCTIONAL CARE 40.8 0.0 X 0 0 0 0 0 0 0 false false false KRAUS ANDERSON CONSTRUCTION CO 501 SOUTH EIGHTH STREET MINNEAPOLIS MN 55404 CONSTRUCTION CONTRACTOR FOWLER AND HAMMER INC 313 MONITOR STREET LA CROSSE WI 54603 CONSTRUCTION CONTRACTOR WIESER BROTHERS INC 200 TWILITE STREET LA CRESCENT MN 55947 CONSTRUCTION CONTRACTOR SIRIUS COMPUTER SOLUTIONS INC PO BOX 202289 DALLAS TX 753202289 COMPUTER CONTRACTOR HAYES LOCUMS LLC POX BOX 88122 CHICAGO IL 606801122 CONTRACTED DOCTOR 0 179916 491675 671591 SERVICES PROVIDED TO GUNDERSEN 561000 838918473 838918473 ADMIN. AND TECHNICAL SUPPORT SERVICES 561499 1397158 1397158 0 0 0 0 840315631 24872594 24872594 1370980 1311383 59597 0 59597 59597 175995 100 0 175895 175895 175895 HEALTH SHOP SALES 446199 209652 209652 0 0 0 0 209652 866304960 838918473 1606810 25108086 835449 835449 1000 1000 1000 1000 546951576 517837680 29113896 65859124 61523815 4335309 67658231 65397541 2260690 34490824 32388630 2102194 935933 54916 881017 593957 33901 560056 245804 245804 0 1498076 31460 1466616 23262393 18899353 4363040 0 953626 61650 891976 8445795 8030958 414837 29566664 28343883 1222781 8200912 7056110 1144802 557867 331803 226064 641502 492129 149373 7744131 7744131 16389570 15726132 663438 773963 768608 5355 RECRUITING/EMPLOYEE DEVELOPMENT/TAXES 2950673 2543546 407127 MISCELLANEOUS 2820799 1950939 869860 DUES/MEMBERSHIP/LICENSES 1560602 695904 864698 476908 476908 0 0 823416379 771472250 51944129 0 18339297 15303984 35438480 66872626 67828 30585 0 0 28471988 33193171 12499384 13296896 27885004 23025696 320919427 190276786 136531126 130642641 734403415 715158334 0 0 13937074 11294027 1007573596 1008817960 132951216 161368473 343535000 335685000 0 0 618832412 555576305 1095318628 1052629778 X -87745032 -43811818 -87745032 -43811818 1007573596 1008817960 X 42888581 1967388 0 -922755 X false true X true true true X X 20 COMMUNITY HOUSING OF LA CROSSE INC 391586700 9 true 0 0 GUNDERSEN CLINIC LTD 391028657 3 true 0 0 GUNDERSEN LUTHERAN MEDICAL CENTER INC 390813416 3 true 0 0 GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC 391249705 7 true 0 0 HARMONY COMMUNITY HEALTH CARE INC 410711606 7 true 0 0 LUTHERAN HOUSING OF LA CROSSE INC 391751934 9 true 0 0 MEMORIAL HOSPITAL OF BOSCOBEL 390845590 3 true 0 0 PALMER LUTHERAN HEALTH CENTER INC 421320763 3 true 0 0 ST JOSEPH HEALTH SERVICES INC 390929538 3 true 0 0 TRI-COUNTY MEMORIAL HOSPITAL INC 390704510 3 true 0 0 TRI-STATE AMBULANCE INC 391965415 3 true 0 0 TRI-STATE REGIONAL AMBULANCE INC 391962965 9 true 0 0 TWEETEN LUTHERAN HEALTHCARE CENTER INC 411565003 9 true 0 0 MOUNDVIEW MEMORIAL HOSPITALS & CLINICS 390944012 3 true 0 0 SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 410693877 3 true 0 0 BELLIN MEMORIAL HOSPITAL INC 390884478 3 true 0 0 BELLIN PSYCHIATRIC CENTER INC 391657627 3 true 0 0 OCONTO HOSPITAL & MEDICAL CENTER INC 061745397 3 true 0 0 BELLIN COLLEGE INC 391620530 2 true 0 0 THE BELLIN HEALTH FOUNDATION INC 391809171 7 true 0 0 20 0 0 false false false false true true true false false false false false false false false false true Schedule A, Part I, Line 12g INFORMATION ON SUPPORTED ORGANIZATIONS GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. IS AN INTEGRAL PART OF THE GUNDERSEN LUTHERAN HEALTH SYSTEM AND PROVIDES SUPPORT TO EACH OF THE ORGANIZATIONS LISTED; HOWEVER, SUCH SERVICES CANNOT EASILY BE QUANTIFIED IN DOLLAR-BASED TERMS. Schedule A, Part I, Line 12g organizations not listed in governing document GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. SUPPORTS THE FOLLOWING ORGANIZATIONS THAT ARE 501(C)(3) PUBLIC CHARITIES AFFILIATED WITH THE SUPPORTED ORGANIZATIONS. Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501 (C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE AS AMENDED (HEREINAFTER THE "INTERNAL REVENUE CODE"). THE CORPORATION'S ACTIVITIES SHALL BE CARRIED OUT EXCLUSIVELY TO SUPPORT, OPERATE FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND CARRY OUT SOME OR ALL OF THE CHARITABLE PURPOSES OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC, GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL CENTER, INC., AND THEIR NONPROFIT AFFILIATES (HEREINAFTER REFERRED TO AS THE "HEALTH SYSTEM") SO LONG AS THOSE ORGANIZATIONS ARE DESCRIBED IN EITHER SECTION 509 (A)(1) OR 509 (A)(2) OF THE INTERNAL REVENUE CODE (OR THE CORRESPONDING PROVISIONS OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW). Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION, INC. 39-1688793 AND PALMER MEDICAL FOUNDATION 42-1032878 WERE REMOVED FROM SCHEDULE A SINCE THEY ARE NON-REPORTABLE TYPE 12 ORGANIZATIONS. MEMORIAL HEALTHCARE FOUNDATION OF ADAMS COUNTY, INC. 39-1775074 AND BOSCOBEL AREA HEALTHCARE PARTNERS 45-0498844 WERE REMOVED AS THEY ARE NOT RELATED TO THE ORGANIZATION. IN DECEMBER 2022, THE BYLAWS OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. WERE AMENDED AND RESTATED TO UPDATE THE SUPPORTED ORGANIZATION LISTING AS A RESULT OF A BUSINESS COMBINATION. THE FOLLOWING ENTITIES WERE ADDED TO THE SCHEDULE AS THEY ARE LISTED IN THE ORGANIZATION'S GOVERNING DOCUMENTS: BELLIN MEMORIAL HOSPITAL, INC 39-0884478 BELLIN PSYCHIATRIC CENTER, INC. EIN 39-1657627 OCONTO HOSPITAL & MEDICAL CENTER, INC., EIN 06-1745397 BELLIN COLLEGE, INC., EIN: 39-1620530 THE BELLIN HEALTH FOUNDATION, INC., EIN: 39-1809171 Schedule A, Part IV, Section A, Line 6 Support to other supported orgs GENERAL SERVICES PROVIDED TO GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES. GLAS ALSO GIVES GRANTS TO QUALIFIED 501(C)(3) PUBLIC CHARITIES AND GOVERNMENTAL ENTITIES THAT SUPPORT THE MISSION OF GLAS AND THE ORGANIZATIONS THEY SUPPORT. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 245804 276873 245804 276873 823170575 2156545660 823416379 2156822533 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 259182 380642 242027 276873 1158724 250000 250000 250000 250000 1000000 1500000 0 0 0 0 11099754 11099754 125925672 44996014 80929658 0 0 0 122927362 94693567 28233795 60966639 50587205 10379434 130642641 INTERCOMPANY PAYABLE 520010943 LOSS ON SWAP CONTRACTS 2801004 OPERATING LEASE OBLIGATIONS 4393909 LT CIMP LIABILITY 11671224 TEB PRE/(DISC) CURRENT AND LT 16543937 DEFERRED COMPENSATION SECURITY DEPOSIT PAYABLE 89666 DEFERRED REVENUE 9122 SALES TAX PAYABLE 56500 555576305 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote INCOME TAX MATTERS (IN THOUSANDS) THE SYSTEM QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), WITH THE EXCEPTION OF GUNDERSEN LUTHERAN ENVISION, LLC AND GUNDERSEN EDGE, LLC, WHICH ARE FOR-PROFIT ENTITIES. AT SEPTEMBER 30, 2023 AND NOVEMBER 30, 2022, NET DEFERRED TAX ASSETS OF $7,057 AND $7,351, RESPECTIVELY, WICH PRIMARYLY ARE RELATED TO NER OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $7,057 AND $7,351, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT SEPTEMBER 30, 2023, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $26,700, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $24,600, WHICH WILL EXPIRE BETWEEN 2032 AND 2041. THE SYSTEM HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS. THE SYSTEM'S INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR 2018 AND PRIOR YEARS. true SAINT CLARE HEALTH MISSION 916 Ferry Street La Crosse WI 54601 823903651 501 (C) 3 100500 OPERATIONS SUPPORT VARC INC 1133 Nelson Parkway Viroqua WI 54665 391211167 501 (C) 3 90000 OPERATIONS SUPPORT LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM 1725 State St La Crosse WI 54601 391804725 501 (C) 3 74249 OPERATIONS SUPPORT MINNESOTA STATE COLLE 1250 Homer Road Winona MN 55987 411540247 501 (C) 3 50000 OPERATIONS SUPPORT GREAT RIVERS UNITED WAY 1855 East Main St Onalaska WI 54650 390848188 501 (C) 3 40000 OPERATIONS SUPPORT LA CROSSE AREA CHAMBER OF COMMERCE 601 7th St N La Crosse WI 54601 390414500 501 (C) 6 36100 OPERATIONS SUPPORT KARUNA INC 315 3rd St South La Crosse WI 54601 872587965 501 (C) 3 35000 OPERATIONS SUPPORT WAFER INC 403 Causeway Blvd La Crosse WI 54601 391552632 501 (C) 3 27000 OPERATIONS SUPPORT THE GOOD FIGHT COMM CTR 118 North 6th St La Crosse WI 54601 812930941 501 (C) 3 25000 OPERATIONS SUPPORT HOPE RESTORES CORP Copeland Ave La Crosse WI 54601 853904972 501 (C) 3 25000 OPERATIONS SUPPORT SUNFLOWER CHILD DEVLP 300 Iowa Highway 9 Decorah IA 52101 421036817 501 (C) 3 25000 OPERATIONS SUPPORT SEMCAC 204 South Elm PO Box 549 Rushford MN 559710549 410907135 501 (C) 3 23000 OPERATIONS SUPPORT LA CROSSE CITY TREASURER 400 La Crosse St La Crosse WI 54601 396005490 Government entity 20000 OPERATIONS SUPPORT LA CROSSE SYMPHONY ORCHESTRA 201 Main St Suite 230 La Crosse WI 54601 391024330 501 (C) 3 20000 OPERATIONS SUPPORT COULEE REGION HUMANE 911 Critter Court Onalaska WI 54669 237366713 501 (C) 3 10000 OPERATIONS SUPPORT AMERICAN RED CROSS WI 4860 Sheboygan Ave Madison WI 53705 530196605 501 (C) 3 10000 OPERATIONS SUPPORT SAFE FAMILIES FOR CHILDREN PO Box 213 Elkhorn WI 53121 472646525 501 (C) 3 10000 OPERATIONS SUPPORT WO WAFER INC 403 Causeway Blvd La Crosse WI 54601 391552632 501 (C) 3 9375 OPERATIONS SUPPORT VETERANS ASSISTANCE FDN 1118 Superior Ave Tomah WI 54660 391798221 501 (C) 3 8000 OPERATIONS SUPPORT WOMEN'S FUND OF GREATER LA CROSSE PO Box 654 La Crosse WI 54601 272394065 501 (C) 3 7000 OPERATIONS SUPPORT NORTHEAST IOWA FOOD BANK 1605 Lafayette St PO Box 2397 Waterloo IA 50704 411169648 501 (C) 3 6000 OPERATIONS SUPPORT LA CROSSE AREA DEVELOPMENT CORPORATION 601 7th St N La Crosse WI 54601 391168327 501 (C) 6 5500 OPERATIONS SUPPORT RIVERS ALLIANCE INC 601 7th St N La Crosse WI 54601 010938132 501 (C) 3 5250 OPERATIONS SUPPORT 21 2 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS: THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES A WHEFA SERIES 2021A ISSUANCE 391337855 97712JBU6 2021-08-12 117839194 SEE PART VI false false false B WHEFA SERIES 2016 ISSUANCE 391337855 000000000 2016-02-12 40000000 SEE PART VI false false false C WHEFA SERIES 2009 ISSUANCE 391337855 97710BE65 2012-10-01 78715000 SEE PART VI false false false D WHEFA SERIES 2008B ISSUANCE 391337855 97710BBG6 2012-10-01 61400000 SEE PART VI false false false A 0 0 117893194 1202288 116690906 2021 true false true true B 40000000 40000000 2016 true false true true C 24520000 78715000 78715000 2005 true false true true D 14300000 61400000 61400000 2008 true false true true A false true false false 0.0014 0.0014 false false true B false false false false 0.0 false false true C false true false false 0.0007 0.0007 false true 0.0051 true true D false false false false 0.0 false true 0.0 true true A false false true false false false false false true B false false true false true false false false true C false false true false true true PIPERMERRILL 29.5 true false false false true D false false true false true true MERRILL 27.0 true false false false true A true B true C true D true Schedule K, Part I, Column (a) DESCRIPTION OF PURPOSE BOND A: PROCEEDS OF THE SERIES 2021A BONDS WERE USED TO CURRENTLY REFUND THE 2011A SERIES ISSUED 9/29/2011 AND COSTS OF ISSUANCE. THE SERIES 2011A BOND PROCEEDS WERE USED TO CURRENTLY REFUND, IN THEIR ENTIRETY, THE SERIES 2000A AND 2000B ORIGINALLY ISSUED 10/10/2020. Schedule K, Part I, Column (b) DESCRIPTION OF PURPOSE BOND B: PROCEEDS OF THE SERIES 2016 BONDS WERE USED TO CURRENTLY REFUND, IN THEIR ENTIRETY, THE WISCONSIN HEALTH AND EDUCATIONAL FACILITY VARIABLE RATE REVENUE BONDS, SERIES 2011B (GUNDERSEN LUTHERAN). Schedule K, Part I, Column (c) DESCRIPTION OF PURPOSE BOND C: PROCEEDS OF THE SERIES 2009A AND 2009B BONDS WERE USED TO FINANCE CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITIES AND CURRENTLY REFUNDING THE SERIES 2003B AND 2003C BONDS. Schedule K, Part I, Column (d) DESCRIPTION OF PURPOSE BOND D: PROCEEDS OF THE SERIES 2008B BONDS WERE USED TO FINANCE THE REPAYMENT OF A LINE OF CREDIT USED TO REPAY THE SERIES 2006 BONDS, WHICH FINANCED THE CONSTRUCTION AND EQUIPPING OF HEALTH CARE FACILITIES AND COSTS OF ISSUANCE. Schedule K, Part I, Column (e) DESCRIPTION OF PURPOSE BOND E: PROCEEDS OF THE SERIES 2022 BONDS WERE USED TO CURRENTLY REFUND THE 2012 SERIES ISSUED 9/27/2012 AND COSTS OF ISSUANCE. THE SERIES 2012 BONDS WERE USED TO CONSTRUCT AND EQUIP A CLINIC. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE BOND F: THE SERIES 2015 BONDS FINANCED THE CONSTRUCTION AND EQUIPPING OF A CLINIC. INVESTMENT EARNINGS IS THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE TOTAL PROCEEDS OF THE ISSUE. Schedule K, Part I, Column (g) DESCRIPTION OF PURPOSE BOND G: SERIES 2020A BONDS FINANCED THE CONSTRUCTION AND EQUIPPING OF A CLINIC. INVESTMENT EARNINGS IS THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE TOTAL PROCEEDS OF THE ISSUE. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE BOND F: FOR SERIES 2015 BONDS, THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE TOTAL PROCEEDS OF THE ISSUE IS DUE TO $44,549.90 IN INVESTMENT EARNINGS (INTEREST). Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE BOND G: FOR SERIES 2020A BONDS, THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO $184.28 IN INVESTMENT EARNINGS (INTEREST). Schedule K, Part III, Line 8a and 8c - SALE OF BOND-FINANCED PROPERTY GUNDERSEN SOLD LOADING DOCK ASSET FROM THE 2008B BONDS. BONDS ALLOCABLE TO THE SALE PROCEEDS OF THAT ASSET IN AN AMOUNT OF $800.00 WERE REDEEMED ON 7/15/15 IN ORDER TO REMEDIATE THAT SALE. IN 2019, GUNDERSEN SOLD A BOND-FINANCED ASSET FROM THE 2003 ISSUANCE, LATER REFUNDED BY THE 2009 ISSUANCE, WHICH WAS SOLD AFTER ITS 15-YEAR USEFUL LIFE AND THEREFORE IS NOT REPORTED HERE. Schedule K, Part III, Line 7 PRIVATE SECURITY OR PAYMENT TEST HISTORICALLY GUNDERSEN RESPONDED "YES" TO THIS QUESTION TO CONSERVATIVELY RESPOND AND TO REFLECT THAT IT DID MONITOR THE PRIVATE SECURITY TEST; GUNDERSEN IS NOW RESPONDING "NO" BECAUSE THERE IS NO PRIVATE USE WHICH GUNDERSEN CAREFULLY MONITORS AND MANAGES. A WHEFA SERIES 2022 ISSUANCE 391337855 97710B4B5 2022-11-15 68505000 SEE PART VI false false false B WHEFA SERIES 2015 ISSUANCE 391337855 000000000 2015-12-23 12000000 SEE PART VI false false false C WHEFA SERIES 2020A ISSUANCE 391337855 97712D654 2020-03-24 25002968 SEE PART VI false false false A 0 68505000 250000 68255000 2022 true false true true B 8160000 12044550 12044550 2017 false false true true C 25003152 25003152 2020 false false true true A false false false false 0.0 false false true B false false false false 0.0 false false true C false false false false 0.0 false false true A false false true false false false false false true B false false true false true false false false true C false true false false false false false false true A true B true C true Daniel Breazeale Employee - VP Finance Bonus/Relocation X 30000 6763 true true true Praveen Chopra Employee - Chief Information Officer Bonus/Relocation X 125000 17095 false true true Tina Lechnir Employee - Vice President Bonus/Relocation X 12000 6727 false true true 30585 James Kleven MD FMAILY MEMBER OF JENNIFER KLEVEN, M.D., DIRECTOR 396076 Employment false Cassandra Zlabek Family Member of Jon Zlabek, OFFICER 42015 Employment false Shannan Stephens MD Family Member of Kelley Bahr, M.D., OFFICER 291719 Employment false Form 990, Part III, Line 1 ORGANIZATION'S MISSION TO SUPPORT GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.'S PROGRAMS OF HEALTH CARE, MEDICAL EDUCATION, MEDICAL RESEARCH AND COMMUNITY HEALTH PROMOTION ACTIVITIES WITHIN THE MEANING OF SECTION 509(A)(3) OF THE IRC; BORROWING AND LENDING OF FUNDS AND PROPERTY, ENGAGING IN FINANCIAL TRANSACTIONS WITH AND/OR ON BEHALF OF THE GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., ALONG WITH GENERAL SERVICES PROVIDED TO GUNDERSEN CLINIC, LTD. AND GUNDERSEN LUTHERAN MEDICAL CENTER, INC. Form 990, Part VI, Line 15 A AND B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE COMPENSATION OF THE CEO IS DETERMINED ANNUALLY BY A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THEIR DETERMINATION IS MADE AFTER A REVIEW OF MARKET DATA OBTAINED FROM SEVERAL ORGANIZATIONS AND CEO PERFORMANCE. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE SUCH DISCUSSIONS TAKE PLACE. RECOMMENDATIONS FOR COMPENSATION FOR THE ORGANIZATIONS' KEY MANAGEMENT EMPLOYEES ARE DEVELOPED ANNUALLY BY THE CEO, AFTER A REVIEW OF PERFORMANCE AND COMPARABLE MARKET DATA. THE PROPOSED SALARIES ARE INDEPENDENTLY REVIEWED BY AN OUTSIDE AUDITING FIRM. THE COMPENSATION RECOMMENDATIONS, AUDIT REPORTS, ALONG WITH THE MARKET DATA, ARE PRESENTED TO A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THE COMPENSATION AMOUNTS ARE NOT EFFECTIVE UNTIL THE BOARD COMMITTEE APPROVES THEM. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE THE BOARD REVIEWS AND APPROVES THE COMPENSATION OF THE KEY EMPLOYEES. Form 990, Part VI, Line 4 Significant changes to organizational documents IN JULY AND AUGUST 2023, THE BYLAWS AND ARTICLES OF INCORPORATION, RESPECTIVELY OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. ("CORPORATION") WERE AMENDED TO SPECIFY THE POWERS RETAINED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.. THE CHIEF EXECUTIVE OFFICER OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. RETAINS AUTHORITY TO APPROVE ANY SIGNIFICANT CHANGES TO THE CORPORATION. SUBJECT TO THE RESERVED POWERS SPECIFIED IN THE BYLAWS, THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF TRUSTEES. Form 990, Part VI, Line 6 Classes of members or stockholders GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., HAS THE POWER TO APPOINT BOARD MEMBERS Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., THE PARENT CORPORATION AND SOLE MEMBER OF THE CORPORATION, SHALL HAVE THE POWER, TO RECOMMEND AND REVIEW, AS APPROPRIATE, AND APPROVE CERTAIN MATTERS. ARTICLES OF INCORPORATION MAY BE AMENDED BY VOTE OF THE SOLE MEMBER OF THE CORPORATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WILL BE AVAILABLE FOR ALL BOARD MEMBERS BEFORE FILING AND UPON FURTHER REVIEW BY THE CFO, VICE-PRESIDENT OF FINANCE OR DIRECTOR OF FINANCE, THE 990S ARE APPROVED AND FILED. Form 990, Part VI, Line 12c Conflict of interest policy GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. MONITORS CONFLICTS ON AN ANNUAL BASIS BY REVIEWING DISCLOSURES ON COMPLETED CONFLICT OF INTEREST STATEMENTS. Form 990, Part VI, Line 19 Required documents available to the public REQUESTS FOR ALL DOCUMENTS ARE MADE THROUGH THE LEGAL DEPARTMENT, AND THE APPROPRIATE DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION IN THE LEGAL DEPARTMENT. Form 990, Part VII, Section A, Line 1a COMPENSATION REPORTING DUE TO THE SHORT YEAR RETURN IN WHICH THERE WAS NO CALENDAR YEAR THAT ENDS WITH OR WITHIN THE SHORT YEAR, NO REPORTABLE COMPENSATION IS SHOWN FOR INDIVIDUALS LISTED ON PART VII OF THE 990 RETURN. AS SUCH, NO KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, OR INDEPENDENT CONTRACTORS ARE LISTED PER THE REPORTING INSTRUCTIONS. 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