GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC (EIN 39-1606449)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202303189349305450
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T10:17:38+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DRIVE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391606449	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Gundersen Lutheran Administrative Services Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GUND	BusinessNameControlTxt
Phone	6087827300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1910 SOUTH AVE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVE LITTLE	PersonNm
Person Title	INTERIM CFO	PersonTitleTxt
Signature	2023-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	STEVE	PersonFirstNm
Person Last	LITTLE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Emily Upstrom	PreparerPersonNm
PTIN	P01765498	PTIN
Phone	4142748740	PhoneNum
Preparation	2023-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCOTT RATHGABER MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1910 SOUTH AVE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$995,552,064	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GUNDERSENHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	9419	TotalEmployeeCnt
Total Volunteers	310	TotalVolunteersCnt
Total Gross UBI	$3,997,310	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$315,172	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,576,875	PYContributionsGrantsAmt
CY Contributions Grants	$437,720	CYContributionsGrantsAmt
PY Program Service Revenue	$906,325,303	PYProgramServiceRevenueAmt
CY Program Service Revenue	$963,115,810	CYProgramServiceRevenueAmt
PY Investment Income	$44,912,902	PYInvestmentIncomeAmt
CY Investment Income	$29,672,366	CYInvestmentIncomeAmt
PY Other Revenue	$527,000	PYOtherRevenueAmt
CY Other Revenue	$514,440	CYOtherRevenueAmt
PY Total Revenue	$953,342,080	PYTotalRevenueAmt
CY Total Revenue	$993,740,336	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,605,097	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$9,341,781	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$786,360,513	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$851,847,734	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$123,427,142	PYOtherExpensesAmt
CY Other Expenses	$140,101,405	CYOtherExpensesAmt
PY Total Expenses	$912,392,752	PYTotalExpensesAmt
CY Total Expenses	$1,001,290,920	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,949,328	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$7,550,584	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,235,621,372	TotalAssetsBOYAmt
Total Assets EOY	$1,007,573,596	TotalAssetsEOYAmt
Total Liabilities BOY	$1,192,791,645	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,095,318,628	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$42,829,727	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$87,745,032	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$930,346,089	ExpenseAmt
Grant	$9,341,781	GrantAmt
Revenue	$963,115,810	RevenueAmt
Desc	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.	Desc
Total Program Service Expenses	$930,346,089	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	537	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9419	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEVE LITTLE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6087827300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 SOUTH AVENUE	AddressLine1Txt
City	NCA LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREA HAUSER
BOARD OF TRUSTEES-CNO, ADMIN VP NURSING & SYSTEM PRACTICES	42.0	5.0	Yes (X)	Yes (X)	$244,113	$0	$51,032
BRYAN ERDMANN
BOARD OF TRUSTEES - CHIEF OPERATING OFFICER	42.0	6.5	Yes (X)	Yes (X)	$316,306	$0	$72,463
DAN FLORNESS
BOARD OF TRUSTEES - TREASURER	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
GERALD ARNDT
BOARD OF TRUSTEES - CHAIR	2.0	7.0	Yes (X)	Yes (X)	$0	$0	$0
GLENA TEMPLE PHD
BOARD OF TRUSTEES - SECRETARY	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
HEATHER SCHIMMERS
BOARD OF TRUSTEES - PRESIDENT	42.0	7.0	Yes (X)	Yes (X)	$514,939	$0	$58,135
JOHN LYCHE
BOARD OF TRUSTEES - VICE CHAIR	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
ROBYN BORGE MD
BOARD OF TRUSTEES-CHIEF MEDICAL OFFICER	42.0	6.0	Yes (X)	Yes (X)	$306,023	$0	$46,630
SCOTT RATHGABER MD
BOARD OF TRUSTEES - CEO, CHAIRMAN	42.0	6.0	Yes (X)	Yes (X)	$1,020,916	$0	$67,219
TODD KOWALSKI MD
BOARD OF TRUSTEES - MEDICAL CHIEF OPERATING OFFICER	42.0	4.0	Yes (X)	Yes (X)	$473,806	$0	$72,811
BENJAMIN JARMAN MD
BOARD OF TRUSTEES - MEMBER	42.0	6.0	Yes (X)		$501,955	$0	$58,135
CHRIS EBERLEIN MD
BOARD OF TRUSTEES - MEMBER	42.0	6.0	Yes (X)		$387,958	$0	$67,719
JENNIFER KLEVEN MD
BOARD OF TRUSTEES - MEMBER	42.0	6.0	Yes (X)		$361,979	$0	$47,577
MARK GLENDENNING
BOARD OF TRUSTEES - MEMBER	2.0	4.0	Yes (X)		$0	$0	$0
RICHARD RADCLIFFE
BOARD OF TRUSTEES - MEMBER	2.0	4.0	Yes (X)		$0	$0	$0
TITA YUTUC
BOARD OF TRUSTEES - MEMBER	2.0	4.0	Yes (X)		$0	$0	$0
CHRISTINE WALLER MD
MED VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICES	42.0	6.0		Yes (X)	$520,081	$0	$77,227
DANIEL LILLY
SECRETARY	42.0	4.5		Yes (X)	$491,361	$0	$68,219
GERALD OETZEL
CFO, TREASURER	42.0	7.0		Yes (X)	$615,642	$0	$52,651
JONATHAN ZLABEK MD
MEDICAL VP, CROSS-FUNCTIONAL CARE	42.0	4.0		Yes (X)	$461,310	$0	$68,469
KELLEY BAHR MD
MEDICAL VP, AMBULATORY SERVICES	42.0	4.0		Yes (X)	$393,507	$0	$44,275
KRAIG SCHUSTER
ADMIN VP, COMMUNITY	42.0	6.0		Yes (X)	$284,169	$0	$53,972
MARILU BINTZ MD
MED VP, COMM AND CMO-CRITICAL ACCESS HOSP	42.0	8.0		Yes (X)	$620,762	$0	$52,634
MARY ELLEN MCCARTNEY
CHIEF HUMAN RESOURCES OFFICER	42.0	6.0		Yes (X)	$384,407	$0	$59,267
MICHAEL DOLAN MD
EXEC VP, MEDICAL COO	42.0	6.0		Yes (X)	$636,281	$0	$71,911
MICHAEL MCKEE
ADMIN VP, ACUTE CARE AND NURSING AND SYSTEMS	42.0	6.3		Yes (X)	$270,756	$0	$67,960
PRAVEEN CHOPRA
CHIEF INFORMATION OFFICER	42.0	6.0		Yes (X)	$509,283	$0	$73,161
RACHEL ALBRECHT
ADMIN VP, AMBULATORY SERVICES	42.0	4.8		Yes (X)	$151,435	$0	$46,902
STEPHANIE NEUMAN MD
MEDICAL VP, AMBULATORY SERVICES	42.0	6.0		Yes (X)	$472,535	$0	$71,411
STEPHEN SHAPIRO MD
CHIEF MEDICAL FOUNDATION OFFICER	42.0	10.0		Yes (X)	$498,943	$0	$71,269
TINA LECHNIR
ADMIN VP, CROSS-FUNCTIONAL CARE	42.0	4.0		Yes (X)	$58,446	$0	$10,925
WILLIAM FARRELL
CHIEF BUSINESS AND STRATEGY OFFICER	42.0	7.5		Yes (X)	$437,724	$0	$44,275
ELLEN PEDRETTI-FENDT
VICE PRESIDENT APPLICATION SERVICES	40.0	0.0			$203,686	$0	$54,866	Yes (X)
ERIC DEHN
VP ENTERPRISE ARCHITECTURE AND SOLUTION DESIGN	40.0	0.0			$260,080	$0	$37,379	Yes (X)
JACK SCHWARTZ
VICE PRESIDENT FOUNDATION	40.0	0.0			$215,332	$0	$38,237	Yes (X)
JANINE LUZ
VICE PRESIDENT LEARNING	40.0	0.0			$229,446	$0	$51,353	Yes (X)
KARI ADANK
VICE PRESIDENT COMPLIANCE	40.0	0.0			$236,819	$0	$59,638	Yes (X)
KRISTER MATTSON
VICE PRESIDENT ENTERPRISE ANALYTICS	40.0	0.0			$298,053	$0	$51,698	Yes (X)
MARY KUFFEL MD
MEDICAL VICE PRESIDENT	40.0	0.0			$538,187	$0	$45,667	Yes (X)
P MICHAEL JACOBS DPM
MEDICAL VICE PRESIDENT	40.0	0.0			$461,210	$0	$67,702	Yes (X)
PAMELA MAAS
VICE PRESIDENT BUSINESS SERVICES	40.0	0.0			$274,453	$0	$32,393	Yes (X)
SHANNON MULLIGAN
VP HR & TOTAL REWARDS	40.0	0.0			$264,842	$0	$35,571	Yes (X)
DOUGLAS HUGHES MD
MEDICAL DOCTOR	40.0	0.0			$1,080,521	$0	$53,519		Yes (X)
JEFFREY LAWRENCE MD
MEDICAL DOCTOR	40.0	0.0			$1,152,244	$0	$65,719		Yes (X)
JERRY DAVIS MD
MEDICAL DOCTOR	40.0	0.0			$1,103,855	$0	$53,519		Yes (X)
KURT ZIEGELBEIN MD
MEDICAL DOCTOR	40.0	0.0			$998,787	$0	$68,569		Yes (X)
MARK TOPOLSKI MD
MEDICAL DOCTOR	40.0	0.0			$1,111,397	$0	$58,135		Yes (X)
GREGORY THOMPSON MD
FORMER CHIEF MED OFF THRU 21	40.0	0.0			$322,668	$0	$53,156			Yes (X)
STEPHANIE CARROLL MD
FORMER MEDICAL VP THRU 20	40.0	0.0			$297,599	$0	$63,310			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$19,983,816	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,366,680	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	69	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
KRAUS ANDERSON CONSTRUCTION CO
501 SOUTH EIGHTH STREET	MINNEAPOLIS	MN	55404	CONSTRUCTION CONTRACTOR	$6,057,164
FOWLER AND HAMMER INC
313 MONITOR STREET	LA CROSSE	WI	54603	CONSTRUCTION CONTRACTOR	$6,030,771
WIESER BROTHERS INC
200 TWILITE STREET	LA CRESCENT	MN	55947	CONSTRUCTION CONTRACTOR	$5,230,523
SIRIUS COMPUTER SOLUTIONS INC
PO BOX 202289	DALLAS	TX	753202289	COMPUTER CONTRACTOR	$4,259,378
HAYES LOCUMS LLC
POX BOX 88122	CHICAGO	IL	606801122	CONTRACTED DOCTOR	$3,972,145

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	394	CntrctRcvdGreaterThan100KCnt
Related Organizations	$56,330	RelatedOrganizationsAmt
Government Grants	$373,482	GovernmentGrantsAmt
All Other Contributions	$7,908	AllOtherContributionsAmt
Total Contributions	$437,720	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
SERVICES PROVIDED TO GUNDERSEN	561000	$959,863,687	$959,863,687
ADMIN. AND TECHNICAL SUPPORT SERVICES	561499	$3,252,123		$3,252,123

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$963,115,810	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,477,987	TotalRevenueColumnAmt
Unrelated Business Revenue	$422,402	UnrelatedBusinessRevenueAmt
Exclusion	$29,055,585	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,791,723	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,600,068	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$191,655	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$191,655	TotalRevenueColumnAmt
Exclusion	$191,655	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$406,039	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$211,660	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$194,379	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$194,379	TotalRevenueColumnAmt
Exclusion	$194,379	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	HEALTH SHOP SALES	Desc
Business	446199	BusinessCd
Total Revenue Column	$322,785	TotalRevenueColumnAmt
Unrelated Business Revenue	$322,785	UnrelatedBusinessRevenueAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$322,785	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$993,740,336	TotalRevenueColumnAmt
Related Or Exempt Func Income	$959,863,687	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,997,310	UnrelatedBusinessRevenueAmt
Exclusion	$29,441,619	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$9,341,781	TotalAmt
Program Services	$9,341,781	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,883,451	TotalAmt
Management And General	$8,883,451	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$3,106,145	TotalAmt
Program Services	$3,106,145	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$665,768,132	TotalAmt
Program Services	$634,234,321	ProgramServicesAmt
Management And General	$31,533,811	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$46,459,624	TotalAmt
Program Services	$41,771,165	ProgramServicesAmt
Management And General	$4,688,459	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$86,818,299	TotalAmt
Program Services	$83,329,291	ProgramServicesAmt
Management And General	$3,489,008	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$40,812,083	TotalAmt
Program Services	$38,557,384	ProgramServicesAmt
Management And General	$2,254,699	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,214,117	TotalAmt
Program Services	$256,212	ProgramServicesAmt
Management And General	$1,957,905	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$372,113	TotalAmt
Management And General	$372,113	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$235,832	TotalAmt
Program Services	$235,832	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,969,040	TotalAmt
Program Services	-$22,220	ProgramServicesAmt
Management And General	$1,991,260	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$30,515,908	TotalAmt
Program Services	$24,374,831	ProgramServicesAmt
Management And General	$6,141,077	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,756,925	TotalAmt
Program Services	$115,426	ProgramServicesAmt
Management And General	$1,641,499	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,816,491	TotalAmt
Program Services	$8,674,549	ProgramServicesAmt
Management And General	$1,141,942	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$37,110,108	TotalAmt
Program Services	$35,389,133	ProgramServicesAmt
Management And General	$1,720,975	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,692,328	TotalAmt
Program Services	$8,817,137	ProgramServicesAmt
Management And General	$1,875,191	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$648,221	TotalAmt
Program Services	$491,249	ProgramServicesAmt
Management And General	$156,972	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$786,049	TotalAmt
Program Services	$624,739	ProgramServicesAmt
Management And General	$161,310	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,353,077	TotalAmt
Program Services	$11,353,077	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,010,579	TotalAmt
Program Services	$18,660,231	ProgramServicesAmt
Management And General	$350,348	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,060,282	TotalAmt
Program Services	$1,053,877	ProgramServicesAmt
Management And General	$6,405	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES/BAD DEBT	$1,832,312	$1,832,312
DUES/MEMBERSHIPS/LICENSES	$2,142,885	$1,484,332	$658,553
RECRUITING/EMPLOYEE DEVELOPMENT/TAXES	$3,967,473	$3,260,023	$707,450
CREDIT CARD EXPENSE	$1,428,211	$1,420,201	$8,010

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,189,454	TotalAmt
Program Services	$1,985,061	ProgramServicesAmt
Management And General	$1,204,393	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,001,290,920	TotalAmt
Program Services	$930,346,089	ProgramServicesAmt
Management And General	$70,944,831	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$17,055,873	BOYAmt
EOY	$18,339,297	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$188,308,097	BOYAmt
EOY	$35,438,480	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$97,544	BOYAmt
EOY	$67,828	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$23,757,402	BOYAmt
EOY	$28,471,988	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,891,593	BOYAmt
EOY	$12,499,384	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,595,906	BOYAmt
EOY	$27,885,004	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$310,169,570	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$173,638,444	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$112,626,178	BOYAmt
EOY	$136,531,126	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$841,081,347	BOYAmt
EOY	$734,403,415	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$19,207,432	BOYAmt
EOY	$13,937,074	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,235,621,372	BOYAmt
EOY	$1,007,573,596	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$153,279,914	BOYAmt
EOY	$132,951,216	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$352,255,000	BOYAmt
EOY	$343,535,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$687,256,731	BOYAmt
EOY	$618,832,412	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,192,791,645	BOYAmt
EOY	$1,095,318,628	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$42,829,727	BOYAmt
EOY	-$87,745,032	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$42,829,727	BOYAmt
EOY	-$87,745,032	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,235,621,372	BOYAmt
EOY	$1,007,573,596	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$7,550,584	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$120,718,868	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$2,305,307	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	19	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (19 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
COMMUNITY HOUSING OF LA CROSSE INC
391586700	9	false	$0	$0
GUNDERSEN CLINIC LTD
391028657	3	Yes (true)	$0	$0
GUNDERSEN LUTHERAN MEDICAL CENTER INC
390813416	3	Yes (true)	$0	$0
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
391249705	7	false	$0	$0
HARMONY COMMUNITY HEALTH CARE INC
410711606	7	false	$0	$0
LUTHERAN HOUSING OF LA CROSSE INC
391751934	9	false	$0	$0
MEMORIAL HOSPITAL OF BOSCOBEL
390845590	3	false	$0	$0
PALMER LUTHERAN HEALTH CENTER INC
421320763	3	false	$0	$0
ST JOSEPH HEALTH SERVICES INC
390929538	3	false	$0	$0
TRI-COUNTY MEMORIAL HOSPITAL INC
390704510	3	false	$0	$0
TRI-STATE AMBULANCE INC
391965415	3	false	$0	$0
TRI-STATE REGIONAL AMBULANCE INC
391962965	9	false	$0	$0
TWEETEN LUTHERAN HEALTHCARE CENTER INC
411565003	9	false	$0	$0
MOUNDVIEW MEMORIAL HOSPITALS & CLINICS
390944012	3	false	$0	$0
MEMORIAL HC FDTN OF ADAMS COUNTY INC
391775074	9	false	$0	$0
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
410693877	3	false	$0	$0
BOSCOBEL AREA HEALTHCARE PARTNERS
450498844	7	false	$0	$0
MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION INC
391688793	7	false	$0	$0
PALMER MEMORIAL FOUNDATION
421032878	7	false	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	19	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (true)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	Yes (true)	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I, Line 12g INFORMATION ON SUPPORTED ORGANIZATIONS	GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES 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 IV, Section A, Line 1 Supported Orgs Listed By Name	THE ARTICLES OF INCORPORATION OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. (GLAS) PROVIDE THAT IT SHALL SUPPORT, OPERATE FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND CARRY OUT SOME OR ALL OF THE CHARITABLE PURPOSES OF GUNDERSEN LUTHERAN, INC., GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL CENTER, INC. AND THEIR NONPROFIT AFFILIATES (HEREAFTER REFERRED TO AS THE GUNDERSEN LUTHERAN HEALTH SYSTEM) SO LONG AS THOSE ORGANIZATIONS ARE DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE, AND OTHER SECTION 501(C)(3) ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE WHICH ARE AFFILIATED WITH ANY OF THE AFORESAID ORGANIZATIONS. GLAS SUPPORTS THE THREE NAMED ENTITIES, TWO OF WHICH HAVE BEEN RECOGNIZED AS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAVE BEEN CLASSIFIED AS PUBLIC CHARITIES UNDER IRC SECTION 509(A)(1) OR (2) AND THE OTHER, GUNDERSEN LUTHERAN, INC., IS OPERATED, SUPERVISED, OR CONTROLLED BY OR CONNNECTION WITH THE NAMED SUPPORTED ORGANIZATIONS. FURTHER, PURSUANT TO THEIR BY-LAWS, THE GOVERNING BODY OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. (FORMALLY GUNDERSEN LUTHERAN, INC.) SERVES AS THE GOVERNING BODY OF GLAS, AS WELL AS GUNDERSEN CLINIC, LTD, AND GUNDERSEN LUTHERAN MEDICAL CENTER, INC. THUS, GLAS MEETS THE RELATIONSHIP TEST AS A TYPE II ORGANIZATION BECAUSE THERE IS COMMON SUPERVISION AND CONTROL BETWEEN GLAS AND ITS TWO NAMED SUPPORTED ORGANIZATIONS (TREAS. REGS. SECTION 1.509(A)-4(H)). GLAS ALSO SUPPORTS ORGANIZATIONS DESCRIBED IN IRC SECTION 509(A)(1) AND (2) WHICH ARE AFFILIATED WITH THE SUPPORTED ORGANIZATIONS OR ARE 501(C)(3) PUBLIC CHARITIES AFFILIATED WITH THESE AFFILIATED ENTITIES. THEY ARE DESCRIBED BY CLASS. TO QUALIFY AS A SECTION 509(A)(3) SUPPORTING ORGANIZATION, AN ORGANIZATION MUST SUPPORT ONE OR MORE SPECIFIED ORGANIZATIONS. FOR TYPE II SUPPORTING ORGANIZATIONS, SPECIFIED ORGANIZATIONS CAN BE EITHER SPECIFIED BY NAME IN THE SUPPORTING ORGANIZATION'S ARTICLES OF INCORPORATION, OR THE ARTICLES MUST DESIGNATE THE SUPPORTED ORGANIZATION(S) BY CLASS OR PURPOSE AND WHICH INCLUDE PUBLICLY SUPPORTED ORGANIZATIONS WHICH ARE CLOSELY RELATED IN PURPOSE OR FUNCTION TO THE PUBLICLY SUPPORTED ORGANIZATIONS SPECIFIED IN THE ARTICLES. (TREAS. REGS. SECTION 1.509(A)-4(D)(2)(B)(2). HEREFORE, THE LACK OF INCLUDING THE NAME OF THE AFFILIATED ORGANIZATIONS THAT GLAS WILL SUPPORT IN ITS ARTICLES OF INCORPORATION DOES NOT OTHERWISE DEFEAT GLAS'S STATUS AS A TYPE II SUPPORTING ORGANIZATION, BECAUSE ITS ARTICLES DESCRIBE THESE SUPPORTED ORGANIZATIONS BY CLASS (AFFILIATED WITH THE SPECIFIED SUPPORTED ORGANIZATION) AND REQUIRE THAT THEY BE EXEMPT FROM TAX UNDER IRC SECTION 501 (C) (3) AND DESCRIPBED IN IRC SECTION 509 (A) (1) OR (2).
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.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$235,832	FilingOrganizationsTotalAmt
Affiliated Group Total	$242,027	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$235,832	FilingOrganizationsTotalAmt
Affiliated Group Total	$242,027	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,001,055,088	FilingOrganizationsTotalAmt
Affiliated Group Total	$2,564,277,341	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,001,290,920	FilingOrganizationsTotalAmt
Affiliated Group Total	$2,564,519,368	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$219,416	CurrentYearMinus3Amt
Current Year Minus2	$243,000	CurrentYearMinus2Amt
Current Year Minus1	$358,231	CurrentYearMinus1Amt
Current Year	$235,832	CurrentYearAmt
Total	$1,056,479	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-A AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: GUNDERSEN LUTHERAN ADMINISTRATIVE SVCS ADDRESS: 1910 S. AVE LA CROSSE, WI 54601 EIN: 39-1606449 GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 235,832. TOTAL LOBBYING EXPENDITURES: 235,832. OTHER EXEMPT PURPOSE EXPENDITURES: 1,001,055,088. TOTAL EXEMPT PURPOSE EXPENDITURES: 1,001,290,920. LOBBYING NONTAXABLE AMOUNT: 1,000,000. GRASSROOTS NONTAXABLE AMOUNT: 250,000. TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A AFFILIATED ORGANIZATIONS (CONT'D)	ORGANIZATION NAME: GUNDERSEN CLINIC, LTD. ADDRESS: 1836 SOUTH AVENUE LA CROSSE, WI 54601 EIN: 39-1028657 GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 6,195. TOTAL LOBBYING EXPENDITURES: 6,195. OTHER EXEMPT PURPOSE EXPENDITURES: 271,691,930. TOTAL EXEMPT PURPOSE EXPENDITURES: 271,698,125. LOBBYING NONTAXABLE AMOUNT: 1,000,000. GRASSROOTS NONTAXABLE AMOUNT: 250,000. TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A AFFILIATED ORGANIZATIONS (CONT'D)	ORGANIZATION NAME: GUNDERSEN LUTHERAN MEDICAL CENTER, INC. ADDRESS: 1910 SOUTH AVENUE LA CROSSE, WI 54601 EIN: 39-0813416 GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: NONE. TOTAL LOBBYING EXPENDITURES: NONE. OTHER EXEMPT PURPOSE EXPENDITURES: 1,291,530,323. TOTAL EXEMPT PURPOSE EXPENDITURES: 1,291,530,323. LOBBYING NONTAXABLE AMOUNT: 1,000,000. GRASSROOTS NONTAXABLE AMOUNT: 250,000. TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A AFFILIATED ORGANIZATIONS (CONT'D)	ORGANIZATION NAME: GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. ADDRESS: 1836 SOUTH AVENUE LA CROSSE, WI 54601 EIN: 39-1866425 GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: NONE. TOTAL LOBBYING EXPENDITURES: NONE. OTHER EXEMPT PURPOSE EXPENDITURES: NONE. TOTAL EXEMPT PURPOSE EXPENDITURES: NONE. LOBBYING NONTAXABLE AMOUNT: 1,000,000. GRASSROOTS NONTAXABLE AMOUNT: 250,000. TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,070,469	OtherCostOrOtherBasisAmt
Book Value	$11,070,469	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,885,402	OtherCostOrOtherBasisAmt
Depreciation	$36,125,910	DepreciationAmt
Book Value	$71,759,492	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,272,174	OtherCostOrOtherBasisAmt
Depreciation	$3,967,996	DepreciationAmt
Book Value	$2,304,178	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$184,941,525	OtherCostOrOtherBasisAmt
Depreciation	$133,544,538	DepreciationAmt
Book Value	$51,396,987	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$136,531,126	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLE	$579,273,189
LOSS ON SWAP CONTRACTS	$6,129,149
OPERATING LEASE OBLIGATIONS	$4,752,522
LT CIMP LIABILITY	$10,594,089
TEB PRE/(DISC) CURRENT AND LT	$17,878,358
DEFERRED COMPENSATION	$41,058
SECURITY DEPOSIT PAYABLE	$88,455
DEFERRED REVENUE	$6,367
SALES TAX PAYABLE	$69,225

Field	Value	IRS element (for citing)
Total Liability	$618,832,412	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	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, WHICH IS A FOR-PROFIT ENTITY. AT NOVEMBER 30, 2022 AND DECEMBER 31, 2021, NET DEFERRED TAX ASSETS OF $7,351 AND $7,545, RESPECTIVELY, WHICH PRIMARILY ARE RELATED TO NET OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $7,351 AND $7,545, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT NOVEMBER 30, 2022, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $27,800, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $25,700, WHICH WILL EXPIRE BETWEEN 2031 AND 2040. 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.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GREAT RIVERS UNITED WAY
1855 East Main St	Onalaska	WI	54650	390848188	501 (C)(3)	$165,000	OPERATIONS SUPPORT
SAINT CLARE HEALTH MISSION
916 Ferry Street	La Crosse	WI	54601	823903651	501 (C)(3)	$100,000	OPERATIONS SUPPORT
LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM
1725 State Street	La Crosse	WI	54601	391804725	501 (C)(3)	$83,484	OPERATIONS SUPPORT
LA CROSSE AREA FAMILY YMCA
1140 Main Street	La Crosse	WI	54601	390806172	501 (C)(3)	$50,000	OPERATIONS SUPPORT
SUNFLOWER CHILD DEVELOPMENT CENTER
300 Iowa Highway 9	Decorah	IA	52101	421036817	501 (C)(3)	$25,000	OPERATIONS SUPPORT
ADULT & TEEN CHALLENGE OF WESTERN WISCONSIN INC
2507 Weston St	La Crosse	WI	54601	822144057	501 (C)(3)	$25,000	OPERATIONS SUPPORT
LA CROSSE COUNTY TREASURER
212 6th St N	La Crosse	WI	54601	396005709	GOV	$25,000	OPERATIONS SUPPORT
LA CROSSE ROTARY BRAIN GAME INC
PO Box 384	La Crosse	WI	54602	263035626	501 (C)(3)	$24,300	OPERATIONS SUPPORT
LA CROSSE AREA CHAMBER OF COMMERCE
601 7th St N	La Crosse	WI	54601	390414500	501 (C)(6)	$21,250	OPERATIONS SUPPORT
HILLSBORO EMERGENCY MEDICAL TECHNICIANS & ALLIES INC
PO Box 323	Hillsboro	WI	54634	882151437	501 (C)(3)	$20,300	OPERATIONS SUPPORT
ARCADIA AMBULANCE SERVICE
PO Box 156	Arcadia	WI	54612	461555439	501 (C)(3)	$20,000	OPERATIONS SUPPORT
LA CROSSE SYMPHONY ORCHESTRA
201 Main St Suite 230	La Crosse	WI	54601	391024330	501(c)(3)	$14,000	OPERATIONS SUPPORT
WAFER INC
403 Causeway Boulevard	La Crosse	WI	54601	391552632	501 (C)(3)	$12,500	OPERATIONS SUPPORT
LA CROSSE NEIGHBORHOODS INC
PO Box 1661	La Crosse	WI	54601	474445115	501 (C)(3)	$11,000	OPERATIONS SUPPORT
BOYS AND GIRLS CLUBS OF GREATER LA CROSSE
PO Box 91	La Crosse	WI	54602	396084791	501 (C)(3)	$10,000	OPERATIONS SUPPORT
ST JOSEPH'S FOUNDATION
400 Water Ave	Hillsboro	WI	54634	391455787	501 (C)(3)	$10,000	OPERATIONS SUPPORT
AMERICAN RED CROSS WI
4860 Sheboygan Ave	Madison	WI	53705	530196605	501 (C)(3)	$10,000	OPERATIONS SUPPORT
LA CROSSE CITY TREASURER
400 La Crosse St	La Crosse	WI	54601	396005490	GOV	$10,000	OPERATIONS SUPPORT
VIVENT HEALTH
648 N Plankinton Ave Suite 200	Milwaukee	WI	53203	391534049	501 (C)(3)	$10,000	OPERATIONS SUPPORT
SAFE FAMILIES FOR CHILDREN WI
PO Box 213	Elkhorn	WI	53121	472646525	501 (C)(3)	$10,000	OPERATIONS SUPPORT
VITERBO UNIVERSITY
900 Viterbo Drive	La Crosse	WI	54601	390978445	501 (C)(3)	$9,000	OPERATIONS SUPPORT
LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM
1725 State Street	La Crosse	WI	54601	391805963	501 (C)(3)	$8,160	OPERATIONS SUPPORT
HABITAT FOR HUMANITY
3181 Berlin Dr	La Crosse	WI	54601	391706999	501 (C)(3)	$7,500	OPERATIONS SUPPORT
THE PARENTING PLACE
1500 Green Bay St	La Crosse	WI	54601	391676842	501 (C)(3)	$7,500	OPERATIONS SUPPORT
APTIVE FOUNDATION
3000 South Avenue	La Crosse	WI	54601	391366838	501 (C)(3)	$7,500	OPERATIONS SUPPORT
CITY OF CALEDONIA
231 East Main St PO Box 232	Caledonia	MN	55921	416005025	GOV	$7,000	OPERATIONS SUPPORT
YWCA LA CROSSE
3219 Commerce St	La Crosse	WI	54603	390810543	501 (C)(3)	$7,000	OPERATIONS SUPPORT
NORTHEAST IOWA FOOD BANK
1605 Lafayette St PO Box 2397	Waterloo	IA	50704	421169648	501 (C)(3)	$6,000	OPERATIONS SUPPORT
LA CROSSE AREA DEVELOPMENT CORPORATION
601 N 7th Street	La Crosse	WI	54601	391168327	501 (C)(6)	$5,500	OPERATIONS SUPPORT
7 RIVERS ALLIANCE INC
601 Seventh St N Suite 400	La Crosse	WI	54601	010938132	501 (C)(3)	$5,250	OPERATIONS SUPPORT
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVE	LA CROSSE	WI	54601	391866425	501 (C)(3)	$8,411,785	OPERATIONS SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	31	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS: THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (41 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBYN BORGE MD
BOARD OF TRUSTEES-CHIEF MEDICAL OFFICER	$301,500	$0	$100	$0	$4,423	$0	$44,080	$0	$2,550	$0	$352,653	$0	$0	$0
BRYAN ERDMANN
BOARD OF TRUSTEES - CHIEF OPERATING OFFICER	$312,047	$0	$0	$0	$4,259	$0	$44,225	$0	$28,238	$0	$388,769	$0	$0	$0
ANDREA HAUSER
BOARD OF TRUSTEES-CNO, ADMIN VP NURSING & SYSTEM PRACTICES	$240,231	$0	$0	$0	$3,882	$0	$33,786	$0	$17,246	$0	$295,145	$0	$0	$0
TODD KOWALSKI MD
BOARD OF TRUSTEES - MEDICAL CHIEF OPERATING OFFICER	$468,479	$0	$4,500	$0	$827	$0	$44,225	$0	$28,586	$0	$546,617	$0	$0	$0
SCOTT RATHGABER MD
BOARD OF TRUSTEES - CEO, CHAIRMAN	$1,015,579	$0	$180	$0	$5,157	$0	$44,225	$0	$22,994	$0	$1,088,135	$0	$0	$0
HEATHER SCHIMMERS
BOARD OF TRUSTEES - PRESIDENT	$509,659	$0	$0	$0	$5,280	$0	$44,225	$0	$13,910	$0	$573,074	$0	$0	$0
CHRIS EBERLEIN MD
BOARD OF TRUSTEES - MEMBER	$379,772	$0	$3,000	$0	$5,186	$0	$44,225	$0	$23,494	$0	$455,677	$0	$0	$0
BENJAMIN JARMAN MD
BOARD OF TRUSTEES - MEMBER	$495,141	$0	$0	$0	$6,814	$0	$44,225	$0	$13,910	$0	$560,090	$0	$0	$0
JENNIFER KLEVEN MD
BOARD OF TRUSTEES - MEMBER	$358,763	$0	$3,000	$0	$216	$0	$43,395	$0	$4,182	$0	$409,556	$0	$0	$0
GREGORY THOMPSON MD
FORMER CHIEF MED OFF THRU 21	$303,070	$0	$0	$0	$19,598	$0	$40,620	$0	$12,536	$0	$375,824	$0	$0	$0
RACHEL ALBRECHT
ADMIN VP, AMBULATORY SERVICES	$141,471	$0	$100	$0	$9,864	$0	$22,658	$0	$24,244	$0	$198,337	$0	$0	$0
KELLEY BAHR MD
MEDICAL VP, AMBULATORY SERVICES	$386,333	$0	$2,110	$0	$5,064	$0	$44,225	$0	$50	$0	$437,782	$0	$0	$0
MARILU BINTZ MD
MED VP, COMM AND CMO-CRITICAL ACCESS HOSP	$614,741	$0	$210	$0	$5,811	$0	$44,225	$0	$8,409	$0	$673,396	$0	$0	$0
PRAVEEN CHOPRA
CHIEF INFORMATION OFFICER	$462,246	$0	$0	$0	$47,037	$0	$44,225	$0	$28,936	$0	$582,444	$0	$0	$0
MICHAEL DOLAN MD
EXEC VP, MEDICAL COO	$631,023	$0	$4,500	$0	$758	$0	$44,225	$0	$27,686	$0	$708,192	$0	$0	$0
WILLIAM FARRELL
CHIEF BUSINESS AND STRATEGY OFFICER	$432,308	$0	$0	$0	$5,416	$0	$44,225	$0	$50	$0	$481,999	$0	$0	$0
DANIEL LILLY
SECRETARY	$485,361	$0	$0	$0	$6,000	$0	$44,225	$0	$23,994	$0	$559,580	$0	$0	$0
MARY ELLEN MCCARTNEY
CHIEF HUMAN RESOURCES OFFICER	$383,356	$0	$0	$0	$1,051	$0	$44,225	$0	$15,042	$0	$443,674	$0	$0	$0
MICHAEL MCKEE
ADMIN VP, ACUTE CARE AND NURSING AND SYSTEMS	$270,131	$0	$0	$0	$625	$0	$40,054	$0	$27,906	$0	$338,716	$0	$0	$0
STEPHANIE NEUMAN MD
MEDICAL VP, AMBULATORY SERVICES	$472,163	$0	$0	$0	$372	$0	$44,225	$0	$27,186	$0	$543,946	$0	$0	$0
GERALD OETZEL
CFO, TREASURER	$609,991	$0	$0	$0	$5,651	$0	$44,225	$0	$8,426	$0	$668,293	$0	$0	$0
KRAIG SCHUSTER
ADMIN VP, COMMUNITY	$281,574	$0	$160	$0	$2,435	$0	$40,632	$0	$13,340	$0	$338,141	$0	$0	$0
STEPHEN SHAPIRO MD
CHIEF MEDICAL FOUNDATION OFFICER	$493,829	$0	$4,650	$0	$464	$0	$44,225	$0	$27,044	$0	$570,212	$0	$0	$0
CHRISTINE WALLER MD
MED VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICES	$511,659	$0	$3,000	$0	$5,422	$0	$44,225	$0	$33,002	$0	$597,308	$0	$0	$0
JONATHAN ZLABEK MD
MEDICAL VP, CROSS-FUNCTIONAL CARE	$451,746	$0	$4,500	$0	$5,064	$0	$44,225	$0	$24,244	$0	$529,779	$0	$0	$0
STEPHANIE CARROLL MD
FORMER MEDICAL VP THRU 20	$297,576	$0	$0	$0	$23	$0	$37,717	$0	$25,593	$0	$360,909	$0	$0	$0
KARI ADANK
VICE PRESIDENT COMPLIANCE	$236,696	$0	$0	$0	$123	$0	$34,829	$0	$24,809	$0	$296,457	$0	$0	$0
ERIC DEHN
VP ENTERPRISE ARCHITECTURE AND SOLUTION DESIGN	$239,619	$0	$0	$0	$20,461	$0	$25,231	$0	$12,148	$0	$297,459	$0	$0	$0
P MICHAEL JACOBS DPM
MEDICAL VICE PRESIDENT	$456,496	$0	$0	$0	$4,714	$0	$44,225	$0	$23,477	$0	$528,912	$0	$0	$0
MARY KUFFEL MD
MEDICAL VICE PRESIDENT	$529,412	$0	$2,000	$0	$6,775	$0	$44,225	$0	$1,442	$0	$583,854	$0	$0	$0
JANINE LUZ
VICE PRESIDENT LEARNING	$225,078	$0	$110	$0	$4,258	$0	$33,108	$0	$18,245	$0	$280,799	$0	$0	$0
PAMELA MAAS
VICE PRESIDENT BUSINESS SERVICES	$223,112	$0	$110	$0	$51,231	$0	$32,351	$0	$42	$0	$306,846	$0	$0	$0
KRISTER MATTSON
VICE PRESIDENT ENTERPRISE ANALYTICS	$277,987	$0	$0	$0	$20,066	$0	$36,521	$0	$15,177	$0	$349,751	$0	$0	$0
SHANNON MULLIGAN
VP HR & TOTAL REWARDS	$241,408	$0	$20,000	$0	$3,434	$0	$31,502	$0	$4,069	$0	$300,413	$0	$0	$0
ELLEN PEDRETTI-FENDT
VICE PRESIDENT APPLICATION SERVICES	$202,996	$0	$160	$0	$530	$0	$30,015	$0	$24,851	$0	$258,552	$0	$0	$0
JACK SCHWARTZ
VICE PRESIDENT FOUNDATION	$212,018	$0	$0	$0	$3,314	$0	$29,814	$0	$8,423	$0	$253,569	$0	$0	$0
JERRY DAVIS MD
MEDICAL DOCTOR	$1,099,163	$0	$0	$0	$4,692	$0	$32,025	$0	$21,494	$0	$1,157,374	$0	$0	$0
DOUGLAS HUGHES MD
MEDICAL DOCTOR	$1,075,829	$0	$0	$0	$4,692	$0	$32,025	$0	$21,494	$0	$1,134,040	$0	$0	$0
JEFFREY LAWRENCE MD
MEDICAL DOCTOR	$1,147,530	$0	$0	$0	$4,714	$0	$44,225	$0	$21,494	$0	$1,217,963	$0	$0	$0
MARK TOPOLSKI MD
MEDICAL DOCTOR	$1,106,659	$0	$0	$0	$4,738	$0	$44,225	$0	$13,910	$0	$1,169,532	$0	$0	$0
KURT ZIEGELBEIN MD
MEDICAL DOCTOR	$993,745	$0	$0	$0	$5,042	$0	$44,225	$0	$24,344	$0	$1,067,356	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WHEFA SERIES 2021A ISSUANCE
A	391337855	97712JBU6	2021-08-12	$117,839,194	SEE PART VI	false	false	false
WHEFA SERIES 2016 ISSUANCE
B	391337855	000000000	2016-02-12	$40,000,000	SEE PART VI	false	false	false
WHEFA SERIES 2009 ISSUANCE
C	391337855	97710BE65	2012-10-01	$78,715,000	SEE PART VI	false	false	false
WHEFA SERIES 2008B ISSUANCE
D	391337855	97710BBG6	2012-10-01	$61,400,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$117,893,194	$1,202,288	$116,690,906	2021	Yes (true)	false	Yes (true)	Yes (true)
B			$40,000,000		$40,000,000	2016	Yes (true)	false	Yes (true)	Yes (true)
C	$21,070,000		$78,715,000		$78,715,000	2005	Yes (true)	false	Yes (true)	Yes (true)
D	$9,900,000		$61,400,000		$61,400,000	2008	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd
A	false	Yes (true)	false	false	0.0014	0.0014	false	false	Yes (true)
B	false	false	false	false		0.0	false	false	Yes (true)
C	false	Yes (true)	false	false	0.0007	0.0007	false	Yes (true)	Yes (true)	0.0051	Yes (true)
D	false	false	false	false		0.0	false	Yes (true)	Yes (true)	0.0	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct
(no name)
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
(no name)
B	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)
PIPERMERRILL
C	false	false	Yes (true)	false	Yes (true)	Yes (true)	false	false	Yes (true)	29.5
MERRILL
D	false	false	Yes (true)	false	Yes (true)	Yes (true)	false	false	Yes (true)	27.0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 THE 2000 SERIES A AND B ISSUED 10/10/2000. 2008 SERIES A ISSUED 5/29/2008 AS NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITIES AND FOR COSTS OF ISSUANCE.
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. CONVERSION AND REISSUANCE OF 2009 BONDS, ORIGINALLY ISSUED 5/22/2009 TO FINANCE CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITIES AND CURRENTLY REFUNDING THE SERIES 2003B/C BONDS.
Schedule K, Part I, Column (d) DESCRIPTION OF PURPOSE	BOND D: CONVERSION AND REISSUANCE OF 2008 BONDS, ORIGINALLY ISSUED 5/29/2008 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: NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF A CLINIC. INVESTMENT EARNINGS.
Schedule K, Part I, Column (g) DESCRIPTION OF PURPOSE	BOND G: SERIES 2020A BONDS ARE FOR NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF A CLINIC. INVESTMENT EARNINGS: THE DIFFERENCE BETWEEN THE ISUE PRICE AND THE TOTAL PROCEEDS OF THE ISSUE IS DUE TO 184.28 IN INVESTMENT EARNINGS.
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 ND 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 HAD A SALE OF A BOND FINANCED LOADING DOC ASSET FROM THE 2008B ISSUANCE. 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-FINANED 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WHEFA SEREIS 2012 ISSUANCE
A	391337855	97710B4B5	2022-11-15	$68,505,000	SEE PART VI	false	false	false
WHEFA SERIES 2015 ISSUANCE
B	391337855	000000000	2015-12-23	$12,000,000	SEE PART VI	false	false	false
WHEFA SERIES 2020A ISSUANCE
C	391337855	97712D654	2020-03-24	$25,002,968	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$0	$68,505,000	$250,000	$68,255,000	2022	Yes (true)	false	Yes (true)	Yes (true)
B	$8,160,000	$12,044,550			2017	false	false	Yes (true)	Yes (true)	$12,044,550
C		$25,003,152			2020	false	false	Yes (true)	Yes (true)	$25,003,152

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (4 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Daniel Breazeale
Employee - VP Finance	Bonus/Relocation	Yes (X)	$30,000	$6,762	Yes (true)	Yes (true)	Yes (true)
Praveen Chopra
Employee - Chief Information Officer	Bonus/Relocation	Yes (X)	$125,000	$49,971	false	Yes (true)	Yes (true)
Tina Lechnir
Employee - Vice President	Bonus/Relocation	Yes (X)	$12,000	$11,095	false	Yes (true)	Yes (true)
Nathan Franklin
Director	Bonus/Relocation	Yes (X)	$5,000	$0	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$67,828	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (16 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Alexander Lilly
See Supplemental Info	$4,515	Employment	false
April Farrell MD
See Supplemental Info	$788,000	Employment	false
Brenda White
See Supplemental Info	$27,093	Employment	false
Caitlin Zlabek
See Supplemental Info	$5,551	Employment	false
Cassandra Zlabek
See Supplemental Info	$56,005	Employment	false
Deborah Schwartz
See Supplemental Info	$93,273	Employment	false
Emily Dolan MD
See Supplemental Info	$295,928	Employment	false
Evan Dolan
See Supplemental Info	$55,713	Employment	false
James Kleven MD
See Supplemental Info	$501,263	Employment	false
Kaleb Schuster
See Supplemental Info	$19,493	Employment	false
Karl Borge MD
See Supplemental Info	$272,043	Employment	false
Margaret Webster MD
See Supplemental Info	$11,658	Employment	false
Noel Radcliffe MD
See Supplemental Info	$347,757	Employment	false
Parker Schimmers
See Supplemental Info	$5,910	Employment	false
Ricardo Rivera (Ricky)
See Supplemental Info	$126,043	Employment	false
Shannan Stephens MD
See Supplemental Info	$373,038	Employment	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2 Family/business relationships amongst interested persons	MARK GLENDENNING AND GERALD ARNDT - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents	GUNDERSEN AND BELLIN HEALTH SYSTEMS, INC. (BELLIN), EACH A WISCONSIN NONPROFIT, NON-STOCK CORPORATION, ENTERED INTO A COMBINATION AGREEMENT DATED JULY 29, 2022 (THE AGREEMENT), TO ALIGN THEIR RESPECTIVE OPERATIONS AND TO FORM A SINGLE NONPROFIT HEALTH SYSTEM THROUGH THE CREATION OF BELLIN GUNDERSEN HEALTH SYSTEM, INC., A WISCONSIN NONPROFIT, NON-STOCK CORPORATION (BELLIN GUNDERSEN). ON DECEMBER 1, 2022, UPON CONSUMMATION OF THE ALIGNMENT OF THE TWO SYSTEMS (THE AFFILIATION), BELLIN GUNDERSEN BECAME THE SOLE CORPORATE MEMBER OF BOTH BELLIN AND GUNDERSEN. BELLIN AND GUNDERSEN AND THEIR RESPECTIVE AFFILIATES ARE EXPECTED TO MAINTAIN THEIR RESPECTIVE CORPORATE EXISTENCE. IN DECEMBER 2022, THE BYLAWS OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. WERE AMENDED AND RESTATED TO UPDATE THE SOLE CORPORATE MEMBER TO BELLIN GUNDERSEN HEALTH SYSTEM, INC. THE BYLAWS WERE ALSO UPDATED TO SPECIFY THE POWERS RETAINED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. THE CHIEF EXECUTIVE OFFICER OF BELLIN 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 AT A BOARD MEETING AND THE GUNDERSEN LUTHERAN HEALTH SYSTEM FINANCE COMMITTEE RECEIVES A COPY OF THE 990 BEFORE FILING AND UPON FURTHER REVIEW FROM THE CFO AND/OR THE EXECUTIVE DIRECTOR 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 15a 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 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 XI, Line 9 OTHER CHANGES	$100K ABOUTNHEALTH - ON 2.25.22, WE WITHDREW AS A MEMBER IN ABOUTHEALTH AND FORFEITED OUR RIGHT TO ANY MONEY DUE AS A MEMBER.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	EQUITY TRANSFERS TO AFFILIATES - -2202369; ABOUTHEALTH CONTRACT FORFEITURE - -100000; SWAP MARKET ADJ - -2938;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	3 REALESTATE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 SOUTH AVENUE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Field	Value	IRS element (for citing)
EIN	391606449	EIN
Primary Activities	RENTAL	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd
Total Income	$247,400	TotalIncomeAmt
End Of Year Assets	$5,545,295	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391866425	SUPPORTING ORG	WI	501(c)(3)	Type II	BGHS	false
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1910 SOUTH AVENUE	LA CROSSE	WI	54601	390813416	HEALTHCARE	WI	501(c)(3)	3	GLHS	false
GUNDERSEN CLINIC LTD
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391028657	HEALTHCARE	WI	501(c)(3)	3	GLHS	false
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391249705	FOUNDATION	WI	501(c)(3)	7	GLHS	false
GUNDERSEN LUTHERAN CREDENTIALING SVS INC
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391856898	CREDENTIALING	WI	501(c)(3)	Type III-FI	GLHS	false
TRI-COUNTY MEMORIAL HOSPITAL INC
18601 LINCOLN STREET	WHITEHALL	WI	54773	390704510	HEALTHCARE	WI	501(c)(3)	3	GLHS	false
HARMONY COMMUNITY HEALTHCARE INC
815 MAIN AVENUE	HARMONY	MN	55939	410711606	HEALTHCARE	MN	501(c)(3)	10	GLHS	false
TWEETEN LUTHERAN HEALTHCARE CENTER INC
125 FIFTH AVENUE SE	SPRING GROVE	MN	55974	411565003	HEALTHCARE	MN	501(c)(3)	10	GLHS	false
TRI-STATE AMBULANCE INC
235 CAUSEWAY BLVD	LA CROSSE	WI	54603	391965415	MEDICAL TRANSPORT	WI	501(c)(3)	3	GLHS	false
TRI-STATE REGIONAL AMBULANCE INC
235 CAUSEWAY BLVD	LA CROSSE	WI	54603	391962965	MEDICAL TRANSPORT	WI	501(c)(3)	10	GLHS	false
LUTHERAN REAL ESTATE HOLDING CORPORATION
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391480826	HOUSING	WI	501(c)(3)	Type III-FI	GLHS	false
COMMUNITY HOUSING OF LA CROSSE INC
1900 SOUTH AVENUE	LA CROSSE	WI	54601	391586700	INDEPENDENT LIVING	WI	501(c)(3)	10	LREH CORP	false
LUTHERAN HOUSING OF LA CROSSE INC
1900 SOUTH AVENUE	LA CROSSE	WI	54601	391751934	INDEPENDENT LIVING	WI	501(c)(3)	10	LREH CORP	false
ST JOSEPH'S HEALTH SERVICES INC
400 WATER AVENUE	HILLSBORO	WI	54634	390929538	HEALTHCARE	WI	501(c)(3)	3	GLHS	false
ST JOSEPH'S MEMORIAL FOUNDATION INC
400 WATER AVENUE	HILLSBORO	WI	54634	391455787	FOUNDATION	WI	501(c)(3)	Type I	ST JO HTH SV	false
TRI-COUNTY MEMORIAL FOUNDATION INC
18601 LINCOLN STREET	WHITEHALL	WI	54773	300093022	FOUNDATION	WI	501(c)(3)	Type I	TRI CTY HSPT	false
MEMORIAL HOSPITAL OF BOSCOBEL
205 PARKER STREET	BOSCOBEL	WI	53805	390845590	HEALTHCARE	WI	501(c)(3)	3	GLHS	false
PALMER LUTHERAN HEALTH CENTER INC
112 JEFFERSON STREET	WEST UNION	IA	52175	421320763	HEALTHCARE	IA	501(c)(3)	3	GLHS	false
MOUNDVIEW MEMORIAL HOSPITALS & CLINICS
402 WEST LAKE STREET	FRIENDSHIP	WI	53934	390944012	HEALTHCARE	WI	501(c)(3)	3	GLHS	false
MEMORIAL HC FDN OF ADAMS COUNTY INC
402 WEST LAKE STREET	FRIENDSHIP	WI	53934	391775074	FOUNDATION	WI	501(c)(3)	Type I	MDVW MEM HOS	false
SAINT ELIZABETH'S HOSP OF WABASHA INC
1200 5TH GRANT BOULEVARD WEST	WABASHA	MN	55981	410693877	HEALTHCARE	MN	501(c)(3)	3	GLHS	false
BELLIN GUNDERSEN HEALTH SYSTEM INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	920504278	SUPPORTING ORG	WI	501(c)(3)	Type II	NA	false
BELLIN HEALTH SYSTEMS INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391512904	SUPPORTING ORG	WI	501(c)(3)	Type II	BGHS	false
LAKE MICHIGAN HEALTH SERVICES INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391512903	SUPPORTING ORG	WI	501(c)(3)	Type II	BHS	false
BELLIN COLLEGE INC
3201 EATON ROAD	GREEN BAY	WI	54311	391620530	EDUCATION	WI	501(c)(3)	2	BHS	false
BELLIN PSYCHIATRIC CENTER INC
PO BOX 23725	GREEN BAY	WI	54301	391657627	HEALTHCARE	WI	501(c)(3)	3	BHS	false
BELLIN MEMORIAL HOSPITAL INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	390884478	HEALTHCARE	WI	501(c)(3)	3	BHS	false
THE BELLIN HEALTH FOUNDATION INC
PO BOX 23400	GREEN BAY	WI	54301	391809171	FOUNDATION	WI	501(c)(3)	7	BHS	false
OCONTO HOSPITAL & MEDICAL CENTER INC
820 ARBUTUS AVENUE	OCONTO	WI	54153	061745397	HEALTHCARE	WI	501(c)(3)	3	BMH	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
GUNDERSEN LUTHERAN ENVISION LLC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	264706546	RENEWABLE ENERGY	WI	GLHS	C Corporation	false
BEL-REGIONAL HOME MEDICAL INC
617 S ROOSEVELT	GREEN BAY	WI	54301	391504766	DURABLE MEDICAL EQUIPMENT, RETAIL	WI	NA	C Corporation	false
BELLIN INVESTMENTS INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391564939	OTHER	WI	NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part IV SCH R, PART IV, LINE 1	FormAndLineReferenceDesc
Explanation	GUNDERSEN LUTHERAN ENVISION, LLC IS DIRECTLY OWNED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AND INDIRECTLY OWNED BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC.	ExplanationTxt