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GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC (EIN 39-1606449)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202223189349314492
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-14T15:37:22-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1155 N Wacker DriveAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391606449EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICESBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% GERALD OETZELInCareOfNm
Business Name ControlGUNDBusinessNameControlTxt
Phone6087827300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11910 SOUTH AVEAddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGERALD OETZELPersonNm
Person TitleCFOPersonTitleTxt
Phone6087827300PhoneNum
Signature2022-11-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGERALDPersonFirstNm
Person LastOETZELPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJESS WAGENERPreparerPersonNm
PTINP01622613PTIN
Phone3128792000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSCOTT RATHGABER MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11910 SOUTH AVEAddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$955,529,140GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GUNDERSENHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO SUPPORT GUNDERSEN HEALTH SYSTEM'S HEALTH CARE AND OTHER ORGS MISSIONS THROUGHOUT OUR SERVICE AREA, MANAGING THE LARGER PORTION OF BUSINESS SVCS, EDUCATION AND INVESTING.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee8981TotalEmployeeCnt
Total Volunteers283TotalVolunteersCnt
Total Gross UBI$1,288,285TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$24,107NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,068,557PYContributionsGrantsAmt
CY Contributions Grants$1,576,875CYContributionsGrantsAmt
PY Program Service Revenue$780,799,610PYProgramServiceRevenueAmt
CY Program Service Revenue$906,325,303CYProgramServiceRevenueAmt
PY Investment Income$27,285,596PYInvestmentIncomeAmt
CY Investment Income$44,912,902CYInvestmentIncomeAmt
PY Other Revenue$540,319PYOtherRevenueAmt
CY Other Revenue$527,000CYOtherRevenueAmt
PY Total Revenue$809,694,082PYTotalRevenueAmt
CY Total Revenue$953,342,080CYTotalRevenueAmt
PY Grants And Similar Paid$2,819,455PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,605,097CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$734,149,109PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$786,360,513CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$122,001,466PYOtherExpensesAmt
CY Other Expenses$123,427,142CYOtherExpensesAmt
PY Total Expenses$858,970,030PYTotalExpensesAmt
CY Total Expenses$912,392,752CYTotalExpensesAmt
PY Revenues Less Expenses-$49,275,948PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$40,949,328CYRevenuesLessExpensesAmt
Total Assets BOY$1,186,143,808TotalAssetsBOYAmt
Total Assets EOY$1,235,621,372TotalAssetsEOYAmt
Total Liabilities BOY$1,200,329,600TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,192,791,645TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$14,185,792NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$42,829,727NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$855,732,025ExpenseAmt
Grant$2,605,097GrantAmt
Revenue$906,325,303RevenueAmt
DescGENERAL 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$855,732,025TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document500IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8981EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGERALD OETZELPersonNm
Phone6087757914PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 SOUTH AVENUE NCA1-01AddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SCOTT RATHGABER MD
CEO/BOARD OF GOVERNORS - MEMBR42.06.0Yes (X)Yes (X)$999,343$0$64,734
Michael Dolan MD
Exec VP, Medical COO42.06.0Yes (X)$634,459$0$64,934
Marilu Bintz MD
CHIEF POPULATION HEALTH OFFCR42.08.0Yes (X)$622,664$0$50,390
Gerald Oetzel
Chief Financial Officer42.07.0Yes (X)$583,185$0$53,726
Mary Kuffel MD
Medical Vice President40.00.0$536,104$0$43,442Yes (X)
Todd Kowalski MD
Medical Vice President40.00.0$498,112$0$66,134Yes (X)
Praveen Chopra
Chief Information Officer42.06.0Yes (X)$501,493$0$62,520
Travis Smith MD
Medical Doctor40.00.0$493,510$0$63,734Yes (X)
Stephen Shapiro MD
CHIEF MEDICAL FOUNDATION OFFCR42.09.0Yes (X)$487,953$0$66,134
Daniel Lilly JD
General Counsel40.01.5$477,564$0$66,484Yes (X)
Gregory Thompson MD
CHIEF MEDICAL OFFICER42.06.0Yes (X)$477,988$0$64,934
Stephanie Neuman MD
BD OF TSTE - MEMBR (BEG 01/21)42.06.0Yes (X)$464,519$0$64,734
Benjamin Jarman MD
BD OF TSTE - MEMBR (BEG 1/21)42.06.0Yes (X)$467,184$0$59,978
Jonathan Zlabek MD
Medical Vice President40.00.0$458,165$0$66,484Yes (X)
P Michael Jacobs DPM
Medical Vice President40.02.0$450,688$0$66,234Yes (X)
Elizabeth Smith-Houskamp PhD RN
ADMIN COO, CNO (THRU 10/21)42.08.0Yes (X)$457,394$0$44,915
William Farrell
CHIEF BUSINESS & STRATEGY OFFR42.07.5Yes (X)$423,330$0$42,050
Stephen Israel MD
Medical Doctor40.00.0$372,838$0$60,719Yes (X)
KELLEY BAHR MD
BOARD OF TRUSTEES - MEMBER42.06.0Yes (X)$388,859$0$41,915
Mary Ellen McCartney
Chief Human Resources Officer42.06.0Yes (X)$371,104$0$51,314
Rajiv Naik MD
Medical Doctor40.00.0$322,235$0$66,484Yes (X)
Victor Uko MD
Medical Doctor40.00.0$335,550$0$52,134Yes (X)
Bryan Erdmann
Administrative Vice President40.02.5$296,814$0$65,944Yes (X)
Stephanie Carroll MD
FORMER MEDICAL VP THRU 2040.01.0$298,096$0$57,986Yes (X)
ROBYN BORGE MD
BD OF TSTE/CHF MED/CLNCL STAFF42.06.0Yes (X)Yes (X)$297,040$0$43,442
Lisa Wied
Administrative Vice President40.00.5$261,892$0$62,443Yes (X)
Michael McKee
Administrative Vice President40.02.3$258,496$0$62,247Yes (X)
Kraig Schuster
Administrative Vice President40.02.0$265,615$0$52,912Yes (X)
JENNIFER KLEVEN MD
Board of Trustees - Member42.08.0Yes (X)$265,647$0$37,707
Pamela Maas
VICE PRES BUSINESS SERVICES40.00.0$263,293$0$37,362Yes (X)
Kari Adank
Vice President Compliance40.00.0$224,875$0$54,502Yes (X)
Janine Luz
Vice President Learning40.00.0$207,536$0$49,876Yes (X)
Andrea Hauser
VP PATIENT EXP & DEPT NURSING40.01.0$202,741$0$46,218Yes (X)
Ellen Pedretti-Fendt
VP Application SerVICES40.00.0$192,556$0$52,259Yes (X)
Jack Schwartz
Vice President Foundation40.00.0$203,992$0$36,244Yes (X)
Daniel Breazeale
VP FINANCE (THRU 10/21)40.00.0$200,020$0$37,695Yes (X)
Todd Bille
VP GRWTH, STRATGY (THRU 10/21)40.00.0$198,583$0$31,726Yes (X)
Heather Schimmers
Admin OPERATING OFFICER, CNO42.06.0Yes (X)$145,857$0$13,926
Garith Steiner
FORMER VICE PRESIDENT THRU 1940.00.0$131,713$0$18,896Yes (X)
John Lyche
Board of Trustees - Vice Chair2.02.0Yes (X)Yes (X)$0$0$0
Gerald Arndt
Board of Trustees - Chair2.04.0Yes (X)Yes (X)$0$0$0
Mark Glendenning
Board of Trustees - Member2.02.0Yes (X)$0$0$0
Brad Sturm
Board of Trustees - Member2.02.0Yes (X)$0$0$0
Dan Florness
Board of Trustees - Treasurer2.02.0Yes (X)Yes (X)$0$0$0
Richard Radcliffe
Board of Trustees - Member2.02.0Yes (X)$0$0$0
Glena Temple PhD
Board of Trustees - Secretary2.02.0Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,716,191TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,451,499TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K220IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FOWLER AND HAMMER INC
313 MONITOR STREETLA CROSSEWI54603CONSTRUCTION CNTRCTR$8,606,176
MICROSOFT CORPORATION
1950 N STEMMONS FWY STE 5010DALLASTX75207COMPUTER CONTRACT$6,045,274
HAYES LOCUMS LLC
PO BOX 88122CHICAGOIL60680DOCTOR CONTRACT$5,542,690
EPLUS TECNOLOGY INC
PO BOX 404398ATLANTAGA30384COMPUTER CONTRACT$5,245,340
METRO AVIATION INC
PO BOX 7008SHREVEPORTLA71137AVIATION CONTRACT$3,827,671
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K411CntrctRcvdGreaterThan100KCnt
Related Organizations$180,300RelatedOrganizationsAmt
Government Grants$1,394,231GovernmentGrantsAmt
All Other Contributions$2,344AllOtherContributionsAmt
Total Contributions$1,576,875TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
SERVICES PROVIDED TO GUNDERSEN561000$905,362,574$905,362,574
ADMIN. AND TECHNICAL SUPPORT SERVICES561499$962,729$962,729
FieldValueIRS element (for citing)
Total Program Service Revenue$906,325,303TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,625,023TotalRevenueColumnAmt
Exclusion$44,625,023ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,846,826RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,645,382RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$201,444RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$201,444TotalRevenueColumnAmt
Exclusion$201,444ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$829,557OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$541,678OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$287,879OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$287,879TotalRevenueColumnAmt
Exclusion$287,879ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescHEALTH SHOP SALESDesc
Business446199BusinessCd
Total Revenue Column$325,556TotalRevenueColumnAmt
Unrelated Business Revenue$325,556UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$325,556OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$953,342,080TotalRevenueColumnAmt
Related Or Exempt Func Income$905,362,574RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,288,285UnrelatedBusinessRevenueAmt
Exclusion$45,114,346ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,605,097TotalAmt
Program Services$2,605,097ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,959,175TotalAmt
Management And General$7,959,175ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$3,105,624TotalAmt
Program Services$3,105,624ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$595,937,562TotalAmt
Program Services$569,956,336ProgramServicesAmt
Management And General$25,981,226ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$68,171,416TotalAmt
Program Services$64,070,962ProgramServicesAmt
Management And General$4,100,454ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$74,504,500TotalAmt
Program Services$71,871,963ProgramServicesAmt
Management And General$2,632,537ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$36,682,236TotalAmt
Program Services$34,740,492ProgramServicesAmt
Management And General$1,941,744ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,278,626TotalAmt
Program Services$49,372ProgramServicesAmt
Management And General$1,229,254ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$337,467TotalAmt
Management And General$337,467ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$358,231TotalAmt
Program Services$358,215ProgramServicesAmt
Management And General$16ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,833,242TotalAmt
Program Services$5,280ProgramServicesAmt
Management And General$1,827,962ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,992,641TotalAmt
Program Services$16,864,386ProgramServicesAmt
Management And General$3,128,255ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,604,670TotalAmt
Program Services$86,891ProgramServicesAmt
Management And General$1,517,779ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,409,905TotalAmt
Program Services$7,665,270ProgramServicesAmt
Management And General$744,635ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$32,106,567TotalAmt
Program Services$30,529,971ProgramServicesAmt
Management And General$1,576,596ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,252,655TotalAmt
Program Services$7,698,928ProgramServicesAmt
Management And General$1,553,727ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$236,998TotalAmt
Program Services$185,189ProgramServicesAmt
Management And General$51,809ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$395,372TotalAmt
Program Services$292,440ProgramServicesAmt
Management And General$102,932ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,727,086TotalAmt
Program Services$15,727,086ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,466,006TotalAmt
Program Services$21,116,009ProgramServicesAmt
Management And General$349,997ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$795,191TotalAmt
Program Services$769,334ProgramServicesAmt
Management And General$25,857ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES/BAD DEBT$1,199,182$1,199,182
DUES/MEMBERSHIPS/LICENSES$2,210,458$1,723,356$487,102$0
RECRUITING/TAXES$3,492,519$2,725,694$766,825$0
CREDIT CARD EXPENSE$1,273,164$1,266,287$6,877

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,457,162TotalAmt
Program Services$1,118,661ProgramServicesAmt
Management And General$338,501ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$912,392,752TotalAmt
Program Services$855,732,025ProgramServicesAmt
Management And General$56,660,727ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$16,944,966BOYAmt
EOY$17,055,873EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$211,214,123BOYAmt
EOY$188,308,097EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$28,214BOYAmt
EOY$97,544EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$17,729,699BOYAmt
EOY$23,757,402EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,801,810BOYAmt
EOY$12,891,593EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,536,505BOYAmt
EOY$20,595,906EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$274,626,044LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$161,999,866LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$109,257,664BOYAmt
EOY$112,626,178EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$781,456,188BOYAmt
EOY$841,081,347EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,174,639BOYAmt
EOY$19,207,432EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,186,143,808BOYAmt
EOY$1,235,621,372EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$179,161,329BOYAmt
EOY$153,279,914EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$376,925,000BOYAmt
EOY$352,255,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$644,243,271BOYAmt
EOY$687,256,731EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,200,329,600BOYAmt
EOY$1,192,791,645EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$14,185,792BOYAmt
EOY$42,829,727EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$14,185,792BOYAmt
EOY$42,829,727EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,186,143,808BOYAmt
EOY$1,235,621,372EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$40,949,328ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$29,841,556NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$13,775,365OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations19SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (19 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
BOSCOBEL AREA HEALTHCARE PARTNERS
4504988447false$0$0
COMMUNITY HOUSING OF LA CROSSE INC
39158670010false$0$0
GUNDERSEN CLINIC LTD
3910286573Yes (true)$0$0
GUNDERSEN LUTHERAN MEDICAL CENTER INC
3908134163Yes (true)$0$0
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
3912497057false$0$0
HARMONY COMMUNITY HEALTH CARE INC
4107116067false$0$0
LUTHERAN HOUSING OF LA CROSSE INC
39175193410false$0$0
MEMORIAL HOSPITAL OF BOSCOBEL
3908455903false$0$0
MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION INC
3916887937false$0$0
PALMER LUTHERAN HEALTH CENTER INC
4213207633false$0$0
PALMER MEMORIAL FOUNDATION
4210328787false$0$0
ST JOSEPH HEALTH SERVICES INC
3909295383false$0$0
TRI-COUNTY MEMORIAL HOSPITAL INC
3907045103false$0$0
TRI-STATE AMBULANCE INC
3919654153false$0$0
TRI-STATE REGIONAL AMBULANCE INC
39196296510false$0$0
TWEETEN LUTHERAN HEALTHCARE CENTER INC
41156500310false$0$0
MOUNDVIEW MEMORIAL HOSPITALS & CLINICS
3909440123false$0$0
MEMORIAL HC FDTN OF ADAMS COUNTY INC
39177507410false$0$0
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
4106938773false$0$0
FieldValueIRS element (for citing)
Supported Organizations Total19SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (true)SupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (true)MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCH A PART I LINE 12GGUNDERSEN 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.
FORM 990, SCH A, PART IV, SECTION A LINE 1THE 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 DESCRIBED IN IRC SECTION 509(A)(1) OR (2).
FORM 990, SCH A, PART IV, SECTION A, LINE 6GENERAL 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

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$358,231FilingOrganizationsTotalAmt
Affiliated Group Total$380,642AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$358,231FilingOrganizationsTotalAmt
Affiliated Group Total$380,642AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$912,034,520FilingOrganizationsTotalAmt
Affiliated Group Total$2,355,041,374AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$912,392,751FilingOrganizationsTotalAmt
Affiliated Group Total$2,355,422,016AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$231,180CurrentYearMinus3Amt
Current Year Minus2$242,328CurrentYearMinus2Amt
Current Year Minus1$259,182CurrentYearMinus1Amt
Current Year$380,642CurrentYearAmt
Total$1,113,332TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,048,540OtherCostOrOtherBasisAmt
Book Value$11,048,540BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$93,168,166OtherCostOrOtherBasisAmt
Depreciation$31,284,747DepreciationAmt
Book Value$61,883,419BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,893,637OtherCostOrOtherBasisAmt
Depreciation$3,499,774DepreciationAmt
Book Value$2,393,863BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$164,515,701OtherCostOrOtherBasisAmt
Depreciation$127,215,345DepreciationAmt
Book Value$37,300,356BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$112,626,178TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLE$629,749,461
LOSS ON SWAP CONTRACTS$22,069,295
OPERATING LEASE OBLIGATIONS$5,263,562
LT CIMP LIABILITY$9,018,293
TEB PRE/(DISC) CURRENT AND LT$20,912,815
DEFERRED COMPENSATION$85,507
SECURITY DEPOSIT PAYABLE$84,626
DEFERRED REVENUE$16,077
SALES TAX PAYABLE$57,095
LEASE CONTRACT PAYABLE$0
FieldValueIRS element (for citing)
Total Liability$687,256,731TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCH D, PART X LINE 2FormAndLineReferenceDesc
ExplanationINCOME 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 DECEMBER 31, 2021 AND 2020, NET DEFERRED TAX ASSETS OF $7,545 AND $7,948, RESPECTIVELY, WHICH PRIMARILY ARE RELATED TO NET OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $7,545 AND $7,948, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT DECEMBER 31, 2021, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $28,300, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $26,300, WHICH WILL EXPIRE BETWEEN 2030 AND 2039. 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 2016 AND PRIOR YEAR.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVENUELA CROSSEWI54601391866425501(C)(3)$1,272,000OPERATIONS SUPPORT
LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM
1725 State StreetLa CrosseWI54601391804725501(C)(3)$48,774OPERATIONS SUPPORT
GREAT RIVERS UNITED WAY
1855 East Main StOnalaskaWI54650390848188501(C)(3)$166,000OPERATIONS SUPPORT
LA CROSSE AREA CHAMBER OF COMMERCE
601 7th St NLa CrosseWI54601390414500501(C)(6)$29,810OPERATIONS SUPPORT
BOYS AND GIRLS CLUBS OF GREATER LA CROSSE
PO Box 91La CrosseWI54602396084791501(C)(3)$10,000OPERATIONS SUPPORT
AIDS RESOURCE CENTER OF WISCONSIN
820 N Plankinton AveMilwaukeeWI53203391534049501(C)(3)$10,000OPERATIONS SUPPORT
ST JOSEPH'S FOUNDATION
400 Water AveHillsboroWI54634391455787501(C)(3)$10,000OPERATIONS SUPPORT
FAMILY AND CHILDRENS CENTER
1707 Main StLa CrosseWI54601390821863501(C)(3)$13,500OPERATIONS SUPPORT
FESTIVAL FOODS TURKEY TROT
1724 Lawrence DrDe PereWI54115391699966501(C)(3)$7,500OPERATIONS SUPPORT
RIVERS ALLIANCE INC
601 7th St NLa CrosseWI54601010938132501(C)(3)$5,250OPERATIONS SUPPORT
YWCA LA CROSSE
3219 Commerce StLa CrosseWI54603390810543501(C)(3)$6,000OPERATIONS SUPPORT
LA CROSSE AREA DEVELOPMENT CORPORATION
601 7th St NLa CrosseWI54601391168327501(C)(6)$5,500OPERATIONS SUPPORT
THE PARENTING PLACE
1500 GREEN BAY STLA CROSSEWI54601391676842501(C)(3)$7,500OPERATIONS SUPPORT
Aptive FOUNDATION
3000 SOUTH AVENUELA CROSSEWI54601391366838501(C)(3)$7,500OPERATIONS SUPPORT
Palmer Lutheran Health Center Inc
112 Jefferson StreetWest UnionIA52175421320763501(C)(3)$312,327OPERATIONS SUPPORT
Memorial Hospital of Boscobel
205 Parker StreetBoscobelWI53805390845590501(C)(3)$196,078OPERATIONS SUPPORT
St Joseph's Health Services Inc
400 Water AvenueHillsboroWI54634391455787501(C)(3)$156,200OPERATIONS SUPPORT
SAINT CLARE HEALTH MISSION
916 Ferry StreetLa CrosseWI54601823903651501(C)(3)$54,000OPERATIONS SUPPORT
LA CROSSE AREA FAMILY YMCA
1140 Main StreetLa CrosseWI54601390806172501(C)(3)$50,000OPERATIONS SUPPORT
LA CROSSE COUNTY FACILITIES
212 6th St NorthLa CrosseWI54601396005709Gov$25,000OPERATIONS SUPPORT
ARCADIA AMBULANCE SERVICE
PO Box 156ArcadiaWI54612461555439501(C)(3)$20,000OPERATIONS SUPPORT
LA CROSSE NEIGHBORHOODS INC
PO Box 1661La CrosseWI54601474445115501(C)(3)$10,000OPERATIONS SUPPORT
LA CROSSE COMMUNITY THEATRE
428 Front Street SouthLa CrosseWI54601391035843501(C)(3)$8,500OPERATIONS SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org21Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCH IFormAndLineReferenceDesc
ExplanationDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS: THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEESExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (39 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SCOTT RATHGABER MD
CEO/BOARD OF GOVERNORS - MEMBR$992,496$0$2,000$0$4,847$0$42,050$0$22,738$0$1,064,131$0$0$0
KELLEY BAHR MD
BOARD OF TRUSTEES - MEMBER$379,667$0$4,500$0$4,692$0$41,915$0$54$0$430,828$0$0$0
ROBYN BORGE MD
BD OF TSTE/CHF MED/CLNCL STAFF$290,917$0$2,000$0$4,123$0$40,692$0$2,804$0$340,536$0$0$0
JENNIFER KLEVEN MD
Board of Trustees - Member$259,625$0$6,000$0$22$0$37,707$0$3,301$0$306,655$0$0$0
Stephanie Neuman MD
BD OF TSTE - MEMBR (BEG 01/21)$462,497$0$2,000$0$22$0$42,050$0$30,430$0$536,999$0$0$0
Benjamin Jarman MD
BD OF TSTE - MEMBR (BEG 1/21)$460,492$0$2,000$0$4,692$0$42,050$0$17,982$0$527,216$0$0$0
William Farrell
CHIEF BUSINESS & STRATEGY OFFR$416,166$0$2,000$0$5,164$0$42,050$0$54$0$465,434$0$0$0
Marilu Bintz MD
CHIEF POPULATION HEALTH OFFCR$615,241$0$2,000$0$5,423$0$42,050$0$8,393$0$673,107$0$0$0
Mary Ellen McCartney
Chief Human Resources Officer$368,536$0$2,000$0$568$0$42,050$0$14,010$0$427,164$0$0$0
Michael Dolan MD
Exec VP, Medical COO$615,987$0$6,500$0$11,972$0$42,050$0$27,630$0$704,139$0$0$0
Elizabeth Smith-Houskamp PhD RN
ADMIN COO, CNO (THRU 10/21)$422,485$0$28,700$0$6,209$0$42,050$0$2,912$0$502,356$0$0$0
Gerald Oetzel
Chief Financial Officer$575,972$0$2,000$0$5,213$0$42,050$0$11,730$0$636,965$0$0$0
Gregory Thompson MD
CHIEF MEDICAL OFFICER$471,296$0$2,000$0$4,692$0$42,050$0$22,938$0$542,976$0$0$0
Heather Schimmers
Admin OPERATING OFFICER, CNO$124,831$0$0$0$21,026$0$10,938$0$2,997$0$159,792$0$0$0
Praveen Chopra
Chief Information Officer$285,975$0$0$0$215,518$0$42,050$0$24,816$0$568,359$0$0$0
Stephen Shapiro MD
CHIEF MEDICAL FOUNDATION OFFCR$481,429$0$6,500$0$24$0$42,050$0$28,830$0$558,833$0$0$0
Mary Kuffel MD
Medical Vice President$529,412$0$2,000$0$4,692$0$42,050$0$1,446$0$579,600$0$0$0
P Michael Jacobs DPM
Medical Vice President$443,996$0$2,000$0$4,692$0$42,050$0$24,220$0$516,958$0$0$0
Todd Kowalski MD
Medical Vice President$448,096$0$6,500$0$43,516$0$42,050$0$28,830$0$568,992$0$0$0
Jonathan Zlabek MD
Medical Vice President$430,413$0$6,500$0$21,252$0$42,050$0$24,488$0$524,703$0$0$0
Bryan Erdmann
Administrative Vice President$289,952$0$2,000$0$4,862$0$42,050$0$28,028$0$366,892$0$0$0
Michael McKee
Administrative Vice President$256,496$0$2,000$0$0$0$38,063$0$27,861$0$324,420$0$0$0
Lisa Wied
Administrative Vice President$256,246$0$2,000$0$3,646$0$38,009$0$24,488$0$324,389$0$0$0
Kraig Schuster
Administrative Vice President$259,902$0$2,000$0$3,713$0$36,055$0$20,561$0$322,231$0$0$0
Kari Adank
Vice President Compliance$222,829$0$2,000$0$46$0$32,818$0$24,861$0$282,554$0$0$0
Pamela Maas
VICE PRES BUSINESS SERVICES$257,667$0$2,000$0$3,626$0$37,362$0$54$0$300,709$0$0$0
Janine Luz
Vice President Learning$201,577$0$2,000$0$3,959$0$29,954$0$19,976$0$257,466$0$0$0
Todd Bille
VP GRWTH, STRATGY (THRU 10/21)$179,921$0$2,000$0$16,662$0$25,166$0$8,167$0$231,916$0$0$0
Ellen Pedretti-Fendt
VP Application SerVICES$190,246$0$2,000$0$310$0$27,825$0$27,200$0$247,581$0$0$0
Daniel Breazeale
VP FINANCE (THRU 10/21)$183,989$0$2,037$0$13,994$0$19,625$0$18,113$0$237,758$0$0$0
Andrea Hauser
VP PATIENT EXP & DEPT NURSING$183,421$0$10,870$0$8,450$0$29,046$0$17,226$0$249,013$0$0$0
Jack Schwartz
Vice President Foundation$198,241$0$2,000$0$3,751$0$27,904$0$8,394$0$240,290$0$0$0
Travis Smith MD
Medical Doctor$474,530$0$6,500$0$12,480$0$42,050$0$21,738$0$557,298$0$0$0
Daniel Lilly JD
General Counsel$470,579$0$2,000$0$4,985$0$42,050$0$24,488$0$544,102$0$0$0
Victor Uko MD
Medical Doctor$326,496$0$4,500$0$4,554$0$30,450$0$21,738$0$387,738$0$0$0
Rajiv Naik MD
Medical Doctor$316,412$0$4,500$0$1,323$0$42,050$0$28,941$0$393,226$0$0$0
Stephen Israel MD
Medical Doctor$325,081$0$0$0$47,757$0$40,842$0$24,315$0$437,995$0$0$0
Garith Steiner
FORMER VICE PRESIDENT THRU 19$130,313$0$1,400$0$0$0$18,896$0$1,832$0$152,441$0$0$0
Stephanie Carroll MD
FORMER MEDICAL VP THRU 20$293,496$0$4,600$0$0$0$36,302$0$25,837$0$360,235$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WHEFA SERIES 2021A ISSUANCE
A39133785597712JBU62021-08-12$117,839,194SEE PART VIfalsefalsefalse
WHEFA SERIES 2016 ISSUANCE
B3913378552016-02-12$40,000,000SEE PART VIfalsefalsefalse
WHEFA SERIES 2009 ISSUANCE
C39133785597710BE652012-10-01$78,715,000SEE PART VIfalsefalsefalse
WHEFA SERIES 2008B ISSUANCE
D39133785597710BBG62012-10-01$61,400,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$117,893,194$0$0$0$1,202,288$0$0$0$116,690,906$02021Yes (true)falseYes (true)Yes (true)
B$0$0$40,000,000$0$0$0$0$0$0$0$40,000,000$02016Yes (true)falseYes (true)Yes (true)
C$17,735,000$0$78,715,000$0$0$0$0$0$0$0$78,715,000$02012Yes (true)falseYes (true)Yes (true)
D$5,675,000$0$61,400,000$0$0$0$0$0$0$0$61,400,000$02012Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)falsefalse0.001400.000000.00140Yes (true)false0.00000falseYes (true)
Bfalsefalsefalsefalse0.000000.000000.00000Yes (true)false0.00000falseYes (true)
CfalseYes (true)falsefalse0.001800.000000.00180Yes (true)Yes (true)0.00508Yes (true)Yes (true)
Dfalsefalsefalsefalse0.000000.000000.00000Yes (true)Yes (true)0.00000Yes (true)Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePct
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)
PiperMerrill
CfalsefalseYes (true)falseYes (true)Yes (true)false0falseYes (true)29.5
Merrill
DfalsefalseYes (true)falseYes (true)Yes (true)false0falseYes (true)27.

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I PAGE 1 BOND ISSUES: LINE A(A)ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2021A
PART I PAGE 1 BOND ISSUES: LINE B(A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2016
PART I PAGE 1 BOND ISSUES: LINE C(A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2009
PART I PAGE 1 BOND ISSUES: LINE D(A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2008B PART I PAGE 2 BOND ISSUES: LINE A (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2012 PART I PAGE 2 BOND ISSUES: LINE B (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2015 PART I PAGE 2 BOND ISSUES: LINE C (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2020A

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WHEFA SEREIS 2012 ISSUANCE
A39133785597710B4B52012-09-27$71,789,897SEE PART VIfalsefalsefalse
WHEFA SERIES 2015 ISSUANCE
B3913378552015-12-23$12,000,000SEE PART VIfalsefalsefalse
WHEFA SERIES 2020A ISSUANCE
C39133785597712D6542020-03-24$25,002,968SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,545,000$0$71,890,166$0$0$0$961,054$0$0$70,929,112$0$02014falsefalseYes (true)Yes (true)
B$6,950,000$0$12,044,550$0$0$0$0$0$0$12,044,550$0$02017falsefalseYes (true)Yes (true)
C$0$0$25,003,152$0$0$0$0$0$0$25,003,152$0$02020falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.000000.000000.00000Yes (true)false0.00000falseYes (true)
Bfalsefalsefalsefalse0.000000.000000.00000Yes (true)false0.00000falseYes (true)
Cfalsefalsefalsefalse0.000000.000000.00000Yes (true)falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I BOND ISSUES: LINE FPAGE 1 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. PAGE 1 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) PAGE 1 BOND C. CONVERSION AND REISSUANCE OF 2009 BONDS, ORIGINALLY ISSUED 5.22.2009 TO FINANCE CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITIES AND CURRENTLY REFUND THE SERIES 2003B/C BONDS PAGE 1 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 PAGE 2 BOND A. -NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF HOSPITAL AND COSTS OF ISSUANCE -INVESTMENT EARNINGS PAGE 2 BOND B. -NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF A CLINIC -INVESTMENT EARNINGS PAGE 2 BOND C. -NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF A CLINIC -INVESTMENT EARNINGS
PART II LINE 3PART II LINE 3 PAGE 2, BOND A: FOR SERIES 2012 BONDS, THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO $100,269.02 IN INVESTMENT EARNINGS (INTEREST AND REALIZED GAIN/LOSS). PAGE 2, BOND B: FOR SERIES 2015 BONDS, THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO $44,549.90 IN INVESTMENT EARNINGS (INTEREST). PAGE 2, BOND C: 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).
SCH K PART III LINE 7Gundersen answered yes to be conservative, as it does not monitor the private security test. Instead, Gundersen closely monitors the private use of its bond-financed assets and routinely takes steps to limit private use. Gundersen manages compliance through its private use monitoring.
SCH K PART III LINES 8A & 8CGundersen had a sale of a bond financed 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.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
DANIEL BREAZEALE
EMPLOYEE - VP FINANCEBONUS/RELOCATIONYes (X)$30,000$6,336Yes (true)Yes (true)
PRAVEEN CHOPRA
EMPLOYEE - CHIEF INFORMATION OFFICERBONUS/RELOCATIONYes (X)$125,000$91,208Yes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$97,544TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Alyssa Houskamp
See Supplemental Info$25,566EMPLOYMENTfalse
April Farrell MD
See Supplemental Info$747,577Employmentfalse
Brenda White
See Supplemental Info$33,263Employmentfalse
Deborah Schwartz
See Supplemental Info$87,142Employmentfalse
Emily Dolan MD
See Supplemental Info$142,064Employmentfalse
James Kleven MD
See Supplemental Info$528,981Employmentfalse
John Houskamp MD
See Supplemental Info$155,878Employmentfalse
Karl Borge MD
See Supplemental Info$266,477Employmentfalse
Margaret Webster MD
See Supplemental Info$155,095Employmentfalse
Noel Radcliffe MD
See Supplemental Info$327,843Employmentfalse
Ricardo Rivera
See Supplemental Info$124,465Employmentfalse
Scott Wied
See Supplemental Info$123,943Employmentfalse
Shannan Stephens MD
See Supplemental Info$356,521Employmentfalse
Tiffany Kimball
See Supplemental Info$30,809Employmentfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCH L, PART IVFormAndLineReferenceDesc
ExplanationBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: BRENDA WHITE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF GERALD ARNDT, DIRECTOR (A) NAME OF PERSON: MARGARET WEBSTER, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MARK GLENDENNING, DIRECTOR (A) NAME OF PERSON: SHANNAN STEPHENS, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KELLEY BAHR, M.D., DIRECTOR (A) NAME OF PERSON: JOHN HOUSKAMP, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF ELIZABETH SMITH-HOUSKAMP, R.N., OFFICER (A) NAME OF PERSON: SCOTT WIED (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF LISA WIED, KEY EMPLOYEE (A) NAME OF PERSON: KARL BORGE, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF ROBYN BORGE, DIRECTOR (A) NAME OF PERSON: NOEL RADCLIFFE, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF RICHARD RADCLIFFE, DIRECTOR (A) NAME OF PERSON: APRIL FARRELL, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF WILLIAM FARRELL, KEY EMPLOYEE (A) NAME OF PERSON: TIFFANY KIMBALL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF WILLIAM FARRELL, KEY EMPLOYEE (A) NAME OF PERSON: JAMES KLEVEN, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JENNIFER KLEVEN, M.D., DIRECTOR (A) NAME OF PERSON: ALYSSA HOUSKAMP (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF ELIZABETH SMITH-HOUSKAMP, OFFICER (A) NAME OF PERSON: EMILY DOLAN, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MARK DOLAN, OFFICER (A) NAME OF PERSON: Deborah Schwartz (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF John Swartz, Key Employee (A) NAME OF PERSON: Ricardo Rivera (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF Julio Bird, M.D., Key Employee & Former DirectorExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1DESCRIPTION OF ORGANIZATION 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 2MARK GLENDENNING AND GERALD ARNDT - BUSINESS RELATIONSHIP
FORM 990 PART VI LINE 6GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION.
FORM 990 PART VI LINE 7ATHE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., HAS THE POWER TO APPOINT BOARD MEMBERS
FORM 990 PART VI LINE 7BGUNDERSEN 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 11BTHE 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 12CGUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. MONITORS CONFLICTS ON AN ANNUAL BASIS BY REVIEWING DISCLOSURES ON COMPLETED CONFLICT OF INTEREST STATEMENTS.
FORM 990 PART VI LINE 15ATHE 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 19REQUESTS 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 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES equity transfers to affiliates ($13,770,313) market adjustments for swap contracts ($5,052) TOTAL ($13,775,365)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line13 REALESTATE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 SOUTH AVENUEAddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd
FieldValueIRS element (for citing)
EIN391606449EIN
Primary ActivitiesRENTALPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$5,474,935EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GLASBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
1836 SOUTH AVENUELA CROSSEWI54601391866425SUPTNG ORG.WI501(C)(3)LINE 12B IINAfalse
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1910 SOUTH AVENUELA CROSSEWI54601390813416HEALTHCAREWI501(C)(3)Line 3GLHSfalse
GUNDERSEN CLINIC LTD
1910 SOUTH AVENUELA CROSSEWI54061391028657HEALTHCAREWI501(C)(3)Line 3GLHSfalse
GUNDERSEN LUTHERAN MEDICAL FOUNDATION I
1836 SOUTH AVENUELA CROSSEWI54061391249705FOUNDATIONWI501(C)(3)Line 7GLHSfalse
GUNDERSEN LUTHERAN CREDENTIALING SVC IN
1910 SOUTH AVENUELA CROSSEWI54061391856898CREDENTIALINGWI501(C)(3)LN 12C IIiGLHSfalse
TRI-COUNTY MEMORIAL HOSPITAL
18601 LINCOLN STREETWHITEHALLWI54773390704510HEALTHCAREWI501(C)(3)Line 3GLHSfalse
HARMONY COMMUNITY HEALTHCARE INC
815 MAIN AVENUE SOUTHHARMONYMN55939410711606HEALTHCAREMN501(C)(3)Line 10GLHSfalse
TWEETEN LUTHERAN HEALTHCARE CENTER INC
125 FIFTH AVENUE SESPRING GROVEMN55974411565003HEALTHCAREMN501(C)(3)Line 10GLHSfalse
TRI-STATE AMBULANCE INC
235 CAUSEWAY BOULEVARDLA CROSSEWI54601391965415MDCL TRANSPOWI501(C)(3)Line 3GLHSfalse
TRI-STATE REGIONAL AMBULANCE INC
235 CAUSEWAY BOULEVARDLA CROSSEWI54601391962965MDCL TRANSPOWI501(C)(3)Line 10GLHSfalse
LUTHERAN REAL ESTATE HOLDING CORP
1910 SOUTH AVENUELA CROSSEWI54601391480826HOUSINGWI501(C)(3)LN 12C IIIGLHSfalse
COMMUNITY HOUSING OF LA CROSSE INC
1900 SOUTH AVENUELA CROSSEWI54601391586700INDP LIVINGWI501(C)(3)Line 10LREH CORPfalse
LUTHERAN HOUSING OF LA CROSSE
1900 SOUTH AVENUELA CROSSEWI54601391751934INDP LIVINGWI501(C)(3)Line 10LREH CORPfalse
ST JOSEPH'S HEALTH SERVICES INC
400 WATER AVENUEHILLSBOROWI54634390929538HEALTHCAREWI501(C)(3)Line 3GLHSfalse
ST JOSEPH'S MEMORIAL FOUNDATION INC
400 WATER AVENUEHILLSBOROWI54634391455787FOUNDATIONWI501(C)(3)Line 12A IST JO HTH SVfalse
TRI-COUNTY MEMORIAL FOUNDATION INC
18601 LINCOLN STREETWHITEHALLWI54773300093022FOUNDATIONWI501(C)(3)Line 12A ITRI CTY HSPTfalse
MEMORIAL HOSPITAL OF BOSCOBEL
205 PARKER STREETBOSCOBELWI53805390845590HEALTHCAREWI501(C)(3)Line 3GLHSfalse
MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION
205 PARKER STREETBOSCOBELWI53805391688793FUNDRAISINGWI501(C)(3)Line 7MH OF BOSCOBfalse
BOSCOBEL AREA HEALTHCARE PARTNERS
205 PARKER STREETBOSCOBELWI53805450498844FUNDRAISINGWI501(C)(3)Line 7MH OF BOSCOBfalse
PALMER LUTHERAN HEALTH CENTER INC
112 JEFFERSON STREETWEST UNIONIA52175421320763HEALTHCAREIA501(C)(3)Line 3GLHSfalse
PALMER MEMORIAL FOUNDAITON
112 JEFFERSON STREETWEST UNIONIA52175421032878FOUNDATIONIA501(C)(3)Line 7PLHCfalse
MOUNDVIEW MEMORIAL HOSPITALS AND CLINICS
402 WEST LAKE STREETFRIENDSHIPWI53934390944012HEALTHCAREWI501(C)(3)Line 3GLHSfalse
MEMORIAL HEALTHCARE FOUNDATION OF ADAMS
402 WEST LAKE STREETFRIENDSHIPWI53934391775074FOUNDATIONWI501(C)(3)Line 12A IMDVW MEM HOSfalse
SAINT ELIZABETH'S HOSPITAL OF WABASHA
1200 5TH GRANT BOULEVARD WESTWABASHAMN55981410693877HEALTHCAREMN501(C)(3)LINE 3GLHSfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GUNDERSEN LUTHERAN ENVISION LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11836 SOUTH AVENUEAddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd
FieldValueIRS element (for citing)
EIN264706546EIN
Primary ActivitiesRENEWABLE ENEPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GLHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Ownership0.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCH R, PART IV, LINE 1FormAndLineReferenceDesc
ExplanationGUNDERSEN LUTHERAN ENVISION, LLC IS DIRECTLY OWNED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AND INDIRECTLY OWNED BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC.ExplanationTxt

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmt
GUNDERSEN LUTHERAN ADMINISTR
1910 S AVELA CROSSEWI54601391606449$0$358,231$358,231$912,034,520$912,392,751$1,000,000$250,000$0$0$0
GUNDERSEN CLINIC LTD
1836 SOUTH AVENUELA CROSSEWI54601391028657$0$22,411$22,411$229,107,456$229,129,867$1,000,000$250,000$0$0$0
GUNDERSEN LUTHERAN MEDICAL C
1910 SOUTH AVENUELA CROSSEWI54601390813416$0$0$0$1,213,492,688$1,213,492,688$1,000,000$250,000$0$0$0
GUNDERSEN LUTHERAN HEALTH SY
1836 SOUTH AVENUELA CROSSEWI54601391866425$0$0$0$406,710$406,710$81,342$20,336$0$0$0