2021-11-12T10:22:26-06:00 2020-12-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2020-01-01 391606449 GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC % GERALD OETZEL GUND 6087827300 1910 SOUTH AVE LA CROSSE WI 54601 GERALD OETZEL CFO 6087827300 2021-11-11 true GERALD OETZEL 999009999 JESS WAGENER P01622613 3128792000 2 2020 2022-09-23 18:48:47Z GUNDERSEN ADMIN SERVICES INC SCOTT RATHGABER MD 1910 SOUTH AVE LA CROSSE WI 54601 811530698 false X WWW.GUNDERSENHEALTH.ORG X 1987 WI TO 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. 13 7 8462 486 683308 20115 118406 1068557 740293754 780799610 30311138 27285596 421230 540319 771144528 809694082 1468073 2819455 0 0 716150495 734149109 0 0 0 112812331 122001466 830430899 858970030 -59286371 -49275948 1013495709 1186143808 1026978780 1200329600 -13483071 -14185792 X SEE SCHEDULE O false false 807187465 2819455 780799610 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. 807187465 true true false true false false false false false false true false false false true true false true false false false false false false false false false true false true true false false false false false true false false true false false false false false true true false false false true 504 0 true 8462 true true true false false false false false false false false false false false X 13 7 true false false false true true true true true false false true true true true true true true true true true WI X GERALD OETZEL 6087757914 1900 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 X KURT ZIEGELBEIN MD MEDICAL DOCTOR 40.0 0.0 X 1041708 0 63321 EZANA AZENE MD MEDICAL DOCTOR 40.0 0.0 X 882683 0 63371 SCOTT RATHGABER MD CHIEF EXECUTIVE OFFICER 42.0 6.0 X X 877043 0 62121 STEVEN WHITFORD MD MEDICAL DOCTOR 40.0 0.0 X 856788 0 63021 COLLIN DRISCOLL MD MEDICAL DOCTOR 40.0 0.0 X 813794 0 60621 MARTIN KOOP DDS MEDICAL DOCTOR 40.0 0.0 X 787787 0 42717 MICHAEL DOLAN MD EVP, MED. CHIEF OPERATING OFCR 42.0 6.0 X 621044 0 62121 MARILU BINTZ MD CHIEF POPULATION HEALTH OFCR 42.0 8.5 X 574361 0 48657 GERALD OETZEL CHIEF FINANCIAL OFFICER 42.0 7.0 X 534870 0 60621 ELIZABETH SMITH-HOUSKAMP PHD RN ADMIN CHIEF OPERATING OFCR 42.0 8.0 X 513069 0 41325 MARY KUFFEL MD MEDICAL VICE PRESIDENT 40.0 0.0 X 493454 0 42717 GREGORY THOMPSON MD BD OF TSTE-MBR/CHIEF MED OFCR 42.0 6.0 X X 454384 0 61121 P MICHAEL JACOBS DPM MEDICAL VICE PRESIDENT 40.0 2.0 X 431032 0 63121 STEPHANIE NEUMAN MD BD OF TSTE -MEMBER(AS OF 7/20) 42.0 6.0 X 431738 0 61621 TODD KOWALSKI MD MEDICAL VICE PRESIDENT 40.0 0.0 X 391032 0 61621 JONATHAN ZLABEK MD BD OF TSTE - MEMBER (END 7/20) 42.0 6.0 X 370171 0 63121 WILLIAM FARRELL CHIEF BUSINESS & STRATEGY OFCR 42.0 7.5 X 397106 0 29925 KELLEY BAHR MD BOARD OF TRUSTEES - MEMBER 42.0 6.0 X 361259 0 41325 STEPHANIE CARROLL MD MED. VICE PRESIDENT (END 7/20) 40.0 1.0 X 336927 0 55034 MARY ELLEN MCCARTNEY CHIEF HUMAN RESOURCES OFFICER 42.0 6.0 X 330601 0 50181 BRYAN ERDMANN ADMINISTRATIVE VICE PRESIDENT 40.0 2.5 X 267169 0 60881 ROBYN BORGE MD CHF OF MED STAFF (AS OF 6/20) 42.0 6.0 X X 267035 0 40702 KRAIG SCHUSTER ADMINISTRATIVE VICE PRESIDENT 40.0 1.0 X 237245 0 55169 LISA WIED ADMINISTRATIVE VICE PRESIDENT 40.0 1.0 X 231342 0 54422 DANIEL P BREAZEALE VICE PRESIDENT FINANCE 40.0 0.0 X 240724 0 43400 MICHAEL MCKEE ADMINISTRATIVE VICE PRESIDENT 40.0 2.3 X 227150 0 55760 PAMELA MAAS VP BUSINESS SERVICES 40.0 0.0 X 240511 0 34302 KARI ADANK VICE PRESIDENT COMPLIANCE 40.0 0.0 X 206809 0 49789 ELLEN PEDRETTI-FENDT VP APPLICATION SERVICES 40.0 0.0 X 176954 0 45962 GARITH STEINER FORMER VICE PRESIDENT 40.0 1.0 X 192603 0 27232 JANINE LUZ VICE PRESIDENT LEARNING 40.0 0.0 X 177318 0 41250 JENNIFER KLEVEN MD BD OF TSTE -MEMBER(AS OF 1/20) 42.0 8.0 X 186840 0 27092 TODD BILLE VP GWTH,STRAT,&EXEC as of 4/20 40.0 0.0 X 146708 0 19882 JOHN LYCHE BOARD OF TRUSTEES -BOARD CHAIR 2.0 4.0 X X 0 0 0 GERALD ARNDT BOARD OF TRUSTEES - VICE CHAIR 2.0 7.0 X X 0 0 0 MARK GLENDENNING BOARD OF TRUSTEES - MEMBER 2.0 4.0 X 0 0 0 BRAD STURM BOARD OF TRUSTEES - Treasurer 2.0 4.0 X X 0 0 0 DAN FLORNESS BOARD OF TRUSTEES - MEMBER 2.0 4.0 X 0 0 0 RICHARD RADCLIFFE BOARD OF TRUSTEES - SECRETARY 2.0 4.0 X X 0 0 0 GLENA TEMPLE PHD BOARD OF TRUSTEES - MEMBER 2.0 4.0 X 0 0 0 WENDY LOMMEN BD OF TRSTE - TRUSTEE EMERITUS 2.0 4.0 X 0 0 0 12744366 0 1352257 1046 true true false KRAUS ANDERSON CONSTRUCTION CO 501 SOUTH EIGHTH STREET MINNEAPOLIS MN 55404 CONSTRUCTION CNTRCTR 6057164 WIESER BROTHERS INC 200 TWILITE STREET LA CRESCENT MN 55947 CONSTRUCTION CNTRCTR 5230523 SIRIUS COMPUTER SOLUTIONS INC PO BOX 202289 DALLAS TX 753202289 COMPUTER CONTRACT 4259378 HAYES LOCUMS LLC PO BOX 88122 CHICAGO IL 606801122 DOCTOR CONTRACT 3972145 FOWLER AND HAMMER INC 313 MONITOR STREET LA CROSSE WI 54603 CONSTRUCTION CNTRCTR 6030771 384 455374 113183 500000 1068557 SERVICES PROVIDED TO GUNDERSEN 561000 780378131 780378131 0 0 ADMIN. AND TECHNICAL SUPPORT SERVICES 561499 421479 0 421479 0 780799610 27323402 0 0 27323402 0 0 1728258 1449768 278490 0 278490 0 0 278490 349042 386848 -37806 -37806 0 0 -37806 0 0 0 0 0 0 0 0 0 HEALTH SHOP SALES 446199 261829 0 261829 0 261829 809694082 780378131 683308 27564086 2819455 2819455 0 0 0 6416926 9500 6407426 0 3675831 3675831 0 0 556452676 532171684 24280992 0 63376778 59642694 3734084 0 66541507 64284348 2257159 0 37685391 35900168 1785223 0 0 1197965 0 1197965 0 341238 0 341238 0 243000 243000 0 0 0 1786237 10280 1775957 0 19849213 15444720 4404493 0 1177365 49374 1127991 0 8037682 7158222 879460 0 29936351 28973149 963202 0 0 7920636 6880116 1040520 0 153073 119029 34044 0 0 169833 128000 41833 0 16855853 16855853 0 0 0 21579089 21319073 260016 0 708095 696695 11400 0 SUPPLIES/BAD DEBT 2977877 2977877 0 0 DUES/MEMBERSHIPS/LICENSES 2311083 1732968 578115 0 RECRUITING/TAXES 2175736 1882225 293511 0 CREDIT CARD EXPENSE 1041686 1036299 5387 0 3539454 3176905 362549 858970030 807187465 51782565 0 28505682 16944966 107640831 211214123 0 0 0 0 45284 28214 0 0 16009441 17729699 7412628 11801810 21592860 19536505 276419771 167162107 102139429 109257664 712632725 781456188 0 0 0 0 0 0 17516829 18174639 1013495709 1186143808 138890687 179161329 0 0 0 0 363925000 376925000 0 0 0 0 0 0 0 0 524163093 644243271 1026978780 1200329600 X -13483071 -14185792 0 0 -13483071 -14185792 1013495709 1186143808 -49275948 48573227 X X false true X true true true X X 19 BOSCOBEL AREA HEALTHCARE PARTNERS 450498844 7 false 0 0 COMMUNITY HOUSING OF LA CROSSE INC 391586700 10 false 0 0 GUNDERSEN CLINIC LTD 391028657 3 true 0 0 GUNDERSEN LUTHERAN MEDICAL CENTER INC 390813416 3 true 0 0 GUNDERSEN LUTHERAN MEDICAL FOUNDATION 391249705 7 false 0 0 HARMONY COMMUNITY HEALTH CARE INC 410711606 7 false 0 0 LUTHERAN HOUSING OF LA CROSSE INC 391751934 10 false 0 0 MEMORIAL HOSPITAL OF BOSCOBEL 390845590 3 false 0 0 MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION INC 391688793 7 false 0 0 PALMER LUTHERAN HEALTH CENTER INC 421320763 3 false 0 0 PALMER MEMORIAL FOUNDATION 421032878 7 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 10 false 0 0 TWEETEN LUTHERAN HEALTHCARE CENTER INC 411565003 10 false 0 0 MOUNDVIEW MEMORIAL HOSPITALS & CLINICS 390944012 3 false 0 0 MEMORIAL HC FDTN OF ADAMS COUNTY INC 391775074 10 false 0 0 SAINT ELIZABETH'S HOSPITAL OF WABASHA 410693877 3 false 0 0 19 false false false false true true true false false false false false false false false false true FORM 990, SCH A PART I LINE 12G 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. FORM 990, SCH A, PART IV, SECTION A LINE 1 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 DESCRIBED IN IRC SECTION 509(A)(1) OR (2). FORM 990, SCH A, PART IV, SECTION A, LINE 5 SAINT ELIZABETH'S HOSPITAL OF WABASHA, INC, EIN: 41-0693877, WAS ACQUIRED AND ADDED TO THE GUNDERSEN HEALTH SYSTEM, INC. IN SEPTEMBER 2020 VIA A MEMBERSHIP CONTRIBUTION AND SUBSTITUTION TRANSACTION WHICH WAS APPROVED BY THE GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. THIS WAS ACCOMPLISHED THROUGH AN AMENDMENT TO SAINT ELIZABETH HOSPITAL OF WABASHA, INC. ARTICLES OF INCORPORATION, BYLAWS, AND A RESOLUTION OF BOARD OF TRUSTEES OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. FORM 990, SCH A, PART IV, SECTION A, LINE 6 GENERAL SERVICES PROVIDED TO GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES. GLAS ALSO GIVES GRANTS TO QUALIFIED 501(C)(3) PUBLIC CHARITIES AND GOVERNMENTAL ENTITIES THAT SUPPORT THE MISSION OF GLAS AND THE ORGANIZATIONS THEY SUPPORT. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 243000 259182 243000 259182 858727030 2259539940 858970030 2259799122 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 243711 231180 242328 259182 976401 250000 250000 250000 250000 1000000 1500000 8913934 8913934 83867677 26690921 57176756 5673682 2989662 2684020 177964478 137481524 40482954 109257664 0 INTERCOMPANY PAYABLE 595457540 LOSS ON SWAP CONTRACTS 30586201 OPERATING LEASE OBLIGATIONS 6591554 LT CIMP LIABILITY 7179852 LEASE CONTRACT PAYABLE 713394 TEB PRE/(DISC) CURRENT AND LT 3499288 DEFERRED COMPENSATION 73757 SECURITY DEPOSIT PAYABLE 80310 DEFERRED REVENUE 15695 SALES TAX PAYABLE 45680 644243271 X FORM 990, SCHE D, PART X LINE 2 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 DECEMBER 31, 2020 AND 2019, NET DEFERRED TAX ASSETS OF $7,948 AND $6,900, RESPECTIVELY, WHICH PRIMARILY ARE RELATED TO NET OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $7,948 AND $6,900, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT DECEMBER 31, 2020, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $29,800, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $27,900, WHICH WILL EXPIRE BETWEEN 2029 AND 2038. 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 2015 AND PRIOR YEARS. true GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 501(C)(3) 695400 OPERATIONS SUPPORT LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM 1725 State Street La Crosse WI 54601 391804725 501(C)(3) 52488 OPERATIONS SUPPORT LA CROSSE CITY TREASURER 400 La Crosse St La Crosse WI 54601 396005490 GOV. entity 50500 OPERATIONS SUPPORT GREAT RIVERS UNITED WAY 1855 East Main St Onalaska WI 54650 390848188 501(C)(3) 209000 OPERATIONS SUPPORT LA CROSSE COMMUNITY FOUNDATION 401 Main St Suite 205 La Crosse WI 54601 396037996 501(C)(3) 25000 OPERATIONS SUPPORT LA CROSSE AREA CHAMBER OF COMMERCE 601 7th St N La Crosse WI 54601 390414500 501(C)(6) 19525 OPERATIONS SUPPORT BOYS AND GIRLS CLUBS OF GREATER LA CROSSE PO Box 91 La Crosse WI 54602 396084791 501(C)(3) 21200 OPERATIONS SUPPORT SCHOOL DISTRICT OF LA CROSSE 807 East Ave La Crosse WI 54601 396002841 GOV. entity 1210000 OPERATIONS SUPPORT ST JOSEPH'S FOUNDATION 400 Water Ave Hillsboro WI 54634 391455787 501(C)(3) 10000 OPERATIONS SUPPORT FAMILY AND CHILDRENS CENTER 1707 Main St La Crosse WI 54601 390821863 501(C)(3) 11000 OPERATIONS SUPPORT FESTIVAL FOODS TURKEY TROT 1724 Lawrence Dr De Pere WI 54115 391699966 501(C)(3) 7500 OPERATIONS SUPPORT RIVERS ALLIANCE INC 601 7th St N La Crosse WI 54601 010938132 501(C)(3) 5250 OPERATIONS SUPPORT LA CROSSE COLLABORATIVE TO END HOMELESSNESS PO Box 266 La Crosse WI 54602 391896823 501(C)(3) 25000 OPERATIONS SUPPORT AMERICAN RED CROSS WISCONSIN 4860 Shaboygan Ave Madison WI 53705 530196605 501(C)(3) 10000 OPERATIONS SUPPORT LA CROSSE AREA DEVELOPMENT CORPORATION 601 7th St N La Crosse WI 54601 391168327 501(C)(6) 5750 OPERATIONS SUPPORT ARCADIA AMBULANCE SERVICE PO BOX 156 ARCADIA WI 54612 461555439 501(C)(3) 20000 OPERATIONS SUPPORT SAFE FAMILIES FOR CHILDREN 205 E COMMERCE COURT ELKHORN WI 53121 472646525 501(C)(3) 10000 OPERATIONS SUPPORT THE PARENTING PLACE 1500 GREEN BAY ST LA CROSSE WI 54601 391676842 501(C)(3) 10000 OPERATIONS SUPPORT APTIV FOUNDATION 3000 SOUTH AVENUE LA CROSSE WI 54601 391366838 501(C)(3) 7500 OPERATIONS SUPPORT HABITAT FOR HUMANITY 3181 BERLIN DR LA CROSSE WI 54601 391706999 501(C)(3) 6000 OPERATIONS SUPPORT BIG BROTHERS BIG SISTER 313 4TH STREET S LA CROSSE WI 54601 391762460 501(C)(3) 5500 OPERATIONS SUPPORT SCENIC BLUFFS HEALTH CENTER INC 7TH STREET LA CROSSE WI 54601 391760445 501(C)(3) 238157 OPERATIONS SUPPORT 20 2 FORM 990, SCH I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS: THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES X X X false false false false false false false false false SCOTT RATHGABER MD CHIEF EXECUTIVE OFFICER 871829 0 0 0 5214 0 41325 0 20850 0 939218 0 0 0 KELLEY BAHR MD BOARD OF TRUSTEES - MEMBER 347875 0 0 0 13384 0 41325 0 54 0 402638 0 0 0 JONATHAN ZLABEK MD BD OF TSTE - MEMBER (END 7/20) 364979 0 0 0 5192 0 41325 0 21850 0 433346 0 0 0 GREGORY THOMPSON MD BD OF TSTE-MBR/CHIEF MED OFCR 449192 0 0 0 5192 0 41325 0 19850 0 515559 0 0 0 ROBYN BORGE MD CHF OF MED STAFF (AS OF 6/20) 262717 0 0 0 4318 0 38002 0 2754 0 307791 0 0 0 JENNIFER KLEVEN MD BD OF TSTE -MEMBER(AS OF 1/20) 184125 0 0 0 2715 0 27092 0 2734 0 216666 0 0 0 WILLIAM FARRELL CHIEF BUSINESS & STRATEGY OFCR 380667 0 0 0 16439 0 29925 0 54 0 427085 0 0 0 MARILU BINTZ MD CHIEF POPULATION HEALTH OFCR 569125 0 0 0 5236 0 41325 0 7386 0 623072 0 0 0 MARY ELLEN MCCARTNEY CHIEF HUMAN RESOURCES OFFICER 330056 0 0 0 545 0 41325 0 13602 0 385528 0 0 0 MICHAEL DOLAN MD EVP, MED. CHIEF OPERATING OFCR 578153 0 0 0 42891 0 41325 0 25542 0 687911 0 0 0 ELIZABETH SMITH-HOUSKAMP PHD RN ADMIN CHIEF OPERATING OFCR 428058 0 80000 0 5011 0 41325 0 54 0 554448 0 0 0 GERALD OETZEL CHIEF FINANCIAL OFFICER 519912 0 0 0 14958 0 41325 0 19350 0 595545 0 0 0 MARY KUFFEL MD MEDICAL VICE PRESIDENT 488762 0 0 0 4692 0 41325 0 1446 0 536225 0 0 0 P MICHAEL JACOBS DPM MEDICAL VICE PRESIDENT 383071 0 0 0 47961 0 41325 0 21832 0 494189 0 0 0 TODD KOWALSKI MD MEDICAL VICE PRESIDENT 380988 0 10000 0 44 0 41325 0 25042 0 457399 0 0 0 BRYAN ERDMANN ADMINISTRATIVE VICE PRESIDENT 262558 0 0 0 4611 0 38960 0 25841 0 331970 0 0 0 MICHAEL MCKEE ADMINISTRATIVE VICE PRESIDENT 226650 0 0 0 500 0 33764 0 25399 0 286313 0 0 0 LISA WIED ADMINISTRATIVE VICE PRESIDENT 227350 0 0 0 3992 0 33126 0 21350 0 285818 0 0 0 KRAIG SCHUSTER ADMINISTRATIVE VICE PRESIDENT 234492 0 0 0 2753 0 33473 0 25209 0 295927 0 0 0 KARI ADANK VICE PRESIDENT COMPLIANCE 206787 0 0 0 22 0 30493 0 22377 0 259679 0 0 0 PAMELA MAAS VP BUSINESS SERVICES 236563 0 0 0 3948 0 34302 0 54 0 274867 0 0 0 JANINE LUZ VICE PRESIDENT LEARNING 174099 0 0 0 3219 0 25680 0 15624 0 218622 0 0 0 TODD BILLE VP GWTH,STRAT,&EXEC as of 4/20 139533 0 0 0 7175 0 19882 0 32 0 166622 0 0 0 ELLEN PEDRETTI-FENDT VP APPLICATION SERVICES 176454 0 0 0 500 0 26166 0 22447 0 225567 0 0 0 DANIEL P BREAZEALE VICE PRESIDENT FINANCE 226059 0 0 0 14665 0 24104 0 19350 0 284178 0 0 0 COLLIN DRISCOLL MD MEDICAL DOCTOR 808580 0 0 0 5214 0 41325 0 19350 0 874469 0 0 0 KURT ZIEGELBEIN MD MEDICAL DOCTOR 981324 0 0 0 60384 0 41325 0 22050 0 1105083 0 0 0 STEVEN WHITFORD MD MEDICAL DOCTOR 851596 0 0 0 5192 0 41325 0 21750 0 919863 0 0 0 EZANA AZENE MD MEDICAL DOCTOR 874991 0 2500 0 5192 0 41325 0 27100 0 951108 0 0 0 GARITH STEINER FORMER VICE PRESIDENT 192603 0 0 0 0 0 27232 0 2658 0 222493 0 0 0 STEPHANIE CARROLL MD MED. VICE PRESIDENT (END 7/20) 297121 0 2500 0 37306 0 35738 0 23676 0 396341 0 0 0 MARTIN KOOP DDS MEDICAL DOCTOR 784787 0 2500 0 500 0 41325 0 6138 0 835250 0 0 0 STEPHANIE NEUMAN MD BD OF TSTE -MEMBER(AS OF 7/20) 431238 0 0 0 500 0 41325 0 28842 0 501905 0 0 0 A WHEFA SERIES 2011A ISSUANCE 391337855 97710BJ78 2011-09-29 162468632 SEE PART VI false false false B WHEFA SERIES 2016 ISSUANCE 391337855 000000000 2016-02-12 40000000 SEE PART VI false false false C WHEFA SERIES 2009 ISSUANCE 391337855 97710BE65 2012-10-01 78715000 SEE PART VI false false false D WHEFA SERIES 2008B ISSUANCE 391337855 97710BBG6 2012-10-01 61400000 SEE PART VI false false false A 46850000 0 162563722 0 0 0 1938913 0 0 70962497 89662313 0 2014 true false true true B 0 0 40000000 0 0 0 0 0 0 0 40000000 0 2016 true false true true C 14515000 0 78715000 0 0 0 0 0 0 0 78715000 0 2005 true false true true D 1625000 0 61400000 0 0 0 0 0 0 0 61400000 0 2008 true false true true A false true false false 0.00140 0.00000 0.00140 true true 0.00015 true true B false false false false 0.00000 0.00000 0.00000 true false false true C false true false false false 0.00180 0.00000 0.00180 true true 0.00508 true true D false false false false 0.00000 0.00000 0.00000 true true true true A false false true false false false 0 false 0 false true B false false true false true false 0 false 0 false true C false false true false true true PIPERMERRILL 29.5 false 0 false true D false false true false true true MERRILL 27. false 0 false true A true B true C true D true PART I PAGE 1 BOND ISSUES: LINE A (A)ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2011A 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 A WHEFA SEREIS 2012 ISSUANCE 391337855 97710B4B5 2012-09-27 71789897 SEE PART VI false false false B WHEFA SERIES 2015 ISSUANCE 391337855 000000000 2015-12-23 12000000 SEE PART VI false false false C WHEFA SERIES 2020A ISSUANCE 391337855 97712D654 2020-03-24 25002968 SEE PART VI false false false A 1355000 0 71890166 0 0 0 951054 0 0 70929112 0 0 2014 false false true true B 5770000 0 12044550 0 0 0 0 0 0 12044550 0 0 2017 false false true true C 0 0 25003152 0 0 0 0 0 0 25003152 0 0 2020 false false true true A false false false false 0 true false false true B false false false false 0 true false false true C false false false false 0 true false false true A false false true false false false 0 false 0 false true B false true false false true false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true PART I BOND ISSUES: LINE F PAGE 1 BOND A. CURRENTLY REFUNDED THE 2000 SERIES A AND B ISSUED 10.10.2000 2008 SERIES A ISSUED 5.29.2008 AND NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITIES AND COSTS OF ISSUANCE INVESTMENT EARNINGS 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 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 3 PAGE 1 BOND A. $95,090.72 IN INTEREST AND REALIZED GAIN/LOSS PAGE 2 BOND A. $100, 269.02 IN INTEREST AND REALIZED GAIN/LOSS PAGE 2 BOND B. $44,549.90 IN INTEREST PAGE 2 BOND C. $184.28 IN INTEREST SCH K PART III LINE 7 Gundersen 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 & 8C Gundersen 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. DANIEL BREAZEALE EMPLOYEE - VP FINANCE BONUS/RELOCATION X 30000 14533 false true true TODD BILLE EMPLOYEE - VP BONUS/RELOCATION X 20000 13681 false true true 28214 Brenda White See Supplemental Info 27642 EMPLOYMENT false Margaret Webster MD See Supplemental Info 144978 Employment false Shannan Stephens MD See Supplemental Info 331684 Employment false John Houskamp MD See Supplemental Info 312465 Employment false Scott Wied See Supplemental Info 118041 Employment false Karl Borge See Supplemental Info 258285 Employment false Noel Radcliffe MD See Supplemental Info 289180 Employment false April Farrell See Supplemental Info 680365 Employment false Tiffany Kimball See Supplemental Info 37869 Employment false Kleven James See Supplemental Info 450280 Employment false Houskamp Alyssa See Supplemental Info 56105 Employment false Howard Dan See Supplemental Info 68339 Employment false Emily Dolan See Supplemental Info 64818 Employment false FORM 990, SCH L, PART IV BUSINESS 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 (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 (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 (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: DAN HOWARD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF GARITH STEINER, DIRECTOR & FORMER KEY EMPLOYEE (A) NAME OF PERSON: EMILY DOLAN (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MARK DOLAN, OFFICER FORM 990, PART III, LINE 1 DESCRIPTION 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 2 MARK GLENDENNING AND GERALD ARNDT - BUSINESS RELATIONSHIP FORM 990 PART VI LINE 6 GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990 PART VI LINE 7A GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. FORM 990 PART VI LINE 7B 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 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 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 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 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 XII, LINE 3A GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. OPERATES IN CONJUNCTION WITH A GROUP OF OTHER AFFILIATED CORPORATIONS GOVERNED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AS SUCH, ANY FEDERAL AWARDS TO GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND UNIFORM GUIDANCE. 3 REALESTATE LLC 1900 SOUTH AVENUE LA CROSSE WI 54601 391606449 RENTAL WI 0 5552798 GLAS GUNDERSEN LUTHERAN HEALTH SYSTEMS INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 SUPTNG ORG. WI 501(C)(3) LINE 12B II NA false GUNDERSEN LUTHERAN MEDICAL CENTER INC 1910 SOUTH AVENUE LA CROSSE WI 54601 390813416 HEALTHCARE WI 501(C)(3) Line 3 GLHS false GUNDERSEN CLINIC LTD 1910 SOUTH AVENUE LA CROSSE WI 54061 391028657 HEALTHCARE WI 501(C)(3) Line 3 GLHS false GUNDERSEN LUTHERAN MEDICAL FOUNDATION I 1836 SOUTH AVENUE LA CROSSE WI 54061 391249705 FOUNDATION WI 501(C)(3) Line 7 GLHS false GUNDERSEN LUTHERAN CREDENTIALING SVC IN 1910 SOUTH AVENUE LA CROSSE WI 54061 391856898 CREDENTIALING WI 501(C)(3) LN 12C IIi GLHS false TRI-COUNTY MEMORIAL HOSPITAL 18601 LINCOLN STREET WHITEHALL WI 54773 390704510 HEALTHCARE WI 501(C)(3) Line 3 GLHS false HARMONY COMMUNITY HEALTHCARE INC 815 MAIN AVENUE SOUTH HARMONY MN 55939 410711606 HEALTHCARE MN 501(C)(3) Line 10 GLHS false TWEETEN LUTHERAN HEALTHCARE CENTER INC 125 FIFTH AVENUE SE SPRING GROVE MN 55974 411565003 HEALTHCARE MN 501(C)(3) Line 10 GLHS false TRI-STATE AMBULANCE INC 235 CAUSEWAY BOULEVARD LA CROSSE WI 54601 391965415 MDCL TRANSPO WI 501(C)(3) Line 3 GLHS false TRI-STATE REGIONAL AMBULANCE INC 235 CAUSEWAY BOULEVARD LA CROSSE WI 54601 391962965 MDCL TRANSPO WI 501(C)(3) Line 10 GLHS false LUTHERAN REAL ESTATE HOLDING CORP 1910 SOUTH AVENUE LA CROSSE WI 54601 391480826 HOUSING WI 501(C)(3) LN 12C III GLHS false COMMUNITY HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391586700 INDP LIVING WI 501(C)(3) Line 10 LRHC false LUTHERAN HOUSING OF LA CROSSE 1900 SOUTH AVENUE LA CROSSE WI 54601 391751934 INDP LIVING WI 501(C)(3) Line 10 LRHC false ST JOSEPH'S HEALTH SERVICES INC 400 WATER AVENUE HILLSBORO WI 54634 390929538 HEALTHCARE WI 501(C)(3) Line 3 GLHS false ST JOSEPH'S MEMORIAL FOUNDATION INC 400 WATER AVENUE HILLSBORO WI 54634 391455787 FOUNDATION WI 501(C)(3) Line 12A I SJHS false TRI-COUNTY MEMORIAL FOUNDATION INC 18601 LINCOLN STREET WHITEHALL WI 54773 300093022 FOUNDATION WI 501(C)(3) Line 12A I TCMH false MEMORIAL HOSPITAL OF BOSCOBEL 205 PARKER STREET BOSCOBEL WI 53805 390845590 HEALTHCARE WI 501(C)(3) Line 3 GLHS false MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION 205 PARKER STREET BOSCOBEL WI 53805 391688793 FUNDRAISING WI 501(C)(3) Line 7 MHB false BOSCOBEL AREA HEALTHCARE PARTNERS 205 PARKER STREET BOSCOBEL WI 53805 450498844 FUNDRAISING WI 501(C)(3) Line 7 MHB false PALMER LUTHERAN HEALTH CENTER INC 112 JEFFERSON STREET WEST UNION IA 52175 421320763 HEALTHCARE IA 501(C)(3) Line 3 GLHS false PALMER MEMORIAL FOUNDAITON 112 JEFFERSON STREET WEST UNION IA 52175 421032878 FOUNDATION IA 501(C)(3) Line 7 PLHC false MOUNDVIEW MEMORIAL HOSPITALS AND CLINICS 402 WEST LAKE STREET FRIENDSHIP WI 53934 390944012 HEALTHCARE WI 501(C)(3) Line 3 GLHS false MEMORIAL HEALTHCARE FOUNDATION OF ADAMS 402 WEST LAKE STREET FRIENDSHIP WI 53934 391775074 FOUNDATION WI 501(C)(3) Line 12A I MMHC false SAINT ELIZABETH'S HOSPITAL OF WABASHA 1200 5TH GRANT BOULEVARD WEST WABASHA MN 55981 410693877 HEALTHCARE MN 501(C)(3) LINE 3 GLHS false GUNDERSEN LUTHERAN ENVISION LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 264706546 RENEWABLE ENE WI GLHS C CORP 0 0 0.00000 true false true true true false false false false true false true true false false true true true false FORM 990, SCH R, PART IV, LINES 1 & 2 GUNDERSEN LUTHERAN ENVISION, LLC IS DIRECTLY OWNED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AND INDIRECTLY OWNED BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. 3 REALESTATE IS DIRECTLY OWNED BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. GUNDERSEN LUTHERAN ADMINISTR 1910 S AVE LA CROSSE WI 54601 391606449 0 243000 243000 858727030 858970030 1000000 250000 0 0 0 GUNDERSEN CLINIC LTD 1836 SOUTH AVENUE LA CROSSE WI 54601 391028657 0 16182 16182 269911343 269927525 1000000 250000 0 0 0 GUNDERSEN LUTHERAN MEDICAL C 1910 SOUTH AVENUE LA CROSSE WI 54601 390813416 0 0 0 1130555706 1130555706 1000000 250000 0 0 0 GUNDERSEN LUTHERAN HEALTH SY 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 0 0 0 345861 345861 69172 17293 0 0 0