2025-08-14T15:35:44+00:00 2024-09-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2023-10-01 391606449 Gundersen Lutheran Administrative Services Inc GUND 6087827300 1910 SOUTH AVE LA CROSSE WI 54601 SCOTT RATHGABER MD PRESIDENT 6087827300 2025-08-14 true true Emily Beckerman P01765498 3128792000 2025-08-06 2023 2025-03-06 01:10:19Z SCOTT RATHGABER MD 1910 SOUTH AVE LA CROSSE WI 54601 1178462975 false X WWW.GUNDERSENHEALTH.ORG X 1987 WI TO SUPPORT GUNDERSEN HEALTH SYSTEM'S HEALTH AND OTHER ORGS MISSIONS THROUGHOUT OUR SERVICES AREA, MANAGING THE LARGER PORTION OF BUSINESS SVCS, EDUCATION AND INVESTING. 6 0 9771 354 2030666 92280 671591 1638313 840315631 1138641422 25048489 31476411 269249 75361 866304960 1171831507 835449 1058753 0 0 714961755 1004785058 0 0 107619175 144397717 823416379 1150241528 42888581 21589979 1008817960 1116323421 1052629778 1080669545 -43811818 35653876 SEE Schedule O false false 1067330728 1058753 1138641422 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. 1067330728 true true false true false false false false false true false false false true true false true false false false false false false false false false true false true true false false false false false true false false true false false false false false true true false false false true 510 0 true 9771 true true true false false false false false false false false false true false X 6 0 false false false false true true true true true false false true true true true true true true true true true WI X JOHN CEELEN 6087827300 1900 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 ANDREA HAUSER RN BOARD OF TRUSTEES - CHIEF NURSING OFFICER AND ADMIN VP 50.0 0.0 X X 281106 0 57300 BRYAN ERDMANN BOARD OF TRUSTEES - CHIEF OPERATING OFFICER 50.0 0.0 X X 409876 0 74345 HEATHER SCHIMMERS RN BOARD OF TRUSTEES - PRESIDENT 50.0 0.0 X X 746172 0 68378 SCOTT RATHGABER MD BOARD OF TRUSTEES, CEO, CHAIRMAN 50.0 0.0 X X 1644221 0 68728 TODD KOWALSKI MD BOARD OF TRUSTEES - MEDICAL CHIEF OPERATING OFFICER 50.0 0.0 X X 538862 0 74320 JENNIFER KLEVEN MD BOARD OF TRUSTEES - CHIEF OF MEDICAL/CLINICAL STAFF 50.0 0.0 X 380649 0 49697 CHRISTINE WALLER MD MEDICAL VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICE 50.0 0.0 X 542453 0 79048 DANIEL LILLY SECRETARY 50.0 0.0 X 567316 0 69978 JOHN CEELEN CHIEF FINANCIAL OFFICER, TREASURER (BEGIN 2/24) 50.0 0.0 X 0 0 0 JONATHAN ZLABEK MD MEDICAL VP, CROSS-FUNCTIONAL CARE (THRU 10/23) 50.0 0.0 X 408248 0 63534 KELLEY BAHR MD MEDICAL VP, AMBULATORY SERVICES 50.0 0.0 X 427994 0 45544 KRAIG SCHUSTER ADMIN VICE PRESIDENT, COMMUNITY 50.0 0.0 X 306457 0 57554 MARILU BINTZ MD MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS (THRU 12/23) 50.0 0.0 X 539145 0 53893 MARY KUFFEL MD INTERIM MEDICAL VP, CROSS-FUNCTIONAL CARE (THRU 12/23) 50.0 0.0 X 281919 0 11860 MICHAEL MCKEE ADMIN VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICE 50.0 0.0 X 281060 0 70085 MICHELLE MICKA ASSISTANT TREASURER (BEGIN 3/24) 50.0 0.0 X 198978 0 37796 PETER VANDENHOUTEN ASSISTANT SECRETARY (BEGIN 3/24) 0.0 50.0 X 0 612071 75482 RACHEL ALBRECHT ADMIN VP, AMBULATORY SERVICES 50.0 0.0 X 235056 0 56420 ROBERT HOLNESS MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS (BEGIN 1/24) 50.0 0.0 X 530255 0 67228 ROBYN BORGE MD MEDICAL VICE PRESIDENT, CROSS-FUNCTIONAL CARE (BEGIN 1/24) 50.0 0.0 X 320728 0 47055 STEPHANIE NEUMAN MD MEDICAL VICE PRESIDENT, AMBULATORY SERVICES 50.0 0.0 X 553168 0 72920 STEVE LITTLE INTERIM CHIEF FINANCIAL OFFICER, TREASURER (THRU 2/24) 50.0 0.0 X 333317 0 0 TINA LECHNIR ADMIN VP, CROSS-FUNCTIONAL CARE 50.0 0.0 X 235892 0 56444 ANDREA WERNER CHIEF POPULATION OFFICER 0.0 50.0 X 0 365199 27093 LEANNE ANDERSEN CHIEF PEOPLE OFFICER 50.0 0.0 X 564301 0 63599 LISA HARTON CHIEF QUALITY OFFICER 0.0 50.0 X 0 397926 29182 MICHAEL DOLAN MD SOUTHERN CHIEF CLINICAL OFFICER 50.0 0.0 X 641369 0 73420 PRAVEEN CHOPRA CHIEF DIGITAL AND INFORMATION OFFICER 50.0 0.0 X 654982 0 70973 WILLIAM FARRELL CHIEF INNOVATION & STRATEGY OFFICER 50.0 0.0 X 628350 0 45544 DOUGLAS HUGHES MD MEDICAL DOCTOR 50.0 0.0 X 1117078 0 54028 JEFFREY M LAWRENCE MD MEDICAL DOCTOR 50.0 0.0 X 1235980 0 67228 JERRY DAVIS MD MEDICAL DOCTOR 50.0 0.0 X 1155808 0 54028 MARK S TOPOLSKI MD MEDICAL DOCTOR 50.0 0.0 X 1324346 0 68228 STEVEN WHITFORD MD MEDICAL DOCTOR 50.0 0.0 X 1056501 0 70228 ELLEN PEDRETTI-FENDT VP APPLICATION SERVICES 50.0 0.0 X 220508 0 58022 ERIC DEHN VP ENTERPRISE ARCHITECTURE AND SOLUTION DESIGN 50.0 0.0 X 381846 0 66826 GERALD OETZEL FORMER CHIEF FINANCIAL OFFICER 0.0 0.0 X 555068 0 18108 JANINE LUZ VICE PRESIDENT LEARNING 50.0 0.0 X 285213 0 58985 KARI ADANK VICE PRESIDENT COMPLIANCE 50.0 0.0 X 306012 0 70013 KRISTER MATTSON VP ENTERPRISE ANALYTICS 50.0 0.0 X 357728 0 57201 P MICHAEL JACOBS MD MEDICAL VICE PRESIDENT 50.0 0.0 X 209528 0 38355 PAMELA MAAS FORMER VICE PRESIDENT BUSINESS SERVICES 0.0 0.0 X 119446 0 0 SHANNON MULLIGAN VP HR & TOTAL REWARDS 50.0 0.0 X 330284 0 51715 STEPHANIE CARROLL MD MEDICAL VICE PRESIDENT 50.0 0.0 X 312603 0 65146 STEPHEN SHAPIRO MD CHIEF MEDICAL FOUNDATION OFFICER 50.0 0.0 X 519488 0 69648 21739311 1375196 2435179 0 true true false EPLUS TECHNOLOGY INC PO BOX 404398 ATLANTA GA 303844398 Computer Services 11230730 FOWLER AND HAMMER INC 313 MONITOR STREET LA CROSSE WI 54603 Construction Contractor 9950898 EPIC SYSTEM CORPORATION BOX 88314 MILWAUKEE WI 532880314 Computer Services 5523126 STAFFENCY 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 Contracted Staff 5378910 SIRIUS COMPUTER SOLUTIONS INC PO BOX 202289 DALLAS TX 753202289 Computer Services 5007860 472 1124964 513349 1638313 SERVICES PROVIDED TO GUNDERSEN 561000 1136968007 1136968007 ADMIN. AND TECHNICAL SUPPORT SERVICES 561499 1673415 1673415 0 0 0 0 1138641422 29806719 113391 29693328 1573763 1742262 -168499 0 -168499 -168499 6558898 4889206 0 1669692 1669692 1669692 HEALTH SHOP SALES 446199 243860 243860 0 0 0 0 243860 1171831507 1136968007 2030666 31194521 1058753 1058753 0 0 763454673 711755893 51698780 87687915 81314639 6373276 107065060 104442536 2622524 46577410 43404256 3173154 1369639 11172 1358467 455874 455874 402164 402164 1631382 1631382 25883758 20069990 5813768 0 1071791 1071791 11365266 10489322 875944 45703430 43864941 1838489 11498163 9815090 1683073 436070 252045 184025 525860 415475 110385 10243233 10243233 21071459 20182657 888802 2842545 2811029 31516 RECRUITING/EMPLOYEE DEVELOPMENT 3069871 2218017 851854 DUES/MEMBERSHIP/LICENSES 1473382 453242 1020140 Supplies/Bad Debt 477355 477355 TAXES 88603 88603 4787872 3560316 1227556 0 1150241528 1067330728 82910800 0 15303984 17396934 66872626 85664430 30585 7298 0 0 33193171 22537599 13296896 14762676 23025696 29749867 342282800 210027512 130642641 132255288 715158334 799095251 0 0 11294027 14854078 1008817960 1116323421 161368473 181395852 335685000 325960000 0 0 555576305 573313693 1052629778 1080669545 X -43811818 35653876 -43811818 35653876 1008817960 1116323421 X 21589979 65289704 -7413989 X false true X true true true X X 20 COMMUNITY HOUSING OF LA CROSSE INC 391586700 9 true 0 0 GUNDERSEN CLINIC LTD 391028657 3 true 0 0 GUNDERSEN LUTHERAN MEDICAL CENTER INC 390813416 3 true 0 0 GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC 391249705 7 true 0 0 HARMONY COMMUNITY HEALTH CARE INC 410711606 9 true 0 0 LUTHERAN HOUSING OF LA CROSSE INC 391751934 9 true 0 0 MEMORIAL HOSPITAL OF BOSCOBEL 390845590 3 true 0 0 PALMER LUTHERAN HEALTH CENTER INC 421320763 3 true 0 0 ST JOSEPH HEALTH SERVICES INC 390929538 3 true 0 0 TRI-COUNTY MEMORIAL HOSPITAL INC 390704510 3 true 0 0 TRI-STATE AMBULANCE INC 391965415 3 true 0 0 TRI-STATE REGIONAL AMBULANCE INC 391962965 9 true 0 0 TWEETEN LUTHERAN HEALTHCARE CENTER INC 411565003 9 true 0 0 MOUNDVIEW MEMORIAL HOSPITALS & CLINICS 390944012 3 true 0 0 SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 410693877 3 true 0 0 BELLIN MEMORIAL HOSPITAL INC 390884478 3 true 0 0 BELLIN PSYCHIATRIC CENTER INC 391657627 3 true 0 0 OCONTO HOSPITAL & MEDICAL CENTER INC 061745397 3 true 0 0 BELLIN COLLEGE INC 391620530 2 true 0 0 THE BELLIN HEALTH FOUNDATION INC 391809171 7 true 0 0 20 0 0 false false false false false true false false false false false false false false false true Schedule A, Part I, Line 12g INFORMATION ON SUPPORTED ORGANIZATIONS GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. IS AN INTEGRAL PART OF THE GUNDERSEN LUTHERAN HEALTH SYSTEM AND PROVIDES SUPPORT TO EACH OF THE ORGANIZATIONS LISTED; HOWEVER, SUCH SERVICES CANNOT EASILY BE QUANTIFIED IN DOLLAR-BASED TERMS. Schedule A, Part I, Line 12g ORGANIZATIONS NOT LISTED IN GOVERNING DOCUMENT GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. SUPPORTS THE FOLLOWING ORGANIZATIONS THAT ARE 501(C)(3) PUBLIC CHARITIES AFFILIATED WITH THE SUPPORTED ORGANIZATIONS Schedule A, Part IV, Section A, Line 1 SUPPORTED ORGS LISTED BY NAME THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501 (C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE AS AMENDED (HEREINAFTER THE "INTERNAL REVENUE CODE"). THE CORPORATION'S ACTIVITIES SHALL BE CARRIED OUT EXCLUSIVELY TO SUPPORT, OPERATE FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND CARRY OUT SOME OR ALL OF THE CHARITABLE PURPOSES OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC, GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL CENTER, INC., AND THEIR NONPROFIT AFFILIATES (HEREINAFTER REFERRED TO AS THE "HEALTH SYSTEM") SO LONG AS THOSE ORGANIZATIONS ARE DESCRIBED IN EITHER SECTION 509 (A)(1) OR 509 (A)(2) OF THE INTERNAL REVENUE CODE (OR THE CORRESPONDING PROVISIONS OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW). Schedule A, Part IV, Section A, Line 6 SUPPORT TO OTHER SUPPORTED ORGS GENERAL SERVICES PROVIDED TO GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES. GLAS ALSO GIVES GRANTS TO QUALIFIED 501(C)(3) PUBLIC CHARITIES AND GOVERNMENTAL ENTITIES THAT SUPPORT THE MISSION OF GLAS AND THE ORGANIZATIONS THEY SUPPORT. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 402164 429679 402164 429679 1149839364 3008234408 1150241528 3008664087 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 380642 242027 276873 429679 1329221 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 Schedule C, Part II-A, Line 2a, Column (e) The 4-year average period includes the current and 4 prior tax periods, which includes a short year period from January 1, 2023, through September 30, 2023. The 4 periods included in the average are 2021, 2022, Short Year 2023, and Fiscal Year 2023. 10255062 10255062 137872640 50385912 87486728 129594132 104726582 24867550 64560966 54915018 9645948 132255288 INTERCOMPANY PAYABLE 537654332 LOSS ON SWAP CONTRACTS 6117218 OPERATING LEASE OBLIGATIONS 3966983 LT CIMP LIABILITY / Other Liabilities 10572675 TEB PRE/(DISC) CURRENT AND LT 14764709 SECURITY DEPOSIT PAYABLE 78474 DEFERRED REVENUE 64302 SALES TAX PAYABLE 95000 573313693 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote INCOME TAX MATTERS (IN THOUSANDS) THE SYSTEM QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), WITH THE EXCEPTION OF GUNDERSEN LUTHERAN ENVISION, LLC AND GUNDERSEN EDGE, LLC, WHICH ARE FOR-PROFIT ENTITIES. At September 30, 2024 and 2023, net deferred tax assets of $11,395 and $10,512, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $11,395 and $10,512, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At September 30, 2024, the System's federal net operating loss carryforwards were approximately $43,489, and the state net operating loss carryforwards were approximately $41,989, which will expire between 2032 and 2041. The System has reviewed its tax positions for all open years and has concluded that no liabilities exist for uncertain tax positions. The System's income tax returns are no longer subject to examination for 2018 and prior years. true SAINT CLARE HEALTH MISSION 916 Ferry Street La Crosse WI 54601 823903651 501 (C) 3 105000 Operations support LA CROSSE MEDICAL HLTH SCIENCE CONSORTIUM 1725 State St La Crosse WI 54601 391804725 501 (C) 3 74277 Operations support GREAT RIVERS UNITED WAY 1855 East Main St Onalaska WI 54650 390848188 501 (C) 3 60000 Operations support LA CROSSE AREA FAMILY YMCA 1140 Main Street La Crosse WI 54601 390806172 501 (C) 3 55000 Operations support FAMILY AND CHILDRENS CENTER 1707 Main St La Crosse WI 54601 390821863 501 (C) 3 50000 Operations support LA CROSSE AREA CHAMBER OF COMMERCE 601 7th St N La Crosse WI 54601 390414500 501 (C) 6 45300 Operations support MINNESOTA STATE COLLE 1250 Homer Road Winona MN 55987 411540247 501 (C) 3 37500 Operations support TELLURIAN INC 5900 Monona Dr 300 Monona WI 53716 391482987 501 (C) 3 35000 Operations support KARUNA INC 315 3rd St South La Crosse WI 54601 872587965 501 (C) 3 35000 Operations support LA CROSSE COUNTY TREASURER 212 6th St N La Crosse WI 54601 396005709 Government entity 30000 Operations support HOPE RESTORES CORP Copeland Ave La Crosse WI 54601 853904972 501 (C) 3 25000 Operations support SUNFLOWER CHILD DEVLPMT CTR 300 Iowa Highway 9 Decorah IA 52101 421036817 501 (C) 3 25000 Operations support THE GOOD FIGHT COMM CTR 118 North 6th St La Crosse WI 54601 812930941 501 (C) 3 25000 Operations support CASA FOR KIDS INC 704 Sand Lake Rd STE7 Onalaska WI 546502400 932337300 501 (C) 3 22000 Operations support ADULT & TEEN CHALLENGE OF WESTERN WISCONSIN INC 2507 Weston St La Crosse WI 546016851 822144057 501 (C) 3 20000 Operations support BOYS AND GIRLS CLUBS OF GREATER LA CROSSE PO Box 91 La Crosse WI 54602 396084791 501 (C) 3 20000 Operations support LA CROSSE SYMPHONY ORCHESTRA 201 Main St Suite 230 La Crosse WI 54601 391024330 501 (C) 3 20000 Operations support VARC INC 1133 Nelson Parkway Viroqua WI 54665 391211167 501 (C) 3 15000 Operations support BIG BROTHERS BIG SISTERS OF THE SEVEN RIVERS REGION INC 315 4th Street South La Crosse WI 54601 391762460 501 (C) 3 14250 Operations support FIERCE FOUNDATION INC 408 Cononado Circle Onalaska WI 54650 872596615 501 (C) 3 12432 Operations support FAMILY PROMISE OF MONROE COUNTY 117 West Oak St Sparta WI 54656 455319621 501 (C) 3 12000 Operations support THE PARENTING PLACE 1500 Green Bay St La Crosse WI 54601 391676842 501 (C) 3 11210 Operations support NORTHEAST IOWA FOOD BANK 1605 Lafayette St PO Box 2397 Waterloo IA 50704 411169648 501 (C) 3 11000 Operations support AIDS RESOURCE CENTER 820 N Plankinton Ave Milwaukee WI 53203 391534049 501 (C) 3 10000 Operations support COULEE REGION HUMANE SOCIETY 911 Critter Court Onalaska WI 54669 237366713 501 (C) 3 10000 Operations support DRIFT SHARE INC 425 State St STE 100 334 La Crosse WI 54601 921236552 501 (C) 3 10000 Operations support NORTH AMERICAN SQUIRREL ASSOCIATION - TOMAH BRANCH PO Box 173 Tomah WI 54660 861062205 501 (C) 3 10000 Operations support LA CROSSE COMMUNITY THEATRE 428 Front Street South La Crosse WI 54601 391035843 501 (C) 3 8000 Operations support ONALASKA ENHANCEMENT FOUNDATION 415 Main St Onalaska WI 54650 264705880 501 (C) 3 7500 Operations support RECREATION ALLIANCE OF WINONA 452 E 3rd Street Winona MN 55987 821260697 501 (C) 3 7464 Operations support PUMP HOUSE REGIONAL ARTS CENTER 119 King St La Crosse WI 54601 391239618 6000 Operations support LA CROSSE AREA DEVELOPMENT CORPORATION 601 7th St N La Crosse WI 54601 391168327 501 (C) 6 5500 Operations support RIVERS ALLIANCE INC 601 7th St N La Crosse WI 54601 010938132 501 (C) 3 5250 Operations support WOMEN'S FUND OF GREATER LA CROSSE PO Box 654 La Crosse WI 54601 272394065 501 (C) 3 5250 Operations support 31 3 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES X X true true X X X true true false false false false false false false SCOTT RATHGABER MD BOARD OF TRUSTEES, CEO, CHAIRMAN 1274504 0 200000 0 169717 0 45225 0 23503 0 1712949 0 0 0 HEATHER SCHIMMERS RN BOARD OF TRUSTEES - PRESIDENT 579789 0 160770 0 5613 0 45225 0 23153 0 814550 0 0 0 BRYAN ERDMANN BOARD OF TRUSTEES - CHIEF OPERATING OFFICER 408646 0 0 0 1230 0 45225 0 29120 0 484221 0 0 0 ANDREA HAUSER RN BOARD OF TRUSTEES - CHIEF NURSING OFFICER AND ADMIN VP 276740 0 0 0 4366 0 39569 0 17731 0 338406 0 0 0 TODD KOWALSKI MD BOARD OF TRUSTEES - MEDICAL CHIEF OPERATING OFFICER 536271 0 2000 0 591 0 45225 0 29095 0 613182 0 0 0 JENNIFER KLEVEN MD BOARD OF TRUSTEES - CHIEF OF MEDICAL/CLINICAL STAFF 379467 0 0 0 1182 0 44720 0 4977 0 430346 0 0 0 GERALD OETZEL FORMER CHIEF FINANCIAL OFFICER 480094 0 70000 0 4974 0 12220 0 5888 0 573176 0 0 0 STEPHEN SHAPIRO MD CHIEF MEDICAL FOUNDATION OFFICER 518186 0 0 0 1302 0 45225 0 24423 0 589136 0 0 0 ROBYN BORGE MD MEDICAL VICE PRESIDENT, CROSS-FUNCTIONAL CARE (BEGIN 1/24) 314833 0 0 0 5895 0 44736 0 2319 0 367783 0 0 0 DANIEL LILLY SECRETARY 501033 0 60000 0 6283 0 45225 0 24753 0 637294 0 0 0 STEVE LITTLE INTERIM CHIEF FINANCIAL OFFICER, TREASURER (THRU 2/24) 258317 0 75000 0 0 0 0 0 0 0 333317 0 0 0 MICHELLE MICKA ASSISTANT TREASURER (BEGIN 3/24) 171454 0 25000 0 2524 0 24369 0 13427 0 236774 0 0 0 PETER VANDENHOUTEN ASSISTANT SECRETARY (BEGIN 3/24) 0 384456 0 189505 0 38110 0 63919 0 11563 0 687553 0 37336 MARY KUFFEL MD INTERIM MEDICAL VP, CROSS-FUNCTIONAL CARE (THRU 12/23) 244971 0 0 0 36948 0 10186 0 1674 0 293779 0 0 0 MICHAEL MCKEE ADMIN VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICE 279802 0 0 0 1258 0 41528 0 28557 0 351145 0 0 0 KRAIG SCHUSTER ADMIN VICE PRESIDENT, COMMUNITY 302204 0 0 0 4253 0 44080 0 13474 0 364011 0 0 0 RACHEL ALBRECHT ADMIN VP, AMBULATORY SERVICES 227280 0 0 0 7776 0 34017 0 22403 0 291476 0 0 0 KELLEY BAHR MD MEDICAL VP, AMBULATORY SERVICES 422667 0 0 0 5327 0 45225 0 319 0 473538 0 0 0 MARILU BINTZ MD MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS (THRU 12/23) 501038 0 0 0 38107 0 45225 0 8668 0 593038 0 0 0 ROBERT HOLNESS MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS (BEGIN 1/24) 524004 0 1000 0 5251 0 45225 0 22003 0 597483 0 0 0 TINA LECHNIR ADMIN VP, CROSS-FUNCTIONAL CARE 225630 0 0 0 10262 0 33441 0 23003 0 292336 0 0 0 STEPHANIE NEUMAN MD MEDICAL VICE PRESIDENT, AMBULATORY SERVICES 552920 0 0 0 248 0 45225 0 27695 0 626088 0 0 0 CHRISTINE WALLER MD MEDICAL VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICE 537003 0 0 0 5450 0 45225 0 33823 0 621501 0 0 0 JONATHAN ZLABEK MD MEDICAL VP, CROSS-FUNCTIONAL CARE (THRU 10/23) 388611 0 4000 0 15637 0 45201 0 18333 0 471782 0 0 0 KARI ADANK VICE PRESIDENT COMPLIANCE 258914 0 46000 0 1098 0 44381 0 25632 0 376025 0 0 0 STEPHANIE CARROLL MD MEDICAL VICE PRESIDENT 312018 0 0 0 585 0 38790 0 26356 0 377749 0 0 0 ERIC DEHN VP ENTERPRISE ARCHITECTURE AND SOLUTION DESIGN 301856 0 79250 0 740 0 45225 0 21601 0 448672 0 0 0 JANINE LUZ VICE PRESIDENT LEARNING 235089 0 45000 0 5124 0 41054 0 17931 0 344198 0 0 0 KRISTER MATTSON VP ENTERPRISE ANALYTICS 299275 0 58000 0 453 0 39590 0 17611 0 414929 0 0 0 SHANNON MULLIGAN VP HR & TOTAL REWARDS 272825 0 53000 0 4459 0 41582 0 10133 0 381999 0 0 0 ELLEN PEDRETTI-FENDT VP APPLICATION SERVICES 219171 0 0 0 1337 0 32432 0 25590 0 278530 0 0 0 P MICHAEL JACOBS MD MEDICAL VICE PRESIDENT 159868 0 0 0 49660 0 30266 0 8089 0 247883 0 0 0 PAMELA MAAS FORMER VICE PRESIDENT BUSINESS SERVICES 0 0 0 0 119446 0 0 0 0 0 119446 0 0 0 LEANNE ANDERSEN CHIEF PEOPLE OFFICER 460498 0 99114 0 4689 0 41063 0 22536 0 627900 0 0 0 PRAVEEN CHOPRA CHIEF DIGITAL AND INFORMATION OFFICER 559970 0 50000 0 45012 0 45225 0 25748 0 725955 0 0 0 MICHAEL DOLAN MD SOUTHERN CHIEF CLINICAL OFFICER 635594 0 4000 0 1775 0 45225 0 28195 0 714789 0 0 0 WILLIAM FARRELL CHIEF INNOVATION & STRATEGY OFFICER 481600 0 141200 0 5550 0 45225 0 319 0 673894 0 0 0 LISA HARTON CHIEF QUALITY OFFICER 0 333861 0 63651 0 414 0 18933 0 10249 0 427108 0 0 ANDREA WERNER CHIEF POPULATION OFFICER 0 306068 0 58357 0 774 0 16382 0 10711 0 392292 0 0 JERRY DAVIS MD MEDICAL DOCTOR 1048863 0 0 0 106945 0 32025 0 22003 0 1209836 0 0 0 DOUGLAS HUGHES MD MEDICAL DOCTOR 1112004 0 0 0 5074 0 32025 0 22003 0 1171106 0 0 0 JEFFREY M LAWRENCE MD MEDICAL DOCTOR 1229704 0 0 0 6276 0 45225 0 22003 0 1303208 0 0 0 MARK S TOPOLSKI MD MEDICAL DOCTOR 1317080 0 2000 0 5266 0 45225 0 23003 0 1392574 0 0 0 STEVEN WHITFORD MD MEDICAL DOCTOR 1049337 0 2000 0 5164 0 45225 0 25003 0 1126729 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel Charter airfare was utilized by 19 directors and officers for business purposes and therefore not reportable as compensation Schedule J, Part I, Line 1a Housing allowance or residence for personal use A housing allowance for Scott Rathgaber was included in taxable compensation. Schedule J, Part I, Line 4a Severance or change-of-control payment PAMELA MAAS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR PURSUANT TO A CONFIDENTIAL SEVERANCE AGREEMENT. THE PAYMENT IS INCLUDED IN PART VII, COLUMN D AND SCHEDULE J, PART II, COLUMN B(III). Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan BELLIN MEMORIAL HOSPITAL, A RELATED PARTY, HAS A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES. PETER VANDENHOUTEN PARTICIPATED IN THE 457(F) PLAN. THE FOLLOWING INDIVIDUAL, LISTED ON PART VII OF FORM 990, HAD THE FOLLOWING AMOUNTS DISTRIBUTED DURING CALENDAR YEAR 2023: PETER VANDENHOUTEN $37,336 A Wisconsin Health and Educational Facilities Authority Series 2021A Issuance 391337855 97712JBU6 2021-08-12 117893194 SEE PART VI false false false B Wisconsin Health and Educational Facilities Authority Series 2016 Issuance 391337855 000000000 2016-02-12 40000000 SEE PART VI false false false C Wisconsin Health and Educational Facilities Authority Series 2009A and 2009 B Issuance 391337855 97710BE65 2012-10-01 78715000 SEE PART VI false false false D Wisconsin Health and Educational Facilities Authority Series 2008B Issuance 391337855 97710BBG6 2012-10-01 61400000 SEE PART VI false false false A 117893194 1202288 116690906 2021 true false true true B 40000000 40000000 2016 true false true true C 28110000 78715000 78715000 2005 true false true true D 18875000 61400000 61400000 2008 true false true true A false true false false 0.0014 0.0014 false false true B false false false false 0.0 false false true C false true false false 0.0007 0.0007 false true 0.0051 true true D false false false false 0.0 false true 0.0 true true A false false true false false false false false true B false false true false true false false false true C false false true false true true MorganMerrill 29.5 true false false false true D false false true false true true Merrill 27.0 true false false false true A true B true C true D true Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE BOND A: Proceeds of the Series 2021A bonds were used to currently refund the 2011A series originally issued 9/29/2011 and pay costs of issuance. The series 2011A bond proceeds were used to currently refund in their entirety the series 2000A and 2000B originally issued 10/10/2000. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE BOND B: Proceeds of the Series 2016 Bonds were used to currently refund, in their entirety, the Wisconsin Health and Educational Facility Variable Rate Revenue Bonds, Series 2011B (Gundersen Lutheran). Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE BOND C: Proceeds of the Series 2009A and 2009B bonds were used to finance construction and equipping of hospital facilities and currently refund the series 2003B and 2003C bonds. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE BOND D: Proceeds of the series 2008B bonds were used to finance the repayment of a line of credit used to refund the series 2006 bonds, which financed the construction and equipping of health care facilities, and paid costs of issuance. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE BOND E: Proceeds of the Series 2022 bonds were used to currently refund in their entirety the 2012 series originally issued 9/27/2012 and to pay costs of issuance. The Series 2012 bonds were used to construct and equip a clinic. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE BOND F: The series 2015 bonds financed the construction and equipping of a clinic. Investment Earnings is the difference between the issue price and the total proceeds of the issue. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE BOND G: Series 2020A bonds financed the construction and equipping of a clinic. Investment Earnings is the difference between the issue price and the total proceeds of the issue. Schedule K, Part II, Line 3 Total Proceeds of Issue BOND F: For series 2015 bonds, the difference between the issue price and total proceeds of the issue is due to $44,549.90 in investment earnings (Interest). Schedule K, Part II, Line 3 Total Proceeds of Issue BOND G: For series 2020A bonds, the difference between the issue price and total proceeds of the issue is due to $184.28 in investment earnings (Interest). Schedule K, Part III, Line 7 Private Security or Payment Test Historically, Gundersen responded "Yes" to this question to conservatively respond and to reflect that it did monitor the private security test; Gundersen is now responding "no" because there is no private use, which Gundersen carefully monitors and manages. Schedule K, Part III, Line 8a Sale of Bond-Financed Property Gundersen sold loading dock asset from the 2008B bonds. Bonds allocable to the sale proceeds of that asset in an amount of $800.00 were redeemed on 7/15/15 in order to remediate that sale. In 2019, Gundersen sold a bond financed asset from the 2003 issuance financed with the proceeds of the series, refunded by the series 2009 bonds, which was sold after its 15-year useful life and therefore is not reported here. Schedule K, Part IV, Line 4b *Morgan Stanley Capital Services, LLC. **Merrill Lynch Capital Services, Inc. A Wisconsin Health and Educational Facilities Authority Series 2022 Issuance 391337855 000000000 2022-11-15 68505000 SEE PART VI false false false B Wisconsin Health and Educational Facilities Authority Series 2015 Issuance 391337855 000000000 2015-12-23 12000000 SEE PART VI false false false C Wisconsin Health and Educational Facilities Authority Series 2020A Issuance 391337855 97712D654 2020-03-24 25002968 SEE PART VI false false false A 310000 68505000 250000 68255000 2022 true false true true B 9410000 12044550 12044550 2017 false false true true C 25003152 25003152 2020 false false true true A false false false false 0.0 false false true B false false false false 0.0 false false true C false false false false 0.0 false false true A false false true false false false false false true B false false true false true false false false true C false true false false false false false false true A true B true C true Daniel Breazeale Employee - VP Finance Signing Bonus/Relocation X 30000 6762 true true true Tina Lechnir Employee - Vice President Signing Bonus/Relocation X 12000 536 false true true 7298 April Farrell MD Family Member of William Farrell, Key Employee, GLAS 876745 Employment false Cassandra Zlabek Family Member of Jon Zlabek, Officer, GLAS 56512 Employment false Emily Dolan MD Family Member of Michael Dolan, Key Employee, GLAS 330801 Employment false Evan Dolan Family Member of Michael Dolan, Key Employee, GLAS 232040 Employment false James Kleven MD Family Member of Jennifer Kleven, M.D., Director, GLAS 529236 Employment false Karl Borge MD Family Member of Robyn Borge, Officer, GLAS 283622 Employment false Shannan Stephens MD Family Member of Kelley Bahr, M.D., Officer, GLAS 388281 Employment false Form 990, Part III, Line 1 ORGANIZATION'S MISSION TO SUPPORT GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.'S PROGRAMS OF HEALTH CARE, MEDICAL EDUCATION, MEDICAL RESEARCH AND COMMUNITY HEALTH PROMOTION ACTIVITIES WITHIN THE MEANING OF SECTION 509(A)(3) OF THE IRC; BORROWING AND LENDING OF FUNDS AND PROPERTY, ENGAGING IN FINANCIAL TRANSACTIONS WITH AND/OR ON BEHALF OF THE GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., ALONG WITH GENERAL SERVICES PROVIDED TO GUNDERSEN CLINIC, LTD. AND GUNDERSEN LUTHERAN MEDICAL CENTER, INC. Form 990, Part VI, Line 6 Classes of members or stockholders GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., HAS THE POWER TO APPOINT BOARD MEMBERS Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., THE PARENT CORPORATION AND SOLE MEMBER OF THE CORPORATION, SHALL HAVE THE POWER, TO RECOMMEND AND REVIEW, AS APPROPRIATE, AND APPROVE CERTAIN MATTERS. ARTICLES OF INCORPORATION MAY BE AMENDED BY VOTE OF THE SOLE MEMBER OF THE CORPORATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WILL BE AVAILABLE FOR ALL BOARD MEMBERS BEFORE FILING AND UPON FURTHER REVIEW BY THE CFO, VICE-PRESIDENT OF FINANCE OR DIRECTOR OF FINANCE, THE 990S ARE APPROVED AND FILED. Form 990, Part VI, Line 12c Conflict of interest policy GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. MONITORS CONFLICTS ON AN ANNUAL BASIS BY REVIEWING DISCLOSURES ON COMPLETED CONFLICT OF INTEREST STATEMENTS. Form 990, Part VI, Line 19 Required documents available to the public REQUESTS FOR ALL DOCUMENTS ARE MADE THROUGH THE LEGAL DEPARTMENT, AND THE APPROPRIATE DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION IN THE LEGAL DEPARTMENT. Form 990, Part VII, Section A, Line 1a, Column (C) FORMER REPORTING THE FOLLOWING INDIVIDUALS ARE NO LONGER CONSIDERED OFFICERS FOR PURPOSES OF FORM 990 REPORTING: STEPHEN SHAPIRO, MD THE FOLLOWING INDIVIDUALS ARE NO LONGER CONSIDERED KEY EMPLOYEES FOR PURPOSES OF FORM 990 REPORTING: ERIC DEHN KRISTER MATTSON SHANNON MULLIGAN STEPHANIE CARROLL, MD KARI ADANK JANINE LUZ ELLEN PEDRETTI-FENDT P MICHAEL JACOBS, MD Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY TRANSFERS TO AFFILIATES - -7414426; SWAP MARKET ADJ - 437; FORM 990, PART VI, LINE 15 - A AND B PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE COMPENSATION OF THE CEO IS DETERMINED ANNUALLY BY A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THEIR DETERMINATION IS MADE AFTER A REVIEW OF MARKET DATA OBTAINED FROM SEVERAL ORGANIZATIONS AND CEO PERFORMANCE. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE SUCH DISCUSSIONS TAKE PLACE. RECOMMENDATIONS FOR COMPENSATION FOR THE ORGANIZATIONS' KEY MANAGEMENT EMPLOYEES ARE DEVELOPED ANNUALLY BY THE CEO, AFTER A REVIEW OF PERFORMANCE AND COMPARABLE MARKET DATA. THE PROPOSED SALARIES ARE INDEPENDENTLY REVIEWED BY AN OUTSIDE AUDITING FIRM. THE COMPENSATION RECOMMENDATIONS, AUDIT REPORTS, ALONG WITH THE MARKET DATA, ARE PRESENTED TO A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THE COMPENSATION AMOUNTS ARE NOT EFFECTIVE UNTIL THE BOARD COMMITTEE APPROVES THEM. 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