2025-08-13T13:29:15-05:00 2024-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-10-01 411565003 TWEETEN LUTHERAN HEALTH CARE CENTER INC TWEE 5074983211 125 FIFTH AVENUE SE SPRING GROVE MN 55974 BRENDA MOSER FINANCE ADMINISTRATOR 5074983211 2025-08-12 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-08-06 2023 2025-03-06 01:10:19Z GUNDERSEN TWEETEN CARE CENTER BRENDA MOSER 125 FIFTH AVENUE SE SPRING GROVE MN 55974 4824605 0 X WWW.GUNDERSENHEALTH.ORG/TWEETEN-CARE-CENTER X 1964 MN TO PROVIDE HOUSING AND NURSING CARE TO THE ELDERLY. 6 2 76 8 0 0 17970 8051 3430736 4729033 27879 86950 0 571 3476585 4824605 0 0 0 0 2311883 3928622 0 0 0 1104930 1557095 3416813 5485717 59772 -661112 4529444 4059155 554541 745364 3974903 3313791 X TWEETEN LUTHERAN HEALTH CARE IS A FAMILY THAT INCLUDES RESIDENTS, CAREGIVERS, VOLUNTEERS, FAMILY MEMBERS & FRIENDS. EACH MEMBER OF THE FAMILY BRINGS THEIR KNOWLEDGE AND TALENTS TO THE HOUSEHOLD FOR THE BENEFIT OF ALL. WITH RESPECT FOR EACH INDIVIDUAL, WE SUPPORT OTHERS AND HELP RESIDENTS TO REACH THEIR HIGHEST POTENTIAL PHYSICALLY, EMOTIONALLY, AND SPIRITUALLY. WE DO THIS BY EMBRACING THE VALUES OF HONESTY, INTEGRITY, RESPECT, AND DIGNITY FOR OTHERS. 0 0 3869847 0 4729033 THE ORGANIZATION PROVIDES HOUSING AND NURSING CARE TO THE ELDERLY BY OPERATING A 50-BED NURSING FACILITY IN SPRING GROVE, MN. DURING FY24, THERE WERE 10,958 RESIDENT DAYS. 3869847 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 15 0 76 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 2 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 MN X BRENDA MOSER 5074983211 125 FIFTH AVENUE SE SPRING GROVE MN 55974 VICKI BAKALARS PRESIDENT 2.00 48.00 X X 0 151403 46248 CHUCK JOHNSON VICE PRESIDENT/SEC./TREAS. 2.00 48.00 X X 0 150958 49570 JEN BERENDES DIRECTOR (THRU 12/2023) 2.00 40.00 X 0 111090 38432 BRUCE HEGGE DIRECTOR 2.00 X 0 0 0 ELIZABETH HERMIER DIRECTOR (THRU 06/2024) 2.00 X 0 0 0 JAN KRAABEL DIRECTOR (THRU 12/2023) 2.00 X 0 0 0 SARAH MELDE DIRECTOR 2.00 48.00 X 0 89971 31941 JAN MORKEN DIRECTOR (THRU 09/2024) 2.00 X 0 0 0 MANDI PERICAK DIRECTOR 2.00 48.00 X 0 119202 40172 BRENDA MOSER FINANCE ADMINISTRATOR 4.00 46.00 X 0 177022 51157 MICHELLE BORRESON ADMINISTRATOR (THRU 03/2024) 25.00 25.00 X 0 128057 56645 THOMAS WOAHLOE INTERIM ADMINISTRATOR (BEG. 03/2024) 25.00 25.00 X 0 0 0 SCOTT RATHGABER CEO-BGHS 2.00 48.00 X 0 1644221 68728 STEVE LITTLE CFO-BGHS (THRU 02/2024) 2.00 48.00 X 0 333317 0 JOHN CEELEN CFO-BGHS (BEG. 02/2024) 2.00 48.00 X 0 0 0 KAREN MILLER CERT. RESIDENT ASSESSMENT CORD. 40.00 X 116633 0 16835 GERALD OETZEL FORMER CFO-BGHS 0.00 0.00 X 0 555068 18108 116633 3460309 417836 1 1 1 0 STAFFENCY 221 W COLLEGE AVE FLOOR 2 APPLETON WI 54911 CONTRACT STAFFING 278379 AEGIS THERAPIES INC PO BOX 936653 ATLANTA GA 311936653 CONTRACT PT, OT & ST SERVICES 238652 GRAPE TREE MEDICAL STAFFING LLC PO BOX 5340 SIOUX FALLS SD 571175340 CONTRACT STAFFING 122514 3 7401 650 8051 RESIDENT SERVICE REVEN 623000 4365460 4365460 RENTAL REVENUE 900099 106707 106707 256866 256866 4729033 86950 86950 CAFETERIA REVENUE 722514 571 571 571 4824605 4729033 0 87521 3323122 2537241 785881 173959 117574 56385 275966 165452 110514 155575 107758 47817 121752 121752 836 836 12650 12650 241713 234709 7004 3600 3600 73926 22448 51478 1503 1503 252839 199833 53006 9963 9400 563 3920 3920 159344 127475 31869 16712 16712 MEDICAL SUPPLIES 150768 146720 4048 DHS SURCHARGE 140750 140750 FOOD EXPENSE 129882 129882 BAD DEBT EXPENSE 64212 64212 172725 1720 171005 5485717 3869847 1615870 0 400 400 2693302 1981029 529430 885826 10315 10222 5400595 4222982 1287721 1177613 8276 4065 4529444 4059155 245375 418658 212913 295716 1616 1409 94637 29581 554541 745364 X 3974903 3313791 3974903 3313791 4529444 4059155 -661112 0 X 0 1 X 1 1 1 X 337952 140534 328128 17970 8051 832635 4324543 3291771 3470310 3430736 4729031 19246391 4662495 3432305 3798438 3448706 4737082 20079026 0 1553155 1644599 1326873 1657437 1629467 7811531 1553155 1644599 1326873 1657437 1629467 7811531 12267495 40728 27532 8326 27879 86950 191415 40728 27532 8326 27879 86950 191415 571 571 4703223 3459837 3806764 3476585 4824603 20271012 0.60520 0.63100 0.00940 0.00770 X PART III, SHORT YEAR EXPLANATION: THE 2022 COLUMN OF PART III REPRESENTS A SHORT-YEAR PERIOD FROM JANUARY 1, 2023 THROUGH SEPTEMBER 30, 2023 DUE TO A CHANGE IN YEAR END. THE REASON FOR THIS CHANGE IS DUE TO A MERGER WITH THE BELLIN GUNDERSEN HEALTH SYSTEM. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 87000 87000 4689272 3622866 1066406 616158 591951 24207 8165 8165 0 1177613 DUE TO AFFILIATES 29581 29581 X PART X, LINE 2: THE SYSTEM HAS REVIEWED 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. 0 0 0 0 0 0 0 0 0 SCOTT RATHGABER CEO-BGHS 0 1274504 0 200000 0 169717 0 45225 0 23503 0 1712949 0 0 GERALD OETZEL FORMER CFO-BGHS 0 480094 0 70000 0 4974 0 12220 0 5888 0 573176 0 0 STEVE LITTLE CFO-BGHS (THRU 02/2024) 0 258317 0 75000 0 0 0 0 0 0 0 333317 0 0 BRENDA MOSER FINANCE ADMINISTRATOR 0 170926 0 5736 0 360 0 26423 0 24734 0 228179 0 0 CHUCK JOHNSON VICE PRESIDENT/SEC./TREAS. 0 143632 0 533 0 6793 0 22566 0 27004 0 200528 0 0 VICKI BAKALARS PRESIDENT 0 151089 0 314 0 0 0 22564 0 23684 0 197651 0 0 MICHELLE BORRESON ADMINISTRATOR (THRU 03/2024) 0 128033 0 24 0 0 0 19759 0 36886 0 184702 0 0 MANDI PERICAK DIRECTOR 0 118290 0 751 0 161 0 17732 0 22440 0 159374 0 0 PART I, LINE 3 A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE VOTING MEMBER OF TWEETEN LUTHERAN HEALTH CARE CENTER, INC. IS GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A FOUR OUT OF SEVEN DIRECTORS SHALL BE ELECTED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.'S BOARD OF GOVERNORS AND BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.'S FINANCE COMMITTEE APPROVES THE BUDGET AND CAPITAL BUDGET. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990 WILL FIRST BE REVIEWED BY THE PRESIDENT AND FINANCE ADMINISTRATOR. THE RETURN WILL THEN BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A STATEMENT OF CONFLICT OF INTEREST DISCLOSURE IS MADE ON AN ANNUAL BASIS BY OFFICERS AND DIRECTORS. BOARD MEMBERS, OFFICERS AND DIRECTORS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS AS THEY ARISE. THE DISCLOSURE FORMS ARE REVIEWED BY THE GUNDERSEN LUTHERAN HEALTH SYSTEM COMPLIANCE OFFICER AND TEAM. IF THE BOARD OF DIRECTORS DETERMINES THERE IS A CONFLICT THE BOARD MEMBER WITH THE CONFLICT MUST REFRAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15A THE ADMINISTRATOR IS COMPENSATED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., WHO USES YEARS OF SERVICE, SALARY SURVEY DATA AND INTERNAL EQUITY TO DETERMINE THE COMPENSATION RATE. THERE IS A WRITTEN CONTRACT IN PLACE FOR THE ADMINISTRATOR. COMPENSATION IS REVIEWED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. BELLIN GUNDERSEN HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSE WI 54601 920504278 PARENT WI 501(C)(3) LINE 12B, II N/A 0 BELLIN HEALTH SYSTEMS INC 744 SOUTH WEBSTER AVE GREEN BAY WI 54301 391512904 SUPPORT OF HEALTHCARE ORGANIZATIONS WI 501(C)(3) LINE 12B, II BELLIN GUNDERSEN HEALTH SYSTEMS INC 1 BELLIN COLLEGE INC 3201 EATON ROAD GREEN BAY WI 54311 391620530 NURSING AND RADIOLOGIC SCIENCE COLLEGE WI 501(C)(3) LINE 2 BELLIN HEALTH SYSTEMS INC 1 LAKE MICHIGAN HEALTH SERVICES INC 744 SOUTH WEBSTER AVE GREEN BAY WI 54301 391512903 SUPPORT PURPOSES OF BELLIN MEMORIAL HOSPITAL WI 501(C)(3) LINE 12B, II BELLIN HEALTH SYSTEMS INC 1 THE BELLIN HEALTH FOUNDATION INC PO BOX 23400 GREEN BAY WI 54301 391809171 FOUNDATION WI 501(C)(3) LINE 7 BELLIN HEALTH SYSTEMS INC 1 BELLIN PSYCHIATRIC CENTER INC PO BOX 23725 GREEN BAY WI 54305 391657627 PSYCHIATRIC HOSPITAL WI 501(C)(3) LINE 3 BELLIN HEALTH SYSTEMS INC 1 BELLIN MEMORIAL HOSPITAL INC 744 SOUTH WEBSTER AVE GREEN BAY WI 54301 390884478 HEALTH CARE WI 501(C)(3) LINE 3 BELLIN HEALTH SYSTEMS INC 1 OCONTO HOSPITAL & MEDICAL CENTER INC 820 ARBUTUS AVENUE OCONTO WI 54153 061745397 HEALTH CARE WI 501(C)(3) LINE 3 BELLIN MEMORIAL HOSPITAL INC 1 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 SUPPORTING ORGANIZATION WI 501(C)(3) LINE 12B, II BELLIN GUNDERSEN HEALTH SYSTEMS INC 1 GUNDERSEN LUTHERAN MEDICAL CENTER INC 1910 SOUTH AVENUE LA CROSSE WI 54601 390813416 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 GUNDERSEN CLINIC LTD 1910 SOUTH AVENUE LA CROSSE WI 54601 391028657 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC 1910 SOUTH AVENUE LA CROSSE WI 54601 391606449 SUPPORTING ORGANIZATION WI 501(C)(3) LINE 12B, II GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391249705 FOUNDATION WI 501(C)(3) LINE 7 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 HARMONY COMMUNITY HEALTHCARE INC 815 MAIN AVENUE S HARMONY MN 55939 410711606 HEALTH CARE MN 501(C)(3) LINE 10 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 TRI-STATE AMBULANCE INC 235 CAUSEWAY BLVD LA CROSSE WI 54601 391965415 MEDICAL TRANSPORTATION WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 TRI-STATE REGIONAL AMBULANCE INC 235 CAUSEWAY BLVD LA CROSSE WI 54603 391962965 MEDICAL TRANSPORTATION WI 501(C)(3) LINE 11 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 LUTHERAN REAL ESTATE HOLDING CORP 1910 SOUTH AVENUE LA CROSSE WI 54601 391480826 HOUSING WI 501(C)(3) LINE 12C, III-FI GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 COMMUNITY HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391586700 INDEPENDENT LIVING WI 501(C)(3) LINE 10 LUTHERAN REAL ESTATE HOLDING CORP 1 LUTHERAN HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391751934 INDEPENDENT LIVING WI 501(C)(3) LINE 10 LUTHERAN REAL ESTATE HOLDING CORP 1 ST JOSEPH'S MEMORIAL FOUNDATION INC 400 WATER AVE HILLSBORO WI 54634 391455787 FOUNDATION WI 501(C)(3) LINE 12A, I ST JOSEPH'S HEALTH SERVICES INC 1 TRI-COUNTY MEMORIAL HOSPITAL INC 18601 LINCOLN STREET WHITEHALL WI 54773 390704510 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 TRI-COUNTY MEMORIAL FOUNDATION INC 18601 LINCOLN STREET WHITEHALL WI 54773 300093022 FOUNDATION WI 501(C)(3) LINE 12A, I TRI-COUNTY MEMORIAL HOSPITAL INC 1 MEMORIAL HOSPITAL OF BOSCOBEL 205 PARKER STREET BOSCOBEL WI 53805 390845590 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 PALMER LUTHERAN HEALTH CENTER 112 JEFFERSON STREET WEST UNION IA 52175 421320763 HEALTH CARE IA 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 MEMORIAL HEALTHCARE FOUNDATION INC PO BOX 40 FRIENDSHIP WI 53934 391775074 FOUNDATION WI 501(C)(3) LINE 12A, I MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC 1 MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC 402 W LAKE STREET FRIENDSHIP WI 53934 390944012 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 SAINT ELIZABETH'S HOSPITAL OF WABASHA 1200 GRANT BLVD WEST WABASHA MN 55981 410693877 HEALTH CARE MN 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 ST JOSEPH'S HEALTH SERVICES PO BOX 527 400 WATER AVENUE HILLSBORO WI 54634 390929538 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 BEL-REGIONAL HOME MEDICAL INC 617 S ROOSEVELT GREEN BAY WI 54301 391504766 DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS WI N/A C 0 BG ASSURANCE COMPANY 20 GENESIS CLOSE PO BOX 30600 GEORGE TOWN GRAND CAYMAN, KY1 CJ SELF INSURANCE CJ N/A C 0 GUNDERSEN EDGE LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 921783811 INNOVATION WI N/A C 0 GUNDERSEN LUTHERAN ENVISION LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 264706546 RENEWABLE ENERGY WI N/A C 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0