GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC (EIN 39-1606449)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-14
IRS object ID: 201833189349308168
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-14T14:49:17-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4200 WELLS FARGO CTR 90 S 7TH ST	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391606449	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Gundersen Lutheran Administrative	BusinessNameLine1Txt
Business Name Line2	Services Inc	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% Perry Breazeale	InCareOfNm
Business Name Control	GUND	BusinessNameControlTxt
Phone	6087827300	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PERRY BREAZEALE	PersonNm
Person Title	Exec. Dir. Finance	PersonTitleTxt
Phone	6087754443	PhoneNum
Signature	2018-11-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MONROE J GIERL	PreparerPersonNm
PTIN	P01413237	PTIN
Phone	6123055000	PhoneNum
Preparation	2018-11-08	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	41438720183185000001	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	80A177424C680C2DAD2A222932BC57697C814DAD	AtSubmissionCreationDeviceId
At Submission Filing Device Id	1AC817DA654FAC82C3A77F7D3F33864379930489	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	GUNDERSEN ADMIN SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	SCOTT RATHGABER MD CEO	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$716,893,606	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GUNDERSENHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	TO SUPPORT GUNDERSEN HEALTH SYSTEM'S HEALTH CARE AND OTHER ORGS MISSIONS THROUGHOUT OUR SERVICE AREA, MANAGING THE LARGER PORTION OF BUSINESS SVCS, EDUCATION AND INVESTING.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	9739	TotalEmployeeCnt
Total Volunteers	623	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$495,719	PYContributionsGrantsAmt
CY Contributions Grants	$441,872	CYContributionsGrantsAmt
PY Program Service Revenue	$684,153,839	PYProgramServiceRevenueAmt
CY Program Service Revenue	$687,179,666	CYProgramServiceRevenueAmt
PY Investment Income	$42,699,655	PYInvestmentIncomeAmt
CY Investment Income	$28,033,820	CYInvestmentIncomeAmt
PY Other Revenue	$324,066	PYOtherRevenueAmt
CY Other Revenue	$476,557	CYOtherRevenueAmt
PY Total Revenue	$727,673,279	PYTotalRevenueAmt
CY Total Revenue	$716,131,915	CYTotalRevenueAmt
PY Grants And Similar Paid	$15,949,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,494,750	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$625,140,833	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$643,652,174	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$102,177,059	PYOtherExpensesAmt
CY Other Expenses	$109,464,251	CYOtherExpensesAmt
PY Total Expenses	$743,266,892	PYTotalExpensesAmt
CY Total Expenses	$754,611,175	CYTotalExpensesAmt
PY Revenues Less Expenses	-$15,593,613	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$38,479,260	CYRevenuesLessExpensesAmt
Total Assets BOY	$860,542,249	TotalAssetsBOYAmt
Total Assets EOY	$941,583,564	TotalAssetsEOYAmt
Total Liabilities BOY	$877,494,737	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$956,164,090	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$16,952,488	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$14,580,526	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$742,213,233	ExpenseAmt
Grant	$373,750	GrantAmt
Revenue	$687,179,666	RevenueAmt
Desc	GENERAL SERVICES PROVIDED TO GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC. AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES.	Desc
Total Program Service Expenses	$742,213,233	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	567	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9739	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Perry Breazeale	PersonNm
Phone	6087754443	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1910 SOUTH AVENUE NCA1-01	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Scott Rathgaber MD
Chief Executive Officer	42.0	6.0	Yes (X)	Yes (X)	$887,280	$0	$63,882
Wendy Lommen
Board of Trustees - Chair	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
John Lyche
Board of Trustees - Secretary	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Gerald Arndt
Board of Trustees - Member	2.0	6.0	Yes (X)		$0	$0	$0
Gerald Kember
BOT - Member Thru 7-1-2017	2.0	6.0	Yes (X)		$0	$0	$0
Mark Glendenning
Board of Trustees - Vice Chair	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Brad Sturm
Board of Trustees - Treasurer	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Dan Florness
Board of Trustees - Member	2.0	4.0	Yes (X)		$0	$0	$0
Rick Radcliffe
Board of Trustees - Member	2.0	4.0	Yes (X)		$0	$0	$0
Stephen Shapiro MD
Board of Trustees - Member	42.0	7.0	Yes (X)		$457,596	$0	$64,982
Brian Sieck MD
Board of Trustees - Member	42.0	8.0	Yes (X)		$403,930	$0	$64,932
Kelley Bahr MD
Board of Trustees - Member	42.0	6.0	Yes (X)		$362,802	$0	$35,510
Jonathan Zlabek MD
Board of Trustees - Member	42.0	6.0	Yes (X)		$315,951	$0	$64,882
Greg Thompson MD
BOT - Member, CMO	42.0	6.0	Yes (X)	Yes (X)	$443,048	$0	$63,132
Elizabeth Smith-Houskamp
Vice President, Admin COO	42.0	8.0		Yes (X)	$410,284	$0	$39,150
Michael Dolan MD
Exec VP, Medical COO	42.0	6.0		Yes (X)	$572,038	$0	$62,382
Marilu Bintz MD
Senior Vice President, CMO	42.0	7.5		Yes (X)	$561,138	$0	$49,546
Rose Ann-Laureto
Chief Information Officer	42.0	7.0		Yes (X)	$424,937	$0	$48,546
Dara Bartels
Chief Financial Officer	42.0	6.0		Yes (X)	$366,280	$0	$64,382
P Michael Jacobs DPM
Medical Vice President	40.0	2.0			$363,780	$0	$64,882	Yes (X)
Mary Kuffel MD
Medical Vice President	40.0	1.0			$491,214	$0	$40,542	Yes (X)
Stephanie Carroll MD
Medical Vice President	40.0	0.0			$306,262	$0	$54,618	Yes (X)
Todd Kowalski MD
Medical Vice President	40.0	0.0			$363,014	$0	$63,132	Yes (X)
Lisa Wied
Vice President	40.0	0.0			$207,042	$0	$55,188	Yes (X)
Mike McKee
Vice President	40.0	2.5			$204,496	$0	$56,182	Yes (X)
Kraig Schuster
Vice President	40.0	2.0			$213,834	$0	$54,378	Yes (X)
Bryan Erdmann
Vice President	40.0	2.0			$250,355	$0	$62,331	Yes (X)
Garith Steiner
Vice President	40.0	0.0			$250,881	$0	$33,125	Yes (X)
Kathleen Klock
Senior Vice President	40.0	1.3			$446,372	$0	$59,174	Yes (X)
Mary Ellen McCartney
Senior Vice President	40.0	0.0			$211,514	$0	$41,827	Yes (X)
Jean Krause
Senior Vice President	40.0	3.3			$242,400	$0	$45,614	Yes (X)
Daniel Lange MD
Medical Doctor	40.0	0.0			$855,978	$0	$63,882		Yes (X)
Kurt Mueller MD
Medical Doctor	40.0	0.0			$831,780	$0	$62,382		Yes (X)
Collin Driscoll MD
Medical Doctor	40.0	0.0			$802,298	$0	$62,382		Yes (X)
Martin Koop MD
Medical Doctor	40.0	0.0			$780,930	$0	$40,542		Yes (X)
Premnauth Rabindranauth MD
Medical Doctor	40.0	0.0			$725,174	$0	$62,382		Yes (X)
Jeffrey Thompson MD
Former CEO	40.0	0.0			$251,343	$0	$62,626			Yes (X)
Debra Rislow
Former SVP, Admin COO	0.0	0.0			$165,445	$0	$3,915			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,169,396	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,610,430	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	866	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GUNDERSEN LUTHERAN MEDICAL CENTER
1910 SOUTH AVENUE	LA CROSSE	WI	54601	SERVICES/SUPPLIES	$472,882,048
FOWLER AND HAMMER INC
313 MONITOR STREET	LA CROSSE	WI	54603	BUILDING CONTRACTOR	$10,576,699
FORSYTHE SOLUTIONS GROUP INC
PO BOX 772951	CHICAGO	IL	606770251	SOFTWARE CONSULTANTS	$4,494,070
EPIC SYSTEM CORPORATION
BOX 88314	MILWAUKEE	WI	532880314	SOFTWARE CONSULTANTS	$3,913,446
Metro Aviation Inc
PO Box 7008	Shreveport	LA	71137	Contracted Service	$3,708,728

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	372	CntrctRcvdGreaterThan100KCnt
Related Organizations	$81,321	RelatedOrganizationsAmt
Government Grants	$350,551	GovernmentGrantsAmt
All Other Contributions	$10,000	AllOtherContributionsAmt
Total Contributions	$441,872	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Service Provided to Gundersen	Desc
Business	561000	BusinessCd
Total Revenue Column	$687,179,666	TotalRevenueColumnAmt
Related Or Exempt Func Income	$687,179,666	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$687,179,666	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,271,279	TotalRevenueColumnAmt
Exclusion	$28,271,279	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,000,789	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$524,232	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$476,557	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$476,557	TotalRevenueColumnAmt
Exclusion	$476,557	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$237,459	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$237,459	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$237,459	TotalRevenueColumnAmt
Exclusion	-$237,459	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$716,131,915	TotalRevenueColumnAmt
Related Or Exempt Func Income	$687,179,666	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$28,510,377	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,494,750	TotalAmt
Program Services	$1,494,750	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,176,513	TotalAmt
Program Services	$1,631,364	ProgramServicesAmt
Management And General	$4,545,149	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$498,964,198	TotalAmt
Program Services	$495,169,820	ProgramServicesAmt
Management And General	$3,794,378	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$56,594,039	TotalAmt
Program Services	$55,717,210	ProgramServicesAmt
Management And General	$876,829	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$51,123,939	TotalAmt
Program Services	$51,123,939	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$30,793,485	TotalAmt
Program Services	$30,372,514	ProgramServicesAmt
Management And General	$420,971	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,167,945	TotalAmt
Program Services	$274,466	ProgramServicesAmt
Management And General	$893,479	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$474,139	TotalAmt
Program Services	$474,139	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$220,565	TotalAmt
Program Services	$220,565	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,509,969	TotalAmt
Program Services	$1,509,969	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,728,275	TotalAmt
Program Services	$13,347,622	ProgramServicesAmt
Management And General	$380,653	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,332,698	TotalAmt
Program Services	$1,332,698	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,330,697	TotalAmt
Program Services	$10,249,538	ProgramServicesAmt
Management And General	$81,159	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$20,739,579	TotalAmt
Program Services	$20,739,579	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,110,901	TotalAmt
Program Services	$8,081,763	ProgramServicesAmt
Management And General	$29,138	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$910,425	TotalAmt
Program Services	$824,118	ProgramServicesAmt
Management And General	$86,307	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,360,646	TotalAmt
Program Services	$17,360,646	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,924,305	TotalAmt
Program Services	$21,924,003	ProgramServicesAmt
Management And General	$302	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$431,676	TotalAmt
Program Services	$431,676	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Bad Debts/Collections	$1,565,725	$1,565,725
Recruiting	$627,307	$626,581	$726
Dues/Memberships/License	$2,410,296	$1,865,315	$544,981
Employee Dev & Training	$2,842,100	$2,786,449	$55,651

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,777,003	TotalAmt
Program Services	$3,088,784	ProgramServicesAmt
Management And General	$688,219	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$754,611,175	TotalAmt
Program Services	$742,213,233	ProgramServicesAmt
Management And General	$12,397,942	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$23,075,625	BOYAmt
EOY	$21,968,354	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$163,842,398	BOYAmt
EOY	$182,515,643	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

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

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$17,222	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$12,793,388	BOYAmt
EOY	$13,736,503	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,565,022	BOYAmt
EOY	$7,044,358	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,045,330	BOYAmt
EOY	$14,819,344	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$217,468,101	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$134,554,673	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$77,136,469	BOYAmt
EOY	$82,913,428	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$549,669,343	BOYAmt
EOY	$606,508,602	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,414,674	BOYAmt
EOY	$12,060,110	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$860,542,249	BOYAmt
EOY	$941,583,564	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$134,100,863	BOYAmt
EOY	$127,687,180	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$390,265,000	BOYAmt
EOY	$381,810,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$353,128,874	BOYAmt
EOY	$446,666,910	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$877,494,737	BOYAmt
EOY	$956,164,090	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$16,952,488	BOYAmt
EOY	-$14,580,526	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$16,952,488	BOYAmt
EOY	-$14,580,526	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$860,542,249	BOYAmt
EOY	$941,583,564	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$38,479,260	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$40,851,222	NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	18	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (18 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
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	Yes (true)	$0	$0
GUNDERSEN LUTHERAN MEDICAL CENTER INC
390813416	3	Yes (true)	$0	$0
GUNDERSEN LUTHERAN MEDICAL FOUNDATION
391249705	7	false	$0	$0
HARMONY COMMUNITY HEALTH CARE
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

Field	Value	IRS element (for citing)
Supported Organizations Total	18	SupportedOrganizationsTotalCnt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. Sch A Part II Line 5a Supported Organizations new in 2017: Moundview Memorial Hospitals & Clinics EIN: 39-0944012 Memorial HC FDTN of Adams County, Inc. EIN: 39-1775074
Sch A Part IV Section A	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, ALL 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). 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 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)). THEREFORE, 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).
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.

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$220,565	FilingOrganizationsTotalAmt
Affiliated Group Total	$243,711	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$220,565	FilingOrganizationsTotalAmt
Affiliated Group Total	$243,711	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$754,390,610	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,907,563,731	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$754,611,175	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,907,807,442	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$281,562	CurrentYearMinus3Amt
Current Year Minus2	$271,755	CurrentYearMinus2Amt
Current Year Minus1	$219,895	CurrentYearMinus1Amt
Current Year	$243,711	CurrentYearAmt
Total	$1,016,923	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,869,924	OtherCostOrOtherBasisAmt
Book Value	$3,869,924	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,121,115	OtherCostOrOtherBasisAmt
Depreciation	$15,041,868	DepreciationAmt
Book Value	$38,079,247	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,420,585	OtherCostOrOtherBasisAmt
Depreciation	$1,607,860	DepreciationAmt
Book Value	$2,812,725	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$156,056,477	OtherCostOrOtherBasisAmt
Depreciation	$117,904,945	DepreciationAmt
Book Value	$38,151,532	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$82,913,428	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLE	$411,136,338
LOSS ON SWAP CONTRACTS	$25,971,185
LT CIMP LIABILITY	$4,951,019
LEASE CONTRACT PAYABLE	$2,466,160
TEB PREM/(DISC) CURRENT AND LT	$1,696,732
DEFERRED COMPENSATION	$441,987
DEFERRED REVENUE	$3,489

Field	Value	IRS element (for citing)
Total Liability	$446,666,910	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch D Part X Line 2	FormAndLineReferenceDesc
Explanation	INCOME TAX MATTERS (In Thousands) The System qualifies as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code (the Code), with the exception of Degen Berglund, Inc. and Gundersen Lutheran Envision, LLC, which are for-profit entities. At December 31, 2017 and 2016, net deferred tax assets of $5,036 and $3,493, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $4,000 and $2,766, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At December 31, 2017, the System's federal net operating loss carryforwards were approximately $28,600, and the state net operating loss carryforwards were approximately $25,200, which will expire between 2026 and 2035. 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 2013 and prior years. The Tax Cuts and Jobs Act (Act) was enacted on December 22, 2017. The Act reduces the U.S. federal corporate tax rate from 35% to 21%, requires companies to pay a one-time transition tax on earnings of certain foreign subsidiaries that was previously tax deferred, and creates new taxes on certain foreign sourced earnings. For tax-exempt entities, the Act also requires organizations to categorize certain fringe benefit expenses as a source of unrelated business income, pay an excise tax on remuneration above certain thresholds that is paid to executives by the organization, and report income or loss from unrelated business activities on an activity-by-activity basis, among other provisions. At December 31, 2017, the System has made a reasonable estimate of the tax effects of the enactment of the Act. Certain regulatory guidance provides for a measurement period of up to one year during which the accounting for the tax effects of the Act may be completed. The System may record further adjustments in future periods upon obtaining, preparing, or analyzing additional information about facts and circumstances that existed as of the date of enactment that would have affected the income tax effects initially reported. The System will continue to revise and refine the calculations as additional Internal Revenue Service guidance is issued.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GUNDERSEN LUTHERAN HEALTH SYSTEM INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1836 SOUTH AVENUE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	391866425	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$1,494,750	CashGrantAmt
Purpose Of Grant	General Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch I Part I Line 2	FormAndLineReferenceDesc
Explanation	THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Scott Rathgaber MD
Chief Executive Officer	$832,496	$0	$50,000	$0	$4,784	$0	$39,150	$0	$24,786	$0	$951,216	$0	$0	$0
Stephen Shapiro MD
Board of Trustees - Member	$452,096	$0	$5,000	$0	$500	$0	$39,150	$0	$30,170	$0	$526,916	$0	$0	$0
Brian Sieck MD
Board of Trustees - Member	$396,446	$0	$3,000	$0	$4,484	$0	$39,150	$0	$25,836	$0	$468,916	$0	$0	$0
Kelley Bahr MD
Board of Trustees - Member	$355,000	$0	$3,000	$0	$4,802	$0	$35,510	$0	$54	$0	$398,366	$0	$0	$0
Jonathan Zlabek MD
Board of Trustees - Member	$306,495	$0	$5,000	$0	$4,456	$0	$39,150	$0	$25,786	$0	$380,887	$0	$0	$0
Greg Thompson MD
BOT - Member, CMO	$438,246	$0	$0	$0	$4,802	$0	$39,150	$0	$24,036	$0	$506,234	$0	$0	$0
P Michael Jacobs DPM
Medical Vice President	$359,496	$0	$0	$0	$4,284	$0	$39,150	$0	$25,786	$0	$428,716	$0	$0	$0
Mary Kuffel MD
Medical Vice President	$478,912	$0	$8,000	$0	$4,302	$0	$39,150	$0	$1,446	$0	$531,810	$0	$0	$0
Stephanie Carroll MD
Medical Vice President	$303,244	$0	$3,000	$0	$18	$0	$39,150	$0	$19,371	$0	$364,783	$0	$0	$0
Todd Kowalski MD
Medical Vice President	$357,496	$0	$5,000	$0	$518	$0	$39,150	$0	$28,320	$0	$430,484	$0	$0	$0
Lisa Wied
Vice President	$203,896	$0	$0	$0	$3,146	$0	$29,356	$0	$25,886	$0	$262,284	$0	$0	$0
Mike McKee
Vice President	$203,996	$0	$0	$0	$500	$0	$30,450	$0	$28,432	$0	$263,378	$0	$0	$0
Kraig Schuster
Vice President	$213,334	$0	$0	$0	$500	$0	$30,538	$0	$26,644	$0	$271,016	$0	$0	$0
Elizabeth Smith-Houskamp
Vice President, Admin COO	$406,000	$0	$0	$0	$4,284	$0	$39,150	$0	$54	$0	$449,488	$0	$0	$0
Bryan Erdmann
Vice President	$247,941	$0	$0	$0	$2,414	$0	$36,794	$0	$28,788	$0	$315,937	$0	$0	$0
Garith Steiner
Vice President	$250,000	$0	$0	$0	$881	$0	$33,125	$0	$3,204	$0	$287,210	$0	$0	$0
Michael Dolan MD
Exec VP, Medical COO	$566,538	$0	$5,000	$0	$500	$0	$39,150	$0	$27,570	$0	$638,758	$0	$0	$0
Marilu Bintz MD
Senior Vice President, CMO	$556,336	$0	$0	$0	$4,802	$0	$39,150	$0	$10,450	$0	$610,738	$0	$0	$0
Kathleen Klock
Senior Vice President	$441,372	$0	$5,000	$0	$0	$0	$39,150	$0	$24,344	$0	$509,866	$0	$0	$0
Mary Ellen McCartney
Senior Vice President	$211,014	$0	$0	$0	$500	$0	$30,907	$0	$13,660	$0	$256,081	$0	$0	$0
Jean Krause
Senior Vice President	$209,214	$0	$30,000	$0	$3,186	$0	$32,894	$0	$12,766	$0	$288,060	$0	$0	$0
Rose Ann-Laureto
Chief Information Officer	$389,837	$0	$0	$0	$35,100	$0	$39,150	$0	$13,734	$0	$477,821	$0	$0	$0
Dara Bartels
Chief Financial Officer	$361,996	$0	$0	$0	$4,284	$0	$39,150	$0	$25,286	$0	$430,716	$0	$0	$0
Daniel Lange MD
Medical Doctor	$850,996	$0	$0	$0	$4,982	$0	$39,150	$0	$24,786	$0	$919,914	$0	$0	$0
Kurt Mueller MD
Medical Doctor	$821,996	$0	$5,000	$0	$4,784	$0	$39,150	$0	$23,286	$0	$894,216	$0	$0	$0
Collin Driscoll MD
Medical Doctor	$797,496	$0	$0	$0	$4,802	$0	$39,150	$0	$23,286	$0	$864,734	$0	$0	$0
Martin Koop MD
Medical Doctor	$774,912	$0	$5,500	$0	$518	$0	$39,150	$0	$5,730	$0	$825,810	$0	$0	$0
Premnauth Rabindranauth MD
Medical Doctor	$718,996	$0	$0	$0	$6,178	$0	$39,150	$0	$23,286	$0	$787,610	$0	$0	$0
Jeffrey Thompson MD
Former CEO	$247,646	$0	$0	$0	$3,697	$0	$36,794	$0	$25,875	$0	$314,012	$0	$0	$0
Debra Rislow
Former SVP, Admin COO	-$485	$0	$0	$0	$165,930	$0	$0	$0	$3,915	$0	$169,360	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch J Part I Line 4a	FormAndLineReferenceDesc
Explanation	2017 severance Payments: Debra Rislow - $162,500	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WHEFA SERIES 2011A ISSUANCE
A	391337855	97710BJ78	2011-09-29	$132,855,000	SEE PART VI	false	false	false
WHEFA SERIES 2016 ISSUANCE
B	391337855		2016-02-12	$40,000,000	SEE PART VI	false	false	false
WHEFA SERIES 2009 ISSUANCE
C	391337855	97710BE65	2011-03-17	$76,005,000	SEE PART VI	false	false	false
WHEFA SERIES 2008B ISSUANCE
D	391337855	97710BBG6	2010-09-01	$61,400,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$34,005,000	$0	$162,563,462	$0	$0	$0	$1,938,652	$0	$0	$70,140,245	$90,473,803	$0	2014	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$40,000,000	$0	$0	$0	$0	$0	$0	$0	$40,000,000	$0	2016	Yes (true)	false	Yes (true)	Yes (true)
C	$5,505,000	$0	$78,715,000	$0	$0	$0	$0	$0	$0	$0	$78,715,000	$0	2005	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$61,400,000	$0	$0	$0	$0	$0	$0	$0	$61,400,000	$0	2008	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Total Private Business UseTotalPrivateBusinessUsePct
A	false	false	false	false	0	Yes (true)	false	false	Yes (true)
B	false	false	false	false	0	Yes (true)	false	false	Yes (true)
C	false	Yes (true)	false	false	0.02100	Yes (true)	false	false	Yes (true)	0.02100
D	false	false	false	false	0	Yes (true)	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
PIPERMERRILL
C	Yes (true)		Yes (true)	Yes (true)	false	0	false	Yes (true)	0.295
MERRILL
D	Yes (true)		Yes (true)	Yes (true)	false	0	false	Yes (true)	0.27

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WHEFA SERIES 2012 ISSUANCE
A	391337855	97710B4B5	2012-09-27	$69,355,000	SEE PART VI	false	false	false
WHEFA Series 2015 Issuance
B	391337855		2015-12-23	$10,650,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$815,000	$0	$71,875,660	$0	$0	$0	$961,054	$0	$0	$70,929,112	$0	$0	2014	false	false	Yes (true)	Yes (true)
B	$2,410,000	$0	$12,041,231	$0	$0	$0	$0	$0	$0	$12,094,721	$0	$0	2017	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	Yes (true)	false	false	Yes (true)
B	false	false	false	false	0	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false		Yes (true)	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Sch K	PART I BOND ISSUES: LINE A (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2011A (F) DESCRIPTION OF PURPOSE: 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 PART I BOND ISSUES: LINE B (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2016B (F) DESCRIPTION OF PURPOSE: 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) PART I BOND ISSUES: LINE C (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2009 (C) CUSIP ID: 97710BE65/9910BE73 (F) DESCRIPTION OF PURPOSE: 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 PART I BOND ISSUES: LINE D (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2008B (F) DESCRIPTION OF PURPOSE: 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 PART I BOND ISSUES: LINE E (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2012 (F) DESCRIPTION OF PURPOSE: NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF HOSPITAL AND COSTS OF ISSUANCE PART I BOND ISSUES: LINE F (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2015 (F) DESCRIPTION OF PURPOSE: NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF A CLINIC
Sch K Part III Line 7	Gundersen 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 Line 8a & 8c	Gundersen had a sale of a bond financed asset from the 2008B issuance. 800.00 was reissued on 7/15/15 in order to remediate a sale.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	Rose Anne Laureto	PersonNm
Relationship With Org	Employee - CIO	RelationshipWithOrgTxt
Loan Purpose	Bonus/Relocation	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$50,000	OriginalPrincipalAmt
Balance Due	$17,222	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$17,222	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (21 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Sean Agger
SEE SUPPLEMENTAL INFO	$217,213	Employment	false
James Klock
SEE SUPPLEMENTAL INFO	$42,185	Employment	false
Belinda Klock
SEE SUPPLEMENTAL INFO	$72,432	Employment	false
James Klock
SEE SUPPLEMENTAL INFO	$120,493	Employment	false
Brenda White
SEE SUPPLEMENTAL INFO	$41,565	Employment	false
Samuel Thompson
SEE SUPPLEMENTAL INFO	$53,931	Employment	false
Jonathan Klock
SEE SUPPLEMENTAL INFO	$110,286	Employment	false
Tom Thompson
SEE SUPPLEMENTAL INFO	$54,186	Employment	false
Margaret Webster MD
SEE SUPPLEMENTAL INFO	$149,604	Employment	false
Ricardo Rivera
SEE SUPPLEMENTAL INFO	$99,957	Employment	false
Megan Klock
SEE SUPPLEMENTAL INFO	$70,853	Employment	false
Shannan Stephens MD
SEE SUPPLEMENTAL INFO	$317,483	Employment	false
Ingri Gundersen Lombardi
SEE SUPPLEMENTAL INFO	$44,406	Employment	false
John Houskamp MD
SEE SUPPLEMENTAL INFO	$313,600	Employment	false
Rachel Thompson-Fleming MD
SEE SUPPLEMENTAL INFO	$44,002	Employment	false
Nathan Fleming MD
SEE SUPPLEMENTAL INFO	$30,200	Employment	false
Scott Wied
SEE SUPPLEMENTAL INFO	$102,810	Employment	false
Karl Borge
SEE SUPPLEMENTAL INFO	$249,823	Employment	false
Noel Radcliffe MD
SEE SUPPLEMENTAL INFO	$241,810	Employment	false
Jeffrey Richards
SEE SUPPLEMENTAL INFO	$24,123	Employment	false
Emma Westphal
SEE SUPPLEMENTAL INFO	$46,185	Employment	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch L Part IV	FormAndLineReferenceDesc
Explanation	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: SEAN AGGER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF WILLIAM AGGER, M.D., FORMER DIRECTOR (A) NAME OF PERSON: JAMES KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE (A) NAME OF PERSON: BELINDA KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE (A) NAME OF PERSON: JAMES KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE (A) NAME OF PERSON: BRENDA WHITE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF GERALD ARNDT, KEY EMPLOYEE (A) NAME OF PERSON: SAMUEL THOMPSON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFFREY THOMPSON, M.D., Former DIRECTOR (A) NAME OF PERSON: JONATHAN KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE (A) NAME OF PERSON: TOM THOMPSON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFFREY THOMPSON, M.D., Former 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: RICARDO RIVERA (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JULIO BIRD, M.D., DIRECTOR (A) NAME OF PERSON: MEGAN KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE (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: INGRI GUNDERSEN LOMBARDI (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF SIGURD GUNDERSEN III, M.D., DIRECTOR (A) NAME OF PERSON: JOHN HOUSKAMP, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF ElizaBETH SMITH-HOUSKAMP, Officer (A) NAME OF PERSON: RACHEL THOMPSON-FLEMING, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFFREY THOMPSON, M.D., FORMER DIRECTOR (A) NAME OF PERSON: NATHAN FLEMING, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFFREY THOMPSON, M.D., FORMER DIRECTOR (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 Rick Radcliffe, Director (A) NAME OF PERSON: Jeffrey Richards (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF Dara Bartels, Officer (A) NAME OF PERSON: Emma Westphal (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF Deb Rislow, Former Key Employee	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2c	THE PROCESS ALLOWS THE AUDIT COMMITTEE OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. TO INDEPENDENTLY COMMUNICATE WITH THE EXTERNAL AUDIT FIRM THROUGHOUT THE YEAR, BUT FORMAL COMMUNICATION OCCURS BEFORE THE ENGAGEMENT AND UPON CONCLUSION. THE AUDIT COMMITTEE MEETS WITH THE AUDIT FIRM FOR PRESENTATION OF THE STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
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 OMB CIRCULAR A-133.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391866425	SUPTNG. ORG	WI	501(C)(3)	LINE 12B,II	NA	false
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1910 SOUTH AVENUE	LA CROSSE	WI	54601	390813416	HEALTH CARE	WI	501(C)(3)	LINE 3	GLHS	false
GUNDERSEN CLINIC LTD
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391028657	HEALTH CARE	WI	501(C)(3)	LINE 3	GLHS	false
GUNDERSEN LUTHERAN MEDICAL FNDTN INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391249705	FOUNDATION	WI	501(C)(3)	LINE 7	GLHS	false
GUNDERSEN LUTHERAN CREDENTIALING SVS INC
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391856898	CREDENTIALING	WI	501(C)(3)	LN 12C,III	GLHS	false
TRI-COUNTY MEMORIAL HOSPITAL INC
18601 LINCOLN STREET	WHITEHALL	WI	54773	390704510	HEALTH CARE	WI	501(C)(3)	LINE 3	GLHS	false
TRI-STATE REGIONAL AMBULANCE INC
235 CAUSEWAY BLVD	LA CROSSE	WI	54603	391962965	MDCL TRANSPO.	WI	501(C)(3)	LINE 10	GLHS	false
STJOSEPH'S HEALTH SERVICES INC
400 WATER AVENUE	HILLSBORO	WI	54634	390929538	HEALTH CARE	WI	501(C)(3)	LINE 3	GLHS	false
ST JOSEPH MEMORIAL FOUNDATION INC
400 WATER AVENUE	HILLSBORO	WI	54634	391455787	FOUNDATION	WI	501(C)(3)	LINE 12A, I	S JOSEPH HS	false
TRI-COUNTY MEMORIAL FOUNDATION INC
18601 LINCOLN STREET	WHITEHALL	WI	54773	300093022	FOUNDATION	WI	501(C)(3)	LINE 12A, I	TRI-COUNTY	false
MEMORIAL HOSPITAL OF BOSCOBEL
205 PARKER STREET	BOSCOBEL	WI	53805	390845590	HEALTH CARE	WI	501(C)(3)	LINE 3	GLHS	false
MEMORIAL HOSPITAL OF BOSCOBEL FNDT INC
205 PARKER STREET	BOSCOBEL	WI	53805	391688793	FUNDRAISING	WI	501(C)(3)	LINE 7	NA	false
BOSCOBEL AREA HEALTH CARE PARTNERS
205 PARKER STREET	BOSCOBEL	WI	53805	450498844	FUNDRAISING	WI	501(C)(3)	LINE 7	NA	false
HARMONY COMMUNITY HEALTHCARE INC
815 MAIN AVENUE S	HARMONY	MN	55939	410711606	HEALTH CARE	MN	501(C)(3)	LINE 10	GLHS	false
TWEETEN LUTHERAN HEALTHCARE CENTER INC
125 FIFTH AVENUE SE	SPRING GROVE	MN	55974	411565003	HEALTH CARE	MN	501(C)(3)	LINE 10	GLHS	false
TRI-STATE AMBULANCE INC
235 CAUSEWAY BLVD	LA CROSSE	WI	54603	391965415	MDCL TRANSPO.	WI	501(C)(3)	LINE 3	GLHS	false
LUTHERAN REAL ESTATE HOLDING CORPORATION
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391480826	HOUSING	WI	501(C)(3)	LN 12C, III	GLHS	false
LUTHERAN HOUSING OF LA CROSSE INC
1900 SOUTH AVENUE	LA CROSSE	WI	54601	391751934	INDP LIVING	WI	501(C)(3)	LINE 10	LRHC	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
PALMER LUTHERAN HEALTH CENTER INC
112 JEFFERSON STREET	WEST UNION	IA	52175	421320763	HEALTH CARE	IA	501(C)(3)	LINE 3	GLHS	false
PALMER MEMORIAL FOUNDATION
112 Jefferson Street	West Union	IA	52175	421032878	FOUNDATION	IA	501(C)(3)	LINE 7	PLHC	false
Moundview Memorial Hospitals & Clinics
402 West Lake Street	Friendship	WI	53934	390944012	Healthcare	WI	501(C)(3)	Line 3	GLHS	false
Memorial HC FDTN of Adams County Inc
402 West Lake Street	Friendship	WI	53934	391775074	Foundation	WI	501(C)(3)	Line 12A, I	MMHC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd
DEGEN BERGLUND INC
1709 LOSEY BLVD S	LA CROSSE	WI	54601	390971110	RTL PHARMACY	WI	GLHS	C Corp	$0	$0	Yes (true)
GUNDERSEN LUTHERAN ENVISION LLC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	264706546	RENEWABLE ENERGY	WI	GLHS	C Corp	$0	$0	Yes (true)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch R Part IV Line 1 and 2	FormAndLineReferenceDesc
Explanation	DEGEN BERGLUND, INC. AND GUNDERSEN LUTHERAN ENVISION, LLC ARE 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/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
Gundersen Lutheran Administr
1910 S AVE	LA CROSSE	WI	54601	391606449	$0	$220,565	$220,565	$754,390,610	$754,611,175	$1,000,000	$250,000	$0	$0	$0
GUNDERSEN CLINIC
1836 S AVE	LA CROSSE	WI	54601	391028657	$0	$23,146	$23,146	$196,420,463	$196,443,609	$1,000,000	$250,000	$0	$0	$0
Gundersen Lutheran Medical C
1910 S AVE	LA CROSSE	WI	54601	390813416	$0	$0	$0	$955,174,966	$955,174,966	$1,000,000	$250,000	$0	$0	$0
Gundersen Lutheran Health Sy
1836 SOUTH AVE	LA CROSSE	WI	54601	391866425	$0	$0	$0	$1,577,692	$1,577,692	$228,885	$57,221	$0	$0	$0