2022-11-14T15:37:22-06:00 2021-12-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2021-01-01 391606449 GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC % GERALD OETZEL GUND 6087827300 1910 SOUTH AVE LA CROSSE WI 54601 GERALD OETZEL CFO 6087827300 2022-11-07 true GERALD OETZEL 999009999 JESS WAGENER P01622613 3128792000 2 2021 2022-09-23 18:48:47Z SCOTT RATHGABER MD 1910 SOUTH AVE LA CROSSE WI 54601 955529140 false X WWW.GUNDERSENHEALTH.ORG X 1987 WI TO SUPPORT GUNDERSEN HEALTH SYSTEM'S HEALTH CARE AND OTHER ORGS MISSIONS THROUGHOUT OUR SERVICE AREA, MANAGING THE LARGER PORTION OF BUSINESS SVCS, EDUCATION AND INVESTING. 13 4 8981 283 1288285 24107 1068557 1576875 780799610 906325303 27285596 44912902 540319 527000 809694082 953342080 2819455 2605097 0 0 734149109 786360513 0 0 0 122001466 123427142 858970030 912392752 -49275948 40949328 1186143808 1235621372 1200329600 1192791645 -14185792 42829727 X SEE SCHEDULE O false false 855732025 2605097 906325303 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. 855732025 true true false true false false false false false false true false false false true true false true false false false false false false false false false true false true true false false false false false true false false true false false false false false true true false false false true 500 0 true 8981 true true true false false false false false false false false false false false X 13 4 true false false false true true true true true false false true true true true true true true true true true WI X GERALD OETZEL 6087757914 1900 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 X SCOTT RATHGABER MD CEO/BOARD OF GOVERNORS - MEMBR 42.0 6.0 X X 999343 0 64734 Michael Dolan MD Exec VP, Medical COO 42.0 6.0 X 634459 0 64934 Marilu Bintz MD CHIEF POPULATION HEALTH OFFCR 42.0 8.0 X 622664 0 50390 Gerald Oetzel Chief Financial Officer 42.0 7.0 X 583185 0 53726 Mary Kuffel MD Medical Vice President 40.0 0.0 X 536104 0 43442 Todd Kowalski MD Medical Vice President 40.0 0.0 X 498112 0 66134 Praveen Chopra Chief Information Officer 42.0 6.0 X 501493 0 62520 Travis Smith MD Medical Doctor 40.0 0.0 X 493510 0 63734 Stephen Shapiro MD CHIEF MEDICAL FOUNDATION OFFCR 42.0 9.0 X 487953 0 66134 Daniel Lilly JD General Counsel 40.0 1.5 X 477564 0 66484 Gregory Thompson MD CHIEF MEDICAL OFFICER 42.0 6.0 X 477988 0 64934 Stephanie Neuman MD BD OF TSTE - MEMBR (BEG 01/21) 42.0 6.0 X 464519 0 64734 Benjamin Jarman MD BD OF TSTE - MEMBR (BEG 1/21) 42.0 6.0 X 467184 0 59978 Jonathan Zlabek MD Medical Vice President 40.0 0.0 X 458165 0 66484 P Michael Jacobs DPM Medical Vice President 40.0 2.0 X 450688 0 66234 Elizabeth Smith-Houskamp PhD RN ADMIN COO, CNO (THRU 10/21) 42.0 8.0 X 457394 0 44915 William Farrell CHIEF BUSINESS & STRATEGY OFFR 42.0 7.5 X 423330 0 42050 Stephen Israel MD Medical Doctor 40.0 0.0 X 372838 0 60719 KELLEY BAHR MD BOARD OF TRUSTEES - MEMBER 42.0 6.0 X 388859 0 41915 Mary Ellen McCartney Chief Human Resources Officer 42.0 6.0 X 371104 0 51314 Rajiv Naik MD Medical Doctor 40.0 0.0 X 322235 0 66484 Victor Uko MD Medical Doctor 40.0 0.0 X 335550 0 52134 Bryan Erdmann Administrative Vice President 40.0 2.5 X 296814 0 65944 Stephanie Carroll MD FORMER MEDICAL VP THRU 20 40.0 1.0 X 298096 0 57986 ROBYN BORGE MD BD OF TSTE/CHF MED/CLNCL STAFF 42.0 6.0 X X 297040 0 43442 Lisa Wied Administrative Vice President 40.0 0.5 X 261892 0 62443 Michael McKee Administrative Vice President 40.0 2.3 X 258496 0 62247 Kraig Schuster Administrative Vice President 40.0 2.0 X 265615 0 52912 JENNIFER KLEVEN MD Board of Trustees - Member 42.0 8.0 X 265647 0 37707 Pamela Maas VICE PRES BUSINESS SERVICES 40.0 0.0 X 263293 0 37362 Kari Adank Vice President Compliance 40.0 0.0 X 224875 0 54502 Janine Luz Vice President Learning 40.0 0.0 X 207536 0 49876 Andrea Hauser VP PATIENT EXP & DEPT NURSING 40.0 1.0 X 202741 0 46218 Ellen Pedretti-Fendt VP Application SerVICES 40.0 0.0 X 192556 0 52259 Jack Schwartz Vice President Foundation 40.0 0.0 X 203992 0 36244 Daniel Breazeale VP FINANCE (THRU 10/21) 40.0 0.0 X 200020 0 37695 Todd Bille VP GRWTH, STRATGY (THRU 10/21) 40.0 0.0 X 198583 0 31726 Heather Schimmers Admin OPERATING OFFICER, CNO 42.0 6.0 X 145857 0 13926 Garith Steiner FORMER VICE PRESIDENT THRU 19 40.0 0.0 X 131713 0 18896 John Lyche Board of Trustees - Vice Chair 2.0 2.0 X X 0 0 0 Gerald Arndt Board of Trustees - Chair 2.0 4.0 X X 0 0 0 Mark Glendenning Board of Trustees - Member 2.0 2.0 X 0 0 0 Brad Sturm Board of Trustees - Member 2.0 2.0 X 0 0 0 Dan Florness Board of Trustees - Treasurer 2.0 2.0 X X 0 0 0 Richard Radcliffe Board of Trustees - Member 2.0 2.0 X 0 0 0 Glena Temple PhD Board of Trustees - Secretary 2.0 2.0 X X 0 0 0 11716191 0 1451499 220 true true false FOWLER AND HAMMER INC 313 MONITOR STREET LA CROSSE WI 54603 CONSTRUCTION CNTRCTR 8606176 MICROSOFT CORPORATION 1950 N STEMMONS FWY STE 5010 DALLAS TX 75207 COMPUTER CONTRACT 6045274 HAYES LOCUMS LLC PO BOX 88122 CHICAGO IL 60680 DOCTOR CONTRACT 5542690 EPLUS TECNOLOGY INC PO BOX 404398 ATLANTA GA 30384 COMPUTER CONTRACT 5245340 METRO AVIATION INC PO BOX 7008 SHREVEPORT LA 71137 AVIATION CONTRACT 3827671 411 180300 1394231 2344 1576875 SERVICES PROVIDED TO GUNDERSEN 561000 905362574 905362574 ADMIN. AND TECHNICAL SUPPORT SERVICES 561499 962729 962729 906325303 44625023 44625023 0 0 1846826 1645382 201444 0 201444 201444 829557 541678 287879 287879 287879 0 0 0 0 0 0 0 0 0 HEALTH SHOP SALES 446199 325556 325556 325556 953342080 905362574 1288285 45114346 2605097 2605097 0 0 0 7959175 7959175 3105624 3105624 595937562 569956336 25981226 68171416 64070962 4100454 74504500 71871963 2632537 36682236 34740492 1941744 0 1278626 49372 1229254 337467 337467 358231 358215 16 0 1833242 5280 1827962 19992641 16864386 3128255 1604670 86891 1517779 8409905 7665270 744635 32106567 30529971 1576596 0 9252655 7698928 1553727 236998 185189 51809 0 395372 292440 102932 15727086 15727086 0 21466006 21116009 349997 795191 769334 25857 SUPPLIES/BAD DEBT 1199182 1199182 DUES/MEMBERSHIPS/LICENSES 2210458 1723356 487102 0 RECRUITING/TAXES 3492519 2725694 766825 0 CREDIT CARD EXPENSE 1273164 1266287 6877 1457162 1118661 338501 912392752 855732025 56660727 0 16944966 17055873 211214123 188308097 0 0 0 0 28214 97544 0 0 17729699 23757402 11801810 12891593 19536505 20595906 274626044 161999866 109257664 112626178 781456188 841081347 0 0 0 0 0 0 18174639 19207432 1186143808 1235621372 179161329 153279914 0 0 0 0 376925000 352255000 0 0 0 0 0 0 0 0 644243271 687256731 1200329600 1192791645 X -14185792 42829727 0 0 -14185792 42829727 1186143808 1235621372 X 40949328 29841556 -13775365 X false true X true true true X X 19 BOSCOBEL AREA HEALTHCARE PARTNERS 450498844 7 false 0 0 COMMUNITY HOUSING OF LA CROSSE INC 391586700 10 false 0 0 GUNDERSEN CLINIC LTD 391028657 3 true 0 0 GUNDERSEN LUTHERAN MEDICAL CENTER INC 390813416 3 true 0 0 GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC 391249705 7 false 0 0 HARMONY COMMUNITY HEALTH CARE INC 410711606 7 false 0 0 LUTHERAN HOUSING OF LA CROSSE INC 391751934 10 false 0 0 MEMORIAL HOSPITAL OF BOSCOBEL 390845590 3 false 0 0 MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION INC 391688793 7 false 0 0 PALMER LUTHERAN HEALTH CENTER INC 421320763 3 false 0 0 PALMER MEMORIAL FOUNDATION 421032878 7 false 0 0 ST JOSEPH HEALTH SERVICES INC 390929538 3 false 0 0 TRI-COUNTY MEMORIAL HOSPITAL INC 390704510 3 false 0 0 TRI-STATE AMBULANCE INC 391965415 3 false 0 0 TRI-STATE REGIONAL AMBULANCE INC 391962965 10 false 0 0 TWEETEN LUTHERAN HEALTHCARE CENTER INC 411565003 10 false 0 0 MOUNDVIEW MEMORIAL HOSPITALS & CLINICS 390944012 3 false 0 0 MEMORIAL HC FDTN OF ADAMS COUNTY INC 391775074 10 false 0 0 SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 410693877 3 false 0 0 19 0 0 false false false false false true false false false false false false false false false true FORM 990, SCH A PART I LINE 12G GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES IS AN INTEGRAL PART OF THE GUNDERSEN LUTHERAN HEALTH SYSTEM AND PROVIDES SUPPORT TO EACH OF THE ORGANIZATIONS LISTED; HOWEVER, SUCH SERVICES CANNOT EASILY BE QUANTIFIED IN DOLLAR-BASED TERMS. FORM 990, SCH A, PART IV, SECTION A LINE 1 THE ARTICLES OF INCORPORATION OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. (GLAS) PROVIDE THAT IT SHALL SUPPORT, OPERATE FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND CARRY OUT SOME OR ALL OF THE CHARITABLE PURPOSES OF GUNDERSEN LUTHERAN, INC., GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL CENTER, INC. AND THEIR NONPROFIT AFFILIATES (HEREAFTER REFERRED TO AS THE GUNDERSEN LUTHERAN HEALTH SYSTEM) SO LONG AS THOSE ORGANIZATIONS ARE DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE, AND OTHER SECTION 501(C)(3) ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE WHICH ARE AFFILIATED WITH ANY OF THE AFORESAID ORGANIZATIONS. GLAS SUPPORTS THE THREE NAMED ENTITIES, TWO OF WHICH HAVE BEEN RECOGNIZED AS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAVE BEEN CLASSIFIED AS PUBLIC CHARITIES UNDER IRC SECTION 509(A)(1) OR (2) AND THE OTHER, GUNDERSEN LUTHERAN, INC., IS OPERATED, SUPERVISED, OR CONTROLLED BY OR CONNNECTION WITH THE NAMED SUPPORTED ORGANIZATIONS. FURTHER, PURSUANT TO THEIR BY-LAWS, THE GOVERNING BODY OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. (FORMALLY GUNDERSEN LUTHERAN, INC.) SERVES AS THE GOVERNING BODY OF GLAS, AS WELL AS GUNDERSEN CLINIC, LTD, AND GUNDERSEN LUTHERAN MEDICAL CENTER, INC. THUS, GLAS MEETS THE RELATIONSHIP TEST AS A TYPE II ORGANIZATION BECAUSE THERE IS COMMON SUPERVISION AND CONTROL BETWEEN GLAS AND ITS TWO NAMED SUPPORTED ORGANIZATIONS (TREAS. REGS. SECTION 1.509(A)-4(H)). GLAS ALSO SUPPORTS ORGANIZATIONS DESCRIBED IN IRC SECTION 509(A)(1) AND (2) WHICH ARE AFFILIATED WITH THE SUPPORTED ORGANIZATIONS OR ARE 501(C)(3) PUBLIC CHARITIES AFFILIATED WITH THESE AFFILIATED ENTITIES. THEY ARE DESCRIBED BY CLASS. TO QUALIFY AS A SECTION 509(A)(3) SUPPORTING ORGANIZATION, AN ORGANIZATION MUST SUPPORT ONE OR MORE SPECIFIED ORGANIZATIONS. FOR TYPE II SUPPORTING ORGANIZATIONS, SPECIFIED ORGANIZATIONS CAN BE EITHER SPECIFIED BY NAME IN THE SUPPORTING ORGANIZATION'S ARTICLES OF INCORPORATION, OR THE ARTICLES MUST DESIGNATE THE SUPPORTED ORGANIZATION(S) BY CLASS OR PURPOSE AND WHICH INCLUDE PUBLICLY SUPPORTED ORGANIZATIONS WHICH ARE CLOSELY RELATED IN PURPOSE OR FUNCTION TO THE PUBLICLY SUPPORTED ORGANIZATIONS SPECIFIED IN THE ARTICLES. (TREAS. REGS. SECTION 1.509(A)-4(D)(2)(B)(2). HEREFORE, THE LACK OF INCLUDING THE NAME OF THE AFFILIATED ORGANIZATIONS THAT GLAS WILL SUPPORT IN ITS ARTICLES OF INCORPORATION DOES NOT OTHERWISE DEFEAT GLAS'S STATUS AS A TYPE II SUPPORTING ORGANIZATION, BECAUSE ITS ARTICLES DESCRIBE THESE SUPPORTED ORGANIZATIONS BY CLASS (AFFILIATED WITH THE SPECIFIED SUPPORTED ORGANIZATION) AND REQUIRE THAT THEY BE EXEMPT FROM TAX UNDER IRC SECTION 501(C)(3) AND DESCRIBED IN IRC SECTION 509(A)(1) OR (2). FORM 990, SCH A, PART IV, SECTION A, LINE 6 GENERAL SERVICES PROVIDED TO GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES. GLAS ALSO GIVES GRANTS TO QUALIFIED 501(C)(3) PUBLIC CHARITIES AND GOVERNMENTAL ENTITIES THAT SUPPORT THE MISSION OF GLAS AND THE ORGANIZATIONS THEY SUPPORT. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 358231 380642 358231 380642 912034520 2355041374 912392751 2355422016 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 231180 242328 259182 380642 1113332 250000 250000 250000 250000 1000000 1500000 11048540 11048540 93168166 31284747 61883419 5893637 3499774 2393863 164515701 127215345 37300356 112626178 0 INTERCOMPANY PAYABLE 629749461 LOSS ON SWAP CONTRACTS 22069295 OPERATING LEASE OBLIGATIONS 5263562 LT CIMP LIABILITY 9018293 TEB PRE/(DISC) CURRENT AND LT 20912815 DEFERRED COMPENSATION 85507 SECURITY DEPOSIT PAYABLE 84626 DEFERRED REVENUE 16077 SALES TAX PAYABLE 57095 LEASE CONTRACT PAYABLE 0 687256731 X FORM 990, SCH D, PART X LINE 2 INCOME TAX MATTERS (IN THOUSANDS) THE SYSTEM QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), WITH THE EXCEPTION OF GUNDERSEN LUTHERAN ENVISION, LLC, WHICH IS A FOR-PROFIT ENTITY. AT DECEMBER 31, 2021 AND 2020, NET DEFERRED TAX ASSETS OF $7,545 AND $7,948, RESPECTIVELY, WHICH PRIMARILY ARE RELATED TO NET OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $7,545 AND $7,948, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT DECEMBER 31, 2021, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $28,300, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $26,300, WHICH WILL EXPIRE BETWEEN 2030 AND 2039. THE SYSTEM HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS. THE SYSTEM'S INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR 2016 AND PRIOR YEAR. true GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 501(C)(3) 1272000 OPERATIONS SUPPORT LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM 1725 State Street La Crosse WI 54601 391804725 501(C)(3) 48774 OPERATIONS SUPPORT GREAT RIVERS UNITED WAY 1855 East Main St Onalaska WI 54650 390848188 501(C)(3) 166000 OPERATIONS SUPPORT LA CROSSE AREA CHAMBER OF COMMERCE 601 7th St N La Crosse WI 54601 390414500 501(C)(6) 29810 OPERATIONS SUPPORT BOYS AND GIRLS CLUBS OF GREATER LA CROSSE PO Box 91 La Crosse WI 54602 396084791 501(C)(3) 10000 OPERATIONS SUPPORT AIDS RESOURCE CENTER OF WISCONSIN 820 N Plankinton Ave Milwaukee WI 53203 391534049 501(C)(3) 10000 OPERATIONS SUPPORT ST JOSEPH'S FOUNDATION 400 Water Ave Hillsboro WI 54634 391455787 501(C)(3) 10000 OPERATIONS SUPPORT FAMILY AND CHILDRENS CENTER 1707 Main St La Crosse WI 54601 390821863 501(C)(3) 13500 OPERATIONS SUPPORT FESTIVAL FOODS TURKEY TROT 1724 Lawrence Dr De Pere WI 54115 391699966 501(C)(3) 7500 OPERATIONS SUPPORT RIVERS ALLIANCE INC 601 7th St N La Crosse WI 54601 010938132 501(C)(3) 5250 OPERATIONS SUPPORT YWCA LA CROSSE 3219 Commerce St La Crosse WI 54603 390810543 501(C)(3) 6000 OPERATIONS SUPPORT LA CROSSE AREA DEVELOPMENT CORPORATION 601 7th St N La Crosse WI 54601 391168327 501(C)(6) 5500 OPERATIONS SUPPORT THE PARENTING PLACE 1500 GREEN BAY ST LA CROSSE WI 54601 391676842 501(C)(3) 7500 OPERATIONS SUPPORT Aptive FOUNDATION 3000 SOUTH AVENUE LA CROSSE WI 54601 391366838 501(C)(3) 7500 OPERATIONS SUPPORT Palmer Lutheran Health Center Inc 112 Jefferson Street West Union IA 52175 421320763 501(C)(3) 312327 OPERATIONS SUPPORT Memorial Hospital of Boscobel 205 Parker Street Boscobel WI 53805 390845590 501(C)(3) 196078 OPERATIONS SUPPORT St Joseph's Health Services Inc 400 Water Avenue Hillsboro WI 54634 391455787 501(C)(3) 156200 OPERATIONS SUPPORT SAINT CLARE HEALTH MISSION 916 Ferry Street La Crosse WI 54601 823903651 501(C)(3) 54000 OPERATIONS SUPPORT LA CROSSE AREA FAMILY YMCA 1140 Main Street La Crosse WI 54601 390806172 501(C)(3) 50000 OPERATIONS SUPPORT LA CROSSE COUNTY FACILITIES 212 6th St North La Crosse WI 54601 396005709 Gov 25000 OPERATIONS SUPPORT ARCADIA AMBULANCE SERVICE PO Box 156 Arcadia WI 54612 461555439 501(C)(3) 20000 OPERATIONS SUPPORT LA CROSSE NEIGHBORHOODS INC PO Box 1661 La Crosse WI 54601 474445115 501(C)(3) 10000 OPERATIONS SUPPORT LA CROSSE COMMUNITY THEATRE 428 Front Street South La Crosse WI 54601 391035843 501(C)(3) 8500 OPERATIONS SUPPORT 21 2 FORM 990, SCH I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS: THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES X X X false false false false false false false false false SCOTT RATHGABER MD CEO/BOARD OF GOVERNORS - MEMBR 992496 0 2000 0 4847 0 42050 0 22738 0 1064131 0 0 0 KELLEY BAHR MD BOARD OF TRUSTEES - MEMBER 379667 0 4500 0 4692 0 41915 0 54 0 430828 0 0 0 ROBYN BORGE MD BD OF TSTE/CHF MED/CLNCL STAFF 290917 0 2000 0 4123 0 40692 0 2804 0 340536 0 0 0 JENNIFER KLEVEN MD Board of Trustees - Member 259625 0 6000 0 22 0 37707 0 3301 0 306655 0 0 0 Stephanie Neuman MD BD OF TSTE - MEMBR (BEG 01/21) 462497 0 2000 0 22 0 42050 0 30430 0 536999 0 0 0 Benjamin Jarman MD BD OF TSTE - MEMBR (BEG 1/21) 460492 0 2000 0 4692 0 42050 0 17982 0 527216 0 0 0 William Farrell CHIEF BUSINESS & STRATEGY OFFR 416166 0 2000 0 5164 0 42050 0 54 0 465434 0 0 0 Marilu Bintz MD CHIEF POPULATION HEALTH OFFCR 615241 0 2000 0 5423 0 42050 0 8393 0 673107 0 0 0 Mary Ellen McCartney Chief Human Resources Officer 368536 0 2000 0 568 0 42050 0 14010 0 427164 0 0 0 Michael Dolan MD Exec VP, Medical COO 615987 0 6500 0 11972 0 42050 0 27630 0 704139 0 0 0 Elizabeth Smith-Houskamp PhD RN ADMIN COO, CNO (THRU 10/21) 422485 0 28700 0 6209 0 42050 0 2912 0 502356 0 0 0 Gerald Oetzel Chief Financial Officer 575972 0 2000 0 5213 0 42050 0 11730 0 636965 0 0 0 Gregory Thompson MD CHIEF MEDICAL OFFICER 471296 0 2000 0 4692 0 42050 0 22938 0 542976 0 0 0 Heather Schimmers Admin OPERATING OFFICER, CNO 124831 0 0 0 21026 0 10938 0 2997 0 159792 0 0 0 Praveen Chopra Chief Information Officer 285975 0 0 0 215518 0 42050 0 24816 0 568359 0 0 0 Stephen Shapiro MD CHIEF MEDICAL FOUNDATION OFFCR 481429 0 6500 0 24 0 42050 0 28830 0 558833 0 0 0 Mary Kuffel MD Medical Vice President 529412 0 2000 0 4692 0 42050 0 1446 0 579600 0 0 0 P Michael Jacobs DPM Medical Vice President 443996 0 2000 0 4692 0 42050 0 24220 0 516958 0 0 0 Todd Kowalski MD Medical Vice President 448096 0 6500 0 43516 0 42050 0 28830 0 568992 0 0 0 Jonathan Zlabek MD Medical Vice President 430413 0 6500 0 21252 0 42050 0 24488 0 524703 0 0 0 Bryan Erdmann Administrative Vice President 289952 0 2000 0 4862 0 42050 0 28028 0 366892 0 0 0 Michael McKee Administrative Vice President 256496 0 2000 0 0 0 38063 0 27861 0 324420 0 0 0 Lisa Wied Administrative Vice President 256246 0 2000 0 3646 0 38009 0 24488 0 324389 0 0 0 Kraig Schuster Administrative Vice President 259902 0 2000 0 3713 0 36055 0 20561 0 322231 0 0 0 Kari Adank Vice President Compliance 222829 0 2000 0 46 0 32818 0 24861 0 282554 0 0 0 Pamela Maas VICE PRES BUSINESS SERVICES 257667 0 2000 0 3626 0 37362 0 54 0 300709 0 0 0 Janine Luz Vice President Learning 201577 0 2000 0 3959 0 29954 0 19976 0 257466 0 0 0 Todd Bille VP GRWTH, STRATGY (THRU 10/21) 179921 0 2000 0 16662 0 25166 0 8167 0 231916 0 0 0 Ellen Pedretti-Fendt VP Application SerVICES 190246 0 2000 0 310 0 27825 0 27200 0 247581 0 0 0 Daniel Breazeale VP FINANCE (THRU 10/21) 183989 0 2037 0 13994 0 19625 0 18113 0 237758 0 0 0 Andrea Hauser VP PATIENT EXP & DEPT NURSING 183421 0 10870 0 8450 0 29046 0 17226 0 249013 0 0 0 Jack Schwartz Vice President Foundation 198241 0 2000 0 3751 0 27904 0 8394 0 240290 0 0 0 Travis Smith MD Medical Doctor 474530 0 6500 0 12480 0 42050 0 21738 0 557298 0 0 0 Daniel Lilly JD General Counsel 470579 0 2000 0 4985 0 42050 0 24488 0 544102 0 0 0 Victor Uko MD Medical Doctor 326496 0 4500 0 4554 0 30450 0 21738 0 387738 0 0 0 Rajiv Naik MD Medical Doctor 316412 0 4500 0 1323 0 42050 0 28941 0 393226 0 0 0 Stephen Israel MD Medical Doctor 325081 0 0 0 47757 0 40842 0 24315 0 437995 0 0 0 Garith Steiner FORMER VICE PRESIDENT THRU 19 130313 0 1400 0 0 0 18896 0 1832 0 152441 0 0 0 Stephanie Carroll MD FORMER MEDICAL VP THRU 20 293496 0 4600 0 0 0 36302 0 25837 0 360235 0 0 0 A WHEFA SERIES 2021A ISSUANCE 391337855 97712JBU6 2021-08-12 117839194 SEE PART VI false false false B WHEFA SERIES 2016 ISSUANCE 391337855 2016-02-12 40000000 SEE PART VI false false false C WHEFA SERIES 2009 ISSUANCE 391337855 97710BE65 2012-10-01 78715000 SEE PART VI false false false D WHEFA SERIES 2008B ISSUANCE 391337855 97710BBG6 2012-10-01 61400000 SEE PART VI false false false A 0 0 117893194 0 0 0 1202288 0 0 0 116690906 0 2021 true false true true B 0 0 40000000 0 0 0 0 0 0 0 40000000 0 2016 true false true true C 17735000 0 78715000 0 0 0 0 0 0 0 78715000 0 2012 true false true true D 5675000 0 61400000 0 0 0 0 0 0 0 61400000 0 2012 true false true true A false true false false 0.00140 0.00000 0.00140 true false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 true false 0.00000 false true C false true false false 0.00180 0.00000 0.00180 true true 0.00508 true true D false false false false 0.00000 0.00000 0.00000 true true 0.00000 true true A false false true false false false 0 false 0 false true B false false true false true false 0 false 0 false true C false false true false true true PiperMerrill 29.5 false 0 false true D false false true false true true Merrill 27. false 0 false true A true B true C true D true PART I PAGE 1 BOND ISSUES: LINE A (A)ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2021A PART I PAGE 1 BOND ISSUES: LINE B (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2016 PART I PAGE 1 BOND ISSUES: LINE C (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2009 PART I PAGE 1 BOND ISSUES: LINE D (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2008B PART I PAGE 2 BOND ISSUES: LINE A (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2012 PART I PAGE 2 BOND ISSUES: LINE B (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2015 PART I PAGE 2 BOND ISSUES: LINE C (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2020A A WHEFA SEREIS 2012 ISSUANCE 391337855 97710B4B5 2012-09-27 71789897 SEE PART VI false false false B WHEFA SERIES 2015 ISSUANCE 391337855 2015-12-23 12000000 SEE PART VI false false false C WHEFA SERIES 2020A ISSUANCE 391337855 97712D654 2020-03-24 25002968 SEE PART VI false false false A 1545000 0 71890166 0 0 0 961054 0 0 70929112 0 0 2014 false false true true B 6950000 0 12044550 0 0 0 0 0 0 12044550 0 0 2017 false false true true C 0 0 25003152 0 0 0 0 0 0 25003152 0 0 2020 false false true true A false false false false 0.00000 0.00000 0.00000 true false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 true false 0.00000 false true C false false false false 0.00000 0.00000 0.00000 true false false true A false false true false false false 0 false 0 false true B false false true false true false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true PART I BOND ISSUES: LINE F PAGE 1 BOND A. Proceeds of the Series 2021A bonds were used to currently refund the 2011A Series issued 9.29.2011 and costs of issuance. The Series 2011A bond proceeds were used to currently refund the 2000 Series A and B issued 10.10.2000, 2008 Series A issued 5.29.2008, as new money for construction and equipping of hospital facilities, and for costs of issuance. PAGE 1 BOND B. PROCEEDS OF THE SERIES 2016 BONDS WERE USED TO CURRENTLY REFUND, IN THEIR ENTIRETY, THE WISCONSIN HEALTH AND EDUCATIONAL FACILITY VARIABLE RATE REVENUE BONDS, SERIES 2011B (GUNDERSEN LUTHERAN) PAGE 1 BOND C. CONVERSION AND REISSUANCE OF 2009 BONDS, ORIGINALLY ISSUED 5.22.2009 TO FINANCE CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITIES AND CURRENTLY REFUND THE SERIES 2003B/C BONDS PAGE 1 BOND D. CONVERSION AND REISSUANCE OF 2008 BONDS, ORIGINALLY ISSUED 5.29.2008 TO FINANCE THE REPAYMENT OF A LINE OF CREDIT USED TO REPAY THE SERIES 2006 BONDS, WHICH FINANCED THE CONSTRUCTION AND EQUIPPING OF HEALTH CARE FACILITIES AND COSTS OF ISSUANCE PAGE 2 BOND A. -NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF HOSPITAL AND COSTS OF ISSUANCE -INVESTMENT EARNINGS PAGE 2 BOND B. -NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF A CLINIC -INVESTMENT EARNINGS PAGE 2 BOND C. -NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF A CLINIC -INVESTMENT EARNINGS PART II LINE 3 PART II LINE 3 PAGE 2, BOND A: FOR SERIES 2012 BONDS, THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO $100,269.02 IN INVESTMENT EARNINGS (INTEREST AND REALIZED GAIN/LOSS). PAGE 2, BOND B: FOR SERIES 2015 BONDS, THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO $44,549.90 IN INVESTMENT EARNINGS (INTEREST). PAGE 2, BOND C: FOR SERIES 2020A BONDS, THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO $184.28 IN INVESTMENT EARNINGS (INTEREST). SCH K PART III LINE 7 Gundersen answered yes to be conservative, as it does not monitor the private security test. Instead, Gundersen closely monitors the private use of its bond-financed assets and routinely takes steps to limit private use. Gundersen manages compliance through its private use monitoring. SCH K PART III LINES 8A & 8C Gundersen had a sale of a bond financed asset from the 2008B issuance. Bonds allocable to the sale proceeds of that asset in an amount of $800.00 were redeemed on 7/15/15 in order to remediate that sale. DANIEL BREAZEALE EMPLOYEE - VP FINANCE BONUS/RELOCATION X 30000 6336 true true PRAVEEN CHOPRA EMPLOYEE - CHIEF INFORMATION OFFICER BONUS/RELOCATION X 125000 91208 true true 97544 Alyssa Houskamp See Supplemental Info 25566 EMPLOYMENT false April Farrell MD See Supplemental Info 747577 Employment false Brenda White See Supplemental Info 33263 Employment false Deborah Schwartz See Supplemental Info 87142 Employment false Emily Dolan MD See Supplemental Info 142064 Employment false James Kleven MD See Supplemental Info 528981 Employment false John Houskamp MD See Supplemental Info 155878 Employment false Karl Borge MD See Supplemental Info 266477 Employment false Margaret Webster MD See Supplemental Info 155095 Employment false Noel Radcliffe MD See Supplemental Info 327843 Employment false Ricardo Rivera See Supplemental Info 124465 Employment false Scott Wied See Supplemental Info 123943 Employment false Shannan Stephens MD See Supplemental Info 356521 Employment false Tiffany Kimball See Supplemental Info 30809 Employment false FORM 990, SCH L, PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: BRENDA WHITE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF GERALD ARNDT, DIRECTOR (A) NAME OF PERSON: MARGARET WEBSTER, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MARK GLENDENNING, DIRECTOR (A) NAME OF PERSON: SHANNAN STEPHENS, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KELLEY BAHR, M.D., DIRECTOR (A) NAME OF PERSON: JOHN HOUSKAMP, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF ELIZABETH SMITH-HOUSKAMP, R.N., OFFICER (A) NAME OF PERSON: SCOTT WIED (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF LISA WIED, KEY EMPLOYEE (A) NAME OF PERSON: KARL BORGE, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF ROBYN BORGE, DIRECTOR (A) NAME OF PERSON: NOEL RADCLIFFE, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF RICHARD RADCLIFFE, DIRECTOR (A) NAME OF PERSON: APRIL FARRELL, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF WILLIAM FARRELL, KEY EMPLOYEE (A) NAME OF PERSON: TIFFANY KIMBALL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF WILLIAM FARRELL, KEY EMPLOYEE (A) NAME OF PERSON: JAMES KLEVEN, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JENNIFER KLEVEN, M.D., DIRECTOR (A) NAME OF PERSON: ALYSSA HOUSKAMP (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF ELIZABETH SMITH-HOUSKAMP, OFFICER (A) NAME OF PERSON: EMILY DOLAN, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MARK DOLAN, OFFICER (A) NAME OF PERSON: Deborah Schwartz (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF John Swartz, Key Employee (A) NAME OF PERSON: Ricardo Rivera (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF Julio Bird, M.D., Key Employee & Former Director 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 THE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., HAS THE POWER TO APPOINT BOARD MEMBERS 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 XI, Line 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES equity transfers to affiliates ($13,770,313) market adjustments for swap contracts ($5,052) TOTAL ($13,775,365) 3 REALESTATE LLC 1900 SOUTH AVENUE LA CROSSE WI 54601 391606449 RENTAL WI 0 5474935 GLAS GUNDERSEN LUTHERAN HEALTH SYSTEMS INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 SUPTNG ORG. 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