2020-11-11T07:31:18-06:00 2019-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-01-01 390929538 ST JOSEPH'S HEALTH SERVICES INC STJO 6084898000 PO BOX 527 400 WATER AVENUE HILLSBORO WI 54634 ROBIN NELSON CFO 6084898000 2020-11-10 1 MICHAEL J PETERSON CPA P01833529 2187224705 2020-11-10 216.54.158.12 2020-11-10 12:42:23 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05 2019 2021-01-29 14:40:06Z GUNDERSEN ST JOSEPH'S HOSPITAL AND CLINICS ROBIN NELSON PO BOX 527 400 WATER AVENUE HILLSBORO WI 54634 25174348 0 X WWW.GUNDERSENHEALTH.ORG/ST-JOSEPHS X 1949 WI WE WILL ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES WHILE ENRICHING EVERY LIFE WE TOUCH, INCLUDING PATIENTS, FAMILIES, AND STAFF. 8 3 215 32 0 0 27246 64862 25710833 25009364 32832 100122 0 0 25770911 25174348 0 0 0 0 12177556 11830171 0 0 0 10839132 10330019 23016688 22160190 2754223 3014158 23002397 40489299 3529489 17605835 19472908 22883464 X WE WILL DISTINGUISH OURSELVES THROUGH PATIENT CARE, EDUCATION, RESEARCH AND IMPROVED HEALTH IN THE COMMUNITIES WE SERVE. 0 0 15232106 0 20854636 ST. JOSEPH'S HEALTH SERVICES, INC. PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY INCLUDING THE HEALTH OF LOW INCOME PATIENTS. THE ORGANIZATION OPERATES A 25-BED CRITICAL ACCESS HOSPITAL PROVIDING ACUTE CARE SERVICES TO THE HILLSBORO, WISCONSIN AREA. INPATIENT SERVICES INCLUDE ACUTE CARE FOR MEDICAL, SURGICAL, SWING BED, AND HOSPICE PATIENTS. ST. JOSEPH'S HEALTH SERVICES, INC. ALSO PROVIDES DIAGNOSTIC SERVICES TO PATIENTS, SUCH AS X-RAY, LAB, AND THERAPY SERVICES. THE HOSPITAL HAD 1110 TOTAL INPATIENT DAYS DURING THE FISCAL YEAR. OF THOSE PATIENT DAYS 695 WERE RELATED TO ACUTE INPATIENT SERVICES AND 406 DAYS OF CARE PROVIDED TO HOSPICE AND SWING BED PATIENTS. THE HOSPITAL'S SWING BED PROGRAM PROVIDES CARE TO PATIENTS NEEDING EITHER SKILLED NURSING OR REHABILITATIVE PROGRAMS IN THE HOSPITAL SETTING. THE SWING BED PROGRAM IS A VITAL SERVICE TO THE COMMUNITY AS THERE CURRENTLY IS NO SKILLED NURSING FACILITY IN HILLSBORO, WISCONSIN, AND THIS PROGRAM ALLOWS MANY PATIENTS THE OPPORTUNITY TO BE CARED FOR IN THEIR COMMUNITY.ST. JOSEPH'S HEALTH SERVICES ALSO PROVIDES VARIOUS OUTPATIENT SERVICES INCLUDING EMERGENCY AND URGENT CARE SERVICES; DIAGNOSTIC PROCEDURES, SUCH AS X-RAYS, CT SCANS, MRI'S, AND LABORATORY TESTING; SURGICAL PROCEDURES; AND THERAPY PROGRAMS INCLUDING PHYSICAL, OCCUPATIONAL, SPEECH, AND RESPIRATORY THERAPY SERVICES ARE AMONG THE MANY SERVICES PROVIDED BY THE HOSPITAL.ST. JOSEPH'S HEALTH SERVICES, INC. PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITH MINIMAL CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. IN ADDITION, ST. JOSEPH'S IS A PROVIDER UNDER THE WISCONSIN MEDICAID PROGRAM. UNDER THIS PROGRAM, THE ORGANIZATION IS LEGALLY BOUND TO ACCEPT THE AMOUNT DETERMINED BY THE STATE AS PAYMENT IN FULL FOR EACH PATIENT'S CHARGES. (SEE ADDITIONAL INFORMATION ON THE COST OF PROVIDING THESE SERVICES INCLUDED IN SCHEDULE H OF THE FROM 990.)IN ADDITION TO PROVIDING INPATIENT AND OUTPATIENT SERVICES, ST. JOSEPH'S HEALTH SERVICES, INC. ALSO SPONSORS VARIOUS PROGRAMS THAT ARE OUTSIDE OUR WALLS AND ARE AVAILABLE TO MEMBERS OF THE COMMUNITY AT LITTLE TO NO COST. ST. JOSEPH'S HEALTH SERVICES OFFERS A SAFE SITTER PROGRAM, WHICH TEACHES TEENS HOW TO PROPERLY CARE FOR CHILDREN WHILE BABYSITTING AND WHAT ACTIONS TO TAKE IF AN EMERGENCY ARISES, AND A "CLUB SCRUB" EVENT, WHICH IS A TWO-DAY EVENT THAT FEATURES HEALTH CARE CAREERS. ADDITIONAL PROGRAMS PROVIDED TO THE COMMUNITY INCLUDE: CPR, SCHOOL WELLNESS DAYS, FREE HEALTH FAIRS, FREE COOKING CLASSES FOR COMMUNITY, AS WELL AS MEETING SPACE FOR VARIOUS COMMUNITY ORGANIZATION MEETINGS THAT PROMOTE HEALTHCARE AND SENIOR CITIZEN ACTIVITIES. ST. JOSEPH'S SENIOR MEAL SITE LOCATION PROVIDES HEALTHY MEALS FOUR DAYS A WEEK AT A MINIMAL CHARGE TO SENIOR CITIZENS AND ACTIVITIES FOR LOCAL SENIOR CITIZENS. ST. JOSEPH'S COORDINATES THE HEALTH NEIGHBORS PROGRAM WHICH OFFERS A STRONG BODIES EXERCISE PROGRAM AND PRODUCE DISTRIBUTION. ST, JOSEPH'S OFFERS ADULT FITNESS IN OUR REHABILITATION GYM, HOME MONITORING EQUIPMENT FOR SENIORS SO THAT THEY CAN SAFELY GO HOME TO RECOVER. WE OFFER LIFELINES FOR SENIORS TO GIVE THEN SOME SECURITY IN THEIR OWN HOMES IN CASE OF EMERGENCY. ST. JOSEPH'S IS VERY INVOLVED IN THE CARE OF THE SCHOOL AGE CHILDREN IN OUR SERVICE AREA. WE EMPLOY THE SCHOOL NURSES, ATHLETIC TRAINING, AND BEHAVIORAL HEALTH THERAPISTS TO THE SCHOOLS. THIS ALLOWS THE SCHOOL TO CONTRACT OUT THESE SERVICES FROM OUR FACILITY AT A RATE THAT THEY CAN AFFORD. WE PROVIDE ALL THE TRAINING, CME, AND EDUCATION TO SUPPORT THESE PROVIDERS IN THE SCHOOL SYSTEM. 2927454 0 4008046 ST. JOSEPH'S HEALTH SERVICES, INC. ALSO OPERATES THREE CLINICS LOCATED IN HILLSBORO, ELROY, AND WONEWOC, WISCONSIN. DURING THE FISCAL YEAR THESE THREE CLINICS PROVIDED A TOTAL OF 14,955 VISITS TO PATIENTS. ALL THREE OF THE CLINICS ARE DESIGNATED RURAL HEALTH CLINICS BY THE MEDICARE AND MEDICAID PROGRAMS AND AS SUCH BY DEFINITION ARE LOCATED IN DESIGNATED RURAL AND UNDERSERVED AREAS OF THE COUNTRY BY HEALTH CARE PRACTITIONERS. THESE CLINICS PROVIDE CARE TO A LARGE PORTION OF MEDICARE AND MEDICAID BENEFICIARIES WHO WITHOUT ACCESS TO CARE LOCALLY WOULD BE REQUIRED TO TRAVEL FURTHER DISTANCES FOR QUALITY HEALTHCARE. PATIENTS OF THE CLINICS ARE ALSO ELIGIBLE TO QUALIFY UNDER ST. JOSEPH'S HEALTH SERVICES FINANCIAL ASSISTANCE POLICY AS IT IS THE GOAL OF THE ORGANIZATION TO PROVIDE QUALITY HEALTHCARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 18159560 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 1 0 0 0 0 1 1 0 0 0 1 45 0 215 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 3 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ROBIN NELSON 6084898000 400 WATER AVENUE HILLSBORO WI 54634 SCOTT LARSON DIRECTOR OF PHARMACY 40.00 X 240337 0 24962 ANDREA ANDERSON PHYSICIAN ASSISTANT 40.00 X 140465 0 38606 TONI TENGBLAD CHIEF OF CLINIC OPERATIONS 40.00 X 126205 0 48932 KRISTIE MCCOIC CLINIC OPERATIONS OFFICER 40.00 X 147564 0 25099 DANIELLE GEARHART CEO/PRESIDENT (THRU JUNE) 0.50 40.00 X 0 206242 36822 ROBIN NELSON CFO 40.00 X 156269 0 31291 JIM MLSNA CHAIR 0.80 X X 0 0 0 SIGURD GUNDERSEN III MD VICE-CHAIR 0.80 40.00 X X 0 459996 64342 ANN BRANDAU HYNEK SECRETARY 0.80 X X 0 0 0 RACHEL ALBRECHT MBA TREASURER/ADMINISTRATIVE DIRECTOR 0.80 40.00 X X 0 120094 38814 KEVIN FEYEN BOARD DIRECTOR /MGR CONSTRUCTION 0.80 40.00 X 0 112087 35254 STEVE HOFMEISTER BOARD DIRECTOR (THRU NOV) 0.80 X 0 0 0 KATHY KLOCK BOARD DIRECTOR 0.80 X 0 0 0 MIKE MCKEE BOARD DIRECTOR 0.80 40.00 X 0 220996 57470 MIKE RORAFF BOARD DIRECTOR 0.80 X 0 0 0 810840 1119415 401592 5 0 1 0 KRISTINE LADIKA 27349 COUNTY HWY V WONEWOC WI 53968 CRNA 503373 DALY CARE HOSPITALISTS PO BOX 11934 GREEN BAY WI 54307 HOSPITALIST 168065 SHARED IMAGING SERVICES PO BOX 44719 MADISON WI 53744 DIAGNOSTIC IMAGING 157765 AYA LOCUMS LLC 5930 CONERSTON COURT W SUITE 300 SAN DIEGO CA 92121 HOSPITALIST 132355 4 44490 20372 35400 64862 NET PATIENT SERVICE REVENUE 621400 24735662 24735662 DIETARY/CAFETERIA 722210 108437 108437 165265 127020 38245 25009364 24702 24702 75070 350 0 0 75070 350 75420 75420 25174348 24862682 0 246804 X 430624 430624 8326178 7003135 1323043 294844 259871 34973 2130879 1773455 357424 647646 528052 119594 63860 63860 5780699 4644526 1136173 59487 212 59275 549283 322663 226620 326357 323226 3131 46727 32256 14471 45098 31971 13127 265781 221654 44127 56511 56511 MEDICAL SUPPLIES 1924723 1914852 9871 PROVISION FOR BAD DEBTS 686121 686121 EQUIPMENT RENTAL & MAIN 367037 364368 2669 DUES AND SUBSCRIPTIONS 63447 25314 38133 94888 27884 67004 22160190 18159560 4000630 0 950 950 10778467 7618634 3387003 3138169 377405 398353 134339 144945 37808260 11545869 5423702 26262391 613703 622521 2286828 2303336 23002397 40489299 3001263 5964992 0 11208946 528226 431897 3529489 17605835 X 18466959 21481117 1005949 1402347 19472908 22883464 23002397 40489299 X 3014158 396398 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4770 4770 0 PART II-B, LINE 1: ST. JOSEPH'S HEALTH SERVICES, INC. PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). THESE DUES ARE PRIMARILY TO ACCESS EDUCATIONAL MATERIALS AND FOR STAFF TRAINING, HOWEVER, A PORTION OF THE ANNUAL DUES PAID TO THE WHA WAS USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT. ST. JOSEPH'S HEALTH SERVICES, INC. IS ALSO A MEMBER OF THE RURAL WISCONSIN HEALTH COOPERATIVE (RWHC). EACH YEAR, THE ORGANIZATION PAYS MEMBERSHIP FEES TO THE RWHC. RWHC PROVIDES SUPPORT SERVICES FOR A NUMBER OF ITS MEMBER HOSPITALS THROUGHOUT THE STATE OF WISCONSIN. SOME OF THE MANY SERVICES PROVIDED TO MEMBER HOSPITALS INCLUDE PROVIDING ASSISTANCE TO ORGANIZATIONS IN FINDING GRANT FUNDING FOR NEW PROGRAMS, LEGAL SERVICES, REIMBURSEMENT REVIEW SERVICES, ACCOUNTING ASSISTANCE, CONTRACTING FOR THERAPIST AND EMERGENCY ROOM PATIENT CARE COVERAGE, AND ADMINISTRATIVE CONSULTING SERVICES. AS A PART OF THESE SERVICES, THE RWHC ALSO PROVIDES AN ANALYSIS OF CURRENT HEALTHCARE ISSUES IN AN EFFORT TO PROMOTE AND IMPROVE HEALTHCARE FOR HOSPITALS IN RURAL COMMUNITIES THROUGHOUT WISCONSIN. THESE EFFORTS ALSO INCLUDE LOBBYING ON THE PART OF MEMBER ORGANIZATIONS. 756916 756916 7433848 7276025 157823 5198852 4269844 929008 24418644 24418644 26262391 INTEREST IN NET ASSETS OF FOUNDATION 2098233 LAND HELD FOR INVESTMENT 205103 2303336 ASSET RETIREMENT OBLIGATION 370172 DUE TO RELATED PARTY 61725 431897 24452827 0 24452827 721521 721521 25174348 21474069 0 21474069 686121 686121 22160190 PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 686,121. TRANSFER OF LAND FROM AFFILIATE 35,400. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 686,121. 1 1 X 1 X 1 X 0 0 0 323127 323127 0.01500 323127 323127 0.01500 102497 56967 45530 0.00210 11848 11848 0.00060 11646068 6561309 5084759 0.23680 3785 3785 0.00020 11764198 6618276 5145922 0.23970 12087325 6618276 5469049 0.25470 1080 1080 0.00010 1080 1080 0.00010 0 313690 156845 6507788 6499324 8464 X 1 1 1 1 ST JOSEPH'S HEALTH SERVICES INC PO BOX 527 400 WATER AVENUE HILLSBORO WI 54634 HTTP://WWW.GUNDERSENHEALTH.ORG/ST-JOSE 1005 X X X X PHYSICIAN CLINIC ST JOSEPH'S HEALTH SERVICES INC 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X SEE SUPPLEMENTAL INFORMATION X 1 18 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTP://WWW.GUNDERSENHEALTH.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE X HTTP://WWW.GUNDERSENHEALTH.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE X HTTP://WWW.GUNDERSENHEALTH.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ST. JOSEPH'S HEALTH SERVICES, INC. PART V, SECTION B, LINE 5: IN PREPARING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ST. JOSEPH'S HEALTH SERVICES, INC. GATHERED INFORMATION IN THREE WAYS:- A RANDOM HOUSEHOLD SURVEY- FOCUS GROUP DISCUSSIONS HELD WITH COMMUNITY MEMBERS FROM THE GUNDERSEN ST. JOSEPH'S SERVICE AREA.- AN ANALYSIS OF KEY SOCIO-ECONOMIC INDICATORS- INPUT FROM GUNDERSEN ST. JOSEPH'S PATIENT AND FAMILY ADVISORY COUNCIL MEMBERS ST. JOSEPH'S HEALTH SERVICES, INC. PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER HOSPITALS:- TRI-COUNTY MEMORIAL HOSPITAL- GUNDERSEN LUTHERAN HEALTH CENTER- MAYO CLINIC HEALTH SYSTEM- TOMAH MEMORIAL HOSPITAL- VERNON MEMORIAL HEALTHCARE ST. JOSEPH'S HEALTH SERVICES, INC. PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER ORGANIZATIONS:- GREAT RIVERS UNITED WAY- LA CROSSE COMMUNITY FOUNDATION- LA CROSSE COUNTY HEALTH DEPARTMENT- MONROE COUNTY HEALTH DEPARTMENT- VERNON COUNTY HEALTH DEPARTMENT- TREMPEALEAU COUNTY HEALTH DEPARTMENT- HOUSTON COUNTY PUBLIC HEALTH DEPARTMENT ST. JOSEPH'S HEALTH SERVICES, INC. PART V, SECTION B, LINE 11: THE CHNA WAS COMPLETED IN 2018 AND THE IMPLEMENTATION STRATEGY WAS OFFICIALLY ADOPTED IN EARLY 2019. THE FOLLOWING ISSUES ARE ADDRESSES IN THE IMPLEMENTATION STRATEGY: ADDICTION AND SUBSTANCE ABUSE - REDUCE THE NUMBER OF OPIOID PRESCRIPTIONS WHILE INCREASING THE USE OF OTHER PAIN RELIEF MODALITIES. ADDICTION AND SUBSTANCE ABUSE - REDUCE THE USE OF TOBACCO PRODUCTS IN THE COMMUNITIES SERVED BY GUNDERSEN ST. JOSEPH'S. BEHAVIORAL HEALTH - GET AHEAD OF THE ISSUE BY PROMOTING AWARENESS OF ADVERSE CHILDHOOD EXPERIENCES. BEHAVIORAL HEALTH - INTEGRATE TRAUMA INFORMED CARE INTO THE DELIVERY OF PRIMARY CARE. ACCESS AND COST OF HEALTHCARE - EXPAND THE FREE HEALTH SCREENINGS PROGRAM DEVELOPED 2016-18. ACCESS AND COST OF HEALTHCARE - PROVIDE CONVENIENT ACCESS TO CARE CLOSE TO HOME THROUGH THE INTRODUCTION OF A NURSE MIDWIFE PROGRAM AND INCREASE THE NOTORIETY OF TELEMID SERVICES. ACCESS AND COST OF HEALTHCARE - RAISE AWARENESS OF LOCAL RESOURCES FOR ISSUES SUCH AS HOUSING, HEATING, FINANCIAL AID, FOOD INSECURITY. PROMOTE 2-1-1 IN THE AREA. ISSUES NOT ADDRESSED BY GUNDERSEN ST. JOSEPH'S INCLUDE CONCERNS REGARDING EMPLOYMENT AND LIVABLE WAGES ALTHOUGH THE ORGANIZATION WILL LEND SUPPORT TO AREA ORGANIZATIONS AND PARTNERS ON THIS TOPIC WHEN REQUIRED. ST. JOSEPH'S HEALTH SERVICES, INC. PART V, SECTION B, LINE 13B: FREE CARE, IN ADDITION TO FAMILY INCOME MEASUREMENT, IS BASED ON ASSETS BEING LESS THAN THE EQUIVALENT OF 600% OF THE FPL THRESHOLD. CATASTROPHIC CARE IS STILL PROVIDED, HOWEVER, FOR PATIENTS NOT MEETING THE FINANCIAL ASSISTANCE THRESHOLDS. THEY MAY BE ELIGIBLE FOR CATASTROPHIC CARE ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES PROVIDED BY THE HOSPITAL THAT EXCEED 25% OF FAMILY INCOME AND HAVE ASSETS BELOW THE EQUIVALENT OF 600% FPL THRESHOLD. PATIENTS, OR PATIENT GUARANTORS, MEETING ELIGIBILITY CRITERIA FOR CATASTROPHIC CARE WILL HAVE THEIR HOSPITAL CHARGES DISCOUNTED TO AN AMOUNT NO TO EXCEED 25% OF FAMILY INCOME. PART V, SECTION B LINE 7A HTTPS://WWW.GUNDERSENHEALTH.ORG/APP/FILES/PUBLIC/11060/ST-JOSEPHS-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-PLAN-2019-21.PDF 3 1 - ST JOSEPH'S HEALTH SERVICES - ELROY 1705 OMAHA STREET ELROY WI 53929 PHYSICIAN CLINIC 2 - ST JOSEPH'S HEALTH SERVICES - WONEWOC 301 RAILROAD STREET WONEWOC WI 53968 PHYSICIAN CLINIC 3 - ST JOSEPH'S HEALTH SERVICES - HILLSBORO 400 WATER STREET HILLSBORO WI 54634 PHYSICIAN CLINIC PART I, LINE 7: THE COSTING METHOD USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATION'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES AT ST. JOSEPH'S HEALTH SERVICES, INC. INCLUDE THE OPERATION OF THE INPATIENT MEDICAL SURGICAL UNIT, EMERGENCY ROOM, AND RURAL HEALTH CLINICS. THE HOSPITAL AND CLINICS ARE OPERATED TO PROVIDE SUPPORT TO THE COMMUNITY BY PROVIDING HOSPITALIZATION, EMERGENCY, AND CLINICAL SERVICES TO THE SURROUNDING RURAL AREAS, WHICH WOULD OTHERWISE BE UNDERSERVED. IT IS THE GOAL OF ST. JOSEPH'S HEALTH SERVICES, INC. TO PROVIDE THESE SERVICES TO THE COMMUNITY REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE COSTING METHOD FOR SUBSIDIZED HEALTH SERVICES IS BASED ON THE COSTING METHODS USED IN THE HOSPITAL'S MEDICARE COST REPORT WHICH PROVIDES FOR A DIRECT ALLOCATION OF EXPENSES AS WELL AS PROVIDING THE SAME DATA TO THE MEDICARE PROGRAM AS WELL AS TO THE IRS FOR 990 PURPOSES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 686,121. PART II, COMMUNITY BUILDING ACTIVITIES: ST. JOSEPH'S HEALTH SERVICES, INC. PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT BENEFIT WHICH IS NOT QUANTIFIED. ST. JOSEPH'S HEALTH SERVICES, INC., LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL WOULD NOT BE AVAILABLE LOCALLY. BEYOND INPATIENT HOSPITALIZATIONS, THE HOSPITAL PROVIDES LOCAL ACCESS TO MANY SERVICES INCLUDING, BUT NOT LIMITED TO: DIAGNOSTICS, EMERGENCY SERVICES, INFUSION SERVICES, SWING BED SERVICES, CLINICAL SERVICES, LABORATORY SERVICES, OCCUPATIONAL HEALTH, REHABILITATION SERVICES, SPECIALTY MEDICINE, SLEEP CENTER, SPEECH PATHOLOGY, SURGICAL SERVICES, AND WOMEN'S SERVICES. PART III, LINE 2: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE YEAR TO ESTIMATE THE COST OF CARE OF PATIENTS WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE EXCLUDED FROM GROSS PATIENT SERVICE REVENUE ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL. PART III, LINE 3: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. PART III, LINE 4: ACCOUNTS RECEIVABLE AND CREDIT POLICY:ACCOUNTS RECEIVABLE ARE REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ORGANIZATION EXPECTS TO BE ENTITLED, IN EXCHANGE FOR PROVIDING PATIENT CARE SERVICES. ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND IMPLICIT PRICE CONCESSIONS WHICH REFLECTS MANAGEMENT'S ESTIMATE OF THE TRANSACTION PRICE. THE ORGANIZATION ESTIMATES THE TRANSACTION PRICE BASED ON NEGOTIATED CONTRACTUAL AGREEMENTS, HISTORICAL EXPERIENCE, AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS AND IS RECORDED THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO ACCOUNTS RECEIVABLE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE.THE ORGANIZATION DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUE DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE ORGANIZATION AS WELL AS ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUE FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN PROFESSIONAL SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, SURGICAL, AND CLINICAL PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT ST. JOSEPH'S HEALTH SERVICES, INC. PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT, AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: UNDER THE ORGANIZATION'S SELF PAY BALANCE AND COMMUNITY CARE POLICIES, ST. JOSEPH'S HEALTH SERVICES, INC. MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE ORGANIZATION'S COMMUNITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE BY COMPLETING AN APPLICATION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE ORGANIZATION'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM. PART VI, LINE 2: THE HOSPITAL LOOKS AT CURRENT SERVICES UTILIZATION AND THE AREA DEMOGRAPHICS TO EVALUATE IF THE CURRENT SERVICES OFFERED ARE MEETING THE NEEDS OF OUR PATIENTS. A COMMUNITY COMMITTEE WORKS WITH HOSPITAL STAFF TO PROVIDE FEEDBACK ON SERVICES CURRENTLY PROVIDED AND GIVE IDEAS FOR SERVICES THAT WOULD BENEFIT PATIENTS TO PROVIDE CARE CLOSE TO HOME. PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION CAN BE OBTAINED IN MANY WAYS. THE INFORMATION IS INCLUDED WITH THE BILLING STATEMENT, AVAILABLE AT ALL CHECK AREAS, ON THE HOSPITAL WEBSITE, OR BY CALL THE PATIENT ACCOUNTS DEPARTMENT. PART VI, LINE 4: THE HOSPITAL PATIENT PROVIDES SERVICES TO PATIENTS FROM VARIOUS COUNTIES, VERNON, SAUK, MONROE, JUNEAU, AND RICHLAND; TYPICALLY A 30 MILE SERVICE AREA. MEDICARE AND MEDICAID COVERED PATIENTS MAKE A LARGE PART OF THE POPULATION. PART VI, LINE 5: THE HOSPITAL PROVIDES FREE HEALTH SCREENING FOR OUR LOCAL COMMUNITIES. HOSTS THE SENIOR MEAL SITE; WHICH PROVIDES MEALS AND ACTIVITIES AT THE HOSPITAL 4 DAYS PER WEEK. THERE ARE SEVERAL LOW COST EXERCISE PROGRAMS AND A SAFE SITTE COURSE TO TEACH TEEN HOW TO CARE FOR CHILDREN AND HANDLE EMERGENCY SITUATIONS. PART VI, LINE 6: THROUGH THE HOSPITAL'S AFFILIATION WITH GUNDERSEN HEALTH SYSTEM SPECIALTY CARE SERVICES ARE PROVIDED AT OUR HILLSBORO LOCATION BRINGING CARE TO OUR LOCAL PATIENTS CLOSE TO HOME. PART VI, LINE 7, REPORTS FILED WITH STATES WI 1 0 0 0 0 0 0 0 0 SCOTT LARSON DIRECTOR OF PHARMACY 229235 0 10775 0 327 0 9667 0 15295 0 265299 0 0 0 ANDREA ANDERSON PHYSICIAN ASSISTANT 128569 0 11807 0 89 0 5763 0 32843 0 179071 0 0 0 TONI TENGBLAD CHIEF OF CLINIC OPERATIONS 124862 0 600 0 743 0 5369 0 43563 0 175137 0 0 0 KRISTIE MCCOIC CLINIC OPERATIONS OFFICER 143326 0 4060 0 178 0 6068 0 19031 0 172663 0 0 0 DANIELLE GEARHART CEO/PRESIDENT (THRU JUNE) 0 118821 0 0 0 87421 0 17547 0 19275 0 243064 0 0 ROBIN NELSON CFO 135427 0 20144 0 698 0 6336 0 24955 0 187560 0 0 0 SIGURD GUNDERSEN III MD VICE-CHAIR 0 459496 0 500 0 0 0 40600 0 23742 0 524338 0 0 RACHEL ALBRECHT MBA TREASURER/ADMINISTRATIVE DIRECTOR 0 118822 0 500 0 772 0 16390 0 22424 0 158908 0 0 MIKE MCKEE BOARD DIRECTOR 0 220496 0 500 0 0 0 32842 0 24628 0 278466 0 0 PART I, LINE 4A DANIELLE GEARHART RECEIVED A SEVERANCE PAYMENT TOTALLING $68,167 DURING 2019. SCHEDULE J, PART 1, LINE 3 FOR THE PURPOSE OF DETERMINING EXECUTIVE COMPENSATION, ST. JOSEPH'S HEALTH SERVICES, INC. RELIED ON ITS AFFILIATED ORGANIZATION, GUNDERSON LUTHERAN HEALTH SYSTEM, INC., TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION SURVEY OR STUDY, COMPENSATION COMMITTEE, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. ANGIE NOVY SISTER OF KEY EMPLOYEE 34381 SALARY 0 DORIS SKEMP MOTHER OF KEY EMPLOYEE 10894 SALARY 0 X 1 35400 FAIR MARKET VALUE 0 0 0 0 FORM 990, PART IV, LINE 24A THE ORGANIZATION SHARES THE PROCEEDS AND PURPOSE OF A TAX EXEMPT BOND ISSUED IN 2019 WITH RELATED ORGANIZATIONS, GUNDERSEN LUTHERAN HEALTH SERVICES, INC (39-1866425) AND GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. THE DETAILS OF THE BOND CAN BE FOUND ON THE SCHEDULE K FILED WITH THE GUNDERSEN LUTHERAN HEALTH SERVICES, INC 990. FORM 990, PART VI, SECTION A, LINE 3 AS AN AFFILIATE OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., ST. JOSEPH'S HEALTH SERVICES, INC. WILL ROUTINELY DELEGATE VARIOUS MANAGEMENT OR SUPPORT FUNCTIONS TO RELATED ENTITIES. FOR EXAMPLE, MANAGEMENT AND SEVERAL MEMBERS OF THE BOARD OF DIRECTORS ARE EMPLOYEES OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AND IT'S AFFILIATED ORGANIZATIONS WHICH ARE ALSO TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 THE ARTICLES OF INCORPORATION OF ST. JOSEPH'S HEALTH SERVICES, INC. PROVIDES FOR ONE MEMBER OF THE CORPORATION. THE SOLE MEMBER OF ST. JOSEPH'S HEALTH SERVICES, INC. IS GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER AND UNDER THE TERMS OF THE AFFILIATION AGREEMENT, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. MAY APPOINT, REMOVE, OR ELECT CERTAIN OFFICERS AND/OR MEMBERS OF THE BOARD OF DIRECTORS OF ST. JOSEPH'S HEALTH SERVICES, INC. GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. MAY APPOINT FIVE MEMBERS OF THE BOARD OF DIRECTORS OF ST. JOSEPH'S HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., HAS THE FOLLOWING RESERVE RIGHTS OF APPROVAL: THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS OR DEBT INCLUDED IN APPROVED BUDGETS) AND THE GRANT OF ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND DIRECT EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; AND THE ANNUAL OPERATING BUDGET AND CAPITAL EXPENDITURES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT. A FINAL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY OF ST. JOSEPH'S HEALTH SERVICES, INC. REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST-COMPENSATED EMPLOYEES TO COMPLETE ITS ANNUAL DISCLOSURE QUESTIONNAIRE. THESE QUESTIONNAIRES ARE THEN REVIEWED BY THE BOARD OF DIRECTORS, NOTING ANY RELATIONSHIPS THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. ALL NOTED CONFLICTS ARE DISCLOSED ANNUALLY TO THE BOARD AND ANY MEMBERS OF THE BOARD WITH CONFLICTS ARE ASKED TO ABSTAIN FROM VOTING ON THOSE ISSUES. THE ORGANIZATION ALSO NOTES AND DOCUMENTS IF ANY BUSINESS OWNED BY BOARD MEMBERS OR EMPLOYEES DO BUSINESS WITH THE ORGANIZATION TO ENSURE THAT COMPETITIVE BIDS ARE SOUGHT FOR SERVICES. FORM 990, PART VI, SECTION B, LINE 15 FOR THE PURPOSES OF DETERMINING COMPENSATION, ST. JOSEPH'S HEALTH SERVICES, INC. RELIED ON IT'S AFFILIATED ORGANIZATION, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., TO ESTABLISH COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. GUNDERSON LUTHERAN HEALTH SYSTEM, INC. USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION SURVEY OR STUDY, COMPENSATION COMMITTEE, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION CURRENTLY DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990 IS MADE AVAILABLE TO THE PUBLIC AT ITS MAIN BUSINESS OFFICE DURING NORMAL BUSINESS HOURS. FORM 990 INCLUDES MUCH OF THE INFORMATION CONTAINED WITHIN THE ORGANIZATION'S GOVERNING DOCUMENTS. CONFLICTS OF INTEREST ARE ALSO NOTED ON FORM 990. THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AS THEY ARE REQUIRED TO BE ATTACHED TO THE FORM 990. FORM 990, PART IX, LINE 11G LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 267,180. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 267,180. NURSING SERVICES: PROGRAM SERVICE EXPENSES 515,503. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 515,503. EMERGENCY SERVICES: PROGRAM SERVICE EXPENSES 1,518,139. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,518,139. ANESTHESIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 498,788. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 498,788. ADMIN PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,046,452. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,046,452. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,844,916. MANAGEMENT AND GENERAL EXPENSES 89,721. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,934,637. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS OF FOUNDATION 396,398. FORM 990, PART VII, EXPLANATION OF HOURS WORKED: SOME OFFICERS AND BOARD MEMBERS ARE EMPLOYED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AND ITS AFFILIATES. GUNDERSEN LUTHERAN HEALTH SYSTEM'S PURPOSE IS TO SERVE AS A SUPPORTING ORGANIZATION TO MULTIPLE SUBSIDIARY ORGANIZATIONS AS LISTED IN SCHEDULE R AND THESE OFFICERS AND DIRECTORS OFTEN WORK IN EXCESS OF 40 HOURS PER WEEK PROVIDING SERVICES TO AFFILIATED ORGANIZATIONS. THESE HOURS ARE REFLECTED IN LINE 2 OF COLUMN B. COMMUNITY HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391586700 INDEPENDENT LIVING WI 501(C)(3) LINE 10 LUTHERAN REAL ESTATE HOLDING CORP 1 GUNDERSEN ADMINISTRATIVE SERVICES INC 1910 SOUTH AVENUE LA CROSSE WI 54601 391606449 SUPPORTING ORGANIZATION WI 501(C)(3) LINE 12B, II GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 GUNDERSEN CLINIC LTD 1836 SOUTH AVENUE LA CROSSE WI 54601 391028657 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 GUNDERSEN LUTHERAN CREDENTIALING SERVICES INC 1910 SOUTH AVENUE LA CROSSE WI 54601 391856898 CREDENTIALING SERVICE WI 501(C)(3) LINE 12C, III-FI GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 SUPPORTING ORGANIZATION WI 501(C)(3) LINE 12B, II N/A 0 GUNDERSEN LUTHERAN MEDICAL CENTER INC 1910 SOUTH AVENUE LA CROSSE WI 54601 390813416 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391249705 FOUNDATION WI 501(C)(3) LINE 7 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 HARMONY COMMUNITY HEALTHCARE INC 815 MAIN AVENUE S HARMONY MN 55939 410711606 HEALTH CARE MN 501(C)(3) LINE 10 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 LUTHERAN HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391751934 INDEPENDENT LIVING WI 501(C)(3) LINE 10 LUTHERAN REAL ESTATE HOLDING CORP 1 LUTHERAN REAL ESTATE HOLDING CORP 1910 SOUTH AVENUE LA CROSSE WI 54601 391480826 HOUSING WI 501(C)(3) LINE 12C, III-FI GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 MEMORIAL HEALTHCARE FOUNDATION INC PO BOX 40 FRIENDSHIP WI 53934 391775074 FOUNDATION WI 501(C)(3) LINE 12A, I MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC 1 MEMORIAL HOSPITAL OF BOSCOBEL 205 PARKER STREET BOSCOBEL WI 53805 390845590 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION INC 205 PARKER STREET BOSCOBEL WI 55939 391688793 FOUNDATION WI 501(C)(3) LINE 7 MEMORIAL HOSPITAL OF BOSCOBEL 1 MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC 402 W LAKE STREET FRIENDSHIP WI 53934 390944012 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 OPTIONS IN REPRODUCTIVE CARE INC 1201 CALEDONIA STREET LA CROSSE WI 54603 391166634 HEALTH CARE WI 501(C)(3) LINE 7 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 PALMER LUTHERAN HEALTH CENTER 112 JEFFERSON STREET WEST UNION IA 52175 421320763 HEALTH CARE IA 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 PALMER MEMORIAL FOUNDATION 112 JEFFERSON STREET WEST UNION IA 52175 421032878 FOUNDATION IA 501(C)(3) LINE 7 PALMER LUTHERAN HEALTH CENTER 1 ST JOSEPH'S MEMORIAL FOUNDATION INC 400 WATER AVE HILLSBORO WI 54634 391455787 FOUNDATION WI 501(C)(3) LINE 12A, I ST JOSEPH'S HEALTH SERVICES INC 1 TRI-COUNTY MEMORIAL FOUNDATION INC 18601 LINCOLN STREET WHITEHALL WI 54773 300093022 FOUNDATION WI 501(C)(3) LINE 12A, I TRI-COUNTY MEMORIAL HOSPITAL INC 1 TRI-COUNTY MEMORIAL HOSPITAL INC 18601 LINCOLN STREET WHITEHALL WI 54773 390704510 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 TRI-STATE AMBULANCE INC 235 CAUSEWAY BLVD LA CROSSE WI 54601 391965415 MEDICAL TRANSPORTATION WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 TRI-STATE REGIONAL AMBULANCE INC 235 CAUSEWAY BLVD LA CROSSE WI 54603 391962965 MEDICAL TRANSPORTATION WI 501(C)(3) LINE 11 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 TWEETEN LUTHERAN HEALTHCARE CENTER INC 125 FIFTH AVENUE SE SPRING GROVE MN 55974 411565003 HEALTH CARE MN 501(C)(3) LINE 10 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1 DEGEN BERGLUND INC 1709 LOSEY BLVD S LA CROSSE WI 54601 390971110 RETAIL PHARMACY WI N/A C 0 GUNDERSEN ENVISION LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 264706546 RENEWABLE ENERGY WI N/A C 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 1 0 0