GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC (EIN 39-1606449)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-11
IRS object ID
202043169349304459
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-11T13:56:15-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1155 N Wacker DriveAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391606449EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICESBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% GERALD OETZELInCareOfNm
Business Name ControlGUNDBusinessNameControlTxt
Phone6087827300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11910 SOUTH AVEAddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGERALD OETZELPersonNm
Person TitleCFOPersonTitleTxt
Phone6087827300PhoneNum
Signature2020-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJESS WAGENERPreparerPersonNm
PTINP01622613PTIN
Phone3128792000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.59.251.89IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id36964520203165000013FederalOriginalSubmissionId
Federal Original Submission Id2020-11-11FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE25FB6EA45473F7CCDD5332CA215900F76A46F16AtSubmissionCreationDeviceId
At Submission Filing Device IdE25FB6EA45473F7CCDD5332CA215900F76A46F16AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1GUNDERSEN ADMIN SERVICES IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSCOTT RATHGABER MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11910 SOUTH AVEAddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$772,570,796GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GUNDERSENHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO 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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee10114TotalEmployeeCnt
Total Volunteers583TotalVolunteersCnt
Total Gross UBI$715,786TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$60,987NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$414,875PYContributionsGrantsAmt
CY Contributions Grants$118,406CYContributionsGrantsAmt
PY Program Service Revenue$811,234,825PYProgramServiceRevenueAmt
CY Program Service Revenue$740,293,754CYProgramServiceRevenueAmt
PY Investment Income$29,275,211PYInvestmentIncomeAmt
CY Investment Income$30,311,138CYInvestmentIncomeAmt
PY Other Revenue$880,753PYOtherRevenueAmt
CY Other Revenue$421,230CYOtherRevenueAmt
PY Total Revenue$841,805,664PYTotalRevenueAmt
CY Total Revenue$771,144,528CYTotalRevenueAmt
PY Grants And Similar Paid$3,488,867PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,468,073CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$682,707,905PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$716,150,495CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$115,346,475PYOtherExpensesAmt
CY Other Expenses$112,812,331CYOtherExpensesAmt
PY Total Expenses$801,543,247PYTotalExpensesAmt
CY Total Expenses$830,430,899CYTotalExpensesAmt
PY Revenues Less Expenses$40,262,417PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$59,286,371CYRevenuesLessExpensesAmt
Total Assets BOY$915,514,367TotalAssetsBOYAmt
Total Assets EOY$1,013,495,709TotalAssetsEOYAmt
Total Liabilities BOY$928,337,722TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,026,978,780TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$12,823,355NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$13,483,071NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$778,855,004ExpenseAmt
Grant$1,468,073GrantAmt
Revenue$740,293,754RevenueAmt
DescGENERAL 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$778,855,004TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document553IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee10114EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGERALD OETZELPersonNm
Phone6087757914PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 SOUTH AVENUE NCA1-01AddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JEFFREY LAWRENCE MD
MEDICAL DOCTOR40.00.0Yes (X)$1,198,447$0$59,548
STEVEN WHITFORD MD
MEDICAL DOCTOR40.00.0Yes (X)$932,750$0$61,948
SCOTT RATHGABER MD
CHIEF EXECUTIVE OFFICER42.06.0$922,188$0$60,548Yes (X)Yes (X)
COLLIN DRISCOLL MD
MEDICAL DOCTOR40.00.0Yes (X)$905,688$0$59,548
MARTIN KOOP DDS
MEDICAL DOCTOR40.00.0Yes (X)$841,412$0$41,992
KURT MUELLER MD
MEDICAL DOCTOR40.00.0Yes (X)$788,198$0$57,969
MICHAEL DOLAN MD
EXEC VP, MEDICAL CHIEF OPERATI42.06.0$597,116$0$61,048Yes (X)
MARILU BINTZ MD
CHIEF POPULATION HEALTH OFFICE42.06.5$597,100$0$47,956Yes (X)
MARY KUFFEL MD
MEDICAL VICE PRESIDENT40.01.0$513,104$0$41,992Yes (X)
GERALD OETZEL
CHIEF FINANCIAL OFFICER42.06.0$494,887$0$53,232Yes (X)
GREGORY THOMPSON MD
BOARD OF TRUSTEES - MEMBER, CH42.06.0$469,438$0$60,548Yes (X)Yes (X)
DANA BENDEN MD
BOARD OF TRUSTEES - MEMBER42.06.0$473,792$0$41,992Yes (X)
ELIZABETH SMITH-HOUSKA
ADMINISTRATIVE CHIEF OPERATING42.08.5$437,192$0$40,600Yes (X)
ROSE ANN-LAURETO
CHIEF INFORMATION OFFICER42.07.0$414,269$0$47,774Yes (X)
P MICHAEL JACOBS DP
MEDICAL VICE PRESIDENT40.02.0$386,188$0$62,048Yes (X)
WILLIAM FARRELL
CHIEF BUSINESS & STRATEGY OFFI42.07.5$411,002$0$29,400Yes (X)
TODD KOWALSKI MD
MEDICAL VICE PRESIDENT40.00.0$375,496$0$60,548Yes (X)
JONATHAN ZLABEK MD
BOARD OF TRUSTEES - MEMBER42.06.0$348,424$0$62,048Yes (X)
KELLEY BAHR MD
BOARD OF TRUSTEES - MEMBER42.06.0$360,192$0$40,600Yes (X)
MARY ELLEN MCCARTNEY
CHIEF HUMAN RESOURCES OFFICER42.06.0$339,686$0$49,480Yes (X)
STEPHANIE CARROLL MD
MEDICAL VICE PRESIDENT40.00.0$328,996$0$56,862Yes (X)
JEFFREY THOMPSON MD
FORMER CEO40.00.0$280,209$0$62,148Yes (X)
BRYAN ERDMANN
ADMINISTRATIVE VICE PRESIDENT40.02.5$267,981$0$60,928Yes (X)
ROBYN BORGE MD
BOARD OF TRUSTEES - MEMBER42.06.0$274,192$0$38,882Yes (X)
DANIEL P BREAZEALE
VICE PRESIDENT FINANCE40.00.0$265,076$0$43,460Yes (X)
KRAIG SCHUSTER
ADMINISTRATIVE VICE PRESIDENT40.01.0$233,207$0$54,030Yes (X)
GARITH STEINER
VICE PRESIDENT42.02.0$251,213$0$32,276Yes (X)
LISA WIED
ADMINISTRATIVE VICE PRESIDENT40.01.0$224,372$0$52,884Yes (X)
PAMELA MAAS
VICE PRESIDENT BUSINESS DEVELO40.00.0$242,545$0$34,619Yes (X)
MICHAEL MCKEE
ADMINISTRATIVE VICE PRESIDENT40.02.3$220,996$0$54,290Yes (X)
KARI ADANK
VICE PRESIDENT COMPLIANCE40.00.0$210,246$0$49,942Yes (X)
MICHAEL O'NEILL
VICE PRESIDENT STRATEGY EXECUT40.01.0$183,236$0$45,680Yes (X)
ELLEN PEDRETTI-FENDT
VICE PRESIDENT APPLICATION SER40.00.0$185,930$0$40,588Yes (X)
JANINE LUZ
VICE PRESIDENT LEARNING40.00.0$181,961$0$40,978Yes (X)
MARK TERESI
INTERIM CFO THRU 03/1940.00.0$151,990$0$0Yes (X)
WENDY LOMMEN
BD OF TRSTE - TRUSTEE EMERITUS2.04.0$0$0$0Yes (X)Yes (X)
JOHN LYCHE
BOARD OF TRUSTEES -BOARD CHAIR2.04.0$0$0$0Yes (X)Yes (X)
GERALD ARNDT
BOARD OF TRUSTEES - VICE CHAIR2.07.0$0$0$0Yes (X)Yes (X)
MARK GLENDENNING
BOARD OF TRUSTESS - MEMBER2.04.0$0$0$0Yes (X)
BRAD STURM
BOARD OF TRUSTEES - Treasurer2.04.0$0$0$0Yes (X)Yes (X)
DAN FLORNESS
BOARD OF TRUSTEES - MEMBER2.04.0$0$0$0Yes (X)
RICHARD RADCLIFFE
BOARD OF TRUSTEES - SECRETARY2.04.0$0$0$0Yes (X)Yes (X)
GLENA TEMPLE PHD
BOARD OF TRUSTEES - MEMBER2.04.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,223,023TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,303,099TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1009IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
KRAUS ANDERSON CONSTRUCTION CO
501 SOUTH EIGHTH STREETMINNEAPOLISMN55404CONTRACTOR$35,887,071
EPLUS TECHNOLOGY
PO BOX 404398ATLANTAGA303844398COMPUTER CONTRACT$13,155,631
SIRIUS COMPUTER SOLUTIONS INC
PO BOX 202289DALLASTX753202289COMPUTER CONTRACT$5,908,376
EPIC SYSTEM CORPORATION
PO BOX 88314MILWAUKEEWI532880314COMPUTER CONTRACT$4,464,845
FOWLER AND HAMMER INC
313 MONITOR STREETLA CROSSEWI54603CONTRACTOR$4,243,633
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K378CntrctRcvdGreaterThan100KCnt
Related Organizations$53,935RelatedOrganizationsAmt
Government Grants$52,788GovernmentGrantsAmt
All Other Contributions$11,683AllOtherContributionsAmt
Total Contributions$118,406TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
SERVICES PROVIDED TO GUNDERSEN561000$739,872,275$739,872,275$0$0
ADMIN. AND TECHNICAL SUPPORT SERVICES561499$421,479$0$421,479$0
FieldValueIRS element (for citing)
Total Program Service Revenue$740,293,754TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,301,648TotalRevenueColumnAmt
Exclusion$30,301,648ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,553,191RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,426,268RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$126,923RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$126,923TotalRevenueColumnAmt
Exclusion$126,923ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,490SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,490SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,490TotalRevenueColumnAmt
Exclusion$9,490ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescHEALTH SHOP SALESDesc
Business446199BusinessCd
Total Revenue Column$294,307TotalRevenueColumnAmt
Unrelated Business Revenue$294,307UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$294,307OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$771,144,528TotalRevenueColumnAmt
Related Or Exempt Func Income$739,872,275RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$715,786UnrelatedBusinessRevenueAmt
Exclusion$30,438,061ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,468,073TotalAmt
Program Services$1,468,073ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,557,659TotalAmt
Program Services$127,153ProgramServicesAmt
Management And General$6,430,506ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$540,804,094TotalAmt
Program Services$516,821,137ProgramServicesAmt
Management And General$23,982,957ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$66,048,886TotalAmt
Program Services$62,261,143ProgramServicesAmt
Management And General$3,787,743ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$68,935,262TotalAmt
Program Services$66,061,874ProgramServicesAmt
Management And General$2,873,388ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$33,804,594TotalAmt
Program Services$32,061,035ProgramServicesAmt
Management And General$1,743,559ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,283,938TotalAmt
Management And General$1,283,938ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$385,483TotalAmt
Management And General$385,483ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$137,710TotalAmt
Program Services$137,710ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,539,325TotalAmt
Program Services$27,780ProgramServicesAmt
Management And General$1,511,545ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,440,298TotalAmt
Program Services$11,030,165ProgramServicesAmt
Management And General$3,410,133ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,848,732TotalAmt
Program Services$20,078ProgramServicesAmt
Management And General$1,828,654ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,050,755TotalAmt
Program Services$6,216,903ProgramServicesAmt
Management And General$833,852ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$26,400,053TotalAmt
Program Services$26,019,941ProgramServicesAmt
Management And General$380,112ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,229,593TotalAmt
Program Services$7,301,290ProgramServicesAmt
Management And General$928,303ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$753,737TotalAmt
Program Services$535,988ProgramServicesAmt
Management And General$217,749ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$16,800,575TotalAmt
Program Services$16,800,575ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,139,238TotalAmt
Program Services$17,821,102ProgramServicesAmt
Management And General$318,136ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$679,717TotalAmt
Program Services$672,212ProgramServicesAmt
Management And General$7,505ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CREDIT CARD EXPENSE$1,048,311$1,038,918$9,393$0
SUPPLIES/BAD DEBT$3,991,537$3,866,556$124,981$0
RECRUITING/TAXES$2,731,757$2,258,005$473,752$0
DUES/MEMBERSHIPS/DUES$2,678,033$2,060,916$617,117$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,673,539TotalAmt
Program Services$4,246,450ProgramServicesAmt
Management And General$427,089ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$830,430,899TotalAmt
Program Services$778,855,004ProgramServicesAmt
Management And General$51,575,895ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,202,036BOYAmt
EOY$28,505,682EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$137,216,836BOYAmt
EOY$107,640,831EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$24,904BOYAmt
EOY$45,284EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$15,141,982BOYAmt
EOY$16,009,441EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,012,518BOYAmt
EOY$7,412,628EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,949,444BOYAmt
EOY$21,592,860EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$248,346,085LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$146,206,656LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$85,995,936BOYAmt
EOY$102,139,429EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$612,703,154BOYAmt
EOY$712,632,725EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,267,557BOYAmt
EOY$17,516,829EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$915,514,367BOYAmt
EOY$1,013,495,709EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$131,076,480BOYAmt
EOY$138,890,687EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$373,005,000BOYAmt
EOY$363,925,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$424,256,242BOYAmt
EOY$524,163,093EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$928,337,722BOYAmt
EOY$1,026,978,780EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$12,823,355BOYAmt
EOY-$13,483,071EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$12,823,355BOYAmt
EOY-$13,483,071EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$915,514,367BOYAmt
EOY$1,013,495,709EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$59,286,371ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$58,626,655NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations18SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (18 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
BOSCOBEL AREA HEALTHCARE PARTNERS
4504988447false$0$0
COMMUNITY HOUSING OF LA CROSSE INC
39158670010false$0$0
GUNDERSEN CLINIC LTD
3910286573Yes (true)$0$0
GUNDERSEN LUTHERAN MEDICAL CENTER INC
3908134163Yes (true)$0$0
GUNDERSEN LUTHERAN MEDICAL FOUNDATION
3912497057false$0$0
HARMONY COMMUNITY HEALTH CARE INC
4107116067false$0$0
LUTHERAN HOUSING OF LA CROSSE INC
39175193410false$0$0
MEMORIAL HOSPITAL OF BOSCOBEL
3908455903false$0$0
MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION INC
3916887937false$0$0
PALMER LUTHERAN HEALTH CENTER INC
4213207633false$0$0
PALMER MEMORIAL FOUNDATION
4210328787false$0$0
ST JOSEPH HEALTH SERVICES INC
3909295383false$0$0
TRI-COUNTY MEMORIAL HOSPITAL INC
3907045103false$0$0
TRI-STATE AMBULANCE INC
3919654153false$0$0
TRI-STATE REGIONAL AMBULANCE INC
39196296510false$0$0
TWEETEN LUTHERAN HEALTHCARE CENTER INC
41156500310false$0$0
MOUNDVIEW MEMORIAL HOSPITALS & CLINICS
3909440123false$0$0
MEMORIAL HC FDTN OF ADAMS COUNTY INC
39177507410false$0$0
FieldValueIRS element (for citing)
Supported Organizations Total18SupportedOrganizationsTotalCnt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (true)SupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (true)MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCH A PART I LINE 12GGUNDERSEN 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 1THE 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 6GENERAL 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.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$219,416FilingOrganizationsTotalAmt
Affiliated Group Total$242,328AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$219,416FilingOrganizationsTotalAmt
Affiliated Group Total$242,328AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$830,211,483FilingOrganizationsTotalAmt
Affiliated Group Total$2,142,825,123AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$830,430,899FilingOrganizationsTotalAmt
Affiliated Group Total$2,143,067,451AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$781,949AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$219,895CurrentYearMinus3Amt
Current Year Minus2$243,711CurrentYearMinus2Amt
Current Year Minus1$231,180CurrentYearMinus1Amt
Current Year$242,328CurrentYearAmt
Total$937,114TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,769,845OtherCostOrOtherBasisAmt
Book Value$8,769,845BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,095,088OtherCostOrOtherBasisAmt
Depreciation$22,440,863DepreciationAmt
Book Value$48,654,225BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,552,539OtherCostOrOtherBasisAmt
Depreciation$2,487,884DepreciationAmt
Book Value$3,064,655BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$162,928,613OtherCostOrOtherBasisAmt
Depreciation$121,277,909DepreciationAmt
Book Value$41,650,704BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$102,139,429TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLE$480,869,275
LOSS ON SWAP CONTRACTS$26,022,660
OPERATING LEASE OBLIGATIONS$7,638,077
LT CIMP LIABILITY$6,236,404
LEASE CONTRACT PAYABLE$1,624,330
TEB PRE/(DISC) CURRENT AND LT$1,391,732
DEFERRED COMPENSATION$237,727
SECURITY DEPOSIT PAYABLE$70,119
DEFERRED REVENUE$38,993
SALES TAX PAYABLE$33,776
FieldValueIRS element (for citing)
Total Liability$524,163,093TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHE D, PART X LINE 2FormAndLineReferenceDesc
ExplanationINCOME 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, 2019 AND 2018, NET DEFERRED TAX ASSETS OF $6,900 AND $7,574, RESPECTIVELY, WHICH PRIMARILY ARE RELATED TO NET OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $6,900 AND $6,300, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT DECEMBER 31, 2019, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $28,700, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $25,400, WHICH WILL EXPIRE BETWEEN 2028 AND 2037. 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 2014 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, 2019, 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVENUELA CROSSEWI54601391866425501(C)(3)$443,460$200,000BOOK VALUETRNSFR OF INVESTMTSUPPORT
LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM
1725 State StreetLa CrosseWI54601391804725501(C)(3)$118,830SUPPORT
COULEE COUNCIL ON ADDICTIONS
921 West Ave SLa CrosseWI54601391129125501(C)(3)$40,500SUPPORT
LA CROSSE CITY TREASURER
400 La Crosse StLa CrosseWI54601396005490GOV. entity$25,000SUPPORT
GREAT RIVERS UNITED WAY
1855 East Main StOnalaskaWI54650390848188501(C)(3)$80,288SUPPORT
LA CROSSE COMMUNITY FOUNDATION
401 Main St Suite 205La CrosseWI54601396037996501(C)(3)$25,500SUPPORT
ARCADIA EDUCATIONAL FOUNDATION
675 Raider DrArcadiaWI54612391622250501(C)(3)$25,000SUPPORT
LA CROSSE COUNTY HEALTH DEPT
300 N 4th St 2nd FloorLa CrosseWI54601396005709GOV. entity$30,000SUPPORT
LA CROSSE AREA CHAMBER OF COMMERCE
601 7th St NLa CrosseWI54601390414500501(C)(6)$21,424SUPPORT
BOYS AND GIRLS CLUBS OF GREATER LA CROSSE
PO Box 91La CrosseWI54602396084791501(C)(3)$16,200SUPPORT
SCHOOL DISTRICT OF LA CROSSE
807 East AveLa CrosseWI54601396002841GOV. entity$34,152SUPPORT
AIDS RESOURCE CENTER OF WISCONSIN
820 N Plankinton AveMilwaukeeWI53203391534049501(C)(3)$10,000SUPPORT
ST JOSEPH'S FOUNDATION
400 Water AveHillsboroWI54634391455787501(C)(3)$10,000SUPPORT
FAMILY AND CHILDRENS CENTER
1707 Main StLa CrosseWI54601390821863501(C)(3)$10,000SUPPORT
JUNIOR ACHIEVEMENT OF WISCONSIN
2715 Losey BoulevardLa CrosseWI54601841267604501(C)(3)$20,000SUPPORT
FESTIVAL FOODS TURKEY TROT
1724 Lawrence DrDe PereWI54115391699966501(C)(3)$7,500SUPPORT
ROTARY WORKS FOUNDATION
PO Box 1571La CrosseWI54602930833338501(C)(3)$6,000SUPPORT
LA CROSSE SYMPHONY ORCHESTRA
201 Main St Suite 230La CrosseWI54601391024330501(C)(3)$6,200SUPPORT
RIVERS ALLIANCE INC
601 7th St NLa CrosseWI54601010938132501(C)(3)$5,250SUPPORT
LA CROSSE COLLABORATIVE TO END HOMELESSNESS
PO Box 266La CrosseWI54602391896823501(C)(3)$25,000SUPPORT
AMERICAN RED CROSS WISCONSIN
4860 Shaboygan AveMadisonWI53705530196605501(C)(3)$10,000SUPPORT
MISSISSIPPI VALLEY CONSERVANCY
1309 Norplex Dr Suite 9La CrosseWI54601391871201501(C)(3)$8,500SUPPORT
HEAD START CHILD & FAMILY
333 Buchner Place Wing ALa CrosseWI54603391619337501(C)(3)$8,000SUPPORT
YWCA LA CROSSE
3219 Commerce StLa CrosseWI54603390810543501(C)(3)$6,325SUPPORT
WAFER FOOD PANTRY
403 Causeway BlvdLa CrosseWI54603301552632501(C)(3)$6,000SUPPORT
NEW HORIZONS SHELTER
PO Box 2031La CrosseWI54602391737699501(C)(3)$6,000SUPPORT
LA CROSSE AREA DEVELOPMENT CORPORATION
601 7th St NLa CrosseWI54601391168327501(C)(6)$5,500SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org25Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCH IFormAndLineReferenceDesc
ExplanationDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEESExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SCOTT RATHGABER MD
CHIEF EXECUTIVE OFFICER$916,996$0$0$0$5,192$0$40,600$0$20,002$0$982,790$0$0$0
KELLEY BAHR MD
BOARD OF TRUSTEES - MEMBER$352,500$0$2,500$0$5,192$0$40,600$0$54$0$400,846$0$0$0
JONATHAN ZLABEK MD
BOARD OF TRUSTEES - MEMBER$336,996$0$6,500$0$4,928$0$40,600$0$21,502$0$410,526$0$0$0
GREGORY THOMPSON MD
BOARD OF TRUSTEES - MEMBER, CH$464,246$0$0$0$5,192$0$40,600$0$20,002$0$530,040$0$0$0
DANA BENDEN MD
BOARD OF TRUSTEES - MEMBER$470,792$0$2,500$0$500$0$40,600$0$6,216$0$520,608$0$0$0
ROBYN BORGE MD
BOARD OF TRUSTEES - MEMBER$267,500$0$2,500$0$4,192$0$38,882$0$54$0$313,128$0$0$0
WILLIAM FARRELL
CHIEF BUSINESS & STRATEGY OFFI$391,500$0$0$0$19,502$0$29,400$0$54$0$440,456$0$0$0
MARILU BINTZ MD
CHIEF POPULATION HEALTH OFFICE$591,908$0$0$0$5,192$0$40,600$0$7,410$0$645,110$0$0$0
MARY ELLEN MCCARTNEY
CHIEF HUMAN RESOURCES OFFICER$339,186$0$0$0$500$0$40,600$0$13,598$0$393,884$0$0$0
MICHAEL DOLAN MD
EXEC VP, MEDICAL CHIEF OPERATI$593,116$0$4,000$0$0$0$40,600$0$25,334$0$663,050$0$0$0
ELIZABETH SMITH-HOUSKAMP PHD RN
ADMINISTRATIVE CHIEF OPERATING$432,500$0$0$0$4,692$0$40,600$0$54$0$477,846$0$0$0
GERALD OETZEL
CHIEF FINANCIAL OFFICER$454,234$0$0$0$40,653$0$40,600$0$12,668$0$548,155$0$0$0
MARY KUFFEL MD
MEDICAL VICE PRESIDENT$505,912$0$2,500$0$4,692$0$40,600$0$1,446$0$555,150$0$0$0
P MICHAEL JACOBS DPM
MEDICAL VICE PRESIDENT$381,496$0$0$0$4,692$0$40,600$0$21,496$0$448,284$0$0$0
TODD KOWALSKI MD
MEDICAL VICE PRESIDENT$372,996$0$2,500$0$0$0$40,600$0$24,712$0$440,808$0$0$0
STEPHANIE CARROLL MD
MEDICAL VICE PRESIDENT$321,496$0$7,500$0$0$0$37,914$0$23,487$0$390,397$0$0$0
BRYAN ERDMANN
ADMINISTRATIVE VICE PRESIDENT$265,097$0$0$0$2,884$0$39,331$0$25,394$0$332,706$0$0$0
MICHAEL MCKEE
ADMINISTRATIVE VICE PRESIDENT$220,496$0$0$0$500$0$32,842$0$24,628$0$278,466$0$0$0
LISA WIED
ADMINISTRATIVE VICE PRESIDENT$220,996$0$0$0$3,376$0$31,936$0$21,002$0$277,310$0$0$0
KRAIG SCHUSTER
ADMINISTRATIVE VICE PRESIDENT$232,096$0$0$0$1,111$0$32,682$0$24,686$0$290,575$0$0$0
KARI ADANK
VICE PRESIDENT COMPLIANCE$210,246$0$0$0$0$0$30,994$0$21,952$0$263,192$0$0$0
PAMELA MAAS
VICE PRESIDENT BUSINESS DEVELO$238,750$0$0$0$3,795$0$34,619$0$54$0$277,218$0$0$0
JANINE LUZ
VICE PRESIDENT LEARNING$175,994$0$3,000$0$2,967$0$26,354$0$14,678$0$222,993$0$0$0
MICHAEL O'NEILL
VICE PRESIDENT STRATEGY EXECUT$180,943$0$0$0$2,293$0$26,732$0$19,002$0$228,970$0$0$0
ELLEN PEDRETTI-FENDT
VICE PRESIDENT APPLICATION SER$179,980$0$5,450$0$500$0$27,136$0$15,161$0$228,227$0$0$0
DANIEL P BREAZEALE
VICE PRESIDENT FINANCE$229,946$0$0$0$35,130$0$24,512$0$19,002$0$308,590$0$0$0
COLLIN DRISCOLL MD
MEDICAL DOCTOR$900,496$0$0$0$5,192$0$40,600$0$19,002$0$965,290$0$0$0
KURT MUELLER MD
MEDICAL DOCTOR$696,788$0$0$0$91,410$0$40,600$0$17,416$0$846,214$0$0$0
MARTIN KOOP DDS
MEDICAL DOCTOR$838,412$0$2,500$0$500$0$40,600$0$6,444$0$888,456$0$0$0
STEVEN WHITFORD MD
MEDICAL DOCTOR$854,096$0$2,500$0$76,154$0$40,600$0$21,402$0$994,752$0$0$0
JEFFREY LAWRENCE MD
MEDICAL DOCTOR$1,193,255$0$0$0$5,192$0$40,600$0$19,002$0$1,258,049$0$0$0
JEFFREY THOMPSON MD
FORMER CEO$251,396$0$0$0$28,813$0$40,600$0$21,584$0$342,393$0$0$0
ROSE ANN-LAURETO
CHIEF INFORMATION OFFICER$342,186$0$0$0$72,083$0$40,600$0$11,170$0$466,039$0$0$0
GARITH STEINER
VICE PRESIDENT$251,033$0$0$0$180$0$32,276$0$3,585$0$287,074$0$0$0
MARK TERESI
INTERIM CFO THRU 03/19$151,990$0$0$0$0$0$0$0$0$0$151,990$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCH J, PART I LINE 4A2019 SEVERANCE PAYMENTS: ROSE ANN-LAURETO - $70,583
FORM 990, SCH J, PART IIGUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. PAID AN INDEPENDENT EMPLOYMENT AGENCY $151,990 FOR MARK TERESI'S SERVICES AS INTERIM CFO.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WHEFA SERIES 2011A ISSUANCE
A39133785597710BJ782011-09-29$162,468,632SEE PART VIfalsefalsefalse
WHEFA SERIES 2016 ISSUANCE
B3913378550000000002016-02-12$40,000,000SEE PART VIfalsefalsefalse
WHEFA SERIES 2009 ISSUANCE
C39133785597710BE652012-10-01$78,715,000SEE PART VIfalsefalsefalse
WHEFA SERIES 2008B ISSUANCE
D39133785597710BBG62012-10-01$61,400,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$43,420,000$0$162,563,722$0$0$0$1,938,913$0$0$70,962,497$89,662,312$02014Yes (true)falseYes (true)Yes (true)
B$0$0$40,000,000$0$0$0$0$0$0$0$40,000,000$02016Yes (true)falseYes (true)Yes (true)
C$11,410,000$0$78,715,000$0$0$0$0$0$0$0$78,715,000$02005Yes (true)falseYes (true)Yes (true)
D$0$0$61,400,000$0$0$0$0$0$0$0$61,400,000$02008Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.000000.000000.00000Yes (true)Yes (true)0.00015Yes (true)Yes (true)
Bfalsefalsefalsefalse0.000000.000000.00000Yes (true)false0.00000Yes (true)Yes (true)
Cfalsefalsefalsefalse0.000000.000000.00000Yes (true)Yes (true)0.00508Yes (true)Yes (true)
Dfalsefalsefalsefalse0.000000.000000.00000Yes (true)Yes (true)Yes (true)Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePct
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)
PIPERMERRILL
CfalsefalseYes (true)falseYes (true)Yes (true)false0falseYes (true)29.5
MERRILL
DfalsefalseYes (true)falseYes (true)Yes (true)false0falseYes (true)27.

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I BOND ISSUES: LINE A(A)ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2011A
PART I BOND ISSUES: LINE B(A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2016B
PART I BOND ISSUES: LINE C(A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2009
PART I BOND ISSUES: LINE D(A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2008B

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WHEFA SEREIS 2012 ISSUANCE
A39133785597710B4B52012-09-27$71,789,897SEE PART VIfalsefalsefalse
WHEFA SERIES 2015 ISSUANCE
B3913378550000000002015-12-23$12,000,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,170,000$0$71,890,166$0$0$0$961,054$0$0$70,929,112$0$02014falsefalseYes (true)Yes (true)
B$4,620,000$0$12,044,550$0$0$0$0$0$0$12,044,550$0$02017falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPct
Afalsefalsefalsefalse0.000000.000000.00000Yes (true)falsefalseYes (true)
Bfalsefalsefalsefalse0.000000.000000.00000Yes (true)falsefalseYes (true)0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I BOND ISSUES: LINE FA. 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 INVESTMENT EARNINGS 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) 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 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 E. NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF HOSPITAL AND COSTS OF ISSUANCE F. NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF A CLINIC. INVESTMENT EARNINGS
PART II LINE 3A. THE DIFFERENCE BETWEEN THE ISSUE PRICE OF THE BOND AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO INVESTMENT EARNINGS. E. THE DIFFERENCE BETWEEN THE ISSUE PRICE OF THE BOND AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO INVESTMENT EARNINGS. F. THE DIFFERENCE BETWEEN THE ISSUE PRICE OF THE BOND AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO INVESTMENT EARNINGS.
SCH K PART III LINE 7Gundersen 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 & 8CGundersen 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.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
WILLIAM FARRELL
EMPLOYEE - SR. VPBONUS/RELOCATIONYes (X)$40,000$11,390falseYes (true)Yes (true)
DANIEL BREAZEALE
EMPLOYEE - VP FINANCEBONUS/RELOCATIONYes (X)$30,000$24,258falseYes (true)Yes (true)
GERALD OETZEL
EMPLOYEE - CFOBONUS/RELOCATIONYes (X)$45,000$9,636falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$45,284TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (21 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SEAN AGGER
SEE SUPPLEMENTAL INFO$222,246EMPLOYMENTfalse
James Klock
See Supplemental Info$127,821EMPLOYMENTfalse
Belinda Klock
See Supplemental Info$77,682EMPLOYMENTfalse
Jonathan Klock
See Supplemental Info$129,780EMPLOYMENTfalse
Megan Klock
See Supplemental Info$71,071EMPLOYMENTfalse
Brenda White
See Supplemental Info$35,977EMPLOYMENTfalse
Margaret Webster MD
See Supplemental Info$152,336Employmentfalse
Ricardo Rivera
See Supplemental Info$108,030Employmentfalse
Shannan Stephens MD
See Supplemental Info$336,585Employmentfalse
Ingri Gundersen Lombardi
See Supplemental Info$46,862Employmentfalse
John Houskamp MD
See Supplemental Info$324,714Employmentfalse
Scott Wied
See Supplemental Info$115,715Employmentfalse
Karl Borge
See Supplemental Info$257,428Employmentfalse
Noel Radcliffe MD
See Supplemental Info$247,060Employmentfalse
April Farrell
See Supplemental Info$695,848Employmentfalse
Tiffany Kimball
See Supplemental Info$43,100Employmentfalse
Battison Sara
See Supplemental Info$37,671Employmentfalse
Kleven James
See Supplemental Info$446,046Employmentfalse
Houskamp Alyssa
See Supplemental Info$45,209Employmentfalse
Howard Dan
See Supplemental Info$63,757Employmentfalse
Deborah Schwartz
See Supplemental Info$82,885Employmentfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCH L, PART IVFormAndLineReferenceDesc
ExplanationBUSINESS 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, FORMER KEY EMPLOYEE (A) NAME OF PERSON: BELINDA KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, FORMER KEY EMPLOYEE (A) NAME OF PERSON: APRIL FARRELL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF WILLIAM FARRELL, KEY EMPLOYEE (A) NAME OF PERSON: BRENDA WHITE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF GERALD ARNDT, DIRECTOR (A) NAME OF PERSON: JONATHAN KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, FORMER KEY EMPLOYEE (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, FORMER 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, R.N., OFFICER (A) NAME OF PERSON: TIFFANY KIMBALL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF WILLIAM FARRELL, KEY EMPLOYEE (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 RICHARD RADCLIFFE, DIRECTOR (A) NAME OF PERSON: JAMES KLEVEN (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JENNIFER KLEVEN, M.D., DIRECTOR (A) NAME OF PERSON: DAN HOWARD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF GARITH STEINER, KEY EMPLOYEE (A) NAME OF PERSON: DEBORAH SCHWARTZ (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JOHN SCHWARTZ, KEY EMPLOYEE (A) NAME OF PERSON: SARA BATTISON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF SIGURD GUNDERSEN III, M.D., DIRECTOR (C) NAME OF PERSON: ALYSSA HOUSKAMP (D) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF BETH SMITH-HOUSKAMP, OFFICERExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1DESCRIPTION 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 2MARK 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 3AGUNDERSEN 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 UNIFORM GUIDANCE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
1836 SOUTH AVENUELA CROSSEWI54601391866425SUPTNG ORG.WI501(C)(3)LINE 12B IINAfalse
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1910 SOUTH AVENUELA CROSSEWI54601390813416HEALTHCAREWI501(C)(3)Line 3GLHSfalse
GUNDERSEN CLINIC LTD
1910 SOUTH AVENUELA CROSSEWI54061391028657HEALTHCAREWI501(C)(3)Line 3GLHSfalse
GUNDERSEN LUTHERAN MEDICAL FOUNDATION I
1836 SOUTH AVENUELA CROSSEWI54061391249705FOUNDATIONWI501(C)(3)Line 7GLHSfalse
GUNDERSEN LUTHERAN CREDENTIALING SVC IN
1910 SOUTH AVENUELA CROSSEWI54061391856898CREDENTIALINGWI501(C)(3)Line 12C IIGLHSfalse
TRI-COUNTY MEMORIAL HOSPITAL
18601 LINCOLN STREETWHITEHALLWI54773390704510HEALTHCAREWI501(C)(3)Line 3GLHSfalse
HARMONY COMMUNITY HEALTHCARE INC
815 MAIN AVENUESOUTH HARMONYMN55939410711606HEALTHCAREMN501(C)(3)Line 10GLHSfalse
TWEETEN LUTHERAN HEALTHCARE CENTER INC
125 FIFTH AVENUESE SPRING GROVEMN55974411565003HEALTHCAREMN501(C)(3)Line 10GLHSfalse
TRI-STATE AMBULANCE INC
235 CAUSEWAY BOULEVARDLA CROSSEWI54601391965415MDCL TRANSPOWI501(C)(3)Line 3GLHSfalse
TRI-STATE REGIONAL AMBULANCE INC
235 CAUSEWAY BOULEVARDLA CROSSEWI54601391962965MDCL TRANSPOWI501(C)(3)Line 10GLHSfalse
LUTHERAN REAL ESTATE HOLDING CORP
1910 SOUTH AVENUELA CROSSEWI54601391480826HOUSINGWI501(C)(3)Line 12C IIGLHSfalse
COMMUNITY HOUSING OF LA CROSSE INC
1900 SOUTH AVENUELA CROSSEWI54601391586700INDP LIVINGWI501(C)(3)Line 10LRHCfalse
LUTHERAN HOUSING OF LA CROSSE
1900 SOUTH AVENUELA CROSSEWI54601391751934INDP LIVINGWI501(C)(3)Line 10LRHCfalse
ST JOSEPH'S HEALTH SERVICES INC
400 WATER AVENUEHILLSBOROWI54634390929538HEALTHCAREWI501(C)(3)Line 3GLHSfalse
ST JOSEPH'S MEMORIAL FOUNDATION INC
400 WATER AVENUEHILLSBOROWI54634391455787FOUNDATIONWI501(C)(3)Line 12A ISJHSfalse
TRI-COUNTY MEMORIAL FOUNDATION INC
18601 LINCOLN STREETWHITEHALLWI54773300093022FOUNDATIONWI501(C)(3)Line 12A ITCMHfalse
MEMORIAL HOSPITAL OF BOSCOBEL
205 PARKER STREETBOSCOBELWI53805390845590HEALTHCAREWI501(C)(3)Line 3GLHSfalse
MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION
205 PARKER STREETBOSCOBELWI53805391688793FUNDRAISINGWI501(C)(3)Line 7MHBfalse
BOSCOBEL AREA HEALTHCARE PARTNERS
205 PARKER STREETBOSCOBELWI53805450498844FUNDRAISINGWI501(C)(3)Line 7MHBfalse
PALMER LUTHERAN HEALTH CENTER INC
112 JEFFERSON STREETWEST UNIONIA52175421320763HEALTHCAREIA501(C)(3)Line 3GLHSfalse
PALMER MEMORIAL FOUNDAITON
112 JEFFERSON STREETWEST UNIONIA52175421032878FOUNDATIONIA501(C)(3)Line 7PLHCfalse
MOUNDVIEW MEMORIAL HOSPITALS AND CLINICS
402 WEST LAKE STREETFRIENDSHIPWI53934390944012HEALTHCAREWI501(C)(3)Line 3GLHSfalse
MEMORIAL HEALTHCARE FOUNDATION OF ADAMS
402 WEST LAKE STREETFRIENDSHIPWI53934391775074FOUNDATIONWI501(C)(3)Line 12A IMMHCfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
DEGEN BERGLUND INC
1709 LOSEY BOULEVARD SOUTHLA CROSSEWI54601390971110RETAIL PHARMACYWIGLHSC CORP$0$0Yes (true)
GUNDERSEN LUTHERAN ENVISION LLC
1836 SOUTH AVENUELA CROSSEWI54601264706546RENEWABLE ENERGYWIGLHSC CORP$0$0Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCH R, PART IV, LINES 1 & 2FormAndLineReferenceDesc
ExplanationDEGEN 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmt
GUNDERSEN LUTHERAN ADMINISTR
1910 S AVELA CROSSEWI54601391606449$0$219,416$219,416$830,211,483$830,430,899$1,000,000$250,000$0$0$0
GUNDERSEN CLINIC LTD
1836 SOUTH AVENUELA CROSSEWI54601391028657$0$22,912$22,912$252,898,600$252,921,512$1,000,000$250,000$0$0$0
GUNDERSEN LUTHERAN MEDICAL C
1910 SOUTH AVENUELA CROSSEWI54601390813416$0$0$0$1,059,029,736$1,059,029,736$1,000,000$250,000$0$0$0
GUNDERSEN LUTHERAN HEALTH SY
1836 SOUTH AVENUELA CROSSEWI54601391866425$0$0$0$685,304$685,304$127,796$31,949$0$0$0

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