2019-11-11T15:17:52-06:00 2018-12-31 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH ST MINNEAPOLIS MN 55402 990 2018-01-01 391028657 Gundersen Clinic Ltd % GERALD OETZEL GUND 6087827300 1836 SOUTH AVENUE LA CROSSE WI 54601 GERALD OETZEL CFO 6087757914 2019-11-05 true Monroe J Gierl P01413237 6123055000 2019-11-03 167.68.102.5 41438720193155000000 2019-11-11 P C58C990F4AD6B08A8C050E105A1DD575844D023E EA4B65EE71D42BE71D1FFD4325509DD549A18899 2018 2020-03-31 21:24:44Z SCOTT RATHGABER MD 1836 SOUTH AVENUE LA CROSSE WI 54601 159417249 false X WWW.GUNDERSENHEALTH.ORG X 1963 WI SEE SCHEDULE O 10 0 0 0 6250621 0 53743 256106 206360026 158542145 401872 207436 339323 346001 207154964 159351688 1861860 2056290 0 0 0 0 0 0 0 194581749 241147690 196443609 243203980 10711355 -83852292 179574945 195462356 439301369 539070683 -259726424 -343608327 X TO PROVIDE MEDICAL AND SURGICAL SERVICES, ENGAGE IN MEDICAL EDUCATION AND RESEARCH, AND PROMOTE COMMUNITY HEALTH TO DELIVER THE HIGHEST QUALITY COMPREHENSIVE HEALTH CARE TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. false false 197740154 2056290 152291524 SEE SCHEDULE O 197740154 true true false true false false false false false false true false false false true true false true false false false false false false false false false true true true false false false false false false false false false false false false false true false false false true X 0 0 0 true true false false false false false false false false false false false X 10 0 false true false false true true true true true false false true true true true true true true true false WI X GERALD OETZEL 6087757914 1900 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 X Scott Rathgaber MD Chief Executive Officer 2.0 46.0 X X 0 1005902 58927 Julio Bird MD Board of Governors- Member 2.0 40.0 X 0 508400 57467 Sigurd Gundersen III MD Board of Governors- Member 2.0 43.0 X 0 457915 57467 Stephen Shapiro MD Board of Governors- Member 2.0 47.0 X 0 462556 60027 Jonathan Zlabek MD Board of Governors- Member 2.0 46.0 X 0 337801 59927 Gregory Thompson MD Board of Governors- Member,CMO 2.0 46.0 X X 0 462904 57467 Kelley Bahr MD Board of Governors- Member 2.0 46.0 X 0 360034 39485 Dana Benden MD Board of Governors- Member 2.0 46.0 X 0 472616 57467 Robyn Borge MD Board of Governors- Member 2.0 40.0 X 0 263793 36672 Jennifer Kleven MD Board of Governors- Member 2.0 42.0 X 0 142500 20347 Marilu Bintz MD Senior Vice President, CMO 2.0 48.0 X 0 635394 46703 Michael Dolan MD Exec VP, Medical COO 2.0 46.0 X 0 592442 58967 Elizabeth Smith-Houskamp RN Administrative COO 2.0 49.0 X 0 423284 39875 Mark Teresi Interim CFO 2.0 46.0 X 0 0 0 Rose Ann-Laureto Chief Information Officer 2.0 47.0 X 0 421006 46703 Kari Adank Chief Compliance Officer 2.0 46.0 X 0 203616 47571 Pamela Maas Chief Biz Dev & Mktg Officer 2.0 46.0 X 0 224747 41550 Janine Luz Chief Learning Officer 2.0 46.0 X 0 172798 34860 Dara Bartels CFO until June 2018 2.0 46.0 X 0 386123 40357 William Farrell Senior Vice President 0.0 41.0 X 0 395594 28875 Mary Ellen McCartney Senior Vice President 0.0 40.0 X 0 329024 48187 Mary Kuffel MD Medical Vice President 0.0 41.0 X 0 513196 41267 P Michael Jacobs DPM Medical Vice President 0.0 42.0 X 0 374940 59927 Todd Kowalski MD Medical Vice President 0.0 40.0 X 0 367906 57927 Stephanie Carroll MD Medical Vice President 0.0 40.0 X 0 320666 58010 Bryan Erdmann Vice President 0.0 43.0 X 0 261182 58336 Michael McKee Vice President 0.0 43.0 X 0 208406 50242 Lisa Wied Vice President 0.0 40.0 X 0 213099 48340 Kraig Schuster Vice President 0.0 42.0 X 0 220594 50026 Garith Steiner Vice President 0.0 40.0 X 0 278260 35750 Edward Riley II MD Medical Doctor 0.0 40.0 X 0 1217530 60027 Jerry Davis MD Medical Doctor 0.0 40.0 X 0 1223496 46467 Jeffrey Lawrence MD Medical Doctor 0.0 40.0 X 0 1132400 57467 Douglas Hughes MD Medical Doctor 0.0 40.0 X 0 1146139 46467 Patrick Conway MD Medical Doctor 0.0 40.0 X 0 1011337 57467 Brian Sieck MD Former BOG - Member 0.0 0.0 X 0 404790 60077 Frank Aberger MD Former BOG - Member 0.0 0.0 X 0 248279 57198 Brian Mulrennan MD Former BOG - Member 0.0 0.0 X 0 280615 59427 Jeffrey Thompson MD Former CEO, Board Chair 0.0 0.0 X 0 255300 57489 Kathleen Klock Former Senior Vice President 0.0 0.0 X 0 227369 43372 0 18163953 1944184 0 true true false Gundersen Lutheran Admin Services 1910 South Avenue La Crosse WI 54601 Services/Supplies 181890277 1 X 214149 9574 32383 256106 Medical Service Provided 621498 152481690 152291524 190166 ONLINE SALES - DERM AND PLASTICS 446199 75869 75869 VISION 446130 216751 216751 PHARMACY 446110 2615148 2615148 DIAGNOSTIC TESTING INCOME 621511 3152687 3152687 158542145 217683 217683 0 0 401315 55314 346001 0 346001 346001 10247 -10247 -10247 -10247 0 0 0 0 0 0 0 0 0 0 159351688 152291524 6250621 553437 1178731 1178731 877559 877559 0 0 0 0 0 0 0 0 64101269 33777829 30323440 8480 8480 0 19765 19765 0 0 11444447 11036554 407893 0 2566991 2550150 16841 227437 227437 0 8193485 3423393 4770092 648470 614591 33879 0 0 0 0 8433934 3227922 5206012 0 Supplies 22293244 21438476 854768 Leased Employees 117879008 114335840 3543168 Recruiting 1114399 1087520 26879 Miscellaneous 4216761 3935907 280854 243203980 197740154 45463826 0 196575 127240 0 0 0 0 12537477 16562016 0 0 0 0 0 0 3015099 3711126 242030 222958 336202334 176439987 147942640 159762347 10707215 11125480 20000 20000 0 0 1574828 1881725 3339081 2049464 179574945 195462356 15329410 5922836 0 0 0 0 0 0 0 0 0 0 0 0 0 0 423971959 533147847 439301369 539070683 X -259726424 -343608327 0 0 0 0 -259726424 -343608327 179574945 195462356 -83852292 -29611 X X false true X true true true X Supplemental Information THE CLINIC HAS OBTAINED TAX-EXEMPT STATUS AS AN ORGANIZATION WHOSE MAIN PURPOSE IS TO PROVIDE MEDICAL CARE. HOWEVER, THE CLINIC IS NOT REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE OF WISCONSIN AS A HOSPITAL AND IS NOT REQUIRED TO FILE SCHEDULE H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 19765 231180 19765 231180 243184215 2044382146 243203980 2044613326 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 271755 219895 243711 231180 966541 250000 250000 250000 250000 1000000 1500000 9250672 9250672 233537140 104799878 128737262 0 0 0 93414522 71640109 21774413 159762347 0 ASSET RETIREMENT OBLIG-FIN47 1492380 INTERCOMPANY PAYABLE 523559959 RESERVE MALPRACTICE CLAIMS 1381356 LT MALPRACTICE CLAIMS RSV 6679172 LEASE CONTRACT PAYABLE 34980 533147847 X Form 990 Sch D Part X Line 2 INCOME TAX MATTERS (DOLLARS 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, 2018 and 2017, net deferred tax assets of $7,574 and $5,036, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $6,300 and $4,000, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At December 31, 2018, the System's federal net operating loss carryforwards were approximately $30,291, and the state net operating loss carryforwards were approximately $27,785, which will expire between 2027 and 2036. 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, 2018, 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. true Gundersen Lutheran Medical Foundation Inc 1836 South Avenue La Crosse WI 54601 391249705 501 (C) (3) 1171344 Support of GLMF, Inc. LUTHERAN MEDICAL FOUNDATION, INC. 1 Charity Care 2609 877559 BOOK CHARITY CARE Form 990 Sch I Part I Line 2 ASSISTANCE WAS TO RELATED ORGANIZATIONS, FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF GOVERNORS. true false false false false false false false false Scott Rathgaber MD Chief Executive Officer 0 857656 0 65000 0 83246 0 39875 0 21070 0 1066847 0 0 Julio Bird MD Board of Governors- Member 0 504116 0 0 0 4284 0 39875 0 19592 0 567867 0 0 Sigurd Gundersen III MD Board of Governors- Member 0 446116 0 0 0 11799 0 39875 0 19592 0 517382 0 0 Stephen Shapiro MD Board of Governors- Member 0 459056 0 3000 0 500 0 39875 0 24490 0 526921 0 0 Jonathan Zlabek MD Board of Governors- Member 0 323156 0 10000 0 4645 0 39875 0 21954 0 399630 0 0 Gregory Thompson MD Board of Governors- Member,CMO 0 452116 0 0 0 10788 0 39875 0 19610 0 522389 0 0 Kelley Bahr MD Board of Governors- Member 0 352500 0 3000 0 4534 0 39485 0 2018 0 401537 0 0 Dana Benden MD Board of Governors- Member 0 469116 0 3000 0 500 0 39875 0 21930 0 534421 0 0 Robyn Borge MD Board of Governors- Member 0 257500 0 0 0 6293 0 36672 0 1498 0 301963 0 0 Jennifer Kleven MD Board of Governors- Member 0 139500 0 3000 0 0 0 20347 0 1812 0 164659 0 0 William Farrell Senior Vice President 0 376500 0 0 0 19094 0 28875 0 2018 0 426487 0 0 Marilu Bintz MD Senior Vice President, CMO 0 574456 0 0 0 60938 0 39875 0 8846 0 684115 0 0 Mary Ellen McCartney Senior Vice President 0 328524 0 0 0 500 0 39875 0 12530 0 381429 0 0 Michael Dolan MD Exec VP, Medical COO 0 586942 0 5000 0 500 0 39875 0 23430 0 655747 0 0 Elizabeth Smith-Houskamp RN Administrative COO 0 419000 0 0 4284 0 39875 0 2018 0 465177 0 0 Rose Ann-Laureto Chief Information Officer 0 402956 0 0 0 18050 0 39875 0 11166 0 472047 0 0 Mary Kuffel MD Medical Vice President 0 505912 0 3000 0 4284 0 39875 0 3410 0 556481 0 0 P Michael Jacobs DPM Medical Vice President 0 370656 0 0 0 4284 0 39875 0 22070 0 436885 0 0 Todd Kowalski MD Medical Vice President 0 362656 0 5000 0 250 0 39875 0 22390 0 430171 0 0 Stephanie Carroll MD Medical Vice President 0 317916 0 2500 0 250 0 39875 0 22164 0 382705 0 0 Bryan Erdmann Vice President 0 256257 0 2500 0 2425 0 38135 0 23559 0 322876 0 0 Michael McKee Vice President 0 207906 0 0 0 500 0 30994 0 21995 0 261395 0 0 Lisa Wied Vice President 0 209906 0 0 0 3193 0 30288 0 19319 0 262706 0 0 Kraig Schuster Vice President 0 220094 0 0 0 500 0 31216 0 21705 0 273515 0 0 Garith Steiner Vice President 0 277750 0 0 0 510 0 35750 0 3554 0 317564 0 0 Kari Adank Chief Compliance Officer 0 203366 0 0 0 250 0 29979 0 20251 0 253846 0 0 Pamela Maas Chief Biz Dev & Mktg Officer 0 221423 0 0 0 3324 0 32502 0 10334 0 267583 0 0 Janine Luz Chief Learning Officer 0 170368 0 0 0 2430 0 21392 0 14504 0 208694 0 0 Edward Riley II MD Medical Doctor 0 1217530 0 0 0 0 39875 0 24490 0 1281895 0 0 Jerry Davis MD Medical Doctor 0 1111616 0 0 0 111880 0 28875 0 19610 0 1271981 0 0 Jeffrey Lawrence MD Medical Doctor 0 1128116 0 0 0 4284 0 39875 0 19610 0 1191885 0 0 Douglas Hughes MD Medical Doctor 0 1107616 0 0 0 38523 0 28875 0 19610 0 1194624 0 0 Patrick Conway MD Medical Doctor 0 926616 0 0 0 84721 0 39875 0 21930 0 1073142 0 0 Dara Bartels CFO until June 2018 0 145376 0 0 0 240747 0 23382 0 18787 0 428292 0 0 Brian Sieck MD Former BOG - Member 0 400506 0 0 0 4284 0 39875 0 22220 0 466885 0 0 Frank Aberger MD Former BOG - Member 0 236946 0 0 0 11333 0 37096 0 23225 0 308600 0 0 Kathleen Klock Former Senior Vice President 0 226369 0 0 0 1000 0 33110 0 12423 0 272902 0 0 Jeffrey Thompson MD Former CEO, Board Chair 0 251555 0 0 0 3745 0 37337 0 21675 0 314312 0 0 Brian Mulrennan MD Former BOG - Member 0 269156 0 7500 0 3959 0 39875 0 39367 0 359857 0 0 Form 990 Sch J Part I Line 2 & 3 ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. Form 990 Sch J Part I Line 4a 2018 SEVERANCE PAYMENTS: DARA BARTELS $218,744 Form 990 Sch J Part II GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. PROVIDES LEASED EMPLOYEES AND MANAGEMENT SERVICES TO GUNDERSEN CLINIC. THEREFORE THE AMOUNTS REPORTED ON SCHEDULE J REPRESENT REIMBURSEMENTS TO GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. Form 990 Part I Line 1 DESCRIPTION OF ORGANIZATION MISSION TO PROVIDE MEDICAL AND SURGICAL SERVICES, ENGAGE IN MEDICAL EDUCATION AND RESEARCH, AND PROMOTE COMMUNITY HEALTH TO DELIVER THE HIGHEST QUALITY COMPREHENSIVE HEALTH CARE TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. Form 990 Part III Line 4a PROGRAM SERVICE ACCOMPLISHMENTS: GUNDERSEN CLINIC, LTD. (THE CLINIC) HAS 557 PHYSICIANS REPRESENTING NEARLY EVERY SPECIALTY SERVING A 21 COUNTY REGION IN WESTERN WISCONSIN, NORTHEASTERN IOWA AND SOUTHEASTERN MINNESOTA. THE CLINIC PROVIDES MEDICAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHARITY CARE AND/OR FINANCIAL ASSISTANCE IS DETERMINED BASED ON FINANCIAL INFORMATION PROVIDED BY THE PATIENT AND ANALYSIS OF OTHER RELEVANT INFORMATION. THERE WERE APPROXIMATELY 1,035,967 PATIENT ENCOUNTERS FOR 2018. THE CLINIC PROVIDED UNCOMPENSATED CARE RELATED TO CHARITY, $877,559; MEDICARE, $27,303,332; AND MEDICAID, $12,290,222 FOR THE TOTAL AMOUNT OF $40,471,113 AT COST BASED ON POLICIES AND CONTRACTS ARRANGED TO HELP SUPPORT THE COMMUNITY'S NEEDS. THE $40,471,113 IS THE SUM OF UNREIMBURSED MEDICARE & MEDICAID COST PLUS CHARITY AT COST. ALL OF THESE ARE CALCULATED USING THE SAME METHOD UTILIZED FOR THE HOSPITAL CALCULATION OF CHARITY COST AND UNREIMBURSED MEDICARE AND MEDICAID COSTS. THE COST OF CHARITY IS CALCULATED BY ALLOCATING THE COST TO PROVIDE SERVICES TO A PATIENT BETWEEN ANY PAYMENTS, BAD DEBT, AND CHARITY WRITE-OFFS WHERE TOTAL PAYMENTS ARE LESS THAN THE COST OF SERVICES PROVIDED. THE UNREIMBURSED MEDICARE AND MEDICAID COSTS ARE CALCULATED BY COMPARING THE COST OF SERVICES TO MEDICARE AND MEDICAID PATIENTS TO THE NET REVENUE FOR THOSE SAME PATIENTS. THE UNREIMBURSED COST IS THE AMOUNT THE COST EXCEEDS THE NET REVENUE FOR THOSE SAME PATIENTS. MEDICARE AND MEDICAID PATIENTS TO THE NET REVENUE FOR THOSE SAME PATIENTS. THE UNREIMBURSED COST IS THE AMOUNT THE COST EXCEEDS THE NET REVENUE FOR THOSE SAME PATIENTS. Form 990 Part IV Line 24a TAX EXEMPT BONDS GUNDERSEN CLINIC, LTD. IS PART OF THE OBLIGATED GROUP (GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC. , GUNDERSEN CLINIC, LTD., AND GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC.) AND TAX-EXEMPT DEBT RESIDES ON THE BALANCE SHEET OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. FEIN 39-1606449. Form 990 Part V Lines 1 & 2 ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. AND ALL PAYMENTS TO VENDORS ARE MADE BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. HENCE LINES 1 & 2 INDICATE ZERO (0) FILINGS. 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 THE CORPORATION'S SOLE SHAREHOLDER IS GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. THE BYLAWS MAY BE AMENDED BY THE BOARD WITH APPROVAL OF THE PARENT CORPORATION, OR BY THE VOTE OF THE SOLE SHAREHOLDER. ALSO, THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED UNDER THE DIRECTION OF THE CORPORATION'S BOARD OF GOVERNORS, SUBJECT TO CERTAIN APPROVAL POWERS OF THE BOARD OF GOVERNORS AND BOARD OF TRUSTEES OF THE PARENT 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. 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 CLINIC, LTD. MONITORS CONFLICTS ON AN ANNUAL BASIS BY REVIEWING DISCLOSURES ON COMPLETED CONFLICT OF INTEREST STATEMENTS. Form 990 Part VI Line 15 ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. 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 VII Section A Line 1 & Part VI Secion A Line 3 GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. PROVIDES LEASED EMPLOYEES AND MANAGEMENT SERVICES TO GUNDERSEN CLINIC. THEREFORE THE AMOUNTS REPORTED ON PART VII REPRESENT REIMBURSEMENTS TO GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. Form 990 Part VII GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. PAID AN INDEPENDENT EMPLOYMENT AGENCY $346,356 FOR MARK TERESIS SERVICES AS INTERIM CFO. Form 990 Part VIII Line 2a THE PROVISION OF MEDICAL SERVICES IN A MANNER BENEFICIAL TO THE COMMUNITY FURTHERS GUNDERSEN CLINIC, LTD.'S CHARITABLE PURPOSE OF PROMOTION OF HEALTH. Form 990 Part XII Line 3a THE INFORMATION IN THE SCHEDULE IS PRESENTED IN ACCORDANCE WITH THE REQUIREMENTS OF TITLE 2 U.S. CODE OF FEDERAL REGULATIONS PART 200, UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS. GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 SUPTNG. ORG WI 501(C)(3) LINE 12B,II NA false GUNDERSEN LUTHERAN MEDICAL CENTER INC 1910 SOUTH AVENUE LA CROSSE WI 54601 390813416 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false GUNDERSEN LUTHERAN MEDICAL FDN INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391249705 FOUNDATION WI 501(C)(3) LINE 7 GLHS false GUNDERSEN LUTHERAN ADM SERVICES INC 1910 SOUTH AVENUE LA CROSSE WI 54601 391606449 SUPTNG. 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WI 501(C)(3) LINE 10 GLHS false ST JOSEPH'S HEALTH SERVICES INC 400 WATER AVENUE HILLSBORO WI 54634 390929538 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false ST JOSEPH MEMORIAL FOUNDATION INC 400 WATER AVENUE HILLSBORO WI 54634 391455787 FOUNDATION WI 501(C)(3) LINE 12A, I S JOSEPH HS false TRI-COUNTY MEMORIAL FOUNDATION INC 18601 LINCOLN STREET WHITEHALL WI 54773 300093022 FOUNDATION WI 501(C)(3) LINE 12A, I TRI-COUNTY false MEMORIAL HOSPITAL OF BOSCOBEL 205 PARKER STREET BOSCOBEL WI 53805 390845590 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false MEMORIAL HOSPITAL OF BOSCOBEL FND INC 205 PARKER STREET BOSCOBEL WI 53805 391688793 FUNDRAISING WI 501(C)(3) LINE 7 NA false BOSCOBEL AREA HEALTH CARE PARTNERS 205 PARKER STREET BOSCOBEL WI 53805 450498844 FUNDRAISING WI 501(C)(3) LINE 7 NA false HARMONY COMMUNITY HEALTHCARE INC 815 MAIN AVENUE S HARMONY MN 55939 410711606 HEALTH CARE MN 501(C)(3) LINE 10 GLHS false TWEETEN LUTHERAN HEALTHCARE CENTER INC 125 FIFTH AVENUE SE SPRING GROVE MN 55974 411565003 HEALTH CARE MN 501(C)(3) LINE 10 GLHS false TRI-STATE AMBULANCE INC 235 CAUSEWAY BLVD LA CROSSE WI 54603 391965415 MDCL TRANSPO. WI 501(C)(3) LINE 3 GLHS false LUTHERAN REAL ESTATE HOLDING CORPORATION 1910 SOUTH AVENUE LA CROSSE WI 54601 391480826 HOUSING WI 501(C)(3) LN 12C, III GLHS false LUTHERAN HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391751934 INDP LIVING WI 501(C)(3) LINE 10 LRHC false COMMUNITY HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391586700 INDP LIVING WI 501(C)(3) LINE 10 LRHC false PALMER LUTHERAN HEALTH CENTER INC 112 JEFFERSON STREET WEST UNION IA 52175 421320763 HEALTH CARE IA 501(C)(3) LINE 3 GLHS false PALMER MEMORIAL FOUNDATION 112 JEFFERSON STREET WEST UNION IA 52175 421032878 FOUNDATION IA 501(C)(3) LINE 7 PLHC false Moundview Memorial Hospitals & Clinics 402 West Lake Street Friendship WI 53934 390944012 Healthcare WI 501(C)(3) Line 3 GLHS false Memorial HC Fdtn of Adams County Inc 402 West Lake Street Friendship WI 53934 391775074 Foundation WI 501(C)(3) Line 12A, I MMHC false DEGEN BERGLUND INC 1709 LOSEY BLVD S LA CROSSSE WI 54601 390971110 RTL PHARMACY WI GLHS C CORP 0 0 false GUNDERSEN LUTHERAN ENVISION LLC 1836 SOUTH AVENUE LA CROSSSE WI 54601 264706546 RENEWABLE ENERGY WI GLHS C CORP 0 0 false false true true false false false false false false true true true true false false true true false false Gundersen Clinic Ltd 1836 South Avenue La Crosse WI 54601 391028657 0 19765 19765 243184215 243203980 1000000 250000 0 0 0 Gundersen Lutheran Admin Se 1910 South Avenue La Crosse WI 54601 391606449 0 211415 211415 801331832 801543247 1000000 250000 0 0 0 Gundersen Medical Center In 1910 South Avenue La Crosse WI 54601 390813416 0 0 0 997319482 997319482 1000000 250000 0 0 0 Gundersen Health System Inc 1836 South Avenue La Crosse WI 54601 391866425 0 0 0 2546617 2546617 277331 69333 0 0 0