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 391606449 Gundersen Lutheran Administrative Services Inc % GERALD OETZEL CFO GUND 6087827300 1910 SOUTH AVE LA CROSSE WI 54601 GERALD OETZEL CFO 6087754443 2019-11-05 true MONROE J GIERL P01413237 6123055000 2019-11-03 167.68.102.5 41438720193155000002 2019-11-11 P 78E8547FA765C8D9E89905B57511D075833AD426 EA4B65EE71D42BE71D1FFD4325509DD549A18899 2018 2020-01-14 16:20:31Z GUNDERSEN ADMIN SERVICES INC SCOTT RATHGABER MD 1910 SOUTH AVE LA CROSSE WI 54601 842422212 false X WWW.GUNDERSENHEALTH.ORG X 1987 WI TO SUPPORT GUNDERSEN HEALTH SYSTEM'S HEALTH CARE AND OTHER ORGS MISSIONS THROUGHOUT OUR SERVICE AREA, MANAGING THE LARGER PORTION OF BUSINESS SVCS, EDUCATION AND INVESTING. 13 4 9977 596 639434 264478 441872 414875 687179666 811234825 28033820 29275211 476557 880753 716131915 841805664 1494750 3488867 0 0 643652174 682707905 0 0 0 109464251 115346475 754611175 801543247 -38479260 40262417 941583564 915514367 956164090 928337722 -14580526 -12823355 X SEE SCHEDULE O false false 786257036 3488867 810813346 GENERAL SERVICES PROVIDED TO GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC. AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES. 786257036 true true false true false false false false false false true false false false true true false true false false false false false false false false false true false true true false false false false false true false false true false false false false false false true false false false true 577 0 true 9977 true true true false false false false false false false false false false false X 13 4 true false false false true true true true true false false true true true true true true true true false WI X GERALD OETZEL CFO 6087757914 1910 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 X Scott Rathgaber MD Chief Executive Officer 42.0 6.0 X X 1005902 0 58927 Stephen Shapiro MD Board of Trustees- Member 42.0 7.0 X 462556 0 60027 Jonathan Zlabek MD Board of Trustees- Member 42.0 6.0 X 337801 0 59927 Gregory Thompson MD Board of Trustees- Member, CMO 42.0 6.0 X X 462904 0 57467 Kelley Bahr MD Board of Trustees- Member 42.0 6.0 X 360034 0 39485 Dana Benden MD Board of Trustees- Member 42.0 6.0 X 472616 0 57467 Wendy Lommen Board of Trustees- Board Chair 2.0 4.0 X X 0 0 0 John Lyche Board of Trustees - Secretary 2.0 4.0 X X 0 0 0 Gerald Arndt Board of Trustees - Member 2.0 7.0 X 0 0 0 Mark Glendenning Board of Trustees - Vice Chair 2.0 4.0 X X 0 0 0 Brad Sturm Board of Trustees - Treasurer 2.0 4.0 X X 0 0 0 Dan Florness Board of Trustees - Member 2.0 4.0 X 0 0 0 Richard Radcliffe Board of Trustees - Member 2.0 4.0 X 0 0 0 Marilu Bintz MD Senior Vice President, CMO 42.0 8.0 X 635394 0 46703 Michael Dolan MD Exec VP, Medical COO 42.0 6.0 X 592442 0 58967 Elizabeth Smith-Houskamp RN Administrative COO 42.0 9.0 X 423284 0 39875 Mark Teresi Interim CFO 42.0 6.0 X 0 0 0 Rose Ann-Laureto Chief Information Officer 42.0 7.0 X 421006 0 46703 Kari Adank Chief Compliance Officer 42.0 6.0 X 203616 0 47571 Pamela Maas Chief Biz Dev & Mktg Officer 42.0 6.0 X 224747 0 41550 Janine Luz Chief Learning Officer 42.0 6.0 X 172798 0 34860 Dara Bartels CFO Until June 2018 42.0 6.0 X 386123 0 40357 William Farrell Senior Vice President 40.0 1.0 X 395594 0 28875 Mary Ellen McCartney Senior Vice President 40.0 0.0 X 329024 0 48187 Mary Kuffel MD Medical Vice President 40.0 1.0 X 513196 0 41267 P Michael Jacobs DPM Medical Vice President 40.0 2.0 X 374940 0 59927 Todd Kowalski MD Medical Vice President 40.0 0.0 X 367906 0 57927 Stephanie Carroll MD Medical Vice President 40.0 0.0 X 320666 0 58010 Bryan Erdmann Vice President 40.0 3.0 X 261182 0 58336 Michael McKee Vice President 40.0 3.0 X 208406 0 50242 Lisa Wied Vice President 40.0 0.0 X 213099 0 48340 Kraig Schuster Vice President 40.0 2.0 X 220594 0 50026 Garith Steiner Vice President 40.0 0.0 X 278260 0 35750 Collin Driscoll MD Medical Doctor 40.0 0.0 X 936880 0 57467 Kurt Mueller MD Medical Doctor 40.0 0.0 X 826400 0 57467 Martin Koop DDS Medical Doctor 40.0 0.0 X 798412 0 41267 Steven Whitford MD Medical Doctor 40.0 0.0 X 751790 0 60077 Abdul Rehman MD Medical Doctor 40.0 0.0 X 722719 0 63227 Brian Sieck MD Board of Trustees - Member 0.0 0.0 X 404790 0 60077 Jeffery Thompson MD Former CEO 0.0 0.0 X 255300 0 57489 Kathleen Klock Former Senior VP 0.0 0.0 X 227369 0 43372 14567750 0 1667216 925 true true false MICROSOFT CORPORATION LOCKBOX 842469 1950 N STEMMONS FWY DALLAS TX 75207 SOFTWARE CONSULTANTS 3293774 FOWLER AND HAMMER INC 313 MONITOR STREET LA CROSSE WI 54603 BUILDING CONTRACTOR 7476402 KRAUS ANDERSON CONSTRUCTION CO 501 SOUTH EIGHTH STREET MINNEAPOLIS MN 54701 BUILDING CONTRACTOR 9633005 EPIC SYSTEM CORPORATION BOX 88314 MILWAUKEE WI 532880314 SOFTWARE CONSULTANTS 5196212 EPLUS TECHNOLOGY PO BOX 404398 ATLANTA GA 30384 SOFTWARE CONSULTANTS 4256281 375 154792 117741 142342 414875 Services provided to Gundersen 561000 810813346 810813346 ADMIN. AND TECHNICAL SUPPORT SERVICES 561499 421479 421479 811234825 29275211 29275211 0 0 1279346 616548 662798 0 662798 662798 0 0 0 0 0 0 0 0 0 0 Health Shop Sales 446199 217955 217955 217955 841805664 810813346 639434 29938009 3488867 3488867 0 0 0 6452937 1814522 4638415 0 525843884 519324872 6519012 56955965 55722261 1233704 60765349 60765349 32689770 32091400 598370 0 1315056 223529 1091527 500640 500640 211415 211415 0 1590339 1590339 15418193 15001351 416842 1122839 1122839 11309951 11269864 40087 22302746 22302746 0 8586598 8559353 27245 1016215 928275 87940 0 0 17608364 17608364 0 21078898 21078596 302 416002 416002 Bad Debts/Collections 1756897 1756897 Employee Development 2481996 2443599 38397 Dues/Memberships/License 2693040 2140703 552337 Miscellaneous 5937286 5895253 42033 801543247 786257036 15286211 0 21968354 22202036 182515643 137216836 0 0 0 0 17222 24904 0 0 13736503 15141982 7044358 7012518 14819344 14949444 246140453 152506440 82913428 93634013 606508602 612703154 0 0 0 0 0 0 12060110 12629480 941583564 915514367 127687180 131076480 0 0 0 0 381810000 373005000 0 0 0 0 0 0 0 0 446666910 424256242 956164090 928337722 X -14580526 -12823355 0 0 0 0 -14580526 -12823355 941583564 915514367 40262417 -38505246 X X false true X true true true X X 18 BOSCOBEL AREA HEALTHCARE PARTNERS 450498844 7 false 0 0 COMMUNITY HOUSING OF LA CROSSE INC 391586700 10 false 0 0 GUNDERSEN CLINIC LTD 391028657 3 true 0 0 GUNDERSEN LUTHERAN MEDICAL CENTER INC 390813416 3 true 0 0 GUNDERSEN LUTHERAN MEDICAL FOUNDATION 391249705 7 false 0 0 HARMONY COMMUNITY HEALTH CARE INC 410711606 7 false 0 0 LUTHERAN HOUSING OF LA CROSSE INC 391751934 10 false 0 0 MEMORIAL HOSPITAL OF BOSCOBEL 390845590 3 false 0 0 MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION INC 391688793 7 false 0 0 PALMER LUTHERAN HEALTH CENTER INC 421320763 3 false 0 0 Palmer Memorial Foundation 421032878 7 false 0 0 ST JOSEPH HEALTH SERVICES INC 390929538 3 false 0 0 TRI-COUNTY MEMORIAL HOSPITAL INC 390704510 3 false 0 0 TRI-STATE AMBULANCE INC 391965415 3 false 0 0 TRI-STATE REGIONAL AMBULANCE INC 391962965 10 false 0 0 TWEETEN LUTHERAN HEALTHCARE CENTER INC 411565003 10 false 0 0 Moundview Memorial Hospitals & Clinics 390944012 3 false 0 0 Memorial HC FDTN of Adams County Inc 391775074 10 false 0 0 18 false false false false false true false false false false false false false false false true Form 990 Sch A Part I Line 12g GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES IS AN INTEGRAL PART OF THE GUNDERSEN LUTHERAN HEALTH SYSTEM AND PROVIDES SUPPORT TO EACH OF THE ORGANIZATIONS LISTED; HOWEVER, SUCH SERVICES CANNOT EASILY BE QUANTIFIED IN DOLLAR-BASED TERMS. Form 990 Sch A Part IV Section A Line 1 THE ARTICLES OF INCORPORATION OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. (GLAS) PROVIDE THAT IT SHALL SUPPORT, OPERATE FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND CARRY OUT SOME OR ALL OF THE CHARITABLE PURPOSES OF GUNDERSEN LUTHERAN, INC., GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL CENTER, INC. AND THEIR NONPROFIT AFFILIATES (HEREAFTER REFERRED TO AS THE GUNDERSEN LUTHERAN HEALTH SYSTEM) SO LONG AS THOSE ORGANIZATIONS ARE DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE, AND OTHER SECTION 501(C)(3) ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE WHICH ARE AFFILIATED WITH ANY OF THE AFORESAID ORGANIZATIONS. GLAS SUPPORTS THE THREE NAMED ENTITIES, ALL OF WHICH HAVE BEEN RECOGNIZED AS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND HAVE BEEN CLASSIFIED AS PUBLIC CHARITIES UNDER IRC SECTION 509(A)(1) OR (2). FURTHER, PURSUANT TO THEIR BY-LAWS, THE GOVERNING BODY OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. (FORMALLY GUNDERSEN LUTHERAN, INC.) SERVES AS THE GOVERNING BODY OF GLAS, AS WELL AS GUNDERSEN CLINIC, LTD, AND GUNDERSEN LUTHERAN MEDICAL CENTER, INC. THUS, GLAS MEETS THE RELATIONSHIP TEST AS A TYPE II ORGANIZATION BECAUSE THERE IS COMMON SUPERVISION AND CONTROL BETWEEN GLAS AND ITS NAMED SUPPORTED ORGANIZATIONS (TREAS. REGS. SECTION 1.509(A)-4(H)). GLAS ALSO SUPPORTS ORGANIZATIONS DESCRIBED IN IRC SECTION 509(A)(1) AND (2) WHICH ARE AFFILIATED WITH THE SUPPORTED ORGANIZATIONS OR ARE 501(C)(3) PUBLIC CHARITIES AFFILIATED WITH THESE AFFILIATED ENTITIES. THEY ARE DESCRIBED BY CLASS. TO QUALIFY AS A SECTION 509(A)(3) SUPPORTING ORGANIZATION, AN ORGANIZATION MUST SUPPORT ONE OR MORE SPECIFIED ORGANIZATIONS. FOR TYPE II SUPPORTING ORGANIZATIONS, SPECIFIED ORGANIZATIONS CAN BE EITHER SPECIFIED BY NAME IN THE SUPPORTING ORGANIZATION'S ARTICLES OF INCORPORATION, OR THE ARTICLES MUST DESIGNATE THE SUPPORTED ORGANIZATION(S) BY CLASS OR PURPOSE AND WHICH INCLUDE PUBLICLY SUPPORTED ORGANIZATIONS WHICH ARE CLOSELY RELATED IN PURPOSE OR FUNCTION TO THE PUBLICLY SUPPORTED ORGANIZATIONS SPECIFIED IN THE ARTICLES. (TREAS. REGS. SECTION 1.509(A)-4(D)(2)(B)(2)). THEREFORE, THE LACK OF INCLUDING THE NAME OF THE AFFILIATED ORGANIZATIONS THAT GLAS WILL SUPPORT IN ITS ARTICLES OF INCORPORATION DOES NOT OTHERWISE DEFEAT GLAS'S STATUS AS A TYPE II SUPPORTING ORGANIZATION, BECAUSE ITS ARTICLES DESCRIBE THESE SUPPORTED ORGANIZATIONS BY CLASS (AFFILIATED WITH THE SPECIFIED SUPPORTED ORGANIZATION) AND REQUIRE THAT THEY BE EXEMPT FROM TAX UNDER IRC SECTION 501(C)(3) AND DESCRIBED IN IRC SECTION 509(A)(1) OR (2). Form 990 Sch A Part IV Line Section A Line 6 GENERAL SERVICES PROVIDED TO GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES. GLAS also gives grants to qualified 501(c)(3) public charities and governmental entities that support the mission of GLAS and the organizations they support. X 211415 231180 211415 231180 801331832 2044382146 801543247 2044613326 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 271755 219895 243711 231180 966541 250000 250000 250000 250000 1000000 1500000 9967756 9967756 64152647 18642022 45510625 4865231 2029331 2835900 167154819 131835087 35319732 93634013 0 INTERCOMPANY PAYABLE 391174220 LOSS ON SWAP CONTRACTS 20834217 LT CIMP LIABILITY 7657752 LEASE CONTRACT PAYABLE 2488880 TEB PREM/(DISC) CURRENT AND LT 1535054 DEFERRED COMPENSATION 366078 DEFERRED REVENUE 173756 SALES TAX PAYABLE 26285 424256242 X Form 990 Sch D Part X Line 2 INCOME TAX MATTERS (In thousands) The System qualifies as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code (the Code), with the exception of 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 HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 501(C)(3) 2528270 GENERAL SUPPORT EQUITY TRANSFER TOMAH MEMORIAL HOSPITAL 321 Butts Ave Tomah WI 54660 390799566 501(C)(3) 150000 Support LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM 1725 State Street La Crosse WI 54601 391804725 501(C)(3) 88645 Support ESSENTIAL HEALTH CLINIC 1201 Caledonia St La Crosse WI 54603 391166634 501(C)(3) 49969 Support COULEE COUNCIL ON ADDICTIONS 921 West Ave S La Crosse WI 54601 391129125 501(C)(3) 38000 Support LA CROSSE CITY TREASURER 400 La Crosse St La Crosse WI 54601 396005490 Gov. entity 35300 Support GREAT RIVERS UNITED WAY 1855 East Main St Onalaska WI 54650 390848188 501(C)(3) 31280 Support LA CROSSE COMMUNITY FOUNDATION 401 Main St Suite 205 La Crosse WI 54601 396037996 501(C)(3) 25000 Support ARCADIA EDUCATIONAL FOUNDATION 675 Raider Dr Arcadia WI 54612 391622250 501(C)(3) 25000 Support LA CROSSE COLLABORATIVE TO END HOMELESSNESS PO Box 266 La Crosse WI 54602 391896823 501(C)(3) 25000 Support LA CROSSE COUNTY HEALTH DEPT 300 N 4th St 2nd floor La Crosse WI 54601 396005709 Gov. entity 20000 Support CITY OF PRAIRIE DU CHIEN 214 E Blackhawk Ave PO Box 324 Prairie due Chien WI 53821 396005577 Gov. entity 20000 Support LA CROSSE AREA CHAMBER OF COMMERCE 601 7th St N La Crosse WI 54601 390414500 501(C)(6) 19025 Support BOYS AND GIRLS CLUBS OF GREATER LA CROSSE PO Box 91 La Crosse WI 54602 396084791 501(C)(3) 16200 Support SCHOOL DISTRICT OF LA CROSSE 807 East Ave La Crosse WI 54601 396002841 Gov. entity 14500 Support CHILDRENS HOSPITAL OF WISCONSIN 6737 W Washington St Suite 1111 West Allis WI 53214 390812532 501(C)(3) 12000 Support AIDS RESOURCE CENTER OF WISCONSIN 820 N Plankinton Ave Milwaukee WI 53203 391534049 501(C)(3) 10000 Support ST JOSEPH'S FOUNDATION 400 Water Ave Hillsboro WI 54634 391455787 501(C)(3) 10000 Support SCHOOL DISTRICT OF HOLMEN 1019 Mc Huch Rd Holmen WI 54636 396002627 501(C)(3) 10000 Support FAMILY AND CHILDRENS CENTER 1707 Main St La Crosse WI 54601 390821863 501(C)(3) 10000 Support UNIVERSITY OF WISCONSIN LACROSSE 1725 State Street La Crosse WI 54601 391145116 Gov. entity 10000 Support JUNIOR ACHIEVEMENT OF WISCONSIN 2715 Losey Boulevard La Crosse WI 54601 841267604 501(C)(3) 10000 Support LA CROSSE TRACK CLUB W5250 Knobloch Road La Crosse WI 54601 452397054 501(C)(3) 8000 Support FESTIVAL FOODS TURKEY TROT 1724 Lawrence Dr De Pere WI 54115 391699966 501(C)(3) 7500 Support ROTARY WORKS FOUNDATION PO Box 1571 La Crosse WI 54602 930833338 501(C)(3) 6500 Support LA CROSSE SYMPHONY ORCHESTRA 201 Main St Suite 230 La Crosse WI 54601 391024330 501(C)(3) 6200 Support FRIENDS OF COULEE REGION RSVP 2920 East Ave S Suite 104 La Crosse WI 54601 391781646 501(C)(3) 6000 Support HABITAT FOR HUMANITY 3181 Berlin Dr La Crosse WI 54601 391706999 501(C)(3) 6000 Support GROW LA CROSSE INC PO Box 1241 La Crosse WI 54602 470992006 501(C)(3) 5500 Support 7 RIVERS ALLIANCE INC 601 7th St N La Crosse WI 54601 010938132 501(C)(3) 5250 Support 29 1 Form 990 Sch I Part I Line 2 THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES. X X X true false false false false false false false false Scott Rathgaber MD Chief Executive Officer 857656 0 65000 0 83246 0 39875 0 21070 0 1066847 0 0 0 Stephen Shapiro MD Board of Trustees- Member 459056 0 3000 0 500 0 39875 0 24490 0 526921 0 0 0 Jonathan Zlabek MD Board of Trustees- Member 323156 0 10000 0 4645 0 39875 0 21954 0 399630 0 0 0 Gregory Thompson MD Board of Trustees- Member, CMO 452116 0 0 0 10788 0 39875 0 19610 0 522389 0 0 0 Kelley Bahr MD Board of Trustees- Member 352500 0 3000 0 4534 0 39485 0 2018 0 401537 0 0 0 Dana Benden MD Board of Trustees- Member 469116 0 3000 0 500 0 39875 0 21930 0 534421 0 0 0 William Farrell Senior Vice President 376500 0 0 0 19094 0 28875 0 2018 0 426487 0 0 0 Marilu Bintz MD Senior Vice President, CMO 574456 0 0 0 60938 0 39875 0 8846 0 684115 0 0 0 Mary Ellen McCartney Senior Vice President 328524 0 0 0 500 0 39875 0 12530 0 381429 0 0 0 Michael Dolan MD Exec VP, Medical COO 586942 0 5000 0 500 0 39875 0 23430 0 655747 0 0 0 Elizabeth Smith-Houskamp RN Administrative COO 419000 0 0 0 4284 0 39875 0 2018 0 465177 0 0 0 Rose Ann-Laureto Chief Information Officer 402956 0 0 0 18050 0 39875 0 11166 0 472047 0 0 0 Mary Kuffel MD Medical Vice President 505912 0 3000 0 4284 0 39875 0 3410 0 556481 0 0 0 P Michael Jacobs DPM Medical Vice President 370656 0 0 4284 0 39875 0 22070 0 436885 0 0 0 Todd Kowalski MD Medical Vice President 362656 0 5000 0 250 0 39875 0 22390 0 430171 0 0 0 Stephanie Carroll MD Medical Vice President 317916 0 2500 0 250 0 39875 0 22164 0 382705 0 0 0 Bryan Erdmann Vice President 256257 0 2500 0 2425 0 38135 0 23559 0 322876 0 0 0 Michael McKee Vice President 207906 0 0 0 500 0 30994 0 21995 0 261395 0 0 0 Lisa Wied Vice President 209906 0 0 0 3193 0 30288 0 19319 0 262706 0 0 0 Kraig Schuster Vice President 220094 0 0 0 500 0 31216 0 21705 0 273515 0 0 0 Garith Steiner Vice President 277750 0 0 0 510 0 35750 0 3554 0 317564 0 0 0 Kari Adank Chief Compliance Officer 203366 0 0 0 250 0 29979 0 20251 0 253846 0 0 0 Pamela Maas Chief Biz Dev & Mktg Officer 221423 0 0 0 3324 0 32502 0 10334 0 267583 0 0 0 Janine Luz Chief Learning Officer 170368 0 0 0 2430 0 21392 0 14504 0 208694 0 0 0 Dara Bartels CFO Until June 2018 145376 0 0 0 240747 0 23382 0 18787 0 428292 0 0 0 Brian Sieck MD Board of Trustees - Member 400506 0 0 0 4284 0 39875 0 22220 0 466885 0 0 0 Kathleen Klock Former Senior VP 226369 0 0 0 1000 0 33110 0 12423 0 272902 0 0 0 Jeffery Thompson MD Former CEO 251555 0 0 0 3745 0 37337 0 21675 0 314312 0 0 0 Collin Driscoll MD Medical Doctor 851616 0 0 0 85264 0 39875 0 19610 0 996365 0 0 0 Kurt Mueller MD Medical Doctor 816616 0 5000 0 4784 0 39875 0 19610 0 885885 0 0 0 Martin Koop DDS Medical Doctor 794912 0 3000 0 500 0 39875 0 5730 0 844017 0 0 0 Steven Whitford MD Medical Doctor 744006 0 3000 0 4784 0 39875 0 22220 0 813885 0 0 0 Abdul Rehman MD Medical Doctor 705856 0 0 0 16863 0 39875 0 27690 0 790284 0 0 0 Form 990 Sch J Part I Line 4a 2018 severance Payments: Dara Bartels - $218,744 A WHEFA SERIES 2011A ISSUANCE 391337855 97710BJ78 2011-09-29 132855000 SEE PART VI false false false B WHEFA SERIES 2016 ISSUANCE 391337855 000000000 2016-02-12 40000000 SEE PART VI false false false C WHEFA SERIES 2009 ISSUANCE 391337855 97710BE65 2011-03-17 76005000 SEE PART VI false false false D WHEFA SERIES 2008B ISSUANCE 391337855 97710BBG6 2010-09-01 61400000 SEE PART VI false false false A 38635000 0 162563462 0 0 0 1938652 0 0 70140245 90473803 0 2014 true false true true B 0 0 40000000 0 0 0 0 0 0 0 40000000 0 2016 true false true true C 8415000 0 78715000 0 0 0 0 0 0 0 78715000 0 2005 true false true true D 0 0 61400000 0 0 0 0 0 0 0 61400000 0 2008 true false true true A false false false false 0 true false false true B false false false false 0 true false false true C false true false false 0.01400 0.01400 true false false true D false false false false 0 true true true true A false true false false 0 false 0 false true B false true true false 0 false 0 false true C true true true PIPERMERRILL 0.295 false 0 false true D true true true MERRILL 0.27 false 0 false true A true B true C true D true A WHEFA SERIES 2012 ISSUANCE 391337855 97710B4B5 2012-09-27 69355000 SEE PART VI false false false B WHEFA Series 2015 Issuance 391337855 000000000 2015-12-23 10650000 SEE PART VI false false false A 990000 0 71875660 0 0 0 961054 0 0 70929112 0 0 2014 false false true true B 3500000 0 12041231 0 0 0 0 0 0 12094721 0 0 2017 false false true true A false false false false 0 true false false true B false false false false 0 true false false true A false true false false 0 false 0 false true B false true true false 0 false 0 false true A true B true Sch K PART I BOND ISSUES: LINE A (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2011A (F) DESCRIPTION OF PURPOSE: CURRENTLY REFUNDED THE 2000 SERIES A AND B ISSUED 10/10/2000. 2008 SERIES A ISSUED 5/29/2008 AND NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITIES AND COSTS OF ISSUANCE PART I BOND ISSUES: LINE B (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2016B (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE SERIES 2016 BONDS WERE USED TO CURRENTLY REFUND, IN THEIR ENTIRETY, THE WISCONSIN HEALTH AND EDUCATIONAL FACILITY VARIABLE RATE REVENUE BONDS, SERIES 2011B (GUNDERSEN LUTHERAN) PART I BOND ISSUES: LINE C (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2009 (C) CUSIP ID: 97710BE65/9910BE73 (F) DESCRIPTION OF PURPOSE: CONVERSION AND REISSUANCE OF 2009 BONDS, ORIGINALLY ISSUED 5/22/2009 TO FINANCE CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITIES AND CURRENTLY REFUND THE SERIES 2003B/C BONDS PART I BOND ISSUES: LINE D (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2008B (F) DESCRIPTION OF PURPOSE: CONVERSION AND REISSUANCE OF 2008 BONDS, ORIGINALLY ISSUED 5/29/2008 TO FINANCE THE REPAYMENT OF A LINE OF CREDIT USED TO REPAY THE SERIES 2006 BONDS, WHICH FINANCED THE CONSTRUCTION AND EQUIPPING OF HEALTH CARE FACILITIES AND COSTS OF ISSUANCE PART I BOND ISSUES: LINE E (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2012 (F) DESCRIPTION OF PURPOSE: NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF HOSPITAL AND COSTS OF ISSUANCE PART I BOND ISSUES: LINE F (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2015 (F) DESCRIPTION OF PURPOSE: NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF A CLINIC Sch K Part III Line 7 Gundersen monitors the private use of its bond-financed assets and routinely takes steps to limit private use. Gundersen manages compliance through its private use monitoring. Sch K Part Line 8a & 8c Gundersen had a sale of a bond financed asset from the 2008B issuance. 800.00 was reissued on 7/15/15 in order to remediate a sale. William Farrell Employee-Sr. VP Bonus/Relocation X 40000 24904 false true true 24904 Sean Agger SEE SUPPLEMENTAL INFO 220461 Employment false James Klock SEE SUPPLEMENTAL INFO 122640 Employment false Belinda Klock SEE SUPPLEMENTAL INFO 74753 Employment false April Farrell SEE SUPPLEMENTAL INFO 599060 Employment false Brenda White SEE SUPPLEMENTAL INFO 39531 Employment false Jonathan Klock SEE SUPPLEMENTAL INFO 119132 Employment false Tom Thompson SEE SUPPLEMENTAL INFO 52509 Employment false Margaret Webster MD SEE SUPPLEMENTAL INFO 150746 Employment false Ricardo Rivera SEE SUPPLEMENTAL INFO 103938 Employment false Megan Klock SEE SUPPLEMENTAL INFO 73396 Employment false Shannan Stephens MD SEE SUPPLEMENTAL INFO 346749 Employment false Ingri Gundersen Lombardi SEE SUPPLEMENTAL INFO 47108 Employment false John Houskamp MD SEE SUPPLEMENTAL INFO 322480 Employment false Tiffany Kimball SEE SUPPLEMENTAL INFO 39796 Employment false Scott Wied SEE SUPPLEMENTAL INFO 112194 Employment false Karl Borge SEE SUPPLEMENTAL INFO 257452 Employment false Noel Radcliffe MD SEE SUPPLEMENTAL INFO 241476 Employment false Jeffrey Richards SEE SUPPLEMENTAL INFO 32624 Employment false James Kleven SEE SUPPLEMENTAL INFO 426906 Employment false Sara Battison SEE SUPPLEMENTAL INFO 57815 Employment false Dan Howard SEE SUPPLEMENTAL INFO 60894 Employment false Deborah Schwartz SEE SUPPLEMENTAL INFO 78165 Employment false Emily Dolan SEE SUPPLEMENTAL INFO 31219 Employment false Form 990 Sch L Part IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: SEAN AGGER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF WILLIAM AGGER, M.D., FORMER DIRECTOR (A) NAME OF PERSON: JAMES KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, 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: TOM THOMPSON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFFREY THOMPSON, M.D., Former DIRECTOR (A) NAME OF PERSON: MARGARET WEBSTER, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MARK GLENDENNING, DIRECTOR (A) NAME OF PERSON: RICARDO RIVERA (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JULIO BIRD, M.D., DIRECTOR (A) NAME OF PERSON: MEGAN KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, 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: Jeffrey Richards (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF Dara Bartels, Officer (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: EMILY DOLAN (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MICHAEL DOLAN, M.D., OFFICER (A) NAME OF PERSON: SARA BATTISON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF SIGURD GUNDERSEN III, M.D., DIRECTOR Form 990 Part III Line 1 DESCRIPTION OF ORGANIZATION MISSION: TO SUPPORT GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.'S PROGRAMS OF HEALTH CARE, MEDICAL EDUCATION, MEDICAL RESEARCH AND COMMUNITY HEALTH PROMOTION ACTIVITIES WITHIN THE MEANING OF SECTION 509(A)(3) OF THE IRC; BORROWING AND LENDING OF FUNDS AND PROPERTY, ENGAGING IN FINANCIAL TRANSACTIONS WITH AND/OR ON BEHALF OF THE GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., ALONG WITH GENERAL SERVICES PROVIDED TO GUNDERSEN CLINIC, LTD. AND GUNDERSEN LUTHERAN MEDICAL CENTER, INC. Form 990 Part VI Line 2 MARK GLENDENNING and GERALD ARNDT - BUSINESS RELATIONSHIP Form 990 Part VI Line 6 GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. Form 990 Part VI Line 7a 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 VII GUNDERSEN Lutheran administrative services PAID AN INDEPENDENT EMPLOYMENT AGENCY $346,356 FOR MARK TERESIS SERVICES AS INTERIM CFO. Form 990 Part XII Line 3a GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. OPERATES IN CONJUNCTION WITH A GROUP OF OTHER AFFILIATED CORPORATIONS GOVERNED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AS SUCH, ANY FEDERAL AWARDS TO GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND uniform guidance. GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 SUPTNG. 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WI 501(C)(3) LINE 10 GLHS false STJOSEPH'S HEALTH SERVICES INC 400 WATER AVENUE HILLSBORO WI 54634 390929538 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false ST JOSEPH MEMORIAL FOUNDATION INC 400 WATER AVENUE HILLSBORO WI 54634 391455787 FOUNDATION WI 501(C)(3) LINE 12A, I S JOSEPH HS false TRI-COUNTY MEMORIAL FOUNDATION INC 18601 LINCOLN STREET WHITEHALL WI 54773 300093022 FOUNDATION WI 501(C)(3) LINE 12A, I TRI-COUNTY false MEMORIAL HOSPITAL OF BOSCOBEL 205 PARKER STREET BOSCOBEL WI 53805 390845590 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false MEMORIAL HOSPITAL OF BOSCOBEL FNDT INC 205 PARKER STREET BOSCOBEL WI 53805 391688793 FUNDRAISING WI 501(C)(3) LINE 7 NA false BOSCOBEL AREA HEALTH CARE PARTNERS 205 PARKER STREET BOSCOBEL WI 53805 450498844 FUNDRAISING WI 501(C)(3) LINE 7 NA false HARMONY COMMUNITY HEALTHCARE INC 815 MAIN AVENUE S HARMONY MN 55939 410711606 HEALTH CARE MN 501(C)(3) LINE 10 GLHS false TWEETEN LUTHERAN HEALTHCARE CENTER INC 125 FIFTH AVENUE SE SPRING GROVE MN 55974 411565003 HEALTH CARE MN 501(C)(3) LINE 10 GLHS false TRI-STATE AMBULANCE INC 235 CAUSEWAY BLVD LA CROSSE WI 54603 391965415 MDCL TRANSPO. WI 501(C)(3) LINE 3 GLHS false LUTHERAN REAL ESTATE HOLDING CORPORATION 1910 SOUTH AVENUE LA CROSSE WI 54601 391480826 HOUSING WI 501(C)(3) LN 12C, III GLHS false LUTHERAN HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391751934 INDP LIVING WI 501(C)(3) LINE 10 LRHC false COMMUNITY HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391586700 INDP LIVING WI 501(C)(3) LINE 10 LRHC false PALMER LUTHERAN HEALTH CENTER INC 112 JEFFERSON STREET WEST UNION IA 52175 421320763 HEALTH CARE IA 501(C)(3) LINE 3 GLHS false PALMER MEMORIAL FOUNDATION 112 Jefferson Street West Union IA 52175 421032878 FOUNDATION IA 501(C)(3) LINE 7 PLHC false Moundview Memorial Hospitals & Clinics 402 West Lake Street Friendship WI 53934 390944012 Healthcare WI 501(C)(3) Line 3 GLHS false Memorial HC FDTN of Adams County Inc 402 West Lake Street Friendship WI 53934 391775074 Foundation WI 501(C)(3) Line 12A, I MMHC false DEGEN BERGLUND INC 1709 LOSEY BLVD S LA CROSSE WI 54601 390971110 RTL PHARMACY WI GLHS C Corp 0 0 false GUNDERSEN LUTHERAN ENVISION LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 264706546 RENEWABLE ENERGY WI GLHS C Corp 0 0 false false true true true false false false false false true false true true false false true true true false Form 990 Sch R Part IV Line 1 and 2 DEGEN BERGLUND, INC. AND GUNDERSEN LUTHERAN ENVISION, LLC ARE DIRECTLY OWNED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AND INDIRECTLY OWNED BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. GUNDERSEN LUTHERAN ADMINISTR 1910 S AVE LA CROSSE WI 54601 391606449 0 211415 211415 801331832 801543247 1000000 250000 0 0 0 GUNDERSEN CLINIC 1836 S AVE LA CROSSE WI 54601 391028657 0 19765 19765 243184215 243203980 1000000 250000 0 0 0 GUNDERSEN LUTHERAN MEDICAL C 1910 S AVE LA CROSSE WI 54601 390813416 0 0 0 997319482 997319482 1000000 250000 0 0 0 GUNDERSEN LUTHERAN HEALTH SY 1836 S AVE LA CROSSE WI 54601 391866425 0 0 0 2546617 2546617 277331 69333 0 0 0