GUNDERSEN LUTHERAN HEALTH SYSTEM INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GUNDERSEN LUTHERAN HEALTH SYSTEM INC (EIN 39-1866425)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201733189349311678
Schema version
2016v3.1
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)
Return2017-11-14T16:53:54-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14200 WELLS FARGO CTR 90 S 7TH STAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391866425EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Gundersen Lutheran Health System IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Dara BartelsInCareOfNm
Business Name ControlGUNDBusinessNameControlTxt
Phone6087827300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11836 South Ave Suite NCA1-01AddressLine1Txt
CityLa CrosseCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDARA BARTELSPersonNm
Person TitleCFOPersonTitleTxt
Phone6087759487PhoneNum
Signature2017-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMonroe J GierlPreparerPersonNm
PTINP01413237PTIN
Phone6123055000PhoneNum
Preparation2017-11-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id47006120173185000005FederalOriginalSubmissionId
Federal Original Submission Id2017-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCBDCF8A62BCD6705D428F3975F29828786D22771AtSubmissionCreationDeviceId
At Submission Filing Device Id30031D5E7EADAC179FA13A5C3B90D0218042D0DAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Gundersen Health SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerScott Rathgaber MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11836 South AvenueAddressLine1Txt
CityLa CrosseCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,902,164GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.gundersenhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$134,024TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$80,445NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$15,949,000CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$361,191PYInvestmentIncomeAmt
CY Investment Income$1,584CYInvestmentIncomeAmt
PY Other Revenue$143,890PYOtherRevenueAmt
CY Other Revenue-$48,420CYOtherRevenueAmt
PY Total Revenue$505,081PYTotalRevenueAmt
CY Total Revenue$15,902,164CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$15,949,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$54,332PYOtherExpensesAmt
CY Other Expenses$0CYOtherExpensesAmt
PY Total Expenses$54,332PYTotalExpensesAmt
CY Total Expenses$15,949,000CYTotalExpensesAmt
PY Revenues Less Expenses$450,749PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$46,836CYRevenuesLessExpensesAmt
Total Assets BOY$15,725,428TotalAssetsBOYAmt
Total Assets EOY$41,946,668TotalAssetsEOYAmt
Total Liabilities BOY$592,392TotalLiabilitiesBOYAmt
Total Liabilities EOY$347,567TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,133,036NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$41,599,101NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo support Gundersen Lutheran Medical Center, Inc. and Gundersen Clinic, Ltd. and/or their affiliates' programs of health care, medical education, medical research and community health promotion activities within the meaning of Sec 509(a)(3) of the IRC; to engage in activities relating to the aforementioned purposes, including the power to acquire/receive funds and property of every kind and to invest in, receive, hold, use and dispose of all property, real or personal, to carry into effect the aforementioned purposes.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$15,949,000ExpenseAmt
Grant$15,949,000GrantAmt
DescGundersen Lutheran Health System, Inc. provides support to an integrated health system with local access in the primarily rural region of West Central Wisconsin, Southeast Minnesota and Northeast Iowa. Gundersen Lutheran Health System Inc.'s affiliates comprehensive range of services include inpatient, clinical, behavioral health, diagnostic, emergency and other services in numerous medical specialties.Desc
Total Program Service Expenses$15,949,000TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
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 BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
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)
PersonDara BartelsPersonNm
Phone6087759487PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11836 South AvenueAddressLine1Txt
CityLa CrosseCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Scott Rathgaber MD
Chief Executive Officer2.046.0Yes (X)Yes (X)$0$849,051$65,310
Greg Prairie
Board of Trustees - Member2.04.0Yes (X)$0$0$0
Wendy Lommen
Board of Trustees - Treasurer2.04.0Yes (X)Yes (X)$0$0$0
John Lyche
Board of Trustees - Secretary2.06.0Yes (X)Yes (X)$0$0$0
Gerald Arndt
Board of Trustees - Member2.07.0Yes (X)$0$0$0
Gerald Kember
Board of Trustees - Member2.06.0Yes (X)$0$0$0
Mark Glendenning
Board of Trustees - Vice Chair2.04.0Yes (X)Yes (X)$0$0$0
Brad Sturm
Board of Trustees -Board Chair2.04.0Yes (X)Yes (X)$0$0$0
Stephen Shapiro MD
Board of Trustees - Member2.049.0Yes (X)$0$447,769$65,810
Brian Sieck MD
Board of Trustees - Member2.046.0Yes (X)$0$396,779$65,860
Kelley Bahr MD
Board of Trustees - Member2.046.0Yes (X)$0$359,195$36,250
Jonathan Zlabek MD
Board of Trustees - Member2.046.0Yes (X)$0$308,089$55,210
Greg Thompson MD
BOT- MEMBER, CMO2.048.0Yes (X)Yes (X)$0$434,435$64,498
Elizabeth Smith-Houskamp
VICE PRESIDENT, ADMIN COO2.046.0Yes (X)$0$379,352$39,750
Michael Dolan MD
Exec VP, Medical COO2.048.0Yes (X)$0$594,071$63,310
Debra Rislow
SVP, Admin COO2.050.0Yes (X)$0$389,872$37,105
Rose Ann-Laureto
Chief Information Officer2.046.0Yes (X)$0$198,283$25,619
Dara Bartels
Chief Financial Officer2.049.0Yes (X)$0$333,933$63,310
P Michael Jacobs DPM
Medical Vice President0.042.0$0$359,451$65,810Yes (X)
Mary Kuffel MD
Medical Vice President0.040.0$0$466,107$41,014Yes (X)
Stephanie Carroll MD
Medical Vice President0.040.0$0$304,757$54,874Yes (X)
Todd Kowalski MD
Medical Vice President0.042.0$0$316,508$58,976Yes (X)
Lisa Wied
Vice President0.040.0$0$126,327$18,488Yes (X)
Mike McKee
Vice President0.040.0$0$140,364$47,961Yes (X)
Kraig Schuster
Vice President0.040.0$0$200,944$53,829Yes (X)
Bryan Erdmann
Vice President0.042.0$0$233,187$61,495Yes (X)
Kelly Barton
Vice President0.042.0$0$122,845$6,729Yes (X)
Marilu Bintz MD
Senior Vice President, Med VP0.041.0$0$577,390$49,852Yes (X)
Kathleen Klock
Senior Vice President0.041.3$0$427,120$39,750Yes (X)
Mark Platt
Senior Vice President0.042.5$0$378,178$63,310Yes (X)
Jeffrey Lawrence MD
Medical Doctor0.040.0$0$1,055,691$63,310Yes (X)
Edward Riley II MD
Medical Doctor0.040.0$0$1,220,159$65,810Yes (X)
Jerry Davis MD
Medical Doctor0.040.0$0$1,195,691$52,710Yes (X)
Patrick Conway MD
Medical Doctor0.040.0$0$969,009$63,310Yes (X)
Douglas Hughes MD
Medical Doctor0.040.0$0$1,076,418$52,710Yes (X)
Mary Lu Gerke
Former Vice President0.040.0$0$198,836$39,102Yes (X)
Jeffrey Thompson MD
Former CEO0.040.0$0$247,444$63,560Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$14,307,255TotReportableCompRltdOrgAmt
Total Other Compensation$1,544,632TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonNAPersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$15,949,000RelatedOrganizationsAmt
Total Contributions$15,949,000TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,584TotalRevenueColumnAmt
Unrelated Business Revenue$134,024UnrelatedBusinessRevenueAmt
Exclusion-$132,440ExclusionAmt

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
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)
DescOther Operating RevenueDesc
Business900099BusinessCd
Total Revenue Column-$48,420TotalRevenueColumnAmt
Exclusion-$48,420ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$48,420OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,902,164TotalRevenueColumnAmt
Unrelated Business Revenue$134,024UnrelatedBusinessRevenueAmt
Exclusion-$180,860ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$15,949,000TotalAmt
Program Services$15,949,000ProgramServicesAmt

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$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,949,000TotalAmt
Program Services$15,949,000ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$215,610BOYAmt
EOY$148,635EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$475,031BOYAmt
EOY$249,797EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,034,787BOYAmt
EOY$18,964,478EOYAmt

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$0BOYAmt
EOY$22,583,758EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,725,428BOYAmt
EOY$41,946,668EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

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

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$0BOYAmt
EOY$0EOYAmt

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$592,392BOYAmt
EOY$347,567EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$592,392BOYAmt
EOY$347,567EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,133,036BOYAmt
EOY$41,599,101EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,133,036BOYAmt
EOY$41,599,101EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,725,428BOYAmt
EOY$41,946,668EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$46,836ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$691NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$26,513,592OtherChangesInNetAssetsAmt
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 RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Gundersen Lutheran Medical Center Inc
3908134163Yes (true)$0$0
Gundersen Clinic Ltd
3910286573Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 12g:Gundersen Lutheran Health System, Inc. provides support to each of the organizations listed; however, such services cannot easily be quantified in dollar-based terms.
Schedule A, Part IV, Section A, Line 6:Services provided by supporting, operating for benefit of, performing the functions of, and carrying out the charitable purposes of Gundersen Lutheran Health System affiliates. The organization supports the Gundersen Lutheran Health System affiliates' programs of health care, medical education, medical research and community health promotion activities within the meaning of Section 509(a)(3) of the Internal Revenue Code.

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$0FilingOrganizationsTotalAmt
Affiliated Group Total$219,895AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$219,895AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$15,949,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,847,029,847AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$15,949,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,847,249,742AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$947,450FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$236,863FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
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$243,735CurrentYearMinus3Amt
Current Year Minus2$281,562CurrentYearMinus2Amt
Current Year Minus1$271,755CurrentYearMinus1Amt
Current Year$219,895CurrentYearAmt
Total$1,016,947TotalAmt

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
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
DEGEN BERGLUND, INC.$3,106,954F
GUNDERSEN LUTHERAN ENVISION$15,856,024F
GUNDERSEN CLINIC, LTD$1,500F
FieldValueIRS element (for citing)
Total Book Value Securities$18,964,478TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescNONCONSOLIDATED AFFIL.-EQUITYDesc
Book Value$22,583,758BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$22,583,758TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUMDesc
Amt$347,567Amt
FieldValueIRS element (for citing)
Total Liability$347,567TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2:FormAndLineReferenceDesc
ExplanationIncome Tax Footnote (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 Gundersen Health Plan, Inc. and Gundersen Health Plan Minnesota, Inc., which are tax-exempt organizations under 501(c)(4) of the Code, and Degen Berglund, Inc. and Gundersen Lutheran Envision, LLC, which are for-profit entities. At December 31, 2016 and 2015, net deferred tax assets of $3,493 and $3,083, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $2,766 and $2,205, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At December 31, 2016, the System's federal net operating loss carryforwards were approximately $27,109, and the state net operating loss carryforwards were approximately $22,902, which will expire between 2025 and 2034. 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 2012 and prior years.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Gundersen Health Plan Inc
1836 South AvenueLa CrosseWI54601391807071501(c)(4)$9,349,000Equity Transfer - GHP/Unity Merger
GL Wind LLC
1836 South AvenueLa CrosseWI54601800494004$1,200,000Equity Transfer - GL Wind
Gundersen Lutheran Envision LLC
1836 South AvenueLa CrosseWI54601264706546$5,400,000Equity Transfer - Envision
FieldValueIRS element (for citing)
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Line 2:FormAndLineReferenceDesc
ExplanationASSISTANCE WAS MADE TO A RELATED ORGANIZATION. THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (30 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther 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$794,496$50,000$4,555$0$39,750$0$25,614$0$914,415$0$0
Stephen Shapiro MD
Board of Trustees - Member$442,396$5,000$373$0$39,750$0$30,296$0$517,815$0$0
Brian Sieck MD
Board of Trustees - Member$391,446$5,000$333$0$39,750$0$30,346$0$466,875$0$0
Kelley Bahr MD
Board of Trustees - Member$355,000$4,195$0$36,250$0$54$0$395,499$0$0
Jonathan Zlabek MD
Board of Trustees - Member$296,496$7,500$4,093$0$29,150$0$26,114$0$363,353$0$0
Greg Thompson MD
BOT- MEMBER, CMO$429,880$4,555$0$39,938$0$24,614$0$498,987$0$0
P Michael Jacobs DPM
Medical Vice President$348,996$3,000$7,455$0$39,750$0$26,114$0$425,315$0$0
Mary Kuffel MD
Medical Vice President$461,912$4,195$0$39,750$0$1,318$0$507,175$0$0
Stephanie Carroll MD
Medical Vice President$297,744$7,000$13$0$39,750$0$18,868$0$363,375$0$0
Todd Kowalski MD
Medical Vice President$308,995$7,500$13$0$33,916$0$28,915$0$379,339$0$0
Lisa Wied
Vice President$117,528$8,799$0$18,488$0$54$0$144,869$0$0
Mike McKee
Vice President$116,812$23,552$0$21,901$0$26,961$0$189,226$0$0
Kraig Schuster
Vice President$200,584$360$0$30,033$0$26,372$0$257,349$0$0
Elizabeth Smith-Houskamp
VICE PRESIDENT, ADMIN COO$365,917$13,435$0$39,750$0$54$0$419,156$0$0
Bryan Erdmann
Vice President$231,686$1,501$0$35,625$0$28,845$0$297,657$0$0
Kelly Barton
Vice President$121,266$1,579$0$4,908$0$1,850$0$129,603$0$0
Michael Dolan MD
Exec VP, Medical COO$589,058$5,000$13$0$39,750$0$27,796$0$661,617$0$0
Marilu Bintz MD
Senior Vice President, Med VP$572,848$4,542$0$39,750$0$10,156$0$627,296$0$0
Kathleen Klock
Senior Vice President$427,000$120$0$39,750$0$4,236$0$471,106$0$0
Mark Platt
Senior Vice President$373,996$4,182$0$39,750$0$23,614$0$441,542$0$0
Debra Rislow
SVP, Admin COO$158,366$231,506$0$23,925$0$14,945$0$428,742$0$0
Rose Ann-Laureto
Chief Information Officer$197,938$345$0$21,827$0$5,906$0$226,016$0$0
Dara Bartels
Chief Financial Officer$305,237$25,010$3,686$0$39,750$0$23,614$0$397,297$0$0
Jeffrey Lawrence MD
Medical Doctor$1,051,496$4,195$0$39,750$0$23,614$0$1,119,055$0$0
Edward Riley II MD
Medical Doctor$1,219,996$163$0$39,750$0$30,296$0$1,290,205$0$0
Jerry Davis MD
Medical Doctor$1,191,496$4,195$0$29,150$0$23,614$0$1,248,455$0$0
Patrick Conway MD
Medical Doctor$966,496$2,500$13$0$39,750$0$27,796$0$1,036,555$0$0
Douglas Hughes MD
Medical Doctor$1,036,496$39,922$0$29,150$0$23,614$0$1,129,182$0$0
Mary Lu Gerke
Former Vice President$198,836$0$30,000$0$11,616$0$240,452$0$0
Jeffrey Thompson MD
Former CEO$243,996$3,448$0$37,500$0$26,114$0$311,058$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a and Line 3:All personnel services for Gundersen Lutheran Health System, Inc. are performed by employees of Gundersen Lutheran Administrative Services, Inc. and all payments to vendors are made by Gundersen Lutheran Administrative Services, Inc.
Schedule J, Part I, Line 4a:2016 Severance Payments: Debra Rislow $230,500

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 1:Purpose of promoting health care by supporting, operating for the benefit of, performing the functions of and carrying out the charitable purposes of GLHS, Inc.'s affiliates as long as such organizations are described in Section 501(c)(3) and Sections 509)(a)(1) or (2) of the Internal Revenue Code. Form 990, Part III, Line 3: Effective May 2, 2016 (closing date), Gundersen transferred its 100% ownership interest in Gundersen Health Plan Minnesota and Gundersen Health Plan, Inc. to University Health Care, Inc. (UHC) in exchange for a 25% ownership interest in each of the health plans; Unity Health Plans Insurance Corporation (Unity); and SPWI TPA, Inc. (d/b/a Quartz), a third-party administrator. Gundersen and UHC have equal representation on the boards of the Plan, Unity and Quartz. The purpose of the transaction was to improve the access that enrollees of the health plans and Unity have to health care providers in their local markets and to reduce administrative expenses.
Form 990, Part VI, Line 2:Mark Glendenning, Gerald Arndt and Greg Prairie - Business Relationship
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 the 990s are approved and filed.
Form 990, Part VI, Line 12c:Each member of Gundersen Lutheran Health System, Inc.'s Governing Board signs a conflict of interest statement on an annual basis. Conflicts are monitored by reviewing any disclosures made on these statements.
Form 990, Part VI, Line 15a:All personnel services for Gundersen Lutheran Health System, Inc. 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 where such discussions take place. Recommendations for compensation for the organization's key management employees are developed annually by the CEO, after 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. A copy of the Gundersen Lutheran Health System, Inc.'s Form 990, can also be found electronically on www.guidestar.org
Form 990, Part XI, Line 9:Other changes in net assets: Capital Contribution - Health Plan 26,283,866 Equity of Consolidated Affiliates (2,670,308) Equity of Unconsolidated Affiliates (3,699,966) Transfer to/from Affiliates 6,600,000 ------------------ Total Other Changes in Net Assets 26,513,592

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Gundersen Lutheran Medical Center Inc
1910 South AvenueLa CrosseWI54601390813416Health CareWI501(c)(3)Line 3GLHSYes (true)
Gundersen Clinic Ltd
1836 South AvenueLa CrosseWI54601391028657Health CareWI501(c)(3)Line 3GLHSYes (true)
Gundersen Lutheran ADM SERVICES INC
1910 South AvenueLa CrosseWI54601391606449Support Org.WI501(c)(3)Line 12B,IIGLHSYes (true)
Gundersen Lutheran Medical fNDTN Inc
1836 South AvenueLa CrosseWI54601391249705FoundationWI501(c)(3)Line 7GLHSYes (true)
Gundersen Health Plan Inc
1836 South AvenueLa CrosseWI54601391807071Health Ins.WI501(c)(4)GLHSYes (true)
Gundersen Health Plan MN Inc
1900 South AvenueLa CrosseWI54601452633920Health Ins.MN501(c)(4)GHPYes (true)
Gundersen Lutheran Credentialing Svs inc
1910 South AvenueLa CrosseWI54601391856898CredentialingWI501(c)(3)Ln 12C,IIIGLHSYes (true)
Tri-County Memorial Hospital Inc
18601 Lincoln StreetWhitehallWI54773390704510Health CareWI501(c)(3)Line 3GLHSYes (true)
Tri-County Memorial Foundation Inc
18601 Lincoln StreetWhitehallWI54773300093022FoundationWI501(c)(3)Line 12A, ITRI-COUNTYfalse
Harmony Community Healthcare Inc
815 Main Avenue SouthHarmonyMN55939410711606Health CareMN501(c)(3)Line 10GLHSYes (true)
Tweeten Lutheran Healthcare Center Inc
125 Fifth Avenue SESpring GroveMN55974411565003Health CareMN501(c)(3)Line 10GLHSYes (true)
Tri-State Ambulance Inc
235 Causeway BlvdLa CrosseWI54603391965415MDCL TRANSPOWI501(c)(3)Line 3GLHSYes (true)
Tri-State Regional Ambulance Inc
235 Causeway BlvdLa CrosseWI54603391962965MDCL TRASNPO.WI501(c)(3)Line 10GLHSYes (true)
Lutheran Real Estate Holding Corporation
1910 South AvenueLa CrosseWI54601391480826HousingWI501(c)(3)LN 12C,IIIGLHSYes (true)
Lutheran Housing of La Crosse Inc
1900 South AvenueLa CrosseWI54601391751934Ind. LivingWI501(c)(3)Line 10LRHCfalse
Community Housing of La Crosse Inc
1900 South AvenueLa CrosseWI54601391586700Ind. LivingWI501(c)(3)Line 10LRHCfalse
Gundersen Lutheran Express Care Inc
1836 South AvenueLa CrosseWI54601900102388Health CareWI501(c)(3)Line 12GLHSYes (true)
St Joseph's Health Services Inc
400 Water AvenueHillsboroWI54634390929538Health CareWI501(c)(3)Line 3GLHSYes (true)
St Joseph's Memorial Foundation Inc
400 Water AvenueHillsboroWI54634391455787FoundationWI501(c)(3)Line 12A, Is joseph hsfalse
Memorial Hospital of Boscobel
205 Parker StreetBoscobelWI53805390845590Health CareWI501(c)(3)Line 3GLHSYes (true)
Memorial Hospital of Boscobel Fndt inc
205 Parker StreetBoscobelWI53805391688793FundraisingWI501(c)(3)Line 7NAfalse
Boscobel Area Healthcare Partners
205 Parker StreetBoscobelWI53805450498844FundraisingWI501(c)(3)Line 7NAfalse
Palmer Lutheran Health Center Inc
112 Jefferson StreetWest UnionIA52175421320763Health CareIA501(c)(3)Line 3GLHSYes (true)
Palmer Memorial Foundation
112 Jefferson StreetWest UnionIA52175421032878FoundationIA501(c)(3)Line 7PLHCfalse

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 AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Degen Berglund Inc
1709 Losey Blvd SouthLa CrosseWI54601390971110Retail PharmacyWIGLHSC Corp-$175,348$3,106,9541.00000Yes (true)
Gundersen Lutheran Envision LLC
1836 South AvenueLa CrosseWI54601264706546Renewable EnergyWIGLHSC Corp-$2,494,960$15,856,0251.00000Yes (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 OrgfalseLoansOrGuaranteesToOtherOrgInd
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 OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Gundersen Lutheran Admn Services Inc
c$15,949,000
Gundersen Health Plan Inc
b$9,349,000
Gundersen Lutheran Envision LLC
b$5,400,000

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 South AvenueLa CrosseWI54601391606449$0$195,808$195,808$743,071,084$743,266,892$1,000,000$250,000$0$0$0
Gundersen Clinic
1836 South AvenueLa CrosseWI54601391028657$0$24,087$24,087$179,120,731$179,144,818$1,000,000$250,000$0$0$0
Gundersen Lutheran Health Sy
1836 South AvenueLa CrosseWI54601391866425$0$0$0$15,949,000$15,949,000$947,450$236,863$0$0$0
Gundersen Lutheran Medical C
1910 South AvenueLa CrosseWI54601390813416$0$0$0$908,889,032$908,889,032$1,000,000$250,000$0$0$0

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