2017-11-14T16:53:54-06:00 2016-12-31 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH ST MINNEAPOLIS MN 55402 990 2016-01-01 391866425 Gundersen Lutheran Health System Inc % Dara Bartels GUND 6087827300 1836 South Ave Suite NCA1-01 La Crosse WI 54601 DARA BARTELS CFO 6087759487 2017-11-15 true Monroe J Gierl P01413237 6123055000 2017-11-15 167.68.102.5 47006120173185000005 2017-11-14 P CBDCF8A62BCD6705D428F3975F29828786D22771 30031D5E7EADAC179FA13A5C3B90D0218042D0DA 2016 2017-02-10 21:41:12Z Gundersen Health System Scott Rathgaber MD 1836 South Avenue La Crosse WI 54601 15902164 false X www.gundersenhealth.org X 1996 WI SEE SCHEDULE O. 13 4 0 0 134024 80445 0 15949000 0 0 361191 1584 143890 -48420 505081 15902164 0 15949000 0 0 0 0 0 0 0 54332 0 54332 15949000 450749 -46836 15725428 41946668 592392 347567 15133036 41599101 X To 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. false true 15949000 15949000 Gundersen 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. 15949000 true true false true false false false false false false false true false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true true false true 0 0 0 true true false false false false false false false false false X 13 4 true false false false false false false true true false false true true true true true true true true false WI X Dara Bartels 6087759487 1836 South Avenue La Crosse WI 54601 Scott Rathgaber MD Chief Executive Officer 2.0 46.0 X X 0 849051 65310 Greg Prairie Board of Trustees - Member 2.0 4.0 X 0 0 0 Wendy Lommen Board of Trustees - Treasurer 2.0 4.0 X X 0 0 0 John Lyche Board of Trustees - Secretary 2.0 6.0 X X 0 0 0 Gerald Arndt Board of Trustees - Member 2.0 7.0 X 0 0 0 Gerald Kember Board of Trustees - Member 2.0 6.0 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 -Board Chair 2.0 4.0 X X 0 0 0 Stephen Shapiro MD Board of Trustees - Member 2.0 49.0 X 0 447769 65810 Brian Sieck MD Board of Trustees - Member 2.0 46.0 X 0 396779 65860 Kelley Bahr MD Board of Trustees - Member 2.0 46.0 X 0 359195 36250 Jonathan Zlabek MD Board of Trustees - Member 2.0 46.0 X 0 308089 55210 Greg Thompson MD BOT- MEMBER, CMO 2.0 48.0 X X 0 434435 64498 Elizabeth Smith-Houskamp VICE PRESIDENT, ADMIN COO 2.0 46.0 X 0 379352 39750 Michael Dolan MD Exec VP, Medical COO 2.0 48.0 X 0 594071 63310 Debra Rislow SVP, Admin COO 2.0 50.0 X 0 389872 37105 Rose Ann-Laureto Chief Information Officer 2.0 46.0 X 0 198283 25619 Dara Bartels Chief Financial Officer 2.0 49.0 X 0 333933 63310 P Michael Jacobs DPM Medical Vice President 0.0 42.0 X 0 359451 65810 Mary Kuffel MD Medical Vice President 0.0 40.0 X 0 466107 41014 Stephanie Carroll MD Medical Vice President 0.0 40.0 X 0 304757 54874 Todd Kowalski MD Medical Vice President 0.0 42.0 X 0 316508 58976 Lisa Wied Vice President 0.0 40.0 X 0 126327 18488 Mike McKee Vice President 0.0 40.0 X 0 140364 47961 Kraig Schuster Vice President 0.0 40.0 X 0 200944 53829 Bryan Erdmann Vice President 0.0 42.0 X 0 233187 61495 Kelly Barton Vice President 0.0 42.0 X 0 122845 6729 Marilu Bintz MD Senior Vice President, Med VP 0.0 41.0 X 0 577390 49852 Kathleen Klock Senior Vice President 0.0 41.3 X 0 427120 39750 Mark Platt Senior Vice President 0.0 42.5 X 0 378178 63310 Jeffrey Lawrence MD Medical Doctor 0.0 40.0 X 0 1055691 63310 Edward Riley II MD Medical Doctor 0.0 40.0 X 0 1220159 65810 Jerry Davis MD Medical Doctor 0.0 40.0 X 0 1195691 52710 Patrick Conway MD Medical Doctor 0.0 40.0 X 0 969009 63310 Douglas Hughes MD Medical Doctor 0.0 40.0 X 0 1076418 52710 Mary Lu Gerke Former Vice President 0.0 40.0 X 0 198836 39102 Jeffrey Thompson MD Former CEO 0.0 40.0 X 0 247444 63560 0 14307255 1544632 0 true true false NA 0 15949000 15949000 0 1584 134024 -132440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other Operating Revenue 900099 -48420 -48420 -48420 15902164 134024 -180860 15949000 15949000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15949000 15949000 0 0 0 0 215610 148635 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 475031 249797 15034787 18964478 0 0 0 0 0 22583758 15725428 41946668 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 592392 347567 592392 347567 X 15133036 41599101 0 0 0 0 15133036 41599101 15725428 41946668 X -46836 -691 26513592 X false true X true false X X 2 Gundersen Lutheran Medical Center Inc 390813416 3 true 0 0 Gundersen Clinic Ltd 391028657 3 true 0 0 2 true false false false false true false false false false false false false false false true 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 219895 0 219895 15949000 1847029847 15949000 1847249742 947450 1000000 236863 250000 1000000 1000000 1000000 1000000 4000000 6000000 243735 281562 271755 219895 1016947 250000 250000 250000 250000 1000000 1500000 false DEGEN BERGLUND, INC. 3106954 F GUNDERSEN LUTHERAN ENVISION 15856024 F GUNDERSEN CLINIC, LTD 1500 F 18964478 NONCONSOLIDATED AFFIL.-EQUITY 22583758 22583758 0 LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM 347567 347567 X Schedule D, Part X, Line 2: Income 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. true Gundersen Health Plan Inc 1836 South Avenue La Crosse WI 54601 391807071 501(c)(4) 9349000 Equity Transfer - GHP/Unity Merger GL Wind LLC 1836 South Avenue La Crosse WI 54601 800494004 1200000 Equity Transfer - GL Wind Gundersen Lutheran Envision LLC 1836 South Avenue La Crosse WI 54601 264706546 5400000 Equity Transfer - Envision 3 Schedule I, Line 2: ASSISTANCE WAS MADE TO A RELATED ORGANIZATION. THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES. true false false false false false false false false Scott Rathgaber MD Chief Executive Officer 794496 50000 4555 0 39750 0 25614 0 914415 0 0 Stephen Shapiro MD Board of Trustees - Member 442396 5000 373 0 39750 0 30296 0 517815 0 0 Brian Sieck MD Board of Trustees - Member 391446 5000 333 0 39750 0 30346 0 466875 0 0 Kelley Bahr MD Board of Trustees - Member 355000 4195 0 36250 0 54 0 395499 0 0 Jonathan Zlabek MD Board of Trustees - Member 296496 7500 4093 0 29150 0 26114 0 363353 0 0 Greg Thompson MD BOT- MEMBER, CMO 429880 4555 0 39938 0 24614 0 498987 0 0 P Michael Jacobs DPM Medical Vice President 348996 3000 7455 0 39750 0 26114 0 425315 0 0 Mary Kuffel MD Medical Vice President 461912 4195 0 39750 0 1318 0 507175 0 0 Stephanie Carroll MD Medical Vice President 297744 7000 13 0 39750 0 18868 0 363375 0 0 Todd Kowalski MD Medical Vice President 308995 7500 13 0 33916 0 28915 0 379339 0 0 Lisa Wied Vice President 117528 8799 0 18488 0 54 0 144869 0 0 Mike McKee Vice President 116812 23552 0 21901 0 26961 0 189226 0 0 Kraig Schuster Vice President 200584 360 0 30033 0 26372 0 257349 0 0 Elizabeth Smith-Houskamp VICE PRESIDENT, ADMIN COO 365917 13435 0 39750 0 54 0 419156 0 0 Bryan Erdmann Vice President 231686 1501 0 35625 0 28845 0 297657 0 0 Kelly Barton Vice President 121266 1579 0 4908 0 1850 0 129603 0 0 Michael Dolan MD Exec VP, Medical COO 589058 5000 13 0 39750 0 27796 0 661617 0 0 Marilu Bintz MD Senior Vice President, Med VP 572848 4542 0 39750 0 10156 0 627296 0 0 Kathleen Klock Senior Vice President 427000 120 0 39750 0 4236 0 471106 0 0 Mark Platt Senior Vice President 373996 4182 0 39750 0 23614 0 441542 0 0 Debra Rislow SVP, Admin COO 158366 231506 0 23925 0 14945 0 428742 0 0 Rose Ann-Laureto Chief Information Officer 197938 345 0 21827 0 5906 0 226016 0 0 Dara Bartels Chief Financial Officer 305237 25010 3686 0 39750 0 23614 0 397297 0 0 Jeffrey Lawrence MD Medical Doctor 1051496 4195 0 39750 0 23614 0 1119055 0 0 Edward Riley II MD Medical Doctor 1219996 163 0 39750 0 30296 0 1290205 0 0 Jerry Davis MD Medical Doctor 1191496 4195 0 29150 0 23614 0 1248455 0 0 Patrick Conway MD Medical Doctor 966496 2500 13 0 39750 0 27796 0 1036555 0 0 Douglas Hughes MD Medical Doctor 1036496 39922 0 29150 0 23614 0 1129182 0 0 Mary Lu Gerke Former Vice President 198836 0 30000 0 11616 0 240452 0 0 Jeffrey Thompson MD Former CEO 243996 3448 0 37500 0 26114 0 311058 0 0 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 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 Gundersen Lutheran Medical Center Inc 1910 South Avenue La Crosse WI 54601 390813416 Health Care WI 501(c)(3) Line 3 GLHS true Gundersen Clinic Ltd 1836 South Avenue La Crosse WI 54601 391028657 Health Care WI 501(c)(3) Line 3 GLHS true Gundersen Lutheran ADM SERVICES INC 1910 South Avenue La Crosse WI 54601 391606449 Support Org. WI 501(c)(3) Line 12B,II GLHS true Gundersen Lutheran Medical fNDTN Inc 1836 South Avenue La Crosse WI 54601 391249705 Foundation WI 501(c)(3) Line 7 GLHS true Gundersen Health Plan Inc 1836 South Avenue La Crosse WI 54601 391807071 Health Ins. WI 501(c)(4) GLHS true Gundersen Health Plan MN Inc 1900 South Avenue La Crosse WI 54601 452633920 Health Ins. MN 501(c)(4) GHP true Gundersen Lutheran Credentialing Svs inc 1910 South Avenue La Crosse WI 54601 391856898 Credentialing WI 501(c)(3) Ln 12C,III GLHS true Tri-County Memorial Hospital Inc 18601 Lincoln Street Whitehall WI 54773 390704510 Health Care WI 501(c)(3) Line 3 GLHS true Tri-County Memorial Foundation Inc 18601 Lincoln Street Whitehall WI 54773 300093022 Foundation WI 501(c)(3) Line 12A, I TRI-COUNTY false Harmony Community Healthcare Inc 815 Main Avenue South Harmony MN 55939 410711606 Health Care MN 501(c)(3) Line 10 GLHS true Tweeten Lutheran Healthcare Center Inc 125 Fifth Avenue SE Spring Grove MN 55974 411565003 Health Care MN 501(c)(3) Line 10 GLHS true Tri-State Ambulance Inc 235 Causeway Blvd La Crosse WI 54603 391965415 MDCL TRANSPO WI 501(c)(3) Line 3 GLHS true Tri-State Regional Ambulance Inc 235 Causeway Blvd La Crosse WI 54603 391962965 MDCL TRASNPO. WI 501(c)(3) Line 10 GLHS true Lutheran Real Estate Holding Corporation 1910 South Avenue La Crosse WI 54601 391480826 Housing WI 501(c)(3) LN 12C,III GLHS true Lutheran Housing of La Crosse Inc 1900 South Avenue La Crosse WI 54601 391751934 Ind. Living WI 501(c)(3) Line 10 LRHC false Community Housing of La Crosse Inc 1900 South Avenue La Crosse WI 54601 391586700 Ind. Living WI 501(c)(3) Line 10 LRHC false Gundersen Lutheran Express Care Inc 1836 South Avenue La Crosse WI 54601 900102388 Health Care WI 501(c)(3) Line 12 GLHS true St Joseph's Health Services Inc 400 Water Avenue Hillsboro WI 54634 390929538 Health Care WI 501(c)(3) Line 3 GLHS true St Joseph's Memorial Foundation Inc 400 Water Avenue Hillsboro WI 54634 391455787 Foundation WI 501(c)(3) Line 12A, I s joseph hs false Memorial Hospital of Boscobel 205 Parker Street Boscobel WI 53805 390845590 Health Care WI 501(c)(3) Line 3 GLHS true Memorial Hospital of Boscobel Fndt inc 205 Parker Street Boscobel WI 53805 391688793 Fundraising WI 501(c)(3) Line 7 NA false Boscobel Area Healthcare Partners 205 Parker Street Boscobel WI 53805 450498844 Fundraising WI 501(c)(3) Line 7 NA false Palmer Lutheran Health Center Inc 112 Jefferson Street West Union IA 52175 421320763 Health Care IA 501(c)(3) Line 3 GLHS true Palmer Memorial Foundation 112 Jefferson Street West Union IA 52175 421032878 Foundation IA 501(c)(3) Line 7 PLHC false Degen Berglund Inc 1709 Losey Blvd South La Crosse WI 54601 390971110 Retail Pharmacy WI GLHS C Corp -175348 3106954 1.00000 true Gundersen Lutheran Envision LLC 1836 South Avenue La Crosse WI 54601 264706546 Renewable Energy WI GLHS C Corp -2494960 15856025 1.00000 true false true true false false false false false false false false false false false false false false false false Gundersen Lutheran Admn Services Inc c 15949000 Gundersen Health Plan Inc b 9349000 Gundersen Lutheran Envision LLC b 5400000 Gundersen Lutheran Administr 1910 South Avenue La Crosse WI 54601 391606449 0 195808 195808 743071084 743266892 1000000 250000 0 0 0 Gundersen Clinic 1836 South Avenue La Crosse WI 54601 391028657 0 24087 24087 179120731 179144818 1000000 250000 0 0 0 Gundersen Lutheran Health Sy 1836 South Avenue La Crosse WI 54601 391866425 0 0 0 15949000 15949000 947450 236863 0 0 0 Gundersen Lutheran Medical C 1910 South Avenue La Crosse WI 54601 390813416 0 0 0 908889032 908889032 1000000 250000 0 0 0