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 391606449 Gundersen Lutheran Administrative Services Inc % DARA BARTELS GUND 6087827300 1910 SOUTH AVE LA CROSSE WI 54601 DARA BARTELS CFO 2017-11-15 true MONROE J GIERL P01413237 6123055000 2017-11-15 167.68.102.5 41438720173185000006 2017-11-14 P CBDCF8A62BCD6705D428F3975F29828786D22771 30031D5E7EADAC179FA13A5C3B90D0218042D0DA 2016 2021-01-29 14:40:06Z GUNDERSEN ADMIN SERVICES INC SCOTT RATHGABER MD CEO 1910 SOUTH AVE LA CROSSE WI 54601 728192082 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 9305 967 281524 255692 585261 495719 702009049 684153839 472972 42699655 307258 324066 703374540 727673279 34403 15949000 0 0 594527545 625140833 0 0 0 103776804 102177059 698338752 743266892 5035788 -15593613 796373851 860542249 797732726 877494737 -1358875 -16952488 X SEE SCHEDULE O false false 729235139 15949000 684153839 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. 729235139 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 false false false true false false false false false false true true true true false true 552 0 true 9305 true true true 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 DARA BARTELS 6087759487 1910 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 X Scott Rathgaber MD Chief Executive Officer 42.0 6.0 X X 849051 0 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 42.0 9.0 X 447769 0 65810 Brian Sieck MD Board of Trustees - Member 42.0 6.0 X 396779 0 65860 Kelley Bahr MD Board of Trustees - Member 42.0 6.0 X 359195 0 36250 Jonathan Zlabek MD Board of Trustees - Member 42.0 6.0 X 308089 0 55210 Greg Thompson MD BOT - Member, CMO 42.0 8.0 X X 434435 0 64498 Elizabeth Smith-Houskamp Vice President, Admin COO 42.0 6.0 X 379352 0 39750 Michael Dolan MD Exec VP, Medical COO 42.0 8.0 X 594071 0 63310 Debra Rislow SVP, Admin COO 42.0 10.0 X 389872 0 37105 Rose Ann-Laureto Chief Information Officer 42.0 6.0 X 198283 0 25619 Dara Bartels Chief Financial Officer 42.0 9.0 X 333933 0 63310 P Michael Jacobs DPM Medical Vice President 40.0 2.0 X 359451 0 65810 Mary Kuffel MD Medical Vice President 40.0 0.0 X 466107 0 41014 Stephanie Carroll MD Medical Vice President 40.0 0.0 X 304757 0 54874 Todd Kowalski MD Medical Vice President 40.0 2.0 X 316508 0 58976 Lisa Wied Vice President 40.0 0.0 X 126327 0 18488 Mike McKee Vice President 40.0 0.0 X 140364 0 47961 Kraig Schuster Vice President 40.0 0.0 X 200944 0 53829 Bryan Erdmann Vice President 40.0 2.0 X 233187 0 61495 Kelly Barton Vice President 40.0 2.0 X 122845 0 6729 Marilu Bintz MD Senior Vice President, Med VP 40.0 1.0 X 577390 0 49852 Kathleen Klock Senior Vice President 40.0 1.3 X 427120 0 39750 Mark Platt Senior Vice President 40.0 2.5 X 378178 0 63310 Julio Bird MD Medical Doctor 40.0 2.0 X 742364 0 63310 Sampoornima Setty MD Medical Doctor 40.0 0.0 X 529129 0 63310 Jeanne Johnson MD Medical Doctor 40.0 0.0 X 437965 0 19433 Michael Case MD Medical Doctor 40.0 0.0 X 435151 0 63634 Matthew Sdano MD Medical Doctor 40.0 0.0 X 416101 0 63310 Mary Lu Gerke Former Vice President 40.0 0.0 X 198836 0 39102 Jeffrey Thompson MD FORMER CEO 40.0 0.0 X 247444 0 63560 11350997 0 1519779 826 true true false GUNDERSEN LUTHERAN MEDICAL CENTER 1910 SOUTH AVENUE LA CROSSE WI 54601 SERVICES/SUPPLIES 396687528 FOWLER AND HAMMER INC 313 MONITOR STREET LA CROSSE WI 54603 BUILDING CONTRACTOR 9212481 MARKET JOHNSON 2350 GALLOWAY STREET EAU CLAIRE WI 54703 BUILDING CONTRACTOR 4811567 EPIC SYSTEM CORPORATION BOX 88314 MILWAUKEE WI 532880314 SOFTWARE CONSULTANTS 3967412 FORSYTHE SOLUTIONS GROUP INC PO BOX 772951 CHICAGO IL 606770251 SOFTWARE CONSULTANTS 2939065 363 84728 380190 30801 495719 Service Provided to Gundersen 561000 684153839 684153839 684153839 42699943 281524 42418419 0 0 842081 518015 324066 0 324066 324066 500 788 -288 -288 -288 0 0 0 0 0 0 0 0 0 0 727673279 684153839 281524 42742197 15949000 15949000 0 0 0 5316462 1256021 4060441 0 467076401 462877241 4199160 55897795 55094776 803019 68468492 67413164 1055328 28381683 28000259 381424 0 1039884 104903 934981 617051 617051 195808 195808 0 1322284 1322284 12544153 11774277 769876 770790 770790 9611993 9560821 51172 18860493 18860493 0 7721909 7694308 27601 870776 781225 89551 0 0 17284980 17284980 0 21023606 21020972 2634 605088 605088 MISCELLANEOUS 3646931 2945728 701203 0 EMPLOYEE DEV & TRAINING 2611473 2574203 37270 DUES/MEMBERSHIPS/LICENSE 1978083 1059990 918093 BAD DEBTS/COLLECTIONS 1471757 1471757 743266892 729235139 14031753 0 24257146 23075625 137611438 163842398 0 0 0 0 9412 0 0 0 17371122 12793388 5223286 5565022 13274353 13045330 207725853 130589384 77444251 77136469 508586899 549669343 0 0 0 0 0 0 12595944 15414674 796373851 860542249 128791893 134100863 0 0 0 0 398775000 390265000 0 0 0 0 0 0 0 0 270165833 353128874 797732726 877494737 X -1358875 -16952488 0 0 0 0 -1358875 -16952488 796373851 860542249 -15593613 X X false true X true true true X X 16 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 INC 391249705 7 false 0 0 HARMONY COMMUNITY HEALTH CARE 410711606 10 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 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 Palmer Memorial Foundation 421032878 7 false 0 0 16 false false false false false true false false false false false false false false false true Schedule 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. Schedule 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)). Schedule A, Part IV, 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 195808 219895 195808 219895 743071084 1847029847 743266892 1847249742 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 243735 281562 271755 219895 1016947 250000 250000 250000 250000 1000000 1500000 2767152 2767152 41924607 12062596 29862011 3817958 1264612 2553346 159216136 117262176 41953960 77136469 0 INTERCOMPANY PAYABLE 314054042 LOSS ON SWAP CONTRACTS 29388102 LT CIMP LIABILITY 3965585 LEASE CONTRACT PAYABLE 3279825 TEB PREM/(DISC) CURRENT AND LT 1928381 DEFERRED COMPENSATION 506772 DEFERRED REVENUE 6167 353128874 X Schedule D, Part X, Line 2: Income Tax Matters (dollars in thousands) The System qualifies as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code (the Code), with the exception of 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 LUTHERAN HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 501(C)(3) 15949000 GENERAL SUPPORT 1 Schedule 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 794496 0 50000 0 4555 0 39750 0 25614 0 914415 0 0 0 Stephen Shapiro MD Board of Trustees - Member 442396 0 5000 0 373 0 39750 0 30296 0 517815 0 0 0 Brian Sieck MD Board of Trustees - Member 391446 0 5000 0 333 0 39750 0 30346 0 466875 0 0 0 Kelley Bahr MD Board of Trustees - Member 355000 0 0 0 4195 0 36250 0 54 0 395499 0 0 0 Jonathan Zlabek MD Board of Trustees - Member 296496 0 7500 0 4093 0 29150 0 26114 0 363353 0 0 0 Greg Thompson MD BOT - Member, CMO 429880 0 0 0 4555 0 39938 0 24614 0 498987 0 0 0 P Michael Jacobs DPM Medical Vice President 348996 0 3000 0 7455 0 39750 0 26114 0 425315 0 0 0 Mary Kuffel MD Medical Vice President 461912 0 0 0 4195 0 39750 0 1318 0 507175 0 0 0 Stephanie Carroll MD Medical Vice President 297744 0 7000 0 13 0 39750 0 18868 0 363375 0 0 0 Todd Kowalski MD Medical Vice President 308995 0 7500 0 13 0 33916 0 28915 0 379339 0 0 0 Lisa Wied Vice President 117528 0 0 0 8799 0 18488 0 54 0 144869 0 0 0 Mike McKee Vice President 116812 0 0 0 23552 0 21901 0 26961 0 189226 0 0 0 Kraig Schuster Vice President 200584 0 0 0 360 0 30033 0 26372 0 257349 0 0 0 Elizabeth Smith-Houskamp Vice President, Admin COO 365917 0 0 0 13435 0 39750 0 54 0 419156 0 0 0 Bryan Erdmann Vice President 231686 0 0 0 1501 0 35625 0 28845 0 297657 0 0 0 Kelly Barton Vice President 121266 0 0 0 1579 0 4908 0 1850 0 129603 0 0 0 Michael Dolan MD Exec VP, Medical COO 589058 0 5000 0 13 0 39750 0 27796 0 661617 0 0 0 Marilu Bintz MD Senior Vice President, Med VP 572848 0 0 0 4542 0 39750 0 10156 0 627296 0 0 0 Kathleen Klock Senior Vice President 427000 0 0 0 120 0 39750 0 4236 0 471106 0 0 0 Mark Platt Senior Vice President 373996 0 0 0 4182 0 39750 0 23614 0 441542 0 0 0 Debra Rislow SVP, Admin COO 158366 0 0 0 231506 0 23925 0 14945 0 428742 0 0 0 Rose Ann-Laureto Chief Information Officer 197938 0 0 0 345 0 21827 0 5906 0 226016 0 0 0 Dara Bartels Chief Financial Officer 305237 0 25010 0 3686 0 39750 0 23614 0 397297 0 0 0 Mary Lu Gerke Former Vice President 198836 0 0 0 0 0 30000 0 11616 0 240452 0 0 0 Jeffrey Thompson MD FORMER CEO 243996 0 0 0 3448 0 37500 0 26114 0 311058 0 0 0 Julio Bird MD Medical Doctor 679496 0 0 0 62868 0 39750 0 23596 0 805710 0 0 0 Sampoornima Setty MD Medical Doctor 526496 0 2500 0 133 0 39750 0 27796 0 596675 0 0 0 Jeanne Johnson MD Medical Doctor 206691 0 0 0 231274 0 10157 0 9308 0 457430 0 0 0 Michael Case MD Medical Doctor 387996 0 5000 0 42155 0 39750 0 23938 0 498839 0 0 0 Matthew Sdano MD Medical Doctor 406496 0 5000 0 4605 0 39750 0 23614 0 479465 0 0 0 Schedule J, Part I, Line 4a: 2016 severance Payments: Jeanne Johnson, M.D. $189,519 Debra Rislow $230,500 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 29575000 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 0 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 0.01610 0.01610 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 29.5 false 0 false true D true true true MERRILL 27. false 0 false true A true B true C true D true 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 2016 (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 III, LINE 8B * DUE TO SOFTWARE LIMITATIONS, THE PERCENTAGE OF THE BOND SOLD OR DISPOSED OF COULD NOT PRINT. THE ACTUAL AMOUNT OF BOND-FINANCED PROPERTY SOLD OR DISPOSED OF WAS 0.000013%. PART I BOND ISSUES: LINE A (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 B (A) ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2015 (F) DESCRIPTION OF PURPOSE: NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF A CLINIC 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. Part III, 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. 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 645000 0 71875660 0 0 0 961054 0 0 70929112 0 0 2014 false false true true B 1350000 0 12041231 0 0 0 0 0 0 9266806 0 2774425 2017 false false false 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 0 Sean Agger SEE SUPPLEMENTAL INFO 208370 Employment false James Klock SEE SUPPLEMENTAL INFO 126283 Employment false Belinda Klock SEE SUPPLEMENTAL INFO 70186 Employment false James Klock SEE SUPPLEMENTAL INFO 123041 Employment false Brenda White SEE SUPPLEMENTAL INFO 30812 Employment false Samuel Thompson SEE SUPPLEMENTAL INFO 54629 Employment false Jonathan Klock SEE SUPPLEMENTAL INFO 101868 Employment false Tom Thompson SEE SUPPLEMENTAL INFO 56943 Employment false Lynn Sturm SEE SUPPLEMENTAL INFO 27397 Employment false Amy Strupp SEE SUPPLEMENTAL INFO 26358 Employment false Margaret Webster MD SEE SUPPLEMENTAL INFO 155360 Employment false Ricardo Rivera SEE SUPPLEMENTAL INFO 92000 Employment false Megan Klock SEE SUPPLEMENTAL INFO 72071 Employment false Shannan Stephens MD SEE SUPPLEMENTAL INFO 309687 Employment false Susan Owen-Thompson SEE SUPPLEMENTAL INFO 25886 Employment false Ingri Gundersen Lombardi SEE SUPPLEMENTAL INFO 46902 Employment false John Houskamp MD SEE SUPPLEMENTAL INFO 298860 Employment false Haley Barton SEE SUPPLEMENTAL INFO 26723 Employment false Rachel Thompson-Fleming MD SEE SUPPLEMENTAL INFO 148000 Employment false Nathan Fleming MD SEE SUPPLEMENTAL INFO 44243 Employment false Scott Wied SEE SUPPLEMENTAL INFO 98010 Employement false Schedule 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, KEY EMPLOYEE (A) NAME OF PERSON: BELINDA KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE (A) NAME OF PERSON: JAMES KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE (A) NAME OF PERSON: JONATHAN KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, 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: SAMUEL THOMPSON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFFREY THOMPSON, M.D., FORMER DIRECTOR (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: LYNN STURM (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF BRAD STURM, DIRECTOR (A) NAME OF PERSON: AMY STRUPP (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KELLY BARTON, KEY EMPLOYEE (A) NAME OF PERSON: MARGARET WEBSTER, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MARK GLENDENNING, DIRECTOR (A) NAME OF PERSON: RICARDO RIVERA (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JULIO BIRD, M.D., DIRECTOR (A) NAME OF PERSON: MEGAN KLOCK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE (A) NAME OF PERSON: SHANNON STEPHENS, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KELLEY BAHR, M.D., DIRECTOR (A) NAME OF PERSON: SUSAN OWEN-THOMPSON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFFREY THOMPSON, M.D., FORMER 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, OFFICER (A) NAME OF PERSON: HALEY BARTON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KELLY BARTON, KEY EMPLOYEE (A) NAME OF PERSON: RACHEL THOMPSON-FLEMING, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFFREY THOMPSON, M.D., FORMER DIRECTOR (A) NAME OF PERSON: NATHAN FLEMING, M.D. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFFREY THOMPSON, M.D., FORMER DIRECTOR (A) NAME OF PERSON: SCOTT WIED (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF LISA WIED, KEY EMPLOYEE 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, Section A, Line 2: MARK GLENDENNING, GERALD ARNDT AND GREG PRAIRIE - BUSINESS RELATIONSHIP Form 990, Part VI, Section A, Line 6: GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. Form 990, Part VI, Section A, Line 7a: GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. Form 990, Part VI, Section A, 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, Section B, 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, Section B, 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, Section B, Line 15: 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, Section C, Line 19: REQUESTS FOR ALL DOCUMENTS ARE MADE THROUGH THE LEGAL DEPARTMENT, AND THE APPROPRIATE DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION IN THE LEGAL DEPARTMENT. Form 990, Part XII, Line 2c: THE PROCESS ALLOWS THE AUDIT COMMITTEE OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. TO INDEPENDENTLY COMMUNICATE WITH THE EXTERNAL AUDIT FIRM THROUGHOUT THE YEAR, BUT FORMAL COMMUNICATION OCCURS BEFORE THE ENGAGEMENT AND UPON CONCLUSION. THE AUDIT COMMITTEE MEETS WITH THE AUDIT FIRM FOR PRESENTATION OF THE STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. Form 990, Part XII, Line 3a: The information in the Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391866425 SUPTNG. ORG WI 501(C)(3) LINE 12B,II NA false GUNDERSEN LUTHERAN MEDICAL CENTER INC 1910 SOUTH AVENUE LA CROSSE WI 54601 390813416 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false GUNDERSEN CLINIC LTD 1836 SOUTH AVENUE LA CROSSE WI 54601 391028657 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false GUNDERSEN LUTHERAN MEDICAL FNDTN INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391249705 FOUNDATION WI 501(C)(3) LINE 7 GLHS false GUNDERSEN HEALTH PLAN 1836 SOUTH AVENUE LA CROSSE WI 54601 391807071 HEALTH INS. WI 501(C)(4) GLHS false GUNDERSEN LUTHERAN CREDENTIALING SVS INC 1910 SOUTH AVENUE LA CROSSE WI 54601 391856898 CREDENTIALING WI 501(C)(3) LN 12C,III GLHS false TRI-COUNTY MEMORIAL HOSPITAL INC 18601 LINCOLN STREET WHITEHALL WI 54773 390704510 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false TRI-STATE REGIONAL AMBULANCE INC 235 CAUSEWAY BLVD LA CROSSE WI 54603 391962965 MDCL TRANSPO. 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 GUNDERSEN LUTHERAN EXPRESS CARE INC 1836 SOUTH AVE LA CROSSE WI 54601 900102388 HEALTH CARE WI 501(C)(3) LINE 12 GLHS false GUNDERSEN HEALTH PLAN MN INC 1900 SOUTH AVE LA CROSSE WI 54601 452633920 HEALTH INS MN 501(C)(4) GHP 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 DEGEN BERGLUND INC 1709 LOSEY BLVD S LA CROSSE WI 54601 390971110 RTL PHARMACY WI GLHS C Corp 0 0 true GUNDERSEN LUTHERAN ENVISION LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 264706546 RENEWABLE ENERGY WI GLHS C Corp 0 0 true true true true true false false false false false true false true true false false true true true false Gundersen Health Plan Inc m 84480745 FAIR VALUE Gundersen Health Plan Inc q 5292618 FAIR VALUE Gundersen Health Plan MN Inc q 260311 FAIR VALUE Gundersen Lutheran Envision LLC a(i) 281524 FAIR VALUE Schedule 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 195808 195808 743071084 743266892 1000000 250000 0 0 0 GUNDERSEN CLINIC 1836 S AVE LA CROSSE WI 54601 391028657 0 24087 24087 179120731 179144818 1000000 250000 0 0 0 GUNDERSEN LUTHERAN MEDICAL C 1910 S AVE LA CROSSE WI 54601 390813416 0 0 0 908889032 908889032 1000000 250000 0 0 0 GUNDERSEN LUTERAN HEALTH SYS 1836 SOUTH AVE LA CROSSE WI 54601 391866425 0 0 0 15949000 15949000 947450 236863 0 0 0