2016-11-14T09:57:15-06:00 2015-12-31 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH ST MINNEAPOLIS MN 55402 990 2015-01-01 391028657 Gundersen Clinic Ltd % DARA BARTELS GUND 6087827300 1836 South Avenue La Crosse WI 54601 DARA BARTELS CFO 2016-11-15 true Ann K Lamoureux P00691316 6123055000 2016-11-15 2015 2017-02-10 21:41:12Z SCOTT RATHGABER MD 1836 SOUTH AVENUE LA CROSSE WI 54601 169982775 false X WWW.GUNDERSENHEALTH.ORG X 1963 WI SEE SCHEDULE O 10 0 0 0 218370 -36554 132569 1620820 184674686 168247129 115335 -15032 6067 -9750 184928657 169843167 3726611 2760639 0 0 100261751 98736594 0 0 0 116153475 87835105 220141837 189332338 -35213180 -19489171 173141808 176008200 430141518 452497081 -256999710 -276488881 X TO PROVIDE MEDICAL AND SURGICAL SERVICES, ENGAGE IN MEDICAL EDUCATION AND RESEARCH AND PROMOTE COMMUNITY HEALTH TO DELIVER THE HIGHEST QUALITY COMPREHENSIVE HEALTH CARE TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. false false 140139320 2760639 168028759 See Schedule O. 140139320 true true false true false false false false false false true false false false true true false true false false false false false false false false false true true true false false false false false false false false false false false false false true false true false true 0 0 0 true true false false false false false false false false false X 10 0 false false false false true true true true true false false true true true true true true true true false WI X DARA BARTELS 6087759487 1900 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 X Scott Rathgaber MD CEO, Med VP, Board Chair 2.0 46.0 X X 0 593630 61571 Julio Bird MD Board of Governors - 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Member 0.0 0.0 X 0 450734 61271 William Agger MD Medical Doctor 0.0 0.0 X 0 203070 52543 Mary Lu Gerke Nurse Executive 0.0 0.0 X 0 198932 39091 0 16224200 1754222 0 true true false Gundersen Lutheran Admin Services 1910 South Avenue La Crosse WI 54601 Services/Supplies 246604448 1 X 1570186 20519 30115 1620820 Medical Service Provided 624100 168247129 168028759 218370 168247129 66115 66115 0 0 9750 -9750 0 -9750 -9750 48711 129858 -81147 -81147 -81147 0 0 0 0 169843167 168028759 218370 -24782 978364 978364 1782275 1782275 0 0 3974405 3974405 0 71647045 70540501 1106544 9436885 9280966 155919 9966828 9943667 23161 3711431 3630474 80957 0 196520 196520 0 19985 19985 0 0 3912476 3912476 0 1467989 1279889 188100 185571 185571 0 7240383 3160438 4079945 631843 630411 1432 0 0 0 50616706 16786283 33830423 7037067 2597026 4440041 1323119 1323119 SUPPLIES 10009661 10009661 ALL OTHER EXPENSES 1790561 1739660 50901 EMPLOYEE DEVEL. & TRAINING 2473827 2473827 Recruiting 929397 929397 189332338 140139320 49193018 0 0 182156 586180 0 0 0 11783625 20902295 0 0 0 0 0 0 3138304 2833036 701319 457977 290836540 152992848 144311256 137843692 9757070 10640464 20000 20000 0 0 0 0 2844054 3128580 173141808 176008200 10498812 14164197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 419642706 438332884 430141518 452497081 X -256999710 -276488881 0 0 0 0 -256999710 -276488881 173141808 176008200 -19489171 X X false true X true true true X SUPPLEMENTAL INFORMATION THE CLINIC HAS OBTAINED TAX-EXEMPT STATUS AS AN ORGANIZATION WHOSE MAIN PURPOSE IS TO PROVIDE MEDICAL CARE. HOWEVER, THE CLINIC IS NOT REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE OF WISCONSIN AS A HOSPITAL AND IS NOT REQUIRED TO FILE SCHEDULE H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 19985 271755 19985 271755 189312353 1746355332 189332338 1746627087 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 232875 243735 281562 271755 1029927 250000 250000 250000 250000 1000000 1500000 false 9417988 9417988 195255160 84235562 111019598 1766044 1219876 546168 84397348 67537410 16859938 137843692 0 ASSET RETIREMENT OBLIG-FIN47 1515950 INTERCOMPANY PAYABLE 427892884 RESERVE MALPRACTICE CLAIMS 1799676 LT MALPRACTICE CLAIM RSV 7117490 LEASE CONTRACT PAYABLE 6884 438332884 X Form Sch D, Part X, Line 2 THE OBLIGATED GROUP HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2015 OR 2014. THE OBLIGATED GROUP'S INCOME TAX RETURNS ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR 2011, AND PRIOR YEARS. true Gundersen Lutheran Medical Foundation Inc 1836 South Avenue La Crosse WI 54601 391249705 501 (C) (3) 978364 Support of GLMF, Inc. LUTHERAN MEDICAL FOUNDATION, INC. 1 Charity Care 5985 1782275 BOOK CHARITY CARE Form Sch I, Part I, Line 2 ASSISTANCE WAS TO RELATED ORGANIZATIONS, FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF GOVERNORS. false false false false false false false false false Scott Rathgaber MD CEO, Med VP, Board Chair 589072 4558 39750 21875 655255 Julio Bird MD Board of Governors - Exec VP 670156 10000 4198 39750 20364 744468 Sigurd Gundersen III MD Board of Governors - Member 352156 4558 35827 20375 412916 Brian Sieck MD Board of Governors - Member 389656 286 39750 24557 454249 Stephen Shapiro MD Board of Governors - Member 437556 4000 16 39750 27057 508379 Brian Mulrennan MD Board of Governors - Member 299655 5500 3737 38207 20375 367474 Jonathan Zlabek MD Board of Governors - Member 286156 9000 3961 39750 22875 361742 Greg Thompson M D Board of Governors, CMO 415606 1316 4558 39750 22925 484155 Kelley Bahr MD Board of Governors - Member 343000 2500 28397 36538 54 410489 P Michael Jacobs DPM Secretery/Treasurer, MVP 292155 2500 30568 39750 22875 387848 Mary Kuffel MD Medical Vice President 449412 4198 39750 1343 494703 Michael Dolan MD MVP, Exec VP, Med COO 530558 6500 45208 39750 26307 648323 Marilu Bintz MD Med VP, Sr VP 531182 4558 39750 9145 584635 Stephanie Carroll MD Medical Vice President 231580 11316 16 36731 17343 296986 Kraig Schuster Vice President 186244 360 28285 22923 237812 Elizabeth Smith-Houskamp Vice President 274000 60194 39750 54 373998 Bryan Erdmann Vice President 214861 3585 32999 25376 276821 Kelly Barton Vice President 215720 3066 33000 17617 269403 Kathleen Klock Senior Vice President 406450 39750 6786 452986 Gerald Arndt Senior Vice President 393412 39750 5507 438669 Mark Platt Senior Vice President 354656 4182 39750 20375 418963 Debra Rislow Senior Vice President 368020 360 39750 18665 426795 Dara Bartels Interim CFO 190357 33346 1347 32998 22375 280423 Jeffrey Lawrence MD Medical Doctor 1083156 4198 39750 20375 1147479 Edward Riley II MD Medical Doctor 1156656 346 39750 27057 1223809 Jerry Davis MD Medical Doctor 1258656 4198 29150 20375 1312379 Frank Aberger MD Board of Governors - Member 445956 4778 39750 21575 512059 William Agger MD Medical Doctor 200194 2500 376 30961 24139 258170 Mary Lu Gerke Nurse Executive 198932 30000 11605 240537 Jeffrey Thompson MD Chief Executive Officer 656406 75000 227079 39750 22875 1021110 Michael Allen Chief Financial Officer 249771 80906 10133 18038 358848 Mark Topolski MD MEDICAL DOCTOR 886155 0 42347 39750 18344 986596 Douglas Hughes MD Medical Doctor 887155 39926 29150 20375 976606 PART I, Line 1A, 2 and 3 ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. AND ALL PAYMENTS TO VENDORS ARE MADE BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. Form 990, Part I, Line 1 DESCRIPTION OF ORGANIZATION MISSION TO PROVIDE MEDICAL AND SURGICAL SERVICES, ENGAGE IN MEDICAL EDUCATION AND RESEARCH AND PROMOTE COMMUNITY HEALTH TO DELIVER THE HIGHEST QUALITY COMPREHENSIVE HEALTH CARE TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. Form 990, Part III, Line 4A PROGRAM SERVICE ACCOMPLISHMENTS: GUNDERSEN CLINIC, LTD. (THE CLINIC) HAS 522 PHYSICIANS REPRESENTING NEARLY EVERY SPECIALTY SERVING A 19 COUNTY REGION IN WESTERN WISCONSIN, NORTHEASTERN IOWA AND SOUTHEASTERN MINNESOTA. THE CLINIC PROVIDES MEDICAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHARITY CARE AND/OR FINANCIAL ASSISTANCE IS DETERMINED BASED ON FINANCIAL INFORMATION PROVIDED BY THE PATIENT AND ANALYSIS OF OTHER RELEVANT INFORMATION. THERE WERE APPROXIMATELY 1,001,000 PATIENT ENCOUNTERS FOR 2015. THE CLINIC PROVIDED UNCOMPENSATED CARE RELATED TO CHARITY, $1,392,637; MEDICARE, $41,036,319; AND MEDICAID, $14,447,049 FOR THE TOTAL AMOUNT OF $56,876,005 AT COST BASED ON POLICIES AND CONTRACTS ARRANGED TO HELP SUPPORT THE COMMUNITY'S NEEDS. THE $56,876,005 IS THE SUM OF UNREIMBURSED MEDICARE & MEDICAID COST PLUS CHARITY AT COST. ALL OF THESE ARE CALCULATED USING THE SAME METHOD UTILIZED FOR THE HOSPITAL CALCULATION OF CHARITY COST AND UNREIMBURSED MEDICARE AND MEDICAID COSTS. THE COST OF CHARITY IS CALCULATED BY ALLOCATING THE COST TO PROVIDE SERVICES TO A PATIENT BETWEEN ANY PAYMENTS, BAD DEBT, AND CHARITY WRITE-OFFS WHERE TOTAL PAYMENTS ARE LESS THAN THE COST OF SERVICES PROVIDED. THE UNREIMBURSED MEDICARE AND MEDICAID COSTS ARE CALCULATED BY COMPARING THE COST OF SERVICES TO MEDICARE AND MEDICAID PATIENTS TO THE NET REVENUE FOR THOSE SAME PATIENTS. UNREIMBURSED COST IS THE AMOUNT THE COST EXCEEDS THE NET REVENUE. Form 990, Part VI, Section A, Line 6 GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. Form 990, Part VI, Line 7A GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. Form 990, Part VI, Section A, Line 7B THE CORPORATION'S SOLE SHAREHOLDER IS GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. THE BYLAWS MAY BE AMENDED BY THE BOARD WITH APPROVAL OF THE PARENT CORPORATION, OR BY THE VOTE OF THE SOLE SHAREHOLDER. ALSO, THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED UNDER THE DIRECTION OF THE CORPORATION'S BOARD OF GOVERNORS, SUBJECT TO CERTAIN APPROVAL POWERS OF THE BOARD OF GOVERNORS AND BOARD OF TRUSTEES OF THE PARENT CORPORATION. Form 990, Part VI, Section B, Line 11 THE FORM 990 WILL BE AVAILABLE FOR ALL BOARD MEMBERS AT A BOARD MEETING AND THE GUNDERSEN LUTHERAN HEALTH SYSTEM FINANCE COMMITTEE RECEIVES A COPY OF THE 990 BEFORE FILING. UPON FURTHER REVIEW FROM THE CFO THE 990S ARE APPROVED AND FILED. Form 990, Part VI, Section B, Line 12C GUNDERSEN CLINIC, LTD. MONITORS CONFLICTS ON AN ANNUAL BASIS BY REVIEWING DISCLOSURES ON COMPLETED CONFLICT OF INTEREST STATEMENTS. Form 990, Part VI, Section B, Line 15 ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. THE COMPENSATION OF THE CEO IS DETERMINED ANNUALLY BY A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THEIR DETERMINATION IS MADE AFTER A REVIEW OF MARKET DATA OBTAINED FROM SEVERAL ORGANIZATIONS AND CEO PERFORMANCE. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE SUCH DISCUSSIONS TAKE PLACE. RECOMMENDATIONS FOR COMPENSATION FOR THE ORGANIZATIONS' KEY MANAGEMENT EMPLOYEES ARE DEVELOPED ANNUALLY BY THE CEO, AFTER A REVIEW OF PERFORMANCE AND COMPARABLE MARKET DATA. THE PROPOSED SALARIES ARE INDEPENDENTLY REVIEWED BY AN OUTSIDE AUDITING FIRM. THE COMPENSATION RECOMMENDATIONS, AUDIT REPORTS, ALONG WITH THE MARKET DATA, ARE PRESENTED TO A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THE COMPENSATION AMOUNTS ARE NOT EFFECTIVE UNTIL THE BOARD COMMITTEE APPROVES THEM. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE THE BOARD REVIEWS AND APPROVES THE COMPENSATION OF THE KEY EMPLOYEES. Form 990, Part VI, 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 VII, Section A, Line 1 ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. Form 990, Part VII, Section B, Line 1 ALL PAYMENTS TO VENDORS ARE MADE BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. Form 990, Part VIII, Line 2a THE PROVISION OF MEDICAL SERVICES IN A MANNER BENEFICIAL TO THE COMMUNITY FURTHERS GUNDERSEN CLINIC, LTD.'S CHARITABLE PURPOSE OF PROMOTION OF HEALTH. Form 990, Part IV, Line 24A TAX EXEMPT BONDS GUNDERSEN CLINIC,LTD. IS PART OF THE OBLIGATED GROUP (GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC. , GUNDERSEN CLINIC, LTD., AND GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC.) AND TAX-EXEMPT DEBT RESIDES ON THE BALANCE SHEET OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. FEIN 39-1606449. Form 990, Part 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 GUNDERSEN CLINIC, LTD. OPERATES IN CONJUNCTION WITH A GROUP OF OTHER AFFILIATED CORPORATIONS GOVERNED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AS SUCH, ANY FEDERAL AWARDS TO GUNDERSEN CLINIC, LTD . UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. GUNDERSEN LUTHERAN MEDICAL CENTER INC 1910 SOUTH AVENUE LA CROSSE WI 54601 390813416 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false GUNDERSEN LUTHERAN MEDICAL FNDTN INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391249705 FOUNDATION WI 501(C)(3) LINE 7 GLHS false GUNDERSEN LUTHERAN ADM SERVICES INC 1910 SOUTH AVENUE LA CROSSE WI 54601 391606449 SUPTNG. ORG. 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