GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC (EIN 39-1606449)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201403189349306060
Schema version
2013v3.1
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)
Return2014-11-14T13:50:00-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11212 North 96th Street Suite 300AddressLine1
CityOmahaCity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391606449EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUNDERSEN LUTHERAN ADMINISTRATIVEBusinessNameLine1
Business Name Line2SERVICES INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of% DARA BARTELSInCareOfNm
Business Name ControlGUNDBusinessNameControlTxt
Phone6087827300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11910 SOUTH AVEAddressLine1
Address Line2SuiteAddressLine2
CityLA CROSSECity
StateWIState
ZIP Code54601ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHLEEN KLOCKPersonNm
Person TitleSENIOR VICE PRESIDENTPersonTitleTxt
Phone6087756600PhoneNum
Signature2014-10-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDonald Neal JrPreparerPersonNm
PTINP00798244PTIN
Phone6087756600PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Gundersen Admin Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Principal Officerjeffrey thompsonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11910 south aveAddressLine1
CityLA CROSSECity
StateWIState
ZIP Code54601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$652,966,246GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GUNDERSENHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee8664TotalEmployeeCnt
Total Volunteers837TotalVolunteersCnt
Total Gross UBI$89,466TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$19,967NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$741,474PYContributionsGrantsAmt
CY Contributions Grants$662,295CYContributionsGrantsAmt
PY Program Service Revenue$605,423,434PYProgramServiceRevenueAmt
CY Program Service Revenue$588,302,303CYProgramServiceRevenueAmt
PY Investment Income$691,358PYInvestmentIncomeAmt
CY Investment Income$63,201,958CYInvestmentIncomeAmt
PY Other Revenue$265,221PYOtherRevenueAmt
CY Other Revenue$268,590CYOtherRevenueAmt
PY Total Revenue$607,121,487PYTotalRevenueAmt
CY Total Revenue$652,435,146CYTotalRevenueAmt
PY Grants And Similar Paid$10,996,205PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,934,315CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$528,708,316PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$543,075,556CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$79,983,501PYOtherExpensesAmt
CY Other Expenses$94,356,021CYOtherExpensesAmt
PY Total Expenses$619,688,022PYTotalExpensesAmt
CY Total Expenses$650,365,892CYTotalExpensesAmt
PY Revenues Less Expenses-$12,566,535PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,069,254CYRevenuesLessExpensesAmt
Total Assets BOY$1,059,183,225TotalAssetsBOYAmt
Total Assets EOY$684,537,376TotalAssetsEOYAmt
Total Liabilities BOY$1,067,433,042TotalLiabilitiesBOYAmt
Total Liabilities EOY$690,717,939TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$8,249,817NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$6,180,563NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$638,944,741ExpenseAmt
Grant$12,934,315GrantAmt
Revenue$588,302,303RevenueAmt
DescGENERAL 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.Desc
Total Program Service Expenses$638,944,741TotalProgramServiceExpensesAmt
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 EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
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 ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
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 BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
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 Document565IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8664EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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 Members16GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
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 Line11900 SOUTH AVENUE NCA1-01AddressLine1
CityLA CROSSECity
StateWIState
ZIP Code54601ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

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
Jeffrey Thompson MD
Chief Executive Officer40.06.0Yes (X)Yes (X)$737,331$0$56,128
Greg Prairie
Board of Trustees - VP2.04.0Yes (X)Yes (X)$0$0
Wendy Lommen
Board of Trustees - Treasurer2.04.0Yes (X)Yes (X)$0$0
Brian Rude
BOARD OF TRUSTEES - Secretary2.04.0Yes (X)Yes (X)$0$0
Gerald Kember
Board of Trustees - Member2.06.0Yes (X)$0$0
Mark Platt
Board of Trustes / MBR /Sr. VP40.04.0Yes (X)$57,784$5,721
Mark Glendenning
Board of Trustees - Member2.04.0Yes (X)$0$0
Brad Sturm
Board of Trustees - Member2.04.0Yes (X)$0$0
Stephen Shapiro MD
BOARD OF TRUSTEES/GOVERNORS40.09.0Yes (X)$437,797$56,128
Brian Sieck MD
BD OF GOV. - SEC/TREAS/TRUSTEE40.06.0Yes (X)Yes (X)$370,447$56,128
GREGORY THOMPSON MD
Bd of Gov. - Mbr/CMO/Trustee40.08.0Yes (X)Yes (X)$355,777$56,128
Jonathan Zlabek MD
BOARD OF TRUSTEES/GOVERNORS40.06.0Yes (X)$275,155$54,540
Julio Bird MD
Board of Governors - Exec VP40.06.0Yes (X)Yes (X)$662,971$53,628
Frank Aberger MD
Board of Governors - Member40.06.0Yes (X)$384,901$54,228
William Agger MD
Board of Governors - Member40.06.0Yes (X)$244,185$52,926
Kelley Bahr MD
Board of Governors - Member40.06.25Yes (X)$247,026$34,940
Brian Mulrennan MD
BOARD OF GOVERNORS - MEMBER40.06.0Yes (X)$304,377$54,607
Gordon Edwards
Chief Financial Officer40.00.0Yes (X)$96,761$6,925
Michael Allen
Chief Financial Officer40.00.0Yes (X)$106,479$14,196
Mary Kuffel MD
Medical Vice President40.00.0$442,987$37,152Yes (X)
Michael J Dolan MD
Medical Vice President40.02.0$460,015$54,463Yes (X)
Marilu Bintz MD
Medical Vice President40.00.0$555,076$44,688Yes (X)
Scott Rathgaber MD
Medical Vice President40.00.0$499,881$56,128Yes (X)
Mary Lu Gerke
Vice President40.00.0$204,064$37,688Yes (X)
Janice DeHaan
Vice President40.01.5$275,782$50,490Yes (X)
Debra Rislow
Vice President40.02.0$302,596$50,652Yes (X)
Bryan Erdmann
Vice President40.02.8$176,759$44,373Yes (X)
Kelly Barton
Vice President40.01.5$177,643$38,659Yes (X)
Kathleen Klock
Senior Vice President40.00.0$423,360$35,700Yes (X)
Gerald Arndt
Senior Vice President40.01.0$387,412$37,152Yes (X)
Robert Trine
Senior Vice President40.00.0$372,950$51,515Yes (X)
Patrick Conway MD
Medical Doctor40.00.0$793,162$53,628Yes (X)
Michael Redman MD
Medical Doctor40.00.0$338,826$53,628Yes (X)
Dan Lilly JD
General Counsel40.01.0$320,176$55,672Yes (X)
Jill McMullen MD
Medical Doctor40.00.0$224,803$47,728Yes (X)
Pamela Maas
Cheif Bus. Dvlpmnt & Mk OFFCR.40.00.0$199,431$30,840Yes (X)
Daryl Applebury
Former Chief of Corp. Ventures40.00.0$224,522$27,458Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,660,436TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,363,837TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K680IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Gundersen Lutheran Medical Center
1910 South AvenueLA CROSSEWI54601Purchased Services$152,561,075
Kraus Anderson Construction Co
PO Box 158CIRCLE PINESMN55014Building Contractor$66,242,111
EPIC System Corporation
Box 88314MILWAUKEEWI532880314MEDICAL RCD SW SUPL$5,060,520
Fowler and Hammer Inc
313 Monitor StreetLA CROSSEWI54603Building Contractor$3,010,612
Microsoft Licensing GP
1950 N stemmons FwyDALLASTX75202Computer Software$2,805,946
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K389CntrctRcvdGreaterThan100KCnt
Related Organizations$336,906RelatedOrganizationsAmt
Government Grants$317,889GovernmentGrantsAmt
All Other Contributions$7,500AllOtherContributionsAmt
Total Contributions$662,295TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSERVICE PROVIDED TO GUNDERSENDesc
Business561000BusinessCd
Total Revenue Column$588,302,303TotalRevenueColumnAmt
Related Or Exempt Func Income$588,302,303RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$588,302,303TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,199,009TotalRevenueColumnAmt
Unrelated Business Revenue$89,466UnrelatedBusinessRevenueAmt
Exclusion$63,109,543ExclusionAmt

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$783,083RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$514,493RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$268,590RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$268,590TotalRevenueColumnAmt
Exclusion$268,590ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$19,556OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$16,607OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,949OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,949TotalRevenueColumnAmt
Exclusion$2,949ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$652,435,146TotalRevenueColumnAmt
Related Or Exempt Func Income$588,302,303RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$89,466UnrelatedBusinessRevenueAmt
Exclusion$63,381,082ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,803,629TotalAmt
Program Services$12,803,629ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$130,686TotalAmt
Program Services$130,686ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,373,094TotalAmt
Program Services$1,282,819ProgramServicesAmt
Management And General$3,090,275ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$406,322,482TotalAmt
Program Services$403,075,897ProgramServicesAmt
Management And General$3,246,585ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$45,164,829TotalAmt
Program Services$44,546,337ProgramServicesAmt
Management And General$618,492ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$61,942,194TotalAmt
Program Services$60,298,939ProgramServicesAmt
Management And General$1,643,255ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,272,957TotalAmt
Program Services$24,950,141ProgramServicesAmt
Management And General$322,816ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$854,321TotalAmt
Program Services$120,595ProgramServicesAmt
Management And General$733,726ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$306,380TotalAmt
Program Services$306,380ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$215,970TotalAmt
Program Services$215,970ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$937,979TotalAmt
Program Services$937,979ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,260,103TotalAmt
Program Services$10,989,574ProgramServicesAmt
Management And General$270,529ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,099,453TotalAmt
Program Services$1,099,453ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,106,244TotalAmt
Program Services$10,064,533ProgramServicesAmt
Management And General$41,711ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,714,593TotalAmt
Program Services$12,714,593ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,644,161TotalAmt
Program Services$6,631,310ProgramServicesAmt
Management And General$12,851ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$571,540TotalAmt
Program Services$467,637ProgramServicesAmt
Management And General$103,903ManagementAndGeneralAmt

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$9,840,933TotalAmt
Program Services$9,840,933ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,201,824TotalAmt
Program Services$21,191,730ProgramServicesAmt
Management And General$10,094ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$91,649TotalAmt
Program Services$89,708ProgramServicesAmt
Management And General$1,941ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBTS/COLLECTIONS$2,511,928$2,511,928
DUES, MEMBERSHIPS, LICENSES$2,021,253$1,076,482$944,771
EMPLOYEE DEVELOPMENT$2,030,489$2,000,644$29,845
ASSESSMENTS$9,802,927$9,802,927

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,144,274TotalAmt
Program Services$1,793,917ProgramServicesAmt
Management And General$350,357ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$650,365,892TotalAmt
Program Services$638,944,741ProgramServicesAmt
Management And General$11,421,151ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,213BOYAmt
EOY$9,635,341EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$76,237,794BOYAmt
EOY$75,361,298EOYAmt

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$26,641BOYAmt
EOY$23,931EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$17,521,477BOYAmt
EOY$18,341,442EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,692,562BOYAmt
EOY$4,720,443EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,384,044BOYAmt
EOY$6,512,659EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$169,654,909LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$88,071,448LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$81,828,057BOYAmt
EOY$81,583,461EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$509,951,819BOYAmt
EOY$471,536,846EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

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$362,518,618BOYAmt
EOY$16,821,955EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,059,183,225BOYAmt
EOY$684,537,376EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$98,561,918BOYAmt
EOY$122,509,373EOYAmt

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$406,680,000BOYAmt
EOY$400,260,000EOYAmt

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$562,191,124BOYAmt
EOY$167,948,566EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,067,433,042BOYAmt
EOY$690,717,939EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$8,249,817BOYAmt
EOY-$6,180,563EOYAmt

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-$8,249,817BOYAmt
EOY-$6,180,563EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,059,183,225BOYAmt
EOY$684,537,376EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,069,254ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupportSupportAmt
GUNDERSEN CLINIC LTD
39102865703Yes (true)$0
GUNDERSEN LUTHERAN MEDICAL CENTER INC
39081341603Yes (true)$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 11HFormAndLineReferenceDesc
ExplanationGundersen 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.ExplanationTxt

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$215,970FilingOrganizationsTotalAmt
Affiliated Group Total$243,735AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$215,970FilingOrganizationsTotalAmt
Affiliated Group Total$243,735AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$650,149,922FilingOrganizationsTotalAmt
Affiliated Group Total$1,625,668,196AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$650,365,892FilingOrganizationsTotalAmt
Affiliated Group Total$1,625,911,931AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
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$258,826CurrentYearMinus3Amt
Current Year Minus2$216,456CurrentYearMinus2Amt
Current Year Minus1$232,875CurrentYearMinus1Amt
Current Year$243,735CurrentYearAmt
Total$951,892TotalAmt

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-A LINE 1A-D:FormAndLineReferenceDesc
ExplanationGUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., 1910 S. AVE, LA CROSSE, WI 54601, 39-1606449 LOBBYING EXPENSE - $215,970 OTHER EXEMPT PURPOSE EXPENSE - $650,149,922 GUNDERSEN CLINIC, LTD. 1836 S. AVE, LA CROSSE, WI 54601, 39-1028657 LOBBYING EXPENSE - $27,765 OTHER EXEMPT PURPOSE EXPENSE - $413,782,789 GUNDERSEN LUTHERAN MEDICAL CENTER, INC., 1910 S.AVE, LA CROSSE, WI 54601, 39-0813416 LOBBYING EXPENSE - $0 OTHER EXEMPT PURPOSE EXPENSE - $561,735,485 GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. 1836 SOUTH AVE., LA CROSSE, WI 54601, 39-1866425 LOBBYING EXPENSE - $0 OTHER EXEMPT PURPOSE EXPENSE - $0ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,242,124OtherCostOrOtherBasisAmt
Book Value$1,242,124BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,352,806OtherCostOrOtherBasisAmt
Depreciation$6,651,171DepreciationAmt
Book Value$23,701,635BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,232,417OtherCostOrOtherBasisAmt
Depreciation$501,953DepreciationAmt
Book Value$2,730,464BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$134,827,562OtherCostOrOtherBasisAmt
Depreciation$80,918,324DepreciationAmt
Book Value$53,909,238BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$81,583,461TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLE$136,084,325
LOSS ON SWAP CONTRACTS$23,469,010
DEFERRED COMPENSATION$953,679
LT CIMP LIABILITY$2,662,308
TEB PREM (DISC)$2,992,107
LEASE CONTRACT PAYABLE$1,787,137
FieldValueIRS element (for citing)
Total Liability$167,948,566TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceINCOME TAX MATTERSFormAndLineReferenceDesc
ExplanationPART X, LINE 2: THE OBLIGATED GROUP HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO LIABILITIES EXIST AS OF DECEMBER 31, 2013 AND 2012. THE OBLIGATED GROUP'S INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR 2007, AND PRIOR.ExplanationTxt

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean00Program ServicesMEDICAL SERVICES$65,801
Sub-Saharan Africa00Program ServicesMEDICAL SERVICES$710
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$66,511SubtotalSpentAmt
Total Spent$66,511TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
Cash Grant$130,686CashGrantAmt
Manner Of Cash DisbursementcheckMannerOfCashDisbursementTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1Gundersen Lutheran Administrative Services provided a grant indirectly through an exempt organization recognized by the IRS to provide services to Foreign organizations.
REGION: CENTRAL AMERICA AND THE CARIBBEANREGION: CENTRAL AMERICA / CARIBBEAN (E) SPECIFIC TYPES OF SERVICES IN REGION: MEDICAL SERVICES (SURGICAL), PODIATRY, PEDIATRIC SURGERY, OPHTHALMOLOGY AND VASCULAR. REGION: SUB-SAHARAN AFRICA (E) SPECIFIC TYPES OF SERVICES IN REGION: MEDICAL SERVICES AND DEVELOPED NEW PARTNERSHIPS.
REGION: CENTRAL AMERICA AND THE CARIBBEAN(E) TYPES OF SERVICES: MEDICAL TRAINING, EDUCATION AND HOUSING PROJECTS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Tri-State Regional Ambulance
235 Causeway BlvdLa CrosseWI54603391962965501(C)(3)$1,115,000GENERAL SUPPORT
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVENUELA CROSSSEWI54601391866425501(C)(3)$11,688,629GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART 1, LINE 2FormAndLineReferenceDesc
ExplanationThe funds are monitored by management, board of governors and the board of trustees.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (28 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther 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
Jeffrey Thompson MD
Chief Executive Officer$733,516$0$0$0$3,815$0$35,700$0$20,482$0$793,513$0$0$0
Mary Kuffel MD
Medical Vice President$439,412$0$3,575$35,700$1,506$480,193$0$0
Stephen Shapiro MD
BOARD OF TRUSTEES/GOVERNORS$433,416$4,000$381$35,700$23,916$497,413$0$0
Brian Sieck MD
BD OF GOV. - SEC/TREAS/TRUSTEE$370,016$0$431$35,700$23,916$430,063$0$0
GREGORY THOMPSON MD
Bd of Gov. - Mbr/CMO/Trustee$344,016$2,500$9,261$35,700$20,482$411,959$0$0
Jonathan Zlabek MD
BOARD OF TRUSTEES/GOVERNORS$269,017$3,000$3,138$35,700$18,894$329,749$0$0
Julio Bird MD
Board of Governors - Exec VP$659,516$0$3,455$35,700$17,982$716,653$0$0
Frank Aberger MD
Board of Governors - Member$380,916$0$3,985$35,700$18,582$439,183$0$0
William Agger MD
Board of Governors - Member$240,804$3,000$381$34,650$20,781$299,616$0$0
Kelley Bahr MD
Board of Governors - Member$243,000$1,500$2,526$29,940$5,054$282,020$0$0
Brian Mulrennan MD
BOARD OF GOVERNORS - MEMBER$290,017$11,000$3,360$34,179$20,482$359,038$0$0
Michael J Dolan MD
Medical Vice President$459,994$0$21$34,785$23,166$517,966$0$0
Marilu Bintz MD
Medical Vice President$517,065$0$38,011$35,700$9,042$599,818$0$0
Scott Rathgaber MD
Medical Vice President$496,016$0$3,865$35,700$20,482$556,063$0$0
Mary Lu Gerke
Vice President$199,064$5,000$28,700$11,062$243,826$0$0
Janice DeHaan
Vice President$266,388$5,000$4,394$31,022$22,256$329,060$0$0
Debra Rislow
Vice President$302,236$0$360$35,700$18,076$356,372$0$0
Bryan Erdmann
Vice President$173,420$0$3,339$24,850$21,370$222,979$0$0
Kelly Barton
Vice President$175,490$0$2,153$24,850$13,863$216,356$0$0
Kathleen Klock
Senior Vice President$398,000$25,000$360$35,700$3,488$462,548$0$0
Gerald Arndt
Senior Vice President$387,412$0$0$35,700$4,932$428,044$0$0
Robert Trine
Senior Vice President$369,516$0$3,434$32,587$18,982$424,519$0$0
Patrick Conway MD
Medical Doctor$720,016$0$73,146$35,700$21,416$850,278$0$0
Michael Redman MD
Medical Doctor$335,016$0$3,810$35,700$17,982$392,508$0$0
Dan Lilly JD
General Counsel$319,816$0$360$35,244$23,713$379,133$0$0
Jill McMullen MD
Medical Doctor$222,518$0$2,285$27,300$20,482$272,585$0$0
Pamela Maas
Cheif Bus. Dvlpmnt & Mk OFFCR.$192,272$5,200$1,959$27,888$3,006$230,325$0$0
Daryl Applebury
Former Chief of Corp. Ventures$79,514$0$145,008$11,082$17,145$252,749$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4A:FormAndLineReferenceDesc
ExplanationSEVERANCE PAYMENT Daryl Applebury - $145,008ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WHEFA SERIES 2011A ISSUANCE
A39133785597710BJ782011-09-29$162,468,632SEE PART VIfalsefalsefalse
WHEFA SERIES 2011B ISSUANCE
B39133785597710BK502011-09-29$40,000,000SEE PART VIfalsefalsefalse
WHEFA SERIES 2009 ISSUANCE
C39133785597710BE652011-03-17$78,715,000SEE PART VIfalsefalsefalse
WHEFA SERIES 2008B ISSUANCE
D39133785597710BBG62010-09-01$61,400,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYr
A$12,130,000$0$162,563,462$0$0$90,473,803$1,938,652$0$0$70,140,245$0$0Yes (true)falsefalseYes (true)
B$0$0$40,010,713$0$0$0$304,885$0$0$39,705,764$0$0falsefalsefalseYes (true)
C$0$0$78,715,000$0$0$78,715,000$0$0$0$0$0$0Yes (true)falseYes (true)Yes (true)2005
D$0$0$61,400,000$0$0$61,400,000$0$0$0$0$0$0Yes (true)falseYes (true)Yes (true)2008

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndTotal Private Business UseTotalPrivateBusinessUsePct
Afalsefalsefalsefalse0Yes (true)falsefalseYes (true)
Bfalsefalsefalsefalse0Yes (true)falsefalseYes (true)
CfalseYes (true)falsefalse0.01600Yes (true)falsefalseYes (true)0.01600
Dfalsefalsefalsefalse0Yes (true)falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePct
0
AfalseYes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)Yes (true)falsefalse0falseYes (true)
PIPERMERRILL
CYes (true)Yes (true)Yes (true)Yes (true)false0falseYes (true)29.5
MERRILL
DYes (true)Yes (true)Yes (true)Yes (true)false0falseYes (true)27.

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2011B (f) Description of Purpose: New money for construction and equipping of hospital and costs of issuance
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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WHEFA SERIES 2012 ISSUANCEBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
CUSIP97710B4B5CUSIPNum
Bond Issued2012-09-27BondIssuedDt
Issue Price$71,789,897IssuePriceAmt
PurposeSEE PART VIPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$155,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$71,875,660TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$961,054IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$28,645,159CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$42,247,081UnspentAmt
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Exception To RebateYes (true)ExceptionToRebateInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I Bond Issues: LIne AFormAndLineReferenceDesc
Explanation(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 issuanceExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonMICHAEL ALLENPersonNm
Relationship With OrgCFORelationshipWithOrgTxt
Loan PurposeSIGNING BONUSLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$25,000OriginalPrincipalAmt
Balance Due$23,931BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$23,931TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (16 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SEAN AGGER
SEE SUPPLEMENTAL INFO$151,921EMPLOYMENTfalse
JAMES KLOCK
SEE SUPPLEMENTAL INFO$109,336EMPLOYMENTfalse
BELINDA KLOCK
SEE SUPPLEMENTAL INFO$57,367EMPLOYMENTfalse
JAMES KLOCK
SEE SUPPLEMENTAL INFO$96,876EMPLOYMENTfalse
BRENDA WHITE
SEE SUPPLMENETAL INFO$19,110EMPLOYMENTfalse
SAMUEL THOMPSON
SEE SUPPLEMENTAL INFO$16,809EMPLOYMENTfalse
JONATHAN KLOCK
SEE SUPPLEMENTAL INFO$91,744EMPLOYMENTfalse
TOM THOMPSON
SEE SUPPLEMENTAL INFO$49,180EMPLOYMENTfalse
Lynn Sturm
SEE SUPPLEMENTAL INFO$78,247EMPLOYMENTfalse
Amy Strupp
SEE SUPPLEMENTAL INFO$19,388EMPLOYMENTfalse
MARGARET WEBSTER MD
SEE SUPPLEMENTAL INFO$126,897EMPLOYMENTfalse
KAREN RUDE
SEE SUPPLEMENTAL INFO$58,814EMPLOYMENTfalse
RICARDO RIVERA
SEE SUPPLEMENTAL INFO$62,296EMPLOYMENTfalse
MEGAN KLOCK
SEE SUPPLEMENTAL INFO$20,896EMPLOYMENTfalse
SHANNaN STEPHENS MD
SEE SUPPLEMENTAL INFO$290,397EMPLOYMENTfalse
SUSAN OWEN-THOMPSON
SEE SUPPLEMENTAL INFO$28,819EMPLOYMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
Explanation(A) NAME OF PERSON: SEAN AGGER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF WILLIAM AGGER, M.D., 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, KEY EMPLOYEE (A) NAME OF PERSON: SAMUEL THOMPSON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFF THOMPSON, M.D., DIRECTOR (A) NAME OF PERSON: TOM THOMPSON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFF THOMPSON, M.D., 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: KAREN RUDE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF BRIAN RUDE, 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, MD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF KELLEY BAHR, MD, DIRECTOR (A) NAME OF PERSON: SUSAN OWEN-THOMPSON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JEFFREY THOMPSON, MD, DIRECTORExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 THROUGH THE DIRECTOR'S DESK WEBSITE and THE GUNDERSEN LUTHERAN HEALTH SYSTEM FINANCE COMMITTEE RECEIVES A COPY OF THE 990 BEFORE FILING AND UPON FURTHER REVIEW FROM THE EXECUTIVE DIRECTOR OF FINANCIAL OPERATIONS 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 2CTHE 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 3aGUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. OPERATES IN CONJUNCTION WITH A GROUP OF OTHER AFFILIATED CORPORATIONS GOVERNED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AS SUCH, ANY FEDERAL AWARDS TO GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. SINGLE AUDIT ACT AND OMB CIRCULAR A-133.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVENUELA CROSSEWI54601391866425SUPTNG. ORGWI501(C)(3)LINE 11b,IINAfalse
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1910 SOUTH AVENUELA CROSSEWI54601390813416HEALTH CAREWI501(C)(3)LINE 3GLHSfalse
GUNDERSEN CLINIC LTD
1910 SOUTH AVENUELA CROSSEWI54601391028657health careWI501(C)(3)LINE 3GLHSfalse
GUNDERSEN LUTHERAN MEDICAL FNDTN INC
1836 SOUTH AVENUELA CROSSEWI54601391249705FOUNDATIONWI501(C)(3)LINE 7GLHSfalse
GUNDERSEN HEALTH PLAN INC
1836 SOUTH AVENUELA CROSSEWI54601391807071HEALTH INS.WI501(C)(4)GLHSfalse
GUNDERSEN LUTHERAN CREDENTIALING SVS INC
1910 SOUTH AVENUELA CROSSEWI54601391856898CREDENTIALINGWI501(C)(3)ln 11c, iiiGLHSfalse
TRI-COUNTY MEMORIAL HOSPITAL INC
18601 LINCOLN STREETWHITEHALLWI54773390704510HEALTH CAREWI501(C)(3)LINE 3GLHSfalse
HARMONY COMMUNITY HEALTHCARE INC
815 MAIN AVENUE SHARMONYMN55939410711606HEALTH CAREMN501(C)(3)LINE 9GLHSfalse
TWEETEN LUTHERAN HEALTHCARE CENTER INC
125 FIFTH AVENUE SESPRING GROVEMN55974411565003HEALTH CAREMN501(C)(3)LINE 9GLHSfalse
TRI-STATE AMBULANCE INC
235 CAUSEWAY BLVDLA CROSSEWI54601391965415MDCL TRANSPO.WI501(C)(3)LINE 3GLHSfalse
LUTHERAN REAL ESTATE HOLDING CORPORATION
1910 SOUTH AVENUELA CROSSEWI54601391480826HOUSINGWI501(C)(3)ln 11c, iiiGLHSfalse
LUTHERAN HOUSING OF LA CROSSE INC
1900 SOUTH AVENUELA CROSSEWI54601391751934INDP LIVINGWI501(C)(3)LINE 9LRHCfalse
COMMUNITY HOUSING OF LA CROSSE INC
1900 SOUTH AVENUELA CROSSEWI54601391586700INDP LIVINGWI501(C)(3)LINE 9LRHCfalse
OPTIONS IN REPRODUCTIVE CARE INC
1201 CALEDONIA STREETLA CROSSEWI54603391166634HEALTH CAREWI501(C)(3)LINE 3GLHSfalse
TRI-STATE REGIONAL AMBULANCE INC
235 CAUSEWAY BLVDLA CROSSEWI54603391962965MDCL TRANSPO.WI501(C)(3)LINE 9GLHSfalse
STJOSEPH'S HEALTH SERVICES INC
400 WATER AVENUEHILLSBOROWI54634390929538HEALTH CAREWI501(C)(3)LINE 3GLHSfalse
ST JOSEPH MEMORIAL FOUNDATION INC
400 WATER STREETHILLSBOROWI54634391455787FOUNDATIONWI501(c)(3)LINE 11A, IS JOSEPH HSfalse
TRI-COUNTY MEMORIAL FOUNDATION INC
18601 LINCOLN STREETWHITEHALLWI54773300093022FOUNDATIONWI501(c)(3)ln 11a, iTRI-COUNTYfalse
GUNDERSEN LUTHERAN EXPRESS CARE INC
1836 SOUTH AVELA CROSSEWI54601900102388HEALTHCAREWI501(c)(3)LINE 11GLHSfalse
GUNDERSEN HEALTH PLAN MN INC
1900 SOUTH AVELA CROSSEWI54601452633920health insMN501(c)(4)glhpfalse
Memorial Hospital of Boscobel
205 PARKER STREETBOSCOBELWI53805390845590HEALTH CAREWI501(C)(3)LINE 3GLHSfalse
Memorial Hospital of Boscobel Foundation
205 PARKER STREETBOSCOBELWI53805391688793FUNDRAISINGWI501(C)(3)LINE 7NAfalse
Boscobel Area Health Care Partners
205 PARKER STREETBOSCOBELWI53805450498844FUNDRAISINGWI501(C)(3)LINE 7NAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
DEGEN BERGLUND INC
1709 LOSEY BLVD SLA CROSSEWI54601390971110RTL PharmacyWIGLHSC CORP$0$00.00000Yes (true)
GUNDERSEN LUTHERAN ENVISION LLC
1836 SOUTH AVENUELA CROSSEWI54601264706546renew. energyWIGLHSC CORP$0$00.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GUNDERSEN HEALTH PLAN INC
M$73,613,922FAIR VALUE
GUNDERSEN HEALTH PLAN INC
Q$12,162,039FAIR VALUE
Gundersen Health Plan MN Inc
q$245,972FAIR VALUE
GUNDERSEN LUTHERAN ENVISION LLC
A$22,984FAIR VALUE
DEGEN BERGLUND INC
A$66,482FAIR VALUE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 1 AND 2FormAndLineReferenceDesc
ExplanationDEGEN 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.ExplanationTxt

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