GUNDERSEN CLINIC LTD: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- GUNDERSEN CLINIC LTD (EIN 39-1028657)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-11
- IRS object ID
- 201303169349300315
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-11T16:55:27-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 North 96th Street Suite 300 | AddressLine1 |
| City | Omaha | City |
| State | NE | State |
| ZIP Code | 68114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391028657 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUNDERSEN CLINIC LTD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DARA BARTELS | InCareOfName |
| Name Control | GUND | NameControl |
| Phone | 6087827300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1836 SOUTH AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | LA CROSSE | City |
| State | WI | State |
| ZIP Code | 54601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KATHLEEN KLOCK | Name |
| Title | SENIOR VICE PRESIDENT | Title |
| Phone | 6087756600 | Phone |
| Date Signed | 2013-11-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LORRAINE A EGGER | Name |
| Phone | 4023481450 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JEFFREY THOMPSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1836 SOUTH AVENUE | AddressLine1 |
| City | LA CROSSE | City |
| State | WI | State |
| ZIP Code | 54601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 516192586 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.gundersenhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1963 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 272410 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -87007 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 255358 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 411665 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 524998801 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 514739344 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2857445 | InvestmentIncomePriorYear |
| Investment Income Current Year | 957872 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 26794 | OtherRevenuePriorYear |
| Other Revenue Current Year | 32352 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 528138398 | TotalRevenuePriorYear |
| Total Revenue Current Year | 516141233 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1448878 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 871536 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 277817880 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 285575653 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 256470863 | OtherExpensePriorYear |
| Other Expenses Current Year | 257199107 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 535737621 | TotalExpensesPriorYear |
| Total Expenses Current Year | 543646296 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -7599223 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -27505063 | RevenuesLessExpensesCY |
| Total Assets BOY | 403938911 | TotalAssetsBOY |
| Total Assets EOY | 401080849 | TotalAssetsEOY |
| Total Liabilities BOY | 378486280 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 402843261 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 25452631 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1762412 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 454043024 | Expense |
| Grants | 871536 | Grants |
| Revenue | 514466934 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 454043024 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DARA BARTELS | NamePerson |
| Telephone Number | 6087759487 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH AVENUE NCA1-01 | AddressLine1 |
| City | LA CROSSE | City |
| State | WI | State |
| ZIP Code | 54601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN SIECK MD | ||||||||||
| BOARD OF GOVERNORS - SEC/TREAS | 2.0 | 44.0 | X | X | 0 | 359638 | 60496 | |||
| STEPHEN SHAPIRO MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 46.0 | X | 0 | 432458 | 61084 | ||||
| BRIAN MULRENNAN MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 44.0 | X | 0 | 277381 | 62584 | ||||
| JONATHAN ZLABEK MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 44.0 | X | 0 | 258654 | 60084 | ||||
| WILLIAM AGGER MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 44.0 | X | 0 | 243914 | 58444 | ||||
| MARY KUFFEL MD | ||||||||||
| BOARD OF GOVERNORS-MEMBER, CMO | 2.0 | 44.0 | X | X | 0 | 435510 | 38940 | |||
| JEFFREY THOMPSON MD | ||||||||||
| CHIEF EXECUTIVE OFFICER | 2.0 | 44.0 | X | X | 0 | 711992 | 61084 | |||
| JULIO BIRD MD | ||||||||||
| BOARD OF GOVERNORS - EXEC. VP | 2.0 | 44.0 | X | X | 0 | 664632 | 58584 | |||
| FRANK ABERGER MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 44.0 | X | 0 | 486314 | 62584 | ||||
| GREGORY THOMPSON MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 46.0 | X | 0 | 343492 | 63584 | ||||
| GORDON EDWARDS | ||||||||||
| CHIEF FINANCIAL OFFICER | 0.0 | 40.0 | X | 0 | 340689 | 59084 | ||||
| SCOTT RATHGABER MD | ||||||||||
| MEDICAL VICE PRESIDENT | 0.0 | 40.0 | 0 | 501122 | 60084 | X | ||||
| SIGURD GUNDERSEN III MD | ||||||||||
| MEDICAL VICE PRESIDENT | 0.0 | 42.8 | 0 | 442760 | 58584 | X | ||||
| MICHAEL J DOLAN MD | ||||||||||
| MEDICAL VICE PRESIDENT | 0.0 | 42.0 | 0 | 432568 | 58804 | X | ||||
| MARILU BINTZ MD | ||||||||||
| MEDICAL VICE PRESIDENT | 0.0 | 42.0 | 0 | 511944 | 46740 | X | ||||
| MARY JO KLOS | ||||||||||
| VICE PRESIDENT | 0.0 | 40.25 | 0 | 161086 | 20762 | X | ||||
| DEBRA RISLOW | ||||||||||
| VICE PRESIDENT | 0.0 | 41.0 | 0 | 287545 | 51648 | X | ||||
| KATHLEEN KLOCK | ||||||||||
| SENIOR VICE PRESIDENT | 0.0 | 40.0 | 0 | 395360 | 37500 | X | ||||
| GERALD ARNDT | ||||||||||
| SENIOR VICE PRESIDENT | 0.0 | 41.0 | 0 | 384412 | 38940 | X | ||||
| JANICE DEHAAN | ||||||||||
| VICE PRESIDENT | 0.0 | 41.5 | 0 | 266624 | 57004 | X | ||||
| MARY LU GERKE | ||||||||||
| VICE PRESIDENT | 0.0 | 40.0 | 0 | 199124 | 39240 | X | ||||
| ROBERT TRINE | ||||||||||
| SENIOR VICE PRESIDENT | 0.0 | 40.0 | 0 | 365023 | 57537 | X | ||||
| KELLY BARTON | ||||||||||
| VICE PRESIDENT | 0.0 | 41.5 | 0 | 172998 | 26448 | X | ||||
| BRYAN ERDMANN | ||||||||||
| VICE PRESIDENT | 0.0 | 42.8 | 0 | 166557 | 47551 | X | ||||
| DANIEL LANGE MD | ||||||||||
| MEDICAL DOCTOR | 0.0 | 40.0 | 0 | 800830 | 59584 | X | ||||
| JEFFREY LAWRENCE MD | ||||||||||
| MEDICAL DOCTOR | 0.0 | 40.0 | 0 | 1057132 | 58584 | X | ||||
| EDWARD RILEY MD | ||||||||||
| MEDICAL DOCTOR | 0.0 | 40.0 | 0 | 889856 | 62584 | X | ||||
| KURT MUELLER MD | ||||||||||
| MEDICAL DOCTOR | 0.0 | 40.0 | 0 | 771632 | 58584 | X | ||||
| RONALD SCHNEIDER DDS | ||||||||||
| DENTIST | 0.0 | 40.0 | 0 | 873198 | 63584 | X | ||||
| DARYL APPLEBURY | ||||||||||
| CHIEF OF CORPORATE VENTURES | 0.0 | 43.8 | 0 | 215893 | 53817 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 13450338 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1604131 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GUNDERSEN LUTHERAN ADMIN SERVICES | |||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | PURCH SVCS/ SUPPLIES | 448874038 |
| GUNDERSEN LUTHERAN MEDICAL CENTER | |||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | PURCH SVCS/ SUPPLIES | 108694731 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Related Organizations | 351602 | RelatedOrganizations |
| Government Grants | 37146 | GovernmentGrants |
| All Other Contributions | 22917 | AllOtherContributions |
| Total Contributions | 411665 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL SERVICE PROVIDED | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 514739344 | TotalRevenueColumn |
| Related Or Exempt Function Income | 514466934 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 272410 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 514739344 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 947898 | TotalRevenueColumn |
| Exclusion | $947,898 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 47179 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 14827 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 32352 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32352 | TotalRevenueColumn |
| Exclusion | $32,352 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 46500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 36526 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 9974 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9974 | TotalRevenueColumn |
| Exclusion | $9,974 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 516141233 | TotalRevenueColumn |
| Related Or Exempt Function Income | 514466934 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 272410 | UnrelatedBusinessRevenue |
| Exclusion | $990,224 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 871536 | Total |
| Program Services | 871536 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4339746 | Total |
| Program Services | 4339746 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218133050 | Total |
| Program Services | 217054608 | ProgramServices |
| Management And General | 1078442 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24954850 | Total |
| Program Services | 24810884 | ProgramServices |
| Management And General | 143966 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26785092 | Total |
| Program Services | 25815951 | ProgramServices |
| Management And General | 969141 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11362915 | Total |
| Program Services | 11280356 | ProgramServices |
| Management And General | 82559 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12133 | Total |
| Program Services | 5367 | ProgramServices |
| Management And General | 6766 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176 | Total |
| Program Services | 176 | ProgramServices |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10228 | Total |
| Program Services | 10228 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6000 | Total |
| Program Services | 6000 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43577826 | Total |
| Program Services | 43209988 | ProgramServices |
| Management And General | 367838 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 266 | Total |
| Program Services | 266 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51298429 | Total |
| Program Services | 51050294 | ProgramServices |
| Management And General | 248135 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1261143 | Total |
| Program Services | 1261143 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10852444 | Total |
| Program Services | 7118022 | ProgramServices |
| Management And General | 3734422 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1623676 | Total |
| Program Services | 1617117 | ProgramServices |
| Management And General | 6559 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 890153 | Total |
| Program Services | 888104 | ProgramServices |
| Management And General | 2049 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111367067 | Total |
| Program Services | 36933243 | ProgramServices |
| Management And General | 74433824 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13682219 | Total |
| Program Services | 8543661 | ProgramServices |
| Management And General | 5138558 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4668488 | Total |
| Program Services | 1375629 | ProgramServices |
| Management And General | 3292859 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS/COLLECTIONS | 15591201 | 15591201 | |
| RECRUITING | 1043159 | 1042991 | 168 |
| DUES/MEBERSHIPS/LICENSE | 915057 | 914167 | 890 |
| MISCELLANEOUS | 399442 | 302346 | 97096 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 543646296 | Total |
| Program Services | 454043024 | ProgramServices |
| Management And General | 89603272 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7739471 | BOY |
| EOY | 1868455 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69956508 | BOY |
| EOY | 55050740 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2080420 | BOY |
| EOY | 2240870 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 695618 | BOY |
| EOY | 721598 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 313213101 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 158490694 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 163723398 | BOY |
| EOY | 154722407 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10678827 | BOY |
| EOY | 8731731 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60000 | BOY |
| EOY | 20000 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149004669 | BOY |
| EOY | 177725048 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 403938911 | BOY |
| EOY | 401080849 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22381246 | BOY |
| EOY | 36170032 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 356105034 | BOY |
| EOY | 366673229 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 378486280 | BOY |
| EOY | 402843261 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25452631 | BOY |
| EOY | -1762412 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25452631 | BOY |
| EOY | -1762412 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 403938911 | BOY |
| EOY | 401080849 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -27505063 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 290020 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| General Explanation | 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. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Belongs To Affiliated Group | X | OrgBelongsToAffiliatedGroup |
| Total Grassroots Lobbying | TotalGrassrootsLobbying |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 10228 | FilingOrganizationsTotals |
| Affiliated Group Totals | 232875 | AffiliatedGroupTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 10228 | FilingOrganizationsTotals |
| Affiliated Group Totals | 232875 | AffiliatedGroupTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 543636068 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1570265863 | AffiliatedGroupTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 543646296 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1570498738 | AffiliatedGroupTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1000000 | AffiliatedGroupTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
| Affiliated Group Totals | 250000 | AffiliatedGroupTotals |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 201660 | CurrentYearMinus3 |
| Current Year Minus2 | 258826 | CurrentYearMinus2 |
| Current Year Minus1 | 216456 | CurrentYearMinus1 |
| Current Year | 232875 | CurrentYear |
| Total | 909817 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II-A LINE 1A-D | Identifier |
| Explanation | GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., 1910 S. AVE, LA CROSSE,WI 54601, 39-1606449 LOBBYING EXPENSE - $222,647 OTHER EXEMPT PURPOSE EXPENSE - $619,465,375 GUNDERSEN CLINIC, LTD. 1836 S. AVE, LA CROSSE, WI 54601, 39-1028657 LOBBYING EXPENSE - $10,228 OTHER EXEMPT PURPOSE EXPENSE - $543,636,068 GUNDERSEN LUTHERAN MEDICAL CENTER. INC.,1910 S. AVE, LA CROSSE, WI 54601, 39-0813416 LOBBYING EXPENSE - $0 OTHER EXEMPT PURPOSE EXPENSE - $407,164,420 GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. 1836 SOUTH AVE., LA CROSSE, WI 54601, 39-1866425 LOBBYING EXPENSE - $0 OTHER EXEMPT PURPOSE EXPENSE - $0 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9374114 | OtherCostOrOtherBasis |
| Book Value | 9374114 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 190683885 | OtherCostOrOtherBasis |
| Depreciation | 65995478 | Depreciation |
| Book Value | 124688407 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2613554 | OtherCostOrOtherBasis |
| Depreciation | 1759434 | Depreciation |
| Book Value | 854120 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 110541548 | OtherCostOrOtherBasis |
| Depreciation | 90735782 | Depreciation |
| Book Value | 19805766 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 154722407 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ACCRUED INTEREST RECEIVABLE | 15057 |
| OTHER RECEIVABLES | 1211015 |
| OTHER RECEIVABLE NON-PATIENT | 129717 |
| OTHER RECEIVABLE AFFILIATES | 1747309 |
| AR TIF - CITY OF LA CROSSE | 12796 |
| INTERCOMPANY RECEIVABLE | 174609154 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 177725048 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY PAYABLE | $355,839,406 |
| RESERVE MALPRACTICE CLAIMS | $3,101,877 |
| LONG-TERM MALPRACTICE CLAIM RES | $6,195,455 |
| ASSET RETIREMENT OBLIGATION-FIN47 | $1,536,491 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 366673229 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART X, LINE 2 | Identifier |
| Explanation | THE OBLIGATED GROUP (GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC., GUNDERSEN CLINIC, LTD., AND GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC.) ADOPTED THE PROVISIONS RELATING TO UNCERTAIN TAX POSITIONS OF THE FASB ACCOUNTING STANDARDS CODIFICATION ON JANUARY 1,2007. THE CODIFICATION CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE OBLIGATED GROUP HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO LIABILITIES EXIST AS OF DECEMBER 31, 2012 AND 2011. THE OBLIGATED GROUP'S INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED DECEMBER 31, 2006, AND PRIOR. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1836 SOUTH AVENUE | AddressLine1 |
| City | LA CROSSE | City |
| State | WI | State |
| ZIP Code | 54601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 391249705 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 871536 | AmountOfCashGrant |
| Purpose Of Grant | EQUITY TRANSFER - SUPPORT OF THE GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2: | ReturnReference |
| Explanation | ASSISTANCE WAS TO A RELATED ORGANIZATION. THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF GOVERNORS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (30 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN SIECK MD | ||||||||||||||
| BOARD OF GOVERNORS - SEC/TREAS | 0 | 359198 | 0 | 0 | 0 | 440 | 0 | 37500 | 0 | 26484 | 0 | 423622 | 0 | 0 |
| STEPHEN SHAPIRO MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | 0 | 428072 | 0 | 4000 | 0 | 386 | 0 | 37500 | 0 | 27072 | 0 | 497030 | 0 | 0 |
| BRIAN MULRENNAN MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | 0 | 273172 | 0 | 1000 | 0 | 3209 | 0 | 37500 | 0 | 25138 | 0 | 340019 | 0 | 0 |
| JONATHAN ZLABEK MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | 0 | 253172 | 0 | 2500 | 0 | 2982 | 0 | 37500 | 0 | 22638 | 0 | 318792 | 0 | 0 |
| SCOTT RATHGABER MD | ||||||||||||||
| MEDICAL VICE PRESIDENT | 0 | 497172 | 0 | 0 | 0 | 3950 | 0 | 37500 | 0 | 22638 | 0 | 561260 | 0 | 0 |
| WILLIAM AGGER MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | 0 | 239510 | 0 | 4000 | 0 | 404 | 0 | 37050 | 0 | 23884 | 0 | 304848 | 0 | 0 |
| MARY KUFFEL MD | ||||||||||||||
| BOARD OF GOVERNORS-MEMBER, CMO | 0 | 431912 | 0 | 0 | 0 | 3598 | 0 | 37500 | 0 | 1494 | 0 | 474504 | 0 | 0 |
| JEFFREY THOMPSON MD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 0 | 708172 | 0 | 0 | 0 | 3820 | 0 | 37500 | 0 | 23638 | 0 | 773130 | 0 | 0 |
| SIGURD GUNDERSEN III MD | ||||||||||||||
| MEDICAL VICE PRESIDENT | 0 | 438922 | 0 | 0 | 0 | 3838 | 0 | 37500 | 0 | 21138 | 0 | 501398 | 0 | 0 |
| MICHAEL J DOLAN MD | ||||||||||||||
| MEDICAL VICE PRESIDENT | 0 | 432182 | 0 | 0 | 0 | 386 | 0 | 36220 | 0 | 26072 | 0 | 494860 | 0 | 0 |
| MARILU BINTZ MD | ||||||||||||||
| MEDICAL VICE PRESIDENT | 0 | 508124 | 0 | 0 | 0 | 3820 | 0 | 37500 | 0 | 9294 | 0 | 558738 | 0 | 0 |
| MARY JO KLOS | ||||||||||||||
| VICE PRESIDENT | 0 | 61102 | 0 | 0 | 0 | 99984 | 0 | 9282 | 0 | 12161 | 0 | 182529 | 0 | 0 |
| DEBRA RISLOW | ||||||||||||||
| VICE PRESIDENT | 0 | 287185 | 0 | 0 | 0 | 360 | 0 | 37500 | 0 | 17169 | 0 | 342214 | 0 | 0 |
| KATHLEEN KLOCK | ||||||||||||||
| SENIOR VICE PRESIDENT | 0 | 385000 | 0 | 10000 | 0 | 360 | 0 | 37500 | 0 | 3488 | 0 | 436348 | 0 | 0 |
| GERALD ARNDT | ||||||||||||||
| SENIOR VICE PRESIDENT | 0 | 374412 | 0 | 10000 | 0 | 0 | 0 | 37500 | 0 | 4928 | 0 | 426840 | 0 | 0 |
| JANICE DEHAAN | ||||||||||||||
| VICE PRESIDENT | 0 | 265672 | 0 | 0 | 0 | 952 | 0 | 32920 | 0 | 26875 | 0 | 326419 | 0 | 0 |
| MARY LU GERKE | ||||||||||||||
| VICE PRESIDENT | 0 | 199124 | 0 | 0 | 0 | 0 | 0 | 30000 | 0 | 11314 | 0 | 240438 | 0 | 0 |
| ROBERT TRINE | ||||||||||||||
| SENIOR VICE PRESIDENT | 0 | 361589 | 0 | 0 | 0 | 3434 | 0 | 34453 | 0 | 23138 | 0 | 422614 | 0 | 0 |
| GORDON EDWARDS | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 0 | 317589 | 0 | 10000 | 0 | 13100 | 0 | 37500 | 0 | 21638 | 0 | 399827 | 0 | 0 |
| DANIEL LANGE MD | ||||||||||||||
| MEDICAL DOCTOR | 0 | 796672 | 0 | 0 | 0 | 4158 | 0 | 37500 | 0 | 22138 | 0 | 860468 | 0 | 0 |
| JEFFREY LAWRENCE MD | ||||||||||||||
| MEDICAL DOCTOR | 0 | 1053672 | 0 | 0 | 0 | 3460 | 0 | 37500 | 0 | 21138 | 0 | 1115770 | 0 | 0 |
| EDWARD RILEY MD | ||||||||||||||
| MEDICAL DOCTOR | 0 | 884672 | 0 | 5000 | 0 | 184 | 0 | 37500 | 0 | 28572 | 0 | 955928 | 0 | 0 |
| KURT MUELLER MD | ||||||||||||||
| MEDICAL DOCTOR | 0 | 768172 | 0 | 0 | 0 | 3460 | 0 | 37500 | 0 | 21138 | 0 | 830270 | 0 | 0 |
| RONALD SCHNEIDER DDS | ||||||||||||||
| DENTIST | 0 | 873172 | 0 | 0 | 0 | 26 | 0 | 37500 | 0 | 29572 | 0 | 940270 | 0 | 0 |
| JULIO BIRD MD | ||||||||||||||
| BOARD OF GOVERNORS - EXEC. VP | 0 | 653672 | 0 | 7500 | 0 | 3460 | 0 | 37500 | 0 | 21138 | 0 | 723270 | 0 | 0 |
| FRANK ABERGER MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | 0 | 438672 | 0 | 0 | 0 | 47642 | 0 | 37500 | 0 | 25138 | 0 | 548952 | 0 | 0 |
| DARYL APPLEBURY | ||||||||||||||
| CHIEF OF CORPORATE VENTURES | 0 | 215893 | 0 | 0 | 0 | 0 | 0 | 32733 | 0 | 23385 | 0 | 272011 | 0 | 0 |
| KELLY BARTON | ||||||||||||||
| VICE PRESIDENT | 0 | 158186 | 0 | 0 | 0 | 14812 | 0 | 25008 | 0 | 1494 | 0 | 199500 | 0 | 0 |
| BRYAN ERDMANN | ||||||||||||||
| VICE PRESIDENT | 0 | 162775 | 0 | 0 | 0 | 3782 | 0 | 24987 | 0 | 22701 | 0 | 214245 | 0 | 0 |
| GREGORY THOMPSON MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | 0 | 339672 | 0 | 0 | 0 | 3820 | 0 | 37500 | 0 | 26138 | 0 | 407130 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE lA, 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. | |
| PART I, LINE 4A | MARY JO KLOS - $98,500 | SEVERANCE PAYMENT |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 MORE THAN 480 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 1,026,000 PATIENT ENCOUNTERS FOR 2012. THE CLINIC PROVIDED UNCOMPENSATED CARE RELATED TO CHARITY, $2,063,495; MEDICARE, $94,820,318; AND MEDICAID, $23,644,514 FOR THE TOTAL AMOUNT OF $120,528,327 AT COST BASED ON POLICIES AND CONTRACTS ARRANGED TO HELP SUPPORT THE COMMUNITY'S NEEDS. THE $120,528,327 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 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 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 SYSTEMS, 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 GUNDERSEN LUTHERAN HEALTH SYSTEM FINANCE COMMITTEE RECEIVES A COpy OF THE 990 BEFORE FILING AND UPON FURTHER REVIEW FROM THE CONTROLLER THE 990 IS APPROVED AND FILED. | |
| FORM 990, PART VI, SECTIONB, 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 COMPENSATION RECOMMENDATIONS, 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 | ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. | |
| FORM 990, PART VII, SECTION B | 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 XI, 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 XI - OTHER CHANGES IN NET ASSETS | OTHER TRANSFERS ($ 730) CAPITATION AGREEMENT ADJ $290,750 TOTAL OTHER CHANGES IN NET ASSETS $290,020 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| GUNDERSEN LUTHERAN MEDICAL CENTER INC | ||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54501 | 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 ADMINISTRATIVE SRVC | ||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391606449 | SUPTNG. ORG | WI | 501(C)(3) | LINE 11B,II | GLHS | false |
| GUNDERSEN LUTHERAN HEALTH PLAN INC | ||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391807071 | HEALTH INS. | WI | 501(C)(4) | NONE | GLHS | false |
| GUNDERSEN LUTHERAN CREDENTIALING SERVICE | ||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391856898 | CREDENTIALING | WI | 501(C)(3) | LlNE 11A, I | GLHS | false |
| TRI-COUNTY MEMORIAL HOSPITAL INC | ||||||||||
| 18601 LINCOLN STREET | WHITEHALL | WI | 54773 | 390104510 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | GLHS | false |
| HARMONY COMMUNITY HEALTHCARE INC | ||||||||||
| 815 MAIN AVENUE S | HARMONY | MN | 55939 | 410711606 | HEALTH CARE | MN | 501(C)(3) | LINE 9 | GLHS | false |
| TWEETEN LUTHERAN HEALTHCARE CENTER INC | ||||||||||
| 125 FIFTH AVENUE SE | SPRING GROVE | MN | 55974 | 411565003 | HEALTH CARE | MN | 501(C)(3) | LINE 9 | GLHS | false |
| TRI-STATE AMBULANCE INC | ||||||||||
| 235 CAUSEWAY BLVD | LA CROSSE | WI | 54603 | 391965415 | MDCL TRANSPO. | 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 9 | GLHS | false |
| LUTHERAN REAL ESTATE HOLDING CORPORATION | ||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391480826 | HOUSING | WI | 501(C)(3) | LINE 9 | GLHS | false |
| LUTHERAN HOUSING OF LA CROSSE INC | ||||||||||
| 1900 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391751934 | INDP LIVING | WI | 501(C)(3) | LINE 9 | LREHC | false |
| COMMUNITY HOUSING OF LA CROSSE INC | ||||||||||
| 1900 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391586700 | INDP LIVING | WI | 501(C)(3) | LINE 7 | LREHC | false |
| OPTIONS IN REPRODUCTIVE CARE INC | ||||||||||
| 1201 CALEDONIA STREET | LA CROSSE | WI | 54603 | 391166634 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | GLHS | false |
| ST JOSEPH'S HEALTH SERVICES INC | ||||||||||
| 400 WATER AVENUE | HILLSBORO | WI | 54634 | 390929538 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | GLHS | false |
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | ||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391866425 | SUPTNG. ORG. | WI | 501(C)(3) | LINE 11B,II | NA | false |
| GUNDERSEN LUTHERAN HEALTH PLAN MN INC | ||||||||||
| 1900 SOUTH AVE | LA CROSSE | WI | 54601 | 452633920 | HEALTH INSUR | MN | 501(C)(4) | SEE STMT | GLHP | false |
| ST JOSEPH'S MEMORIAL FOUNDATION INC | ||||||||||
| 400 WATER STREET | HILLSBORO | WI | 54634 | 391455787 | FOUNDATION | WI | 501(C)(3) | LINE 11A, i | S JOSEPH HS | false |
| TRI-COUNTY MEMORIAL FOUNDATION INC | ||||||||||
| 18601 LINCOLN STREET | WHITEHALL | WI | 54773 | 300093022 | FOUNDATION | WI | 501(C)(3) | LINE 3 | TRI-COUNTY | false |
| GUNDERSEN LUTHERAN EXPRESS CARE INC | ||||||||||
| 1836 SOUTH AVE | LA CROSSE | WI | 54061 | 900102388 | HEALTH CARE | WI | 501(C)(3) | LINE 11 | GLHS | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEGEN BERGLUND INC | ||||||||||||
| 1709 LOSEY BLVD S | LA CROSSSE | WI | 54601 | 390971110 | RETAIL PHARMACY | WI | GLHS | C CORP | 0 | 0 | 0.00000 | false |
| GUNDERSEN LUTHERAN ENVISION LLC | ||||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 264706546 | RENEWABLE ENERGY | WI | GLHS | C CORP | 0 | 0 | 0.00000 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUNDERSEN LUTHERAN HEALTH PLAN INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionType |
| Amount Involved | 90529477 | AmountInvolved |
| Method Of Amt Determination | FAIR VALUE | MethodOfAmtDetermination |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II, PAGE 3, LINE 3 | Identifier |
| Explanation | THE APPLICATION FOR 501(C)(4) IS PENDING. | Explanation |
Comments