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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. 607261942 true true false true false false false false false false true false false true true true false true false false false true false false false false false true false true true false false false false false true false false true false false false false false false true false true false true 424 0 true 7069 true true true false false false false false false false false false false X 16 6 false false false false true true true true true false false true true true true true true true true false WI X DARA BARTELS 6087759487 1900 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 JEFFREY THOMPSON MD 40.0 6.0 X X 711992 0 61084 GREG PRAIRIE 2.0 4.0 X X 0 0 DONALD FRANK 2.0 6.0 X X 0 0 0 STEVEN BURGESS 2.0 4.0 X X 0 0 0 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1067433042 X 4396203 -8249817 0 0 0 0 4396203 -8249817 996513087 1059183225 -12566535 -77486 -1999 X X false true X true true true X X X false false false GUNDERSEN CLINIC LTD 391028657 03 true true true 0 GUNDERSEN LUTHERAN MEDICAL CENTER INC 390813416 03 true true true 0 GUNDERSEN LUTHERAN HEALTH SYSTEM 391866425 07 true true true 0 3 0 Gundersen Lutheran Administrative Services is an integral part of the Gundersen Lutheran Health System and provides support to each of the organizations listed; however, such services cannot easily be quantified in dollar-based terms. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 222647 232875 222647 232875 619465375 1570265863 619688022 1570498738 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 201660 258826 216456 232875 909817 250000 250000 250000 250000 1000000 1500000 PART II-A LINE 1A-D: 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 1242123 1242123 28258746 5408561 22850185 1668294 391016 1277278 157681280 101222809 56458471 81828057 INTERCOMPANY RECEIVABLE 349975695 UNAMORTIZED BOND ISSUE COSTS 3693035 ACCRUED INTEREST RECEIVABLE 1656152 OTHER RECEIVABLES 6859700 UPPER MIDWEST CONSOLIDATED SER 200000 RECEIVABLE FROM ENVISION 134036 362518618 0 INTERCOMPANY PAYABLE 518118504 LOSS ON SWAP CONTRACTS 41489815 DEFERRED COMPENSATION 809232 LONG-TERM TEB PREM (DISC) 1773573 562191124 X PART X, LINE 2: 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. true Central America and the Caribbean 0 0 Grantmaking N/A 14825 Sub-Saharan Africa 0 0 Program Services MEDICAL SERVICES 11104 South America 0 0 Program Services MEDICAL SERVICES 14566 Central America and the Caribbean 0 0 Program Services MEDICAL SERVICES 42162 0 0 0 0 82657 82657 Central America and the Caribbean General Support 12690 CHECK 2135 SEE STMT FMV 1 0 false false false false false false PART I, LINE 2: GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES PROVIDED A GRANT INDIRECTLY THROUGH AN EXEMPT ORGANIZATION RECOGNIZED BY THE IRS TO PROVIDE SERVICES TO FOREIGN ORGANIZATIONS. PART I, LINE 3, COLUMN (E): REGION: SUB-SAHARAN AFRICA (E) SPECIFIC TYPES OF SERVICES IN REGION: MEDICAL SERVICES (SURGICAL) AND COMMUNITY HEALTH NEEDS ASSESSMENT. REGION: SOUTH AMERICA (E) SPECIFIC TYPES OF SERVICES IN REGION: MEDICAL SERVICES (SURGICAL)AND COMMUNITY HEALTH NEEDS ASSESSMENT. REGION: CENTRAL AMERICA AND THE CARIBBEAN (E) SPECIFIC TYPES OF SERVICES IN REGION: MEDICAL SERVICES (SURGICAL) AND COMMUNITY HEALTH NEEDS ASSESSMENT. PART II, COLUMN (H): REGION: CENTRAL AMERICA AND THE CARIBBEAN (H) DESCRIPTION OF NON-CASH ASSISTANCE: EDUCATION WORKSHOPS and LITERACY ASSESSMENTS. Tri-State Regional Ambulance 235 Causeway Blvd La Crosse WI 54603 391962965 501(C)(3) 1059988 GENERAL SUPPORT GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1836 SOUTH AVENUE LA CROSSSE WI 54601 391866425 501(C)(3) 8900000 GENERAL SUPPORT GUNDERSEN LUTHERAN CREDENTIALING 1836 SOUTH AVENUE LA CROSSE WI 54601 391866898 501(C)(3) 1021392 GENERAL SUPPORT 3 PART 1, LINE 2 The funds are monitored by management, board of governors and the board of trustees. X X X true false false false false false false false false JEFFREY THOMPSON MD 708172 0 0 0 3820 0 37500 0 23638 0 773130 0 0 0 WILLIAM AGGER MD 239510 0 4000 0 404 0 37050 0 23884 0 304848 0 0 0 BRIAN MULRENNAN MD 273172 0 1000 0 3209 0 37500 0 25138 0 340019 0 0 0 JONATHAN ZLABEK MD 253172 0 2500 0 2982 0 37500 0 22638 0 318792 0 0 0 JULIO BIRD MD 653672 0 7500 0 3460 0 37500 0 21138 0 723270 0 0 0 SCOTT RATHGABER MD 497172 0 0 0 3950 0 37500 0 22638 0 561260 0 0 0 FRANK ABERGER MD 438672 0 0 0 47642 0 37500 0 25138 0 548952 0 0 0 MARY KUFFEL MD 431912 0 0 0 3598 0 37500 0 1494 0 474504 0 0 0 STEPHEN SHAPIRO MD 428072 0 4000 0 386 0 37500 0 27072 0 497030 0 0 0 BRIAN SIECK MD 359198 0 0 0 440 0 37500 0 26484 0 423622 0 0 0 SIGURD GUNDERSEN III MD 438922 0 0 0 3838 0 37500 0 21138 0 501398 0 0 0 MICHAEL J DOLAN MD 432182 0 0 0 386 0 36220 0 26072 0 494860 0 0 0 MARILU BINTZ MD 508124 0 0 0 3820 0 37500 0 9294 0 558738 0 0 0 MARY JO KLOS 61102 0 0 0 99984 0 9282 0 12161 0 182529 0 0 0 JANICE DEHAAN 265672 0 0 0 952 0 32920 0 26875 0 326419 0 0 0 DEBRA RISLOW 287185 0 0 0 360 0 37500 0 17169 0 342214 0 0 0 KATHLEEN KLOCK 385000 0 10000 0 360 0 37500 0 3488 0 436348 0 0 0 GERALD ARNDT 374412 0 10000 0 0 0 37500 0 4928 0 426840 0 0 0 MARY LU GERKE 199124 0 0 0 0 0 30000 0 11314 0 240438 0 0 0 ROBERT TRINE 361589 0 0 0 3434 0 34453 0 23138 0 422614 0 0 0 GORDON EDWARDS 317589 0 10000 0 13100 0 37500 0 21638 0 399827 0 0 0 PATRICK CONWAY MD 597672 0 0 0 26 0 37500 0 24572 0 659770 0 0 0 MICHAEL REDMAN MD 330172 0 0 0 3812 0 37500 0 21138 0 392622 0 0 0 DAN LILLY JD 286639 0 0 0 0 0 36319 0 29107 0 352065 0 0 0 TODD KOWALSKI MD 246672 0 4000 0 44 0 33780 0 23653 0 308149 0 0 0 DARYL APPLEBURY 215893 0 0 0 0 0 32733 0 23385 0 272011 0 0 0 KELLY BARTON 158186 0 0 0 14812 0 25008 0 1494 0 199500 0 0 0 JEFFREY HILLESLAND MD 275873 0 0 0 3171 0 37500 0 22398 0 338942 0 0 0 BRYAN ERDMANN 162775 0 0 0 3782 0 24987 0 22701 0 214245 0 0 0 GREG THOMPSON MD 339672 0 0 0 3820 0 37500 0 26138 0 407130 0 0 0 PART I, LINE 4A SEVERANCE PAYMENT MARY JO KLOS - $98,500 A WHEFA SERIES 2011A ISSUANCE 391337855 97710BJ78 2011-09-29 162468632 SEE PART VI false false false B WHEFA SERIES 2011B ISSUANCE 391337855 97710BK50 2011-09-29 40000000 SEE PART VI false false false C WHEFA SERIES 2009 ISSUANCE 391337855 97710BE65 2011-03-17 78715000 SEE PART VI false false false D WHEFA SERIES 2008B ISSUANCE 391337855 97710BBG6 2010-09-01 61400000 SEE PART VI false false false A 5865000 0 162563462 0 0 90473803 1938652 0 0 70140245 0 0 true false false true B 0 0 40010713 0 0 0 304885 0 0 39705764 0 0 false false false true C 0 0 78715000 0 0 78715000 0 0 0 0 0 0 2005 true false true true D 0 0 61400000 0 0 61400000 0 0 0 0 0 0 2008 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false true false false 0.01600 0.01600 false false false true D false false false false 0 false false false true A false true false false 0 false 0 false true B false true true false 0 false 0 false true C false true true true PIPERMERRILL 29.5 false false false 0 false true D false true true true MERRILL 27. false false false 0 false true A true B true C true D true Part I Bond Issues: Line A 0 (a) Issuer Name: Wisconsin Health and Educational Facilities Authority Series 2011A (f) Description of Purpose: Refunded the 2000 Series A and B issued 10/10/2000, Series 2008A issued 5/29/2008 Part II Line 3 Amounts reported include investment income Part I Bond Issues: Line B 0 (a) Issuer Name: Wisconsin Health and Educational Facilities Authority Series 2011B (f) Description of Purpose: New Money for Construction and Equipping of Hospital Part II Line 3 Amounts reported include investment income Part I Bond Issues: Line C 0 (a) Issuer Name: Wisconsin Health and Educational Facilities Authority Series 2009 (c) Cusip ID: 97710BE65/9910BE73 (f) Description of Purpose: Conversion and Reissuace of 2009 Bonds, origionally issued 5/22/2009 Part I Bond Issues: Line D 0 (a) Issuer Name: Wisconsin Health and Educational Facilities Authority Series 2008B (f) Description of Purpose: Conversion and Reissuace of 2008 Bonds, originally issued 5/29/2008 A WHEFA SERIES 2012 ISSUANCE 391337855 97710B4B5 2012-09-27 71789897 SEE PART VI false false false B WHEFA SERIES 2003A ISSUANCE 391337855 97710VLT3 2003-07-23 114412216 SEE PART VI true false false A 0 0 71896538 0 0 0 961054 0 0 28645159 0 42247081 false false false true B 103555000 9070000 114412216 0 0 35629081 1151179 3218649 0 74413307 0 0 2005 true false true true A false false false false 0 false false false true B false true false false 0.01600 0.01600 false false false true A false true false false 0 false 0 false true B false true true true PIPERMERRIL 29.5 false false false 0 false true A true B true Part I Bond Issues: LIne A 0 (a) Issuer Name: Wisconsin Health and Educational Facilities Authority Series 2012 (f) Description of Purpose: New Money for Construction and Equipping of Hospital Part II Line 3: Amounts reported include investment income. Part I Bond Issues: Line B 0 (a) Issuer Name: Wisconsin Health and Educational Facilities Authority Series 2003A (f) Description of Purpose: Refunded the 1993 Series A and B Part IV Arbitrage 0 Column B, Line (c): Rebate Computations were performed on 3/28/2006; 10/31/2008; 9/21/2011; 9/27/2011 GORDON EDWARDS CFO RELOCATION X 40000 26641 false true true 26641 SEAN AGGER SEE SUPPLEMENTAL INFO 151604 EMPLOYMENT false INGRI GUNDERSEN LOMBARDI SEE SUPPLEMENTAL INFO 36172 EMPLOYMENT false JAMES KLOCK SEE SUPPLEMENTAL INFO 108938 EMPLOYMENT false BELINDA KLOCK SEE SUPPLEMENTAL INFO 69492 EMPLOYMENT false JAMES KLOCK SEE SUPPLEMENTAL INFO 95334 EMPLOYMENT false BRENDA WHITE SEE SUPPLMENETAL INFO 19976 EMPLOYMENT false SAMUEL THOMPSON SEE SUPPLEMENTAL INFO 11703 EMPLOYMENT false JONATHAN KLOCK SEE SUPPLEMENTAL INFO 30030 EMPLOYMENT false TOM THOMPSON SEE SUPPLEMENTAL INFO 47574 EMPLOYMENT false Lynn Sturm SEE SUPPLEMENTAL INFO 81385 EMPLOYMENT false Amy Strupp SEE SUPPLEMENTAL INFO 19050 EMPLOYMENT false SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS: (A) NAME OF PERSON: GORDON EDWARDS (A) PURPOSE OF LOAN: RELOCATION EXPENSES - FORGIVEN OVER 5 YEARS SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: SEAN AGGER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF WILLIAM AGGER,M.D., DIRECTOR (A) NAME OF PERSON: INGRI GUNDERSEN LOMBARDI (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF SIGURD GUNDERSEN III, M.D., 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: 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 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 11: THE GUNDERSEN LUTHERAN HEALTH SYSTEM FINANCE COMMITTEE RECEIVES A COPY OF THE 990 BEFORE FILING AND UPON FURTHER REVIEW FROM THE CONTROLLER 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 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 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. 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 MEDICAL CENTER INC 1910 SOUTH AVENUE LA CROSSE WI 54601 390813416 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false GUNDERSEN CLINIC LTD 1910 SOUTH AVENUE LA CROSSE WI 54601 391028657 SUPTNG. ORG 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 HEALTH PLAN INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391807071 HEALTH INS. WI 501(C)(4) GLHS false GUNDERSEN LUTHERAN CREDENTIALING SVS INC 1910 SOUTH AVENUE LA CROSSE WI 54601 391856898 CREDENTIALING WI 501(C)(3) LINE 11A, I GLHS false TRI-COUNTY MEMORIAL HOSPITAL INC 18601 LINCOLN STREET WHITEHALL WI 54773 390704510 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 54601 391965415 MDCL TRANSPO. WI 501(C)(3) LINE 3 GLHS false LUTHERAN REAL ESTATE HOLDING CORPORATION 1910 SOUTH AVENUE LA CROSSE WI 54601 391480826 HOUSING WI 501(C)(3) 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 LRHC false COMMUNITY HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391586700 INDP LIVING WI 501(C)(3) LINE 7 LRHC false OPTIONS IN REPRODUCTIVE CARE INC 1201 CALEDONIA STREET LA CROSSE WI 54603 391166634 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false TRI-STATE REGIONAL AMBULANCE INC 235 CAUSEWAY BLVD LA CROSSE WI 54603 391962965 MDCL TRANSPO. WI 501(C)(3) LINE 9 GLHS false STJOSEPH'S HEALTH SERVICES INC 400 WATER AVENUE HILLSBORO WI 54634 390929538 HEALTH CARE WI 501(C)(3) LINE 3 GLHS false ST JOSEPH MEMORIAL FOUNDATION INC 400 WATER 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 54601 900102388 HEALTHCARE WI 501(c)(3) LINE 11 GLHS false GUNDERSEN LUTHERAN HEALTH PLAN MN INC 1900 SOUTH AVE LA CROSSE WI 54601 452633920 health ins MN 501(c)(4) SEE STMT glhp false DEGEN BERGLUND INC 1709 LOSEY BLVD S LA CROSSE WI 54601 390971110 RETAIL PHARMACY WI GLHS C CORP 0 0 0.00000 true GUNDERSEN LUTHERAN ENVISION LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 264706546 RENEWABLE ENRGY WI GLHS C CORP 0 0 0.00000 true true true false true false false false false true false true true false false true true true false GUNDERSEN LUTHERAN HEALTH PLAN INC M 75783669 FAIR VALUE GUNDERSEN LUTHERAN HEALTH PLAN INC Q 11395107 FAIR VALUE GUNDERSEN LUTHERAN ENVISION LLC A 459438 FAIR VALUE DEGEN BERGLUND INC A 57192 FAIR VALUE PART II, PAGE 3, LINE 6 THE APPLICATION FOR 501(C)(4) IS PENDING.