GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC (EIN 39-1249705)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201343169349300144
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T16:56:31-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 North 96th Street Suite 300AddressLine1
CityOmahaCity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391249705EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GUNDERSEN LUTHERAN MEDICAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DARA BARTELS CONTROLLERInCareOfName
Name ControlGUNDNameControl
Phone6087756600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11836 SOUTH AVENUEAddressLine1
Address Line2SuiteAddressLine2
CityLA CROSSECity
StateWIState
ZIP Code54601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK V CONNELLY MDName
TitleCHAIRMAN OF THE BOARDTitle
Phone6087756600Phone
Date Signed2013-11-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLORRAINE A EGGERName
Phone4023481450Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK V CONNELLY MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11836 SOUTH AVENUEAddressLine1
CityLA CrosseCity
StateWIState
ZIP Code54601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts43449180GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.gundersenhealth.org/foundationWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO ENHANCE AND SUPPORT QUALITY HEALTHCARE BY EMPHASIZING MEDICAL EDUCATION, HEALTH AND WELLNESS EDUCATION, AS WELL AS CLINICALLY BASED RESEARCH AND COMMUNITY HEALTH OUTREACH.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers760TotalNbrVolunteers
Total Gross UBI9947TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13904510ContributionsGrantsPriorYear
Contributions Grants Current Year19519376ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13994598ProgramServiceRevenuePriorYear
Program Service Revenue CY4637735ProgramServiceRevenueCY
Investment Income Prior Year1775841InvestmentIncomePriorYear
Investment Income Current Year3391655InvestmentIncomeCurrentYear
Other Revenue Prior Year1033545OtherRevenuePriorYear
Other Revenue Current Year1033827OtherRevenueCurrentYear
Total Revenue Prior Year30708494TotalRevenuePriorYear
Total Revenue Current Year28582593TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4340273GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7983326GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15059645SalariesEtcPriorYear
Salaries Etc Current Year15822218SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year202173TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY128674TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2599636TotalFundrsngExpCurrentYear
Other Expense Prior Year3378759OtherExpensePriorYear
Other Expenses Current Year3703005OtherExpensesCurrentYear
Total Expenses Prior Year22980850TotalExpensesPriorYear
Total Expenses Current Year27637223TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7727644RevenuesLessExpensesPriorYear
Revenues Less Expenses CY945370RevenuesLessExpensesCY
Total Assets BOY58583706TotalAssetsBOY
Total Assets EOY60970285TotalAssetsEOY
Total Liabilities BOY5386792TotalLiabilitiesBOY
Total Liabilities EOY5154360TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY53196914NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY55815925NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. IS TO ENHANCE AND SUPPORT QUALITY HEALTH CARE WITH AN EMPHASIS ON MEDICAL EDUCATION AND HEALTH/WELLNESS EDUCATION, AS WELL AS CLINICALLY-BASED RESEARCH AND COMMUNITY OUTREACH.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9757734Expense
Grants3238063Grants
Revenue1566022Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7983325Expense
Grants2649233Grants
Revenue1109050Revenue
DescriptionSEE SCHEDULE ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4950013Expense
Grants1642641Grants
Revenue2306527Revenue
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1366265TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt453389TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev605372TotalOfOtherProgramServiceRev
Total Program Service Expense24057337TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109685NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDARA BARTELS CONTROLLERNamePerson
Telephone Number6087759487TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11900 SOUTH AVENUE NCA1-01AddressLine1
CityLA CROSSECity
StateWIState
ZIP Code54601ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARK V CONNELLY MD
CHAIRMAN OF THE BOARD2.040.0XX032901148584
A ERIK GUNDERSEN MD
VICE CHAIRMAN OF THE BOARD2.040.0XX018285648804
COLETTE LASACK
SECRETARY OF THE BOARD2.040.0XX011346820780
HERBERT M HEILI
TREASURER OF THE BOARD2.00.0XX00
SIGURD B GUNDERSEN III MD
SECRETARY OF THE BOARD2.040.8XX044276058584
HARRY DAHL
BOARD MEMBER2.00.0X00
DYANNE BRUDOS
BOARD MEMBER2.00.0X00
ROBERT N GOLDEN MD
BOARD MEMBER2.00.0X00
GEORGE KERCKHOVE
BOARD MEMBER2.00.0X00
DIRK GASTERLAND
BOARD MEMBER2.00.0X00
JOHN LYCHE
BOARD MEMBER2.00.0X00
STEPHEN SHAPIRO MD
BOARD MEMBER2.046.0X043245861084
LEE ANN MATHY
BOARD MEMBER2.00.0X00
ANDREW TEMTE CFA
BOARD MEMBER2.00.0X00
THOMAS THOMPSON DVM
BOARD MEMBER2.00.0X00
MARY WESTLUND
BOARD MEMBER2.00.0X00
C DANIEL GELATT PHD
BOARD MEMBER2.00.0X00
JOE GOW PHD
BOARD MEMBER2.00.0X00
DONALD F FRANK
BOARD MEMBER2.06.0X00
Lynn Sturm RN
Board Member2.040.0X08138535213
Todd Mahr MD
Board Member2.040.0X021298855834
Patricia Heim
Board Member2.00.0X00
Brian Koopman CFP CPA CTFA
Board Member2.00.0X00
Rebecca Naugler
Board Member2.00.0X00
Mary Jo Werner JD CPA CFF
Board Member2.00.0X00
DAVID CHESTNUT MD
DIRECTOR OF MEDICAL EDUCATION0.040.0040829660864X
STEVE B PEARSON MD
INTERNAL MEDICINE PROGRAM0.040.0022557659809X
BENJAMIN JARMAN MD
GENERAL SURGERY PROGRAM DI0.040.0039851061584X
PHILIP SCHUMACHER
EXECUTIVE DIRECTOR0.040.0016210447172X
William Agger MD
Research Director0.046.0024391458444X
STEVEN CALLISTER PHD
SENIOR RESEARCH SCIENTIST0.040.0013881622290X
CARL SHELLEY PHD
SENIOR RESEARCH SCIENTIST0.040.0012019839459X
Ayman Al Harakeh MD
Medical DOCTOR0.040.0021505646388X
Bradley Abicht DPM
Doctor of POdiatric Medicine0.040.0012067019616X
Bernard Hammes Phd
Bereavement/Adv Care Planning0.040.0010757640959X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3935642TotalReportableCompFrmRltdOrgs
Total Other Compensation785468TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GUNDERSEN LUTHERAN ADMIN SERVICES
1900 SOUTH AVENUELA CROSSEWI54601PURCHASED SERVICES15822218
Ruffalo Cody Associates Inc
65 kirkwood north road swCEDAR RAPIDSIA52404Fundraising CSTA172827
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events367614FundraisingEvents
Related Organizations9104650RelatedOrganizations
Government Grants873502GovernmentGrants
All Other Contributions9173610AllOtherContributions
Noncash Contributions1471002NoncashContributions
Total Contributions19519376TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EDUCATION PROGRAMS61160015660221566022
RESEARCH PROGRAMS54190019626631962663
COMMUNITY HEALTH PROGRAMS90009911090501109050
FieldValueIRS element (for citing)
Total Program Service Revenue4637735TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1264407TotalRevenueColumn
Exclusion$1,264,407ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column343864TotalRevenueColumn
Related Or Exempt Function Income343864RelatedOrExemptFunctionIncome

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities14995913Securities
Other1767686Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12930865Securities
Other1705486Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2065048Securities
Other62200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2127248TotalRevenueColumn
Exclusion$2,127,248ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events177614GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events367614CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses133527FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column44087TotalRevenueColumn
Exclusion$44,087ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming33594GrossIncomeGaming
Gaming Direct Expenses3036GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column30558TotalRevenueColumn
Exclusion$30,558ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory699044GrossSalesOfInventory
Cost Of Goods Sold93673CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column605371TotalRevenueColumn
Related Or Exempt Function Income605371RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionADMINISTRATIVE SERVICESDescription
Business Code900099BusinessCode
Total Revenue Column9947TotalRevenueColumn
Unrelated Business Revenue9947UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue9947TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28582593TotalRevenueColumn
Related Or Exempt Function Income5586970RelatedOrExemptFunctionIncome
Unrelated Business Revenue9947UnrelatedBusinessRevenue
Exclusion$3,466,300ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7700234Total
Program Services7700234ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total283092Total
Program Services283092ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1416917Total
Program Services920000ProgramServices
Management And General173000ManagementAndGeneral
Fundraising323917Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10982417Total
Program Services10000569ProgramServices
Management And General195944ManagementAndGeneral
Fundraising785904Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total657833Total
Program Services482884ProgramServices
Management And General27304ManagementAndGeneral
Fundraising147645Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2114021Total
Program Services1828081ProgramServices
Management And General57064ManagementAndGeneral
Fundraising228876Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total651030Total
Program Services560790ProgramServices
Management And General14376ManagementAndGeneral
Fundraising75864Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total39608Total
Program Services39608ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13665Total
Management And General13665ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total128674Total
Fundraising128674Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total242814Total
Program Services242814ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total449971Total
Program Services212443ProgramServices
Management And General7059ManagementAndGeneral
Fundraising230469Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total217588Total
Program Services63919ProgramServices
Management And General4020ManagementAndGeneral
Fundraising149649Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total666088Total
Program Services523809ProgramServices
Management And General64339ManagementAndGeneral
Fundraising77940Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total82231Total
Program Services57832ProgramServices
Management And General4034ManagementAndGeneral
Fundraising20365Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total129961Total
Program Services129961ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total122896Total
Program Services115491ProgramServices
Management And General3276ManagementAndGeneral
Fundraising4129Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total239627Total
Program Services209807ProgramServices
Management And General1132ManagementAndGeneral
Fundraising28688Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total178647Total
Program Services115881ProgramServices
Management And General19069ManagementAndGeneral
Fundraising43697Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total129827Total
Program Services114419ProgramServices
Management And General5738ManagementAndGeneral
Fundraising9670Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total112074Total
Program Services98482ProgramServices
Management And General3789ManagementAndGeneral
Fundraising9803Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
GUNDERSEN LUTHERAN ADM SERV5207111321073850693535
MEMBERSHIPS, DUES & LICENSES13434310038733956
EMPLOYEE AND RELATED EDU4023540235
RECRUITING3643236432

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total346287Total
Program Services48060ProgramServices
Management And General1372ManagementAndGeneral
Fundraising296855Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total27637223Total
Program Services24057337ProgramServices
Management And General980250ManagementAndGeneral
Fundraising2599636Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4687352BOY
EOY4984354EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8860941BOY
EOY8243156EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1244559BOY
EOY946397EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY106737BOY
EOY88687EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY114141BOY
EOY82319EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2694937LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1658739LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1006243BOY
EOY1036198EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY34835790BOY
EOY37819332EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY427200BOY
EOY548808EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7300743BOY
EOY7221034EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY58583706BOY
EOY60970285EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2373929BOY
EOY2021895EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY2177990BOY
EOY2294595EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY344109BOY
EOY425970EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY490764BOY
EOY411900EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5386792BOY
EOY5154360EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY25361822BOY
EOY27408637EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY13157844BOY
EOY13097873EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14677248BOY
EOY15309415EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53196914BOY
EOY55815925EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY58583706BOY
EOY60970285EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses945370ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1673641ReconciliationUnrealizedInvest
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5451840CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4124049CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7742052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13904510CurrentTaxYearMinus1Year
Current Tax Year19519376CurrentTaxYear
Total50741827Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5451840CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4124049CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7742052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13904510CurrentTaxYearMinus1Year
Current Tax Year19519376CurrentTaxYear
Total50741827Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1684276AmountsSubstContributorsTotal
Public Support Total17049057551PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1272578CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1006563CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1090598CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1258402CurrentTaxYearMinus1Year
Current Tax Year1264407CurrentTaxYear
Total5892548Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3018CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12315CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13386CurrentTaxYearMinus2Years
Total28719Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support56663094TotalSupport
Public Support Pertcentage1700.86578PublicSupportPertcentage170
Public Support Pertcent Prior Year0.73760PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance14677248BeginningOfYearBalance
Contributions257882Contributions
Investment Earnings Or Losses374335InvestmentEarningsOrLosses
Other Expenditures50OtherExpenditures
End Of Year Balance15309415EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance14388661BeginningOfYearBalance
Contributions629743Contributions
Investment Earnings Or Losses-335317InvestmentEarningsOrLosses
Other Expenditures5839OtherExpenditures
End Of Year Balance14677248EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance33475760BeginningOfYearBalance
Contributions1997884Contributions
Investment Earnings Or Losses3534634InvestmentEarningsOrLosses
Other Expenditures1301332OtherExpenditures
End Of Year Balance37706946EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance29526470BeginningOfYearBalance
Contributions2480367Contributions
Investment Earnings Or Losses3360863InvestmentEarningsOrLosses
Other Expenditures1891940OtherExpenditures
End Of Year Balance33475760EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance36065812BeginningOfYearBalance
Contributions2673145Contributions
Investment Earnings Or Losses-7900476InvestmentEarningsOrLosses
Other Expenditures1312011OtherExpenditures
End Of Year Balance29526470EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10000OtherCostOrOtherBasis
Book Value10000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis980055OtherCostOrOtherBasis
Depreciation496393Depreciation
Book Value483662BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1642313OtherCostOrOtherBasis
Depreciation1126590Depreciation
Book Value515723BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis62569OtherCostOrOtherBasis
Depreciation35756Depreciation
Book Value26813BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1036198TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
CHARITABLE GIFT ANNUITY RESERV1147937
BENEFICIAL INTEREST TRUSTS5505086
SPLIT INTEREST AGREEMENTS254459
INVESTMENT- SH. HLTH SERV CORP13400
LIFE INSURANCE CSV300152
FieldValueIRS element (for citing)
Total Book Value Other Assets7221034TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
LIABILITIES UNDER UNITRUST AGRMNT.$153,454
ANNUITY PAYMENT LIABILITY$258,446
FieldValueIRS element (for citing)
Total Of Amounts411900TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART X, LINE 2THE 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, PRIOR.
PART VBEGINNING IN 2011, DUE TO A CHANGE IN POLICY BOARD DESIGNATED FUNDS ARE NO LONGER RESTRICTED BY THE BOARD.ENDOWMENT FUNDS

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (3 entries)

Name Of IndividualNameOfIndividualAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
EDDIE THOMPSON ASSOCIATES229 WARD CIRCLE STE A-23BRENTWOODTN37027FUNDRAISING CONSULTANTfalse066000-66000
RUFFALO CODY ASSOCIATES65 kirkwood north road swCEDAR RAPIDSIA52404FUNDRAISING CONSULTANTfalse0157827-157827
THE ANGELETTI GROUP LLC17 VILLAGE ROAD BOX 188NEW VERNONNJ07976FUNDRAISING CONSULTANTfalse029845-29845
FieldValueIRS element (for citing)
Total Gross Receipts0TotalGrossReceipts
Total Retained By Contractors253672TotalRetainedByContractors
Total Net To Organization-253672TotalNetToOrganization
Licensed StatesWILicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1STEPPIN OUT INNameOfEvent1
Gross Receipts Event1447462GrossReceiptsEvent1
Charitable Contributions Event1357614CharitableContributionsEvent1
Gross Revenue Event189848GrossRevenueEvent1
Other Direct Expenses Event169398OtherDirectExpensesEvent1
Name Of Event2EMERALD BALLNameOfEvent2
Gross Receipts Event215175GrossReceiptsEvent2
Gross Revenue Event215175GrossRevenueEvent2
Other Direct Expenses Event20OtherDirectExpensesEvent2
Total Number Of Other Events14TotalNumberOfOtherEvents
Gross Receipts Other Events82591GrossReceiptsOtherEvents
Charitable Contrib Other Events10000CharitableContribOtherEvents
Gross Revenue Other Events72591GrossRevenueOtherEvents
Other Direct Expenses Other Events64129OtherDirectExpensesOtherEvents
Gross Receipts Total545228GrossReceiptsTotal
Charitable Contributions Total367614CharitableContributionsTotal
Gross Revenue Total Events177614GrossRevenueTotalEvents
Other Direct Expenses Total Events133527OtherDirectExpensesTotalEvents
Direct Expense Summary Events133527DirectExpenseSummaryEvents
Net Income Summary44087NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming33594GrossRevenueOtherGaming
Other Direct Expenses Other Gaming3036OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming33594GrossRevenueTotalGaming
Other Direct Expenses Total Gaming3036OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming3036DirectExpenseSummaryGaming
Net Gaming Income Summary30558NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedWIStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmemberstrueGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility1.00000PercentageOfGamingOwnFacility
Name Of Gaming Rec Keeper PersonBONNIE FEDIENameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line11836 SOUTH AVENUEAddressLine1
CityLA CROSSECity
StateWIState
ZIP Code54601ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonDAVID AMBORNGamingManagerNamePerson
Gaming Manager Services ProvidedSUPERVISION AND MANAGEMENT OF GAMING ACTIVITIESGamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib RequiredfalseCharitableDistribRequired

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 2BIdentifier
ExplanationIN ADDTION TO PAYMENT FOR PROFESSIONAL FEES, THE ANGELETTI GROUP WAS PAID AN ADDITIONAL $7,345 FOR REIMBURSEMENT OF TRAVEL RELATED EXPENSES. IN ADDTION TO PAYMENT FOR PROFESSIONAL FEES, CHAD C. LEITCH WAS PAID AN ADDITIONAL $848 FOR REIMBURSEMENT OF TRAVEL RELATED EXPENSES. EACH OF THE ABOVE CONTRACTS REQUIRE THAT INVOICES TO THE FILING ORGANIZATION SHOW THE PROFESSIONAL FEE AND TRAVEL RELATED REIMBURSED BE LISTED SEPERATELY.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC
1900 S AVELA CROSSEWI54601391606449501(C)(3)355285GENERAL SUPPORT
FAMILY & CHILDREN CENTER
1707 MAIN STREETLA CROSSEWI54601390821863501(C)(3)12000EQP AND STAFF EDU
LA CROSSE AREA FAMILY YMCA INC
1140 MAIN STREETLA CROSSEWI54601390806172501(C)(3)38594EQP AND STAFF EDU
LA CROSSE PERFORMING ARTS CENTER INC
201 MAIN STREETLA CROSSEWI54601453799708501(C)(3)6000EQP AND STAFF EDU
GUNDERSEN CLINIC LTD
1836 SOUTH AVENUELA CROSSEWI54601391028657501(C)(3)351602GENERAL SUPPORT
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1910 SOUTH AVENUELA CROSSEWI54601390813416501(C)(3)6936752GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
TRANSPORTATION AND LODGING28679127
RESPITE SERVICES12858326
ADAPTIVE EQUIPMENT7480139369
COULEE READING CENTER SCHOLARSHIPS476270

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE I, PART I, LINE 2:Identifier
ExplanationTHE FOUNDATION MONITORS GRANT AWARDS FOR PROPER USAGE OF FUNDS BY REQUESTING THAT THE GRANT RECIPIENTS PROVIDE FEEDBACK ON THEIR PROGRAMS, A SUMMARIZATION OF GRANT RELATED EXPENDITURES, COPIES OF RECEIPTS AND/OR OTHER DOCUMENTATION TO SUPPORT THE EXPENDITURE OF THE GRANT AWARD.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgBonus Related OrgsBonusRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARK V CONNELLY MD
CHAIRMAN OF THE BOARD032567200333902750002111903776300
A ERIK GUNDERSEN MD
VICE CHAIRMAN OF THE BOARD0167672001518402772002285502334310
SIGURD B GUNDERSEN III MD
SECRETARY OF THE BOARD043892200383803750002113805013980
STEPHEN SHAPIRO MD
BOARD MEMBER0428072003860375000270720497030040000
DAVID CHESTNUT MD
DIRECTOR OF MEDICAL EDUCATION04078920040403750002685204726480
STEVE B PEARSON MD
INTERNAL MEDICINE PROGRAM02251720040403472502747602877770
BENJAMIN JARMAN MD
GENERAL SURGERY PROGRAM DI039367200483803750002413804601480
PHILIP SCHUMACHER
EXECUTIVE DIRECTOR016008800201602458802263802093300
STEVEN CALLISTER PHD
SENIOR RESEARCH SCIENTIST0138412004040208500289801625640
CARL SHELLEY PHD
SENIOR RESEARCH SCIENTIST0120172002601837502237501609480
William Agger MD
Research Director023951000404037050023884030484804000
Ayman Al Harakeh MD
Medical DOCTOR02146960036002030402814102635010
Todd Mahr MD
Board Member021017200281603225002363802688760

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions21NumberOfContributions
Noncash Contribs Rptd F9901452013NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionAUCTION ITEMSDescription
Number Of Contributions171NumberOfContributions
Noncash Contribs Rptd F99018989NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSCHEDULE M, LINE 32B:Identifier
ExplanationAUCTION RELATED ITEMS ARE DONATED AND LATER SOLD AT VARIOUS FUNDRAISING EVENTS. THE EVENTS ARE COORDINATED BY VOLUNTEERS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART III, LINE 4APROGRAM SERVICE ACCOMPLISHMENTS:EDUCATIONAL PROGRAMS: GUNDERSEN LUTHERAN IS ONE OF THE PREMIER COMMUNITY-BASED ACADEMIC HEALTH CENTERS. FULLY ACCREDITED MEDICAL RESIDENCY PROGRAMS ARE OFFERED IN INTERNAL MEDICINE, GENERAL SURGERY, ORAL AND MAXILLOFACIAL SURGERY, PODIATRIC MEDICINE AND SURGERY AND TRANSITIONAL YEAR. THE MEDICAL RESIDENCY PROGRAMS OFFER A BALANCE OF PRIMARY, TERTIARY, INPATIENT AND OUTPATIENT MEDICINE. GUNDERSEN LUTHERAN SERVES AS THE WESTERN ACADEMIC CAMPUS FOR THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH (UW-SMPH). NOT ONLY DO WE TEACH MEDICAL STUDENTS ENROLLED IN THE TRADITIONAL MEDICAL EDUCATION PROGRAM BUT WE SERVE AS A TRAINING SITE FOR MEDICAL STUDENTS ENROLLED IN THE WISCONSIN ACADEMY FOR RURAL MEDICINE (WARM), AN EXCITING NEW PROGRAM SPONSORED BY THE UW-SMPH. AS BOTH A TEACHING AND RESEARCH FACILITY, WE PROVIDE ACCESS TO CUTTING-EDGE MEDICAL KNOWLEDGE AND STATE-OF-THE ART CLINICAL CARE FOR THE TRI-STATE REGION. IN 2012, WE OFFERED 360 PLUS HOURS OF CONTINUING MEDICAL EDUCATION (CME) CREDIT, WHICH INCLUDED 13 REGULARLY SCHEDULED WEEKDAY CONFERENCES AND 15 SEMINARS. THE NUMBER OF PHYSICIAN PARTICIPANTS WAS APPROXIMATELY 5,700 AND THE NUMBER OF NON-PHYSICIAN PARTICIPANTS WAS APPROXIMATELY 2,900.
FORM 990, PART III, LINE 4BPROGRAM SERVICE ACCOMPLISHMENTS:COMMUNITY HEALTH PROGRAMS: THE COMMUNITY HEALTH PROGRAMS SPONSORED BY GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. PROMOTE COMMUNITY HEALTH, EMPHASIZE DISEASE PREVENTION, WELLNESS AND OTHER PATIENT EDUCATION PROGRAMS. A TOTAL OF 32 GRANTS WERE AWARDED FOR EDUCATION PURPOSES, 41 FOR EQUIPMENT PURCHASES, 141 FOR VARIOUS GUNDERSEN LUTHERAN PROGRAM SERVICES, AND 43 GRANTS WERE AWARDED TO ENHANCE PATIENT AND COMMUNITY HEALTH. IN ADDITION, 7,941 GRANTS WERE AWARDED TO INDIVIDUALS FOR TRANSPORTATION, RESPITE SERVICES, SCHOLARSHIPS, ADAPTIVE EQUIPMENT, MEALS AND OTHER LIVING EXPENSES.
FORM 990, PART III, LINE 4CPROGRAM SERVICE ACCOMPLISHMENTS:RESEARCH PROGRAMS: THE GUNDERSEN LUTHERAN MEDICAL FOUNDATION RESEARCH PROGRAM IS CLINICALLY ORIENTED SCIENCE THAT SEEKS EVIDENCE-BASED, REPRODUCIBLE ANSWERS TO IMPORTANT QUESTIONS THAT PERTAIN TO THE HEALTH OF THE CITIZENS OF THE TRI-STATE REGION. THE RESEARCH HELPS DIRECT MEDICAL STAFF TO PROVIDE PATIENTS WITH THE MOST UP-TO-DATE ADVANCEMENTS IN MEDICAL CARE. THE DEPARTMENT SUPPORTS RESEARCH THROUGHOUT THE ORGANIZATION HIGHLIGHTED BY THE NAMING OF A NATIONAL CANCER INSTITUTE COMMUNITY CANCER CENTER WHICH IS ONE OF THIRTY SUCH SITES IN THE NATION. THE DEPARTMENT OF RESEARCH NOW SUPPORTS THREE FULLY EQUIPPED AND STAFFED RESEARCH LABORATORIES, ONE OF WHICH HAS ALREADY EARNED A SOLID REPUTATION AS A LEADER IN LYME DISEASE RESEARCH. IN 2012, THE RESEARCH DEPARTMENT PUBLISHED 41 JOURNALS AND ARTICLES, 12 BOOK CHAPTERS, AND CONDUCTED 59 PRESENTATIONS.
FORM 990, PART III, LINE 4DOTHER PROGRAM SERVICES:BEREAVEMENT & ADVANCE CARE PLANNING PROGRAMS: GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. SPONSORS EDUCATIONAL PROGRAMS IN BEREAVEMENT AND ADVANCE CARE PLANNING AND HAS DEVELOPED COURSES AND RESOURCES TO SUPPORT CONTINUED BEREAVEMENT CARE AND EDUCATION. OUR EDUCATION PROGRAMS TRAIN HEALTH CARE PROFESSIONALS ON HOW TO FACILITATE ADVANCE CARE PLANNING (ACP) DISCUSSIONS AND TEACH ORGANIZATIONS ON HOW TO IMPLEMENT EFFECTIVE ACP SYSTEMS. WE CONTINUE TO DEVELOP AND ENHANCE OUR INNOVATIVE APPROACH TO EDUCATION THROUGH ONLINE LEARNING AND BLENDED TRAINING. IN 2012, THE DEPARTMENT PRESENTED 63 DAYS OF NATIONAL EDUCATION AND 20 DAYS OF CONSULTATION. RESPECTING CHOICES IS A DEPARTMENT OF GUNDERSEN LUTHERAN MEDICAL FOUNDATION AND IS AN INTERNATIONALLY RECOGNIZED, EVIDENCE-BASED ADVANCE CARE PLANNING PROGRAM THAT HAS PROVIDED TRAINING, CONSULTATION, AND MATERIALS TO ORGANIZATIONS AND COMMUNITIES AROUND THE WORLD. RESPECTING CHOICES ASSISTS OTHER ORGANIZATIONS IN REPLICATING THE MODELS ESTABLISHED.
FORM 990, PART VI, SECTION A, LINE 2C. DANIEL GELATT, BRIAN KOOPMAN, HARRY DAHL, JOHN LYCHE & MARY JO WERNER - BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF THIS ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. MAY ELECT THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BGUNDERSEN LUTHERAN HEALTH SYSTEM, INC. SHALL HAVE THE RIGHT TO APPROVE THE ELECTION OF ALL DIRECTORS OF THE CORPORATION, CHANGES MADE BY THE CORPORATION OR TO THE MISSION OF THE CORPORATION TO VETO OR APPROVE ANY DISAFFILIATION WITH GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.; TO VOTE UPON ANY PLAN OF LIQUIDATION OR DISSOLUTION ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION AND TO APPROVE ANY MORTGAGE OR PLEDGE OF THE CORPORATION'S ASSETS, OR ANY LEASE, SALE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11THE GUNDERSEN LUTHERAN MEDICAL FOUNDATION BOARD RECEIVES A COpy OF THE FORM 990 AND IT IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE. ALSO, IT IS REVIEWED FOR COMPLETENESS BY THE CONTROLLER OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH MEMBER OF THE GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. GOVERNING BOARD SIGNS A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. MEMBERS ARE ASKED TO DISCLOSE CONFLICTS AS APPROPRIATE AND ABSTAIN FROM VOTING WHEN APPLICABLE.
FORM 990, PART VI, SECTION B, LINE 15ALL PERSONNEL SERVICES FOR GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. 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 APPROVED THEM. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE THE BOARD REVIEWS THEM AND APPROVES THE COMPENSATION OF THE KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19REQUESTS FOR FORMS 990 AND CERTAIN OTHER TAX INFORMATION IS AVAILABLE FOR PUBLIC INSPECTION AND COPYING THROUGH THE GUNDERSEN LUTHERAN LEGAL DEPARTMENT. A COPY OF THE GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. FORM 990 CAN ALSO BE FOUND ELECTRONICALLY ON GUIDESTAR.ORG.
FORM 990, PART XII, LINE 2CAUDIT PROCESSTHE 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 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 MEDICAL FOUNDATION, 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 MEDICAL FOUNDATION, INC. UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133.
FORM 990, PART IV, LINE 24ATAX EXEMPT BOND ISSUEGUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. IS A PART OF GUNDERSEN LUTHERAN'S 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 GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, FEIN 39-1606449.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVENUELA CROSSEWI54601391866425SUPTNG. ORG.WI501(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 CROSSEWI54601391028657SUPTNG. ORG.WI501(C)(3)LINE 3GLHSfalse
GUNDERSEN LUTHERAN ADM SERVICES INC
1910 SOUTH AVENUELA CROSSEWI54601391606449SUPTNG. ORG.WI501(C)(3)LINE 11B,IIGLHSfalse
GUNDERSEN LUTHERAN HEALTH PLAN INC
1836 SOUTH AVENUELA CROSSEWI54601391807071HEALTH INS.WI501(C)(4)GLHSfalse
GUNDERSEN LUTHERAN CREDENTIALING SRVS IN
1910 SOUTH AVENUELA CROSSEWI54601391856898CREDENTIALSWI501(C)(3)LINE 11A, IGLHSfalse
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 CROSSEWI54603391965415MDCL TRNSPORAWI501(C)(3)LINE 3GLHSfalse
TRI-STATE REGIONAL AMBULANCE INC
235 CAUSEWAY BLVDLA CROSSEWI54603391962965MDCL TRNSPORAWI501(C)(3)LINE 9GLHSfalse
LUTHERAN REAL ESTATE HOLDING CORPORATION
1910 SOUTH AVENUELA CROSSEWI54601391480826HOUSINGWI501(C)(3)LINE 9GLHSfalse
LUTHERAN HOUSING OF LA CROSSE INC
1900 SOUTH AVENUELA CROSSEWI54601391751934INDP. LIVINGWI501(C)(3)LINE 9LREHCfalse
COMMUNITY HOUSING OF LA CROSSE INC
1900 SOUTH AVENUELA CROSSEWI54601391586700INDP. LIVINGWI501(C)(3)LINE 7LREHCfalse
OPTIONS IN REPRODUCTIVE CARE INC
1201 CALEDONIA STREETLA CROSSEWI54603391166634HEALTH CAREWI501(C)(3)LINE 3GLHSfalse
ST JOSEPH'S HEALTH SERVICES INC
400 WATER AVENUEHILLSBOROWI54634390929538HEALTH CAREWI501(C)(3)LINE 3GLHSfalse
GUNDERSEN LUTHERAN HEALTH PLAN MINNESOTA
1900 SOUTH AVELA CROSSEWI54601452633920HEALTH INSURMN501(C)(4)SEE STMTGLHPfalse
ST JOSEPH'S MEMORIAL FOUNDATION INC
400 WATER STREETHILLSBOROWI54634391455787FOUNDATIONWI501(C)(3)LINE 11A, IS Joseph HSfalse
TRI-COUNTY MEMORIAL FOUNDATION INC
18601 LINCOLN STREETWHITEHALLWI54773300093022FOUNDATIONWI501(C)(3)LINE 3TRI-COUNTYfalse
GUNDERSEN LUTHERAN EXPRESS CARE INC
1836 SOUTH AVELA CROSSEWI54061900102388HEALTH CAREWI501(C)(3)LINE 11GLHSfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
DEGEN BERGLUND INC
1709 LOSEY BLVD SLA CROSSEWI54601390971110RETAIL PHARMACYWIGLHSC CORP000.00000false
GUNDERSEN LUTHERAN ENVISION LLC
1836 SOUTH AVENUELA CROSSEWI54601264706546RENEWABLE ENERGYWIGLHSC CORP000.00000false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierPART II, PAGE 3, LINE 3Identifier
ExplanationTHE APPLICATION FOR 501(C)(4) IS PENDING.Explanation

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