2012-11-14T10:19:05-06:00 2011-12-31 390758449 WIPFLI LLP 2 COPELAND AVENUE SUITE 301 LA CROSSE WI 54603 990 2011-01-01 391606449 GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC GUND 6087827300 1910 SOUTH AVE LA CROSSE WI 54601 GORDON T EDWARDS 6087827300 2012-11-12 1 MARY JO WERNER CPA P00365167 6087847300 2012-11-12 2011 2016-02-24 21:20:13Z JEFFREY THOMPSON 1910 SOUTH AVE LA CROSSE WI 54601 594133168 0 X WWW.GUNDLUTH.ORG X 1987 WI TO SUPPORT GUNDERSEN LUTHERAN'S HEALTH CARE AND OTHER ORGANIZATIONS MISSIONS THROUGHOUT OUR SERVICE AREA MANAGING THE LARGER PORTION OF BUSINESS SERVICES, EDUCATION, AND INVESTING. 16 6 7268 0 0 -585129 753122 1103430 646555684 590212520 7008 1776471 -38285 -51978 647277529 593040443 692280 0 0 0 516107671 518676407 0 0 0 63606571 76079968 580406522 594756375 66871007 -1715932 841776108 996513087 834726487 992116884 7049621 4396203 X 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. 0 0 583924736 590212520 GENERAL SERVICES PROVIDED TO GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC.AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES. 583924736 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 295 0 1 7268 1 1 1 0 0 0 0 0 0 0 0 0 0 X 16 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X DARA BARTELS 6087759487 1900 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 JEFFREY THOMPSON MD 40.00 X X 684572 0 55475 GREG PRAIRIE 2.00 X X 0 0 0 DONALD FRANK 2.00 X X 0 0 0 STEVEN BURGESS 2.00 X X 0 0 0 WILLIAM AGGER MD 40.00 X 238060 0 53588 BRIAN RUDE 2.00 X 0 0 0 MARK PLATT 2.00 X 0 0 0 BRIAN MULRENNAN MD 40.00 X 264365 0 57975 JONATHAN ZLABEK MD 40.00 X 251553 0 60475 JULIO BIRD MD 40.00 X X 713438 0 55475 SCOTT RATHGABER MD 40.00 X 516732 0 55475 WENDY LOMMEN 2.00 X 0 0 0 FRANK ABERGER MD 40.00 X X 445732 0 60475 MARY KUFFEL MD 40.00 X 427762 0 37235 STEPHEN SHAPIRO MD 40.00 X 424917 0 58705 BRIAN SIECK MD 40.00 X 350392 0 60705 SIGURD GUNDERSEN III MD 40.00 X 437822 0 55475 MICHAEL J DOLAN MD 40.00 X 453773 0 58705 MARILU BINTZ MD 40.00 X 490633 0 44423 MARY JO KLOS 40.00 X 199972 0 51026 JANICE DEHAAN 40.00 X 258903 0 61521 DEBRA RISLOW 40.00 X 278882 0 51691 KATHLEEN KLOCK 40.00 X 371982 0 40465 GERALD ARNDT 40.00 X 361311 0 39781 MARY LOU GERKE 40.00 X 192898 0 38752 ROBERT TRINE 40.00 X 358304 0 52186 GORDON EDWARDS 40.00 X 294128 0 50542 PATRICK CONWAY MD 40.00 X 597972 0 58705 MICHAEL REDMAN MD 40.00 X 331507 0 55475 DAN LILLY 40.00 X 270632 0 63109 TODD KOWALSKI MD 40.00 X 237465 0 55825 KELLEY BAHR MD 40.00 X 233242 0 39472 DARYL APPLEBURY 40.00 X 222972 0 54672 9909921 0 1427408 629 1 1 0 GUNDERSEN CLINIC LTD 1836 SOUTH AVENUE LA CROSSE WI 54601 PURCHASED SERVICES/SUPPLIES 545306664 GUNDERSEN LUTHERAN MEDICAL CENTER INC 1910 SOUTH AVENUE LA CROSSE WI 54601 PURCHASED SERVICES/SUPPLIES 485004044 KRAUS ANDERSON CONSTRUCTION PO BOX 158 CIRCLE PINES MN 55014 BUILDING CONTRACTOR 33377160 EPIC SYSTEM CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 MEDICAL RECORD SOFTWARE CONSULTANTS/SUPP 6822095 MICROSOFT LICENSING GROUP 1950 N STEMMONS FWY STE 5010 DALLAS TX 75201 SOFTWARE 5075366 142 68789 1034641 1103430 SERVICES PROVIDED TO G 561000 590212520 590212520 590212520 2343763 2343763 461482 513460 -51978 -51978 -51978 11973 579265 -567292 -567292 -567292 593040443 590212520 0 1724493 4263603 1192668 3070935 380611608 377842263 2769345 46241970 45874702 367268 64858280 62068141 2790139 22700946 22948079 -247133 1368832 204985 1163847 426582 426582 645006 645006 9177896 9026660 151236 1225838 1225838 10333667 10278292 55375 10439244 10436253 2991 9848316 9837163 11153 517554 457852 59702 1778955 1763814 15141 9310404 9310404 16302633 16282105 20528 304528 304528 BAD DEBTS/COLLECTIONS 2352694 2352694 MISCELLANEOUS 1165003 855975 309028 DUES, MEMBERSHIPS, LICE 555920 271004 284916 RECRUITING 326896 319728 7168 594756375 583924736 10831639 0 20742 20867 20925349 58666734 34009 12524271 21886823 4651173 5105095 3327522 5806756 189538005 108384788 78309583 81153217 325937109 460666927 90089788 0 305990571 363172659 841776108 996513087 94855908 114446581 245435959 342545000 494434620 535125303 834726487 992116884 X 7049621 4396203 7049621 4396203 841776108 996513087 X -1715932 -937486 X X 0 1 1 X 1 1 X X X 0 0 0 GUNDERSEN CLINIC LTD 391028657 3 1 1 1 0 GUNDERSEN LUTHERAN MEDICAL CENTER INC 390813416 3 1 1 1 0 GUNDERSEN LUTHERAN HEALTH PLAN INC 391866425 7 1 1 1 0 3 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 199653 216456 199653 216456 583725083 1336911480 583924736 1337127936 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 222185 201660 258826 216456 899127 250000 250000 250000 250000 1000000 1500000 PART IV, SUPPLEMENTAL INFORMATION: PART II-A LINE 1A-D: GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., 1910 S. AVE, LA CROSSE, WI 54601, 39-1606449, LOBBYING EXPENSE - $199,653 OTHER EXEMPT PURPOSE EXPENSE - $583,725,083, GUNDERSEN CLINIC, LTD. 1836 S. AVE, LA CROSSE, WI 54601, 39-1028657 - LOBBYING EXPENSE - $216,456, OTHER EXEMPT PURPOSE EXPENSE - $447,178,632, GUNDERSEN LUTHERAN MEDICAL CENTER, INC., 1910 S. AVE, LA CROSSE, WI 54601 - 39-0813416 - LOBBYING EXPENSE - $0, OTHER EXEMPT PURPOSE EXPENSE - $306,007,765. GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. 1836 SOUTH AVE., LA CROSSE, WI 54601, 39-1866425- LOBBYING EXPENSE-$0, OTHER EXEMPT PURPOSE EXPENSE - $0. 1242123 1242123 22267094 4210904 18056190 1514726 284830 1229896 164514062 103889054 60625008 81153217 GUNDERSEN CLINIC, LTD. AND GUNDERSEN LUTHERAN MEDICAL CENTER, INC. 337491537 UNAMORTIZED BOND ISSUE COSTS 2747061 ACCRUED INTEREST RECEIVABLE 1939800 OTHER RECEIVABLES 14158891 GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. 1711362 GUNDERSEN LUTHERAN HEALTH PLAN, INC. 4924008 UPPER MIDWEST CONSOLIDATED SERVICES CENTER 200000 363172659 GUNDERSEN LUTHERAN MEDICAL CENTER, INC. & GUNDERSEN CLINIC, LTD. 493932558 LOSS ON SWAP CONTRACTS 40156654 DEFERRED COMPENSATION 874928 GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. 158534 GUNDERSEN LUTHERAN HEALTH PLAN, INC. 2629 535125303 593040443 594756375 -1715932 -937486 -937486 -2653418 12228346 0 12228346 580812097 580812097 593040443 13944280 513460 513460 13430820 581325555 581325555 594756375 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011 AND 2010. THE OBLIGATED GROUP'S INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED DECEMBER 31, 2006, AND PRIOR. PART XI, LINE 8 - OTHER ADJUSTMENTS: MARKET ADJUSTMENT FOR SWAP CONTRACT -77,486. NET ASSETS RELEASED FROM RESTRICTIONS 70,000. TRANSFERS TO AFFILIATES -930,000. TOTAL TO SCHEDULE D, PART XI, LINE 8: -937,486. PART XII, LINE 4B - OTHER ADJUSTMENTS: GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. INVESTMENT ALLOCATION 412,815,006. RENTAL EXPENSES -513,460. INTERCOMPANY TRANSACTIONS WITH RELATED PARTIES 168,510,551. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 513,460. PART XIII, LINE 4B - OTHER ADJUSTMENTS: GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. INVESTMENT ALLOCATION 412,815,006. INTERCOMPANY TRANACTIONS WITH RELATED PARTIES 168,510,549. 0 CENTRAL AMERICA AND THE CARIBBEAN 0 0 MEDICAL TEAM TRAVEL EXPENSES, PURCHASED MEDICATION AND SUPPLIES, DONATED ULTRASOUND AND EKG MACHINES TO CONDUCT COMMUNITY HEALTH ASSESSMENTS AND SUPPORT NICRAGUAN HEALTHCARE PROVIDERS AND PROVIDE ULTRASOUND TRAINING 29628 SUB-SAHARAN AFRICA 0 0 TRAVEL EXPENSES, PURCHASED MEDICATION AND SUPPLIES, DONATED ULTRASOUND AND ANESTHESIA MACHINES SURGICAL TWO WEEK TRIP TO NYAKATO HEALTH CENTER IN TANZANIA 20646 0 0 0 0 0 0 50274 0 50274 X CENTRAL AMERICA AND THE CARIBBEAN 20000 CHECK CENTRAL AMERICA AND THE CARIBBEAN 9000 CHECK CENTRAL AMERICA AND THE CARIBBEAN 1950 PURCHASED DESKS AND SCHOOL SUPPLIES FMV CENTRAL AMERICA AND THE CARIBBEAN 4102 TRAINED PHYSICIANS, PURCHASED SUPPLIES, MEDICATIONS AND MEDICAL TEXTBOOKS FMV SUB-SAHARAN AFRICA 6433 PURCHASED ANESTHESIA MEDICATIONS, SURGICAL SUPPLIES AND MEDICAL TEXTBOOKS FOR NYAKATO HEALTH CENTER FMV 0 0 0 0 0 0 X X X 0 0 0 0 0 0 0 0 0 JEFFREY THOMPSON MD 680972 0 0 0 3600 0 35741 0 19734 0 740047 0 0 0 WILLIAM AGGER MD 236800 0 0 0 1260 0 35043 0 18545 0 291648 0 0 0 BRIAN MULRENNAN MD 245472 0 0 0 18893 0 35741 0 22234 0 322340 0 0 0 JONATHAN ZLABEK MD 243972 0 0 0 7581 0 35741 0 24734 0 312028 0 0 0 JULIO BIRD MD 653517 0 0 0 59921 0 35741 0 19734 0 768913 0 0 0 SCOTT RATHGABER MD 512972 0 0 0 3760 0 35741 0 19734 0 572207 0 0 0 FRANK ABERGER MD 441972 0 0 0 3760 0 35741 0 24734 0 506207 0 0 0 MARY KUFFEL MD 424412 0 0 0 3350 0 35741 0 1494 0 464997 0 0 0 STEPHEN SHAPIRO MD 424547 0 0 0 370 0 35741 0 22964 0 483622 0 0 0 BRIAN SIECK MD 349972 0 0 0 420 0 35741 0 24964 0 411097 0 0 0 SIGURD GUNDERSEN III MD 415472 0 0 0 22350 0 35741 0 19734 0 493297 0 0 0 MICHAEL J DOLAN MD 413472 0 0 0 40301 0 35741 0 22964 0 512478 0 0 0 MARILU BINTZ MD 487033 0 0 0 3600 0 35741 0 8682 0 535056 0 0 0 MARY JO KLOS 194972 0 5000 0 0 0 29420 0 21606 0 250998 0 0 0 JANICE DEHAAN 257261 0 0 0 1642 0 35741 0 25780 0 320424 0 0 0 DEBRA RISLOW 278512 0 0 0 370 0 35741 0 15950 0 330573 0 0 0 KATHLEEN KLOCK 371912 0 0 0 70 0 35741 0 4724 0 412447 0 0 0 GERALD ARNDT 361191 0 0 0 120 0 35741 0 4040 0 401092 0 0 0 MARY LOU GERKE 192898 0 0 0 0 0 28194 0 10558 0 231650 0 0 0 ROBERT TRINE 323476 0 20000 0 14828 0 35741 0 16445 0 410490 0 0 0 GORDON EDWARDS 273864 0 0 0 20264 0 35741 0 14801 0 344670 0 0 0 PATRICK CONWAY MD 597972 0 0 0 0 0 35741 0 22964 0 656677 0 0 0 MICHAEL REDMAN MD 327972 0 0 0 3535 0 35741 0 19734 0 386982 0 0 0 DAN LILLY 270272 0 0 0 360 0 35741 0 27368 0 333741 0 0 0 TODD KOWALSKI MD 228972 0 0 0 8493 0 33867 0 21958 0 293290 0 0 0 KELLEY BAHR MD 231000 0 0 0 2242 0 34418 0 5054 0 272714 0 0 0 DARYL APPLEBURY 222972 0 0 0 0 0 32801 0 21871 0 277644 0 0 0 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2011A 391337855 97710BJ78 2011-09-29 162468632 REFUNDED THE 2000 SERIES A AND B ISSUED 10/10/2000, SERIES A ISSUED 5/29/08 0 0 0 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2008B 391337855 97710BBG6 2008-05-29 61400000 REFUNDED THE 2006 SERIES B ISSUED 5/16/2006 0 0 0 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2011B 391337855 97710BK50 2011-09-29 40000000 NEW MONEY FOR CONSTRUCTION AND EQUIPPING OF HOSPITAL 0 0 0 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2009 391337855 97710BE65 2011-03-17 78715000 CONVERSION AND REISSUANCE OF 2009 BONDS 0 0 0 162468632 90473803 1938652 28934231 41098992 1 0 0 1 61400000 60832689 565428 2008 1 0 1 1 40000000 304885 29015210 10673466 0 0 0 1 78715000 78715000 2005 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0.01600 0.01600 1 0 0 0 NA 0 0 0 0 1 1 1 1 MERRILL 27.000000000000 0 0 0 0 1 0 1 0 MERRILL 24.000000000000 0 0 0 0 1 1 1 1 PIPERMERRILL 29.500000000000 0 0 0 0 1 FORM 990, SCHEDULE K LINE D CUSIP NUMBERS: 97710BE65 AND 9910BE73 FORM 990, SCHEDULE K, LINE A, ENTITY 2 CUSIP NUMBERS: 97710VLT3 AND 97710VLUD WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2003 A B C 391337855 97710VLT3 2003-07-23 114412216 REFUNDED THE 1993 SERIES A AND B 1 0 0 103555000 9070000 113677573 35629081 1151179 3218649 74413307 2005 1 0 1 1 0 0 0 0 0.01600 0.01600 1 0 1 1 PIPERMERRILL 29.500000000000 1 1 0 0 0 GORDON EDWARDS RELOCATION EXPENSES - FORGIVEN OVER 5 YEARS X 40000 34009 0 1 1 34009 SEAN AGGER FAMILY MEMBER OF WILLIAM AGGER,M.D., DIRECTOR 97412 EMPLOYMENT 0 INGRI GUNDERSEN LOMBARDI FAMILY MEMBER OF SIGURD GUNDERSEN III, M.D., KEY EMPLOYEE 57083 EMPLOYMENT 0 JAMES KLOCK FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE 143909 EMPLOYMENT 0 BELINDA KLOCK FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE 77986 EMPLOYMENT 0 JAMES KLOCK FAMILY MEMBER OF KATHLEEN KLOCK, KEY EMPLOYEE 128547 EMPLOYMENT 0 JULIO BIRD FAMILY MEMBER OF JULIO BIRD, M.D., DIRECTOR 38773 EMPLOYMENT 0 BRENDA WHITE FAMILY MEMBER OF GERALD ARNDT, KEY EMPLOYEE 43323 EMPLOYMENT 0 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 ACCOUNTING MANAGER, CONTROLLER AND CFO 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: MARKET ADJUSTMENT FOR SWAP CONTRACT -77,486. NET ASSETS RELEASED FROM RESTRICTIONS 70,000. TRANSFERS TO AFFILIATES -930,000. TOTAL TO FORM 990, PART XI, LINE 5: -937,486. 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 SUPPORTING ORG WI 501(C)(3) LINE 7 N/A 0 GUNDERSEN LUTHERAN MEDICAL CENTER INC 1910 SOUTH AVENUE LA CROSSE WI 54601 390813416 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 GUNDERSEN CLINIC LTD 1910 SOUTH AVENUE LA CROSSE WI 54601 391028657 SUPPORTING ORG WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INCA 0 GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391249705 FOUNDATION WI 501(C)(3) LINE 7 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 GUNDERSEN LUTHERAN HEALTH PLAN INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391807071 HEALTH INSURANCE WI 501(C)(4) GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 GUNDERSEN LUTHERAN CREDENTIALING SERVICES INC 1910 SOUTH AVENUE LA CROSSE WI 54601 391856898 CREDENTIALING SERVICES WI 501(C)(3) LINE 11A, I GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 TRI-COUNTY MEMORIAL HOSPITAL INC 18601 LINCOLN STREET WHITEHALL WI 54773 390704510 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 HARMONY COMMUNITY HEALTHCARE INC 815 MAIN AVENUE S HARMONY MN 55939 410711606 HEALTH CARE MN 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 TWEETEN LUTHERAN HEALTHCARE CENTER INC 125 FIFTH AVENUE SE SPRING GROVE MN 55974 411565003 HEALTH CARE MN 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 TRI-STATE AMBULANCE INC 221 BUCHNER PLACE LA CROSSE WI 54601 391965415 MEDICAL TRANSPORATION WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 LUTHERAN REAL ESTATE HOLDING CORPORATION 1910 SOUTH AVENUE LA CROSSE WI 54601 391480826 HOUSING WI 501(C)(3) LINE 9 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 LUTHERAN HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391751934 INDEPENDENT LIVING WI 501(C)(3) LINE 9 LUTHERAN REAL ESTATE HOLDING CORPORATION 0 COMMUNITY HOUSING OF LA CROSSE INC 1900 SOUTH AVENUE LA CROSSE WI 54601 391586700 INDEPENDENT LIVING WI 501(C)(3) LINE 7 LUTHERAN REAL ESTATE HOLDING CORPORATION 0 OPTIONS IN REPRODUCTIVE CARE INC 1201 CALEDONIA STREET LA CROSSE WI 54603 391166634 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 TRI-STATE REGIONAL AMBULANCE INC 235 CAUSEWAY BLVD LA CROSSE WI 54603 391962965 MEDICAL TRANSPORATION WI 501(C)(3) LINE 9 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 STJOSEPH'S HEALTH SERVICES INC 400 WATER AVENUE HILLSBORO WI 54634 390929538 HEALTH CARE WI 501(C)(3) LINE 3 GUNDERSEN LUTHERAN HEALTH SYSTEM INC 0 DEGEN BERGLUND INC 1709 LOSEY BLVD S LA CROSSE WI 54601 390971110 RETAIL PHARMACY WI N/A C GUNDERSEN LUTHERAN ENVISION LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 264706546 RENEWABLE ENERGY WI N/A C 0 1 0 1 0 0 0 0 1 0 1 1 0 0 1 1 1 0 GUNDERSEN LUTHERAN HEALTH PLAN INC L 74485499 FAIR VALUE GUNDERSEN LUTHERAN HEALTH PLAN INC P 10986941 FAIR VALUE GUNDERSEN LUTHERAN ENVISION LLC D 5397000 FAIR VALUE GUNDERSEN LUTHERAN ENVISION LLC K 751982 FAIR VALUE DEGEN BERGLUND INC D 1150000 FAIR VALUE DEGEN BERGLUND INC A 51051 FAIR VALUE GUNDERSEN LUTHERAN ENVISION LLC A 214921 FAIR VALUE