2011-11-14T11:07:14-06:00 2010-12-31 WIPFLI LLP 2 COPELAND AVENUE SUITE 301 LA CROSSE WI 54603 990 2010-01-01 391028657 GUNDERSEN CLINIC LTD GUND 6087827300 1836 SOUTH AVENUE LA CROSSE WI 54601 GORDON T EDWARDS 6087827300 2011-11-11 1 MARY JO WERNER CPA 6087847300 2011-11-11 2010 2016-02-24 21:20:13Z JEFFREY THOMPSON 1836 SOUTH AVENUE LA CROSSE WI 54601 503763678 0 X WWW.GUNDLUTH.ORG X 1963 WI TO PROVIDE MEDICAL AND SURGICAL SERVICES, ENGAGE IN MEDICAL EDUCATION AND RESEARCH AND PROMOTE COMMUNITY HEALTH TO DELIVER THE HIGHEST QUALITY COMPREHENSIVE HEALTH CARE TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. 9 0 0 0 1028 -391 245864 345239 433921793 500160057 787315 3206571 25601 20859 434980573 503732726 1217123 1290195 0 0 269380307 278168413 0 0 0 157266874 238792547 427864304 518251155 7116269 -14518429 375122074 378967775 316930197 345915921 58191877 33051854 TO PROVIDE MEDICAL AND SURGICAL SERVICES, ENGAGE IN MEDICAL EDUCATION AND RESEARCH AND PROMOTE COMMUNITY HEALTH TO DELIVER THE HIGHEST QUALITY COMPREHENSIVE HEALTH CARE TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. 0 0 435698469 1290195 500159029 MEDICAL SERVICES PROVIDED: OUTPATIENT AND INPATIENT MEDICAL SERVICES WERE PROVIDED WITHOUT REGARD TO ABILITY TO PAY AND WITHOUT DISCRIMINATION AGAINST MEDICARE AND MEDICAID PATIENTS. GUNDERSEN CLINIC, LTD. (THE CLINIC) HAD 1,450,171 OUTPATIENT VISITS DURING THE YEAR, AS WELL AS PROVIDING SERVICES TO 14,756 PATIENTS DURING HOSPITAL STAYS AT GUNDERSEN LUTHERAN MEDICAL CENTER, INC. CHARITY CARE: THE CLINIC PROVIDED UNCOMPENSATED CARE RELATED TO CHARITY, MEDICARE, AND MEDICAID SERVICES IN THE AMOUNT OF APPROXIMATELY $121,783,419 BASED ON POLICIES AND CONTRACTS ARRANGED TO HELP SUPPORT THE COMMUNITY'S NEEDS. 435698469 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 9 0 0 0 0 0 1 0 0 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 X JULIO BIRD MD 2.00 X X X 0 658299 53187 FRANK ABERGER MD 2.00 X X 0 446844 58187 BRIAN SIECK MD 2.00 X 0 354704 59417 STEPHEN SHAPIRO MD 2.00 X 0 417574 58917 BRIAN MULRENNAN MD 2.00 X 0 261692 58187 JONATHAN ZLABEK MD 2.00 X 0 252583 54937 SCOTT RATHGABER MD 2.00 X 0 538154 53887 GARY LENTH MD 2.00 X 0 411616 58625 WILLIAM AGGER MD 2.00 X 0 241878 38293 JEFFREY THOMPSON MD 0.00 X 0 677915 54687 SIGURD GUNDERSEN III MD 0.00 X 0 492254 53187 MICHAEL J DOLAN MD 0.00 X 0 439656 57617 MARILU BINTZ MD 0.00 X 0 488537 43407 MARY JO KLOS 0.00 X 0 190307 47210 DEBRA RISLOW 0.00 X 0 256324 49982 KATHLEEN KLOCK 0.00 X 0 362423 40457 GERALD ARNDT 0.00 X 0 358765 39557 JANICE DEHAAN 0.00 X 0 246337 59326 JAN HOLTROP 0.00 X 0 137926 42616 DANIEL LANGE MD 0.00 X 0 776204 55687 JEFFREY LAWRENCE MD 0.00 X 0 1019844 53187 EDWARD RILEY MD 0.00 X 0 863464 61417 KURT MUELLER MD 0.00 X 0 810392 54399 RONALD SCHNEIDER DDS 0.00 X 0 849606 50729 0 11415372 1214486 0 0 1 0 GUNDERSEN LUTHERAN ADMINISTRATIVE SERVIC 1910 SOUTH AVENUE LA CROSSE WI 54601 PURCHASED SERVICES/SUPPLIES 389059476 GUNDERSEN LUTHERAN MEDICAL CENTER INC 1910 SOUTH AVENUE LA CROSSE WI 54601 PURCHASED SERVICES/SUPPLIES 86706548 2 248718 24617 71904 345239 MEDICAL SERV. PROVIDED 624100 482758825 482757797 1028 PHARMACY 624100 13601171 13601171 MEDICAL EDUCATION AND 624100 3346058 3346058 MEDICAL/ADMINISTRATIVE 624100 454003 454003 500160057 3206571 3206571 51811 30952 20859 20859 20859 503732726 500159029 1028 3227430 1290195 1290195 4483307 4483307 207341000 206095455 1245545 23503845 23276994 226851 31718674 30808818 909856 11121587 11024703 96884 176 176 63232 63232 47277447 46015979 1261468 350546 350052 494 50208262 49559921 648341 1044648 1042301 2347 7792054 4168343 3623711 1551890 1530918 20972 790743 787892 2851 22386 22386 96956392 28384437 68571955 13648864 8514056 5134808 1794749 1370081 424668 BAD DEBT/COLLECTIONS 15102148 15102148 RECRUITING 874855 874011 844 DUES/MEMBERSHIPS/LICENS 779472 777957 1515 MISCELLANEOUS 534683 177493 357190 518251155 435698469 82552686 0 3519691 6100008 56422480 57492493 1241860 51091 1780470 1991115 865755 770671 302507381 134653575 167633229 167853806 9230222 10057636 60000 60000 134368367 134590955 375122074 378967775 20444896 22832657 296485301 323083264 316930197 345915921 X 58191877 33051854 58191877 33051854 375122074 378967775 X -14518429 -10621594 X X 0 1 1 X 1 1 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: THE CLINIC HAS OBTAINED TAX-EXEMPT STATUS AS AN ORGANIZATION WHOSE MAIN PURPOSE IS TO PROVIDE MEDICAL CARE. HOWEVER, THE CLINIC IS NOT REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE OF WISCONSIN AS A HOSPITAL AND IS NOT REQUIRED TO FILE SCHEDULE H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 10435 258826 10435 258826 435688034 993318813 435698469 993577639 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 160921 222185 201660 258826 843592 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 - $248,391 OTHER EXEMPT PURPOSE EXPENSE - $159,753,466, GUNDERSEN CLINIC, LTD. 1836 S. AVE, LA CROSSE, WI 54601, 39-1028657 - LOBBYING EXPENSE - $10,435, OTHER EXEMPT PURPOSE EXPENSE - $435,688,034, GUNDERSEN LUTHERAN MEDICAL CENTER, INC., 1910 S. AVE, LA CROSSE, WI 54601 - 39-0813416 - LOBBYING EXPENSE - $0, OTHER EXEMPT PURPOSE EXPENSE - $397,877,313. 8827834 8827834 188669213 53785712 134883501 2596880 1520399 1076481 102413454 79347464 23065990 167853806 GUNDERSEN LUTHERAN MEDICAL CENTER/GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES 133258898 NONCOMPETE/MEDICAL RECORDS/GOODWILL 42577 OTHER RECEIVABLES 1060489 GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. 228443 GUNDERSEN LUTHERAN HEALTH PLAN, INC. 548 134590955 SELF INSURANCE RESERVE 5401486 NOTES PAYABLE - ACQUISITIONS 245801 GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. 7017 GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC 315994630 ASSET RETIREMENT OBLIGATION 1434330 323083264 503732726 518251155 -14518429 -10621594 -10621594 -25140023 482165053 -10621594 -63232 -10684826 492849879 10882847 10882847 503732726 507305076 -155022 -155022 507460098 10791057 10791057 518251155 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, 2010 AND 2009. THE OBLIGATED GROUP'S INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED DECEMBER 31, 2006, AND PRIOR. PART XII, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES -63,232. PART XII, LINE 4B - OTHER ADJUSTMENTS: GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. GRANTS 185,974. RENTAL EXPENSES -30,952. GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. INVESTMENT ALLOCATION 10,727,825. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 30,952. GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. GRANTS -185,974. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES 63,232. GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. INVESTMENT ALLOCATION 10,727,825. 1 GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391249705 501(C)(3) 1269568 SUPPORT OF THE GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ASSISTANCE WAS TO A RELATED ORGANIZATION, THUS THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF GOVENORS. X X X 0 0 0 0 0 0 0 0 0 JULIO BIRD MD 0 655051 0 0 0 3248 0 35741 0 17446 0 711486 0 0 FRANK ABERGER MD 0 443096 0 0 0 3748 0 35741 0 22446 0 505031 0 0 BRIAN SIECK MD 0 345596 0 5450 0 3658 0 35741 0 23676 0 414121 0 0 STEPHEN SHAPIRO MD 0 416096 0 1100 0 378 0 35741 0 23176 0 476491 0 0 BRIAN MULRENNAN MD 0 234596 0 5250 0 21846 0 35741 0 22446 0 319879 0 0 JONATHAN ZLABEK MD 0 247846 0 1975 0 2762 0 35741 0 19196 0 307520 0 0 SCOTT RATHGABER MD 0 534396 0 0 0 3758 0 35741 0 18146 0 592041 0 0 GARY LENTH MD 0 411388 0 0 0 228 0 35741 0 22884 0 470241 0 0 WILLIAM AGGER MD 0 234375 0 250 0 7253 0 35319 0 2974 0 280171 0 0 JEFFREY THOMPSON MD 0 674307 0 0 0 3608 0 35741 0 18946 0 732602 0 0 SIGURD GUNDERSEN III MD 0 478596 0 10050 0 3608 0 35741 0 17446 0 545441 0 0 MICHAEL J DOLAN MD 0 405396 0 10000 0 24260 0 35741 0 21876 0 497273 0 0 MARILU BINTZ MD 0 474929 0 10000 0 3608 0 35741 0 7666 0 531944 0 0 MARY JO KLOS 0 190307 0 0 0 0 0 27908 0 19302 0 237517 0 0 DEBRA RISLOW 0 255964 0 0 0 360 0 35741 0 14241 0 306306 0 0 KATHLEEN KLOCK 0 352423 0 10000 0 0 0 35741 0 4716 0 402880 0 0 GERALD ARNDT 0 348765 0 10000 0 0 0 35741 0 3816 0 398322 0 0 JANICE DEHAAN 0 244775 0 0 0 1562 0 35741 0 23585 0 305663 0 0 DANIEL LANGE MD 0 772096 0 0 0 4108 0 35741 0 19946 0 831891 0 0 JEFFREY LAWRENCE MD 0 1016596 0 0 0 3248 0 35741 0 17446 0 1073031 0 0 EDWARD RILEY MD 0 863096 0 350 0 18 0 35741 0 25676 0 924881 0 0 KURT MUELLER MD 0 806384 0 400 0 3608 0 35741 0 18658 0 864791 0 0 RONALD SCHNEIDER DDS 0 766252 0 0 0 83354 0 35741 0 14988 0 900335 0 0 SUPPLEMENTAL INFORMATION PART III PART I, LINE 1A, 2, AND 3. ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. AND ALL PAYMENTS TO VENDORS ARE MADE BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. TAX EXEMPT BONDS FORM 990, PART IV, LINE 24A GUNDERSEN LUTHERAN CLINIC, INC. IS PART OF THE OBLIGATED GROUP (GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC., GUNDERSEN CLINIC, LTD., AND GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC.) AND TAX-EXEMPT DEBT RESIDES ON THE GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. FEIN 39-1606449. FORM 990, PART VI, SECTION A, LINE 6 GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VI, SECTION 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 990 IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C GUNDERSEN CLINIC, LTD. MONITORS CONFLICTS ON AN ANNUAL BASIS BY REVIEWING DISCLOSURES ON COMPLETED CONFLICT OF INTEREST STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15 ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. THE COMPENSATION OF THE CEO IS DETERMINED ANNUALLY BY A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THEIR DETERMINATION IS MADE AFTER A REVIEW OF MARKET DATA OBTAINED FROM SEVERAL ORGANIZATIONS AND CEO PERFORMANCE. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE SUCH DISCUSSIONS TAKE PLACE. RECOMMENDATIONS FOR COMPENSATION FOR THE ORGANIZATIONS' KEY MANAGEMENT EMPLOYEES ARE DEVELOPED ANNUALLY BY THE CEO, AFTER A REVIEW OF PERFORMANCE AND COMPARABLE MARKET DATA. THE COMPENSATION RECOMMENDATIONS, ALONG WITH THE MARKET DATA, ARE PRESENTED TO A COMMITTEE MAKE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THE COMPENSATION AMOUNTS ARE NOT EFFECTIVE UNTIL THE BOARD COMMITTEE APPROVES THEM. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE THE BOARD REVIEWS AND APPROVES THE COMPENSATION OF THE KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FOR ALL DOCUMENTS ARE MADE THROUGH THE LEGAL DEPARTMENT AND THE APPROPRIATE DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION IN THE LEGAL DEPARTMENT. FORM 990, PART VII, SECTION A ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. FORM 990, PART VII, SECTION B ALL PAYMENTS TO VENDORS ARE MADE BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. FORM 990, PART VII, SECTION A HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES BY ENTITY: JEFFREY THOMPSON - WORKS 40 HOURS FOR RELATED ORGANIZATIONS JULIO BIRD - WORKS 40 HOURS FOR RELATED ORGANIZATIONS MARILU BINTZ - WORKS 40 HOURS FOR RELATED ORGANIZATIONS MICHAEL DOLAN - WORKS 40 HOURS FOR RELATED ORGANIZATIONS SIGURD GUNDERSEN III - WORKS 40 HOURS FOR RELATED ORGANIZATIONS GARY LENTH - WORKS 40 HOURS FOR RELATED ORGANIZATIONS JOHN ZLABEK - WORKS 40 HOURS FOR RELATED ORGANIZATIONS MARY JO KLOS - WORKS 40 HOURS FOR RELATED ORGANIZATIONS DEBRA RISLOW - WORKS 40 HOURS FOR RELATED ORGANIZATIONS KATHLEEN KLOCK - WORKS 40 HOURS FOR RELATED ORGANIZATIONS GERALD ARNDT - WORKS 40 HOURS FOR RELATED ORGANIZATIONS JANICE DEHAAN - WORKS 40 HOURS FOR RELATED ORGANIZATIONS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -10,621,594. FORM 990, PART XI, LINE 2C THE PROCESS ALLOWS THE AUDIT COMMITTEE OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. TO INDEPENDENTLY COMMUNICATE WITH THE EXTERNAL AUDIT FIRM THROUGHOUT THE YEAR, BUT FORMAL COMMUNICATION OCCURS BEFORE THE ENGAGEMENT AND UPON CONCLUSION. THE AUDIT COMMITTEE MEETS WITH THE AUDIT FIRM FOR PRESENTATION OF THE STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VIII, LINE 2A THE PROVISION OF MEDICAL SERVICES IN A MANNER BENEFICIAL TO THE COMMUNITY FURTHERS GUNDERSEN CLINIC, LTD.'S CHARITABLE PURPOSE OF PROMOTION OF HEALTH. PART VIII, LINE 2C THE PROVISION OF MEDICAL EDUCATION AND RESEARCH FURTHERS THE GUNDERSEN CLINIC, LTD.'S CHARITABLE PURPOSE OF ADVANCEMENT OF EDUCATION AND RESEARCH DEVELOPMENT. FORM 990, PART VIII, LINE 2D PROVISION OF MEDICAL/ADMINISTRATIVE SERVICES TO GUNDERSEN LUTHERAN HEALTH PLAN, INC. IMPROVES THE COMMUNITY'S ACCESS TO HEALTH CARE, FURTHERING THE CHARITABLE PURPOSE OF PROMOTION OF HEALTH. FORM 990, PART VIII, LINE 2B THE PHARMACIES ARE LOCATED IN MAIN GUNDERSEN CLINIC, LTD.'S BUILDINGS FOR THE CONVENIENCE OF GUNDERSEN CLINIC, LTD. PATIENTS AND, THEREFORE, FURTHERS THE CHARITABLE PURPOSE OF PROMOTION OF HEALTH. GL BIOGAS I LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 273726088 RENEWABLE ENERGY WI -5768 484400 GUNDERSEN LUTHERAN ENVISION LLC GL BIOGAS II LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 273726267 RENEWABLE ENERGY WI -550 0 GUNDERSEN LUTHERAN ENVISION LLC 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 N/A 0 GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391249705 FOUNDATION WI 501(C)(3) LINE 7 N/A 0 GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC 1910 SOUTH AVENUE LA CROSSE WI 54601 391606449 SUPPORTING ORG WI 501(C)(3) LINE 11B, II N/A 0 GUNDERSEN LUTHERAN HEALTH PLAN INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391807071 HEALTH INSURANCE WI 501(C)(4) N/A 0 GUNDERSEN LUTHERAN CREDENTIALING SERVICES INC 1910 SOUTH AVENUE LA CROSSE WI 54601 391856898 CREDENTIALING SERVICES WI 501(C)(3) LINE 11A, I N/A 0 TRI-COUNTY MEMORIAL HOSPITAL INC 18601 LINCOLN STREET WHITEHALL WI 54773 390704510 HEALTH CARE WI 501(C)(3) LINE 3 N/A 0 HARMONY COMMUNITY HEALTHCARE INC 815 MAIN AVENUE S HARMONY MN 55939 410711606 HEALTH CARE MN 501(C)(3) LINE 3 N/A 0 TWEETEN LUTHERAN HEALTHCARE CENTER INC 125 FIFTH AVENUE SE SPRING GROVE MN 55974 411565003 HEALTH CARE MN 501(C)(3) LINE 3 N/A 0 TRI-STATE AMBULANCE INC 221 BUCHNER PLACE LA CROSSE WI 54601 391965415 MEDICAL TRANSPORATION WI 501(C)(3) LINE 3 N/A 0 GUNDERSEN LUTHERAN COULEE TRAILS INC 126 1/2 W JEFFERSON VIROQUA WI 54665 391962965 MEDICAL TRANSPORATION WI 501(C)(3) LINE 9 N/A 0 LUTHERAN REAL ESTATE HOLDING CORPORATION 1910 SOUTH AVENUE LA CROSSE WI 54601 391480826 HOUSING WI 501(C)(3) LINE 9 N/A 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 N/A 0 DEGEN BERGLUND INC 1709 LOSEY BLVD S LA CROSSE WI 54601 390971110 RETAIL PHARMACY WI GUNDERSEN LUTHERAN HEALTH SYSTEM INC C -228801 4473560 1.00000 GUNDERSEN LUTHERAN ENVISION LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 264706546 RENEWABLE ENERGY WI GUNDERSEN LUTHERAN HEALTH SYSTEM INC C -326315 1667108 1.00000 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 1 1 0 GUNDERSEN LUTHERAN HEALTH PLAN INC Q 75432274 FAIR VALUE GUNDERSEN LUTHERAN HEALTH PLAN INC O 147559 FAIR VALUE GUNDERSEN LUTHERAN HEALTH PLAN INC E 500000 FAIR VALUE GUNDERSEN LUTHERAN HEALTH PLAN INC D 55552 FAIR VALUE