GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC (EIN 39-1606449)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-14
IRS object ID: 202612269349301111
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-14T10:08:53+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 EAST RANDOLPH DRIVE SUITE 5500	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606016436	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391606449	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GUND	BusinessNameControlTxt
Phone	6087827300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1910 SOUTH AVE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SCOTT RATHGABER	PersonNm
Person Title	M.D.	PersonTitleTxt
Signature	2026-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ZELJKO POPOVIC	PreparerPersonNm
PTIN	P01795951	PTIN
Phone	3126651000	PhoneNum
Preparation	2026-08-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCOTT RATHGABER MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1910 SOUTH AVE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,253,208,417	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GUNDERSENHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	TO SUPPORT GUNDERSEN HEALTH SYSTEM'S HEALTH AND OTHER ORGS MISSIONS THROUGHOUT OUR SERVICES AREA, MANAGING THE LARGER PORTION OF BUSINESS SERVICES, EDUCATION AND INVESTING.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	9950	TotalEmployeeCnt
Total Volunteers	385	TotalVolunteersCnt
Total Gross UBI	$1,352,529	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,638,313	PYContributionsGrantsAmt
CY Contributions Grants	$310,968	CYContributionsGrantsAmt
PY Program Service Revenue	$1,138,641,422	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,187,246,756	CYProgramServiceRevenueAmt
PY Investment Income	$31,476,411	PYInvestmentIncomeAmt
CY Investment Income	$64,237,504	CYInvestmentIncomeAmt
PY Other Revenue	$75,361	PYOtherRevenueAmt
CY Other Revenue	-$58,539	CYOtherRevenueAmt
PY Total Revenue	$1,171,831,507	PYTotalRevenueAmt
CY Total Revenue	$1,251,736,689	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,058,753	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,119,146	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,004,785,058	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,041,050,996	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$144,397,717	PYOtherExpensesAmt
CY Other Expenses	$163,784,179	CYOtherExpensesAmt
PY Total Expenses	$1,150,241,528	PYTotalExpensesAmt
CY Total Expenses	$1,205,954,321	CYTotalExpensesAmt
PY Revenues Less Expenses	$21,589,979	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$45,782,368	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,116,323,421	TotalAssetsBOYAmt
Total Assets EOY	$1,113,322,472	TotalAssetsEOYAmt
Total Liabilities BOY	$1,080,669,545	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,024,598,301	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$35,653,876	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$88,724,171	NetAssetsOrFundBalancesEOYAmt
Mission	TO SUPPORT GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.'S PROGRAMS OF HEALTH CARE, MEDICAL EDUCATION, MEDICAL RESEARCH AND COMMUNITY HEALTH PROMOTION ACTIVITIES WITHIN THE MEANING OF SECTION 509(A)(3) OF THE IRC; BORROWING AND LENDING OF FUNDS AND PROPERTY, ENGAGING IN FINANCIAL TRANSACTIONS WITH AND/OR ON BEHALF OF THE GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., ALONG WITH GENERAL SERVICES PROVIDED TO GUNDERSEN CLINIC, LTD. AND GUNDERSEN LUTHERAN MEDICAL CENTER, INC.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,112,991,783	ExpenseAmt
Grant	$1,119,146	GrantAmt
Revenue	$1,187,246,756	RevenueAmt
Desc	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.	Desc
Total Program Service Expenses	$1,112,991,783	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	574	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9950	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN CEELEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6087827300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 SOUTH AVENUE NCA1-01	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREA HAUSER RN
BOARD OF TRUSTEES, VICE PRESIDENT, ACUTE CARE LA CROSSE & SYSTEM CNO	46.0	4.0	Yes (X)	Yes (X)	$289,058	$0	$64,092
BRYAN ERDMANN
BOARD OF TRUSTEES, CHIEF OPERATING OFFICER	40.0	10.0	Yes (X)	Yes (X)	$443,670	$0	$76,190
HEATHER SCHIMMERS RN
BOARD OF TRUSTEES, PRESIDENT	40.0	10.0	Yes (X)	Yes (X)	$841,877	$0	$72,275
SCOTT RATHGABER MD
BOARD OF TRUSTEES, CHAIRMAN, CEO	20.0	30.0	Yes (X)	Yes (X)	$1,324,275	$0	$73,275
TODD KOWALSKI MD
BOARD OF TRUSTEES, MEDICAL CHIEF OPERATING OFFICER	46.0	4.0	Yes (X)	Yes (X)	$557,485	$0	$77,690
JENNIFER KLEVEN MD
BOARD OF TRUSTEES	44.0	6.0	Yes (X)		$405,613	$0	$52,221
ANDREA WERNER
CHIEF POPULATION HEALTH OFFICER	2.0	48.0		Yes (X)	$0	$388,587	$54,949
CHRISTINE WALLER MD
MEDICAL VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICES	46.0	4.0		Yes (X)	$560,569	$0	$83,319
CHRISTINE WOLESKE
PRESIDENT, (END 7.1.25)	2.0	46.0		Yes (X)	$0	$1,888,539	$201,133
CINDY LASECKI MD
CHIEF CLINIC OFFICER	2.0	48.0		Yes (X)	$0	$507,647	$53,017
DANIEL LILLY
SECRETARY, CHIEF LEGAL OFFICER	36.0	14.0		Yes (X)	$617,635	$0	$74,467
JOHN CEELEN
TREASURER, CHIEF FINANCIAL OFFICER	2.0	48.0		Yes (X)	$0	$728,316	$54,052
KELLEY BAHR MD
MEDICAL VICE PRESIDENT, AMBULATORY SERVICES	44.0	6.0		Yes (X)	$442,809	$0	$71,967
KRAIG SCHUSTER
VICE PRESIDENT	46.0	4.0		Yes (X)	$316,352	$0	$58,202
LISA HARTON
CHIEF QUALITY OFFICER	2.0	48.0		Yes (X)	$0	$407,895	$61,558
MICHAEL DOLAN MD
CHIEF CLINICAL OFFICER	46.0	4.0		Yes (X)	$737,919	$0	$77,390
MICHAEL MCKEE
VICE PRESIDENT	40.0	10.0		Yes (X)	$290,401	$0	$71,251
MICHELLE MICKA
VICE PRESIDENT, FINANCE & ACCOUNTING	36.0	14.0		Yes (X)	$379,411	$0	$72,275
PETER VANDENHOUTEN
SR VP LEGAL COUNSEL	2.0	48.0		Yes (X)	$0	$629,937	$85,132
RACHEL ALBRECHT
VICE PRESIDENT	44.0	6.0		Yes (X)	$245,331	$0	$56,807
ROBERT HOLNESS MD
MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS	46.0	4.0		Yes (X)	$637,179	$0	$64,017
ROBYN BORGE MD
MEDICAL VICE PRESIDENT, CROSS-FUNCTIONAL CARE	46.0	4.0		Yes (X)	$443,350	$0	$48,639
STEPHANIE NEUMAN MD
MEDICAL VICE PRESIDENT, AMBULATORY SERVICES	46.0	4.0		Yes (X)	$578,420	$0	$77,190
TINA LECHNIR
VICE PRESIDENT	42.0	8.0		Yes (X)	$245,956	$0	$58,682
LEANNE ANDERSEN
CHIEF PEOPLE OFFICER	46.0	4.0			$680,422	$0	$71,814	Yes (X)
PRAVEEN CHOPRA
CHIEF DIGITAL AND INFORMATION OFFICER	44.0	6.0			$717,801	$0	$77,846	Yes (X)
WILLIAM FARRELL
CHIEF STRATEGY & INNOVATION OFFICER	46.0	4.0			$595,426	$0	$48,639	Yes (X)
DOUGLAS HUGHES
PHYSICIAN	50.0	0			$1,226,944	$0	$67,280		Yes (X)
JEFFREY LAWRENCE
PHYSICIAN	50.0	0			$1,068,811	$0	$71,967		Yes (X)
JERRY DAVIS
PHYSICIAN	50.0	0			$1,123,276	$0	$58,167		Yes (X)
MARK TOPOLSKI
PHYSICIAN	50.0	0			$1,310,243	$0	$72,175		Yes (X)
STEVEN WHITFORD
PHYSICIAN	50.0	0			$1,177,421	$0	$75,167		Yes (X)
ELLEN PEDRETTI-FENDT
VICE PRESIDENT, BUSINESS PARTNERING AND SERVICE DELIVERY	0.0	0.0			$228,664	$0	$59,128			Yes (X)
ERIC DEHN
VICE PRESIDENT, DIGITAL SOLUTIONS AND ENTERPRISE ARCHITECTURE	50.0	0.0			$313,406	$0	$65,708			Yes (X)
JANINE LUZ-JENSEN
VICE PRESIDENT, TALENT ACQUISITION, TALENT DEVELOPMENT, & LEARNING	50.0	0.0			$246,063	$0	$52,763			Yes (X)
JONI OLSON
FORMER ADMINISTRATOR	0.0	0.0			$169,390	$0	$41,223			Yes (X)
KARI ADANK
VICE PRESIDENT, COMPLIANCE	50.0	0.0			$269,642	$0	$60,140			Yes (X)
KRISTER MATTSON
VICE PRESIDENT, ENTERPRISE ANALYTICS AND DATA SCIENCE	48.0	2.0			$305,605	$0	$56,203			Yes (X)
MARILU BINTZ MD
FORMER MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS, MD	0.0	2.0			$261,160	$0	$38,627			Yes (X)
SHANNON MULLIGAN
VICE PRESIDENT, HR & TOTAL REWARDS	0.0	0.0			$288,578	$0	$19,870			Yes (X)
STEPHANIE CARROLL MD
MEDICAL VICE PRESIDENT, MD	46.0	4.0			$322,275	$0	$67,169			Yes (X)
STEPHEN SHAPIRO MD
CHIEF MEDICAL FOUNDATION OFFICER, MD	48.0	2.0			$548,480	$0	$63,970			Yes (X)
STEVE LITTLE
FORMER CHIEF FINANCIAL OFFICER	0.0	0.0			$209,856	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$20,420,773	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,550,921	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,807,646	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2042	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
KRAUS ANDERSON CONSTRUCTION CO
501 SOUTH EIGHTH STREET	MINNEAPOLIS	MN	55404	CONSTRUCTION CONTRACTOR	$6,057,164
FOWLER AND HAMMER INC
313 MONITOR STREET	LA CROSSE	WI	54603	CONSTRUCTION CONTRACTOR	$6,030,771
WIESER BROTHERS INC
200 TWILITE STREET	LA CRESCENT	MN	55947	GENERAL CONTRACTOR	$5,230,523
SIRIUS COMPUTER SOLUTIONS INC
PO BOX 202289	DALLAS	TX	753202289	COMPUTER SERVICES	$4,259,378
HAYES LOCUMS LLC
PO BOX 88122	CHICAGO	IL	606801122	CONTRACTED STAFF	$3,972,145

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	373	CntrctRcvdGreaterThan100KCnt
Related Organizations	$119,448	RelatedOrganizationsAmt
Government Grants	$191,520	GovernmentGrantsAmt
Total Contributions	$310,968	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
SERVICES PROVIDED TO GUNDERSEN	561000	$1,186,041,728	$1,186,041,728
ADMIN AND TECHNICAL SUPPORT SERVICES	561499	$1,205,028		$1,205,028

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,187,246,756	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,888,968	TotalRevenueColumnAmt
Exclusion	$30,888,968	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,229,562	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,435,602	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$206,040	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$206,040	TotalRevenueColumnAmt
Exclusion	-$206,040	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$33,229,443	SecuritiesAmt
Other	$155,219	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$36,126	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$33,229,443	SecuritiesAmt
Other	$119,093	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,348,536	TotalRevenueColumnAmt
Exclusion	$33,348,536	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	HEALTH SHOP SALES	Desc
Business	446199	BusinessCd
Total Revenue Column	$147,501	TotalRevenueColumnAmt
Unrelated Business Revenue	$147,501	UnrelatedBusinessRevenueAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$147,501	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,251,736,689	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,186,041,728	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,352,529	UnrelatedBusinessRevenueAmt
Exclusion	$64,031,464	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,119,146	TotalAmt
Program Services	$1,119,146	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,961,058	TotalAmt
Program Services	$2,078,386	ProgramServicesAmt
Management And General	$11,882,672	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$789,544,413	TotalAmt
Program Services	$747,604,641	ProgramServicesAmt
Management And General	$41,939,772	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$70,084,061	TotalAmt
Program Services	$63,842,812	ProgramServicesAmt
Management And General	$6,241,249	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$118,003,577	TotalAmt
Program Services	$112,399,863	ProgramServicesAmt
Management And General	$5,603,714	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$49,457,887	TotalAmt
Program Services	$46,305,423	ProgramServicesAmt
Management And General	$3,152,464	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$987,397	TotalAmt
Program Services	$4,851	ProgramServicesAmt
Management And General	$982,546	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$496,245	TotalAmt
Management And General	$496,245	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$437,650	TotalAmt
Program Services	$437,650	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,748,385	TotalAmt
Program Services	$5,280	ProgramServicesAmt
Management And General	$1,743,105	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,793,138	TotalAmt
Program Services	$27,268,670	ProgramServicesAmt
Management And General	$7,524,468	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,213,556	TotalAmt
Program Services	$38,254	ProgramServicesAmt
Management And General	$2,175,302	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,681,084	TotalAmt
Program Services	$9,718,035	ProgramServicesAmt
Management And General	$963,049	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$54,541,181	TotalAmt
Program Services	$52,152,663	ProgramServicesAmt
Management And General	$2,388,518	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,657,930	TotalAmt
Program Services	$10,539,465	ProgramServicesAmt
Management And General	$2,118,465	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$716,941	TotalAmt
Program Services	$493,102	ProgramServicesAmt
Management And General	$223,839	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,549,668	TotalAmt
Program Services	$1,413,953	ProgramServicesAmt
Management And General	$135,715	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,609,173	TotalAmt
Program Services	$9,609,173	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,576,443	TotalAmt
Program Services	$20,682,726	ProgramServicesAmt
Management And General	$893,717	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	-$588,853	TotalAmt
Program Services	-$608,619	ProgramServicesAmt
Management And General	$19,766	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
RECRUITING/EMPLOYEE DEVELOPMENT	$3,098,578	$1,843,530	$1,255,048
BANKING FEES	$2,935,247	$2,578,934	$356,313
SUPPLIES/BAD DEBT	$1,066,714	$1,066,714
DUES/MEMBERSHIPS/LICENSES	$1,348,363	$561,432	$786,931

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,915,339	TotalAmt
Program Services	$1,835,699	ProgramServicesAmt
Management And General	$2,079,640	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,205,954,321	TotalAmt
Program Services	$1,112,991,783	ProgramServicesAmt
Management And General	$92,962,538	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$17,396,934	BOYAmt
EOY	$25,458,663	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$85,664,430	BOYAmt
EOY	$25,466,580	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$7,298	BOYAmt
EOY	$6,762	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$22,537,599	BOYAmt
EOY	$21,124,633	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,762,676	BOYAmt
EOY	$14,887,258	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$29,749,867	BOYAmt
EOY	$33,430,942	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$385,136,240	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$230,822,704	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$132,255,288	BOYAmt
EOY	$154,313,536	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$799,095,251	BOYAmt
EOY	$820,585,808	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,854,078	BOYAmt
EOY	$18,048,290	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,116,323,421	BOYAmt
EOY	$1,113,322,472	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$181,395,852	BOYAmt
EOY	$173,692,495	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$325,960,000	BOYAmt
EOY	$315,865,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$573,313,693	BOYAmt
EOY	$535,040,806	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,080,669,545	BOYAmt
EOY	$1,024,598,301	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,653,876	BOYAmt
EOY	$88,724,171	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$35,653,876	BOYAmt
EOY	$88,724,171	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,116,323,421	BOYAmt
EOY	$1,113,322,472	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$45,782,368	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$14,785,706	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$7,497,779	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	20	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (20 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
COMMUNITY HOUSING OF LA CROSSE INC
391586700	9	Yes (true)	$0	$0
GUNDERSEN CLINIC LTD
391028657	3	Yes (true)	$0	$0
GUNDERSEN LUTHERAN MEDICAL CENTER INC
390813416	3	Yes (true)	$0	$0
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
391249705	7	Yes (true)	$0	$0
HARMONY COMMUNITY HEALTH CARE INC
410711606	7	Yes (true)	$0	$0
LUTHERAN HOUSING OF LA CROSSE INC
391751934	9	Yes (true)	$0	$0
MEMORIAL HOSPITAL OF BOSCOBEL
390845590	3	Yes (true)	$0	$0
PALMER LUTHERAN HEALTH CENTER INC
421320763	3	Yes (true)	$0	$0
ST JOSEPH HEALTH SERVICES INC
390929538	3	Yes (true)	$0	$0
TRI-COUNTY MEMORIAL HOSPITAL INC
390704510	3	Yes (true)	$0	$0
TRI-STATE AMBULANCE INC
391965415	3	Yes (true)	$0	$0
TRI-STATE REGIONAL AMBULANCE INC
391962965	9	Yes (true)	$0	$0
TWEETEN LUTHERAN HEALTHCARE CENTER INC
411565003	9	Yes (true)	$0	$0
MOUNDVIEW MEMORIAL HOSPITALS & CLINICS
390944012	3	Yes (true)	$0	$0
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
410693877	3	Yes (true)	$0	$0
BELLIN MEMORIAL HOSPITAL INC
390884478	3	Yes (true)	$0	$0
BELLIN PSYCHIATRIC CENTER INC
391657627	3	Yes (true)	$0	$0
OCONTO HOSPITAL & MEDICAL CENTER INC
061745397	3	Yes (true)	$0	$0
BELLIN COLLEGE INC
391620530	2	Yes (true)	$0	$0
THE BELLIN HEALTH FOUNDATION INC
391809171	7	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	20	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (true)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	false	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART I, LINE 12G INFORMATION ON SUPPORTED ORGANIZATIONS	GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. IS AN INTEGRAL PART OF THE GUNDERSEN LUTHERAN HEALTH SYSTEM AND PROVIDES SUPPORT TO EACH OF THE ORGANIZATIONS LISTED; HOWEVER, SUCH SERVICES CANNOT EASILY BE QUANTIFIED IN DOLLAR-BASED TERMS.
SCHEDULE A, PART I, LINE 12G ORGANIZATIONS NOT LISTED IN GOVERNING DOCUMENT	GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. SUPPORTS THE FOLLOWING ORGANIZATIONS THAT ARE 501(C)(3) PUBLIC CHARITIES AFFILIATED WITH THE SUPPORTED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION A, LINE 1 SUPPORTED ORGS LISTED BY NAME	THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501 (C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE AS AMENDED (HEREINAFTER THE "INTERNAL REVENUE CODE"). THE CORPORATION'S ACTIVITIES SHALL BE CARRIED OUT EXCLUSIVELY TO SUPPORT, OPERATE FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND CARRY OUT SOME OR ALL OF THE CHARITABLE PURPOSES OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC, GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL CENTER, INC., AND THEIR NONPROFIT AFFILIATES (HEREINAFTER REFERRED TO AS THE "HEALTH SYSTEM") SO LONG AS THOSE ORGANIZATIONS ARE DESCRIBED IN EITHER SECTION 509 (A)(1) OR 509 (A)(2) OF THE INTERNAL REVENUE CODE (OR THE CORRESPONDING PROVISIONS OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW).
SCHEDULE A, PART IV, SECTION A, LINE 6 SUPPORT TO OTHER SUPPORTED ORGS	GENERAL SERVICES PROVIDED TO GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES. GLAS ALSO GIVES GRANTS TO QUALIFIED 501(C)(3) PUBLIC CHARITIES AND GOVERNMENTAL ENTITIES THAT SUPPORT THE MISSION OF GLAS AND THE ORGANIZATIONS THEY SUPPORT.
SCHEDULE A, PART IV, SECTION C, LINE 1 MAJORITY DIRECTOR DETAIL	PURSUANT TO THE BYLAWS OF THE SUPPORTED ORGANIZATIONS, THE CORPORATION EITHER HAS A MAJORITY OF THE SAME DIRECTORS AS THE SUPPORTED ORGANIZATION OR HAS THE POWER TO APPOINT A MAJORITY OF THE DIRECTORS OR TRUSTEES OF THE SUPPORTED ORGANIZATION. IN ADDITION, THE CHIEF EXECUTIVE OFFICER, AND PRESIDENT OF ONE OR MORE OF THE SUPPORTED ORGANIZATIONS ARE THE SAME PERSONS WHO ARE THEN SERVING AS THE CHIEF EXECUTIVE OFFICER AND PRESIDENT OF THE CORPORATION AS A RESULT, THE OFFICERS AND DIRECTORS OF THE CORPORATION AND THE OFFICERS AND DIRECTORS OF EACH OF THE SUPPORTED ORGANIZATIONS OVERLAP CONSIDERABLY. ACCORDINGLY, THE OFFICERS AND DIRECTORS OF THE CORPORATION AND THE OFFICERS AND DIRECTORS OF EACH SUPPORTED ORGANIZATION MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP. IN THIS WAY, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE CORPORATION'S OPERATIONS, INCLUDING THE DEVELOPMENT OF ITS POLICIES, PROGRAMS, AND ACTIVITIES, INCLUDING ITS INVESTMENT POLICIES, AND OTHERWISE DIRECTING THE USE OF THE CORPORATION'S INCOME AND ASSETS OF THE CORPORATION. IN SUMMARY, THE CORPORATION EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF THE SUPPORTED ORGANIZATION AND A MAJORITY OF THE OFFICERS, DIRECTORS, OR TRUSTEES OF THE SUPPORTED ORGANIZATION IS APPOINTED OR ELECTED, DIRECTLY OR INDIRECTLY, BY THE GOVERNING BODY, MEMBERS OF THE GOVERNING BODY, OR OFFICERS (ACTING IN THEIR OFFICIAL CAPACITY) OF THE CORPORATION.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$437,650	FilingOrganizationsTotalAmt
Affiliated Group Total	$470,625	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$437,650	FilingOrganizationsTotalAmt
Affiliated Group Total	$470,625	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,205,516,671	FilingOrganizationsTotalAmt
Affiliated Group Total	$3,192,999,412	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,205,954,321	FilingOrganizationsTotalAmt
Affiliated Group Total	$3,193,470,037	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$242,027	CurrentYearMinus3Amt
Current Year Minus2	$276,873	CurrentYearMinus2Amt
Current Year Minus1	$429,679	CurrentYearMinus1Amt
Current Year	$470,625	CurrentYearAmt
Total	$1,419,204	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-A, LINE 2C, COLUMN (E)	FormAndLineReferenceDesc
Explanation	THE 4-YEAR AVERAGE PERIOD INCLUDES THE CURRENT AND 4 PRIOR TAX PERIODS, WHICH EXCLUDES A SHORT YEAR PERIOD FROM JANUARY 1, 2023, THROUGH SEPTEMBER 30, 2023. THE 4 PERIODS INCLUDED IN THE AVERAGE ARE 2022, SHORT YEAR 2023, FISCAL YEAR 2023, AND FISCAL YEAR 2024.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,255,062	OtherCostOrOtherBasisAmt
Book Value	$10,255,062	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$147,511,542	OtherCostOrOtherBasisAmt
Depreciation	$56,721,360	DepreciationAmt
Book Value	$90,790,182	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,304,197	OtherCostOrOtherBasisAmt
Depreciation	$114,598,181	DepreciationAmt
Book Value	$26,706,016	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,065,439	OtherCostOrOtherBasisAmt
Depreciation	$59,503,163	DepreciationAmt
Book Value	$26,562,276	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$154,313,536	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
INTERCOMPANY PAYABLE	$503,890,984
LOSS ON SWAP CONTRACTS	$4,575,419
OPERATING LEASE OBLIGATIONS	$3,518,429
LT CIMP LIABILIATY/OTHER LIABILITIES	$9,992,496
TEB PRE/(DISC) CURRENT AND LT	$12,985,481
SECURITY DEPOSIT PAYABLE	$77,997
DEFERRED REVENUE
SALES TAX PAYABLE
LT DEBT NET OF CURRENT MATURITIES

Field	Value	IRS element (for citing)
Total Liability	$535,040,806	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART X, LINE 2

SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE

THE SYSTEM AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME, IF ANY, AND HAVE BEEN FULLY RESERVED.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
VARC INC
1133 NELSON PARKWAY	VIROQUA	WI	54665	391211167	501 (C) 3	$165,000	OPERATIONS SUPPORT
LA CROSSE AREA FAMILY YMCA
1140 MAIN STREET	LA CROSSE	WI	54601	390806172	501 (C) 3	$77,500	OPERATIONS SUPPORT
SAINT CLARE HEALTH MISSION
916 FERRY STREET	LA CROSSE	WI	54601	823903651	501 (C) 3	$75,000	OPERATIONS SUPPORT
LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM
1725 STATE STREET	LA CROSSE	WI	54601	391804725	501 (C) 3	$68,304	OPERATIONS SUPPORT
GREAT RIVERS UNITED WAY
1855 EAST MAIN ST	ONALASKA	WI	54650	390848188	501 (C) 3	$55,750	OPERATIONS SUPPORT
MINNESOTA STATE COLLEGE
1250 HOMER ROAD	WINONA	MN	55987	411540247	501 (C) 3	$50,000	OPERATIONS SUPPORT
LA CROSSE AREA CHAMBER OF COMMERCE
601 7TH ST N	LA CROSSE	WI	54601	390414500	501 (C) 6	$35,050	OPERATIONS SUPPORT
KARUNA INC
315 3RD ST SOUTH UNIT 620	LA CROSSE	WI	54601	872587965	501 (C) 3	$35,000	OPERATIONS SUPPORT
NEW HORIZONS SHELTER AND OUTREACH CENTERS
PO BOX 2031	LA CROSSE	WI	54601	391737699	501 (C) 3	$35,000	OPERATIONS SUPPORT
FAMILY AND CHILDRENS CENTER
1707 MAIN ST	LA CROSSE	WI	54601	390821863	501 (C) 3	$30,000	OPERATIONS SUPPORT
LA CROSSE COUNTY TREASURER
212 6TH ST N	LA CROSSE	WI	54601	396005709	GOVERNMENT ENTITY	$30,000	OPERATIONS SUPPORT
SUNFLOWER CHILD DEVLOPMENT CENTER
300 IOWA HIGHWAY 9	DECORAH	IA	52101	421036817	501 (C) 3	$25,000	OPERATIONS SUPPORT
CIA SIAB INC
1825 SUNSET LANE	LA CROSSE	WI	54601	813606765	501 (C) 3	$20,000	OPERATIONS SUPPORT
LA CROSSE SYMPHONY ORCHESTRA
201 MAIN ST SUITE 230	LA CROSSE	WI	54601	391024330	501 (C) 3	$20,000	OPERATIONS SUPPORT
ADULT & TEEN CHALLENGE OF WESTERN WISCONSIN INC
2507 WESTON ST	LA CROSSE	WI	546016851	822144057	501 (C) 3	$20,000	OPERATIONS SUPPORT
BOYS AND GIRLS CLUBS OF GREATER LA CROSSE
PO BOX 91	LA CROSSE	WI	54602	396084791	501 (C) 3	$20,000	OPERATIONS SUPPORT
NORTHEAST IOWA MENTAL HEALTH CENTER
PO BOX 349	DECORAH	IA	52101	420782523	501 (C) 3	$13,500	OPERATIONS SUPPORT
WINONA FAMILY YMCA
207 WINONA ST	WINONA	MN	55987	410693890	501 (C) 3	$11,678	OPERATIONS SUPPORT
THE PARENTING PLACE
1500 GREEN BAY ST	LA CROSSE	WI	54601	391676842	501 (C) 3	$11,500	OPERATIONS SUPPORT
AIDS RESOURCE CENTER
820 N PLANKINTON AVE	MILWAUKEE	WI	53203	391534049	501 (C) 3	$10,000	OPERATIONS SUPPORT
DRIFT SHARE INC
425 STATE ST STE 100 334	LA CROSSE	WI	54601	921236552	501 (C) 3	$10,000	OPERATIONS SUPPORT
COULEE REGION HUMANE SOCIETY
911 CRITTER COURT	ONALASKA	WI	54669	237366713	501 (C) 3	$10,000	OPERATIONS SUPPORT
ARCADIA AMBULANCE SERVICE
PO BOX 156	ARCADIA	WI	54612	461555439	GOVERNMENT ENTITY	$10,000	OPERATIONS SUPPORT
CASA FOR KIDS INC
704 SAND LAKE RD STE7	ONALASKA	WI	546502400	932337300	501 (C) 3	$10,000	OPERATIONS SUPPORT
THE GOOD FIGHT COMMUNITY CENTER
118 NORTH 6TH ST	LA CROSSE	WI	54601	812930941	501 (C) 3	$10,000	OPERATIONS SUPPORT
SAFE FAMILIES FOR CHILDREN
PO BOX 213	ELKHORN	WI	53121	472646525	501 (C) 3	$8,000	OPERATIONS SUPPORT
LA CROSSE COMMUNITY THEATRE
428 FRONT STREET SOUTH	LA CROSSE	WI	54601	391035843	501 (C) 3	$8,000	OPERATIONS SUPPORT
WAFER INC
403 CAUSEWAY BLVD	LA CROSSE	WI	54601	391552632	501 (C) 3	$7,000	OPERATIONS SUPPORT
LA CROSSE AREA DEVELOPMENT CORPORATION
601 7TH ST N	LA CROSSE	WI	54601	391168327	501 (C) 6	$5,750	OPERATIONS SUPPORT
RIVERS ALLIANCE INC
601 7TH ST N	LA CROSSE	WI	54601	010938132	501 (C) 3	$5,250	OPERATIONS SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	28	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (43 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRYAN ERDMANN
BOARD OF TRUSTEES, CHIEF OPERATING OFFICER	$443,062	$0	$0	$0	$608	$0	$48,300	$0	$27,890	$0	$519,860	$0	$0	$0
ANDREA HAUSER RN
BOARD OF TRUSTEES, VICE PRESIDENT, ACUTE CARE LA CROSSE & SYSTEM CNO	$284,754	$0	$0	$0	$4,304	$0	$40,425	$0	$23,667	$0	$353,150	$0	$0	$0
TODD KOWALSKI MD
BOARD OF TRUSTEES, MEDICAL CHIEF OPERATING OFFICER	$556,671	$0	$0	$0	$814	$0	$48,300	$0	$29,390	$0	$635,175	$0	$0	$0
SCOTT RATHGABER MD
BOARD OF TRUSTEES, CHAIRMAN, CEO	$1,278,368	$0	$0	$0	$45,907	$0	$48,300	$0	$24,975	$0	$1,397,550	$0	$0	$0
HEATHER SCHIMMERS RN
BOARD OF TRUSTEES, PRESIDENT	$638,010	$0	$198,913	$0	$4,954	$0	$48,300	$0	$23,975	$0	$914,152	$0	$0	$0
JENNIFER KLEVEN MD
BOARD OF TRUSTEES	$404,840	$0	$0	$0	$773	$0	$47,659	$0	$4,562	$0	$457,834	$0	$0	$0
STEVE LITTLE
FORMER CHIEF FINANCIAL OFFICER	$209,856	$0	$0	$0	$0	$0	$0	$0	$0	$0	$209,856	$0	$0	$0
RACHEL ALBRECHT
VICE PRESIDENT	$236,468	$0	$0	$0	$8,863	$0	$34,132	$0	$22,675	$0	$302,138	$0	$0	$0
KELLEY BAHR MD
MEDICAL VICE PRESIDENT, AMBULATORY SERVICES	$438,005	$0	$0	$0	$4,804	$0	$48,300	$0	$23,667	$0	$514,776	$0	$0	$0
ROBYN BORGE MD
MEDICAL VICE PRESIDENT, CROSS-FUNCTIONAL CARE	$438,000	$0	$0	$0	$5,350	$0	$48,300	$0	$339	$0	$491,989	$0	$0	$0
JOHN CEELEN
TREASURER, CHIEF FINANCIAL OFFICER	$0	$598,104	$0	$129,468	$0	$744	$0	$29,147	$0	$24,905	$0	$782,368	$0	$0
MICHAEL DOLAN MD
CHIEF CLINICAL OFFICER	$636,335	$0	$100,000	$0	$1,584	$0	$48,300	$0	$29,090	$0	$815,309	$0	$0	$0
LISA HARTON
CHIEF QUALITY OFFICER	$0	$336,819	$0	$70,662	$0	$414	$0	$47,759	$0	$13,799	$0	$469,453	$0	$0
ROBERT HOLNESS MD
MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS	$589,004	$0	$0	$0	$48,175	$0	$40,350	$0	$23,667	$0	$701,196	$0	$0	$0
CINDY LASECKI MD
CHIEF CLINIC OFFICER	$0	$392,261	$0	$114,612	$0	$774	$0	$49,237	$0	$3,780	$0	$560,664	$0	$0
TINA LECHNIR
VICE PRESIDENT	$236,727	$0	$0	$0	$9,229	$0	$33,863	$0	$24,819	$0	$304,638	$0	$0	$0
DANIEL LILLY
SECRETARY, CHIEF LEGAL OFFICER	$514,649	$0	$97,000	$0	$5,986	$0	$48,300	$0	$26,167	$0	$692,102	$0	$0	$0
MICHAEL MCKEE
VICE PRESIDENT	$289,289	$0	$0	$0	$1,112	$0	$41,410	$0	$29,841	$0	$361,652	$0	$0	$0
MICHELLE MICKA
VICE PRESIDENT, FINANCE & ACCOUNTING	$374,568	$0	$0	$0	$4,843	$0	$48,300	$0	$23,975	$0	$451,686	$0	$0	$0
STEPHANIE NEUMAN MD
MEDICAL VICE PRESIDENT, AMBULATORY SERVICES	$575,671	$0	$2,500	$0	$249	$0	$48,300	$0	$28,890	$0	$655,610	$0	$0	$0
KRAIG SCHUSTER
VICE PRESIDENT	$309,504	$0	$0	$0	$6,848	$0	$43,680	$0	$14,522	$0	$374,554	$0	$0	$0
PETER VANDENHOUTEN
SR VP LEGAL COUNSEL	$0	$407,252	$0	$182,656	$0	$40,029	$0	$69,350	$0	$15,782	$0	$715,069	$0	$39,255
CHRISTINE WALLER MD
MEDICAL VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICES	$555,596	$0	$0	$0	$4,973	$0	$48,300	$0	$35,019	$0	$643,888	$0	$0	$0
ANDREA WERNER
CHIEF POPULATION HEALTH OFFICER	$0	$321,155	$0	$66,658	$0	$774	$0	$43,757	$0	$11,192	$0	$443,536	$0	$0
CHRISTINE WOLESKE
PRESIDENT, (END 7.1.25)	$0	$947,182	$0	$728,601	$0	$212,756	$0	$185,351	$0	$15,782	$0	$2,089,672	$0	$201,125
LEANNE ANDERSEN
CHIEF PEOPLE OFFICER	$558,734	$0	$116,418	$0	$5,270	$0	$43,827	$0	$27,987	$0	$752,236	$0	$0	$0
PRAVEEN CHOPRA
CHIEF DIGITAL AND INFORMATION OFFICER	$602,977	$0	$106,400	$0	$8,424	$0	$48,300	$0	$29,546	$0	$795,647	$0	$0	$0
WILLIAM FARRELL
CHIEF STRATEGY & INNOVATION OFFICER	$487,426	$0	$103,225	$0	$4,775	$0	$48,300	$0	$339	$0	$644,065	$0	$0	$0
JERRY DAVIS
PHYSICIAN	$1,118,021	$0	$0	$0	$5,255	$0	$34,500	$0	$23,667	$0	$1,181,443	$0	$0	$0
DOUGLAS HUGHES
PHYSICIAN	$1,222,337	$0	$0	$0	$4,607	$0	$43,613	$0	$23,667	$0	$1,294,224	$0	$0	$0
JEFFREY LAWRENCE
PHYSICIAN	$1,063,004	$0	$0	$0	$5,807	$0	$48,300	$0	$23,667	$0	$1,140,778	$0	$0	$0
MARK TOPOLSKI
PHYSICIAN	$1,305,468	$0	$0	$0	$4,775	$0	$48,300	$0	$23,875	$0	$1,382,418	$0	$0	$0
STEVEN WHITFORD
PHYSICIAN	$1,170,639	$0	$2,000	$0	$4,782	$0	$48,300	$0	$26,867	$0	$1,252,588	$0	$0	$0
KARI ADANK
VICE PRESIDENT, COMPLIANCE	$268,610	$0	$0	$0	$1,032	$0	$37,844	$0	$22,296	$0	$329,782	$0	$0	$0
MARILU BINTZ MD
FORMER MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS, MD	$109,201	$0	$100,000	$0	$51,959	$0	$36,295	$0	$2,332	$0	$299,787	$0	$0	$0
STEPHANIE CARROLL MD
MEDICAL VICE PRESIDENT, MD	$305,920	$0	$15,667	$0	$688	$0	$39,470	$0	$27,699	$0	$389,444	$0	$0	$0
ERIC DEHN
VICE PRESIDENT, DIGITAL SOLUTIONS AND ENTERPRISE ARCHITECTURE	$312,797	$0	$0	$0	$609	$0	$44,118	$0	$21,590	$0	$379,114	$0	$0	$0
JANINE LUZ-JENSEN
VICE PRESIDENT, TALENT ACQUISITION, TALENT DEVELOPMENT, & LEARNING	$241,385	$0	$0	$0	$4,678	$0	$34,216	$0	$18,547	$0	$298,826	$0	$0	$0
KRISTER MATTSON
VICE PRESIDENT, ENTERPRISE ANALYTICS AND DATA SCIENCE	$305,177	$0	$0	$0	$428	$0	$38,458	$0	$17,745	$0	$361,808	$0	$0	$0
SHANNON MULLIGAN
VICE PRESIDENT, HR & TOTAL REWARDS	$232,590	$0	$0	$0	$55,988	$0	$9,464	$0	$10,406	$0	$308,448	$0	$0	$0
ELLEN PEDRETTI-FENDT
VICE PRESIDENT, BUSINESS PARTNERING AND SERVICE DELIVERY	$226,752	$0	$0	$0	$1,912	$0	$32,340	$0	$26,788	$0	$287,792	$0	$0	$0
STEPHEN SHAPIRO MD
CHIEF MEDICAL FOUNDATION OFFICER, MD	$547,371	$0	$0	$0	$1,109	$0	$48,300	$0	$15,670	$0	$612,450	$0	$0	$0
JONI OLSON
FORMER ADMINISTRATOR	$165,292	$0	$0	$0	$4,098	$0	$23,561	$0	$17,662	$0	$210,613	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A FIRST-CLASS OR CHARTER TRAVEL	CHARTER AIRFARE WAS UTILIZED BY 18 DIRECTORS AND OFFICERS FOR BUSINESS PURPOSES AND THEREFORE NOT REPORTABLE AS COMPENSATION
SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE	A HOUSING ALLOWANCE FOR SCOTT RATHGABER WAS INCLUDED IN TAXABLE COMPENSATION.
SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT	SHANNON MULLIGAN RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR PURSUANT TO A CONFIDENTIAL SEVERANCE AGREEMENT. THE PAYMENT IS INCLUDED IN PART VII, COLUMN D AND SCHEDULE J, PART II, COLUMN B(III).
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	CERTAIN INDIVIDUALS LISTED IN SCHEDULE J, PART II PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO WHICH THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS. THESE CONTRIBUTIONS ARE AT RISK AND DO NOT BECOME VESTED AND PAYABLE UNLESS AND UNTIL THE INDIVIDUAL SATISFIES A SUBSTANTIAL FUTURE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN FOR CALENDAR YEAR 2024: CHRISTINE WOLESKE PETER VANDENHOUTEN JOHN CEELEN LISA HARTON ANDREA WERNER CINDY LASECKI, MD BELLIN MEMORIAL HOSPITAL, A RELATED PARTY, HAS A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES. CHRISTINE WOLESKE AND PETER VANDENHOUTEN PARTICIPATED IN THE 457(F) PLAN. THE FOLLOWING INDIVIDUAL, LISTED ON PART VII OF FORM 990, HAD THE FOLLOWING AMOUNTS DISTRIBUTED DURING CALENDAR YEAR 2024: CHRISTINE WOLESKE $201,125 PETER VANDENHOUTEN $39,255
SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS	GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES PROVIDES QUARTERLY BONUSES FOR EMPLOYEES WHO TAKE ON INTERIM LEADERSHIP DUTIES.
SCHEDULE J, PART I, LINE 3	ALL PERSONNEL SERVICES ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	Business Name Line2IssuerName/BusinessNameLine2Txt
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2021A ISSUANCE
A	391337855	97712JBU6	2021-08-12	$117,893,194	SEE PART VI	false	false	false
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2016 ISSUANCE
B	391337855		2016-02-12	$40,000,000	SEE PART VI	false	false	false
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2009A AND 2009
C	391337855		2012-10-01	$78,715,000	SEE PART VI	false	false	false	B ISSUANCE
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2008B ISSUANCE
D	391337855	97710BBG6	2012-10-01	$61,400,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$117,893,194	$0	$0	$0	$1,202,288	$0	$0	$0	$116,690,906	$0	2021	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$40,000,000	$0	$0	$0	$0	$0	$0	$0	$40,000,000	$0	2016	Yes (true)	false	Yes (true)	Yes (true)
C	$31,815,000	$0	$78,715,000	$0	$0	$0	$0	$0	$0	$0	$78,715,000	$0	2005	Yes (true)	false	Yes (true)	Yes (true)
D	$23,675,000	$0	$61,400,000	$0	$0	$0	$0	$0	$0	$0	$61,400,000	$0	2008	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	false	false	0.0027	0.0027	false	false	0	false	Yes (true)
B	false	false	false	false	false	false	0.0	0.0	false	false	0	false	Yes (true)
C	false	Yes (true)	false	false	false	false	0.0008	0.0008	false	Yes (true)	0.0051	Yes (true)	Yes (true)
D	false	false	false	false	false	false	0.0	0.0	false	Yes (true)	0.0	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
(no name)
A	false	false	Yes (true)	false	false	false	0	false	false	false	0	false	false	Yes (true)
(no name)
B	false	false	Yes (true)	false	Yes (true)	false	0	false	false	false	0	false	false	Yes (true)
MORGANMERRILL
C	false	false	Yes (true)	false	Yes (true)	Yes (true)	29.5	Yes (true)	false	false	0	false	false	Yes (true)
MERRILL
D	false	false	Yes (true)	false	Yes (true)	Yes (true)	27.0	Yes (true)	false	false	0	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE	BOND A: PROCEEDS OF THE SERIES 2021A BONDS WERE USED TO CURRENTLY REFUND THE 2011A SERIES ORIGINALLY ISSUED 9/29/2011 AND PAY COSTS OF ISSUANCE. THE SERIES 2011A BOND PROCEEDS WERE USED TO CURRENTLY REFUND IN THEIR ENTIRETY THE SERIES 2000A AND 2000B ORIGINALLY ISSUED 10/10/2000.
SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE	BOND B: PROCEEDS OF THE SERIES 2016 BONDS WERE USED TO CURRENTLY REFUND, IN THEIR ENTIRETY, THE WISCONSIN HEALTH AND EDUCATIONAL FACILITY VARIABLE RATE REVENUE BONDS, SERIES 2011B (GUNDERSEN LUTHERAN).
SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE	BOND C: PROCEEDS OF THE SERIES 2009A AND 2009B BONDS WERE USED TO FINANCE CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITIES AND CURRENTLY REFUND THE SERIES 2003B AND 2003C BONDS.
SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE	BOND D: PROCEEDS OF THE SERIES 2008B BONDS WERE USED TO FINANCE THE REPAYMENT OF A LINE OF CREDIT USED TO REFUND THE SERIES 2006 BONDS, WHICH FINANCED THE CONSTRUCTION AND EQUIPPING OF HEALTH CARE FACILITIES, AND PAID COSTS OF ISSUANCE.
SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE	BOND E: PROCEEDS OF THE SERIES 2022 BONDS WERE USED TO CURRENTLY REFUND IN THEIR ENTIRETY THE 2012 SERIES ORIGINALLY ISSUED 9/27/2012 AND TO PAY COSTS OF ISSUANCE. THE SERIES 2012 BONDS WERE USED TO CONSTRUCT AND EQUIP A CLINIC.
SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE	BOND F: THE SERIES 2015 BONDS FINANCED THE CONSTRUCTION AND EQUIPPING OF A CLINIC. INVESTMENT EARNINGS IS THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE TOTAL PROCEEDS OF THE ISSUE.
SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE	BOND G: SERIES 2020A BONDS FINANCED THE CONSTRUCTION AND EQUIPPING OF A CLINIC. INVESTMENT EARNINGS IS THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE TOTAL PROCEEDS OF THE ISSUE.
SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS OF ISSUE	BOND F: FOR SERIES 2015 BONDS, THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO $44,549.90 IN INVESTMENT EARNINGS (INTEREST).
SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS OF ISSUE	BOND G: FOR SERIES 2020A BONDS, THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO $184.28 IN INVESTMENT EARNINGS (INTEREST).
SCHEDULE K, PART III, LINE 7 PRIVATE SECURITY OR PAYMENT TEST	HISTORICALLY, GUNDERSEN RESPONDED "YES" TO THIS QUESTION TO CONSERVATIVELY RESPOND AND TO REFLECT THAT IT DID MONITOR THE PRIVATE SECURITY TEST; GUNDERSEN IS NOW RESPONDING "NO" BECAUSE THERE IS NO PRIVATE USE, WHICH GUNDERSEN CAREFULLY MONITORS AND MANAGES.
SCHEDULE K, PART III, LINE 8A SALE OF BONDFINANCED PROPERTY	GUNDERSEN SOLD LOADING DOCK ASSET FROM THE 2008B BONDS. BONDS ALLOCABLE TO THE SALE PROCEEDS OF THAT ASSET IN AN AMOUNT OF $800.00 WERE REDEEMED ON 7/15/15 IN ORDER TO REMEDIATE THAT SALE. IN 2019, GUNDERSEN SOLD A BOND FINANCED ASSET FROM THE 2003 ISSUANCE FINANCED WITH THE PROCEEDS OF THE SERIES, REFUNDED BY THE SERIES 2009 BONDS, WHICH WAS SOLD AFTER ITS 15-YEAR USEFUL LIFE AND THEREFORE IS NOT REPORTED HERE.
SCHEDULE K, PART IV, LINE 4B	MORGAN STANLEY CAPITAL SERVICES, LLC. *MERRILL LYNCH CAPITAL SERVICES, INC.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2022 ISSUANCE
A	391337855	2022-11-15	$68,505,000	SEE PART VI	false	false	false
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2015 ISSUANCE
B	391337855	2015-12-23	$12,000,000	SEE PART VI	false	false	false
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES 2020A ISSUANCE
C	391337855	2020-03-24	$25,002,968	SEE PART VI	false	false	false	97712D654

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$625,000	$0	$68,505,000	$0	$0	$0	$250,000	$0	$0	$0	$68,255,000	$0	2022	Yes (true)	false	Yes (true)	Yes (true)
B	$10,685,000	$0	$12,044,550	$0	$0	$0	$0	$0	$0	$12,044,550	$0	$0	2017	false	false	Yes (true)	Yes (true)
C	$0	$0	$25,003,152	$0	$0	$0	$0	$0	$0	$25,003,152	$0	$0	2020	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	Yes (true)	false	false	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DANIEL BREAZEALE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship With Org	EMPLOYEE - VP FINANCE	RelationshipWithOrgTxt
Loan Purpose	SIGNING BONUS/RELOCA TION	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$30,000	OriginalPrincipalAmt
Balance Due	$6,762	BalanceDueAmt
Default	Yes (true)	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$6,762	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
APRIL FARRELL MD
FAMILY MEMBER OF WILLIAM FARRELL, KEY EMPLOYEE, GLAS	$1,004,154	EMPLOYMENT	false
EMILY DOLAN MD
FAMILY MEMBER OF MICHAEL DOLAN, OFFICER, GLAS	$401,938	EMPLOYMENT	false
EVAN DOLAN
FAMILY MEMBER OF MICHAEL DOLAN, OFFICER, GLAS	$255,613	EMPLOYMENT	false
JAMES KLEVEN MD
FAMILY MEMBER OF JENNIFER KLEVEN, M.D., DIRECTOR, GLAS	$556,143	EMPLOYMENT	false
KARL BORGE MD
FAIMLY MEMBER OF ROBYN BORGE, OFFICER, GLAS	$284,191	EMPLOYMENT	false
KATIE HAYES
FAMILY MEMBER OF WILLIAM FARRELL, KEY EMPLOYEE, GLAS	$10,003	EMPLOYMENT	false
SHANNAN STEPHENS MD
FAMILY MEMBER OF KELLEY BAHR, M.D., OFFICER, GLAS	$389,112	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	THE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., HAS THE POWER TO APPOINT BOARD MEMBERS
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	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, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	THE FORM 990 IS REVIEWED BY THE ACCOUNTING MANAGER AND PRINCIPAL OFFICER. IT WILL BE MADE AVAILABLE FOR ALL BOARD MEMBERS BEFORE FILING.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. (GLAS) ANNUALLY REQUIRES EXECUTIVE LEADERSHIP (VICE PRESIDENTS AND ABOVE), BOARD MEMBERS, MEDICAL GOVERNORS AND FOUNDATION BOARD MEMBERS TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED DISCLOSURE STATEMENTS ARE REVIEWED BY A CONFLICT OF INTEREST REVIEW PANEL WHICH INCLUDES REPRESENTATIVES FROM LEGAL, COMPLIANCE, MEDICAL LEADERSHIP, HUMAN RESOURCES AND SUPPLY CHAIN. INDIVIDUALS REPORTING A POTENTIAL CONFLICT OF INTEREST ARE SENT A RESOLUTION THANKING THEM FOR THEIR SERVICE TO THE ORGANIZATION, ADVISING THEM OF ANY RESTRICTIONS RELATED TO THEIR CONFLICT (I.E. INDIVIDUALS WITH A RELATIONSHIP TO ANOTHER ORGANIZATION ARE ADVISED THAT THEY MUST ABSTAIN FROM DECISION MAKING THAT WOULD DIRECTLY AND SOLELY IMPACT GLAS) AND REMINDING THEM OF THEIR CONFIDENTIALITY OBLIGATIONS WITH RESPECT TO GLAS' HEALTHCARE, EMPLOYMENT AND PROPRIETARY INFORMATION.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	COMPENSATION FOR THE CEO AND KEY EXECUTIVES ARE SET BY THE EXECUTIVE COMMITTEE OF THE BOARD SUPPORTED BY MARKET DATA FROM SURVEYS AND AN INDEPENDENT CONSULTANTS REPORT. THE COMPENSATION IS DETERMINED BY MEMBERS OF THE EXECUTIVE COMMITTEE WITHOUT CONFLICT AND IS DOCUMENTED. CEO COMPENSATION: CEO PRESENTS RESULTS OF PERFORMANCE OBJECTIVES TO THE EXECUTIVE COMMITTEE IN JANUARY OF EACH YEAR. THE CHAIR APPLIES A FORMULA TO THE RESULTS AND COMES UP WITH A RECOMMENDATION. THE CHAIR FACILITIES GETTING APPROVAL FROM OTHER MEMBERS OF THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	SENIOR LEADERS: COMPENSATION FOR THOSE WHO REPORT TO THE CEO IS TAKEN TO THE EXECUTIVE COMMITTEE FOR DISCUSSION/APPROVAL.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	REQUESTS FOR ALL DOCUMENTS ARE MADE THROUGH THE LEGAL DEPARTMENT, AND THE APPROPRIATE DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION IN THE LEGAL DEPARTMENT.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	EQUITY TRANSFERS TO AFFILIATES - -7500000; SWAP MARKET ADJ - 2221; TOTAL - -7497779;
FORM 990, PART VII, SECTION A POSITIONS	CERTAIN INDIVIDUALS WHO WERE PREVIOUSLY REPORTED AS KEY EMPLOYEES ARE REPORTED ON PART VII FOR FY25 AS PART OF THE EXECUTIVE LEADERSHIP TEAM AND ARE CONSIDERED OFFICERS PER FORM 990 INSTRUCTIONS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	3 REALESTATE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 SOUTH AVENUE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Field	Value	IRS element (for citing)
EIN	391606449	EIN
Primary Activities	RENTAL	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd
Total Income	$76,762	TotalIncomeAmt
End Of Year Assets	$903,349	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GLHS	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BELLIN GUNDERSEN HEALTH SYSTEM INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	920504278	SUPPORT ORG	WI	501(C)(3)	TYPE III-FI	NA	false
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVE	LA CROSSE	WI	54601	391866425	SUPPORT ORG	WI	501(C)(3)	TYPE II	BGHS	false
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1910 SOUTH AVE	LA CROSSE	WI	54601	390813416	HEALTHCARE	WI	501(C)(3)	3	GLHS	false
GUNDERSEN CLINIC LTD
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391028657	HEALTHCARE	WI	501(C)(3)	3	GLHS	false
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391249705	FOUNDATION	WI	501(C)(3)	7	GLHS	false
TRI-COUNTY MEMORIAL HOSPITAL INC
18601 LINCOLN STREET	WHITEHALL	WI	54773	390704510	HEALTHCARE	WI	501(C)(3)	3	GLHS	false
HARMONY COUMMUNITY HEALTHCARE INC
815 MAIN AVE	SOUTH HARMONY	MN	55939	410711606	HEALTHCARE	WI	501(C)(3)	10	GLHS	false
TWEETEN LUTHERAN HEALTHCARE CENTER INC
125 FIFTH AVE SE	SPRING GROVE	MN	55974	411565003	HEALTHCARE	WI	501(C)(3)	10	GLHS	false
TRI STATE AMBULANCE INC
235 CAUSEWAY BOULEVARD	LA CROSSE	WI	54603	391965415	MEDICAL TRANSPORT	WI	501(C)(3)	3	GLHS	false
TRI-STATE REGIONAL AMBULANCE INC
235 CAUSEWAY BOULEVARD	LA CROSSE	WI	54603	391962965	MEDICAL TRANSPORT	WI	501(C)(3)	10	GLHS	false
LUTHERAN REAL ESTATE HOLDING CORPORATION
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391480826	HOUSING	WI	501(C)(3)	TYPE III-FI	GLHS	false
COMMUNITY HOUSING OF LA CROSSE INC
1900 SOUTH AVENUE	LA CROSSE	WI	54601	391586700	INDEPENDENT LIVING	WI	501(C)(3)	10	LREH CORP	false
LUTHERAN HOUSING OF LA CROSSE INC
1900 SOUTH AVENUE	LA CROSSE	WI	54601	391751934	INDEPENDENT LIVING	WI	501(C)(3)	10	LREH CORP	false
ST JOSEPH'S HEALTH SERVICES INC
400 WATER AVE	HILLSBORO	WI	54634	390929538	HEALTHCARE	WI	501(C)(3)	3	GLHS	false
ST JOSEPH MEMORIAL FOUNDATION INC
400 WATER AVE	HILLSBORO	WI	54634	391455787	FOUNDATION	WI	501(C)(3)	TYPE I	STJ HLTH SVC	false
TRI-COUNTY MEMORIAL FOUNDATION INC
18601 LINCOLN STREET	WHITEHALL	WI	54773	300093022	FOUNDATION	WI	501(C)(3)	TYPE I	TCH	false
MEMORIAL HOSPITAL OF BOSCOBEL
205 PARKER STREET	BOSCOBEL	WI	53805	390845590	HEALTHCARE	WI	501(C)(3)	3	GLHS	false
PALMER LUTHERAN HEALTH CENTER INC
112 JEFFERSON STREET	WEST UNION	IA	52175	421320763	HEALTHCARE	WI	501(C)(3)	3	GLHS	false
MOUNDVIEW MEMORIAL HOSPITALS AND CLINICS
402 WEST LAKE STREET	FRIENDSHIP	WI	53934	390944012	HEALTHCARE	WI	501(C)(3)	3	GLHS	false
MEMORIAL HEALTHCARE FOUNDATION INC (MOUNDVIEW)
402 WEST LAKE STREET	FRIENDSHIP	WI	53934	391775074	FOUNDATION	WI	501(C)(3)	TYPE I	MDV HOSP	false
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC WABASHA
1200 FIFTH GRANT BLVD WEST	WABASHA	MN	55981	410693877	HEALTHCARE	WI	501(C)(3)	3	BGHS	false
BELLIN HEALTH SYSTEMS INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391512904	SUPPORT ORG	WI	501(C)(3)	TYPE II	BGHS	false
LAKE MICHIGAN HEALTH SERVICES INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391512903	SUPPORT ORG	WI	501(C)(3)	TYPE II	BHS	false
BELLIN COLLEGE INC
3201 EATON ROAD	GREEN BAY	WI	54311	391620530	EDUCATION	WI	501(C)(3)	2	BHS	false
BELLIN PSYCHIATRIC CENTER INC
PO BOX 23725	GREEN BAY	WI	54301	391657627	HEALTHCARE	WI	501(C)(3)	3	BHS	false
BELLIN MEMORIAL HOSPITAL INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	390884478	HEALTHCARE	WI	501(C)(3)	3	BHS	false
THE BELLIN HEALTH FOUNDATION INC
PO BOX 23400	GREEN BAY	WI	54301	391809171	FOUNDATION	WI	501(C)(3)	7	BHS	false
OCONTO HOSPITAL & MEDICAL CENTER INC
820 ARBUTUS AVENUE	OCONTO	WI	54153	061745397	HEALTHCARE	WI	501(C)(3)	3	BMH	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
GUNDERSEN LUTHERAN ENVISION LLC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	264706546	RENEWABLE ENERGY	WI	NA	C CORPORATION	false
BEL-REGIONAL HOME MEDICAL INC
617 S ROOSEVELT	GREEN BAY	WI	54301	391504766	DURABLE MEDICAL EQUIPMENT, RETAIL	WI	NA	C CORPORATION	false
GUNDERSEN EDGE LLC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	921783811	INNOVATION	WI	NA	C CORPORATION	false
BG ASSURANCE COMPANY
					SELF INSURANCE		NA	C CORPORATION	false	20 GENESIS CLOSE	PO BOX 30600	GEORGE TOWN	GRAND CAYMAN	CJ	KY11203	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC
1910 SOUTH AVE	LA CROSSE	WI	54601	391606449	Yes (X)	$0	$437,650	$437,650	$1,205,516,671	$1,205,954,321	$1,000,000	$250,000	$0	$0	$0
GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391606449	Yes (X)	$0	$437,650	$437,650	$1,205,516,671	$1,205,954,321	$1,000,000	$250,000	$0	$0	$0
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1910 SOUTH AVENUE	LA CROSSE	WI	54601	390813416	Yes (X)	$0	$0	$0	$1,602,976,376	$1,602,976,376	$1,000,000	$250,000	$0	$0	$0
GUNDERSEN CLINIC LTD
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391028657	Yes (X)	$0	$32,975	$32,975	$384,506,365	$384,539,340	$1,000,000	$250,000	$0	$0	$0
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391866425	Yes (X)	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0