MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC (EIN 39-0944012)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-13
IRS object ID: 202622259349302597
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 H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-13T18:54:56+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	390944012	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNDVIEW MEMORIAL HOSPITAL & CLINICS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MOUN	BusinessNameControlTxt
Phone	6083393331	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	402 WEST LAKE STREET	AddressLine1Txt
City	FRIENDSHIP	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53934	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LORI WITTIG	PersonNm
Person Title	ADMINISTRATOR	PersonTitleTxt
Phone	6083393331	PhoneNum
Signature	2026-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ZELIJKO 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

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	GUNDERSEN MOUNDVIEW MEMORIAL HOSPITAL & CLINICS	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	402 WEST LAKE STREET	AddressLine1Txt
City	FRIENDSHIP	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53934	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$40,201,009	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GUNDERSENHEALTH.ORG/MOUNDVIEW	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1959	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	TOGETHER, WE INSPIRE YOUR BEST LIFE BY RELENTLESSLY CARING, LEARNING AND INNOVATING.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	177	TotalEmployeeCnt
Total Volunteers	75	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$122,479	PYContributionsGrantsAmt
CY Contributions Grants	$151,158	CYContributionsGrantsAmt
PY Program Service Revenue	$35,884,432	PYProgramServiceRevenueAmt
CY Program Service Revenue	$39,128,512	CYProgramServiceRevenueAmt
PY Investment Income	$699,809	PYInvestmentIncomeAmt
CY Investment Income	$698,756	CYInvestmentIncomeAmt
PY Other Revenue	$194,687	PYOtherRevenueAmt
CY Other Revenue	$222,583	CYOtherRevenueAmt
PY Total Revenue	$36,901,407	PYTotalRevenueAmt
CY Total Revenue	$40,201,009	CYTotalRevenueAmt
PY Grants And Similar Paid	$600	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,207,221	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$18,352,667	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$19,924,849	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$16,115,872	PYOtherExpensesAmt
CY Other Expenses	$17,469,712	CYOtherExpensesAmt
PY Total Expenses	$34,469,139	PYTotalExpensesAmt
CY Total Expenses	$38,601,782	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,432,268	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,599,227	CYRevenuesLessExpensesAmt
Total Assets BOY	$24,370,099	TotalAssetsBOYAmt
Total Assets EOY	$33,298,110	TotalAssetsEOYAmt
Total Liabilities BOY	$3,618,761	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$10,947,545	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$20,751,338	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$22,350,565	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	LEADING WITH LOVE, WE COURAGEOUSLY COMMIT TO A FUTURE OF HEALTHY PEOPLE AND THRIVING COMMUNITIES.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$22,663,866	ExpenseAmt
Grant	$1,207,221	GrantAmt
Revenue	$27,284,318	RevenueAmt
Desc	THE HOSPITAL IS A GENERAL MEDICAL CRITICAL ACCESS HOSPITAL LICENSED FOR 25 BEDS. DURING FISCAL YEAR 2025, THE HOSPITAL HAD 511 ACUTE INPATIENT DAYS AND 1,043 SWING-BED DAYS. THE HOSPITAL ALSO HAD 8,067 EMERGENCY ROOM/URGENT CARE AND 10,570 CLINIC VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$11,433,844	ExpenseAmt
Revenue	$12,016,630	RevenueAmt
Desc	THE HOSPITAL ALSO HAS AN OUTPATIENT PHARMACY THAT IS THE ONLY IN IT'S COUNTY (ADAMS, WI), AND IN 2025 FILLED 104,726 PRESCRIPTIONS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$34,097,710	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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	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	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	34	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	177	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	5	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	false	CompensationProcessCEOInd
Compensation Process Other	false	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	LORI WITTIG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6083393331	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	402 WEST LAKE STREET	AddressLine1Txt
City	FRIENDSHIP	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53934	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PAUL FISCH
BOARD OF DIRECTORS, VICE CHAIRMAN, DIRECTOR, MEDICAL MEDIA	2.0	2.0	Yes (X)	Yes (X)	$0	$2,599	$0
SARAH ROSSMAN
BOARD OF DIRECTORS, SECRETARY/TREASURER, CLINICAL OPERATIONS DIRECTOR, PEDIATRICS	2.0	48.0	Yes (X)	Yes (X)	$0	$165,646	$27,213
TADD WORMET
BOARD OF DIRECTORS, CHAIRMAN	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
BRYAN ERDMANN
BOD, CHIEF OPERATING OFFICER	2.0	48.0	Yes (X)		$0	$443,670	$76,190
JENNIFER PARR
BOARD OF DIRECTORS (BEG 1.1.25)	2.0	0	Yes (X)		$0	$0	$0
JOE THEISEN
BOARD OF DIRECTORS	2.0	0	Yes (X)		$0	$0	$0
KAREN MILLER
BOARD OF DIRECTORS, RN, CASE MANAGER - TWEETEN (END 12.31.24)	2.0	38.0	Yes (X)		$0	$123,519	$29,291
LAURIE INDA
BOARD OF DIRECTORS	2.0	0	Yes (X)		$0	$0	$0
ROXANNE POTTS
BOARD OF DIRECTORS, CLINICAL OPERATIONS DIRECTOR, IMAGING SERVICES	2.0	48.0	Yes (X)		$0	$175,720	$48,466
STEPHANIE CARROLL MD
BOARD OF DIRECTORS, MD	2.0	48.0	Yes (X)		$0	$322,275	$67,169
CURTIS DOWDY
FINANCE ADMINISTRATOR	50.0	0.0		Yes (X)	$0	$182,020	$35,296
FRANCISCO PEREZ-GUERRA
ADMINISTRATOR	46.0	4.0		Yes (X)	$0	$201,120	$66,807
JOHN CEELEN
CHIEF FINANCIAL OFFICER	1.0	49.0		Yes (X)	$0	$728,316	$54,052
KRISTY MILLERING
FINANCE ADMINISTRATOR	16.0	34.0		Yes (X)	$0	$131,354	$42,400
LORI WITTIG
ADMINISTRATOR	48.0	2.0		Yes (X)	$152,201	$0	$24,321
SCOTT RATHGABER MD
CEO	1.0	49.0		Yes (X)	$0	$1,324,275	$73,275
BRADLEY SHAW
MANAGER, INPATIENT PHARMACY	50.0	0			$202,982	$0	$27,954	Yes (X)
DAVID BROWN
PHARMACIST, OUTPATIENT	50.0	0			$188,852	$0	$26,617	Yes (X)
DEENA KEDROWSKI
MANAGER, OUTPATIENT PHARMACY	50.0	0			$197,266	$0	$65,752	Yes (X)
NEAL DONNER
PHARMACIST, OUTPATIENT	50.0	0			$181,812	$0	$60,949	Yes (X)
PRESTON PIETRZAK
PHARMACIST, OUTPATIENT	50.0	0			$155,181	$0	$28,615	Yes (X)
STEVE LITTLE
FORMER CHIEF FINANCIAL OFFICER	0.0	0.0			$0	$209,856	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,078,294	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,010,370	TotReportableCompRltdOrgAmt
Total Other Compensation	$754,367	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	29	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
SOUND CHOICE IMAGING LLC
36976 BRIDLEWOOD LANE	OCONOMOWOC	WI	53066	IMAGING SERVICES	$471,456
STAFFENCY
221 W COLLEGE AVE FLOOR 2	APPLETON	WI	54911	REHAB/IMAGING SUPPORT SERVICES	$316,636
COSMIC HEALTHCARE LLC
23099 RED SUNSET PL	ALDIE	VA	20105	LAB CONTRACTOR SERVICES	$224,278
JAMES PIPER ANESTHESIA
1020 BRANDON STREET	TOMAH	WI	54660	ANESTHESIA SERVICES	$218,300
KAYNICK ANESTHESIA S C
W9648 GEHRI ROAD	WONEWOC	WI	53968	ANESTHESIA SERVICES	$201,060

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Related Organizations	$134,674	RelatedOrganizationsAmt
Government Grants	$16,484	GovernmentGrantsAmt
Total Contributions	$151,158	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$27,056,807	$27,056,807
PHARMACY	456110	$12,016,630	$12,016,630
MEDICAL BUILDING RENT	531120	$55,075	$55,075

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	$39,128,512	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$698,756	TotalRevenueColumnAmt
Exclusion	$698,756	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$22,675	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$22,675	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,675	TotalRevenueColumnAmt
Exclusion	$22,675	ExclusionAmt

Gain Or Loss GainOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
E.H.R. INCENTIVE	900099	$126,372	$126,372
CAFETERIA	722514	$27,472		$27,472
COMMUNITY EVENT REGISTRATIONS	900099	$19,252	$19,252

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,812	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,812	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$199,908	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,201,009	TotalRevenueColumnAmt
Related Or Exempt Func Income	$39,300,948	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$748,903	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$712	TotalAmt
Program Services	$712	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,206,509	TotalAmt
Program Services	$1,206,509	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$16,216,389	TotalAmt
Program Services	$14,466,657	ProgramServicesAmt
Management And General	$1,749,732	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,355,849	TotalAmt
Program Services	$1,260,511	ProgramServicesAmt
Management And General	$95,338	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,544,457	TotalAmt
Program Services	$1,345,435	ProgramServicesAmt
Management And General	$199,022	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$808,154	TotalAmt
Program Services	$713,532	ProgramServicesAmt
Management And General	$94,622	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$990,696	TotalAmt
Management And General	$990,696	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$31,790	TotalAmt
Management And General	$31,790	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$15,150	TotalAmt
Management And General	$15,150	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,064,078	TotalAmt
Program Services	$1,987,371	ProgramServicesAmt
Management And General	$76,707	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$60,836	TotalAmt
Program Services	$1,175	ProgramServicesAmt
Management And General	$59,661	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,395	TotalAmt
Program Services	$11,395	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$369,202	TotalAmt
Program Services	$333,137	ProgramServicesAmt
Management And General	$36,065	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$116,927	TotalAmt
Program Services	$111,374	ProgramServicesAmt
Management And General	$5,553	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$27,590	TotalAmt
Program Services	$26,590	ProgramServicesAmt
Management And General	$1,000	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,573	TotalAmt
Management And General	$4,573	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$632,011	TotalAmt
Program Services	$376,138	ProgramServicesAmt
Management And General	$255,873	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$72,996	TotalAmt
Management And General	$72,996	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHARM DRUG & VACCINES	$10,885,249	$10,885,249
MEDICAL SUPPLIES	$1,035,886	$1,015,687	$20,199
BAD DEBT EXPENSE	$633,960		$633,960
EQUIP RENTAL AND MAINTENANCE	$281,435	$272,240	$9,195

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$235,938	TotalAmt
Program Services	$83,998	ProgramServicesAmt
Management And General	$151,940	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,601,782	TotalAmt
Program Services	$34,097,710	ProgramServicesAmt
Management And General	$4,504,072	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,065	BOYAmt
EOY	$1,175	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,432,114	BOYAmt
EOY	$18,432,090	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,687,711	BOYAmt
EOY	$6,985,694	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$854,301	BOYAmt
EOY	$972,488	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$84,246	BOYAmt
EOY	$67,684	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$10,466,823	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,709,379	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,527,783	BOYAmt
EOY	$5,757,444	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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$715,000	BOYAmt
EOY	$715,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$67,879	BOYAmt
EOY	$366,535	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,370,099	BOYAmt
EOY	$33,298,110	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,890,174	BOYAmt
EOY	$2,530,749	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,058	BOYAmt
EOY	$3,726	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$168,775	BOYAmt
EOY	$134,556	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,555,754	BOYAmt
EOY	$8,278,514	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,618,761	BOYAmt
EOY	$10,947,545	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	$20,137,338	BOYAmt
EOY	$22,350,565	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$614,000	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$20,751,338	BOYAmt
EOY	$22,350,565	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,370,099	BOYAmt
EOY	$33,298,110	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,599,227	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	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)
Hospital	Yes (X)	HospitalInd

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)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$15,150	OtherActivitiesAmt
Total Lobbying Expenditures	$15,150	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	MOUNDVIEW MEMORIAL HOSPITAL & CLINICS PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA) & AMERICAN HOSPITAL ASSOCIATION VIA WHA, AND THE RURAL WISCONSIN HEALTH COOPERATIVE. THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING AND DEVELOPMENT BUT DISCUSSIONS WITH EACH ENTITY REVEAL A PERCENTAGE OF THEIR WORK, AND THUS A PERCENTAGE OF THE DUES EXPENSE IS DEDICATED TO LOBBYING SERVICES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,500	OtherCostOrOtherBasisAmt
Book Value	$81,500	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,515,604	OtherCostOrOtherBasisAmt
Depreciation	$2,129,551	DepreciationAmt
Book Value	$4,386,053	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,487,510	OtherCostOrOtherBasisAmt
Depreciation	$2,199,709	DepreciationAmt
Book Value	$1,287,801	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$382,209	OtherCostOrOtherBasisAmt
Depreciation	$380,119	DepreciationAmt
Book Value	$2,090	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$5,757,444	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
INTERFACILITY LIABILITIES	$7,533,996
DISCRETIONARY PENSION LIABILITY	$744,518

Field	Value	IRS element (for citing)
Total Liability	$8,278,514	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

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$666,720	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$666,720	NetCommunityBenefitExpnsAmt
Total Expense	0.01756	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,893,343	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,692,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,200,595	NetCommunityBenefitExpnsAmt
Total Expense	0.03162	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,560,063	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,692,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,867,315	NetCommunityBenefitExpnsAmt
Total Expense	0.04918	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$217,713	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,885	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$205,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00542	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,982	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,982	NetCommunityBenefitExpnsAmt
Total Expense	0.00029	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,188,112	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,167,233	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,020,879	NetCommunityBenefitExpnsAmt
Total Expense	0.05323	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,416,807	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,179,118	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,237,689	NetCommunityBenefitExpnsAmt
Total Expense	0.05894	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$11,976,870	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,871,866	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,105,004	NetCommunityBenefitExpnsAmt
Total Expense	0.10812	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$537,324	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,206,509	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,598,445	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,629,231	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$30,786	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNDVIEW MEMORIAL HOSPITAL & CLINICS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	402 WEST LAKE STREET PO BOX 40	AddressLine1Txt
City	FRIENDSHIP	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53934	ZIPCd

Field	Value	IRS element (for citing)
State License	1014	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNDVIEW MEMORIAL HOSPITAL & CLINICS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.GUNDERSENHEALTH.ORG/DOCUMENT/48911	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.GUNDERSENHEALTH.ORG/DOCUMENT/48906	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.gundersenhealth.org/patients-visitors/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.gundersenhealth.org/patients-visitors/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.gundersenhealth.org/patients-visitors/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - MOUNDVIEW MEMORIAL HOSPITAL & CLINICS. MOUNDVIEW MEMORIAL HOSPITAL & CLINICS DID NOT CONDUCT A NEW SURVEY IN 2024. WE USED THE 52 QUESTION SURVEY THAT WAS PART OF THE CHNA THAT WE PARTICIPATED IN WITH ADAMS COUNTY HEALTH AND HUMAN SERVICES. THE SURVEY PRIMARILY INCLUDED A MIX OF RANKING QUESTIONS AND "CHECK ALL THAT APPLY" QUESTIONS. SOME EXAMPLES OF THE QUESTIONS INCLUDED: DEMOGRAPHICS, RATING OF THE COMMUNITY AND OPPORTUNITIES AVAILABLE IN THE COMMUNITY (JOBS, SOCIAL/RECREATIONS, SCHOOLS, CHILDCARE PROVIDERS, AFFORDABLE HOUSING, SAFETY, POLICE/SHERIFF, AVAILABLE RESOURCES) THE NEED FOR TRANSPORTATION, HEALTH SERVICES, FOOD; THEIR CONCERN FOR VARIOUS HEALTH ISSUES IN THE COMMUNITY SUCH AS MENTAL HEALTH, JOB LOSS, POVERTY, ALCOHOL AND DRUG USE), THEIR CONCERN FOR SAFETY RELATED ISSUES, WHAT THEY FELT WERE THE MOST IMPORTANT HEALTH PROBLEMS IN THE COMMUNITY. THE SURVEY TOOK PLACE THROUGHOUT THE SUMMER OF 2021 NOT 2024. WE USED THE 2021 SURVEY AS PART OF THE DATA FOR OUR 2024 NEEDS ASSESSMENT. WE THEN COLLECTED ADDITIONAL DATA IN 2024 THROUGH KEY INFORMANT INTERVIEWS, A COMMUNITY FOCUS GROUP AND KEY STAKEHOLDER MEETING WITH HEALTH NEEDS RANKINGS.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1	FACILITY , 1 - MOUNDVIEW MEMORIAL HOSPITAL & CLINICS. THE CHNA WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER HOSPITAL: GUNDERSEN HEALTH SYSTEM
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1	FACILITY , 1 - MOUNDVIEW MEMORIAL HOSPITAL & CLINICS. THE CHNA WAS CONDUCTED IN JOINT EFFORT WITH THE FOLLOWING OTHER ORGANIZATIONS: ADAMS COUNTY HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - MOUNDVIEW MEMORIAL HOSPITAL & CLINICS. DEVELOP INITIATIVES TO IMPROVE THE MENTAL HEALTH OF AREA RESIDENTS. REDUCE THE AVERAGE NUMBER OF POOR MENTAL HEALTH DAYS IN THE LAST 30 DAYS TO LESS THAN THE 5.1 DAYS REPORTED IN THE 2024 COUNTY HEALTH RANKINGS. ACTION: MENTAL HEALTH SUPPORT FOR THOSE EXPERIENCING LOSS. PROGRAMS/INITIATIVES: ESTABLISH A STRUCTURED, RESEARCH BASED LOCAL GRIEF SUPPORT PROGRAM FOR THE DEATH OF LOVED ONE ACTION: RESILIENCY FOR DISADVANTAGED YOUTH PROGRAMS/INITIATIVES: GROW THE SCHOOL MENTOR PROGRAM TO INCLUDE STAFF FROM TWO COMMUNITY BUSINESSES OR AGENCIES THAT ARE NOT AFFILIATED WITH GUNDERSEN. ACTION: WORK WITH COMMUNITY PARTNERS ON MENTAL HEALTH INITIATIVES. CONTINUE TO SERVE ON AND PARTICIPATE IN THE COUNTY MENTAL HEALTH COMMUNITY ACTION TEAM AND RELATED INITIATIVES. ESTABLISH A ONESTOP LOCATION FOR AREA RESOURCES AND EVENTS FOR THE BENEFIT OF AREA RESIDENTS' OVERALL MENTAL AND PHYSICAL HEALTH. ACCESS TO CARE OVERALL GOAL: IMPROVE ACCESS TO HEALTHCARE PROVIDERS THROUGH RECRUITMENT AND RETENTION EFFORTS AND ENCOURAGING AREA YOUTH TO ENTER HEALTHCARE CAREERS. IMPROVE NUTRITION AND PHYSICAL ACTIVITY TO RESULT IN DECREASED CHRONIC ILLNESS, THEREBY REDUCING THE NEED FOR CARE. ACTION: IMPROVE ACCESS TO AREA RESOURCES AND SERVICES PROGRAMS/INITIATIVES: IMPROVE LOCAL TRANSPORTATION OPTIONS THROUGH A MULTIAGENCY APPROACH. CONTINUE SERVING ON THE TRANSPORTATION COMMUNITY ACTION TEAM. ACTION: IMPROVE NUTRITION AND PHYSICAL ACTIVITY TO DECREASE CHRONIC ILLNESS, THEREBY REDUCING THE NEED FOR CARE. PROGRAMS/INITIATIVES: -INCREASE AWARENESS AND ENCOURAGE USE OF LOCAL PHYSICAL ACTIVITY AND NUTRITION RESOURCES TO DECREASE OBESITY. DEVELOP TARGETED PROGRAMS/INITIATIVES THROUGH THE COMMUNITY ACTION TEAM ACTION: IMPROVE ACCESS TO HEALTHCARE SERVICES PROGRAMS/INITIATIVES: IMPLEMENT PEDIATRIC MOBILE CARE VAN PILOT PROGRAM IN FRIENDSHIP. CONTINUE RECRUITMENT OF SPECIALISTS AND PRIMARY CARE PHYSICIANS. IMPROVE ACCESS TO SURGICAL SERVICES.ACTION: ADDRESS CAREER SHORTAGE AREAS BY OFFERING JOB EXPLORATION, CLINICALS AND INTERNSHIP OPPORTUNITIES. PROGRAMS/INITIATIVES: GROW THE HEALTH CAREER ACADEMY AT AF HIGH SCHOOL OFFER 8TH GRADE CAREER TOURS AND ESTABLISH NEW CAREER EXPLORATION OPPORTUNITIES FOR YOUNGER STUDENTS. CONTINUE TO OFFER JOB SHADOWS, INTERNSHIPS AND SUBSTANCE ABUSE OVERALL GOAL: DECREASE THE DRUG OVERDOSE DEATHS TO LESS THAN THE 26 OVERDOSE DEATHS REPORTED FROM 20192023 BY THE ADAMS COUNTY SHERRIFF'S DEPARTMENT. ACTION: PARTNER WITH LOCAL AGENCIES ON TREATMENT PLANS FOR DRUG OFFENDERS PROGRAMS/INITIATIVES: LAB SUPPORT FOR DRUG COURT SCREENINGS - PROVIDE SPACE AND SUPPORT TO NOBLE COMMUNITY CLINIC (BEHAVIORAL HEALTH) ACTION: PARTICIPATE IN LOCAL EDUCATION AND DECREASE AVAILABILITY OF PRESCRIPTION DRUGS PROGRAMS/INITIATIVES: PARTICIPATE IN DRUG FREE ADAMS COUNTY PROGRAMS AND OTHER INITIATIVES. PROMOTE DRUG TAKE BACK PROGRAMS. MAINTAIN THE MEDICATION DROP BOX SPONSORED BY HOSPITAL PHARMACY. SOCIAL DETERMINANTS OF HEALTH (THAT SIMULTANEOUSLY IMPACT ECONOMIC HEALTH, PARTICULARLY HOUSING, WORKFORCE & ECONOMIC DEVELOPMENT, TRANSPORTATION, EDUCATION & CHILDCARE) OVERALL GOAL: IMPROVE THE HEALTH AND WELLBEING OF RESIDENTS AND THE COUNTY'S ECONOMY. THE ROOT CAUSE OF MANY HEALTH BEHAVIORS AND OUTCOMES CAN BE TIED TO POVERTY/LOW INCOME. IN ADAMS COUNTY THIS IS COMPOUNDED BY OVER HALF OF THE WORKFORCE NOT LIVING IN THE AREA, IMPACTING THE ECONOMY AND OVERALL HEALTH OUTCOMES. WE SEEK TO INCREASE THE COUNTY'S MEDIAN HOUSEHOLD INCOME ($55,223) AND DECREASE THE MEDIAN WORKFORCE AGE (55.1 YEARS) BY WORKING WITH OTHERS ON INITIATIVES TO ATTRACT/KEEP YOUNGER RESIDENTS AND FAMILIES AND ENCOURAGE BUSINESS DEVELOPMENT.ACTION: PARTNER WITH OTHERS IN THE COMMUNITY ON THE CREATION OF LOCAL ECONOMIC DEVELOPMENT PROGRAMS/INITIATIVES: SERVE ON THE RURAL PARTNERS NETWORK HOUSING COMMITTEE (GOAL OF INCREASING AVAILABLE, ATTRACTIVE WORKFORCE HOUSING AS OVER HALF OF THE COUNTY WORKFORCE DOES NOT LIVE IN THE AREA AND THEREFORE DOES NOT SUBSTANTIALLY CONTRIBUTE TO THE LOCAL ECONOMY) SERVE ON THE RURAL PARTNERS NETWORK DOWNTOWN IMPROVEMENT COMMITTEE (GOAL OF IMPROVING THE LOOK, FEEL, OFFERINGS AND ACTIVITIES OF DOWNTOWN ADAMS AND FRIENDSHIP TO MAKE THE CENTER OF THE COUNTY A MORE APPEALING PLACE TO HELP RETAIN AND RECRUIT WORKERS AND IMPROVE THE AREA ECONOMY) SERVE ON THE RURAL PARTNERS WORKFORCE DEVELOPMENT COMMITTEE (GOAL OF ATTRACTING NEW BUSINESSES TO THE AREA AND HELPING EXISTING BUSINESSES RECRUIT AND RETAIN QUALIFIED STAFF TO IMPROVE THE AREA ECONOMY) SERVE ON THE COUNTY ECONOMIC DEVELOPMENT BOARD AND/OR OTHER RELATED INITIATIVES. ACTION: ADDRESS THE CHILDCARE SHORTAGE PROGRAMS/INITIATIVES: SERVE ON THE ADAMS COUNTY CHILDCARE ALLIANCE COMMITTEE TO HELP IMPROVE THE AVAILABILITY OF LOCAL CHILDCARE OPTIONS ACTION: ADDRESS TRANSPORTATION NEEDS PROGRAMS/INITIATIVES: LISTED UNDER HEALTHCARE ACCESS ACTION: PROVIDE SUPPORT FOR LOCAL REFERENDUM COMMITTEES AS NEEDED. (SCHOOLS ARE ONE OF THE CORNERSTONES OF A SUCCESSFUL COMMUNITY) ACTION: OFFER INCENTIVES AND SCHOLARSHIPS WITH A FOCUS ON LOCAL, NONTRADITIONAL STUDENTS PURSUING HIGHNEED HEALTHCARE CAREERS PROGRAMS/INITIATIVES: PROVIDE HEALTHCARE SCHOLARSHIPS WITH THE CONTINGENCY THAT THE STUDENT WORKS LOCALLY. HOSPITAL PROVIDES PHYSICAL THERAPY SERVICES FOR SPECIAL NEEDS STUDENTS ON AN IEP. HOSPITAL ALSO PROVIDE PHYSICAL THERAPY SERVICES TO STUDENT ATHLETES AT SCHOOL TO AVOID LOSS OF ACADEMIC TIME. PROVIDE MENTORING FOR YOUTH RECEIVING SCHOLARSHIPS
SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1	FACILITY , 1 - MOUNDVIEW MEMORIAL HOSPITAL & CLINICS. HOSPITAL PATIENTS NOT MEETING FINANCIAL ASSISTANCE ELIGIBILITY THRESHOLDS MAY BE ELIGIBLE FOR ASSISTANCE UNDER CIRCUMSTANCES WHEN HOSPITAL MEDICAL BILLS WOULD RESULT IN SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR CATASTROPHIC CARE ASSISTANCE IF THEY HAVE INCURRED OUTOFPOCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES PROVIDED BY GMV THAT EXCEED 25% OF FAMILY INCOME AND HAVE ASSETS BELOW THE EQUIVALENT OF 600% OF THE FPL THRESHOLD.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
GUNDERSEN FRIENDSHIP CLINIC
402 WEST LAKE STREET PO BOX 40	FRIENDSHIP	WI	53934	RURAL HEALTH CLINIC
GUNDERSEN WESTFIELD CLINIC
207 NORTH PIONEER PARK ROAD	WESTFIELD	WI	53964	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C PART I, LINE 3C:	HOSPITAL PATIENTS NOT MEETING FINANCIAL ASSISTANCE ELIGIBILITY THRESHOLDS MAY BE ELIGIBLE FOR ASSISTANCE UNDER CIRCUMSTANCES WHEN HOSPITAL MEDICAL BILLS WOULD RESULT IN SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR CATASTROPHIC CARE ASSISTANCE IF THEY HAVE INCURRED OUTOF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES PROVIDED BY GMV THAT EXCEED 25% OF FAMILY INCOME AND HAVE ASSETS BELOW THE EQUIVALENT OF 600% OF THE FPL THRESHOLD.
SCHEDULE H, PART I, LINE 7 PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE.
SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES	THE ORGANIZATION OPERATES 2 RURAL HEALTH CLINICS, AN OBSERVATION ROOM AND EMERGENCY ROOM WHERE THE COSTS EXCEED THE NET PATIENT SERVICE REVENUE. THESE SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY IF NOT FOR THE LEADERSHIP OF THE HOSPITAL. THE ORGANIZATION UTILIZED THEIR COST REPORT AND OTHER INTERNAL INFORMATION TO DETERMINE THE AMOUNTS TO BE RECORDED PER WORKSHEET 6 OF THE IRS FORM SCHEDULE H INSTRUCTIONS. AMOUNTS RECORDED HERE HAVE NOT BEEN DUPLICATED IN OTHER AREAS OF THE FORM, MEDICAID, BAD DEBT, FINANCIAL ASSISTANCE HAS BEEN REMOVED FROM THE AMOUNTS REPORTED AND THESE SERVICES WERE EXCLUDED FROM THE MEDICARE SURPLUS/SHORTFALL CALCULATION.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	THE RATIO OF PATIENT COST TO CHARGES WAS CALCULATED BY DIVIDING HOSPITAL EXPENSES NET OF NONPATIENT REVENUE AND IDENTIFIED COMMUNITY BENEFIT EXPENSE BY GROSS PATIENT REVENUE. THE PERCENTAGE WAS THEN MULTIPLIED BY THE GROSS REVENUES ON BAD DEBT ACCOUNTS.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES	THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROMOTE HEALTH OF THE COMMUNITIES IT SERVES THROUGH LOCAL ADVERTISEMENTS, INVOLVEMENT WITH CHAMBER OF COMMERCE, DEPARTMENT OF AGING, AND OTHER COMMUNITY ORGANIZATIONS. THE AMOUNT OF SUPPORT IS DIFFICULT TO QUANTIFY.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	THE RATIO OF PATIENT COST TO CHARGES WAS CALCULATED BY DIVIDING HOSPITAL EXPENSES NET OF NONPATIENT REVENUE AND IDENTIFIED COMMUNITY BENEFIT EXPENSE BY GROSS PATIENT REVENUE. THE PERCENTAGE WAS THEN MULTIPLIED BY THE GROSS REVENUES ON BAD DEBT ACCOUNTS.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	IT IS CONSIDERED COMMUNITY BENEFIT AS THE HOSPITAL IS REIMBURSED ON MEDICARE ALLOWABLE COSTS. MEDICARE ALLOWABLE COSTS ARE DEFINED BY MEDICARE. THEY DO NOT NECESSARILY CAPTURE ALL COSTS OF THE HOSPITAL PROVIDING SERVICES TO THE COMMUNITY. CONSEQUENTLY, THERE ARE COSTS NOT REIMBURSED BY EITHER PATIENT OR THE PROGRAM.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	PATIENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, THAT REFLECTS MANAGEMENT'S BEST ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED. MANAGEMENT PROVIDES FOR CONTRACTUAL ADJUSTMENTS UNDER TERMS OF THIRDPARTY REIMBURSEMENT AGREEMENTS THROUGH A REDUCTION OF GROSS PATIENT SERVICE REVENUE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. IN ADDITION, MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY FROM UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND CURRENT STATUS OF INDIVIDUAL ACCOUNTS.IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRDPARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE. EXISTS FOR PART OF THE BILL). THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON ITS EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H TO THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND DOES NOT CONSIDER ALL CONTRACTUAL ADJUSTMENTS FOR SERVICES REIMBURSED BY THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUE DO NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT THE ORGANIZATION AS WELL AS ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUE FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN PROFESSIONAL SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULE REIMBURSEMENTS AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY, SURGICAL, AND CLINICAL PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELLBEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT MOUNDVIEW MEMORIAL HOSPITAL & CLINICS PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT, AND DOES NOT CONSIDER MEDICARE NONALLOWABLE EXPENSES, AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NONALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAXEXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	UNDER THE HOSPITAL'S COLLECTION AND CHARITY CARE POLICIES, MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS MAKES EVERY ATTEMPT TO IDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. INCLUDED IN THE HOSPITAL'S CHARITY CARE POLICY IT IS NOTED THAT PATIENTS MAY QUALIFY FOR CHARITY CARE EITHER PRIOR TO ADMISSION OR FOLLOWING DISCHARGE. ALL INPATIENT SELF-PAY ADMISSIONS ARE SCREENED BY THE HOSPITAL'S PATIENT FINANCIAL COUNSELOR OR SOCIAL WORKERS TO ALLOW THESE PATIENTS THE ABILITY TO COMPLETE THEIR APPLICATION DURING THEIR STAY AT THE HOSPITAL, DEPENDING UPON THE PATIENT'S CONDITION, OR THE PATIENT'S RESPONSIBLE PARTY MAY BE CONTACTED TO COMPLETE AND RETURN THE FORMS AT A LATER TIME WHEN THEIR CARE ALLOWS THIS COMPLETION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, SELF-PAY PATIENTS ARE ALSO INFORMED OF THE HOSPITAL'S COLLECTION POLICIES AS WELL AS THE CHARITY CARE PROGRAM TO ALLOW PATIENTS THE OPPORTUNITY TO COMPLETE THE APPROPRIATE FORMS AND QUALIFY UNDER THE PROGRAM.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- MOUNDVIEW MEMORIAL HOSPITAL & CLINICS: LINE 16A URL: HTTPS://WWW.GUNDERSENHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- MOUNDVIEW MEMORIAL HOSPITAL & CLINICS: LINE 16B URL: HTTPS://WWW.GUNDERSENHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- MOUNDVIEW MEMORIAL HOSPITAL & CLINICS: LINE 16C URL: HTTPS://WWW.GUNDERSENHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	THE HOSPITAL COMMUNICATES REGULARLY WITH PUBLIC HEALTH TO ADDRESS COMMUNITY HEALTH NEEDS. WE ANNUALLY REVIEW LOCAL, REGIONAL AND STATE DATA SOURCES. THE HOSPITAL COMPLETES REPORTS ON INFECTIOUS AND COMMUNICABLE DISEASE AND MONITORS FOR OUTBREAKS. ANNUAL RISK ASSESSMENTS ARE COMPLETED ON TB AND INFECTION CONTROL ISSUES. THE HOSPITAL MEASURES CHRONIC DISEASE SCREENING RATES. THE HOSPITAL REVIEWS DATA RELEVANT TO WORK BEING COMPLETED THROUGH THE LOCAL COMMUNITY ACTION TEAMS WHO ARE ADDRESSING THE PRIORITIZED HEALTH NEEDS.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	THE HOSPITAL ANNUALLY UPDATES THE AVAILABILITY OF ITS CHARITY PLAN AND QUALIFYING INCOME NEEDS TO QUALIFY ON THE HOSPITAL WEBSITE. THE EXISTENCE OF A CHARITY PLAN IS POSTED IN THE ADMITTING AREA. UPON REGISTRATION, THE PATIENT IS INFORMED OF THE HOSPITAL'S CHARITY PLAN, ELIGIBILITY, AND METHODS FOR APPLYING. ANYONE INTERESTED IN FURTHER INFORMATION IS REFERRED TO THE PATIENT ACCOUNT COORDINATOR FOR QUESTIONS AND ELIGIBILITY. THIS PERSON WORKS WITH THE PATIENT IN APPLICATION AS WELL AS EXPLORING THE POSSIBLE ELIGIBILITY OF ANY OTHER GOVERNMENT PROGRAM THAT MAY BE APPLICABLE, I.E. MEDICAID, BADGER CARE.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	GUNDERSEN MOUNDVIEW SERVES ALL RESIDENTS OF ADAMS COUNTY (POPULATION 21,226 PER CENSUS 2022 QUICK FACTS). WE ALSO SERVE WESTFIELD AREA RESIDENTS, LOCATED IN MARQUETTE COUNTY. HOWEVER, OUR PRIMARY SERVICE AREA IS THE CENTRAL PORTION OF ADAMS COUNTY INCLUDING THE ZIP CODES OF ADAMS, FRIENDSHIP, ARKDALE AND GRAND MARSH WHICH MAKE UP OVER 74% OF OUR REVENUE. THE MAJORITY OF ADAMS COUNTY RESIDENTS ARE WHITE (93.1%) AND A HIGH PERCENTAGE (31%) ARE AGE 65 AND OVER. THE MEDIAN HOUSEHOLD INCOME ($51,878) IS CONSIDERABLY LOWER THAN THE STATE. TOURISM AND AGRICULTURE ARE AMONG THE COUNTY'S LARGEST INDUSTRIES. THE COUNTY IS MEDICALLY UNDERSERVED AND HAS RANKED IN THE BOTTOM OF THE WI COUNTY HEALTH RANKINGS IN TERMS OF HEALTH OUTCOMES AND FACTORS.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	THE HOSPITAL IS A STRONG COMMUNITY PARTNER IN MANY LOCAL HEALTH EFFORTS. WE PROVIDE MONETARY AND INKIND SUPPORT TO SEVERAL INITIATIVES SUCH AS DONATIONS TO RECREATIONAL/WELLNESS PROGRAMS (EXAMPLEPROVIDING FREE BIKE HELMETS TO YOUTH AND FUNDING TENNIS RACKETS TO BE USED BY SCHOOL STUDENTS AND AT YMCA TENNIS CLASSES). WE ALSO HAVE A PHYSICIAN SERVING ON THE LOCAL HEALTH BOARD, STAFF SERVING ON NUMEROUS COMMUNITY COALITIONS, COLLECT DONATIONS FOR AREA FOOD PANTRIES AND MUCH MORE. THESE ARE JUST A FEW AREAS WE HAVE ASSISTED. THE HOSPITAL BOARD ALSO INCLUDES COMMUNITY MEMBERS WHO ARE UNPAID.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	THE ORGANIZATION IS A PART OF EMPLFY HEALTH WHICH IS THE COMBINATION OF GUNDERSEN HEALTH AND BELLIN HEALTH SYSTEMS. IT IS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO ENHANCING THE PHYSCIAL AND EMOTIONAL WELL-BEING OF INDIVIDUALS. IN COLLABORATION WITH COMMUNITIES, EMPLOYERS, SCHOOLS, AND GOVERNMENT OFFICIALS, WE SUPPORT INDIVIDUALS AND FAMILIES ON THEIR LIFELONG JOURNEY TOWARD OPTIMAL HEALTH. OUR COMMITMENT LIES IN DELIVERING SAFE, RELIABLE, AND COST-EFFECTIVE COMPREHENSIVE HEALTH SOLUTIONS, ALL WHILE UPHOLDING THE VALUES OF RESPECT AND COMPASSION. THROUGH OUR INNOVATIVE INITIATIVES, WE AIM TO TRANSFORM HEALTHCARE DELIVERY NOT ONLY IN OUR REGION BUT ALSO ON A GLOBAL SCALE.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	WI

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	CHARITY CARE	GrantTypeTxt
Recipient	1098	RecipientCnt
Cash Grant	$1,206,509	CashGrantAmt

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 MADE TO INDIVIDUALS ARE GIVEN TO HELP PAY FOR MEDICAL BILLS OWED TO GUNDERSEN LUTHERAN MEDICAL CENTER THROUGH A CHARITY CARE APPLICATION PROCESS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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
SARAH ROSSMAN
BOARD OF DIRECTORS, SECRETARY/TREASURER, CLINICAL OPERATIONS DIRECTOR, PEDIATRICS	$0	$163,776	$0	$0	$0	$1,870	$0	$23,318	$0	$3,895	$0	$192,859	$0	$0
STEPHANIE CARROLL MD
BOARD OF DIRECTORS, MD	$0	$305,920	$0	$15,667	$0	$688	$0	$39,470	$0	$27,699	$0	$389,444	$0	$0
BRYAN ERDMANN
BOD, CHIEF OPERATING OFFICER	$0	$443,062	$0	$0	$0	$608	$0	$48,300	$0	$27,890	$0	$519,860	$0	$0
KAREN MILLER
BOARD OF DIRECTORS, RN, CASE MANAGER - TWEETEN (END 12.31.24)	$0	$118,741	$0	$2,656	$0	$2,122	$0	$17,660	$0	$11,631	$0	$152,810	$0	$0
ROXANNE POTTS
BOARD OF DIRECTORS, CLINICAL OPERATIONS DIRECTOR, IMAGING SERVICES	$0	$167,073	$0	$0	$0	$8,647	$0	$24,799	$0	$23,667	$0	$224,186	$0	$0
STEVE LITTLE
FORMER CHIEF FINANCIAL OFFICER	$0	$209,856	$0	$0	$0	$0	$0	$0	$0	$0	$0	$209,856	$0	$0
JOHN CEELEN
CHIEF FINANCIAL OFFICER	$0	$598,104	$0	$129,468	$0	$744	$0	$29,147	$0	$24,905	$0	$782,368	$0	$0
SCOTT RATHGABER MD
CEO	$0	$1,278,368	$0	$0	$0	$45,907	$0	$48,300	$0	$24,975	$0	$1,397,550	$0	$0
KRISTY MILLERING
FINANCE ADMINISTRATOR	$0	$130,279	$0	$0	$0	$1,075	$0	$18,798	$0	$23,602	$0	$173,754	$0	$0
FRANCISCO PEREZ-GUERRA
ADMINISTRATOR	$0	$196,856	$0	$0	$0	$4,264	$0	$28,988	$0	$37,819	$0	$267,927	$0	$0
LORI WITTIG
ADMINISTRATOR	$131,318	$0	$14,440	$0	$6,443	$0	$21,338	$0	$2,983	$0	$176,522	$0	$0	$0
CURTIS DOWDY
FINANCE ADMINISTRATOR	$0	$177,185	$0	$2,109	$0	$2,726	$0	$25,367	$0	$9,929	$0	$217,316	$0	$0
DAVID BROWN
PHARMACIST, OUTPATIENT	$183,196	$0	$4,501	$0	$1,155	$0	$26,278	$0	$339	$0	$215,469	$0	$0	$0
NEAL DONNER
PHARMACIST, OUTPATIENT	$176,140	$0	$4,501	$0	$1,171	$0	$26,278	$0	$34,671	$0	$242,761	$0	$0	$0
DEENA KEDROWSKI
MANAGER, OUTPATIENT PHARMACY	$189,343	$0	$4,858	$0	$3,065	$0	$28,533	$0	$37,219	$0	$263,018	$0	$0	$0
PRESTON PIETRZAK
PHARMACIST, OUTPATIENT	$154,837	$0	$0	$0	$344	$0	$21,738	$0	$6,877	$0	$183,796	$0	$0	$0
BRADLEY SHAW
MANAGER, INPATIENT PHARMACY	$196,768	$0	$4,858	$0	$1,356	$0	$27,615	$0	$339	$0	$230,936	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN

CERTAIN INDIDVIDUALS 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 FUTUTE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN FOR CALENDAR YEAR 2024: JOHN CEELEN

SCHEDULE J, PART I, LINE 3

A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2 NEW PROGRAM SERVICES	EXPANSION OF GENERAL SURGERY PROGRAM WITH MORE AVAILABILITY ON A WEEKLY BASIS, INCLUDING SAME-DAY CONSULTS. THE FACILITY HAS ADDED NURSING FOOT CARE IN ITS SPECIALTY CLINIC.
FORM 990, PART VI, LINE 15A	COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION. 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.
FORM 990, PART VI, LINE 15B	SENIOR LEADERS: COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION. COMPENSATION FOR THOSE WHO REPORT TO THE CEO IS TAKEN TO THE EXECUTIVE COMMITTEE FOR DISCUSSION/APPROVAL.
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS GUNDERSEN LUTHERAN HEALTH SYSTEM (GLHS)
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	PER THE ORGANIZATION'S BYLAWS THE BOARD SHALL CONSIST OF NINE DIRECTORS WHICH SHALL INCLUDE FIVE MEMBER REPRESENTATIVES AND FOUR COMMUNITY REPRESENTATIVES. THE SOLE CORPORATE MEMBER, GLHS, HAS THE AUTHORITY TO APPOINT/REMOVE THE FIVE MEMBER REPRESENTATIVES.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	THE FOLLOWING ACTIONS ARE SUBJECT TO APPROVAL BY THE SOLE CORPORATE MEMBER, GLHS: THE INCURRENCE OF DEBT IN EXCESS OF $100,000 (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS OR DEBT INCLUDED IN APPROVED BUDGETS) AND THE GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND DIRECT THE EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; ANNUAL OPERATING BUDGET AND CAPITAL EXPENDITURES; AND STRATEGIC PLANS, MEDICAL STAFF PLANS, AND BUSINESS PLANS, GOALS, AND OBJECTIVES OF THE ORGANIZATION, AND ALL AMENDMENTS THERETO; INDIVIDUAL NEW PROGRAMS OR PROJECTS, OR CHANGES IN EXISTING PROGRAMS OR PROJECTS, THAT HAVE AN UNBUDGETED ANNUAL IMPACT ON INCOME FROM OPERATIONS AND/OR CAPITAL EXPENDITURES OF ONE HUNDRED THOUSAND DOLLARS ($100,000) OR GREATER; ANY PLAN TO CREATE A NEW AFFILIATE OF THE ORGANIZATION OR TO DISSOLVE, REORGANIZE, MERGE OR CONSOLIDATE THE ORGANIZATION; THE APPOINTMENT, EVALUATION AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER; THE REPORT OF INDEPENDENT AUDITORS ON THE REASONABLENESS OF PHYSICIAN COMPENSATION, AS MAY BE REQUIRED; PROVIDED, HOWEVER, THAT ALL PHYSICIAN COMPENSATION SHALL BE SUBJECT TO REVIEW, APPROVAL AND EMPLOYMENT PRACTICES OF THE MEMBER; AMENDMENT OF THE ARTICLES OR BYLAWS OF THE CORPORATION; ANY CHANGE IN THE PAYOR CONTRACTING STRATEGY FOR THE ORGANIZATION THAT WOULD CHANGE THE ORGANIZATION'S ABILITY TO NEGOTIATE MANAGED CARE CONTRACTS WITH INSURANCE COMPANIES THAT ARE NOT UNDER CONTRACT WITH THE MEMBER AND THAT PERMITS THE ORGANIZATION TO BECOME A MEMBER OF PROVIDER NETWORKS OF THE MEMBER TO THE EXTENT PERMITTED BY THE APPLICABLE PAYERS.
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 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION BELIEVES THE GOVERNING DOCUMENTS AND POLICIES ARE THE PROPERTY OF THE ORGANIZATION AND ARE NOT AVAILABLE FOR PUBLIC INSPECTION. THE AUDITED FINANCIAL STATEMENTS ARE NOW REQUIRED TO BE ATTACHED TO FORM 990. AUDITED FINANCIAL INFORMATION IS POSTED ANNUALLY ON THE HOSPITAL'S WEBSITE.
FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE	DONATION- PARTNERS OF MOUNDVIEW - TOTAL REVENUE: 8661, RELATED OR EXEMPT FUNCTION REVENUE: 8661, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; VENDOR REBATES - TOTAL REVENUE: 7213, RELATED OR EXEMPT FUNCTION REVENUE: 7213, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; OTHER - TOTAL REVENUE: 6167, RELATED OR EXEMPT FUNCTION REVENUE: 6167, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; LOAN FORGIVENESS INTEREST - PAYROLL - TOTAL REVENUE: 3868, RELATED OR EXEMPT FUNCTION REVENUE: 3868, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; VENDING MACHINE INCOME - TOTAL REVENUE: 903, RELATED OR EXEMPT FUNCTION REVENUE: 903, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;

Schedule R IRS990ScheduleR

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 ADMINISTRATIVE SERVICES INC
1910 SOUTH AVE	LA CROSSE	WI	54601	391606449	SUPPORT ORG	WI	501(C)(3)	TYPE II	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
MEMORIAL HEALTHCARE FOUNDATION INC (MOUNDVIEW)
402 WEST LAKE STREET	FRIENDSHIP	WI	53934	391775074	FOUNDATION	WI	501(C)(3)	TYPE I	MDV HOSP	Yes (true)
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC WABASHA
1200 FIFTH GRANT BLVD WEST	WABASHA	MN	55981	410693877	HEALTHCARE	WI	501(C)(3)	3	GLHS	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
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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	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	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HEALTHCARE FOUNDATION INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$111,840	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt