2026-08-14T09:55:10+00:00 2025-09-30 135565207 KPMG LLP 200 EAST RANDOLPH DRIVE SUITE 5500 CHICAGO IL 606016436 990 2024-10-01 920504278 BELLIN GUNDERSEN HEALTH SYSTEM INC BELL 6087827300 1836 SOUTH AVENUE LA CROSSE WI 54601 SCOTT RATHGABER MD CEO 2026-08-14 true ZELJKO POPOVIC P01795951 3126651000 2026-08-14 2024 2025-03-06 01:10:19Z SCOTT RATHGABER MD 1836 SOUTH AVENUE LA CROSSE WI 54601 627953 false X WWW.EMPLIFYHEALTH.ORG X 2022 WI TOGETHER WE WILL INSPIRE YOUR BEST LIFE BY RELENTLESSLY CARING, LEARNING, AND INNOVATING. 16 11 0 12 627953 570995 0 0 0 0 399871 627953 0 0 399871 627953 0 0 0 0 0 0 0 0 0 15758873 5101112 15758873 5101112 -15359002 -4473159 0 0 0 0 0 0 TOGETHER WE WILL INSPIRE YOUR BEST LIFE BY RELENTLESSLY CARING, LEARNING, AND INNOVATING. false false 5101112 0 0 BELLIN GUNDERSEN HEALTH SYSTEM, INC. PROVIDED SUPPORT TO AN INTEGRATED HEALTH SYSTEM WITH LOCAL ACCESS IN THE RURAL REGION OF WEST CENTRAL AND NORTHEASTERN WISCONSIN, THE UPPER PENINSULA OF MICHIGAN, SOUTHEAST MINNESOTA AND NORTHEAST IOWA. BELLIN GUNDERSEN HEALTH SYSTEM INC.'S AFFILIATES COMPREHENSIVE RANGE OF SERVICES INCLUDES INPATIENT, CLINICAL BEHAVIORAL HEALTH, DIAGNOSTIC, EMERGENCY AND OTHER OUTPATIENT SERVICES IN NUMEROUS MEDICAL SPECIALTIES. 5101112 true false false false false false false false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true true true false false true 0 0 0 true true false false false false false false false false false false false X 16 11 false false false false true false false true true false false false true true true true true true true true true true X JOHN CEELEN 6087827300 1900 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 BARBARA GILLING BOARD OF DIRECTORS 2.0 0 X 0 0 0 CHRISTOPHER EBERLEIN MD BOARD OF DIRECTORS, MD 2.0 48.0 X 0 422038 74967 DANIEL FLORNESS BOARD OF DIRECTORS 2.0 0 X 0 0 0 ELIZABETH COGBILL MD BOARD OF DIRECTORS, MD 2.0 48.0 X 0 262093 43764 EZANA AZENE MD BOARD OF DIRECTORS, MD 2.0 48.0 X 0 892143 74275 GERALD ARNDT BOARD OF DIRECTORS, VICE CHAIRMAN 2.0 2.0 X 0 0 0 JAMES RIDER MD BOARD OF DIRECTORS, PHYSICIAN 2.0 48.0 X 0 952725 53246 JOHN DYKEMA BOARD OF DIRECTORS, CHAIRMAN 2.0 0 X 0 0 0 JOHN LYCHE BOARD OF DIRECTORS 2.0 0 X 0 0 0 KARL SCHMIDT BOARD OF DIRECTORS, (END 2.13.25) 2.0 0 X 0 0 0 MICHAEL ALEXANDER BOARD OF DIRECTORS, (BEG 2.13.25) 2.0 0 X 0 0 0 RICHARD RADCLIFFE BOARD OF DIRECTORS 2.0 0 X 0 0 0 SAIED ASSEF MD BOARD OF DIRECTORS 2.0 0 X 0 0 0 SHERRI HOYMAN DO BOARD OF DIRECTORS, CHIEF MEDICAL INFORMATION OFFICER 2.0 48.0 X 0 343518 47431 SUSAN FINCO BOARD OF DIRECTORS 2.0 0 X 0 0 0 TERESITA YUTUC BOARD OF DIRECTORS 2.0 0 X 0 0 0 WILLIAM BOHN BOARD OF DIRECTORS 2.0 0 X 0 0 0 ANDREA WERNER CHIEF POPULATION HEALTH OFFICER 2.0 48.0 X 0 388587 54949 CHRISTINE WOLESKE EX-OFFICIO, PRESIDENT, (END 7.1.25) 2.0 46.0 X 0 1888539 201133 CINDY LASECKI MD CHIEF CLINIC OFFICER 2.0 48.0 X 0 507647 53017 DANIEL LILLY CHIEF LEGAL OFFICER 2.0 48.0 X 0 617635 74467 HEATHER SCHIMMERS RN REGIONAL PRESIDENT, EX-OFFICIO 2.0 48.0 X 0 841877 72275 JOHN CEELEN CHIEF FINANCIAL OFFICER 2.0 48.0 X 0 728316 54052 LEANNE ANDERSEN CHIEF PEOPLE OFFICER 2.0 48.0 X 0 680422 71814 LISA HARTON CHIEF QUALITY OFFICER 2.0 48.0 X 0 407895 61558 MICHAEL DOLAN MD CHIEF CLINICAL OFFICER 2.0 48.0 X 0 737919 77390 MICHELLE MICKA VICE PRESIDENT, FINANCE & ACCOUNTING 2.0 48.0 X 0 379411 72275 PETER VANDENHOUTEN SR VP LEGAL COUNSEL 2.0 48.0 X 0 629937 85132 PRAVEEN CHOPRA CHIEF DIGITAL AND INFORMATION OFFICER 2.0 48.0 X 0 717801 77846 SCOTT RATHGABER MD CHIEF EXECUTIVE OFFICER, EX-OFFICIO 2.0 48.0 X 0 1324275 73275 WILLIAM FARRELL CHIEF STRATEGY & INNOVATION OFFICER 2.0 48.0 X 0 595426 48639 STEVE LITTLE FORMER CHIEF FINANCIAL OFFICER 0.0 0.0 X 0 209856 0 0 13528060 1371505 0 true true false 0 0 0 0 0 0 0 627953 627953 0 0 0 0 0 0 0 0 0 627953 0 627953 0 136000 136000 209502 209502 0 0 4366 4366 1671065 1671065 248906 248906 LEASED EMPLOYEES 1532449 1532449 MISCELLANEOUS 671285 671285 PURCHASED SERVICES 541832 541832 TAXES 85707 85707 0 0 0 0 5101112 5101112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X -4473159 4473159 X false true true false X X 20 GUNDERSEN LUTHERAN MEDICAL CENTER INC 390813416 3 true 0 0 TRI COUNTY MEMORIAL HOSPITAL INC 390704510 3 true 0 0 ST JOSEPH'S HEALTH SERVICES INC 390929538 3 true 0 0 PALMER LUTHERAN HEALTH CENTER INC 421320763 3 true 0 0 MEMORIAL HOSPITAL OF BOSCOBEL 390845590 3 true 0 0 MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS INC 390944012 3 true 0 0 SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 410693877 3 true 0 0 BELLIN MEMORIAL HOSPITAL INC 390884478 3 true 0 0 BELLIN PSYCHIATRIC CENTER INC 391657627 3 true 0 0 OCONTO HOSPITAL AND MEDICAL CENTER INC 061745397 3 true 0 0 GUNDERSEN CLINIC 391028657 3 false 0 0 GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC 391249705 7 false 0 0 HARMONY COMMUNITY HEALTHCARE INC 410711606 9 false 0 0 TWEETEN LUTHERAN HEALTHCARE CENTER INC 411565003 9 false 0 0 TRI-STATE AMBULANCE INC 391965415 3 false 0 0 TRI-STATE REGIONAL AMBULANCE INC 391962965 9 false 0 0 COMMUNITY HOUSING OF LA CROSSE INC 391586700 9 false 0 0 LUTHERAN HOUSING OF LA CROSSE INC 391751934 9 false 0 0 BELLIN COLLEGE INC 391620530 2 false 0 0 THE BELLIN HEALTH FOUNDATION INC 391809171 7 false 0 0 20 0 0 false false false false false true false false false false false false false false false true false true X true true SCHEDULE A, PART IV, SECTION A, LINE 1 SUPPORTED ORGS LISTED BY NAME THE CORPORATION OVERSEES AND SUPPORTS OTHER HEALTH CARE DELIVERY ORGANIZATIONS THAT ARE CLOSELY RELATED TO THE SUPPORTED ORGANIZATIONS, THROUGH COMMON CONTROL, OWNERSHIP, OR MANAGEMENT (EACH A "QUALIFIED AFFILIATE CORPORATION, COLLECTIVELY, THE "QUALIFIED AFFILIATE CORPORATIONS"), WHOSE ACTIVITIES ALSO SUPPORT THE EXEMPT PURPOSES OF ONE OR MORE OF THE SUPPORTED ORGANIZATION. EACH QUALIFIED AFFILIATE CORPORATION SHALL BE A PUBLIC CHARITY AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND FURTHER DESCRIBED IN EITHER SECTIONS 509(A)(1) OR 509(A)(2) OF THE CODE, AND ARE OPERATED, SUPERVISED, AND/OR CONTROLLED DIRECTLY BY OR IN CONNECTION WITH ONE OR MORE OF THE SUPPORTED ORGANIZATIONS BY AND THROUGH THE CORPORATION ACTING AS A PARENT TO THE INTEGRATED HEALTHCARE SYSTEM, WHICH IS COMPRISED OF THE SUPPORTED ORGANIZATIONS AND THEIR QUALIFIED AFFILIATE CORPORATIONS. SCHEDULE A, PART IV, SECTION A, LINE 6 SUPPORT TO OTHER SUPPORTED ORGS SERVICES PROVIDED BY SUPPORTING, OPERATING FOR THE BENEFIT OF, PERFORMING THE FUNCTIONS OF, AND CARRYING OUT THE CHARITABLE PURPOSES OF BELLIN GUNDERSEN HEALTH SYSTEM, INC. THE ORGANIZATION SUPPORTS THE BELLIN GUNDERSEN HEALTH SYSTEM INC. AFFILIATES' PROGRAMS OF HEALTH CARE, MEDICAL EDUCATION, MEDICAL RESEARCH, AND COMMUNITY HEALTH PROMOTION ACTIVITIES WITHIN THE MEANING OF SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. SCHEDULE A, PART IV, SECTION D, LINE 2 OFFICERS APPOINTED OR SERVING SUPPORTED ORG. PURSUANT TO THE BYLAWS OF THE CORPORATION AND THE BYLAWS OF EACH OF THE SUPPORTED ORGANIZATIONS, THE CORPORATION APPOINTS, DIRECTLY OR INDIRECTLY, DIRECTORS OF THE SUPPORTED ORGANIZATIONS. IN ADDITION, PURSUANT TO THE BYLAWS OF THE CORPORATION, SIX (6) DIRECTORS OF THE CORPORATION MUST BE MEMBERS OF THE MEDICAL STAFF OF ONE OR MORE OF THE SUPPORTED ORGANIZATIONS AND THE CHIEF EXECUTIVE OFFICER AND PRESIDENT OF ONE OR MORE OF THE SUPPORTED ORGANIZATIONS SHALL SERVE AS EX OFFICIO DIRECTORS OF THE CORPORATION AND HOLD OFFICES WITH THE CORPORATION. AS A RESULT, THE OFFICERS AND DIRECTORS OF THE CORPORATION AND THE OFFICERS AND DIRECTORS 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. SCHEDULE A, PART IV, SECTION D, LINE 3 SUPP. ORG. HAVE SIGNIFICANT VOICE IN INVESTMENT POLICIES 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, THE TIMING OF GRANTS, THE MANNER OF MAKING GRANTS, THE SELECTION OF GRANT RECIPIENTS, AND OTHERWISE DIRECTING THE USE OF THE CORPORATION'S INCOME AND ASSETS OF THE CORPORATION. SCHEDULE A, PART IV, SECTION E, LINE 3A ORGANIZATION HAVE THE POWER TO REGULARLY APPOINT OR ELECT A BELLIN GUNDERSEN HEALTH SYSTEM (BGHS) IS SUPERVISED OR CONTROLLED IN CONNECTION WITH ITS SUPPORTED ORGANIZATIONS BECAUSE CONTROL AND MANAGEMENT OF BGHS IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE ITS SUPPORTED ORGANIZATIONS BY VIRTUE OF THE CEO AND CFO HAVING AUTHORITY OVER BOTH THE SUPPORTED AND SUPPORTING ORGANIZATIONS. BGHS IS RESPONSIVE TO EACH OF THE SUPPORTED ORGANIZATIONS AND MAINTAINS INVOLVEMENT IN EACH OF THE SUPPORTED ORGANIZATIONS' OPERATIONS THROUGH ITS ROLE AS THE PARENT ORGANIZATION OF THIS INTEGRATED HEALTH SYSTEM SCHEDULE A, PART IV, SECTION E, LINE 3B SUBSTANTIAL DIRECTION OVER POLICIES/PROGRAMS/ACTIVITIES THE CORPORATION EXERCISES SUBSTANTIAL DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF THE SUPPORTED ORGANIZATIONS, INCLUDING BUT NOT LIMITED TO THE FINANCIAL POLICIES, MISSION, VALUES, STRATEGIC GOALS, FINANCIAL PERFORMANCE AND REPORTING, ANNUAL CAPITAL AND OPERATING BUDGETS, CORPORATE GOVERNANCE, COMPLIANCE PROGRAMS, COORDINATION OF QUALITY AND PATIENT SAFETY PROGRAMS, EXECUTIVE AND MEDICAL STAFF COMPENSATION FOR THE SUPPORTED ORGANIZATIONS, AND OTHER ACTIVITIES OF THE SUPPORTED ORGANIZATIONS COMPRISING THE INTEGRATED HEALTHCARE SYSTEM AS PROVIDED FOR IN THE BYLAWS OF THE CORPORATION. 0 X 0 0 0 0 0 0 0 0 0 0 0 0 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. false true false false false false false false false EZANA AZENE MD BOARD OF DIRECTORS, MD 0 705035 0 182496 0 4612 0 48300 0 25975 0 966418 0 0 ELIZABETH COGBILL MD BOARD OF DIRECTORS, MD 0 243804 0 14667 0 3622 0 33515 0 10249 0 305857 0 0 CHRISTOPHER EBERLEIN MD BOARD OF DIRECTORS, MD 0 417239 0 0 0 4799 0 48300 0 26667 0 497005 0 0 SHERRI HOYMAN DO BOARD OF DIRECTORS, CHIEF MEDICAL INFORMATION OFFICER 0 305259 0 37485 0 774 0 18646 0 28785 0 390949 0 0 JAMES RIDER MD BOARD OF DIRECTORS, PHYSICIAN 0 484435 0 467882 0 408 0 21951 0 31295 0 1005971 0 0 STEVE LITTLE FORMER CHIEF FINANCIAL OFFICER 0 209856 0 0 0 0 0 0 0 0 0 209856 0 0 LEANNE ANDERSEN CHIEF PEOPLE OFFICER 0 558734 0 116418 0 5270 0 43827 0 27987 0 752236 0 0 JOHN CEELEN CHIEF FINANCIAL OFFICER 0 598104 0 129468 0 744 0 29147 0 24905 0 782368 0 0 PRAVEEN CHOPRA CHIEF DIGITAL AND INFORMATION OFFICER 0 602977 0 106400 0 8424 0 48300 0 29546 0 795647 0 0 MICHAEL DOLAN MD CHIEF CLINICAL OFFICER 0 636335 0 100000 0 1584 0 48300 0 29090 0 815309 0 0 WILLIAM FARRELL CHIEF STRATEGY & INNOVATION OFFICER 0 487426 0 103225 0 4775 0 48300 0 339 0 644065 0 0 LISA HARTON CHIEF QUALITY OFFICER 0 336819 0 70662 0 414 0 47759 0 13799 0 469453 0 0 CINDY LASECKI MD CHIEF CLINIC OFFICER 0 392261 0 114612 0 774 0 49237 0 3780 0 560664 0 0 DANIEL LILLY CHIEF LEGAL OFFICER 0 514649 0 97000 0 5986 0 48300 0 26167 0 692102 0 0 MICHELLE MICKA VICE PRESIDENT, FINANCE & ACCOUNTING 0 374568 0 0 0 4843 0 48300 0 23975 0 451686 0 0 SCOTT RATHGABER MD CHIEF EXECUTIVE OFFICER, EX-OFFICIO 0 1278368 0 0 0 45907 0 48300 0 24975 0 1397550 0 0 HEATHER SCHIMMERS RN REGIONAL PRESIDENT, EX-OFFICIO 0 638010 0 198913 0 4954 0 48300 0 23975 0 914152 0 0 PETER VANDENHOUTEN SR VP LEGAL COUNSEL 0 407252 0 182656 0 40029 0 69350 0 15782 0 715069 0 39255 ANDREA WERNER CHIEF POPULATION HEALTH OFFICER 0 321155 0 66658 0 774 0 43757 0 11192 0 443536 0 0 CHRISTINE WOLESKE EX-OFFICIO, PRESIDENT, (END 7.1.25) 0 947182 0 728601 0 212756 0 185351 0 15782 0 2089672 0 201125 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: JOHN CEELEN LISA HARTON CINDY LASECKI, MD CHRISTINE WOLESKE PETER VANDENHOUTEN ANDREA WERNER BELLIN MEMORIAL HOSPITAL, A RELATED PARTY, HAS A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES. PETER VANDENHOUTEN AND CHRISTINE WOLESKE PARTICIPATED IN THE 457(F) PLAN. THE FOLLOWING INDIVIDUALS, 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 3 ALL PERSONNEL SERVICES ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. AND BELLIN MEMORIAL HOSPITAL, INC. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE ORGANIZATION IS COMPRISED OF MEMBERS WHICH ARE DIVIDED INTO FOUR CLASSES AND INCLUDES MEMBERS FROM THE NORTHERN COUNTIES AND SOUTHERN COUNTIES. 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 BELLIN GUNDERSEN HEALTH SYSTEM, INC. (BGHS) 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 BGHS) AND REMINDING THEM OF THEIR CONFIDENTIALITY OBLIGATIONS WITH RESPECT TO BGHS' 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 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 CAPTIS EQUITY - -627953; AFFILIATED TRANSFERS, DISCOUNTS, AND REBATES - 5101112; TOTAL - 4473159; GUNDERSEN LUTHERAN HEALTH SYSTEM INC 1836 SOUTH AVE LA CROSSE WI 54601 391866425 SUPPORT ORG WI 501(C)(3) TYPE II BGHS true 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 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 GLHS false BELLIN HEALTH SYSTEMS INC 744 SOUTH WEBSTER AVE GREEN BAY WI 54301 391512904 SUPPORT ORG WI 501(C)(3) TYPE II BGHS true 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 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 BG ASSURANCE COMPANY 20 GENESIS CLOSE PO BOX 30600 GEORGE TOWN GRAND CAYMAN CJ KY11203 SELF INSURANCE CJ NA C CORPORATION false GUNDERSEN EDGE LLC 1836 SOUTH AVENUE LA CROSSE WI 54601 921783811 INNOVATION WI NA C CORPORATION false false false false false false false false false false false false false false false false false true false false BELLIN HEALTH SYSTEMS INC Q 2266834 FMV