GUNDERSEN CLINIC LTD: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- GUNDERSEN CLINIC LTD (EIN 39-1028657)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-12
- IRS object ID
- 202243169349301424
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-12T09:36:05-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N Wacker Drive | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391028657 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUNDERSEN CLINIC LTD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % GERALD OETZEL | InCareOfNm |
| Business Name Control | GUND | BusinessNameControlTxt |
| Phone | 6087827300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1836 SOUTH AVENUE | AddressLine1Txt |
| City | LA CROSSE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GERALD OETZEL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6087827300 | PhoneNum |
| Signature | 2022-10-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GERALD | PersonFirstNm |
| Person Last | OETZEL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JESS WAGENER | PreparerPersonNm |
| PTIN | P01622613 | PTIN |
| Phone | 3128792000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT RATHGABER MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1836 SOUTH AVENUE | AddressLine1Txt |
| City | LA CROSSE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $171,216,020 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GUNDERSENHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $4,437,678 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,112,255 | PYContributionsGrantsAmt |
| CY Contributions Grants | $827,944 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $155,299,982 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $167,749,382 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$573,418 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,198,818 | CYInvestmentIncomeAmt |
| PY Other Revenue | $354,581 | PYOtherRevenueAmt |
| CY Other Revenue | $346,914 | CYOtherRevenueAmt |
| PY Total Revenue | $159,193,400 | PYTotalRevenueAmt |
| CY Total Revenue | $170,123,058 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,185,053 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,930,871 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $267,742,472 | PYOtherExpensesAmt |
| CY Other Expenses | $227,198,996 | CYOtherExpensesAmt |
| PY Total Expenses | $269,927,525 | PYTotalExpensesAmt |
| CY Total Expenses | $229,129,867 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$110,734,125 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$59,006,809 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $210,830,345 | TotalAssetsBOYAmt |
| Total Assets EOY | $196,742,108 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $753,676,217 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $798,844,453 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$542,845,872 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$602,102,345 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE MEDICAL AND SURGICAL SERVICES, ENGAGE IN MEDICAL EDUCATION AND RESEARCH, AND PROMOTE COMMUNITY HEALTH TO DELIVER THE HIGHEST QUALITY COMPREHENSIVE HEALTH CARE TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $203,606,013 | ExpenseAmt |
| Grant | $1,908,771 | GrantAmt |
| Revenue | $167,749,382 | RevenueAmt |
| Desc | PROGRAM SERVICE ACCOMPLISHMENTS: GUNDERSEN CLINIC, LTD. (THE CLINIC) HAS 642 PHYSICIANS REPRESENTING NEARLY EVERY SPECIALTY SERVING A 22 COUNTY REGION IN WESTERN WISCONSIN, NORTHEASTERN IOWA AND SOUTHEASTERN MINNESOTA. THE CLINIC PROVIDES MEDICAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHARITY CARE AND/OR FINANCIAL ASSISTANCE IS DETERMINED BASED ON FINANCIAL INFORMATION PROVIDED BY THE PATIENT AND ANALYSIS OF OTHER RELEVANT INFORMATION. THERE WERE APPROXIMATELY 1,034,706 PATIENT ENCOUNTERS FOR 2021. THE CLINIC PROVIDED ,UNCOMPENSATED CARE RELATED TO CHARITY AT COST, $378,989; MEDICARE, $21,706,234; AND MEDICAID, $10,354,853 FOR THE TOTAL AMOUNT OF $32,440,076 AT COST BASED ON POLICIES AND CONTRACTS ARRANGED TO HELP SUPPORT THE COMMUNITY'S NEEDS. THE $32,440,076 IS THE SUM OF UNREIMBURSED MEDICARE & MEDICAID COST PLUS CHARITY AT COST. ALL OF THESE ARE CALCULATED USING THE SAME METHOD UTILIZED FOR THE HOSPITAL CALCULATION OF CHARITY COST AND UNREIMBURSED MEDICARE AND MEDICAID COSTS. THE COST OF CHARITY IS CALCULATED BY ALLOCATING THE COST TO PROVIDE SERVICES TO A PATIENT BETWEEN ANY PAYMENTS, BAD DEBT, AND CHARITY WRITE-OFFS WHERE TOTAL PAYMENTS ARE LESS THAN THE COST OF SERVICES PROVIDED. THE UNREIMBURSED MEDICARE AND MEDICAID COSTS ARE CALCULATED BY COMPARING THE COST OF SERVICES TO MEDICARE AND MEDICAID PATIENTS TO THE NET REVENUE FOR THOSE SAME PATIENTS. THE UNREIMBURSED COST IS THE AMOUNT THE COST EXCEEDS THE NET REVENUE FOR THOSE SAME PATIENTS. MEDICARE AND MEDICAID PATIENTS TO THE NET REVENUE FOR THOSE SAME PATIENTS. THE UNREIMBURSED COST IS THE AMOUNT THE COST EXCEEDS THE NET REVENUE FOR THOSE SAME PATIENTS. | Desc |
| Total Program Service Expenses | $203,606,013 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GERALD OETZEL | PersonNm |
| Phone | 6087757914 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH AVENUE NCA1-01 | AddressLine1Txt |
| City | LA CROSSE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Jerry Davis MD | ||||||||||
| Medical Doctor | 0.0 | 40.0 | Yes (X) | $0 | $1,152,695 | $52,134 | ||||
| Jeffrey Lawrence MD | ||||||||||
| Medical Doctor | 0.0 | 40.0 | Yes (X) | $0 | $1,112,688 | $63,734 | ||||
| Douglas Hughes MD | ||||||||||
| Medical Doctor | 0.0 | 40.0 | Yes (X) | $0 | $1,074,210 | $52,134 | ||||
| Kurt Ziegelbein MD | ||||||||||
| Medical Doctor | 0.0 | 40.0 | Yes (X) | $0 | $1,006,582 | $66,484 | ||||
| Scott Rathgaber MD | ||||||||||
| CEO/BOARD OF GOVERNORS - MEMBR | 2.0 | 46.0 | $0 | $999,343 | $64,734 | Yes (X) | Yes (X) | |||
| MARK TOPOLSKI MD | ||||||||||
| MEDICAL DOCTOR | 0.0 | 40.0 | Yes (X) | $0 | $1,003,329 | $59,978 | ||||
| EZANA AZENE MD | ||||||||||
| BD OF GOVNRS -MEMBR (BEG 1/21) | 2.0 | 40.0 | $0 | $961,682 | $66,484 | Yes (X) | ||||
| Michael Dolan MD | ||||||||||
| Exec VP, Med Chief Operation | 2.0 | 46.0 | $0 | $634,459 | $64,934 | Yes (X) | ||||
| Marilu Bintz MD | ||||||||||
| Chief Population Health Offcr | 2.0 | 48.0 | $0 | $622,664 | $50,390 | Yes (X) | ||||
| Gerald Oetzel | ||||||||||
| Chief Financial Officer | 2.0 | 47.0 | $0 | $583,185 | $53,726 | Yes (X) | ||||
| Kurt Oettel MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 40.0 | $0 | $522,384 | $63,734 | Yes (X) | ||||
| Mary Kuffel MD | ||||||||||
| Medical Vice President | 0.0 | 40.0 | $0 | $536,104 | $43,442 | Yes (X) | ||||
| CHRISTINE WALLER MD | ||||||||||
| BD OF GOVNRS -MEMBR (BEG 1/21) | 2.0 | 40.0 | $0 | $501,924 | $74,870 | Yes (X) | ||||
| Todd Kowalski MD | ||||||||||
| MEDICAL VICE PRESIDENT | 0.0 | 40.0 | $0 | $498,112 | $66,134 | Yes (X) | ||||
| Praveen Chopra | ||||||||||
| Chief Information Officer | 2.0 | 46.0 | $0 | $501,493 | $62,520 | Yes (X) | ||||
| Stephen Shapiro MD | ||||||||||
| CHIEF MEDICAL FOUNDATION OFFCR | 2.0 | 49.0 | $0 | $487,953 | $66,134 | Yes (X) | ||||
| Gregory Thompson MD | ||||||||||
| Chief Medical Officer | 2.0 | 46.0 | $0 | $477,988 | $64,934 | Yes (X) | ||||
| Stephanie Neuman MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 46.0 | $0 | $464,519 | $64,734 | Yes (X) | ||||
| BENJAMIN JARMAN MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 46.0 | $0 | $467,184 | $59,978 | Yes (X) | ||||
| Jonathan Zlabek MD | ||||||||||
| Medical Vice President | 0.0 | 40.0 | $0 | $458,165 | $66,484 | Yes (X) | ||||
| P Michael Jacobs DPM | ||||||||||
| MEDICAL VICE PRESIDENT | 0.0 | 42.0 | $0 | $450,688 | $66,234 | Yes (X) | ||||
| Brian Sieck MD | ||||||||||
| FORMER SECRETARY/TREAS THRU 17 | 0.0 | 40.0 | $0 | $456,722 | $59,978 | Yes (X) | ||||
| Elizabeth Smith-Houskamp PhD RN | ||||||||||
| ADMIN COO, CNO (THRU 10/21) | 2.0 | 48.0 | $0 | $457,394 | $44,915 | Yes (X) | ||||
| William Farrell | ||||||||||
| Chief Business & Strategy Offr | 2.0 | 47.5 | $0 | $423,330 | $42,050 | Yes (X) | ||||
| Chris Eberlein MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 40.0 | $0 | $387,472 | $63,734 | Yes (X) | ||||
| Kelley Bahr MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 46.0 | $0 | $388,859 | $41,915 | Yes (X) | ||||
| Mary Ellen McCartney | ||||||||||
| Chief Human Resources Officer | 2.0 | 46.0 | $0 | $371,104 | $51,314 | Yes (X) | ||||
| Bryan Erdmann | ||||||||||
| Administrative Vice President | 0.0 | 42.5 | $0 | $296,814 | $65,944 | Yes (X) | ||||
| Julio Bird MD | ||||||||||
| FORMER OFFICER THRU 16 | 0.0 | 40.0 | $0 | $311,469 | $49,425 | Yes (X) | ||||
| Stephanie Carroll MD | ||||||||||
| FORMER MEDICAL VP THRU 20 | 0.0 | 41.0 | $0 | $298,096 | $57,986 | Yes (X) | ||||
| Robyn Borge MD | ||||||||||
| BD OF GOV-MEMBR/CHF OF MED STF | 2.0 | 46.0 | $0 | $297,040 | $43,442 | Yes (X) | Yes (X) | |||
| Lisa Wied | ||||||||||
| Administrative Vice President | 0.0 | 40.5 | $0 | $261,892 | $62,443 | Yes (X) | ||||
| Michael McKee | ||||||||||
| Administrative Vice President | 0.0 | 42.3 | $0 | $258,496 | $62,247 | Yes (X) | ||||
| Kraig Schuster | ||||||||||
| Administrative Vice President | 0.0 | 42.0 | $0 | $265,615 | $52,912 | Yes (X) | ||||
| Jennifer Kleven MD | ||||||||||
| BOARD OF GOVERNORS - MEMBER | 2.0 | 48.0 | $0 | $265,647 | $37,707 | Yes (X) | ||||
| Pamela Maas | ||||||||||
| Vice President Business SVCS | 0.0 | 40.0 | $0 | $263,293 | $37,362 | Yes (X) | ||||
| Kari Adank | ||||||||||
| Vice President Compliance | 0.0 | 40.0 | $0 | $224,875 | $54,502 | Yes (X) | ||||
| Janine Luz | ||||||||||
| Vice President Learning | 0.0 | 40.0 | $0 | $207,536 | $49,876 | Yes (X) | ||||
| Andrea Hauser | ||||||||||
| VP PATIENT EXP & DEPT NURSING | 0.0 | 41.0 | $0 | $202,741 | $46,218 | Yes (X) | ||||
| Ellen Pedretti-Fendt | ||||||||||
| VP APPLICATION SERVICES | 0.0 | 40.0 | $0 | $192,556 | $52,259 | Yes (X) | ||||
| Jack Schwartz | ||||||||||
| Vice President Foundation | 0.0 | 40.0 | $0 | $203,992 | $36,244 | Yes (X) | ||||
| Daniel P Breazeale | ||||||||||
| VP FINANCE (THRU 10/21) | 0.0 | 40.0 | $0 | $200,020 | $37,695 | Yes (X) | ||||
| Todd Bille | ||||||||||
| VP GRWTH, STRATGY (THRU 10/21) | 0.0 | 40.0 | $0 | $198,583 | $31,726 | Yes (X) | ||||
| Heather Schimmers | ||||||||||
| ADMIN OPERATING OFFCR/CNO | 2.0 | 46.0 | $0 | $145,857 | $13,926 | Yes (X) | ||||
| Garith Steiner | ||||||||||
| Former Vice President thru 19 | 0.0 | 40.0 | $0 | $131,713 | $18,896 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $16,242,269 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,504,607 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GUNDERSEN LUTHERAN ADMIN SERVICES | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1910 SOUTH AVENUE | AddressLine1Txt |
| City | LA CROSSE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | services / supplies | ServicesDesc |
| Compensation | $169,119,418 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $23,557 | RelatedOrganizationsAmt |
| Government Grants | $765,217 | GovernmentGrantsAmt |
| All Other Contributions | $39,170 | AllOtherContributionsAmt |
| Total Contributions | $827,944 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MEDICAL SERVICE PROVIDED | 621498 | $163,482,600 | $163,311,704 | $170,896 |
| ONLINE SALES - DERM AND PLASTICS | 446199 | $307,134 | $307,134 | |
| VISION | 446130 | $195,133 | $195,133 | |
| PHARMACY | 446110 | $1,949,280 | $1,949,280 | |
| DIAGNOSTIC TESTING INCOME | 621511 | $1,815,235 | $1,815,235 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $167,749,382 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $137,438 | TotalRevenueColumnAmt |
| Exclusion | $137,438 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $466,017 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $119,103 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $346,914 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $346,914 | TotalRevenueColumnAmt |
| Exclusion | $346,914 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,035,239 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $973,859 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,061,380 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,061,380 | TotalRevenueColumnAmt |
| Exclusion | $1,061,380 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $170,123,058 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $163,311,704 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,437,678 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,545,732 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,327,976 | TotalAmt |
| Program Services | $1,327,976 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,895 | TotalAmt |
| Program Services | $602,895 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,610,145 | TotalAmt |
| Program Services | $44,984,679 | ProgramServicesAmt |
| Management And General | $5,625,466 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,050 | TotalAmt |
| Program Services | $26,050 | ProgramServicesAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,411 | TotalAmt |
| Program Services | $22,411 | ProgramServicesAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,600 | TotalAmt |
| Management And General | $6,600 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,686,061 | TotalAmt |
| Program Services | $10,278,735 | ProgramServicesAmt |
| Management And General | $407,326 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,108 | TotalAmt |
| Program Services | $8,442 | ProgramServicesAmt |
| Management And General | $5,666 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,870,135 | TotalAmt |
| Program Services | $1,728,267 | ProgramServicesAmt |
| Management And General | $141,868 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,332 | TotalAmt |
| Program Services | $120,129 | ProgramServicesAmt |
| Management And General | $3,203 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,520,193 | TotalAmt |
| Program Services | $3,623,837 | ProgramServicesAmt |
| Management And General | $1,896,356 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,119 | TotalAmt |
| Program Services | $529,878 | ProgramServicesAmt |
| Management And General | $3,241 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,628 | TotalAmt |
| Program Services | $65,453 | ProgramServicesAmt |
| Management And General | $9,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,616,802 | TotalAmt |
| Program Services | $4,204,098 | ProgramServicesAmt |
| Management And General | $5,412,704 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $525,762 | TotalAmt |
| Program Services | $78,750 | ProgramServicesAmt |
| Management And General | $447,012 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| LEASED EMPLOYEES | $118,509,273 | $107,007,344 | $11,501,929 | $0 |
| SUPPLIES/BAD DEBTS | $28,113,378 | $28,072,401 | $40,977 | $0 |
| MISCELLANEOUS | $946,999 | $924,668 | $22,331 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,129,867 | TotalAmt |
| Program Services | $203,606,013 | ProgramServicesAmt |
| Management And General | $25,523,854 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,630 | BOYAmt |
| EOY | $91,365 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,225,320 | BOYAmt |
| EOY | $6,148,247 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,596,276 | BOYAmt |
| EOY | $7,056,596 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $369,042,939 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $205,093,775 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,282,830 | BOYAmt |
| EOY | $163,949,164 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,165,679 | BOYAmt |
| EOY | $10,361,757 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,093,187 | BOYAmt |
| EOY | $1,843,537 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,299,250 | BOYAmt |
| EOY | $7,291,442 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,830,345 | BOYAmt |
| EOY | $196,742,108 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,834,279 | BOYAmt |
| EOY | $5,938,415 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,685,905 | BOYAmt |
| EOY | $2,796,848 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $742,156,033 | BOYAmt |
| EOY | $790,109,190 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $753,676,217 | BOYAmt |
| EOY | $798,844,453 | 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 | -$542,845,872 | BOYAmt |
| EOY | -$602,102,345 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$542,845,872 | BOYAmt |
| EOY | -$602,102,345 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,830,345 | BOYAmt |
| EOY | $196,742,108 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$59,006,809 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$249,664 | NetUnrlzdGainsLossesInvstAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | THE CLINIC HAS OBTAINED TAX-EXEMPT STATUS AS AN ORGANIZATION WHOSE MAIN PURPOSE IS TO PROVIDE MEDICAL CARE. HOWEVER, THE CLINIC IS NOT REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE OF WISCONSIN AS A HOSPITAL AND IS NOT REQUIRED TO FILE SCHEDULE H. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $22,411 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $380,642 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $22,411 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $380,642 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $229,107,456 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $2,355,041,374 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $229,129,867 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $2,355,422,016 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $231,180 | CurrentYearMinus3Amt |
| Current Year Minus2 | $242,328 | CurrentYearMinus2Amt |
| Current Year Minus1 | $259,182 | CurrentYearMinus1Amt |
| Current Year | $380,642 | CurrentYearAmt |
| Total | $1,113,332 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,241,753 | OtherCostOrOtherBasisAmt |
| Book Value | $8,241,753 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $256,063,892 | OtherCostOrOtherBasisAmt |
| Depreciation | $125,888,388 | DepreciationAmt |
| Book Value | $130,175,504 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $104,737,294 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,205,387 | DepreciationAmt |
| Book Value | $25,531,907 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Depreciation | $0 | DepreciationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $163,949,164 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLE | $776,115,942 |
| MALPRACTICE CLAIM RESERVE | $7,751,048 |
| ASSET RETIREMENT OBLIGATIONS | $1,189,688 |
| OPERATING LEASE OBLIGATIONS | $5,043,051 |
| LEASE CONTRACT PAYABLE | $9,461 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $790,109,190 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCH D, PART X LINE 2 | FormAndLineReferenceDesc |
| Explanation | INCOME TAX MATTERS (DOLLARS IN THOUSANDS) THE SYSTEM QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), WITH THE EXCEPTION OF GUNDERSEN LUTHERAN ENVISION, LLC, WHICH IS A FOR-PROFIT ENTITY. AT DECEMBER 31, 2021 AND 2020, NET DEFERRED TAX ASSETS OF $7,545 AND $7,948, RESPECTIVELY, WHICH PRIMARILY ARE RELATED TO NET OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $7,545 AND $7,948, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT DECEMBER 31, 2021, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $28,300, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $26,300, WHICH WILL EXPIRE BETWEEN 2030 AND 2039. THE SYSTEM HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS. THE SYSTEM'S INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR 2016 and prior years. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1836 SOUTH AVENUE | AddressLine1Txt |
| City | LA CROSSE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 391249705 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $1,305,876 | CashGrantAmt |
| Purpose Of Grant | OPERATIONS support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CHARITY CARE | GrantTypeTxt |
| Recipient | 3588 | RecipientCnt |
| Non Cash Assistance | $602,895 | NonCashAssistanceAmt |
| Valuation Method Used | BOOK | ValuationMethodUsedDesc |
| Non Cash Assistance | CHARITY CARE | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS ASSISTANCE WAS TO A RELATED ORGANIZATION, FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF GOVERNORS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (45 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BENJAMIN JARMAN MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | $0 | $460,492 | $0 | $2,000 | $0 | $4,692 | $0 | $42,050 | $0 | $17,982 | $0 | $527,216 | $0 | $0 |
| Brian Sieck MD | ||||||||||||||
| FORMER SECRETARY/TREAS THRU 17 | $0 | $445,992 | $0 | $2,000 | $0 | $8,730 | $0 | $42,050 | $0 | $17,982 | $0 | $516,754 | $0 | $0 |
| Bryan Erdmann | ||||||||||||||
| Administrative Vice President | $0 | $289,952 | $0 | $2,000 | $0 | $4,862 | $0 | $42,050 | $0 | $28,028 | $0 | $366,892 | $0 | $0 |
| Douglas Hughes MD | ||||||||||||||
| Medical Doctor | $0 | $1,067,496 | $0 | $2,000 | $0 | $4,714 | $0 | $30,450 | $0 | $21,738 | $0 | $1,126,398 | $0 | $0 |
| Elizabeth Smith-Houskamp PhD RN | ||||||||||||||
| ADMIN COO, CNO (THRU 10/21) | $0 | $422,485 | $0 | $28,700 | $0 | $6,209 | $0 | $42,050 | $0 | $2,912 | $0 | $502,356 | $0 | $0 |
| Ellen Pedretti-Fendt | ||||||||||||||
| VP APPLICATION SERVICES | $0 | $190,246 | $0 | $2,000 | $0 | $310 | $0 | $27,825 | $0 | $27,200 | $0 | $247,581 | $0 | $0 |
| Garith Steiner | ||||||||||||||
| Former Vice President thru 19 | $0 | $130,313 | $0 | $1,400 | $0 | $0 | $0 | $18,896 | $0 | $1,832 | $0 | $152,441 | $0 | $0 |
| Gerald Oetzel | ||||||||||||||
| Chief Financial Officer | $0 | $575,972 | $0 | $2,000 | $0 | $5,213 | $0 | $42,050 | $0 | $11,730 | $0 | $636,965 | $0 | $0 |
| Gregory Thompson MD | ||||||||||||||
| Chief Medical Officer | $0 | $471,296 | $0 | $2,000 | $0 | $4,692 | $0 | $42,050 | $0 | $22,938 | $0 | $542,976 | $0 | $0 |
| Janine Luz | ||||||||||||||
| Vice President Learning | $0 | $201,577 | $0 | $2,000 | $0 | $3,959 | $0 | $29,954 | $0 | $19,976 | $0 | $257,466 | $0 | $0 |
| Jeffrey Lawrence MD | ||||||||||||||
| Medical Doctor | $0 | $1,106,196 | $0 | $1,800 | $0 | $4,692 | $0 | $42,050 | $0 | $21,738 | $0 | $1,176,476 | $0 | $0 |
| Jennifer Kleven MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | $0 | $259,625 | $0 | $6,000 | $0 | $22 | $0 | $37,707 | $0 | $3,301 | $0 | $306,655 | $0 | $0 |
| Jerry Davis MD | ||||||||||||||
| Medical Doctor | $0 | $1,124,313 | $0 | $2,000 | $0 | $26,382 | $0 | $30,450 | $0 | $21,738 | $0 | $1,204,883 | $0 | $0 |
| Jonathan Zlabek MD | ||||||||||||||
| Medical Vice President | $0 | $430,413 | $0 | $6,500 | $0 | $21,252 | $0 | $42,050 | $0 | $24,488 | $0 | $524,703 | $0 | $0 |
| Julio Bird MD | ||||||||||||||
| FORMER OFFICER THRU 16 | $0 | $256,523 | $0 | $2,000 | $0 | $52,946 | $0 | $38,583 | $0 | $10,856 | $0 | $360,908 | $0 | $0 |
| Kari Adank | ||||||||||||||
| Vice President Compliance | $0 | $222,829 | $0 | $2,000 | $0 | $46 | $0 | $32,818 | $0 | $24,861 | $0 | $282,554 | $0 | $0 |
| Kelley Bahr MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | $0 | $379,667 | $0 | $4,500 | $0 | $4,692 | $0 | $41,915 | $0 | $54 | $0 | $430,828 | $0 | $0 |
| Kraig Schuster | ||||||||||||||
| Administrative Vice President | $0 | $259,902 | $0 | $2,000 | $0 | $3,713 | $0 | $36,055 | $0 | $20,561 | $0 | $322,231 | $0 | $0 |
| Lisa Wied | ||||||||||||||
| Administrative Vice President | $0 | $256,246 | $0 | $2,000 | $0 | $3,646 | $0 | $38,009 | $0 | $24,488 | $0 | $324,389 | $0 | $0 |
| Marilu Bintz MD | ||||||||||||||
| Chief Population Health Offcr | $0 | $615,241 | $0 | $2,000 | $0 | $5,423 | $0 | $42,050 | $0 | $8,393 | $0 | $673,107 | $0 | $0 |
| Mary Ellen McCartney | ||||||||||||||
| Chief Human Resources Officer | $0 | $368,536 | $0 | $2,000 | $0 | $568 | $0 | $42,050 | $0 | $14,010 | $0 | $427,164 | $0 | $0 |
| Mary Kuffel MD | ||||||||||||||
| Medical Vice President | $0 | $529,412 | $0 | $2,000 | $0 | $4,692 | $0 | $42,050 | $0 | $1,446 | $0 | $579,600 | $0 | $0 |
| Michael Dolan MD | ||||||||||||||
| Exec VP, Med Chief Operation | $0 | $615,987 | $0 | $6,500 | $0 | $11,972 | $0 | $42,050 | $0 | $27,630 | $0 | $704,139 | $0 | $0 |
| Michael McKee | ||||||||||||||
| Administrative Vice President | $0 | $256,496 | $0 | $2,000 | $0 | $0 | $0 | $38,063 | $0 | $27,861 | $0 | $324,420 | $0 | $0 |
| P Michael Jacobs DPM | ||||||||||||||
| MEDICAL VICE PRESIDENT | $0 | $443,996 | $0 | $2,000 | $0 | $4,692 | $0 | $42,050 | $0 | $24,220 | $0 | $516,958 | $0 | $0 |
| Pamela Maas | ||||||||||||||
| Vice President Business SVCS | $0 | $257,667 | $0 | $2,000 | $0 | $3,626 | $0 | $37,362 | $0 | $54 | $0 | $300,709 | $0 | $0 |
| Daniel P Breazeale | ||||||||||||||
| VP FINANCE (THRU 10/21) | $0 | $183,989 | $0 | $2,037 | $0 | $13,994 | $0 | $19,625 | $0 | $18,113 | $0 | $237,758 | $0 | $0 |
| Robyn Borge MD | ||||||||||||||
| BD OF GOV-MEMBR/CHF OF MED STF | $0 | $290,917 | $0 | $2,000 | $0 | $4,123 | $0 | $40,692 | $0 | $2,804 | $0 | $340,536 | $0 | $0 |
| Scott Rathgaber MD | ||||||||||||||
| CEO/BOARD OF GOVERNORS - MEMBR | $0 | $992,496 | $0 | $2,000 | $0 | $4,847 | $0 | $42,050 | $0 | $22,738 | $0 | $1,064,131 | $0 | $0 |
| Stephanie Carroll MD | ||||||||||||||
| FORMER MEDICAL VP THRU 20 | $0 | $293,496 | $0 | $4,600 | $0 | $0 | $0 | $36,302 | $0 | $25,837 | $0 | $360,235 | $0 | $0 |
| Todd Kowalski MD | ||||||||||||||
| MEDICAL VICE PRESIDENT | $0 | $448,096 | $0 | $6,500 | $0 | $43,516 | $0 | $42,050 | $0 | $28,830 | $0 | $568,992 | $0 | $0 |
| William Farrell | ||||||||||||||
| Chief Business & Strategy Offr | $0 | $416,166 | $0 | $2,000 | $0 | $5,164 | $0 | $42,050 | $0 | $54 | $0 | $465,434 | $0 | $0 |
| Chris Eberlein MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | $0 | $376,096 | $0 | $6,500 | $0 | $4,876 | $0 | $42,050 | $0 | $21,738 | $0 | $451,260 | $0 | $0 |
| Stephanie Neuman MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | $0 | $462,497 | $0 | $2,000 | $0 | $22 | $0 | $42,050 | $0 | $30,430 | $0 | $536,999 | $0 | $0 |
| Kurt Oettel MD | ||||||||||||||
| BOARD OF GOVERNORS - MEMBER | $0 | $466,829 | $0 | $4,500 | $0 | $51,055 | $0 | $42,050 | $0 | $21,738 | $0 | $586,172 | $0 | $0 |
| Todd Bille | ||||||||||||||
| VP GRWTH, STRATGY (THRU 10/21) | $0 | $179,921 | $0 | $2,000 | $0 | $16,662 | $0 | $25,166 | $0 | $8,167 | $0 | $231,916 | $0 | $0 |
| Kurt Ziegelbein MD | ||||||||||||||
| Medical Doctor | $0 | $999,890 | $0 | $2,000 | $0 | $4,692 | $0 | $42,050 | $0 | $24,488 | $0 | $1,073,120 | $0 | $0 |
| EZANA AZENE MD | ||||||||||||||
| BD OF GOVNRS -MEMBR (BEG 1/21) | $0 | $952,490 | $0 | $4,500 | $0 | $4,692 | $0 | $42,050 | $0 | $29,488 | $0 | $1,033,220 | $0 | $0 |
| CHRISTINE WALLER MD | ||||||||||||||
| BD OF GOVNRS -MEMBR (BEG 1/21) | $0 | $490,526 | $0 | $6,500 | $0 | $4,898 | $0 | $42,050 | $0 | $32,874 | $0 | $576,848 | $0 | $0 |
| Heather Schimmers | ||||||||||||||
| ADMIN OPERATING OFFCR/CNO | $0 | $124,831 | $0 | $0 | $0 | $21,026 | $0 | $10,938 | $0 | $2,997 | $0 | $159,792 | $0 | $0 |
| Praveen Chopra | ||||||||||||||
| Chief Information Officer | $0 | $285,975 | $0 | $0 | $0 | $215,518 | $0 | $42,050 | $0 | $24,816 | $0 | $568,359 | $0 | $0 |
| Stephen Shapiro MD | ||||||||||||||
| CHIEF MEDICAL FOUNDATION OFFCR | $0 | $481,429 | $0 | $6,500 | $0 | $24 | $0 | $42,050 | $0 | $28,830 | $0 | $558,833 | $0 | $0 |
| Andrea Hauser | ||||||||||||||
| VP PATIENT EXP & DEPT NURSING | $0 | $183,421 | $0 | $10,870 | $0 | $8,450 | $0 | $29,046 | $0 | $17,226 | $0 | $249,013 | $0 | $0 |
| Jack Schwartz | ||||||||||||||
| Vice President Foundation | $0 | $198,241 | $0 | $2,000 | $0 | $3,751 | $0 | $27,904 | $0 | $8,394 | $0 | $240,290 | $0 | $0 |
| MARK TOPOLSKI MD | ||||||||||||||
| MEDICAL DOCTOR | $0 | $994,658 | $0 | $2,000 | $0 | $6,671 | $0 | $42,050 | $0 | $17,982 | $0 | $1,063,361 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCH J, PART I LINES 2 & 3 | ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. |
| FORM 990, SCH J, PART II | GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. PROVIDES LEASED EMPLOYEES AND MANAGEMENT SERVICES TO GUNDERSEN CLINIC. THEREFORE, THE AMOUNTS REPORTED ON SCHEDULE J REPRESENT REIMBURSEMENTS TO GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I LINE 1 | TO PROVIDE MEDICAL AND SURGICAL SERVICES, ENGAGE IN MEDICAL EDUCATION AND RESEARCH, AND PROMOTE COMMUNITY HEALTH TO DELIVER THE HIGHEST QUALITY COMPREHENSIVE HEALTH CARE TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. |
| FORM 990, PART IV LINE 24A | TAX EXEMPT BONDS GUNDERSEN CLINIC, LTD. IS PART OF THE OBLIGATED GROUP (GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC., GUNDERSEN CLINIC, LTD., AND GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC.) AND TAX-EXEMPT DEBT RESIDES ON THE BALANCE SHEET OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. FEIN 39-1606449. |
| FORM 990, PART V LINES 1 & 2 | ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. AND ALL PAYMENTS TO VENDORS ARE MADE BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. HENCE LINES 1 & 2 INDICATE ZERO (0) FILINGS. |
| FORM 990, PART VI LINE 3 | ALL MANAGEMENT AND PERSONNEL SERVICES FOR GUNDERSEN LUTHERAN MEDICAL CENTER ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICE, INC. |
| FORM 990, PART VI LINE 6 | GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. |
| FORM 990, PART VI LINE 7A | THE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., HAS THE POWER TO APPOINT BOARD MEMBERS |
| FORM 990, PART VI LINE 7B | THE CORPORATION'S SOLE SHAREHOLDER IS GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. THE BYLAWS MAY BE AMENDED BY THE BOARD WITH APPROVAL OF THE PARENT CORPORATION, OR BY THE VOTE OF THE SOLE SHAREHOLDER. ALSO, THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED UNDER THE DIRECTION OF THE CORPORATION'S BOARD OF GOVERNORS, SUBJECT TO CERTAIN APPROVAL POWERS OF THE BOARD OF GOVERNORS AND BOARD OF TRUSTEES OF THE PARENT CORPORATION. |
| FORM 990, PART VI LINE 11B | THE FORM 990 WILL BE AVAILABLE FOR ALL BOARD MEMBERS AT A BOARD MEETING AND THE GUNDERSEN LUTHERAN HEALTH SYSTEM FINANCE COMMITTEE RECEIVES A COPY OF THE 990 BEFORE FILING. UPON FURTHER REVIEW FROM THE CFO AND/OR THE EXECUTIVE DIRECTOR FINANCE, THE 990S ARE APPROVED AND FILED. |
| FORM 990, PART VI LINE 12C | GUNDERSEN CLINIC, LTD. MONITORS CONFLICTS ON AN ANNUAL BASIS BY REVIEWING DISCLOSURES ON COMPLETED CONFLICT OF INTEREST STATEMENTS. |
| FORM 990, PART VI LINE 15 | ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. THE COMPENSATION OF THE CEO IS DETERMINED ANNUALLY BY A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THEIR DETERMINATION IS MADE AFTER A REVIEW OF MARKET DATA OBTAINED FROM SEVERAL ORGANIZATIONS AND CEO PERFORMANCE. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE SUCH DISCUSSIONS TAKE PLACE. RECOMMENDATIONS FOR COMPENSATION FOR THE ORGANIZATIONS' KEY MANAGEMENT EMPLOYEES ARE DEVELOPED ANNUALLY BY THE CEO, AFTER A REVIEW OF PERFORMANCE AND COMPARABLE MARKET DATA. THE PROPOSED SALARIES ARE INDEPENDENTLY REVIEWED BY AN OUTSIDE AUDITING FIRM. THE COMPENSATION RECOMMENDATIONS, AUDIT REPORTS, ALONG WITH THE MARKET DATA, ARE PRESENTED TO A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THE COMPENSATION AMOUNTS ARE NOT EFFECTIVE UNTIL THE BOARD COMMITTEE APPROVES THEM. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE THE BOARD REVIEWS AND APPROVES THE COMPENSATION OF THE KEY EMPLOYEES. |
| FORM 990, PART VI LINE 19 | REQUESTS FOR ALL DOCUMENTS ARE MADE THROUGH THE LEGAL DEPARTMENT AND THE APPROPRIATE DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION IN THE LEGAL DEPARTMENT. |
| FORM 990, PART VII, SECTION A, LINE 1 & PART VI SECTION A LINE 3 | GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. PROVIDES LEASED EMPLOYEES AND MANAGEMENT SERVICES TO GUNDERSEN CLINIC. THEREFORE, THE AMOUNTS REPORTED ON PART VII REPRESENT REIMBURSEMENTS TO GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. |
| FORM 990, PART VIII LINE 2A | THE PROVISION OF MEDICAL SERVICES IN A MANNER BENEFICIAL TO THE COMMUNITY FURTHERS GUNDERSEN CLINIC, LTD.'S CHARITABLE PURPOSE OF PROMOTION OF HEALTH. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| GUNDERSEN LUTHERAN HEALTH SYSTEMS INC | ||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391866425 | SUPTNG ORG | WI | 501(C)(3) | LINE 12B II | NA | false |
| GUNDERSEN LUTHERAN MEDICAL CENTER INC | ||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | 390813416 | HEALTHCARE | WI | 501(C)(3) | Line 3 | GLHS | false |
| GUNDERSEN LUTHERAN ADMINISTRATIVE SVC | ||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54061 | 391606449 | SUPTNG ORG | WI | 501(C)(3) | Line 12B II | GLHS | false |
| GUNDERSEN LUTHERAN MEDICAL FOUNDATION | ||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54061 | 391249705 | FOUNDATION | WI | 501(C)(3) | Line 7 | GLHS | false |
| GUNDERSEN LUTHERAN CREDENTIALING SVC IN | ||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54061 | 391856898 | CREDENTIALING | WI | 501(C)(3) | LN 12C III | GLHS | false |
| TRI-COUNTY MEMORIAL HOSPITAL | ||||||||||
| 18601 LINCOLN STREET | WHITEHALL | WI | 54773 | 390704510 | HEALTHCARE | WI | 501(C)(3) | Line 3 | GLHS | false |
| HARMONY COMMUNITY HEALTHCARE INC | ||||||||||
| 815 MAIN AVENUE | SOUTH HARMONY | MN | 55939 | 410711606 | HEALTHCARE | MN | 501(C)(3) | Line 10 | GLHS | false |
| TWEETEN LUTHERAN HEALTHCARE CENTER INC | ||||||||||
| 125 FIFTH AVENUE | SE SPRING GROVE | MN | 55974 | 411565003 | HEALTHCARE | MN | 501(C)(3) | Line 10 | GLHS | false |
| TRI-STATE AMBULANCE INC | ||||||||||
| 235 CAUSEWAY BOULEVARD | LA CROSSE | WI | 54603 | 391965415 | MDCL TRANSPO | WI | 501(C)(3) | Line 3 | GLHS | false |
| TRI-STATE REGIONAL AMBULANCE INC | ||||||||||
| 235 CAUSEWAY BOULEVARD | LA CROSSE | WI | 54603 | 391962965 | MDCL TRANSPO | WI | 501(C)(3) | Line 10 | GLHS | false |
| LUTHERAN REAL ESTATE HOLDING CORP | ||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391480826 | HOUSING | WI | 501(C)(3) | LN 12C III | GLHS | false |
| COMMUNITY HOUSING OF LA CROSSE INC | ||||||||||
| 1900 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391586700 | INDP LIVING | WI | 501(C)(3) | Line 10 | LRHC CORP | false |
| LUTHERAN HOUSING OF LA CROSSE | ||||||||||
| 1900 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391751934 | INDP LIVING | WI | 501(C)(3) | Line 10 | LREH CORP | false |
| ST JOSEPH'S HEALTH SERVICES INC | ||||||||||
| 400 WATER AVENUE | HILLSBORO | WI | 54634 | 390929538 | HEALTHCARE | WI | 501(C)(3) | Line 3 | GLHS | false |
| ST JOSEPH'S MEMORIAL FOUNDATION INC | ||||||||||
| 400 WATER AVENUE | HILLSBORO | WI | 54634 | 391455787 | FOUNDATION | WI | 501(C)(3) | Line 12A I | ST JO HTH SV | false |
| TRI-COUNTY MEMORIAL FOUNDATION INC | ||||||||||
| 18601 LINCOLN STREET | WHITEHALL | WI | 54773 | 300093022 | FOUNDATION | WI | 501(C)(3) | Line 12A I | TCMH | false |
| MEMORIAL HOSPITAL OF BOSCOBEL | ||||||||||
| 205 PARKER STREET | BOSCOBEL | WI | 53805 | 390845590 | HEALTHCARE | WI | 501(C)(3) | Line 3 | GLHS | false |
| MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION | ||||||||||
| 205 PARKER STREET | BOSCOBEL | WI | 53805 | 391688793 | FUNDRAISING | WI | 501(C)(3) | Line 7 | MH OF BOSCOB | false |
| BOSCOBEL AREA HEALTHCARE PARTNERS | ||||||||||
| 205 PARKER STREET | BOSCOBEL | WI | 53805 | 450498844 | FUNDRAISING | WI | 501(C)(3) | Line 7 | MH OF BOSCOB | false |
| PALMER LUTHERAN HEALTH CENTER INC | ||||||||||
| 112 JEFFERSON STREET | WEST UNION | IA | 52175 | 421320763 | HEALTHCARE | IA | 501(C)(3) | Line 3 | GLHS | false |
| PALMER MEMORIAL FOUNDATION | ||||||||||
| 112 JEFFERSON STREET | WEST UNION | IA | 52175 | 421032878 | FOUNDATION | IA | 501(C)(3) | Line 7 | PLHC | false |
| MOUNDVIEW MEMORIAL HOSPITALS AND CLINICS | ||||||||||
| 402 WEST LAKE STREET | FRIENDSHIP | WI | 53934 | 390944012 | HEALTHCARE | WI | 501(C)(3) | Line 3 | GLHS | false |
| MEMORIAL HEALTHCARE FOUNDATION OF ADAMS | ||||||||||
| 402 WEST LAKE STREET | FRIENDSHIP | WI | 53934 | 391775074 | FOUNDATION | WI | 501(C)(3) | Line 12A I | MDVW MEM HOS | false |
| SAINT ELIZABETH'S HOSPITAL OF WABASHA | ||||||||||
| 1200 5TH GRANT BOULEVARD WEST | WABASHA | MN | 55981 | 410693877 | HEALTHCARE | MN | 501(C)(3) | LINE 3 | GLHS | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUNDERSEN LUTHERAN ENVISION LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1836 SOUTH AVENUE | AddressLine1Txt |
| City | LA CROSSE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264706546 | EIN |
| Primary Activities | RENEWABLE ENERGY | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 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 | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Electing OrganizationElectingOrganizationInd | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GUNDERSEN CLINIC LTD | |||||||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391028657 | Yes (X) | $0 | $22,411 | $22,411 | $229,107,456 | $229,129,867 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| GUNDERSEN LUTHERAN ADMIN SE | |||||||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391606449 | Yes (X) | $0 | $358,231 | $358,231 | $912,034,520 | $912,392,751 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| GUNDERSEN LUTHERAN MEDICAL C | |||||||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | 390813416 | Yes (X) | $0 | $0 | $0 | $1,213,492,688 | $1,213,492,688 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| GUNDERSEN LUTHERAN HEALTH SY | |||||||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391866425 | Yes (X) | $0 | $0 | $0 | $406,710 | $406,710 | $81,342 | $20,336 | $0 | $0 | $0 |
Comments