GUNDERSEN CLINIC LTD: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- GUNDERSEN CLINIC LTD (EIN 39-1028657)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-08-14
- IRS object ID
- 202512269349303156
- Schema version
- 2023v6.0
- 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 | 2025-08-14T15:34:32+00:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
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 | 2023-10-01 | 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) |
|---|---|---|
| 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 | John Ceelen | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2025-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Emily Beckerman | PreparerPersonNm |
| PTIN | P01765498 | PTIN |
| Phone | 3128792000 | PhoneNum |
| Preparation | 2025-08-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTT RATHGABER MD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1836 SOUTH AVENUE | AddressLine1Txt |
| City | LA CROSSE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $244,409,936 | 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 | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $5,756,590 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $779,738 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,187,295 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $159,048,996 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $242,398,618 | CYProgramServiceRevenueAmt |
| PY Investment Income | $175,356 | PYInvestmentIncomeAmt |
| CY Investment Income | $323,956 | CYInvestmentIncomeAmt |
| PY Other Revenue | $288,880 | PYOtherRevenueAmt |
| CY Other Revenue | $392,699 | CYOtherRevenueAmt |
| PY Total Revenue | $160,292,970 | PYTotalRevenueAmt |
| CY Total Revenue | $244,302,568 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,747,508 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,592,147 | 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 | $224,045,849 | PYOtherExpensesAmt |
| CY Other Expenses | $323,887,609 | CYOtherExpensesAmt |
| PY Total Expenses | $227,793,357 | PYTotalExpensesAmt |
| CY Total Expenses | $327,479,756 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$67,500,387 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$83,177,188 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $218,304,419 | TotalAssetsBOYAmt |
| Total Assets EOY | $220,088,578 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $958,116,645 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,042,632,494 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$739,812,226 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$822,543,916 | NetAssetsOrFundBalancesEOYAmt |
| 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 | $290,206,794 | ExpenseAmt |
| Grant | $3,592,147 | GrantAmt |
| Revenue | $242,398,618 | RevenueAmt |
| Desc | See Schedule O | Desc |
| Total Program Service Expenses | $290,206,794 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| 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 | Yes (true) | 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 | 9 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN CEELEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6087827300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH AVENUE NCA1-01 | AddressLine1Txt |
| City | LA CROSSE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| EZANA AZENE MD | ||||||||||
| MEDICAL GOVERNORS - SECRETARY & TREASURER | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $923,307 | $70,278 | |||
| JENNIFER KLEVEN MD | ||||||||||
| MEDICAL GOVERNORS - CHAIR | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $380,649 | $49,697 | |||
| BENJAMIN JARMAN MD | ||||||||||
| MEDICAL GOVERNORS - MEMBER | 2.0 | 48.0 | Yes (X) | $0 | $472,425 | $68,372 | ||||
| BENJAMIN OROZCO MD | ||||||||||
| MEDICAL GOVERNORS - MEMBER | 2.0 | 48.0 | Yes (X) | $0 | $414,401 | $66,320 | ||||
| CHRISTOPHER EBERLEIN MD | ||||||||||
| MEDICAL GOVERNORS - MEMBER | 2.0 | 48.0 | Yes (X) | $0 | $398,553 | $70,228 | ||||
| DAVID GERHARD | ||||||||||
| MEDICAL GOVERNORS - MEMBER (BEGIN 10/24) | 2.0 | 48.0 | Yes (X) | $0 | $301,230 | $65,600 | ||||
| ELIZABETH COGBILL MD | ||||||||||
| MEDICAL GOVERNORS - MEMBER | 2.0 | 48.0 | Yes (X) | $0 | $232,396 | $41,006 | ||||
| PAUL BERGL | ||||||||||
| MEDICAL GOVERNORS - MEMBER (BEGIN 10/24) | 2.0 | 48.0 | Yes (X) | $0 | $495,425 | $74,074 | ||||
| ROBYN BORGE MD | ||||||||||
| MEDICAL GOVERNORS - MEMBER (THRU 1/24) | 2.0 | 48.0 | Yes (X) | $0 | $320,728 | $47,055 | ||||
| STEPHANIE CARROLL MD | ||||||||||
| MEDICAL GOVERNORS - MEMBER | 2.0 | 48.0 | Yes (X) | $0 | $312,603 | $65,146 | ||||
| TREY FOLKERS MD | ||||||||||
| MEDICAL GOVERNORS - MEMBER (THRU 7/24) | 2.0 | 48.0 | Yes (X) | $0 | $771,264 | $70,278 | ||||
| HEATHER SCHIMMERS RN | ||||||||||
| SOUTHERN COUNTIES REGIONAL PRESIDENT, EX-OFFICIO | 2.0 | 48.0 | Yes (X) | $0 | $746,172 | $68,378 | ||||
| JOHN CEELEN | ||||||||||
| CHIEF FINANCIAL OFFICER, TREASURER (BEGIN 2/24) | 2.0 | 48.0 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT RATHGABER MD | ||||||||||
| CHIEF EXECUTIVE OFFICER | 2.0 | 48.0 | Yes (X) | $0 | $1,644,221 | $68,728 | ||||
| STEVE LITTLE | ||||||||||
| INTERIM CHIEF FINANCIAL OFFICER, TREASURER (THRU 2/24) | 2.0 | 48.0 | Yes (X) | $0 | $333,317 | $0 | ||||
| ANDREA WERNER | ||||||||||
| CHIEF POPULATION OFFICER | 0.0 | 50.0 | $0 | $365,199 | $27,093 | Yes (X) | ||||
| LEANNE ANDERSEN | ||||||||||
| CHIEF PEOPLE OFFICER | 0.0 | 50.0 | $0 | $564,301 | $63,599 | Yes (X) | ||||
| LISA HARTON | ||||||||||
| CHIEF QUALITY OFFICER | 0.0 | 50.0 | $0 | $397,926 | $29,182 | Yes (X) | ||||
| MICHAEL DOLAN MD | ||||||||||
| SOUTHERN CHIEF CLINICAL OFFICER | 0.0 | 50.0 | $0 | $641,369 | $73,420 | Yes (X) | ||||
| PRAVEEN CHOPRA | ||||||||||
| CHIEF DIGITAL AND INFORMATION OFFICER | 0.0 | 50.0 | $0 | $654,982 | $70,973 | Yes (X) | ||||
| WILLIAM FARRELL | ||||||||||
| CHIEF INNOVATION & STRATEGY OFFICER | 0.0 | 50.0 | $0 | $628,350 | $45,544 | Yes (X) | ||||
| DOUGLAS HUGHES MD | ||||||||||
| MEDICAL DOCTOR | 0.0 | 50.0 | $0 | $1,117,078 | $54,028 | Yes (X) | ||||
| JEFFREY M LAWRENCE MD | ||||||||||
| MEDICAL DOCTOR | 0.0 | 50.0 | $0 | $1,235,980 | $67,228 | Yes (X) | ||||
| JERRY DAVIS MD | ||||||||||
| MEDICAL DOCTOR | 0.0 | 50.0 | $0 | $1,155,808 | $54,028 | Yes (X) | ||||
| MARK S TOPOLSKI MD | ||||||||||
| MEDICAL DOCTOR | 0.0 | 50.0 | $0 | $1,324,346 | $68,228 | Yes (X) | ||||
| STEVEN WHITFORD MD | ||||||||||
| MEDICAL DOCTOR | 0.0 | 50.0 | $0 | $1,056,501 | $70,228 | Yes (X) | ||||
| ANDREA HAUSER RN | ||||||||||
| CHIEF NURSING OFFICER AND ADMIN VP | 0.0 | 50.0 | $0 | $281,106 | $57,300 | Yes (X) | ||||
| BRYAN ERDMANN | ||||||||||
| CHIEF OPERATING OFFICER | 0.0 | 50.0 | $0 | $409,876 | $74,345 | Yes (X) | ||||
| DANIEL LILLY | ||||||||||
| GENERAL COUNSEL | 0.0 | 50.0 | $0 | $567,316 | $69,978 | Yes (X) | ||||
| ELLEN PEDRETTI-FENDT | ||||||||||
| VP APPLICATION SERVICES | 0.0 | 50.0 | $0 | $220,508 | $58,022 | Yes (X) | ||||
| ERIC DEHN | ||||||||||
| VP ENTERPRISE ARCHITECTURE AND SOLUTION DESIGN | 0.0 | 50.0 | $0 | $381,846 | $66,826 | Yes (X) | ||||
| GERALD OETZEL | ||||||||||
| FORMER CHIEF FINANCIAL OFFICER | 0.0 | 0.0 | $0 | $555,068 | $18,108 | Yes (X) | ||||
| JANINE LUZ | ||||||||||
| VICE PRESIDENT LEARNING | 0.0 | 50.0 | $0 | $285,213 | $58,985 | Yes (X) | ||||
| JONATHAN ZLABEK MD | ||||||||||
| MEDICAL VICE PRESIDENT | 0.0 | 50.0 | $0 | $408,248 | $63,534 | Yes (X) | ||||
| KARI ADANK | ||||||||||
| VICE PRESIDENT COMPLIANCE | 0.0 | 50.0 | $0 | $306,012 | $70,013 | Yes (X) | ||||
| KRAIG SCHUSTER | ||||||||||
| ADMINISTRATIVE VICE PRESIDENT | 0.0 | 50.0 | $0 | $306,457 | $57,554 | Yes (X) | ||||
| KRISTER MATTSON | ||||||||||
| VP ENTERPRISE ANALYTICS | 0.0 | 50.0 | $0 | $357,728 | $57,201 | Yes (X) | ||||
| MARILU BINTZ MD | ||||||||||
| CHIEF POPULATION HEALTH OFFICER | 0.0 | 50.0 | $0 | $539,145 | $53,893 | Yes (X) | ||||
| MARY KUFFEL MD | ||||||||||
| INTERIM MEDICAL VP, CROSS-FUNCTIONAL CARE | 0.0 | 50.0 | $0 | $281,919 | $11,860 | Yes (X) | ||||
| MICHAEL MCKEE | ||||||||||
| Administrative Vice President | 0.0 | 50.0 | $0 | $281,060 | $70,085 | Yes (X) | ||||
| P MICHAEL JACOBS MD | ||||||||||
| MEDICAL VICE PRESIDENT | 0.0 | 50.0 | $0 | $209,528 | $38,355 | Yes (X) | ||||
| PAMELA MAAS | ||||||||||
| FORMER VICE PRESIDENT BUSINESS SERVICES | 0.0 | 0.0 | $0 | $119,446 | $0 | Yes (X) | ||||
| SHANNON MULLIGAN | ||||||||||
| VP HR & TOTAL REWARDS | 0.0 | 50.0 | $0 | $330,284 | $51,715 | Yes (X) | ||||
| STEPHEN SHAPIRO MD | ||||||||||
| CHIEF MEDICAL FOUNDATION OFFICER | 0.0 | 50.0 | $0 | $519,488 | $69,648 | Yes (X) | ||||
| TODD KOWALSKI MD | ||||||||||
| MEDICAL VICE PRESIDENT | 0.0 | 50.0 | $0 | $538,862 | $74,320 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $23,787,641 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,470,453 | 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 |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $483,936 | RelatedOrganizationsAmt |
| Government Grants | $677,109 | GovernmentGrantsAmt |
| All Other Contributions | $26,250 | AllOtherContributionsAmt |
| Total Contributions | $1,187,295 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MEDICAL SERVICE PROVIDED | 621498 | $236,914,982 | $236,642,028 | $272,954 |
| ONLINE SALES - DERM AND PLASTICS | 446199 | $296,922 | $296,922 | |
| VISION | 446130 | $253,842 | $253,842 | |
| PHARMACY | 446110 | $2,160,398 | $2,160,398 | |
| DIAGNOSTIC TESTING INCOME | 621511 | $2,772,474 | $2,772,474 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $242,398,618 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $323,956 | TotalRevenueColumnAmt |
| Exclusion | $323,956 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $500,067 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $107,368 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $392,699 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $392,699 | TotalRevenueColumnAmt |
| Exclusion | $392,699 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $244,302,568 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $236,642,028 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,756,590 | UnrelatedBusinessRevenueAmt |
| Exclusion | $716,655 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,365,630 | TotalAmt |
| Program Services | $1,365,630 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,226,517 | TotalAmt |
| Program Services | $2,226,517 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,651,546 | TotalAmt |
| Program Services | $84,749,413 | ProgramServicesAmt |
| Management And General | $10,902,133 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,102 | TotalAmt |
| Program Services | $6,102 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,515 | TotalAmt |
| Program Services | $27,515 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,600 | TotalAmt |
| Management And General | $6,600 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,611,304 | TotalAmt |
| Program Services | $13,202,493 | ProgramServicesAmt |
| Management And General | $408,811 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,751 | TotalAmt |
| Program Services | $22,751 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,912,567 | TotalAmt |
| Program Services | $1,845,580 | ProgramServicesAmt |
| Management And General | $66,987 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $624,725 | TotalAmt |
| Program Services | $562,678 | ProgramServicesAmt |
| Management And General | $62,047 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,597,598 | TotalAmt |
| Program Services | $3,385,263 | ProgramServicesAmt |
| Management And General | $2,212,335 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699,634 | TotalAmt |
| Program Services | $697,852 | ProgramServicesAmt |
| Management And General | $1,782 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,780 | TotalAmt |
| Program Services | $40,780 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,662,639 | TotalAmt |
| Program Services | $7,334,231 | ProgramServicesAmt |
| Management And General | $5,328,408 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,176,164 | TotalAmt |
| Program Services | $71,610 | ProgramServicesAmt |
| Management And General | $2,104,554 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Leased Employees | $155,779,626 | $139,744,218 | $16,035,408 |
| Supplies/Bad Debts | $33,721,273 | $33,580,513 | $140,760 |
| Dues/Memberships/Licenses | $1,003,917 | $1,003,917 | |
| Taxes | $181,323 | $180,433 | $890 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,545 | TotalAmt |
| Program Services | $159,298 | ProgramServicesAmt |
| Management And General | $2,247 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,479,756 | TotalAmt |
| Program Services | $290,206,794 | ProgramServicesAmt |
| Management And General | $37,272,962 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,757 | BOYAmt |
| EOY | $102,658 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,675,090 | BOYAmt |
| EOY | $20,036,711 | 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 |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,675,280 | BOYAmt |
| EOY | $12,565,031 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $252,498 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $418,397,881 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $248,353,116 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,968,162 | BOYAmt |
| EOY | $170,044,765 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,234,045 | BOYAmt |
| EOY | $8,964,680 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,031,994 | BOYAmt |
| EOY | $2,218,422 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,618,091 | BOYAmt |
| EOY | $5,903,813 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,304,419 | BOYAmt |
| EOY | $220,088,578 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,675,704 | BOYAmt |
| EOY | $3,249,971 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| 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 |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $954,440,941 | BOYAmt |
| EOY | $1,039,382,523 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $958,116,645 | BOYAmt |
| EOY | $1,042,632,494 | 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 | -$739,812,226 | BOYAmt |
| EOY | -$822,543,916 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$739,812,226 | BOYAmt |
| EOY | -$822,543,916 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,304,419 | BOYAmt |
| EOY | $220,088,578 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$83,177,188 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $445,498 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
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 |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $0 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Private Foundation509 | Yes (X) | PrivateFoundation509Ind |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| CY Adj Net Income Distributable | $0 | CYAdjNetIncomeDistributableAmt |
| CY Pct85 Adjusted Net Income | $0 | CYPct85AdjustedNetIncomeAmt |
| CY Total Min Ast Distributable | $0 | CYTotalMinAstDistributableAmt |
| CY Greater Adjusted Minimum | $0 | CYGreaterAdjustedMinimumAmt |
| CY Income Tax Imposed PY | $0 | CYIncomeTaxImposedPYAmt |
| CY Distributable As Adjusted | $0 | CYDistributableAsAdjustedAmt |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part I, Line 12g INFORMATION ON SUPPORTED ORGANIZATIONS | 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) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $27,515 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $429,679 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $27,515 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $429,679 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $327,452,241 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $3,008,234,408 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $327,479,756 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $3,008,664,087 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $380,642 | CurrentYearMinus3Amt |
| Current Year Minus2 | $242,027 | CurrentYearMinus2Amt |
| Current Year Minus1 | $276,873 | CurrentYearMinus1Amt |
| Current Year | $429,679 | CurrentYearAmt |
| Total | $1,329,221 | 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 Minus1 | $0 | CurrentYearMinus1Amt |
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-A, Line 2a, Column (e) | FormAndLineReferenceDesc |
| Explanation | The 4-year average period includes the current and 4 prior tax periods, which includes a short year period from January 1, 2023, through September 30, 2023. The 4 periods included in the average are 2021, 2022, Short Year 2023, and Fiscal Year 2023. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,284,604 | OtherCostOrOtherBasisAmt |
| Book Value | $8,284,604 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $286,197,859 | OtherCostOrOtherBasisAmt |
| Depreciation | $149,924,356 | DepreciationAmt |
| Book Value | $136,273,503 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,079,491 | OtherCostOrOtherBasisAmt |
| Depreciation | $96,437,467 | DepreciationAmt |
| Book Value | $23,642,024 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,835,927 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,991,293 | DepreciationAmt |
| Book Value | $1,844,634 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $170,044,765 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLE | $1,026,194,798 |
| MALPRACTICE CLAIM RESERVE | $7,799,628 |
| ASSET RETIREMENT OBLIGATIONS | $1,319,028 |
| OPERATING LEASE OBLIGATIONS | $4,069,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,039,382,523 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | INCOME TAX MATTERS (DOLLARS IN THOUSANDS) THE SYSTEM QUALIFIES AS A TAX-EXEMPT ORGANIZATIO UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), WITH THE EXCEPTION OF GUNDERSEN LUTHERAN ENVISION, LLC AND GUNDERSEN EDGE, LLC, WHICH ARE FOR-PROFIT ENTITIES. At September 30, 2024 and 2023, net deferred tax assets of $11,395 and $10,512, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $11,395 and $10,512, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At September 30, 2024, the System's federal net operating loss carryforwards were approximately $43,489, and the state net operating loss carryforwards were approximately $41,989, which will expire between 2032 and 2041. 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 2018 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 | $1,309,464 | 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 | 3218 | RecipientCnt |
| Non Cash Assistance | $2,226,517 | 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 | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds | 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 | Yes (true) | 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 |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (44 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EZANA AZENE MD | ||||||||||||||
| MEDICAL GOVERNORS - SECRETARY & TREASURER | $0 | $918,159 | $0 | $0 | $0 | $5,148 | $0 | $45,225 | $0 | $25,053 | $0 | $993,585 | $0 | $0 |
| JENNIFER KLEVEN MD | ||||||||||||||
| MEDICAL GOVERNORS - CHAIR | $0 | $379,467 | $0 | $0 | $0 | $1,182 | $0 | $44,720 | $0 | $4,977 | $0 | $430,346 | $0 | $0 |
| ROBYN BORGE MD | ||||||||||||||
| MEDICAL GOVERNORS - MEMBER (THRU 1/24) | $0 | $314,833 | $0 | $0 | $0 | $5,895 | $0 | $44,736 | $0 | $2,319 | $0 | $367,783 | $0 | $0 |
| ELIZABETH COGBILL MD | ||||||||||||||
| MEDICAL GOVERNORS - MEMBER | $0 | $228,885 | $0 | $0 | $0 | $3,511 | $0 | $30,873 | $0 | $10,133 | $0 | $273,402 | $0 | $0 |
| CHRISTOPHER EBERLEIN MD | ||||||||||||||
| MEDICAL GOVERNORS - MEMBER | $0 | $391,338 | $0 | $2,000 | $0 | $5,215 | $0 | $45,225 | $0 | $25,003 | $0 | $468,781 | $0 | $0 |
| PAUL BERGL | ||||||||||||||
| MEDICAL GOVERNORS - MEMBER (BEGIN 10/24) | $0 | $457,410 | $0 | $2,000 | $0 | $36,015 | $0 | $41,229 | $0 | $32,845 | $0 | $569,499 | $0 | $0 |
| STEPHANIE CARROLL MD | ||||||||||||||
| MEDICAL GOVERNORS - MEMBER | $0 | $312,018 | $0 | $0 | $0 | $585 | $0 | $38,790 | $0 | $26,356 | $0 | $377,749 | $0 | $0 |
| TREY FOLKERS MD | ||||||||||||||
| MEDICAL GOVERNORS - MEMBER (THRU 7/24) | $0 | $763,954 | $0 | $2,000 | $0 | $5,310 | $0 | $45,225 | $0 | $25,053 | $0 | $841,542 | $0 | $0 |
| DAVID GERHARD | ||||||||||||||
| MEDICAL GOVERNORS - MEMBER (BEGIN 10/24) | $0 | $294,670 | $0 | $2,000 | $0 | $4,560 | $0 | $43,597 | $0 | $22,003 | $0 | $366,830 | $0 | $0 |
| BENJAMIN JARMAN MD | ||||||||||||||
| MEDICAL GOVERNORS - MEMBER | $0 | $466,819 | $0 | $0 | $0 | $5,606 | $0 | $45,225 | $0 | $23,147 | $0 | $540,797 | $0 | $0 |
| BENJAMIN OROZCO MD | ||||||||||||||
| MEDICAL GOVERNORS - MEMBER | $0 | $412,928 | $0 | $1,000 | $0 | $473 | $0 | $45,225 | $0 | $21,095 | $0 | $480,721 | $0 | $0 |
| STEPHEN SHAPIRO MD | ||||||||||||||
| CHIEF MEDICAL FOUNDATION OFFICER | $0 | $518,186 | $0 | $0 | $0 | $1,302 | $0 | $45,225 | $0 | $24,423 | $0 | $589,136 | $0 | $0 |
| MARILU BINTZ MD | ||||||||||||||
| CHIEF POPULATION HEALTH OFFICER | $0 | $501,038 | $0 | $0 | $0 | $38,107 | $0 | $45,225 | $0 | $8,668 | $0 | $593,038 | $0 | $0 |
| STEVE LITTLE | ||||||||||||||
| INTERIM CHIEF FINANCIAL OFFICER, TREASURER (THRU 2/24) | $0 | $258,317 | $0 | $75,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $333,317 | $0 | $0 |
| SCOTT RATHGABER MD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $0 | $1,274,504 | $0 | $200,000 | $0 | $169,717 | $0 | $45,225 | $0 | $23,503 | $0 | $1,712,949 | $0 | $0 |
| HEATHER SCHIMMERS RN | ||||||||||||||
| SOUTHERN COUNTIES REGIONAL PRESIDENT, EX-OFFICIO | $0 | $579,789 | $0 | $160,770 | $0 | $5,613 | $0 | $45,225 | $0 | $23,153 | $0 | $814,550 | $0 | $0 |
| DANIEL LILLY | ||||||||||||||
| GENERAL COUNSEL | $0 | $501,033 | $0 | $60,000 | $0 | $6,283 | $0 | $45,225 | $0 | $24,753 | $0 | $637,294 | $0 | $0 |
| GERALD OETZEL | ||||||||||||||
| FORMER CHIEF FINANCIAL OFFICER | $0 | $480,094 | $0 | $70,000 | $0 | $4,974 | $0 | $12,220 | $0 | $5,888 | $0 | $573,176 | $0 | $0 |
| KARI ADANK | ||||||||||||||
| VICE PRESIDENT COMPLIANCE | $0 | $258,914 | $0 | $46,000 | $0 | $1,098 | $0 | $44,381 | $0 | $25,632 | $0 | $376,025 | $0 | $0 |
| ERIC DEHN | ||||||||||||||
| VP ENTERPRISE ARCHITECTURE AND SOLUTION DESIGN | $0 | $301,856 | $0 | $79,250 | $0 | $740 | $0 | $45,225 | $0 | $21,601 | $0 | $448,672 | $0 | $0 |
| BRYAN ERDMANN | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $408,646 | $0 | $0 | $0 | $1,230 | $0 | $45,225 | $0 | $29,120 | $0 | $484,221 | $0 | $0 |
| ANDREA HAUSER RN | ||||||||||||||
| CHIEF NURSING OFFICER AND ADMIN VP | $0 | $276,740 | $0 | $0 | $0 | $4,366 | $0 | $39,569 | $0 | $17,731 | $0 | $338,406 | $0 | $0 |
| TODD KOWALSKI MD | ||||||||||||||
| MEDICAL VICE PRESIDENT | $0 | $536,271 | $0 | $2,000 | $0 | $591 | $0 | $45,225 | $0 | $29,095 | $0 | $613,182 | $0 | $0 |
| MARY KUFFEL MD | ||||||||||||||
| INTERIM MEDICAL VP, CROSS-FUNCTIONAL CARE | $0 | $244,971 | $0 | $0 | $0 | $36,948 | $0 | $10,186 | $0 | $1,674 | $0 | $293,779 | $0 | $0 |
| JANINE LUZ | ||||||||||||||
| VICE PRESIDENT LEARNING | $0 | $235,089 | $0 | $45,000 | $0 | $5,124 | $0 | $41,054 | $0 | $17,931 | $0 | $344,198 | $0 | $0 |
| KRISTER MATTSON | ||||||||||||||
| VP ENTERPRISE ANALYTICS | $0 | $299,275 | $0 | $58,000 | $0 | $453 | $0 | $39,590 | $0 | $17,611 | $0 | $414,929 | $0 | $0 |
| MICHAEL MCKEE | ||||||||||||||
| Administrative Vice President | $0 | $279,802 | $0 | $0 | $0 | $1,258 | $0 | $41,528 | $0 | $28,557 | $0 | $351,145 | $0 | $0 |
| SHANNON MULLIGAN | ||||||||||||||
| VP HR & TOTAL REWARDS | $0 | $272,825 | $0 | $53,000 | $0 | $4,459 | $0 | $41,582 | $0 | $10,133 | $0 | $381,999 | $0 | $0 |
| ELLEN PEDRETTI-FENDT | ||||||||||||||
| VP APPLICATION SERVICES | $0 | $219,171 | $0 | $0 | $0 | $1,337 | $0 | $32,432 | $0 | $25,590 | $0 | $278,530 | $0 | $0 |
| KRAIG SCHUSTER | ||||||||||||||
| ADMINISTRATIVE VICE PRESIDENT | $0 | $302,204 | $0 | $0 | $0 | $4,253 | $0 | $44,080 | $0 | $13,474 | $0 | $364,011 | $0 | $0 |
| JONATHAN ZLABEK MD | ||||||||||||||
| MEDICAL VICE PRESIDENT | $0 | $388,611 | $0 | $4,000 | $0 | $15,637 | $0 | $45,201 | $0 | $18,333 | $0 | $471,782 | $0 | $0 |
| P MICHAEL JACOBS MD | ||||||||||||||
| MEDICAL VICE PRESIDENT | $0 | $159,868 | $0 | $0 | $0 | $49,660 | $0 | $30,266 | $0 | $8,089 | $0 | $247,883 | $0 | $0 |
| PAMELA MAAS | ||||||||||||||
| FORMER VICE PRESIDENT BUSINESS SERVICES | $0 | $0 | $0 | $0 | $0 | $119,446 | $0 | $0 | $0 | $0 | $0 | $119,446 | $0 | $0 |
| LEANNE ANDERSEN | ||||||||||||||
| CHIEF PEOPLE OFFICER | $0 | $460,498 | $0 | $99,114 | $0 | $4,689 | $0 | $41,063 | $0 | $22,536 | $0 | $627,900 | $0 | $0 |
| PRAVEEN CHOPRA | ||||||||||||||
| CHIEF DIGITAL AND INFORMATION OFFICER | $0 | $559,970 | $0 | $50,000 | $0 | $45,012 | $0 | $45,225 | $0 | $25,748 | $0 | $725,955 | $0 | $0 |
| MICHAEL DOLAN MD | ||||||||||||||
| SOUTHERN CHIEF CLINICAL OFFICER | $0 | $635,594 | $0 | $4,000 | $0 | $1,775 | $0 | $45,225 | $0 | $28,195 | $0 | $714,789 | $0 | $0 |
| WILLIAM FARRELL | ||||||||||||||
| CHIEF INNOVATION & STRATEGY OFFICER | $0 | $481,600 | $0 | $141,200 | $0 | $5,550 | $0 | $45,225 | $0 | $319 | $0 | $673,894 | $0 | $0 |
| LISA HARTON | ||||||||||||||
| CHIEF QUALITY OFFICER | $0 | $333,861 | $0 | $63,651 | $0 | $414 | $0 | $18,933 | $0 | $10,249 | $0 | $427,108 | $0 | $0 |
| ANDREA WERNER | ||||||||||||||
| CHIEF POPULATION OFFICER | $0 | $306,068 | $0 | $58,357 | $0 | $774 | $0 | $16,382 | $0 | $10,711 | $0 | $392,292 | $0 | $0 |
| JERRY DAVIS MD | ||||||||||||||
| MEDICAL DOCTOR | $0 | $1,048,863 | $0 | $0 | $0 | $106,945 | $0 | $32,025 | $0 | $22,003 | $0 | $1,209,836 | $0 | $0 |
| DOUGLAS HUGHES MD | ||||||||||||||
| MEDICAL DOCTOR | $0 | $1,112,004 | $0 | $0 | $0 | $5,074 | $0 | $32,025 | $0 | $22,003 | $0 | $1,171,106 | $0 | $0 |
| JEFFREY M LAWRENCE MD | ||||||||||||||
| MEDICAL DOCTOR | $0 | $1,229,704 | $0 | $0 | $0 | $6,276 | $0 | $45,225 | $0 | $22,003 | $0 | $1,303,208 | $0 | $0 |
| MARK S TOPOLSKI MD | ||||||||||||||
| MEDICAL DOCTOR | $0 | $1,317,080 | $0 | $2,000 | $0 | $5,266 | $0 | $45,225 | $0 | $23,003 | $0 | $1,392,574 | $0 | $0 |
| STEVEN WHITFORD MD | ||||||||||||||
| MEDICAL DOCTOR | $0 | $1,049,337 | $0 | $2,000 | $0 | $5,164 | $0 | $45,225 | $0 | $25,003 | $0 | $1,126,729 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | ALL PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | PAMELA MAAS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR PURSUANT TO A CONFIDENTIAL SEVERANCE AGREEMENT. THE PAYMENT IS INCLUDED IN PART VII, COLUMN D AND SCHEDULE J, PART II, COLUMN B(III). |
| Schedule J, Part II LEASED EMPLOYEES AND MANAGEMENT SERVICES | GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. PROVIDES LEASED EMPLOYEES AND MANAGEMENT SERVICES TO GUNDERSEN CLINIC, LTD. 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 III, Line 4a Program Service Accomplishments | GUNDERSEN CLINIC, LTD. (THE CLINIC) HAS 738 PHYSICIANS REPRESENTING NEARLY EVERY SPECIALTY SERVING A 21 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 1,144,681 PATIENT ENCOUNTERS FOR FY2024 (OCT-SEP). THE CLINIC PROVIDED UNCOMPENSATED CARE RELATED TO CHARITY AT COST, $1,822,561; MEDICARE, $142,043,878; AND MEDICAID, $48,952,997 FOR THE TOTAL AMOUNT OF $192,819,436 AT COST BASED ON POLICIES AND CONTRACTS ARRANGED TO HELP SUPPORT THE COMMUNITY'S NEEDS. THE $192,819,436 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 WRITEOFFS 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. |
| Form 990, Part V, Line 1a AND Line 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 15 A AND B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | 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 3 Delegation of management duties | ALL MANAGEMENT AND PERSONNEL SERVICES FOR GUNDERSEN CLINIC, LTD. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICE, INC. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., HAS THE POWER TO APPOINT BOARD MEMBERS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | 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 MEDICAL GOVERNORS, SUBJECT TO CERTAIN APPROVAL POWERS OF THE BOARD OF TRUSTEES OF THE PARENT CORPORATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 WILL BE AVAILABLE FOR ALL BOARD MEMBERS BEFORE FILING AND UPON FURTHER REVIEW BY THE CFO, VICE-PRESIDENT OF FINANCE OR DIRECTOR OF FINANCE, THE 990S ARE APPROVED AND FILED. |
| Form 990, Part VI, Line 12c Conflict of interest policy | GUNDERSEN CLINIC, LTD. MONITORS CONFLICTS ON AN ANNUAL BASIS BY REVIEWING DISCLOSURES ON COMPLETED CONFLICT OF INTEREST STATEMENTS. |
| Form 990, Part VI, Line 19 Required documents available to the public | REQUESTS FOR ALL DOCUMENTS ARE MADE THROUGH THE LEGAL DEPARTMENT AND THE APPROPRIATE DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION IN THE LEGAL DEPARTMENT. |
| Form 990, Part VII, Section A, Line 1a, Column (C) FORMER REPORTING | THE FOLLOWING INDIVIDUALS ARE NO LONGER CONSIDERED OFFICERS FOR PURPOSES OF FORM 990 REPORTING: STEPHEN SHAPIRO, MD THE FOLLOWING INDIVIDUALS ARE NO LONGER CONSIDERED KEY EMPLOYEES FOR PURPOSES OF FORM 990 REPORTING: DANIEL LILLY TODD KOWALSKI, MD JOHNATHAN ZLABEK, MD MARILU BINTZ, MD ERIC DEHN KRISTER MATTSON SHANNON MULLIGAN KARI ADANK JANINE LUZ ELLEN PEDRETTI-FENDT P MICHAEL JACOBS, MD BRYAN ERDMANN MARY KUFFELL, MD KRAIG SCHUSTER MICHAEL MCKEE ANDREA HAUSER, RN |
| FORM 990, PART I, LINE 1 - ORGANIZATION'S 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. |
| FORM 990, PART VIII, LINE 2A - PROGRAM SERVICE REVENUE | 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 Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gundersen Regional Clinics 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) |
|---|---|---|
| Primary Activities | Healthcare | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Total Income | $4,075,584 | TotalIncomeAmt |
| End Of Year Assets | $4,075,587 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC (39-1866425) | |||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 391866425 | SUPPORTING ORG | WI | 501(c)(3) | Type II | BGHS | false |
| GUNDERSEN LUTHERAN MEDICAL CENTER INC (39-0813416) | |||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | HEALTHCARE | WI | 501(c)(3) | 3 | GLHS | false |
| GUNDERSEN LUTHERAN ADM SERVICES INC (39-1606449) | |||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | SUPPORTING ORG | WI | 501(c)(3) | Type II | GLHS | false |
| GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC (39-1249705) | |||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | FOUNDATION | WI | 501(c)(3) | 7 | GLHS | false |
| TRI-COUNTY MEMORIAL HOSPITAL INC (39-0704510) | |||||||||
| 18601 LINCOLN STREET | WHITEHALL | WI | 54773 | HEALTHCARE | WI | 501(c)(3) | 3 | GLHS | false |
| HARMONY COMMUNITY HEALTHCARE INC (41-0711606) | |||||||||
| 815 MAIN AVENUE | HARMONY | MN | 55939 | HEALTHCARE | MN | 501(c)(3) | 10 | GLHS | false |
| TWEETEN LUTHERAN HEALTHCARE CENTER INC (41-1565003) | |||||||||
| 125 FIFTH AVENUE SE | SPRING GROVE | MN | 55974 | HEALTHCARE | MN | 501(c)(3) | 10 | GLHS | false |
| TRI-STATE AMBULANCE INC (39-1965415) | |||||||||
| 235 CAUSEWAY BLVD | LA CROSSE | WI | 54603 | MEDICAL TRANSPORT | WI | 501(c)(3) | 3 | GLHS | false |
| TRI-STATE REGIONAL AMBULANCE INC (39-1962965) | |||||||||
| 235 CAUSEWAY BLVD | LA CROSSE | WI | 54603 | MEDICAL TRANSPORT | WI | 501(c)(3) | 10 | GLHS | false |
| LUTHERAN REAL ESTATE HOLDING CORPORATION (39-1480826) | |||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | HOUSING | WI | 501(c)(3) | Type III-FI | GLHS | false |
| COMMUNITY HOUSING OF LA CROSSE INC (39-1586700) | |||||||||
| 1900 SOUTH AVENUE | LA CROSSE | WI | 54601 | INDEPENDENT LIVING | WI | 501(c)(3) | 10 | LREH CORP | false |
| LUTHERAN HOUSING OF LA CROSSE INC (39-1751934) | |||||||||
| 1900 SOUTH AVENUE | LA CROSSE | WI | 54601 | INDEPENDENT LIVING | WI | 501(c)(3) | 10 | LREH CORP | false |
| ST JOSEPH'S HEALTH SERVICES INC (39-0929538) | |||||||||
| 400 WATER AVENUE | HILLSBORO | WI | 54634 | HEALTHCARE | WI | 501(c)(3) | 3 | GLHS | false |
| ST JOSEPH'S MEMORIAL FOUNDATION INC (39-1455787) | |||||||||
| 400 WATER AVENUE | HILLSBORO | WI | 54634 | FOUNDATION | WI | 501(c)(3) | Type I | ST JO HTH SV | false |
| TRI-COUNTY MEMORIAL FOUNDATION INC (30-0093022) | |||||||||
| 18601 LINCOLN STREET | WHITEHALL | WI | 54773 | FOUNDATION | MN | 501(c)(3) | Type I | TRI CTY HSPT | false |
| MEMORIAL HOSPITAL OF BOSCOBEL (39-0845590) | |||||||||
| 205 PARKER STREET | BOSCOBEL | WI | 53805 | HEALTHCARE | WI | 501(c)(3) | 3 | GLHS | false |
| PALMER LUTHERAN HEALTH CENTER INC (42-1320763) | |||||||||
| 112 JEFFERSON STREET | WEST UNION | IA | 52175 | HEALTHCARE | IA | 501(c)(3) | 3 | GLHS | false |
| MOUNDVIEW MEMORIAL HOSPITALS & CLINICS (39-0944012) | |||||||||
| 402 WEST LAKE STREET | FRIENDSHIP | WI | 53934 | HEALTHCARE | WI | 501(c)(3) | 3 | GLHS | false |
| MEMORIAL HEALTHCARE FOUNDATION INC (39-1775074) | |||||||||
| 402 WEST LAKE STREET | FRIENDSHIP | WI | 53934 | FOUNDATION | WI | 501(c)(3) | Type I | MDVW MEM HOS | false |
| SAINT ELIZABETH'S HOSP OF WABASHA INC (41-0693877) | |||||||||
| 1200 5TH GRANT BOULEVARD WEST | WABASHA | MN | 55981 | HEALTHCARE | MN | 501(c)(3) | 3 | GLHS | false |
| BELLIN GUNDERSEN HEALTH SYSTEM INC (92-0504278) | |||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | SUPPORTING ORG | WI | 501(c)(3) | Type III-FI | NA | false |
| BELLIN HEALTH SYSTEMS INC (39-1512904) | |||||||||
| 744 SOUTH WEBSTER AVE | GREEN BAY | WI | 54301 | SUPPORTING ORG | WI | 501(c)(3) | Type II | BGHS | false |
| LAKE MICHIGAN HEALTH SERVICES INC (39-1512903) | |||||||||
| 744 SOUTH WEBSTER AVE | GREEN BAY | WI | 54301 | SUPPORTING ORG | WI | 501(c)(3) | Type II | BHS | false |
| BELLIN COLLEGE INC (39-1620530) | |||||||||
| 3201 EATON ROAD | GREEN BAY | WI | 54311 | EDUCATION | WI | 501(c)(3) | 2 | BHS | false |
| BELLIN PSYCHIATRIC CENTER INC (39-1657627) | |||||||||
| PO BOX 23725 | GREEN BAY | WI | 54301 | HEALTHCARE | WI | 501(c)(3) | 3 | BHS | false |
| BELLIN MEMORIAL HOSPITAL INC (39-0884478) | |||||||||
| 744 SOUTH WEBSTER AVE | GREEN BAY | WI | 54301 | HEALTHCARE | WI | 501(c)(3) | 3 | BHS | false |
| THE BELLIN HEALTH FOUNDATION INC (39-1809171) | |||||||||
| PO BOX 23400 | GREEN BAY | WI | 54301 | FOUNDATION | WI | 501(c)(3) | 7 | BHS | false |
| OCONTO HOSPITAL & MEDICAL CENTER INC (06-1745397) | |||||||||
| 820 ARBUTUS AVENUE | OCONTO | WI | 54153 | HEALTHCARE | WI | 501(c)(3) | 3 | BMH | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Address Line2ForeignAddress/AddressLine2Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GUNDERSEN LUTHERAN ENVISION LLC (26-4706546) | |||||||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | RENEWABLE ENERGY | WI | NA | C Corporation | false | |||||||
| BEL-REGIONAL HOME MEDICAL INC (39-1504766) | |||||||||||||||
| 617 S ROOSEVELT | GREEN BAY | WI | 54301 | DURABLE MEDICAL EQUIPMENT, RETAIL | WI | NA | C Corporation | false | |||||||
| GUNDERSEN EDGE LLC (92-1783811) | |||||||||||||||
| 1836 SOUTH AVENUE | LA CROSSE | WI | 54601 | INNOVATION | WI | NA | C Corporation | false | |||||||
| BG ASSURANCE COMPANY | |||||||||||||||
| SELF INSURANCE | NA | C Corporation | false | 20 GENESIS CLOSE | PO BOX 30600 | GEORGE TOWN | GRAND CAYMAN | CJ | KY11203 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 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 | $27,515 | $27,515 | $327,452,241 | $327,479,756 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC | |||||||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | 391606449 | Yes (X) | $0 | $402,164 | $402,164 | $1,149,839,364 | $1,150,241,528 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| GUNDERSEN LUTHERAN MEDICAL CENTER INC | |||||||||||||||
| 1910 SOUTH AVENUE | LA CROSSE | WI | 54601 | 390813416 | Yes (X) | $0 | $0 | $0 | $1,530,942,803 | $1,530,942,803 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| GUNDERSEN LUTHERAN HEALTH SYSTEM INC | |||||||||||||||
| 1836 SOUTH AVENUE | La Crosse | WI | 54601 | 391866425 | Yes (X) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
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