2026-08-14T10:06:59+00:00 2025-09-30 135565207 KPMG LLP 200 EAST RANDOLPH DRIVE SUITE 5500 CHICAGO IL 606016436 990 2024-10-01 391028657 GUNDERSEN CLINIC LTD GUND 6087827300 1836 SOUTH AVENUE LA CROSSE WI 54601 SCOTT RATHGABER CEO 6087827300 2026-08-14 true true ZELJKO POPOVIC P01795951 3126651000 2026-08-14 2024 2025-03-06 01:10:19Z SCOTT RATHGABER MD 1836 SOUTH AVENUE LA CROSSE WI 54601 277309310 false X WWW.GUNDERSENHEALTH.ORG X 1963 WI SEE SCHEDULE O 7 0 0 0 6025791 0 1187295 1191713 242398618 275360595 323956 256668 392699 393132 244302568 277202108 3592147 3698019 0 0 0 0 323887609 380841321 327479756 384539340 -83177188 -107337232 220088578 337663034 1042632494 1259915182 -822543916 -922252148 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. false false 354059970 3698019 275360595 GUNDERSEN CLINIC, LTD. (THE CLINIC) HAS 700 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 1,257,683 PATIENT ENCOUNTERS FOR FISCAL YEAR 2025 (OCT '24-SEP '25). THE CLINIC PROVIDED UNCOMPENSATED CARE RELATED TO CHARITY AT COST, $2,216,661; MEDICARE, $470,613,243; AND MEDICAID, $129,801,332 FOR THE TOTAL AMOUNT OF $602,631,227 AT COST BASED ON POLICIES AND CONTRACTS ARRANGED TO HELP SUPPORT THE COMMUNITY'S NEEDS. THE $602,631,227 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. 354059970 true true false true false false false false false false true false false false true true false true false false false false false false false false false true true true false false false false false false false false false false false false false false true true false false false false true X 0 0 0 true true false false false false false false false false false false false X 7 0 false false false false true true true true true false false false true true true true true true false false false false WI X JOHN CEELEN 6087827300 1900 SOUTH AVENUE NCA1-01 LA CROSSE WI 54601 EZANA AZENE MD MEDICAL GOVERNORS, SECRETARY/TREASURER, MD 2.0 48.0 X X 0 892143 74275 JENNIFER KLEVEN MD MEDICAL GOVERNORS, CHAIRMAN 2.0 48.0 X X 0 405613 52221 BENJAMIN JARMAN MD MEDICAL GOVERNORS, MD, (END 9.30.25) 2.0 48.0 X 0 481771 72175 BENJAMIN OROZCO MD MEDICAL GOVERNORS, MD 2.0 48.0 X 0 425500 69198 CHRISTOPHER EBERLEIN MD MEDICAL GOVERNORS, MD 2.0 48.0 X 0 422038 74967 DAVID GERHARD MD MEDICAL GOVERNORS, MD 2.0 48.0 X 0 326571 71587 ELIZABETH COGBILL MD MEDICAL GOVERNORS, MD 2.0 48.0 X 0 262093 43764 PAUL BERGL MEDICAL GOVERNORS, MD, (END 4.30.25) 2.0 48.0 X 0 577310 75295 STEPHANIE CARROLL MD MEDICAL GOVERNORS, MD 2.0 48.0 X 0 322275 67169 HEATHER SCHIMMERS RN EX-OFFICIO, PRESIDENT 2.0 48.0 X 0 841877 72275 JOHN CEELEN CHIEF FINANCIAL OFFICER 1.0 49.0 X 0 728316 54052 SCOTT RATHGABER MD CEO 1.0 49.0 X 0 1324275 73275 ELLEN PEDRETTI-FENDT VICE PRESIDENT, BUSINESS PARTNERING AND SERVICE DELIVERY 0.0 0.0 X 0 228664 59128 ERIC DEHN VICE PRESIDENT, DIGITAL SOLUTIONS AND ENTERPRISE ARCHITECTURE 0.0 50.0 X 0 313406 65708 JANINE LUZ-JENSEN VICE PRESIDENT, TALENT ACQUISITION, TALENT DEVELOPMENT, & LEARNING 0.0 50.0 X 0 246063 52763 KARI ADANK VICE PRESIDENT, COMPLIANCE 0.0 50.0 X 0 269642 60140 KRISTER MATTSON VICE PRESIDENT, ENTERPRISE ANALYTICS AND DATA SCIENCE 0.0 50.0 X 0 305605 56203 MARILU BINTZ MD FORMER MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS 0.0 2.0 X 0 261160 38627 SHANNON MULLIGAN VICE PRESIDENT, HR & TOTAL REWARDS 0.0 0.0 X 0 288578 19870 STEPHEN SHAPIRO MD FORMER CHIEF MEDICAL FOUNDATION OFFICER 0.0 50.0 X 0 548480 63970 STEVE LITTLE FORMER CHIEF FINANCIAL OFFICER 0.0 0.0 X 0 209856 0 0 9681236 1216662 true true false 0 695229 402162 94322 1191713 MEDICAL SERVICES PROVIDED 621498 269627344 269334804 292540 ONLINE SALES - DERM AND PLASTICS 446199 293555 293555 VISION 446130 357269 357269 PHARMACY 446110 2274405 2274405 DIAGNOSTIC TESTING INCOME 621511 2808022 2808022 0 0 0 0 275360595 256680 256680 500322 107190 393132 0 393132 393132 0 0 0 12 0 -12 -12 -12 0 0 0 0 0 277202108 269334804 6025791 649800 1320292 1320292 2377727 2377727 145221750 140133350 5088400 22350 22350 32975 32975 6600 6600 12815139 12414052 401087 0 11946 10169 1777 1368247 1318930 49317 643560 632792 10768 5506382 2901563 2604819 756927 741422 15505 31480 28275 3205 11185973 6235922 4950051 757718 86420 671298 LEASED EMPLOYEES 166298890 149752735 16546155 SUPPLIES/BAD DEBTS 34994875 34886142 108733 DUES/MEMBERSHIPS/LICENSES 996787 983065 13722 TAXES/OTHER 189722 181789 7933 0 0 0 0 384539340 354059970 30479370 0 102658 345786 0 20036711 138436079 0 0 0 12565031 17582633 252498 366793 427718905 261541065 170044765 166177840 8964680 7260985 0 0 2218422 2433943 5903813 5058975 220088578 337663034 3249971 3178856 0 1039382523 1256736326 1042632494 1259915182 X -822543916 -922252148 -822543916 -922252148 220088578 337663034 X -107337232 129000 7500000 X false true true true true X SCHEDULE A, PART I, LINE 3 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 32975 470625 32975 470625 384506365 3192999412 384539340 3193470037 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 242027 276873 429679 470625 1419204 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 SCHEDULE C, PART II-A, LINE 2A, COLUMN (E) THE 4-YEAR AVERAGE PERIOD INCLUDES THE CURRENT AND 4 PRIOR TAX PERIODS, WHICH EXCLUDES A SHORT YEAR PERIOD FROM JANUARY 1, 2023, THROUGH SEPTEMBER 30, 2023. THE 4 PERIODS INCLUDED IN THE AVERAGE ARE 2021, 2022, FISCAL YEAR 2023, AND FISCAL YEAR 2024. 8284604 8284604 293841175 159020919 134820256 121387008 99854673 21532335 4206118 2665473 1540645 166177840 FEDERAL INCOME TAXES INTERCOMPANY PAYABLE 1247979177 MALPRACTICE CLAIM RESERVE 4334731 ASSET RETIREMENT OBLIGATIONS 1365194 OPERATING LEASE OBLIGATIONS 3057224 1256736326 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE THE SYSTEM AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME, IF ANY, AND HAVE BEEN FULLY RESERVED. true GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC 1836 SOUTH AVENUE LA CROSSE WI 54601 391249705 501(C)(3) 1304551 OPERATIONS SUPPORT 1 0 CHARITY CARE 5302 2377727 BOOK CHARITY CARE SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS 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. true true false false false false false false false EZANA AZENE MD MEDICAL GOVERNORS, SECRETARY/TREASURER, MD 0 705035 0 182496 0 4612 0 48300 0 25975 0 966418 0 0 JENNIFER KLEVEN MD MEDICAL GOVERNORS, CHAIRMAN 0 404840 0 0 0 773 0 47659 0 4562 0 457834 0 0 STEPHANIE CARROLL MD MEDICAL GOVERNORS, MD 0 305920 0 15667 0 688 0 39470 0 27699 0 389444 0 0 ELIZABETH COGBILL MD MEDICAL GOVERNORS, MD 0 243804 0 14667 0 3622 0 33515 0 10249 0 305857 0 0 CHRISTOPHER EBERLEIN MD MEDICAL GOVERNORS, MD 0 417239 0 0 0 4799 0 48300 0 26667 0 497005 0 0 PAUL BERGL MEDICAL GOVERNORS, MD, (END 4.30.25) 0 464702 0 76280 0 36328 0 47097 0 28198 0 652605 0 0 DAVID GERHARD MD MEDICAL GOVERNORS, MD 0 322004 0 0 0 4567 0 45920 0 25667 0 398158 0 0 BENJAMIN JARMAN MD MEDICAL GOVERNORS, MD, (END 9.30.25) 0 476801 0 0 0 4970 0 48300 0 23875 0 553946 0 0 BENJAMIN OROZCO MD MEDICAL GOVERNORS, MD 0 423785 0 1000 0 715 0 48300 0 20898 0 494698 0 0 STEVE LITTLE FORMER CHIEF FINANCIAL OFFICER 0 209856 0 0 0 0 0 0 0 0 0 209856 0 0 JOHN CEELEN CHIEF FINANCIAL OFFICER 0 598104 0 129468 0 744 0 29147 0 24905 0 782368 0 0 SCOTT RATHGABER MD CEO 0 1278368 0 0 0 45907 0 48300 0 24975 0 1397550 0 0 HEATHER SCHIMMERS RN EX-OFFICIO, PRESIDENT 0 638010 0 198913 0 4954 0 48300 0 23975 0 914152 0 0 KARI ADANK VICE PRESIDENT, COMPLIANCE 0 268610 0 0 0 1032 0 37844 0 22296 0 329782 0 0 MARILU BINTZ MD FORMER MEDICAL VP, COMMUNITY AND CMO-CRITICAL ACCESS HOSPITALS 0 109201 0 100000 0 51959 0 36295 0 2332 0 299787 0 0 ERIC DEHN VICE PRESIDENT, DIGITAL SOLUTIONS AND ENTERPRISE ARCHITECTURE 0 312797 0 0 0 609 0 44118 0 21590 0 379114 0 0 JANINE LUZ-JENSEN VICE PRESIDENT, TALENT ACQUISITION, TALENT DEVELOPMENT, & LEARNING 0 241385 0 0 0 4678 0 34216 0 18547 0 298826 0 0 KRISTER MATTSON VICE PRESIDENT, ENTERPRISE ANALYTICS AND DATA SCIENCE 0 305177 0 0 0 428 0 38458 0 17745 0 361808 0 0 SHANNON MULLIGAN VICE PRESIDENT, HR & TOTAL REWARDS 0 232590 0 0 0 55988 0 9464 0 10406 0 308448 0 0 ELLEN PEDRETTI-FENDT VICE PRESIDENT, BUSINESS PARTNERING AND SERVICE DELIVERY 0 226752 0 0 0 1912 0 32340 0 26788 0 287792 0 0 STEPHEN SHAPIRO MD FORMER CHIEF MEDICAL FOUNDATION OFFICER 0 547371 0 0 0 1109 0 48300 0 15670 0 612450 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT SHANNON MULLIGAN RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR PURSUANT TO A CONFIDENTIAL SEVERANCE AGREEMENT. THE PAYMENT IS INCLUDED IN PART VII, COLUMN D AND SCHEDULE J, PART II, COLUMN B(III). SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CERTAIN INDIVIDUALS LISTED IN SCHEDULE J, PART II PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO WHICH THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS. THESE CONTRIBUTIONS ARE AT RISK AND DO NOT BECOME VESTED AND PAYABLE UNLESS AND UNTIL THE INDIVIDUAL SATISFIES A SUBSTANTIAL FUTURE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN FOR CALENDAR YEAR 2024: JOHN CEELEN 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. 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 V, LINE 1A 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 15A COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION. COMPENSATION FOR THE CEO AND KEY EXECUTIVES ARE SET BY THE EXECUTIVE COMMITTEE OF THE BOARD SUPPORTED BY MARKET DATA FROM SURVEYS AND AN INDEPENDENT CONSULTANTS REPORT. THE COMPENSATION IS DETERMINED BY MEMBERS OF THE EXECUTIVE COMMITTEE WITHOUT CONFLICT AND IS DOCUMENTED. FORM 990, PART VI, LINE 15B SENIOR LEADERS: COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION. COMPENSATION FOR THOSE WHO REPORT TO THE CEO IS TAKEN TO THE EXECUTIVE COMMITTEE FOR DISCUSSION/APPROVAL. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS 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 IS REVIEWED BY THE ACCOUNTING MANAGER AND PRINCIPAL OFFICER. IT WILL BE MADE AVAILABLE FOR ALL BOARD MEMBERS BEFORE FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. (GLAS) ANNUALLY REQUIRES EXECUTIVE LEADERSHIP (VICE PRESIDENTS AND ABOVE), BOARD MEMBERS, MEDICAL GOVERNORS AND FOUNDATION BOARD MEMBERS TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED DISCLOSURE STATEMENTS ARE REVIEWED BY A CONFLICT OF INTEREST REVIEW PANEL WHICH INCLUDES REPRESENTATIVES FROM LEGAL, COMPLIANCE, MEDICAL LEADERSHIP, HUMAN RESOURCES AND SUPPLY CHAIN. INDIVIDUALS REPORTING A POTENTIAL CONFLICT OF INTEREST ARE SENT A RESOLUTION THANKING THEM FOR THEIR SERVICE TO THE ORGANIZATION, ADVISING THEM OF ANY RESTRICTIONS RELATED TO THEIR CONFLICT (I.E. INDIVIDUALS WITH A RELATIONSHIP TO ANOTHER ORGANIZATION ARE ADVISED THAT THEY MUST ABSTAIN FROM DECISION MAKING THAT WOULD DIRECTLY AND SOLELY IMPACT GLAS) AND REMINDING THEM OF THEIR CONFIDENTIALITY OBLIGATIONS WITH RESPECT TO GLAS' HEALTHCARE, EMPLOYMENT AND PROPRIETARY INFORMATION. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC 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 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. 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