Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
990 • Fiscal year 2021 • EIN 39-1028657
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
Liabilities / Revenue
91st percentile
Higher debt load relative to revenue than 91% of similar nonprofits.
Net Margin
5th percentile
Higher net margin than 5% of similar nonprofits.
Top Officer Pay
85th percentile
Higher top officer pay than 85% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
6th percentile
Faster asset growth than 6% of similar nonprofits.
Revenue Growth
41st percentile
Faster revenue growth than 41% of similar nonprofits.
Assets
Down$196,742,108
Down $14,088,237 (-6.7%) from 2020
Net Assets
Down-$602,102,345
Down $59,256,473 (-11%) from 2020
Liabilities
Up$798,844,453
Up $45,168,236 (+6.0%) from 2020
Revenue
Up$170,123,058
Up $10,929,658 (+6.9%) from 2020
Expenses
Down$229,129,867
Down $40,797,658 (-15%) from 2020
Net Income
Up-$59,006,809
Up $51,727,316 (+47%) from 2020
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.
SEE SCHEDULE O
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $174,282,830 | $163,949,164 | ▼ $10,333,666 |
| Investments in Publicly Traded Securities | $11,165,679 | $10,361,757 | ▼ $803,922 |
| Inventories for Sale or Use | $5,596,276 | $7,056,596 | ▲ $1,460,320 |
| Accounts Receivable | $9,225,320 | $6,148,247 | ▼ $3,077,073 |
| Intangible Assets | $2,093,187 | $1,843,537 | ▼ $249,650 |
| Cash and Non-Interest-Bearing Accounts | $167,630 | $91,365 | ▼ $76,265 |
| Prepaid Expenses and Deferred Charges | $173 | $0 | ▼ $173 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $210,830,345 | $196,742,108 | ▼ $14,088,237 |
| Other Assets Total | $8,299,250 | $7,291,442 | ▼ $1,007,808 |
| Liabilities | |||
| Other Liabilities | $742,156,033 | $790,109,190 | ▲ $47,953,157 |
| Accounts Payable and Accrued Expenses | $5,834,279 | $5,938,415 | ▲ $104,136 |
| Deferred Revenue | $5,685,905 | $2,796,848 | ▼ $2,889,057 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $753,676,217 | $798,844,453 | ▲ $45,168,236 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Net Assets Without Donor Restrictions | $-542,845,872 | $-602,102,345 | ▼ $59,256,473 |
| Total Net Assets Fund Balance | $-542,845,872 | $-602,102,345 | ▼ $59,256,473 |
| Total Liabilities and Net Assets / Fund Balance | $210,830,345 | $196,742,108 | ▼ $14,088,237 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $130,175,504 | $125,888,388 | $256,063,892 |
| Equipment | $25,531,907 | $79,205,387 | $104,737,294 |
| Land | $8,241,753 | - | $8,241,753 |
| Other Land Buildings | - | $0 | - |
| Name | Title |
|---|---|
| Bryan Erdmann | Administrative Vice President |
| Kraig Schuster | Administrative Vice President |
| Lisa Wied | Administrative Vice President |
| Michael McKee | Administrative Vice President |
| Garith Steiner | Former Vice President thru 19 |
| Jonathan Zlabek MD | Medical Vice President |
| Mary Kuffel MD | Medical Vice President |
| P Michael Jacobs DPM | Medical Vice President |
| Todd Kowalski MD | Medical Vice President |
| Pamela Maas | Vice President Business SVCS |
| Kari Adank | Vice President Compliance |
| Jack Schwartz | Vice President Foundation |
| Janine Luz | Vice President Learning |
| Benjamin Jarman Md | Board of Governors - Member |
| Chris Eberlein MD | Board of Governors - Member |
| Jennifer Kleven MD | Board of Governors - Member |
| Kelley Bahr MD | Board of Governors - Member |
| Kurt Oettel MD | Board of Governors - Member |
| Stephanie Neuman MD | Board of Governors - Member |
| Scott Rathgaber MD | CEO/board of Governors - Membr |
| Elizabeth Smith-Houskamp PhD RN | Admin COO, CNO (thru 10/21) |
| Heather Schimmers | Admin Operating Offcr/CNO |
| Robyn Borge MD | Bd of Gov-membr/CHF of Med Stf |
| Christine Waller Md | Bd of Govnrs -membr (beg 1/21) |
| Ezana Azene Md | Bd of Govnrs -membr (beg 1/21) |
| William Farrell | Chief Business & Strategy Offr |
| Gerald Oetzel | Chief Financial Officer |
| Mary Ellen McCartney | Chief Human Resources Officer |
| Praveen Chopra | Chief Information Officer |
| Stephen Shapiro MD | Chief Medical Foundation Offcr |
| Gregory Thompson MD | Chief Medical Officer |
| Marilu Bintz MD | Chief Population Health Offcr |
| Michael Dolan MD | Exec VP, Med Chief Operation |
| Stephanie Carroll MD | Former Medical VP Thru 20 |
| Julio Bird MD | Former Officer Thru 16 |
| Brian Sieck MD | Former Secretary/treas Thru 17 |
| Douglas Hughes MD | Medical Doctor |
| Jeffrey Lawrence MD | Medical Doctor |
| Jerry Davis MD | Medical Doctor |
| Kurt Ziegelbein MD | Medical Doctor |
| Mark Topolski Md | Medical Doctor |
| Ellen Pedretti-Fendt | VP Application Services |
| Daniel P Breazeale | VP Finance (thru 10/21) |
| Todd Bille | VP Grwth, Stratgy (thru 10/21) |
| Andrea Hauser | VP Patient Exp & Dept Nursing |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Gundersen Lutheran Admin Services | services / supplies | 1910 SOUTH AVENUE, La Crosse, WI 54601 | $169,119,418 |
| Line Item | Amount |
|---|---|
| Other Expenses | $227,198,996 |
| Grants and Similar Amounts Paid | $1,930,871 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Management | $44,984,679 | $5,625,466 | $0 | $50,610,145 |
| Fees for Services Other | $10,278,735 | $407,326 | - | $10,686,061 |
| Depreciation Depletion | $4,204,098 | $5,412,704 | $0 | $9,616,802 |
| Occupancy | $3,623,837 | $1,896,356 | $0 | $5,520,193 |
| Office Expenses | $1,728,267 | $141,868 | $0 | $1,870,135 |
| Grants to Domestic Orgs | $1,327,976 | - | - | $1,327,976 |
| Other Expenses | $924,668 | $22,331 | $0 | $946,999 |
| Grants to Domestic Individuals | $602,895 | - | - | $602,895 |
| Travel | $529,878 | $3,241 | $0 | $533,119 |
| Insurance | $78,750 | $447,012 | $0 | $525,762 |
| Information Technology | $120,129 | $3,203 | $0 | $123,332 |
| Conferences and Meetings | $65,453 | $9,175 | $0 | $74,628 |
| Fees for Services Legal | $26,050 | - | $0 | $26,050 |
| Fees for Services Lobbying | $22,411 | - | $0 | $22,411 |
| Advertising | $8,442 | $5,666 | $0 | $14,108 |
| Fees for Service Investment Mgmnt Fees | - | $6,600 | $0 | $6,600 |
| Total Functional Expenses | $203,606,013 | $25,523,854 | $0 | $229,129,867 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Gundersen Lutheran Medical Foundation Inc | La Crosse, WI | 501(c)(3) | OPERATIONS support | $1,305,876 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Intercompany Payable | $776,115,942 |
| Malpractice Claim Reserve | $7,751,048 |
| Operating Lease Obligations | $5,043,051 |
| Asset Retirement Obligations | $1,189,688 |
| Lease Contract Payable | $9,461 |
“All management and personnel services for gundersen lutheran medical center are performed by employees of gundersen lutheran administrative service, inc.”
“Gundersen lutheran health system, inc. Is the sole member of this organization.”
“The corporate member, gundersen lutheran health system, inc., has the power to appoint board members”
“The corporation's sole shareholder is gundersen lutheran health system, inc. The bylaws may be amended by the board with approval of the parent corporation, or by the vote of the sole shareholder. Also, the affairs of the corporation shall be managed under the direction of the corporation's board of governors, subject to certain approval powers of the board of governors and board of trustees of the parent corporation.”
“The form 990 will be available for all board members at a board meeting and the gundersen lutheran health system finance committee receives a copy of the 990 before filing. Upon further review from the cfo and/or the executive director finance, the 990s are approved and filed.”
“Gundersen clinic, ltd. Monitors conflicts on an annual basis by reviewing disclosures on completed conflict of interest statements.”
“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.”
“Requests for all documents are made through the legal department and the appropriate documents are made available for inspection in the legal department.”
“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.”
“The provision of medical services in a manner beneficial to the community furthers gundersen clinic, ltd.'s charitable purpose of promotion of health.”
“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.”
“Tax exempt bonds gundersen clinic, ltd. Is part of the obligated group (gundersen lutheran administrative services, inc., gundersen lutheran medical center, inc., gundersen clinic, ltd., and gundersen lutheran medical foundation, inc.) and tax-exempt debt resides on the balance sheet of gundersen lutheran administrative services, inc. Fein 39-1606449.”
“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.”
“INCOME TAX MATTERS (DOLLARS IN THOUSANDS) THE SYSTEM QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), WITH THE EXCEPTION OF GUNDERSEN LUTHERAN ENVISION, LLC, WHICH IS A FOR-PROFIT ENTITY. AT DECEMBER 31, 2021 AND 2020, NET DEFERRED TAX ASSETS OF $7,545 AND $7,948, RESPECTIVELY, WHICH PRIMARILY ARE RELATED TO NET OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $7,545 AND $7,948, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT DECEMBER 31, 2021, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $28,300, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $26,300, WHICH WILL EXPIRE BETWEEN 2030 AND 2039. THE SYSTEM HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS. THE SYSTEM'S INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR 2016 and prior years.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 0 | GUNDERSEN CLINIC LTD |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 1 | GUNDERSEN LUTHERAN ADMIN SE |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 2 | GUNDERSEN LUTHERAN MEDICAL C |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 3 | GUNDERSEN LUTHERAN HEALTH SY |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/EIN | 0 | 391028657 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/EIN | 1 | 391606449 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/EIN | 2 | 390813416 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/EIN | 3 | 391866425 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ElectingOrganizationInd | 0 | X |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ElectingOrganizationInd | 1 | X |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ElectingOrganizationInd | 2 | X |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ElectingOrganizationInd | 3 | X |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/GrassrootsNontxAmt | 0 | 250000 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/GrassrootsNontxAmt | 1 | 250000 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/GrassrootsNontxAmt | 2 | 250000 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/GrassrootsNontxAmt | 3 | 20336 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/LobbyNontxAmt | 0 | 1000000 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/LobbyNontxAmt | 1 | 1000000 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/LobbyNontxAmt | 2 | 1000000 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/LobbyNontxAmt | 3 | 81342 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/OtherExemptPurposeExpendAmt | 0 | 229107456 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/OtherExemptPurposeExpendAmt | 1 | 912034520 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/OtherExemptPurposeExpendAmt | 2 | 1213492688 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/OtherExemptPurposeExpendAmt | 3 | 406710 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ShareExcessLobbyExpendAmt | 0 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ShareExcessLobbyExpendAmt | 1 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ShareExcessLobbyExpendAmt | 2 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ShareExcessLobbyExpendAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 0 | 22411 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 1 | 358231 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 2 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalExemptPurposeExpendAmt | 0 | 229129867 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalExemptPurposeExpendAmt | 1 | 912392751 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalExemptPurposeExpendAmt | 2 | 1213492688 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalExemptPurposeExpendAmt | 3 | 406710 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalGrassrootsLobbyAmt | 0 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalGrassrootsLobbyAmt | 1 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalGrassrootsLobbyAmt | 2 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalGrassrootsLobbyAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyExpenditureAmt | 0 | 22411 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyExpenditureAmt | 1 | 358231 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyExpenditureAmt | 2 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyExpenditureAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyGrssrootMnsNontxAmt | 0 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyGrssrootMnsNontxAmt | 1 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyGrssrootMnsNontxAmt | 2 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyGrssrootMnsNontxAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotLbbyExpendMnsLobbyNontxAmt | 0 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotLbbyExpendMnsLobbyNontxAmt | 1 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotLbbyExpendMnsLobbyNontxAmt | 2 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotLbbyExpendMnsLobbyNontxAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/AddressLine1Txt | 0 | 1836 SOUTH AVENUE |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/AddressLine1Txt | 1 | 1910 SOUTH AVENUE |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/AddressLine1Txt | 2 | 1910 SOUTH AVENUE |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/AddressLine1Txt | 3 | 1836 SOUTH AVENUE |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/CityNm | 0 | LA CROSSE |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/CityNm | 1 | LA CROSSE |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/CityNm | 2 | LA CROSSE |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/CityNm | 3 | LA CROSSE |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/StateAbbreviationCd | 0 | WI |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/StateAbbreviationCd | 1 | WI |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/StateAbbreviationCd | 2 | WI |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/StateAbbreviationCd | 3 | WI |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/ZIPCd | 0 | 54601 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/ZIPCd | 1 | 54601 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/ZIPCd | 2 | 54601 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/ZIPCd | 3 | 54601 |
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 5834279 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5938415 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 9225320 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 6148247 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 0 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 5666 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 8442 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 14108 |
| IRS990/AllOtherContributionsAmt | 0 | 39170 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | GERALD OETZEL |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6087757914 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1900 SOUTH AVENUE NCA1-01 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LA CROSSE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 54601 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 167630 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 91365 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 9175 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 65453 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 74628 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 169119418 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1910 SOUTH AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | LA CROSSE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 54601 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | GUNDERSEN LUTHERAN ADMIN SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | services / supplies |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 827944 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 1930871 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1198818 |
| IRS990/CYOtherExpensesAmt | 0 | 227198996 |
| IRS990/CYOtherRevenueAmt | 0 | 346914 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 167749382 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -59006809 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 229129867 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 170123058 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 5685905 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 2796848 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | true |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 5412704 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 4204098 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 9616802 |
| IRS990/Desc | 0 | PROGRAM SERVICE ACCOMPLISHMENTS: GUNDERSEN CLINIC, LTD. (THE CLINIC) HAS 642 PHYSICIANS REPRESENTING NEARLY EVERY SPECIALTY SERVING A 22 COUNTY REGION IN WESTERN WISCONSIN, NORTHEASTERN IOWA AND SOUTHEASTERN MINNESOTA. THE CLINIC PROVIDES MEDICAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHARITY CARE AND/OR FINANCIAL ASSISTANCE IS DETERMINED BASED ON FINANCIAL INFORMATION PROVIDED BY THE PATIENT AND ANALYSIS OF OTHER RELEVANT INFORMATION. THERE WERE APPROXIMATELY 1,034,706 PATIENT ENCOUNTERS FOR 2021. THE CLINIC PROVIDED ,UNCOMPENSATED CARE RELATED TO CHARITY AT COST, $378,989; MEDICARE, $21,706,234; AND MEDICAID, $10,354,853 FOR THE TOTAL AMOUNT OF $32,440,076 AT COST BASED ON POLICIES AND CONTRACTS ARRANGED TO HELP SUPPORT THE COMMUNITY'S NEEDS. THE $32,440,076 IS THE SUM OF UNREIMBURSED MEDICARE & MEDICAID COST PLUS CHARITY AT COST. ALL OF THESE ARE CALCULATED USING THE SAME METHOD UTILIZED FOR THE HOSPITAL CALCULATION OF CHARITY COST AND UNREIMBURSED MEDICARE AND MEDICAID COSTS. THE COST OF CHARITY IS CALCULATED BY ALLOCATING THE COST TO PROVIDE SERVICES TO A PATIENT BETWEEN ANY PAYMENTS, BAD DEBT, AND CHARITY WRITE-OFFS WHERE TOTAL PAYMENTS ARE LESS THAN THE COST OF SERVICES PROVIDED. THE UNREIMBURSED MEDICARE AND MEDICAID COSTS ARE CALCULATED BY COMPARING THE COST OF SERVICES TO MEDICARE AND MEDICAID PATIENTS TO THE NET REVENUE FOR THOSE SAME PATIENTS. THE UNREIMBURSED COST IS THE AMOUNT THE COST EXCEEDS THE NET REVENUE FOR THOSE SAME PATIENTS. MEDICARE AND MEDICAID PATIENTS TO THE NET REVENUE FOR THOSE SAME PATIENTS. THE UNREIMBURSED COST IS THE AMOUNT THE COST EXCEEDS THE NET REVENUE FOR THOSE SAME PATIENTS. |
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| IRS990/FederalGrantAuditPerformedInd | 0 | true |
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| IRS990/FeesForServicesLegalGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 26050 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 26050 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 40.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 29 | 41.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 30 | 46.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 31 | 40.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 32 | 42.3 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 38 | 41.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 29 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 30 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 31 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 32 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 33 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 34 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 35 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 36 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 37 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 38 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 39 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 40 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 41 | 0.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 43 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 44 | 0.0 |
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| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 3 | X |
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| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
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| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
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| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 15 | X |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 11 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 52134 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 66484 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 64734 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 59978 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 66484 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 64934 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 50390 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 53726 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 63734 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 43442 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 74870 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 66134 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 62520 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 66134 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 64934 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 64734 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 59978 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 66484 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 66234 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 59978 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 44915 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 42050 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 63734 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 41915 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 51314 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 65944 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 49425 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 29 | 57986 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 30 | 43442 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 31 | 62443 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 32 | 62247 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 33 | 52912 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 34 | 37707 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 35 | 37362 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 36 | 54502 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 37 | 49876 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 38 | 46218 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 39 | 52259 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 40 | 36244 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 41 | 37695 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 42 | 31726 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 43 | 13926 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 44 | 18896 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Jerry Davis MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Jeffrey Lawrence MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Douglas Hughes MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Kurt Ziegelbein MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Scott Rathgaber MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MARK TOPOLSKI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | EZANA AZENE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Michael Dolan MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Marilu Bintz MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Gerald Oetzel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Kurt Oettel MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Mary Kuffel MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | CHRISTINE WALLER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Todd Kowalski MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Praveen Chopra |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Stephen Shapiro MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Gregory Thompson MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Stephanie Neuman MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | BENJAMIN JARMAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Jonathan Zlabek MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | P Michael Jacobs DPM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Brian Sieck MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Elizabeth Smith-Houskamp PhD RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | William Farrell |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Chris Eberlein MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | Kelley Bahr MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | Mary Ellen McCartney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | Bryan Erdmann |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | Julio Bird MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 29 | Stephanie Carroll MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 30 | Robyn Borge MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 31 | Lisa Wied |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 32 | Michael McKee |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 33 | Kraig Schuster |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 34 | Jennifer Kleven MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 35 | Pamela Maas |
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Displayed year
2021 • Form 990Detailed filing. Detailed filing data is available for this year.