Liabilities / Assets
94th percentile
Higher debt load relative to assets than 94% of similar nonprofits.
Gundersen Lutheran Administrative Services Inc
EIN 39-1606449 • 501(c)3 • LA Crosse, WI
Profile
To support gundersen health system's health and other orgs missions throughout our services area, managing the larger portion of business svcs, education and investing.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.97x
Liabilities / Revenue
68th percentile
Higher debt load relative to revenue than 68% of similar nonprofits.
Net Margin
31st percentile
Higher net margin than 31% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
68th percentile
Faster asset growth than 68% of similar nonprofits.
Revenue Growth
88th percentile
Faster revenue growth than 88% of similar nonprofits.
Balance Sheet
Assets
Up$1,116,323,421
Up $107,505,461 (+11%) from 2023
Liabilities
Up$1,080,669,545
Up $28,039,767 (+2.7%) from 2023
Net Assets
Up$35,653,876
Up $79,465,694 (+181%) from 2023
Revenue
Up$1,171,831,507
Up $305,526,547 (+35%) from 2023
Expenses
Up$1,150,241,528
Up $326,825,149 (+40%) from 2023
Net Income
Down$21,589,979
Down $21,298,602 (-50%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $1,116,323,421
- Liabilities
- $1,080,669,545
- Net assets
- $35,653,876
- Revenue
- $1,171,831,507
- Expenses
- $1,150,241,528
- Net income
- $21,589,979
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Oct 1, 2023 to Sep 30, 2024
- Signed
- Aug 14, 2025
- Return Version
- 2023v6.0
- Gross Receipts
- $1,178,462,975
Mission and Program Overview
Mission
To support gundersen health system's health and other orgs missions throughout our services area, managing the larger portion of business svcs, education and investing.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $715,158,334 | $799,095,251 | ▲ $83,936,917 |
| Land, Buildings, and Equipment, Net | $130,642,641 | $132,255,288 | ▲ $1,612,647 |
| Savings and Temporary Cash Investments | $66,872,626 | $85,664,430 | ▲ $18,791,804 |
| Prepaid Expenses and Deferred Charges | $23,025,696 | $29,749,867 | ▲ $6,724,171 |
| Other Notes and Loans Receivable, Net | $33,193,171 | $22,537,599 | ▼ $10,655,572 |
| Cash and Non-Interest-Bearing Accounts | $15,303,984 | $17,396,934 | ▲ $2,092,950 |
| Inventories for Sale or Use | $13,296,896 | $14,762,676 | ▲ $1,465,780 |
| Receivables From Officers Etc | $30,585 | $7,298 | ▼ $23,287 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $1,008,817,960 | $1,116,323,421 | ▲ $107,505,461 |
| Other Assets Total | $11,294,027 | $14,854,078 | ▲ $3,560,051 |
| Liabilities | |||
| Other Liabilities | $555,576,305 | $573,313,693 | ▲ $17,737,388 |
| Tax Exempt Bond Liabilities | $335,685,000 | $325,960,000 | ▼ $9,725,000 |
| Accounts Payable and Accrued Expenses | $161,368,473 | $181,395,852 | ▲ $20,027,379 |
| Total Liabilities | $1,052,629,778 | $1,080,669,545 | ▲ $28,039,767 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-43,811,818 | $35,653,876 | ▲ $79,465,694 |
| Total Net Assets Fund Balance | $-43,811,818 | $35,653,876 | ▲ $79,465,694 |
| Total Liabilities and Net Assets / Fund Balance | $1,008,817,960 | $1,116,323,421 | ▲ $107,505,461 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $87,486,728 | $50,385,912 | $137,872,640 |
| Equipment | $24,867,550 | $104,726,582 | $129,594,132 |
| Other Land Buildings | $9,645,948 | $54,915,018 | $64,560,966 |
| Land | $10,255,062 | - | $10,255,062 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Scott Rathgaber Md | Board of Trustees, CEO, Chairman | FT | $1,274,504 | $438,445 | $1,712,949 |
| Mark S Topolski Md | Medical Doctor | FT | $1,317,080 | $75,494 | $1,392,574 |
| Jeffrey M Lawrence Md | Medical Doctor | FT | $1,229,704 | $73,504 | $1,303,208 |
| Jerry Davis Md | Medical Doctor | FT | $1,048,863 | $160,973 | $1,209,836 |
| Douglas Hughes Md | Medical Doctor | FT | $1,112,004 | $59,102 | $1,171,106 |
| Steven Whitford Md | Medical Doctor | FT | $1,049,337 | $77,392 | $1,126,729 |
| Heather Schimmers Rn | Board of Trustees - President | FT | $579,789 | $234,761 | $814,550 |
| Praveen Chopra | Chief Digital and Information Officer | FT | $559,970 | $165,985 | $725,955 |
| Michael Dolan Md | Southern Chief Clinical Officer | FT | $635,594 | $79,195 | $714,789 |
| William Farrell | Chief Innovation & Strategy Officer | FT | $481,600 | $192,294 | $673,894 |
| Daniel Lilly | Secretary | FT | $501,033 | $136,261 | $637,294 |
| Leanne Andersen | Chief People Officer | FT | $460,498 | $167,402 | $627,900 |
| Stephanie Neuman Md | Medical Vice President, Ambulatory Services | FT | $552,920 | $73,168 | $626,088 |
| Christine Waller Md | Medical VP, Acute Care and Nursing & Systems Practice | FT | $537,003 | $84,498 | $621,501 |
| Todd Kowalski Md | Board of Trustees - Medical Chief Operating Officer | FT | $536,271 | $76,911 | $613,182 |
| Robert Holness | Medical VP, Community and CMO-critical Access Hospitals (begin 1/24) | FT | $524,004 | $73,479 | $597,483 |
| Marilu Bintz Md | Medical VP, Community and CMO-critical Access Hospitals (thru 12/23) | FT | $501,038 | $92,000 | $593,038 |
| Stephen Shapiro Md | Chief Medical Foundation Officer | FT | $518,186 | $70,950 | $589,136 |
| Gerald Oetzel | Former Chief Financial Officer | - | $480,094 | $93,082 | $573,176 |
| Bryan Erdmann | Board of Trustees - Chief Operating Officer | FT | $408,646 | $75,575 | $484,221 |
| Kelley Bahr Md | Medical VP, Ambulatory Services | FT | $422,667 | $50,871 | $473,538 |
| Jonathan Zlabek Md | Medical VP, Cross-functional Care (thru 10/23) | FT | $388,611 | $83,171 | $471,782 |
| Eric Dehn | VP Enterprise Architecture and Solution Design | FT | $301,856 | $146,816 | $448,672 |
| Jennifer Kleven Md | Board of Trustees - Chief of Medical/clinical Staff | FT | $379,467 | $50,879 | $430,346 |
| Krister Mattson | VP Enterprise Analytics | FT | $299,275 | $115,654 | $414,929 |
| Shannon Mulligan | VP Hr & Total Rewards | FT | $272,825 | $109,174 | $381,999 |
| Stephanie Carroll Md | Medical Vice President | FT | $312,018 | $65,731 | $377,749 |
| Kari Adank | Vice President Compliance | FT | $258,914 | $117,111 | $376,025 |
| Robyn Borge Md | Medical Vice President, Cross-functional Care (begin 1/24) | FT | $314,833 | $52,950 | $367,783 |
| Kraig Schuster | Admin Vice President, Community | FT | $302,204 | $61,807 | $364,011 |
| Michael Mckee | Admin VP, Acute Care and Nursing & Systems Practice | FT | $279,802 | $71,343 | $351,145 |
| Janine Luz | Vice President Learning | FT | $235,089 | $109,109 | $344,198 |
| Andrea Hauser Rn | Board of Trustees - Chief Nursing Officer and Admin VP | FT | $276,740 | $61,666 | $338,406 |
| Steve Little | Interim Chief Financial Officer, Treasurer (thru 2/24) | FT | $258,317 | $75,000 | $333,317 |
| Mary Kuffel Md | Interim Medical VP, Cross-functional Care (thru 12/23) | FT | $244,971 | $48,808 | $293,779 |
| Tina Lechnir | Admin VP, Cross-functional Care | FT | $225,630 | $66,706 | $292,336 |
| Rachel Albrecht | Admin VP, Ambulatory Services | FT | $227,280 | $64,196 | $291,476 |
| Ellen Pedretti-fendt | VP Application Services | FT | $219,171 | $59,359 | $278,530 |
| P Michael Jacobs Md | Medical Vice President | FT | $159,868 | $88,015 | $247,883 |
| Michelle Micka | Assistant Treasurer (begin 3/24) | FT | $171,454 | $65,320 | $236,774 |
| Pamela Maas | Former Vice President Business Services | - | $119,446 | $119,446 | $119,446 |
Board Members and Trustees
| Name | Title |
|---|---|
| Peter Vandenhouten | Assistant Secretary (begin 3/24) |
| John Ceelen | Chief Financial Officer, Treasurer (begin 2/24) |
| Andrea Werner | Chief Population Officer |
| Lisa Harton | Chief Quality Officer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Eplus Technology INC | Computer Services | PO BOX 404398, Atlanta, GA 30384-4398 | $11,230,730 |
| Fowler And Hammer INC | Construction Contractor | 313 MONITOR STREET, La Crosse, WI 54603 | $9,950,898 |
| Epic System Corporation | Computer Services | BOX 88314, Milwaukee, WI 53288-0314 | $5,523,126 |
| Staffency | Contracted Staff | 221 W COLLEGE AVE FLOOR 2, Appleton, WI 54911 | $5,378,910 |
| Sirius Computer Solutions INC | Computer Services | PO BOX 202289, Dallas, TX 75320-2289 | $5,007,860 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $1,638,313
- Program Service Revenue
- $1,138,641,422
- Investment Income
- $31,476,411
- Other Revenue
- $75,361
- Change in Net Assets
- $21,589,979
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $1,004,785,058 |
| Other Expenses | $144,397,717 |
| Grants and Similar Amounts Paid | $1,058,753 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $711,755,893 | $51,698,780 | - | $763,454,673 |
| Other Employee Benefits | $104,442,536 | $2,622,524 | - | $107,065,060 |
| Pension Plan Contributions | $81,314,639 | $6,373,276 | - | $87,687,915 |
| Payroll Taxes | $43,404,256 | $3,173,154 | - | $46,577,410 |
| Information Technology | $43,864,941 | $1,838,489 | - | $45,703,430 |
| Fees for Services Other | $20,069,990 | $5,813,768 | $0 | $25,883,758 |
| Depreciation Depletion | $20,182,657 | $888,802 | - | $21,071,459 |
| Occupancy | $9,815,090 | $1,683,073 | - | $11,498,163 |
| Office Expenses | $10,489,322 | $875,944 | - | $11,365,266 |
| Interest | $10,243,233 | - | - | $10,243,233 |
| All Other Expenses | $3,560,316 | $1,227,556 | $0 | $4,787,872 |
| Insurance | $2,811,029 | $31,516 | - | $2,842,545 |
| Fees for Service Investment Mgmnt Fees | - | $1,631,382 | - | $1,631,382 |
| Fees for Services Legal | $11,172 | $1,358,467 | - | $1,369,639 |
| Advertising | - | $1,071,791 | - | $1,071,791 |
| Grants to Domestic Orgs | $1,058,753 | - | - | $1,058,753 |
| Conferences and Meetings | $415,475 | $110,385 | - | $525,860 |
| Fees for Services Accounting | - | $455,874 | - | $455,874 |
| Travel | $252,045 | $184,025 | - | $436,070 |
| Fees for Services Lobbying | $402,164 | - | - | $402,164 |
| Other Expenses | $88,603 | $1,020,140 | - | $88,603 |
| Total Functional Expenses | $1,067,330,728 | $82,910,800 | $0 | $1,150,241,528 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Saint Clare Health Mission | La Crosse, WI | 501 (c) 3 | Operations support | $105,000 |
| La Crosse Medical Hlth Science Consortium | La Crosse, WI | 501 (c) 3 | Operations support | $74,277 |
| Great Rivers United Way | Onalaska, WI | 501 (c) 3 | Operations support | $60,000 |
| La Crosse Area Family Ymca | La Crosse, WI | 501 (c) 3 | Operations support | $55,000 |
| Family and Childrens Center | La Crosse, WI | 501 (c) 3 | Operations support | $50,000 |
| La Crosse Area Chamber of Commerce | La Crosse, WI | 501 (c) 6 | Operations support | $45,300 |
| Minnesota State Colle | Winona, MN | 501 (c) 3 | Operations support | $37,500 |
| Karuna Inc | La Crosse, WI | 501 (c) 3 | Operations support | $35,000 |
| Tellurian Inc | Monona, WI | 501 (c) 3 | Operations support | $35,000 |
| La Crosse County Treasurer | La Crosse, WI | Government entity | Operations support | $30,000 |
| Hope Restores Corp | La Crosse, WI | 501 (c) 3 | Operations support | $25,000 |
| Sunflower Child Devlpmt Ctr | Decorah, IA | 501 (c) 3 | Operations support | $25,000 |
| The Good Fight Comm Ctr | La Crosse, WI | 501 (c) 3 | Operations support | $25,000 |
| Casa for Kids Inc | Onalaska, WI | 501 (c) 3 | Operations support | $22,000 |
| Adult & Teen Challenge of Western Wisconsin Inc | La Crosse, WI | 501 (c) 3 | Operations support | $20,000 |
| Boys and Girls Clubs of Greater La Crosse | La Crosse, WI | 501 (c) 3 | Operations support | $20,000 |
| La Crosse Symphony Orchestra | La Crosse, WI | 501 (c) 3 | Operations support | $20,000 |
| Varc Inc | Viroqua, WI | 501 (c) 3 | Operations support | $15,000 |
| Big Brothers Big Sisters of the Seven Rivers Region Inc | La Crosse, WI | 501 (c) 3 | Operations support | $14,250 |
| Fierce Foundation Inc | Onalaska, WI | 501 (c) 3 | Operations support | $12,432 |
| Family Promise of Monroe County | Sparta, WI | 501 (c) 3 | Operations support | $12,000 |
| The Parenting Place | La Crosse, WI | 501 (c) 3 | Operations support | $11,210 |
| Northeast Iowa Food Bank | Waterloo, IA | 501 (c) 3 | Operations support | $11,000 |
| Aids Resource Center | Milwaukee, WI | 501 (c) 3 | Operations support | $10,000 |
| Coulee Region Humane Society | Onalaska, WI | 501 (c) 3 | Operations support | $10,000 |
| Drift Share Inc | La Crosse, WI | 501 (c) 3 | Operations support | $10,000 |
| North American Squirrel Association - Tomah Branch | Tomah, WI | 501 (c) 3 | Operations support | $10,000 |
| La Crosse Community Theatre | La Crosse, WI | 501 (c) 3 | Operations support | $8,000 |
| Onalaska Enhancement Foundation | Onalaska, WI | 501 (c) 3 | Operations support | $7,500 |
| Recreation Alliance of Winona | Winona, MN | 501 (c) 3 | Operations support | $7,464 |
| Pump House Regional Arts Center | La Crosse, WI | 501 (c) 6 | Operations support | $6,000 |
| La Crosse Area Development Corporation | La Crosse, WI | 501 (c) 3 | Operations support | $5,500 |
| Rivers Alliance Inc | La Crosse, WI | 501 (c) 3 | Operations support | $5,250 |
| WOMEN'S FUND OF GREATER LA CROSSE | La Crosse, WI | - | Operations support | $5,250 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
Insider Transactions and Loans
Interested-Person Transactions
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Family Member of William Farrell, Key Employee, GLAS | Employment | No | $876,745 |
| - | Family Member of Jennifer Kleven, M.D., Director, GLAS | Employment | No | $529,236 |
| - | Family Member of Kelley Bahr, M.D., Officer, GLAS | Employment | No | $388,281 |
| - | Family Member of Michael Dolan, Key Employee, GLAS | Employment | No | $330,801 |
| - | Family Member of Robyn Borge, Officer, GLAS | Employment | No | $283,622 |
| - | Family Member of Michael Dolan, Key Employee, GLAS | Employment | No | $232,040 |
| - | Family Member of Jon Zlabek, Officer, GLAS | Employment | No | $56,512 |
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $30,585 | $7,298 | ▼ $23,287 |
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Intercompany Payable | $537,654,332 |
| Teb Pre/(disc) Current and Lt | $14,764,709 |
| LT CIMP LIABILITY / Other Liabilities | $10,572,675 |
| Loss on Swap Contracts | $6,117,218 |
| Operating Lease Obligations | $3,966,983 |
| Sales Tax Payable | $95,000 |
| Security Deposit Payable | $78,474 |
| Deferred Revenue | $64,302 |
Bond Issues
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Wisconsin Health and Educational Facilities Authority Series 2021A Issuance | 2021-08-12 | $117,893,194 | SEE PART VI |
| C | Wisconsin Health and Educational Facilities Authority Series 2009A and 2009 | 2012-10-01 | $78,715,000 | SEE PART VI |
| A | Wisconsin Health and Educational Facilities Authority Series 2022 Issuance | 2022-11-15 | $68,505,000 | SEE PART VI |
| D | Wisconsin Health and Educational Facilities Authority Series 2008B Issuance | 2012-10-01 | $61,400,000 | SEE PART VI |
| B | Wisconsin Health and Educational Facilities Authority Series 2016 Issuance | 2016-02-12 | $40,000,000 | SEE PART VI |
| C | Wisconsin Health and Educational Facilities Authority Series 2020A Issuance | 2020-03-24 | $25,002,968 | SEE PART VI |
| B | Wisconsin Health and Educational Facilities Authority Series 2015 Issuance | 2015-12-23 | $12,000,000 | SEE PART VI |
Bond Proceeds
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $117,893,194 | $116,690,906 | $28,110,000 | $1,202,288 |
| C | $78,715,000 | $78,715,000 | $310,000 | - |
| A | $68,505,000 | $68,255,000 | - | - |
| D | $61,400,000 | $61,400,000 | $9,410,000 | - |
| B | $40,000,000 | $40,000,000 | $18,875,000 | $250,000 |
| C | $25,003,152 | - | - | - |
| B | $12,044,550 | - | - | - |
Bond Financing Compliance
- No rebate due
- No
- Rebate not yet due
- No
- Form 8038-T filed
- No
- Gross proceeds invested
- No
- Gross proceeds invested in GIC
- No
- Exception to rebate
- Yes
- Corrective action procedures
- Yes
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- Yes
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
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
“Gundersen lutheran health system, inc., the parent corporation and sole member of the corporation, shall have the power, to recommend and review, as appropriate, and approve certain matters. Articles of incorporation may be amended by vote of the sole member of the 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 lutheran administrative services, inc. 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: eric dehn krister mattson shannon mulligan stephanie carroll, md kari adank janine luz ellen pedretti-fendt p michael jacobs, md”
Form 990, Part VI, Line 15 - A and B Process to Establish Compensation of Top Management Official
“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.”
Filing and Contact Details
Filer
- Filer Name
- Gundersen Lutheran Administrative Services Inc
- EIN
- 39-1606449
- Phone
- 6087827300
- Address
- 1910 SOUTH AVE, LA CROSSE, WI 54601
Signing Officer
- Name
- Scott Rathgaber Md
- Title
- President
- Phone
- 6087827300
- Signed
- 2025-08-14
- Discuss with paid preparer
- Yes
Organization Details
- Formed
- 1987
- Legal Domicile
- Wi
- Voting Board Members
- 6
- Independent Board Members
- 0
- Employees
- 9,771
- Volunteers
- 354
Preparer
- Firm
- Ernst & Young US Llp
- Address
- 155 N WACKER DRIVE, CHICAGO, IL 60606
- Preparer
- Emily Beckerman
- Phone
- 3128792000
Supplemental Narrative
Additional Explanations
Form 990, Part III, Line 1 ORGANIZATION'S MISSION
“To support gundersen lutheran health system, inc.'s programs of health care, medical education, medical research and community health promotion activities within the meaning of section 509(a)(3) of the irc; borrowing and lending of funds and property, engaging in financial transactions with and/or on behalf of the gundersen lutheran health system, inc., along with general services provided to gundersen clinic, ltd. And gundersen lutheran medical center, inc.”
Form 990, Part XI, Line 9 Other changes in net assets or fund balances
“Equity transfers to affiliates - -7414426; swap market adj - 437;”
Financial Statement Notes
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
“INCOME TAX MATTERS (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 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.”
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| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 1 | GUNDERSEN CLINIC LTD |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 2 | GUNDERSEN LUTHERAN MEDICAL CENTER INC |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt | 3 | GUNDERSEN LUTHERAN HEALTH SYSTEM INC |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/EIN | 0 | 391606449 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/EIN | 1 | 391028657 |
| 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 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/LobbyNontxAmt | 0 | 1000000 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/LobbyNontxAmt | 1 | 1000000 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/LobbyNontxAmt | 2 | 1000000 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/LobbyNontxAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/OtherExemptPurposeExpendAmt | 0 | 1149839364 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/OtherExemptPurposeExpendAmt | 1 | 327452241 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/OtherExemptPurposeExpendAmt | 2 | 1530942803 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/OtherExemptPurposeExpendAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ShareExcessLobbyExpendAmt | 0 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ShareExcessLobbyExpendAmt | 1 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ShareExcessLobbyExpendAmt | 2 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/ShareExcessLobbyExpendAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 0 | 402164 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 1 | 27515 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 2 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalExemptPurposeExpendAmt | 0 | 1150241528 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalExemptPurposeExpendAmt | 1 | 327479756 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalExemptPurposeExpendAmt | 2 | 1530942803 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalExemptPurposeExpendAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalGrassrootsLobbyAmt | 0 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalGrassrootsLobbyAmt | 1 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalGrassrootsLobbyAmt | 2 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalGrassrootsLobbyAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyExpenditureAmt | 0 | 402164 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyExpenditureAmt | 1 | 27515 |
| 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 | 1910 SOUTH AVE |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/USAddress/AddressLine1Txt | 1 | 1836 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 | 161368473 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 181395852 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO SUPPORT GUNDERSEN HEALTH SYSTEM'S HEALTH AND OTHER ORGS MISSIONS THROUGHOUT OUR SERVICES AREA, MANAGING THE LARGER PORTION OF BUSINESS SVCS, EDUCATION AND INVESTING. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1071791 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1071791 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1227556 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 3560316 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 4787872 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | JOHN CEELEN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6087827300 |
| 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 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 15303984 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 17396934 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 472 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 110385 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 415475 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 525860 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 11230730 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 9950898 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 5523126 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 5378910 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 5007860 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 404398 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 313 MONITOR STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | BOX 88314 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 221 W COLLEGE AVE FLOOR 2 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 202289 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | LA CROSSE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | MILWAUKEE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | APPLETON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 303844398 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 54603 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 532880314 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 54911 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 753202289 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | EPLUS TECHNOLOGY INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | FOWLER AND HAMMER INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | EPIC SYSTEM CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | STAFFENCY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | SIRIUS COMPUTER SOLUTIONS INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Computer Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Construction Contractor |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Computer Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Contracted Staff |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Computer Services |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1638313 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 1058753 |
| IRS990/CYInvestmentIncomeAmt | 0 | 31476411 |
| IRS990/CYOtherExpensesAmt | 0 | 144397717 |
| IRS990/CYOtherRevenueAmt | 0 | 75361 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 1138641422 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 21589979 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 1004785058 |
| IRS990/CYTotalExpensesAmt | 0 | 1150241528 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1171831507 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 888802 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 20182657 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 21071459 |
| IRS990/Desc | 0 | GENERAL SERVICES PROVIDED TO GUNDERSEN CLINIC, LTD., GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC. AND OTHER AFFILIATES: ADMINISTRATIVE, INFORMATION SYSTEMS, BILLING AND CODING, LAUNDRY, MEDICAL RECORDS, HUMAN RESOURCES, FINANCE, FACILITY OPERATIONS, CENTRAL SERVICES AND OTHER MISCELLANEOUS SERVICES. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 9771 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 1067330728 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 455874 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 455874 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1358467 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 11172 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1369639 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 402164 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 402164 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 5813768 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 20069990 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 25883758 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 1631382 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 1631382 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 50.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 50.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 50.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 50.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 29 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 30 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 31 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 32 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 33 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 34 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 35 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 36 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 37 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 38 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 39 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 40 | 50.0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 42 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 43 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 44 | 50.0 |
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| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 10 | X |
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| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 17 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 18 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 19 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 20 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 21 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 57300 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 74345 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 68378 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 68728 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 74320 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 49697 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 79048 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 69978 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 63534 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 45544 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 57554 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 53893 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 11860 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 70085 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 37796 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 75482 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 56420 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 67228 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 47055 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 72920 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 56444 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 27093 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 63599 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 29182 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 73420 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 70973 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 45544 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 29 | 54028 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 30 | 67228 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 31 | 54028 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 32 | 68228 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 33 | 70228 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 34 | 58022 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 35 | 66826 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 36 | 18108 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 37 | 58985 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 38 | 70013 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 39 | 57201 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 40 | 38355 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 41 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 42 | 51715 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 43 | 65146 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 44 | 69648 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ANDREA HAUSER RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | BRYAN ERDMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | HEATHER SCHIMMERS RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | SCOTT RATHGABER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | TODD KOWALSKI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JENNIFER KLEVEN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CHRISTINE WALLER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DANIEL LILLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN CEELEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JONATHAN ZLABEK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KELLEY BAHR MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | KRAIG SCHUSTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MARILU BINTZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MARY KUFFEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MICHAEL MCKEE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | MICHELLE MICKA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | PETER VANDENHOUTEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | RACHEL ALBRECHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | ROBERT HOLNESS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | ROBYN BORGE MD |
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