Liabilities / Assets
95th percentile
Higher debt load relative to assets than 95% of similar nonprofits.
Gundersen Lutheran Administrative Services Inc.
990 • Fiscal year 2021 • EIN 39-1606449
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.97x
Liabilities / Revenue
76th percentile
Higher debt load relative to revenue than 76% of similar nonprofits.
Net Margin
27th percentile
Higher net margin than 27% of similar nonprofits.
Top Officer Pay
32nd percentile
Higher top officer pay than 32% of similar nonprofits.
Top officer pay equals 0.1% of source-year revenue.
Asset Growth
18th percentile
Faster asset growth than 18% of similar nonprofits.
Revenue Growth
63rd percentile
Faster revenue growth than 63% of similar nonprofits.
Balance Sheet
Assets
Up$1,235,621,372
Up $49,477,564 (+4.2%) from 2020
Net Assets
Up$42,829,727
Up $57,015,519 (+402%) from 2020
Liabilities
Down$1,192,791,645
Down $7,537,955 (-0.6%) from 2020
Revenue And Expenses
Revenue
Up$953,342,080
Up $143,647,998 (+18%) from 2020
Expenses
Up$912,392,752
Up $53,422,722 (+6.2%) from 2020
Net Income
Up$40,949,328
Up $90,225,276 (+183%) from 2020
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2021 to Dec 31, 2021
- Signed
- Nov 7, 2022
- Return Version
- 2021v4.2
- Gross Receipts
- $955,529,140
Mission and Program Overview
Mission
To support gundersen health system's health care and other orgs missions throughout our service area, managing the larger portion of business svcs, education and investing.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $781,456,188 | $841,081,347 | ▲ $59,625,159 |
| Savings and Temporary Cash Investments | $211,214,123 | $188,308,097 | ▼ $22,906,026 |
| Land, Buildings, and Equipment, Net | $109,257,664 | $112,626,178 | ▲ $3,368,514 |
| Other Notes and Loans Receivable, Net | $17,729,699 | $23,757,402 | ▲ $6,027,703 |
| Prepaid Expenses and Deferred Charges | $19,536,505 | $20,595,906 | ▲ $1,059,401 |
| Cash and Non-Interest-Bearing Accounts | $16,944,966 | $17,055,873 | ▲ $110,907 |
| Inventories for Sale or Use | $11,801,810 | $12,891,593 | ▲ $1,089,783 |
| Receivables From Officers Etc | $28,214 | $97,544 | ▲ $69,330 |
| Accounts Receivable | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $1,186,143,808 | $1,235,621,372 | ▲ $49,477,564 |
| Other Assets Total | $18,174,639 | $19,207,432 | ▲ $1,032,793 |
| Liabilities | |||
| Other Liabilities | $644,243,271 | $687,256,731 | ▲ $43,013,460 |
| Tax Exempt Bond Liabilities | $376,925,000 | $352,255,000 | ▼ $24,670,000 |
| Accounts Payable and Accrued Expenses | $179,161,329 | $153,279,914 | ▼ $25,881,415 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Total Liabilities | $1,200,329,600 | $1,192,791,645 | ▼ $7,537,955 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-14,185,792 | $42,829,727 | ▲ $57,015,519 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $-14,185,792 | $42,829,727 | ▲ $57,015,519 |
| Total Liabilities and Net Assets / Fund Balance | $1,186,143,808 | $1,235,621,372 | ▲ $49,477,564 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $37,300,356 | $127,215,345 | $164,515,701 |
| Buildings | $61,883,419 | $31,284,747 | $93,168,166 |
| Land | $11,048,540 | - | $11,048,540 |
| Leasehold Improvements | $2,393,863 | $3,499,774 | $5,893,637 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Scott Rathgaber Md | CEO/board of Governors - Membr | FT | $992,496 | $71,635 | $1,064,131 |
| Michael Dolan MD | Exec VP, Medical COO | FT | $615,987 | $88,152 | $704,139 |
| Marilu Bintz MD | Chief Population Health Offcr | FT | $615,241 | $57,866 | $673,107 |
| Gerald Oetzel | Chief Financial Officer | FT | $575,972 | $60,993 | $636,965 |
| Mary Kuffel MD | Medical Vice President | FT | $529,412 | $50,188 | $579,600 |
| Todd Kowalski MD | Medical Vice President | FT | $448,096 | $120,896 | $568,992 |
| Praveen Chopra | Chief Information Officer | FT | $285,975 | $282,384 | $568,359 |
| Stephen Shapiro MD | Chief Medical Foundation Offcr | FT | $481,429 | $77,404 | $558,833 |
| Travis Smith MD | Medical Doctor | FT | $474,530 | $82,768 | $557,298 |
| Daniel Lilly JD | General Counsel | FT | $470,579 | $73,523 | $544,102 |
| Gregory Thompson MD | Chief Medical Officer | FT | $471,296 | $71,680 | $542,976 |
| Stephanie Neuman MD | Bd of Tste - Membr (beg 01/21) | FT | $462,497 | $74,502 | $536,999 |
| Benjamin Jarman MD | Bd of Tste - Membr (beg 1/21) | FT | $460,492 | $66,724 | $527,216 |
| Jonathan Zlabek MD | Medical Vice President | FT | $430,413 | $94,290 | $524,703 |
| P Michael Jacobs DPM | Medical Vice President | FT | $443,996 | $72,962 | $516,958 |
| Elizabeth Smith-Houskamp PhD RN | Admin COO, CNO (thru 10/21) | FT | $422,485 | $79,871 | $502,356 |
| William Farrell | Chief Business & Strategy Offr | FT | $416,166 | $49,268 | $465,434 |
| Stephen Israel MD | Medical Doctor | FT | $325,081 | $112,914 | $437,995 |
| Kelley Bahr Md | Board of Trustees - Member | FT | $379,667 | $51,161 | $430,828 |
| Mary Ellen McCartney | Chief Human Resources Officer | FT | $368,536 | $58,628 | $427,164 |
| Rajiv Naik MD | Medical Doctor | FT | $316,412 | $76,814 | $393,226 |
| Victor Uko MD | Medical Doctor | FT | $326,496 | $61,242 | $387,738 |
| Bryan Erdmann | Administrative Vice President | FT | $289,952 | $76,940 | $366,892 |
| Stephanie Carroll MD | Former Medical VP Thru 20 | FT | $293,496 | $66,739 | $360,235 |
| Robyn Borge Md | Bd of Tste/CHF Med/clncl Staff | FT | $290,917 | $49,619 | $340,536 |
| Michael McKee | Administrative Vice President | FT | $256,496 | $67,924 | $324,420 |
| Lisa Wied | Administrative Vice President | FT | $256,246 | $68,143 | $324,389 |
| Kraig Schuster | Administrative Vice President | FT | $259,902 | $62,329 | $322,231 |
| Jennifer Kleven Md | Board of Trustees - Member | FT | $259,625 | $47,030 | $306,655 |
| Pamela Maas | Vice Pres Business Services | FT | $257,667 | $43,042 | $300,709 |
| Kari Adank | Vice President Compliance | FT | $222,829 | $59,725 | $282,554 |
| Janine Luz | Vice President Learning | FT | $201,577 | $55,889 | $257,466 |
| Andrea Hauser | VP Patient Exp & Dept Nursing | FT | $183,421 | $65,592 | $249,013 |
| Ellen Pedretti-Fendt | VP Application SerVICES | FT | $190,246 | $57,335 | $247,581 |
| Jack Schwartz | Vice President Foundation | FT | $198,241 | $42,049 | $240,290 |
| Daniel Breazeale | VP Finance (thru 10/21) | FT | $183,989 | $53,769 | $237,758 |
| Todd Bille | VP Grwth, Stratgy (thru 10/21) | FT | $179,921 | $51,995 | $231,916 |
| Heather Schimmers | Admin OPERATING OFFICER, CNO | FT | $124,831 | $34,961 | $159,792 |
| Garith Steiner | Former Vice President Thru 19 | FT | $130,313 | $22,128 | $152,441 |
Board Members and Trustees
| Name | Title |
|---|---|
| Gerald Arndt | Board of Trustees - Chair |
| John Lyche | Board of Trustees - Vice Chair |
| Brad Sturm | Board of Trustees - Member |
| Mark Glendenning | Board of Trustees - Member |
| Richard Radcliffe | Board of Trustees - Member |
| Glena Temple PhD | Board of Trustees - Secretary |
| Dan Florness | Board of Trustees - Treasurer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Fowler And Hammer INC | Construction Cntrctr | 313 MONITOR STREET, La Crosse, WI 54603 | $8,606,176 |
| Microsoft Corporation | Computer Contract | 1950 N STEMMONS FWY STE 5010, Dallas, TX 75207 | $6,045,274 |
| Hayes Locums LLC | Doctor Contract | PO BOX 88122, Chicago, IL 60680 | $5,542,690 |
| Eplus Tecnology INC | Computer Contract | PO BOX 404398, Atlanta, GA 30384 | $5,245,340 |
| Metro Aviation INC | Aviation Contract | PO BOX 7008, Shreveport, LA 71137 | $3,827,671 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $1,576,875
- Program Service Revenue
- $906,325,303
- Investment Income
- $44,912,902
- Other Revenue
- $527,000
- All Other Contributions
- $2,344
- Change in Net Assets
- $40,949,328
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $786,360,513 |
| Other Expenses | $123,427,142 |
| Grants and Similar Amounts Paid | $2,605,097 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $569,956,336 | $25,981,226 | - | $595,937,562 |
| Other Employee Benefits | $71,871,963 | $2,632,537 | - | $74,504,500 |
| Pension Plan Contributions | $64,070,962 | $4,100,454 | - | $68,171,416 |
| Payroll Taxes | $34,740,492 | $1,941,744 | - | $36,682,236 |
| Information Technology | $30,529,971 | $1,576,596 | - | $32,106,567 |
| Depreciation Depletion | $21,116,009 | $349,997 | - | $21,466,006 |
| Fees for Services Other | $16,864,386 | $3,128,255 | - | $19,992,641 |
| Interest | $15,727,086 | - | - | $15,727,086 |
| Occupancy | $7,698,928 | $1,553,727 | - | $9,252,655 |
| Office Expenses | $7,665,270 | $744,635 | - | $8,409,905 |
| Current Officers, Directors, Trustees, and Key Employees | - | $7,959,175 | - | $7,959,175 |
| Comp Disqual Persons | $3,105,624 | - | - | $3,105,624 |
| Grants to Domestic Orgs | $2,605,097 | - | - | $2,605,097 |
| Fees for Service Investment Mgmnt Fees | $5,280 | $1,827,962 | - | $1,833,242 |
| Advertising | $86,891 | $1,517,779 | - | $1,604,670 |
| All Other Expenses | $1,118,661 | $338,501 | - | $1,457,162 |
| Fees for Services Legal | $49,372 | $1,229,254 | - | $1,278,626 |
| Other Expenses | $1,266,287 | $6,877 | $0 | $1,273,164 |
| Insurance | $769,334 | $25,857 | - | $795,191 |
| Conferences and Meetings | $292,440 | $102,932 | - | $395,372 |
| Fees for Services Lobbying | $358,215 | $16 | - | $358,231 |
| Fees for Services Accounting | - | $337,467 | - | $337,467 |
| Travel | $185,189 | $51,809 | - | $236,998 |
| Total Functional Expenses | $855,732,025 | $56,660,727 | $0 | $912,392,752 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Gundersen Lutheran Health System Inc | La Crosse, WI | 501(c)(3) | Operations Support | $1,272,000 |
| Palmer Lutheran Health Center Inc | West Union, IA | 501(c)(3) | Operations Support | $312,327 |
| Memorial Hospital of Boscobel | Boscobel, WI | 501(c)(3) | Operations Support | $196,078 |
| Great Rivers United Way | Onalaska, WI | 501(c)(3) | Operations Support | $166,000 |
| St Joseph's Health Services Inc | Hillsboro, WI | 501(c)(3) | Operations Support | $156,200 |
| Saint Clare Health Mission | La Crosse, WI | 501(c)(3) | Operations Support | $54,000 |
| La Crosse Area Family Ymca | La Crosse, WI | 501(c)(3) | Operations Support | $50,000 |
| La Crosse Medical Health Science Consortium | La Crosse, WI | 501(c)(3) | Operations Support | $48,774 |
| La Crosse Area Chamber of Commerce | La Crosse, WI | 501(c)(6) | Operations Support | $29,810 |
| La Crosse County Facilities | La Crosse, WI | Gov | Operations Support | $25,000 |
| Arcadia Ambulance Service | Arcadia, WI | 501(c)(3) | Operations Support | $20,000 |
| Family and Childrens Center | La Crosse, WI | 501(c)(3) | Operations Support | $13,500 |
| Aids Resource Center of Wisconsin | Milwaukee, WI | 501(c)(3) | Operations Support | $10,000 |
| Boys and Girls Clubs of Greater La Crosse | La Crosse, WI | 501(c)(3) | Operations Support | $10,000 |
| La Crosse Neighborhoods Inc | La Crosse, WI | 501(c)(3) | Operations Support | $10,000 |
| ST JOSEPH'S FOUNDATION | Hillsboro, WI | 501(c)(3) | Operations Support | $10,000 |
| La Crosse Community Theatre | La Crosse, WI | 501(c)(3) | Operations Support | $8,500 |
| Aptive FOUNDATION | La Crosse, WI | 501(c)(3) | Operations Support | $7,500 |
| Festival Foods Turkey Trot | De Pere, WI | 501(c)(3) | Operations Support | $7,500 |
| The Parenting Place | La Crosse, WI | 501(c)(3) | Operations Support | $7,500 |
| Ywca La Crosse | La Crosse, WI | 501(c)(3) | Operations Support | $6,000 |
| La Crosse Area Development Corporation | La Crosse, WI | 501(c)(6) | Operations Support | $5,500 |
| Rivers Alliance Inc | La Crosse, WI | 501(c)(3) | 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 |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Insider Transactions and Loans
Interested-Person Transactions
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| April Farrell MD | See Supplemental Info | Employment | No | $747,577 |
| James Kleven MD | See Supplemental Info | Employment | No | $528,981 |
| Shannan Stephens MD | See Supplemental Info | Employment | No | $356,521 |
| Noel Radcliffe MD | See Supplemental Info | Employment | No | $327,843 |
| Karl Borge MD | See Supplemental Info | Employment | No | $266,477 |
| John Houskamp MD | See Supplemental Info | Employment | No | $155,878 |
| Margaret Webster MD | See Supplemental Info | Employment | No | $155,095 |
| Emily Dolan MD | See Supplemental Info | Employment | No | $142,064 |
| Ricardo Rivera | See Supplemental Info | Employment | No | $124,465 |
| Scott Wied | See Supplemental Info | Employment | No | $123,943 |
| Deborah Schwartz | See Supplemental Info | Employment | No | $87,142 |
| Brenda White | See Supplemental Info | Employment | No | $33,263 |
| Tiffany Kimball | See Supplemental Info | Employment | No | $30,809 |
| Alyssa Houskamp | See Supplemental Info | Employment | No | $25,566 |
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $28,214 | $97,544 | ▲ $69,330 |
| 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 | $629,749,461 |
| Loss on Swap Contracts | $22,069,295 |
| Teb Pre/(disc) Current and Lt | $20,912,815 |
| Lt Cimp Liability | $9,018,293 |
| Operating Lease Obligations | $5,263,562 |
| Deferred Compensation | $85,507 |
| Security Deposit Payable | $84,626 |
| Sales Tax Payable | $57,095 |
| Deferred Revenue | $16,077 |
| Lease Contract Payable | $0 |
Bond Issues
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Whefa Series 2021a Issuance | 2021-08-12 | $117,839,194 | SEE PART VI |
| C | Whefa Series 2009 Issuance | 2012-10-01 | $78,715,000 | SEE PART VI |
| A | Whefa Sereis 2012 Issuance | 2012-09-27 | $71,789,897 | SEE PART VI |
| D | Whefa Series 2008b Issuance | 2012-10-01 | $61,400,000 | SEE PART VI |
| B | Whefa Series 2016 Issuance | 2016-02-12 | $40,000,000 | SEE PART VI |
| C | Whefa Series 2020a Issuance | 2020-03-24 | $25,002,968 | SEE PART VI |
| B | Whefa 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 | $0 | $1,202,288 |
| C | $78,715,000 | $78,715,000 | $17,735,000 | $0 |
| A | $71,890,166 | $0 | $1,545,000 | $961,054 |
| D | $61,400,000 | $61,400,000 | $5,675,000 | $0 |
| B | $40,000,000 | $40,000,000 | $0 | $0 |
| C | $25,003,152 | $0 | $0 | $0 |
| B | $12,044,550 | $0 | $6,950,000 | $0 |
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 2
“Mark glendenning and gerald arndt - business relationship”
Form 990 Part VI Line 6
“Gundersen lutheran health system, inc. Is the sole member of this organization.”
Form 990 Part VI Line 7A
“The corporate member, gundersen lutheran health system, inc., has the power to appoint board members”
Form 990 Part VI Line 7B
“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
“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 and upon further review from the cfo and/or the executive director finance, the 990s are approved and filed.”
Form 990 Part VI Line 12C
“Gundersen lutheran administrative services, inc. Monitors conflicts on an annual basis by reviewing disclosures on completed conflict of interest statements.”
Form 990 Part VI Line 15A
“The compensation of the ceo is determined annually by a committee made up of the community members of the board of trustees. Their determination is made after a review of market data obtained from several organizations and ceo performance. Meeting minutes are taken and kept at the meetings where such discussions take place. Recommendations for compensation for the organizations' key management employees are developed annually by the ceo, after a review of performance and comparable market data. The proposed salaries are independently reviewed by an outside auditing firm. The compensation recommendations, audit reports, along with the market data, are presented to a committee made up of the community members of the board of trustees. The compensation amounts are not effective until the board committee approves them. Meeting minutes are taken and kept at the meetings where the board reviews and approves the compensation of the key employees.”
Form 990 Part VI Line 19
“Requests for all documents are made through the legal department, and the appropriate documents are made available for inspection in the legal department.”
Filing and Contact Details
Filer
- Filer Name
- Gundersen Lutheran Administrative Services
- EIN
- 39-1606449
- In Care Of
- % GERALD OETZEL
- Phone
- 6087827300
- Address
- 1910 SOUTH AVE, LA CROSSE, WI 54601
Signing Officer
- Name
- Gerald Oetzel
- Title
- CFO
- Phone
- 6087827300
- Signed
- 2022-11-07
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Scott Rathgaber Md
- Formed
- 1987
- Legal Domicile
- Wi
- Voting Board Members
- 13
- Independent Board Members
- 4
- Employees
- 8,981
- Volunteers
- 283
Preparer
- Firm
- Ernst & Young US Llp
- Address
- 155 N Wacker Drive, Chicago, IL 60606
- Preparer
- Jess Wagener
- Phone
- 3128792000
Supplemental Narrative
Additional Explanations
Form 990, Part III, Line 1
“Description of organization 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 ($13,770,313) market adjustments for swap contracts ($5,052) TOTAL ($13,775,365)”
Financial Statement Notes
Form 990, Sch D, Part X Line 2
“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, 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 year.”
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| AffiliatedGroupSchedule/AffiliatedScheduleGrp/LobbyNontxAmt | 3 | 81342 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/OtherExemptPurposeExpendAmt | 0 | 912034520 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/OtherExemptPurposeExpendAmt | 1 | 229107456 |
| 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 | 358231 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 1 | 22411 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 2 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalDirectLobbyAmt | 3 | 0 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalExemptPurposeExpendAmt | 0 | 912392751 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalExemptPurposeExpendAmt | 1 | 229129867 |
| 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 | 358231 |
| AffiliatedGroupSchedule/AffiliatedScheduleGrp/TotalLobbyExpenditureAmt | 1 | 22411 |
| 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 S 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 | 179161329 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 153279914 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO SUPPORT GUNDERSEN HEALTH SYSTEM'S HEALTH CARE AND OTHER ORGS MISSIONS THROUGHOUT OUR SERVICE AREA, MANAGING THE LARGER PORTION OF BUSINESS SVCS, EDUCATION AND INVESTING. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1517779 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 86891 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1604670 |
| IRS990/AllOtherContributionsAmt | 0 | 2344 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 338501 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1118661 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1457162 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 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 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 16944966 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 17055873 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 411 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 7959175 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 7959175 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 3105624 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 3105624 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 102932 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 292440 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 395372 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 8606176 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 6045274 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 5542690 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 5245340 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 3827671 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 313 MONITOR STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1950 N STEMMONS FWY STE 5010 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 88122 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 404398 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 7008 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | LA CROSSE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SHREVEPORT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | LA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 54603 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75207 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 60680 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 30384 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 71137 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | FOWLER AND HAMMER INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | MICROSOFT CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | HAYES LOCUMS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | EPLUS TECNOLOGY INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | METRO AVIATION INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION CNTRCTR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | COMPUTER CONTRACT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | DOCTOR CONTRACT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | COMPUTER CONTRACT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | AVIATION CONTRACT |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1576875 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 2605097 |
| IRS990/CYInvestmentIncomeAmt | 0 | 44912902 |
| IRS990/CYOtherExpensesAmt | 0 | 123427142 |
| IRS990/CYOtherRevenueAmt | 0 | 527000 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 906325303 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 40949328 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 786360513 |
| IRS990/CYTotalExpensesAmt | 0 | 912392752 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 953342080 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 349997 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 21116009 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 21466006 |
| 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/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 8981 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 855732025 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 337467 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 337467 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1229254 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 49372 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1278626 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 16 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 358215 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 358231 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 3128255 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 16864386 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 19992641 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 1827962 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 5280 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 1833242 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 7.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 9.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 7.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 2.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 2.3 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 28 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 29 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 30 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 31 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 32 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 33 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 34 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 35 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 36 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 37 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 38 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 39 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 40 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 41 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 42 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 43 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 44 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 45 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 29 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 30 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 31 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 32 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 33 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 34 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 35 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 36 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 37 | 42.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 38 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 39 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 40 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 41 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 42 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 43 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 44 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 45 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| 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/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | 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/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 |
| 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/OtherCompensationAmt | 0 | 64734 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 64934 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 50390 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 53726 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 43442 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 66134 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 62520 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 63734 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 66134 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 66484 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 64934 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 64734 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 59978 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 66484 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 66234 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 44915 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 42050 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 60719 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 41915 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 51314 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 66484 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 52134 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 65944 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 57986 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 43442 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 62443 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 62247 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 52912 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 37707 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 29 | 37362 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 30 | 54502 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 31 | 49876 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 32 | 46218 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 33 | 52259 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 34 | 36244 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 35 | 37695 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 36 | 31726 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 37 | 13926 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 38 | 18896 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 39 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 40 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 41 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 42 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 43 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 44 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 45 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | SCOTT RATHGABER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Michael Dolan MD |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2021 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $1,235,621,372
- Liabilities
- $1,192,791,645
- Net assets
- $42,829,727
- Revenue
- $953,342,080
- Expenses
- $912,392,752
- Net income
- $40,949,328