Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
Gundersen Lutheran Credentialing Services Inc
990 • Fiscal year 2019 • EIN 39-1856898
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.11x
Liabilities / Revenue
68th percentile
Higher debt load relative to revenue than 68% of similar nonprofits.
Net Margin
10th percentile
Higher net margin than 10% of similar nonprofits.
Top Officer Pay
99th percentile
Higher top officer pay than 99% of similar nonprofits.
Top officer pay equals 128.9% of source-year revenue.
Asset Growth
11th percentile
Faster asset growth than 11% of similar nonprofits.
Revenue Growth
20th percentile
Faster revenue growth than 20% of similar nonprofits.
Balance Sheet
Assets
Down$504,460
Down $227,504 (-31%) from 2017
Net Assets
Down$451,369
Down $123,722 (-22%) from 2017
Liabilities
Down$53,091
Down $103,782 (-66%) from 2017
Revenue And Expenses
Revenue
Down$495,927
Down $170,508 (-26%) from 2017
Expenses
Down$629,767
Down $10,140 (-1.6%) from 2017
Net Income
Down-$133,840
Down $160,368 (-605%) from 2017
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2019 to Dec 31, 2019
- Signed
- Oct 28, 2020
- Return Version
- 2019v5.1
- Gross Receipts
- $495,927
Mission and Program Overview
Mission
To promote the health of the community by establishing a uniform service to healthcare institutions for gathering, organizing, and verifying healthcare provider applications and information in order to facilitate the granting of credentials and privileges for the practice of medicine and related health areas.
SEE SCHEDULE O
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $8,367 | $363,710 | ▲ $355,343 |
| Accounts Receivable | $733,715 | $140,750 | ▼ $592,965 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Land, Buildings, and Equipment, Net | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Prepaid Expenses and Deferred Charges | $0 | $0 | → $0 |
| Total Assets | $742,082 | $504,460 | ▼ $237,622 |
| Other Assets Total | $0 | $0 | → $0 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $156,873 | $53,091 | ▼ $103,782 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Other Liabilities | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $156,873 | $53,091 | ▼ $103,782 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $585,209 | $451,369 | ▼ $133,840 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $585,209 | $451,369 | ▼ $133,840 |
| Total Liabilities and Net Assets / Fund Balance | $742,082 | $504,460 | ▼ $237,622 |
Compensation and Service Providers
Employees
| Name | Title | Other | Total |
|---|---|---|---|
| Cheryl Brown | President | $107,358 | $107,358 |
Board Members and Trustees
| Name | Title |
|---|---|
| Ward Brown Md | Vice President |
| Daniel Lilly Jd | Secretary/treasurer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Gundersen Lutheran Admin Svcs | Purchased Svs & Exp | 1910 SOUTH AVENUE, La Crosse, WI 54601 | $622,692 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $495,927
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $-133,840
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $629,767 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Information Technology | $486,643 | $123,677 | $0 | $610,320 |
| Fees for Services Management | $0 | $12,372 | $0 | $12,372 |
| Other Expenses | $0 | $5,875 | $0 | $5,875 |
| Insurance | $0 | $1,200 | $0 | $1,200 |
| Total Functional Expenses | $486,643 | $143,124 | $0 | $629,767 |
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
- No
- Subject to proxy tax
- No
Insider Transactions and Loans
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- 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, SECTION B, LINE 11B
“The form 990 is reviewed for completeness and accuracy by management. For this purpose, management includes the cfo and accounting manager of the gundersen lutheran health system, and the president of the board of directors. The organization informs the board members that a copy of the form 990 is available for review prior to filing.”
FORM 990, PART VI, SECTION B, LINE 12C
“Gundersen lutheran credentialing services, inc. Monitors conflicts on an annual basis by reviewing disclosures and taking the mandatory gundersen health system training which covers confidentiality.”
Form 990, Part VI, Section B, Line 15
“All personnel services of gundersen lutheran credentialing services, inc. Recommendations for compensation for the organization's key management employees are developed annually by the ceo, after a review of the performance and comparative market data. The compensation recommendations, along with the market data, are presented to the committee made up of the community members of the board of trustees. The compensation amounts are not effective until the board committee approves the compensation of the key employees.”
Form 990, Part VI, Section C, Line 19
“Requests for form 990 and certain other tax information is available for public inspection and copying through the gundersen lutheran health system, inc.'s legal department. A copy of the gundersen lutheran credentialing services, inc.'s form 990 can also be found electronicaly on guidestar.org”
Filing and Contact Details
Filer
- Filer Name
- Gundersen Lutheran Credentialing Services
- EIN
- 39-1856898
- In Care Of
- % GERALD OETZEL
- Phone
- 6087759487
- Address
- 1910 SOUTH AVENUE Suite NCA1-01, LA CROSSE, WI 54601
Signing Officer
- Name
- Cheryl Brown
- Title
- President
- Phone
- 6087759487
- Signed
- 2020-10-28
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Cheryl Brown
- Formed
- 1996
- Legal Domicile
- Wi
- Voting Board Members
- 3
- Independent Board Members
- 0
- Employees
- 0
- Volunteers
- 0
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 I Line 1
“TO PROMOTE THE HEALTH OF THE COMMUNITY BY ESTABLISHING A UNIFORM SERVICE TO HEALTHCARE INSTITUTIONS FOR GATHERING, ORGANIZING, AND VERIFYING HEALTHCARE PROVIDER APPLICATIONS FOR CREDENTIALING AND PRACTICE OF MEDICINE. FORM 990, PART VI, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS GUNDERSEN HEALTH SYSTEM. FORM 990, PART VI, LINE 7a DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE PARENT CORPORATION'S BOARD OF TRUSTEES. FORM 990, PART VI, LINE 7b GUNDERSEN HEALTH SYSTEM SHALL HAVE THE POWER TO RECOMMEND, REVIEW, AND APPROVE THROUGH ITS BOARD OF TRUSTEES AND BOARD OF GOVERNORS.”
Raw XML AppendixShowing 400 of 783 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 53091 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 733715 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 140750 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 0 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
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| IRS990/BooksInCareOfDetail/PersonNm | 0 | GERALD OETZEL |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6087757914 |
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| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LA CROSSE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 54601 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 8367 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 363710 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
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| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 54601 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | GUNDERSEN LUTHERAN ADMIN SVCS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PURCHASED SVS & EXP |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 629767 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 495927 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -133840 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 629767 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 495927 |
| 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/TotalAmt | 0 | 0 |
| IRS990/Desc | 0 | PROVIDING CREDENTIALING AND VERIFICATION SERVICES IN A COORDINATED MANNER TO VARIOUS HEALTHCARE PROVIDERS IN THE GUNDERSEN LUTHERAN HEALTH SYSTEM. 416 INITAL APPLICATIONS AND 647 REAPPOINTMENTS WERE PROCESSED. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| 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 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 486643 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 12372 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 12372 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| 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 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 47956 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 62102 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 26636 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | WARD BROWN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DANIEL LILLY JD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | CHERYL BROWN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 591484 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 443688 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 80722 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PRESIDENT |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1996 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 495927 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
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| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
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| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 486643 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 610320 |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 0 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1200 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1200 |
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| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
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| IRS990/MembersOrStockholdersInd | 0 | true |
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| IRS990/MissionDesc | 0 | TO PROMOTE THE HEALTH OF THE COMMUNITY BY ESTABLISHING A UNIFORM SERVICE TO HEALTHCARE INSTITUTIONS FOR GATHERING, ORGANIZING, AND VERIFYING HEALTHCARE PROVIDER APPLICATIONS AND INFORMATION IN ORDER TO FACILITATE THE GRANTING OF CREDENTIALS AND PRIVILEGES FOR THE PRACTICE OF MEDICINE AND RELATED HEALTH AREAS. |
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| IRS990/OtherExpensesGrp/Desc | 0 | BAD DEBT |
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| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 5875 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
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| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | GUNDERSEN LUTHERAN CREDENTIALING SERVICES, INC. PROVIDES SUPPORT TO EACH OF THE ORGANIZATIONS LISTED; HOWEVER, SUCH SERVICES CANNOT EASILY BE QUANTIFIED IN DOLLAR-BASED TERMS. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 1 | THE SUPPORTED ORGANIZATIONS ARE DESIGNATED BY PURPOSE. PER THE ARTICLES OF INCORPORATION THE ENTITY WAS ORGANIZED TO PROMOTE THE HEALTH OF THE COMMUNITY BY ESTABLISHING A UNIFORM SERVICE TO HEALTH CARE INSTITUTIONS FOR GATHERING, ORGANIZING, AND VERIFYING HEALTH CARE PROVIDER APPLICATIONS AND INFORMATION IN ORDER TO FACILITATE THE GRANTING OF CREDENTIALS AND PRIVILEGES FOR THE PRACTICE OF MEDICINE AND RELATED HEALTH AREAS. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 2 | THE SUPPORTED ORGANIZATIONS WERE GUNDERSEN CLINIC, LTD. EIN 39-1028657 AND GUNDERSEN LUTHERAN MEDICAL CENTER, INC. EIN 39-0813416. GUNDERSEN LUTHERAN CREDENTIALING SERVICES PROMOTED THE HEALTH OF THE COMMUNITY AND DIRECTLY FURTHERED THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS BY PERFORMING THE SERVICE OF GATHERING, ORGANIZING, AND VERIFYING THE HEALTHCARE PROVIDER APPLICATIONS AND INFORMATION (CREDENTIALING) IN ORDER TO GRANT THE PRIVILEGES TO PRACTICE MEDICINE FOR THE ORGANIZATIONS. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | PART I SECTION A LINE 12g |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 1 | PART IV, SECTION A, LINE 1 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 2 | PART IV SECTION E LINE 2a |
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| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | false |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | false |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 6500 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 1 | 2500 |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | TO PROMOTE THE HEALTH OF THE COMMUNITY BY ESTABLISHING A UNIFORM SERVICE TO HEALTHCARE INSTITUTIONS FOR GATHERING, ORGANIZING, AND VERIFYING HEALTHCARE PROVIDER APPLICATIONS FOR CREDENTIALING AND PRACTICE OF MEDICINE. FORM 990, PART VI, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS GUNDERSEN HEALTH SYSTEM. FORM 990, PART VI, LINE 7a DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE PARENT CORPORATION'S BOARD OF TRUSTEES. FORM 990, PART VI, LINE 7b GUNDERSEN HEALTH SYSTEM SHALL HAVE THE POWER TO RECOMMEND, REVIEW, AND APPROVE THROUGH ITS BOARD OF TRUSTEES AND BOARD OF GOVERNORS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE FORM 990 IS REVIEWED FOR COMPLETENESS AND ACCURACY BY MANAGEMENT. FOR THIS PURPOSE, MANAGEMENT INCLUDES THE CFO AND ACCOUNTING MANAGER OF THE GUNDERSEN LUTHERAN HEALTH SYSTEM, AND THE PRESIDENT OF THE BOARD OF DIRECTORS. THE ORGANIZATION INFORMS THE BOARD MEMBERS THAT A COPY OF THE FORM 990 IS AVAILABLE FOR REVIEW PRIOR TO FILING. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | GUNDERSEN LUTHERAN CREDENTIALING SERVICES, INC. MONITORS CONFLICTS ON AN ANNUAL BASIS BY REVIEWING DISCLOSURES AND TAKING THE MANDATORY GUNDERSEN HEALTH SYSTEM TRAINING WHICH COVERS CONFIDENTIALITY. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | ALL PERSONNEL SERVICES OF GUNDERSEN LUTHERAN CREDENTIALING SERVICES, INC. RECOMMENDATIONS FOR COMPENSATION FOR THE ORGANIZATION'S KEY MANAGEMENT EMPLOYEES ARE DEVELOPED ANNUALLY BY THE CEO, AFTER A REVIEW OF THE PERFORMANCE AND COMPARATIVE MARKET DATA. THE COMPENSATION RECOMMENDATIONS, ALONG WITH THE MARKET DATA, ARE PRESENTED TO THE COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THE COMPENSATION AMOUNTS ARE NOT EFFECTIVE UNTIL THE BOARD COMMITTEE APPROVES THE COMPENSATION OF THE KEY EMPLOYEES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | REQUESTS FOR FORM 990 AND CERTAIN OTHER TAX INFORMATION IS AVAILABLE FOR PUBLIC INSPECTION AND COPYING THROUGH THE GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.'S LEGAL DEPARTMENT. A COPY OF THE GUNDERSEN LUTHERAN CREDENTIALING SERVICES, INC.'S FORM 990 CAN ALSO BE FOUND ELECTRONICALY ON GUIDESTAR.ORG |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990 PART I LINE 1 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION B, LINE 11b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION B, LINE 12c |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION C, LINE 19 |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt | 1 | C CORP |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd | 1 | WI |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 0 | RETAIL PHARMACY |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 1 | RENEWABLE ENERGY |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 0 | DEGEN BERGLUND INC |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 1 | GUNDERSEN LUTHERAN ENVISION LLC |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm | 1 | LA CROSSE |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $504,460
- Liabilities
- $53,091
- Net assets
- $451,369
- Revenue
- $495,927
- Expenses
- $629,767
- Net income
- -$133,840