Civic Intelligence

Gundersen Lutheran Credentialing Services Inc

990 • Fiscal year 2020 • EIN 39-1856898

Jan 01, 2020 to Dec 31, 2020 • Filed on Oct 13, 2021

1910 SOUTH AVENUE Suite NCA1-01LA Crosse, WI 54601

(608) 775-9487

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

80th percentile

0.19x

Higher debt load relative to assets than 80% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

79th percentile

0.13x

Higher debt load relative to revenue than 79% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

11th percentile

-61%

Higher net margin than 11% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

100th percentile

$626,595

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 161.3% of source-year revenue.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Asset Growth

9th percentile

-47%

Faster asset growth than 9% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

43rd percentile

-22%

Faster revenue growth than 43% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Assets

Down

$267,808

Down $236,652 (-47%) from 2019

Net Assets

Down

$215,917

Down $235,452 (-52%) from 2019

Liabilities

Down

$51,891

Down $1,200 (-2.3%) from 2019

Revenue

Down

$388,440

Down $107,487 (-22%) from 2019

Expenses

Down

$623,892

Down $5,875 (-0.9%) from 2019

Net Income

Down

-$235,452

Down $101,612 (-76%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0M$500K$0-$500K-$1.0MAssets 2010: $175,910Liabilities 2010: $890,195Net Assets 2010: -$714,2852010Assets 2011: $94,021Liabilities 2011: $579,028Net Assets 2011: -$485,0072011Assets 2012: $77,415Liabilities 2012: $44,408Net Assets 2012: $33,0072012Assets 2013: $282,199Liabilities 2013: $0Net Assets 2013: $282,1992013Assets 2014: $201,140Liabilities 2014: $0Net Assets 2014: $201,1402014Assets 2015: $652,036Liabilities 2015: $51,842Net Assets 2015: $600,1942015Assets 2016: $600,454Liabilities 2016: $51,891Net Assets 2016: $548,5632016Assets 2017: $731,964Liabilities 2017: $156,873Net Assets 2017: $575,0912017Assets 2019: $504,460Liabilities 2019: $53,091Net Assets 2019: $451,3692019Assets 2020: $267,808Liabilities 2020: $51,891Net Assets 2020: $215,9172020Assets 2021: $431,250Liabilities 2021: $838,971Net Assets 2021: -$407,7212021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2020

Assets$267,808
Liabilities$51,891
Net Assets$215,917

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500K-$1.0MRevenue 2010: $568,560Expenses 2010: $493,445Net Income 2010: $75,1152010Revenue 2011: $495,850Expenses 2011: $266,572Net Income 2011: $229,2782011Revenue 2012: $296,175Expenses 2012: $799,552Net Income 2012: -$503,3772012Revenue 2013: $782,335Expenses 2013: $533,143Net Income 2013: $249,1922013Revenue 2014: $541,422Expenses 2014: $622,481Net Income 2014: -$81,0592014Revenue 2015: $1,021,253Expenses 2015: $622,199Net Income 2015: $399,0542015Revenue 2016: $573,416Expenses 2016: $625,047Net Income 2016: -$51,6312016Revenue 2017: $666,435Expenses 2017: $639,907Net Income 2017: $26,5282017Revenue 2019: $495,927Expenses 2019: $629,767Net Income 2019: -$133,8402019Revenue 2020: $388,440Expenses 2020: $623,892Net Income 2020: -$235,4522020Revenue 2021: $587,040Expenses 2021: $1,210,678Net Income 2021: -$623,6382021Revenue 2022: $80,000Expenses 2022: $232,329Net Income 2022: -$152,3292022

Highlighted filing

2020

Revenue$388,440
Expenses$623,892
Net Income-$235,452
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Oct 13, 2021
Return Version
2020v4.1
Gross Receipts
$388,440
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
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$363,710$153,808▼ $209,902
Accounts Receivable$140,750$114,000▼ $26,750
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$504,460$267,808▼ $236,652
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$53,091$51,891▼ $1,200
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$53,091$51,891▼ $1,200
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$451,369$215,917▼ $235,452
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$451,369$215,917▼ $235,452
Total Liabilities and Net Assets / Fund Balance$504,460$267,808▼ $236,652
Compensation and Service Providers

Employees

NameTitleOtherTotal
Cheryl BrownPresident$108,373$108,373

Board Members and Trustees

NameTitle
Ward Brown MdVice President
Daniel Lilly JdSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Gundersen Lutheran Admin SvcsPurchased Svs & Exp1910 SOUTH AVENUE, La Crosse, WI 54601$622,692
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$388,440
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-235,452
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$623,892
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Information Technology$486,643$123,677$0$610,320
Fees for Services Management-$12,372-$12,372
Insurance$0$1,200$0$1,200
Total Functional Expenses$486,643$137,249$0$623,892
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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 ItemBeginningEndChange
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 electronically 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
2021-10-13
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 2 WARD BROWN AND CHERYL BROWN HAVE A FAMILY RELATIONSHIP. 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.

Financial Statement Notes

Part X, Line 2

Asc 740 footnote the system qualifies as a tax-exempt organization under section 501(c)(3) of the internal revenue code, with the exception of gundersen lutheran envision, which is a for-profit entity. At december 31, 2020 and 2019, net deferred tax assets of $7,948 and $6,900, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $7,948, and $6,900, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At december 31, 2020, the system's federal net operating loss carryforwards were approximately $29,800, and the state net operating loss carryforwards were approximately $27,900, which will expire between 2029 and 2038. The system has reviewed its tax positions for all open years and has concluded that no liabilities exist for unceratin tax positions. The system's income tax returns are no longer subject to examination for 2015 and prior years.

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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0GUNDERSEN 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/ExplanationTxt1THE 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/ExplanationTxt2THE 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/FormAndLineReferenceDesc0PART I SECTION A LINE 12g
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1PART IV, SECTION A, LINE 1
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2PART IV SECTION E LINE 2a
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1GUNDERSEN LUTHERAN MEDICAL CENTER INC
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ASC 740 FOOTNOTE THE SYSTEM QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, WITH THE EXCEPTION OF GUNDERSEN LUTHERAN ENVISION, WHICH IS A FOR-PROFIT ENTITY. AT DECEMBER 31, 2020 AND 2019, NET DEFERRED TAX ASSETS OF $7,948 AND $6,900, RESPECTIVELY, WHICH PRIMARILY ARE RELATED TO NET OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $7,948, AND $6,900, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT DECEMBER 31, 2020, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $29,800, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $27,900, WHICH WILL EXPIRE BETWEEN 2029 AND 2038. THE SYSTEM HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO LIABILITIES EXIST FOR UNCERATIN TAX POSITIONS. THE SYSTEM'S INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR 2015 AND PRIOR YEARS.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0WARD BROWN MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1DANIEL LILLY JD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0VICE PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1SECRETARY/TREASURER
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TO 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 2 WARD BROWN AND CHERYL BROWN HAVE A FAMILY RELATIONSHIP. 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/ExplanationTxt1THE 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/ExplanationTxt2GUNDERSEN 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/ExplanationTxt3ALL 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/ExplanationTxt4REQUESTS 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 ELECTRONICALLY ON GUIDESTAR.ORG
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART I, LINE 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
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