Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
Gundersen Lutheran Credentialing Services Inc
990 • Fiscal year 2021 • EIN 39-1856898
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
1.95x
Liabilities / Revenue
93rd percentile
Higher debt load relative to revenue than 93% of similar nonprofits.
Net Margin
3rd percentile
Higher net margin than 3% of similar nonprofits.
Top Officer Pay
100th percentile
Higher top officer pay than 100% of similar nonprofits.
Top officer pay equals 123.5% of source-year revenue.
Asset Growth
86th percentile
Faster asset growth than 86% of similar nonprofits.
Revenue Growth
74th percentile
Faster revenue growth than 74% of similar nonprofits.
Balance Sheet
Assets
Up$431,250
Up $163,442 (+61%) from 2020
Net Assets
Down-$407,721
Down $623,638 (-289%) from 2020
Liabilities
Up$838,971
Up $787,080 (+1517%) from 2020
Revenue And Expenses
Revenue
Up$587,040
Up $198,600 (+51%) from 2020
Expenses
Up$1,210,678
Up $586,786 (+94%) from 2020
Net Income
Down-$623,638
Down $388,186 (-165%) from 2020
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2021 to Dec 31, 2021
- Signed
- Oct 10, 2022
- Return Version
- 2021v4.2
- Gross Receipts
- $587,040
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 | |||
| Accounts Receivable | $114,000 | $335,000 | ▲ $221,000 |
| Cash and Non-Interest-Bearing Accounts | $153,808 | $96,250 | ▼ $57,558 |
| 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 | $267,808 | $431,250 | ▲ $163,442 |
| Other Assets Total | $0 | $0 | → $0 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $51,891 | $838,971 | ▲ $787,080 |
| 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 | $51,891 | $838,971 | ▲ $787,080 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Net Assets Without Donor Restrictions | $215,917 | $-407,721 | ▼ $623,638 |
| Total Net Assets Fund Balance | $215,917 | $-407,721 | ▼ $623,638 |
| Total Liabilities and Net Assets / Fund Balance | $267,808 | $431,250 | ▲ $163,442 |
Compensation and Service Providers
Employees
| Name | Title | Other | Total |
|---|---|---|---|
| Cheryl Brown | President | $125,640 | $125,640 |
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 | $1,210,679 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $587,040
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $-623,638
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $979,493 |
| Other Expenses | $231,185 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $781,006 | $198,487 | - | $979,493 |
| Fees for Services Other | $88,101 | $22,390 | - | $110,491 |
| Other Expenses | $47,672 | $12,115 | $0 | $59,787 |
| Information Technology | $44,100 | - | - | $44,100 |
| Fees for Services Management | - | $13,980 | - | $13,980 |
| Insurance | - | $1,200 | - | $1,200 |
| Conferences and Meetings | - | $266 | - | $266 |
| Office Expenses | - | $148 | - | $148 |
| Total Functional Expenses | $961,846 | $248,832 | $0 | $1,210,678 |
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, 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.”
FORM 990, PART VI, SECTION B, LINE llB
“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
- 2022-10-10
- 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.”
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, 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 unceratin tax positions. The system's income tax returns are no longer subject to examination for 2016 and prior years.”
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| IRS990/Desc | 0 | PROVIDING CREDENTIALING AND VERIFICATION SERVICES IN A COORDINATED MANNER TO VARIOUS HEALTHCARE PROVIDERS IN THE GUNDERSEN LUTHERAN HEALTH SYSTEM. PROCESSED OVER 580 INITIAL APPLICATIONS AND ASSISTED IN COORDINATING EMERGENCY PRIVIILEGES DURING COVID. |
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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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| 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. |
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| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 2 | PART IV SECTION E LINE 2a |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | 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, 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 UNCERATIN TAX POSITIONS. THE SYSTEM'S INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION FOR 2016 AND PRIOR YEARS. |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | DANIEL LILLY JD |
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| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | COMPENSATION FOR EXECUTIVES IS ESTABLISHED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., A RELATED PARTY. GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. USED A COMPENSATION COMMITTEE, COMPENSATION SURVEY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH COMPENSATION FOR EXECUTIVES. |
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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. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | WARD BROWN AND CHERYL BROWN HAVE A FAMILY RELATIONSHIP. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE SOLE MEMBER OF THE CORPORATION IS GUNDERSEN HEALTH SYSTEM. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE PARENT CORPORATION'S BOARD OF TRUSTEES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | GUNDERSEN HEALTH SYSTEM SHALL HAVE THE POWER TO RECOMMEND, REVIEW, AND APPROVE THROUGH ITS BOARD OF TRUSTEES AND BOARD OF GOVERNORS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | 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 | 6 | 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 | 7 | 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 | 8 | 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 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART I, LINE 1 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, LINE 2 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, LINE 7B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION B, LINE llB |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | FORM 990, PART VI, SECTION C, LINE 19 |
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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
- $431,250
- Liabilities
- $838,971
- Net assets
- -$407,721
- Revenue
- $587,040
- Expenses
- $1,210,678
- Net income
- -$623,638