Civic Intelligence

Gundersen Lutheran Health System Inc.

990 • Fiscal year 2016 • EIN 39-1866425

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 15, 2017

1836 South Ave Suite NCA1-01La Crosse, WI 54601

(608) 782-7300

Siviq Scores

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

Liabilities / Assets

9th percentile

0.01x

Higher debt load relative to assets than 9% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Liabilities / Revenue

7th percentile

0.02x

Higher debt load relative to revenue than 7% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Net Margin

35th percentile

-0.3%

Higher net margin than 35% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Top Officer Pay

95th percentile

$1,285,969

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 8.1% of source-year revenue.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Asset Growth

99th percentile

167%

Faster asset growth than 99% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Revenue Growth

100th percentile

3048%

Faster revenue growth than 100% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Assets

Up

$41,946,668

Up $26,221,240 (+167%) from 2015

Net Assets

Up

$41,599,101

Up $26,466,065 (+175%) from 2015

Liabilities

Down

$347,567

Down $244,825 (-41%) from 2015

Revenue

Up

$15,902,164

Up $15,397,083 (+3048%) from 2015

Expenses

Up

$15,949,000

Up $15,894,668 (+29255%) from 2015

Net Income

Down

-$46,836

Down $497,585 (-110%) from 2015

Historical Trend

Balance Sheet Trend

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

$60M$40M$20M$0Assets 2010: $2,384,994Liabilities 2010: $992,383Net Assets 2010: $1,392,6112010Assets 2011: $2,295,437Liabilities 2011: $893,404Net Assets 2011: $1,402,0332011Assets 2012: $2,219,058Liabilities 2012: $814,961Net Assets 2012: $1,404,0972012Assets 2013: $2,128,903Liabilities 2013: $971,037Net Assets 2013: $1,157,8662013Assets 2014: $1,977,382Liabilities 2014: $818,642Net Assets 2014: $1,158,7402014Assets 2015: $15,725,428Liabilities 2015: $592,392Net Assets 2015: $15,133,0362015Assets 2016: $41,946,668Liabilities 2016: $347,567Net Assets 2016: $41,599,1012016Assets 2017: $40,013,880Liabilities 2017: $220,574Net Assets 2017: $39,793,3062017Assets 2018: $34,182,777Liabilities 2018: $233,476Net Assets 2018: $33,949,3012018Assets 2019: $35,664,298Liabilities 2019: $212,251Net Assets 2019: $35,452,0472019Assets 2020: $35,975,535Liabilities 2020: $0Net Assets 2020: $35,975,5352020Assets 2021: $41,136,564Liabilities 2021: $0Net Assets 2021: $41,136,5642021Assets 2022: $45,094,960Liabilities 2022: $0Net Assets 2022: $45,094,9602022Assets 2023: $45,450,723Liabilities 2023: $20,399Net Assets 2023: $45,430,3242023Assets 2024: $55,653,557Liabilities 2024: $0Net Assets 2024: $55,653,5572024

Highlighted filing

2016

Assets$41,946,668
Liabilities$347,567
Net Assets$41,599,101

Operations Trend

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

$20M$15M$10M$5.0M$0-$5.0MRevenue 2010: $40,184Expenses 2010: $0Net Income 2010: $40,1842010Revenue 2011: $939,422Expenses 2011: $0Net Income 2011: $939,4222011Revenue 2012: $8,902,174Expenses 2012: $0Net Income 2012: $8,902,1742012Revenue 2013: $11,691,527Expenses 2013: $0Net Income 2013: $11,691,5272013Revenue 2014: $2,576,236Expenses 2014: $0Net Income 2014: $2,576,2362014Revenue 2015: $505,081Expenses 2015: $54,332Net Income 2015: $450,7492015Revenue 2016: $15,902,164Expenses 2016: $15,949,000Net Income 2016: -$46,8362016Revenue 2017: $1,504,900Expenses 2017: $1,577,692Net Income 2017: -$72,7922017Revenue 2018: $2,531,002Expenses 2018: $2,546,617Net Income 2018: -$15,6152018Revenue 2019: $1,075,972Expenses 2019: $685,304Net Income 2019: $390,6682019Revenue 2020: $803,448Expenses 2020: $345,861Net Income 2020: $457,5872020Revenue 2021: $1,272,002Expenses 2021: $406,710Net Income 2021: $865,2922021Revenue 2022: $8,553,793Expenses 2022: $0Net Income 2022: $8,553,7932022Revenue 2023: $75,099Expenses 2023: $750Net Income 2023: $74,3492023Revenue 2024: $5,436,536Expenses 2024: $0Net Income 2024: $5,436,5362024

Highlighted filing

2016

Revenue$15,902,164
Expenses$15,949,000
Net Income-$46,836
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 15, 2017
Return Version
2016v3.1
Gross Receipts
$15,902,164
Mission and Program Overview

Mission

To support Gundersen Lutheran Medical Center, Inc. and Gundersen Clinic, Ltd. and/or their affiliates' programs of health care, medical education, medical research and community health promotion activities within the meaning of Sec 509(a)(3) of the IRC; to engage in activities relating to the aforementioned purposes, including the power to acquire/receive funds and property of every kind and to invest in, receive, hold, use and dispose of all property, real or personal, to carry into effect the aforementioned purposes.

SEE SCHEDULE O.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$15,034,787$18,964,478▲ $3,929,691
Investments in Publicly Traded Securities$475,031$249,797▼ $225,234
Savings and Temporary Cash Investments$215,610$148,635▼ $66,975
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$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 Program Related$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$15,725,428$41,946,668▲ $26,221,240
Other Assets Total$0$22,583,758▲ $22,583,758
Liabilities
Other Liabilities$592,392$347,567▼ $244,825
Accounts Payable and Accrued Expenses$0$0→ $0
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
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$592,392$347,567▼ $244,825
Net Assets / Fund Balance
Unrestricted Net Assets$15,133,036$41,599,101▲ $26,466,065
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$15,133,036$41,599,101▲ $26,466,065
Total Liabilities and Net Assets / Fund Balance$15,725,428$41,946,668▲ $26,221,240

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$22,583,758--
Other Securities$1,500--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Brad SturmBoard of Trustees -Board Chair
Mark GlendenningBoard of Trustees - Vice Chair
Mary Lu GerkeFormer Vice President
Mary Kuffel MDMedical Vice President
P Michael Jacobs DPMMedical Vice President
Stephanie Carroll MDMedical Vice President
Todd Kowalski MDMedical Vice President
Kathleen KlockSenior Vice President
Mark PlattSenior Vice President
Marilu Bintz MDSenior Vice President, Med VP
Bryan ErdmannVice President
Kelly BartonVice President
Kraig SchusterVice President
Lisa WiedVice President
Mike McKeeVice President
Elizabeth Smith-HouskampVice President, Admin COO
Brian Sieck MDBoard of Trustees - Member
Gerald ArndtBoard of Trustees - Member
Gerald KemberBoard of Trustees - Member
Greg PrairieBoard of Trustees - Member
Jonathan Zlabek MDBoard of Trustees - Member
Kelley Bahr MDBoard of Trustees - Member
Stephen Shapiro MDBoard of Trustees - Member
John LycheBoard of Trustees - Secretary
Wendy LommenBoard of Trustees - Treasurer
Greg Thompson MDBot- Member, CMO
Scott Rathgaber MDChief Executive Officer
Dara BartelsChief Financial Officer
Rose Ann-LauretoChief Information Officer
Michael Dolan MDExec VP, Medical COO
Jeffrey Thompson MDFormer CEO
Douglas Hughes MDMedical Doctor
Edward Riley II MDMedical Doctor
Jeffrey Lawrence MDMedical Doctor
Jerry Davis MDMedical Doctor
Patrick Conway MDMedical Doctor
Debra RislowSVP, Admin COO

Highest Paid Contractors

ContractorServicesLocationCompensation
Na---
Revenue and Support

Revenue Composition

Contributions and Grants
$15,949,000
Program Service Revenue
$0
Investment Income
$1,584
Other Revenue
$-48,420
Change in Net Assets
$-46,836
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$15,949,000
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$15,949,000--$15,949,000
Total Functional Expenses$15,949,000$0$0$15,949,000
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Gundersen Health Plan IncLa Crosse, WI501(c)(4)Equity Transfer - GHP/Unity Merger$9,349,000
Gundersen Lutheran Envision LLCLa Crosse, WI-Equity Transfer - Envision$5,400,000
GL Wind LLCLa Crosse, WI-Equity Transfer - GL Wind$1,200,000
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
Yes
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
La Crosse Medical Health Science Consortium$347,567
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2:

Mark Glendenning, Gerald Arndt and Greg Prairie - Business Relationship

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 the 990s are approved and filed.

Form 990, Part VI, Line 12C:

Each member of Gundersen Lutheran Health System, Inc.'s Governing Board signs a conflict of interest statement on an annual basis. Conflicts are monitored by reviewing any disclosures made on these statements.

Form 990, Part VI, Line 15A:

All personnel services for Gundersen Lutheran Health System, Inc. are performed by employees of Gundersen Lutheran Administrative Services, Inc. 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 where such discussions take place. Recommendations for compensation for the organization's key management employees are developed annually by the CEO, after 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. A copy of the Gundersen Lutheran Health System, Inc.'s Form 990, can also be found electronically on www.guidestar.org

Filing and Contact Details

Filer

Filer Name
Gundersen Lutheran Health System Inc
EIN
39-1866425
In Care Of
% Dara Bartels
Phone
6087827300
Address
1836 South Ave Suite NCA1-01, La Crosse, WI 54601
Doing Business As
Gundersen Health System

Signing Officer

Name
Dara Bartels
Title
CFO
Phone
6087759487
Signed
2017-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Rathgaber MD
Formed
1996
Legal Domicile
Wi
Voting Board Members
13
Independent Board Members
4
Employees
0
Volunteers
0

Preparer

Firm
Kpmg Llp
Address
4200 WELLS FARGO CTR 90 S 7TH ST, MINNEAPOLIS, MN 55402
Preparer
Monroe J Gierl
Phone
6123055000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1:

Purpose of promoting health care by supporting, operating for the benefit of, performing the functions of and carrying out the charitable purposes of GLHS, Inc.'s affiliates as long as such organizations are described in Section 501(c)(3) and Sections 509)(a)(1) or (2) of the Internal Revenue Code. Form 990, Part III, Line 3: Effective May 2, 2016 (closing date), Gundersen transferred its 100% ownership interest in Gundersen Health Plan Minnesota and Gundersen Health Plan, Inc. to University Health Care, Inc. (UHC) in exchange for a 25% ownership interest in each of the health plans; Unity Health Plans Insurance Corporation (Unity); and SPWI TPA, Inc. (d/b/a Quartz), a third-party administrator. Gundersen and UHC have equal representation on the boards of the Plan, Unity and Quartz. The purpose of the transaction was to improve the access that enrollees of the health plans and Unity have to health care providers in their local markets and to reduce administrative expenses.

Form 990, Part XI, Line 9:

Other changes in net assets: Capital Contribution - Health Plan 26,283,866 Equity of Consolidated Affiliates (2,670,308) Equity of Unconsolidated Affiliates (3,699,966) Transfer to/from Affiliates 6,600,000 ------------------ Total Other Changes in Net Assets 26,513,592

Financial Statement Notes

Schedule D, Part X, Line 2:

Income Tax Footnote (Dollars 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 Health Plan, Inc. and Gundersen Health Plan Minnesota, Inc., which are tax-exempt organizations under 501(c)(4) of the Code, and Degen Berglund, Inc. and Gundersen Lutheran Envision, LLC, which are for-profit entities. At December 31, 2016 and 2015, net deferred tax assets of $3,493 and $3,083, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $2,766 and $2,205, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At December 31, 2016, the System's federal net operating loss carryforwards were approximately $27,109, and the state net operating loss carryforwards were approximately $22,902, which will expire between 2025 and 2034. 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 2012 and prior years.

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IRS990/Desc0Gundersen Lutheran Health System, Inc. provides support to an integrated health system with local access in the primarily rural region of West Central Wisconsin, Southeast Minnesota and Northeast Iowa. Gundersen Lutheran Health System Inc.'s affiliates comprehensive range of services include inpatient, clinical, behavioral health, diagnostic, emergency and other services in numerous medical specialties.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Scott Rathgaber MD
IRS990/Form990PartVIISectionAGrp/PersonNm1Greg Prairie
IRS990/Form990PartVIISectionAGrp/PersonNm2Wendy Lommen
IRS990/Form990PartVIISectionAGrp/PersonNm3John Lyche
IRS990/Form990PartVIISectionAGrp/PersonNm4Gerald Arndt
IRS990/Form990PartVIISectionAGrp/PersonNm5Gerald Kember
IRS990/Form990PartVIISectionAGrp/PersonNm6Mark Glendenning
IRS990/Form990PartVIISectionAGrp/PersonNm7Brad Sturm
IRS990/Form990PartVIISectionAGrp/PersonNm8Stephen Shapiro MD
IRS990/Form990PartVIISectionAGrp/PersonNm9Brian Sieck MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Kelley Bahr MD
IRS990/Form990PartVIISectionAGrp/PersonNm11Jonathan Zlabek MD
IRS990/Form990PartVIISectionAGrp/PersonNm12Greg Thompson MD
IRS990/Form990PartVIISectionAGrp/PersonNm13Elizabeth Smith-Houskamp
IRS990/Form990PartVIISectionAGrp/PersonNm14Michael Dolan MD
IRS990/Form990PartVIISectionAGrp/PersonNm15Debra Rislow
IRS990/Form990PartVIISectionAGrp/PersonNm16Rose Ann-Laureto
IRS990/Form990PartVIISectionAGrp/PersonNm17Dara Bartels
IRS990/Form990PartVIISectionAGrp/PersonNm18P Michael Jacobs DPM
IRS990/Form990PartVIISectionAGrp/PersonNm19Mary Kuffel MD
IRS990/Form990PartVIISectionAGrp/PersonNm20Stephanie Carroll MD
IRS990/Form990PartVIISectionAGrp/PersonNm21Todd Kowalski MD
IRS990/Form990PartVIISectionAGrp/PersonNm22Lisa Wied
IRS990/Form990PartVIISectionAGrp/PersonNm23Mike McKee
IRS990/Form990PartVIISectionAGrp/PersonNm24Kraig Schuster
IRS990/Form990PartVIISectionAGrp/PersonNm25Bryan Erdmann
IRS990/Form990PartVIISectionAGrp/PersonNm26Kelly Barton
IRS990/Form990PartVIISectionAGrp/PersonNm27Marilu Bintz MD
IRS990/Form990PartVIISectionAGrp/PersonNm28Kathleen Klock
IRS990/Form990PartVIISectionAGrp/PersonNm29Mark Platt
IRS990/Form990PartVIISectionAGrp/PersonNm30Jeffrey Lawrence MD
IRS990/Form990PartVIISectionAGrp/PersonNm31Edward Riley II MD
IRS990/Form990PartVIISectionAGrp/PersonNm32Jerry Davis MD
IRS990/Form990PartVIISectionAGrp/PersonNm33Patrick Conway MD
IRS990/Form990PartVIISectionAGrp/PersonNm34Douglas Hughes MD
IRS990/Form990PartVIISectionAGrp/PersonNm35Mary Lu Gerke
IRS990/Form990PartVIISectionAGrp/PersonNm36Jeffrey Thompson MD
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$55.7$0.00$55.7$5.44$0.00$5.44
2023Detailed filing. Detailed filing data is available for this year.$45.5$0.02$45.4$0.08$0.00$0.07
2022Detailed filing. Detailed filing data is available for this year.$45.1$0.00$45.1$8.55$0.00$8.55
2021Detailed filing. Detailed filing data is available for this year.$41.1$0.00$41.1$1.27$0.41$0.87
2020Detailed filing. Detailed filing data is available for this year.$36.0$0.00$36.0$0.80$0.35$0.46
2019Detailed filing. Detailed filing data is available for this year.$35.7$0.21$35.5$1.08$0.69$0.39
2018Detailed filing. Detailed filing data is available for this year.$34.2$0.23$33.9$2.53$2.55$0.02
2017Detailed filing. Detailed filing data is available for this year.$40.0$0.22$39.8$1.50$1.58$0.07
2016Detailed filing. Detailed filing data is available for this year.$41.9$0.35$41.6$15.9$15.9$0.05
2015Summary only. Only limited summary data is available for this year.$15.7$0.59$15.1$0.51$0.05$0.45
2014Summary only. Only limited summary data is available for this year.$1.98$0.82$1.16$2.58$0.00$2.58
2013Summary only. Only limited summary data is available for this year.$2.13$0.97$1.16$11.7$0.00$11.7
2012Summary only. Only limited summary data is available for this year.$2.22$0.81$1.40$8.90$0.00$8.90
2011Summary only. Only limited summary data is available for this year.$2.30$0.89$1.40$0.94$0.00$0.94
2010Summary only. Only limited summary data is available for this year.$2.38$0.99$1.39$0.04$0.00$0.04