Civic Intelligence

Gundersen Lutheran Health System Inc.

990 • Fiscal year 2019 • EIN 39-1866425

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 10, 2020

1836 South Avenue 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.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Liabilities / Revenue

40th percentile

0.20x

Higher debt load relative to revenue than 40% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Net Margin

87th percentile

36%

Higher net margin than 87% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Top Officer Pay

95th percentile

$1,257,995

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 116.9% of source-year revenue.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Asset Growth

51st percentile

4.3%

Faster asset growth than 51% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Revenue Growth

4th percentile

-57%

Faster revenue growth than 4% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Assets

Up

$35,664,298

Up $1,481,521 (+4.3%) from 2018

Net Assets

Up

$35,452,047

Up $1,502,746 (+4.4%) from 2018

Liabilities

Down

$212,251

Down $21,225 (-9.1%) from 2018

Revenue

Down

$1,075,972

Down $1,455,030 (-57%) from 2018

Expenses

Down

$685,304

Down $1,861,313 (-73%) from 2018

Net Income

Up

$390,668

Up $406,283 (+2602%) from 2018

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

2019

Assets$35,664,298
Liabilities$212,251
Net Assets$35,452,047

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

2019

Revenue$1,075,972
Expenses$685,304
Net Income$390,668
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 10, 2020
Return Version
2019v5.1
Gross Receipts
$1,075,972
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$6,988,498$4,163,479▼ $2,825,019
Savings and Temporary Cash Investments$195,934$121,918▼ $74,016
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
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$34,182,777$35,664,298▲ $1,481,521
Other Assets Total$26,998,345$31,378,901▲ $4,380,556
Liabilities
Other Liabilities$233,476$212,251▼ $21,225
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$233,476$212,251▼ $21,225
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$33,949,301$35,452,047▲ $1,502,746
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$33,949,301$35,452,047▲ $1,502,746
Total Liabilities and Net Assets / Fund Balance$34,182,777$35,664,298▲ $1,481,521

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$642,945--
Other Securities$1,500--
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Elizabeth Smith-HouskaAdmin Chief Operating Officer-$477,792$477,792
P Michael Jacobs DPMedical Vice President-$448,236$448,236
Mark TeresiInterim CFO Thru 03/19$151,990-$151,990

Board Members and Trustees

NameTitle
John LycheBoard of Trustees -board Chair
Gerald ArndtBoard of Trustees - Vice Chair
Bryan ErdmannAdministrative Vice President
Kraig SchusterAdministrative Vice President
Lisa WiedAdministrative Vice President
Michael McKeeAdministrative Vice President
Mary Kuffel MDMedical Vice President
P Michael Jacobs DPMMedical Vice President
Stephanie Carroll MDMedical Vice President
Todd Kowalski MDMedical Vice President
Kari AdankVice President Compliance
Daniel P BreazealeVice President Finance
Janine LuzVice President Learning
Garith SteinerVice President Term 9/2019
Wendy LommenBd of Tstees -trustee Emeritus
Dan FlornessBoard of Trustees - Member
Dana Benden MDBoard of Trustees - Member
Glena Temple PhdBoard of Trustees - Member
Jonathan Zlabek MDBoard of Trustees - Member
Kelly Bahr MdBoard of Trustees - Member
Mark GlendenningBoard of Trustees - Member
Robyn Borge MDBoard of Trustees - Member
Richard RadcliffeBoard of Trustees - Secretary
Brad SturmBoard of Trustees - Treasurer
Elizabeth Smith-Houskamp PhD RNAdmin Chief Operating Officer
Gregory Thompson MDBd Membr/Chief Medical Officer
William FarrellChief Bus. & Strategy Officer
Scott Rathgaber MDChief Executive Officer
Gerald OetzelChief Financial Officer
Mary Ellen McCartneyChief Human Rsources Officer
Marilu Bintz MDChief Population Health Offcr
Rose Ann-LauretoCIO Term 10/2019
Michael Dolan MDEVP, Medical Chief Oper.Offcr
Jeffrey Thompson MDFormer Officer
Douglas Hughes MDMedical Doctor
Edward Riley II MDMedical Doctor
Jeffrey Lawrence MDMedical Doctor
Jerry Davis MDMedical Doctor
Mark Topolski MDMedical Doctor
Ellen Pedretti-FendtVP Application Services
Pamela MaasVP Bus Developmt & Mktg Offr
Mike O'NeillVP Strategy Execution
Revenue and Support

Revenue Composition

Contributions and Grants
$1,072,647
Program Service Revenue
$0
Investment Income
$3,325
Other Revenue
$0
Change in Net Assets
$390,668

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Secur Prtnrshp Trust Intrsts2$450,000Market Value
Total Noncash Contributions2$450,000-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$450,000
Other Expenses$235,304
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$450,000--$450,000
Other Expenses$0$235,304$0$235,304
Total Functional Expenses$450,000$235,304$0$685,304
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Gundersen Clinic LtdLa Crosse, WI501(c)(3)Transfer of Invsmts-
Gundersen Lutheran Medical Center IncLa Crosse, WI501(c)(3)Transfer of Invsmts-
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$212,251
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
Yes
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 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

Each memeber 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 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
% GERALD OETZEL
Phone
6087827300
Address
1836 SOUTH AVENUE NCA1-01, LA CROSSE, WI 54601
Doing Business As
Gundersen Health System

Signing Officer

Name
Gerald Oetzel
Title
CFO
Phone
6087827300
Signed
2020-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Rathgaber Md
Formed
1996
Legal Domicile
Wi
Voting Board Members
14
Independent Board Members
6
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

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 V Lines 1 & 2

All personnel services for gundersen lutheran health system, inc. Are performed by employees of gundersen lutheran administrative services, inc. And all payments to vendors are made by gundersen lutheran administrative services, inc. Hence lines 1 & 2 indicate zero (0) filings. Form 990 part vi line 2 mark glendenning and gerald arndt - business relationship

Form 990 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 XI Line 9

Other changes in net assets: equity of consolidated affiliates $(2,645,831) equity of unconsolidated affiliates $3,677,288 equity of captis $642,945 equity of gundersen lutheran envision $(443,460) equity of degen berglund $(179,187) equity in winona ambulance $60,323 total: $1,112,078

Financial Statement Notes

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 degen berglund, inc. And gundersen lutheran envision, llc, which are for-profit entities. At december 31, 2019 and 2018, net deferred tax assets of $6,900 and $7.574, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $6,900 and $6,300, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At december 31, 2019, the system's federal net operating loss carryforwards were approximately $28,700, and the state net operating loss carryforwards were approximately $25,400, which will expire between 2028 and 2037. 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 2014 and prior years. The tax cuts and jobs act (act) was enacted on december 22, 2017. The act reduces the u.s. Federal corporate tax rate from 35% to 21%, requires companies to pay a one-time transition tax on earnings of certain foreign subsidiaries that was previously tax deferred, and creates new taxes on certain foreign sourced earnings. For tax-exempt entities, the act also requires organizations to categorize certain fringe benefit expenses as a source of unrelated business income, pay an excise tax on remuneration above certain thresholds that is paid to executives by the organization, and report income or loss from unrelated business activities on an activity-by-activity basis, among other provisions. At december 31, 2019, the system has made a reasonable estimate of the tax effects of the enactment of the act. Certain regulatory guidance provides for a measurement period of up to one year during which the accounting for the tax effects of the act may be completed. The system may record further adjustments in future periods upon obtaining, preparing, or analyzing additional information about facts and circumstances that existed as of the date of enactment that would have affected the income tax effects initially reported. The system will continue to revise and refine the calculations as additional internal revenue service guidance is issued.

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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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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