To provide medical and surgical services, engage in medical education and research, and promote community health to deliver the highest quality comprehensive health care to all patients without regard to their ability to pay.

501(c)(3) charity; gifts are tax-deductible.
92¢ of each $1 spent went to programs.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX

Before you give

FY2024 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
0 of 4
filings with a surplus
Average deficit $80.6M a year · 42% of revenue · last 4 filings
Concern: a surplus in 0 of the last 4 filings.
Pt I · Ln 19 · 4 filings
Spent on programs
92%
of spending
Looks good: 92% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
<1 mo
of spending, in cash
Plus $7.3M in investments, Pt X · Ln 11–13
Concern: 0.0 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
3
named funders · $722K
Looks good: 3 funders name it on their filings; 3 or more.
Funders’ Sch. I, 990-PF
Liabilities
$1.3B
373% of total assets
Concern: liabilities are 373% of assets; over 80%.
Pt X · Ln 26
Independent board members
0
of 7 voting members
Concern: none of 7 voting members are independent.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$277.2M
+13% vs prior year
Spent
$384.5M
To programs
92%
Net assets
−$922.3M
By yearFY2020–FY2024
Revenue
$277.2M
FY2024▲ +13%
Tap a bar for its year
Revenue by fiscal year
FY2020$159.2M
FY2021$170.1M
FY2022$202.2M
FY2024$244.3M
FY2024$277.2M
Expenses
$384.5M
FY2024▲ +17%
Tap a bar for its year
Expenses by fiscal year
FY2020$269.9M
FY2021$229.1M
FY2022$271.7M
FY2024$327.5M
FY2024$384.5M
Net assets
−$922.3M
FY2024▼ -12%
Tap a bar for its year
Net assets by fiscal year
FY2020−$542.8M
FY2021−$602.1M
FY2022−$672.3M
FY2024−$822.5M
FY2024−$922.3M

From the FY2024 Form 990 · figures checked against the IRS filing · see the original

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Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Feb 1989.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

92 cents of each dollar spent went to programs.

Program services 92% · $354.1M Management & general 8% · $30.5M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

21 people listed on the 990.

Part VII, Section A · reportable compensation
Medical Governors, Secretary/Treasurer, MD
$0Pt VII · Sec A
Medical Governors, Chairman
$0Pt VII · Sec A
Medical Governors, MD, (end 9.30.25)
$0Pt VII · Sec A
Medical Governors, MD
$0Pt VII · Sec A
Medical Governors, MD
$0Pt VII · Sec A
Medical Governors, MD
$0Pt VII · Sec A
Medical Governors, MD
$0Pt VII · Sec A
Medical Governors, MD, (end 4.30.25)
$0Pt VII · Sec A
See Gundersen Clinic Ltd executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Provides healthcare services to patients in the Midwest.

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Provided by the organization

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1 program · $354.1M · in their own filed words · FY2024
01

Gundersen clinic, LTD. (the clinic) has 700 physicians representing nearly every specialty serving a 21 county region in western wisconsin, northeastern iowa and southeastern minnesota. The clinic provides medical care to all patients regardless of their ability to pay.

$354.1Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2024
Total grants receivedfrom 3 funders$722K
See all 3 funders →
Grants paid · 6 grants · $7.5M · 2020–2024

By the numbers

The FY2024 990, line by line.

1The main four
Money inPt VIII
$277.2M
Ln 12
Fees for servicesLn 2g$275.4M
Gifts and grantsLn 1h$1.2M
Other incomeLn 4–11$393K
Money outPt IX
$384.5M
Ln 25
Programscol B$354.1M
Managementcol C$30.5M
Owns and owesPt X
−$922.3M
net assets · Ln 32
Cash and savingsLn 1–2$346K
Total assetsLn 16$337.7M
LiabilitiesLn 26$1.3B
PeoplePt VI, VII
21
listed · VII A
PaidVII A0
Voting boardVI 1a7
IndependentVI 1b0
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$1.2M
Government grantsLn 1e$402K
Fees for servicesLn 2g$275.4M
Investment incomeLn 3$257K
Other incomeLn 4–11$393K
Gains on assetsLn 7−$12
Total revenueLn 12$277.2M
Assets in detailPt X, end of year
CashLn 1$346K
Cash and savings togetherLn 1–2$346K
InvestmentsLn 11–13$7.3M
Land, buildings, equipmentLn 10c$166.2M
Other assetsLn 15$5.1M
Total assetsLn 16$337.7M
LiabilitiesLn 26$1.3B
Net assetsLn 32−$922.3M
OperationsPt I, VI
EmployeesI 50
VolunteersI 60
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY24End FY24
Cash and savingsLn 1–2$103K$346K
InvestmentsLn 11–13$9.0M$7.3M
Land, buildings, equipmentLn 10c$170.0M$166.2M
Total assetsLn 16$220.1M$337.7M
LiabilitiesLn 26$1.04B$1.26B
Net assetsLn 32−$822.5M−$922.3M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$1.3M$1.3M
Grants to domestic individualsLn 2$2.4M$2.4M
Management feesLn 11a$145.2M$140.1M$5.1M
Legal feesLn 11b$22K$22K
Lobbying feesLn 11d$33K$33K
Investment management feesLn 11f$7K$7K
Other fees for servicesLn 11g$12.8M$12.4M$401K$0
Advertising and promotionLn 12$12K$10K$2K
Office expensesLn 13$1.4M$1.3M$49K
Information technologyLn 14$644K$633K$11K
OccupancyLn 16$5.5M$2.9M$2.6M
TravelLn 17$757K$741K$16K
Conferences, conventions and meetingsLn 19$31K$28K$3K
Depreciation, depletion and amortizationLn 22$11.2M$6.2M$5.0M
InsuranceLn 23$758K$86K$671K
Other expenses (24a–d)Ln 24$202.5M$185.8M$16.7M
All other expensesLn 24e$0$0$0$0
Total functional expensesLn 25$384.5M$354.1M$30.5M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 $244.3M$327.5M−$83.2M−$822.5M 990 PDF
FY2023 Not on file
FY2022 $202.2M$271.7M−$69.5M−$672.3M 990 PDF
FY2021 $170.1M$229.1M−$59.0M−$602.1M 990 PDF
FY2020 $159.2M$269.9M−$110.7M−$542.8M 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support O · Explanations
See the full FY2024 990 (6 parts)
Part I · Summary $277,202,108 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $1,187,295$1,191,713
I-9 Program service revenuePrior year $242,398,618$275,360,595
I-10 Investment incomePrior year $323,956$256,668
I-11 Other revenuePrior year $392,699$393,132
I-12 Total revenuePrior year $244,302,568$277,202,108
I-13 Grants and similar amounts paidPrior year $3,592,147$3,698,019
I-14 Benefits paid to members$0
I-15 Salaries and benefits$0
I-16a Professional fundraising fees$0
I-17 Other expensesPrior year $323,887,609$380,841,321
I-18 Total expensesPrior year $327,479,756$384,539,340
I-19 Revenue less expensesPrior year −$83,177,188−$107,337,232
Part VI · Governance 0 of 7 board members independent, 1 to look at
VI-1a Voting members of the governing body7
VI-1b Independent voting members0
VI-15a Process for setting top official's payNo
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
Part VIII · Statement of revenue $277,202,108 across 9 lines filed
VIII-1d Related organizations$695,229
VIII-1e Government grants$402,162
VIII-1f All other contributions, gifts and grants$94,322
VIII-1h Total contributions, gifts and grants$1,191,713
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $269,334,804 · Unrelated business $6,025,791$275,360,595
VIII-3 Investment incomeExcluded from tax $256,680$256,680
VIII-6 Net rental income or lossExcluded from tax $393,132$393,132
VIII-7 Net gain or loss on sales of assetsExcluded from tax −$12−$12
VIII-12 Total revenueRelated to mission $269,334,804 · Unrelated business $6,025,791 · Excluded from tax $649,800$277,202,108
Part IX · Statement of functional expenses $384,539,340 across 17 lines filed
IX-1 Grants to domestic organizationsPrograms $1,320,292$1,320,292
IX-2 Grants to domestic individualsPrograms $2,377,727$2,377,727
IX-11a Management feesPrograms $140,133,350 · Management $5,088,400$145,221,750
IX-11b Legal feesPrograms $22,350$22,350
IX-11d Lobbying feesPrograms $32,975$32,975
IX-11f Investment management feesManagement $6,600$6,600
IX-11g Other fees for servicesPrograms $12,414,052 · Management $401,087 · Fundraising $0$12,815,139
IX-12 Advertising and promotionPrograms $10,169 · Management $1,777$11,946
IX-13 Office expensesPrograms $1,318,930 · Management $49,317$1,368,247
IX-14 Information technologyPrograms $632,792 · Management $10,768$643,560
IX-16 OccupancyPrograms $2,901,563 · Management $2,604,819$5,506,382
IX-17 TravelPrograms $741,422 · Management $15,505$756,927
IX-19 Conferences, conventions and meetingsPrograms $28,275 · Management $3,205$31,480
IX-22 Depreciation, depletion and amortizationPrograms $6,235,922 · Management $4,950,051$11,185,973
IX-23 InsurancePrograms $86,420 · Management $671,298$757,718
IX-24 Other expenses (24a–d)Programs $185,803,731 · Management $16,676,543$202,480,274
IX-24e All other expensesPrograms $0 · Management $0 · Fundraising $0$0
IX-25 Total functional expensesPrograms $354,059,970 · Management $30,479,370 · Fundraising $0$384,539,340
Part X · Balance sheet $337,663,034 assets, 15 lines filed
X-1 Cash, non-interest-bearingStart of year $102,658$345,786
X-4 Accounts receivableStart of year $20,036,711$138,436,079
X-8 Inventories for sale or useStart of year $12,565,031$17,582,633
X-9 Prepaid expenses and deferred chargesStart of year $252,498$366,793
X-10c Land, buildings and equipment, netStart of year $170,044,765$166,177,840
X-11 Publicly traded securitiesStart of year $8,964,680$7,260,985
X-14 Intangible assetsStart of year $2,218,422$2,433,943
X-15 Other assetsStart of year $5,903,813$5,058,975
X-16 Total assetsStart of year $220,088,578$337,663,034
X-17 Accounts payable and accrued expensesStart of year $3,249,971$3,178,856
X-25 Other liabilitiesStart of year $1,039,382,523$1,256,736,326
X-26 Total liabilitiesStart of year $1,042,632,494$1,259,915,182
X-27 Net assets without donor restrictionsStart of year −$822,543,916−$922,252,148
X-32 Total net assets or fund balancesStart of year −$822,543,916−$922,252,148
X-33 Total liabilities and net assetsStart of year $220,088,578$337,663,034
Part XI · Reconciliation of net assets −$922,252,148 net assets at year end
XI-1 Total revenue$277,202,108
XI-2 Total expenses$384,539,340
XI-3 Revenue less expenses−$107,337,232
XI-4 Net assets at start of year−$822,543,916
XI-5 Net unrealized gains (losses) on investments$129,000
XI-9 Other changes in net assets$7,500,000
XI-10 Net assets at end of year−$922,252,148

Form 990 e-file (XML) FY2024 from the IRS · Classification, formation year and address from the IRS Business Master File

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