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.
89¢ of each $1 spent went to programs.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX

Before you give

FY2021 · 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
89%
of spending
Looks good: 89% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
<1 mo
of spending, in cash
Plus $10.4M 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
$798.8M
406% of total assets
Concern: liabilities are 406% of assets; over 80%.
Pt X · Ln 26
Independent board members
0
of 10 voting members
Concern: none of 10 voting members are independent.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$170.1M
+7% vs prior year
Spent
$229.1M
To programs
89%
Net assets
−$602.1M
By yearFY2020–FY2024
Revenue
$170.1M
FY2021▲ +7%
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
$229.1M
FY2021▼ -15%
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
−$602.1M
FY2021▼ -11%
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 FY2021 Form 990 · figures checked against the IRS filing · see the original

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You’re viewing the FY2021 filing — not the latest on file. See the latest (FY2024) →

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

89 cents of each dollar spent went to programs.

Program services 89% · $203.6M Management & general 11% · $25.5M

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

45 people listed on the 990.

Part VII, Section A · reportable compensation
Medical Doctor
$0Pt VII · Sec A
Medical Doctor
$0Pt VII · Sec A
Medical Doctor
$0Pt VII · Sec A
Medical Doctor
$0Pt VII · Sec A
CEO/Board of Governors - Membr
$0Pt VII · Sec A
Medical Doctor
$0Pt VII · Sec A
Bd of Govnrs -Membr (beg 1/21)
$0Pt VII · Sec A
Exec VP, Med Chief Operation
$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 15aYes

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 · $203.6M · in their own filed words · FY2021
01

Program Service Accomplishments

Gundersen clinic, LTD. (the clinic) has 642 physicians representing nearly every specialty serving a 22 county region in western wisconsin, northeastern iowa and southeastern minnesota. The clinic provides medical care to all patients regardless of their ability to pay.

$203.6Mprogram 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 FY2021 990, line by line.

1The main four
Money inPt VIII
$170.1M
Ln 12
Fees for servicesLn 2g$167.7M
Investment incomeLn 3$1.2M
Gifts and grantsLn 1h$828K
Money outPt IX
$229.1M
Ln 25
Programscol B$203.6M
Managementcol C$25.5M
Owns and owesPt X
−$602.1M
net assets · Ln 32
Cash and savingsLn 1–2$91K
Total assetsLn 16$196.7M
LiabilitiesLn 26$798.8M
PeoplePt VI, VII
45
listed · VII A
PaidVII A0
Voting boardVI 1a10
IndependentVI 1b0
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$828K
Government grantsLn 1e$765K
Fees for servicesLn 2g$167.7M
Investment incomeLn 3$1.2M
Other incomeLn 4–11$347K
Gains on assetsLn 7$1.1M
Total revenueLn 12$170.1M
Assets in detailPt X, end of year
CashLn 1$91K
SavingsLn 2$0
Cash and savings togetherLn 1–2$91K
InvestmentsLn 11–13$10.4M
Land, buildings, equipmentLn 10c$163.9M
Other assetsLn 15$7.3M
Total assetsLn 16$196.7M
LiabilitiesLn 26$798.8M
Net assetsLn 32−$602.1M
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 FY21End FY21
Cash and savingsLn 1–2$168K$91K
InvestmentsLn 11–13$11.2M$10.4M
Land, buildings, equipmentLn 10c$174.3M$163.9M
Total assetsLn 16$210.8M$196.7M
LiabilitiesLn 26$753.7M$798.8M
Net assetsLn 32−$542.8M−$602.1M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$1.3M$1.3M
Grants to domestic individualsLn 2$603K$603K
Grants and assistance to foreign recipientsLn 3$0
Benefits paid to or for membersLn 4$0
Pay of current officers, directors and key staffLn 5$0
Pay of disqualified personsLn 6$0
Other salaries and wagesLn 7$0
Pension plan contributionsLn 8$0
Other employee benefitsLn 9$0
Payroll taxesLn 10$0
Management feesLn 11a$50.6M$45.0M$5.6M$0
Legal feesLn 11b$26K$26K$0
Accounting feesLn 11c$0$0
Lobbying feesLn 11d$22K$22K$0
Professional fundraising feesLn 11e$0
Investment management feesLn 11f$7K$7K$0
Other fees for servicesLn 11g$10.7M$10.3M$407K
Advertising and promotionLn 12$14K$8K$6K$0
Office expensesLn 13$1.9M$1.7M$142K$0
Information technologyLn 14$123K$120K$3K$0
RoyaltiesLn 15$0
OccupancyLn 16$5.5M$3.6M$1.9M$0
TravelLn 17$533K$530K$3K$0
Travel and entertainment for public officialsLn 18$0
Conferences, conventions and meetingsLn 19$75K$65K$9K$0
InterestLn 20$0
Payments to affiliatesLn 21$0
Depreciation, depletion and amortizationLn 22$9.6M$4.2M$5.4M$0
InsuranceLn 23$526K$79K$447K$0
Other expenses (24a–d)Ln 24$147.6M$136.0M$11.6M$0
Total functional expensesLn 25$229.1M$203.6M$25.5M$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 Viewing $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 FY2021 990 (6 parts)
Part I · Summary $170,123,058 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $4,112,255$827,944
I-9 Program service revenuePrior year $155,299,982$167,749,382
I-10 Investment incomePrior year −$573,418$1,198,818
I-11 Other revenuePrior year $354,581$346,914
I-12 Total revenuePrior year $159,193,400$170,123,058
I-13 Grants and similar amounts paidPrior year $2,185,053$1,930,871
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $0$0
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $267,742,472$227,198,996
I-18 Total expensesPrior year $269,927,525$229,129,867
I-19 Revenue less expensesPrior year −$110,734,125−$59,006,809
Part VI · Governance 0 of 10 board members independent, no flags
VI-1a Voting members of the governing body10
VI-1b Independent voting members0
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
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $170,123,058 across 11 lines filed
VIII-1d Related organizations$23,557
VIII-1e Government grants$765,217
VIII-1f All other contributions, gifts and grants$39,170
VIII-1h Total contributions, gifts and grants$827,944
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $163,311,704 · Unrelated business $4,437,678$167,749,382
VIII-3 Investment incomeExcluded from tax $137,438$137,438
VIII-5 Royalties$0
VIII-6 Net rental income or lossExcluded from tax $346,914$346,914
VIII-7 Net gain or loss on sales of assetsExcluded from tax $1,061,380$1,061,380
VIII-8 Net income from fundraising events$0
VIII-12 Total revenueRelated to mission $163,311,704 · Unrelated business $4,437,678 · Excluded from tax $1,545,732$170,123,058
Part IX · Statement of functional expenses $229,129,867 across 30 lines filed
IX-1 Grants to domestic organizationsPrograms $1,327,976$1,327,976
IX-2 Grants to domestic individualsPrograms $602,895$602,895
IX-3 Grants and assistance to foreign recipients$0
IX-4 Benefits paid to or for members$0
IX-5 Pay of current officers, directors and key staff$0
IX-6 Pay of disqualified persons$0
IX-7 Other salaries and wages$0
IX-8 Pension plan contributions$0
IX-9 Other employee benefits$0
IX-10 Payroll taxes$0
IX-11a Management feesPrograms $44,984,679 · Management $5,625,466 · Fundraising $0$50,610,145
IX-11b Legal feesPrograms $26,050 · Fundraising $0$26,050
IX-11c Accounting feesFundraising $0$0
IX-11d Lobbying feesPrograms $22,411 · Fundraising $0$22,411
IX-11f Investment management feesManagement $6,600 · Fundraising $0$6,600
IX-11g Other fees for servicesPrograms $10,278,735 · Management $407,326$10,686,061
IX-12 Advertising and promotionPrograms $8,442 · Management $5,666 · Fundraising $0$14,108
IX-13 Office expensesPrograms $1,728,267 · Management $141,868 · Fundraising $0$1,870,135
IX-14 Information technologyPrograms $120,129 · Management $3,203 · Fundraising $0$123,332
IX-15 Royalties$0
IX-16 OccupancyPrograms $3,623,837 · Management $1,896,356 · Fundraising $0$5,520,193
IX-17 TravelPrograms $529,878 · Management $3,241 · Fundraising $0$533,119
IX-18 Travel and entertainment for public officials$0
IX-19 Conferences, conventions and meetingsPrograms $65,453 · Management $9,175 · Fundraising $0$74,628
IX-20 Interest$0
IX-21 Payments to affiliates$0
IX-22 Depreciation, depletion and amortizationPrograms $4,204,098 · Management $5,412,704 · Fundraising $0$9,616,802
IX-23 InsurancePrograms $78,750 · Management $447,012 · Fundraising $0$525,762
IX-24 Other expenses (24a–d)Programs $136,004,413 · Management $11,565,237 · Fundraising $0$147,569,650
IX-25 Total functional expensesPrograms $203,606,013 · Management $25,523,854 · Fundraising $0$229,129,867
Part X · Balance sheet $196,742,108 assets, 24 lines filed
X-1 Cash, non-interest-bearingStart of year $167,630$91,365
X-2 Savings and temporary cash investmentsStart of year $0$0
X-3 Pledges and grants receivableStart of year $0$0
X-4 Accounts receivableStart of year $9,225,320$6,148,247
X-8 Inventories for sale or useStart of year $5,596,276$7,056,596
X-9 Prepaid expenses and deferred chargesStart of year $173$0
X-10c Land, buildings and equipment, netStart of year $174,282,830$163,949,164
X-11 Publicly traded securitiesStart of year $11,165,679$10,361,757
X-12 Other securitiesStart of year $0$0
X-13 Program-related investmentsStart of year $0$0
X-14 Intangible assetsStart of year $2,093,187$1,843,537
X-15 Other assetsStart of year $8,299,250$7,291,442
X-16 Total assetsStart of year $210,830,345$196,742,108
X-17 Accounts payable and accrued expensesStart of year $5,834,279$5,938,415
X-18 Grants payableStart of year $0$0
X-19 Deferred revenueStart of year $5,685,905$2,796,848
X-20 Tax-exempt bond liabilitiesStart of year $0$0
X-24 Unsecured notes and loans payableStart of year $0$0
X-25 Other liabilitiesStart of year $742,156,033$790,109,190
X-26 Total liabilitiesStart of year $753,676,217$798,844,453
X-27 Net assets without donor restrictionsStart of year −$542,845,872−$602,102,345
X-28 Net assets with donor restrictionsStart of year $0$0
X-32 Total net assets or fund balancesStart of year −$542,845,872−$602,102,345
X-33 Total liabilities and net assetsStart of year $210,830,345$196,742,108
Part XI · Reconciliation of net assets −$602,102,345 net assets at year end
XI-1 Total revenue$170,123,058
XI-2 Total expenses$229,129,867
XI-3 Revenue less expenses−$59,006,809
XI-4 Net assets at start of year−$542,845,872
XI-5 Net unrealized gains (losses) on investments−$249,664
XI-10 Net assets at end of year−$602,102,345

Form 990 e-file (XML) FY2021 from the IRS · Classification, formation year and address from the IRS Business Master File

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