To support Gundersen Lutheran health system, INC.'s programs of health care, medical education, medical research and community health promotion activities within the meaning of section 509(a)(3) of the irc; borrowing and lending of funds and property, engaging in financial transactions with and/or on behalf of the Gundersen Lutheran health system, INC., along with general Services provided to Gundersen clinic, ltd. And Gundersen Lutheran medical center, INC.

501(c)(3) charity; gifts are tax-deductible.
92¢ of each $1 spent went to programs.
Run by 385 volunteers and 9,950 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

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
2 of 4
filings with a surplus
Average surplus $1.4M a year · under 1% of revenue · last 4 filings
Worth a look: a surplus in 2 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
Pay to officers and key staff
$20.4M
to officers and key staff · 2% of spending
Looks good: pay to officers and key staff is 2% of spending; 15% or less.
Pt VII · Sec A
<1 mo
of spending, in cash
Plus $820.6M in investments, Pt X · Ln 11–13
Fine: 0.5 months of spending in cash, plus $820.6M in investments.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $61K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$1.0B
92% of total assets
Concern: liabilities are 92% of assets; over 80%.
Pt X · Ln 26
Independent board members
0
of 6 voting members
Concern: none of 6 voting members are independent.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$1.3B
+7% vs prior year
Spent
$1.2B
To programs
92%
Net assets
$88.7M
By yearFY2020–FY2024
Revenue
$1.3B
FY2024▲ +7%
Tap a bar for its year
Revenue by fiscal year
FY2020$809.7M
FY2021$953.3M
FY2022$993.7M
FY2024$1.2B
FY2024$1.3B
Expenses
$1.2B
FY2024▲ +5%
Tap a bar for its year
Expenses by fiscal year
FY2020$859.0M
FY2021$912.4M
FY2022$1.0B
FY2024$1.2B
FY2024$1.2B
Net assets
$88.7M
FY2024▲ +149%
Tap a bar for its year
Net assets by fiscal year
FY2020−$14.2M
FY2021$42.8M
FY2022−$87.7M
FY2024$35.7M
FY2024$88.7M

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

Give Claim

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Jun 1988.

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% · $1.1B Management & general 8% · $93.0M

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

43 people listed on the 990; $20.4M paid to officers and key staff.

Part VII, Section A · reportable compensation
Board of Trustees, Chairman, CEO
$1,324,275Pt VII · Sec A
Physician
$1,310,243Pt VII · Sec A
$1,226,944Pt VII · Sec A
$1,177,421Pt VII · Sec A
Physician
$1,123,276Pt VII · Sec A
$1,068,811Pt VII · Sec A
Board of Trustees, President
$841,877Pt VII · Sec A
Chief Clinical Officer
$737,919Pt VII · Sec A

Scott Rathgaber MD’s $1.3M as Board of Trustees, Chairman, CEO is at the 66th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2024FY2022FY2021FY2020
Scott Rathgaber MD$1,324,275$1,644,221$1,020,916$999,343$877,043
Mark S Topolski MD—$1,324,346———
Mark Topolski$1,310,243————
Jeffrey M Lawrence MD—$1,235,980———
Douglas Hughes$1,226,944————
Steven Whitford$1,177,421————
Jerry Davis MD—$1,155,808$1,103,855——
Jeffrey Lawrence MD——$1,152,244——

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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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
  • Loans to or from officersSch L · Pt II1 listed

Programs and updates

Provides administrative, financial, human resources, and IT support services to manage business operations for Gundersen Health System's healthcare facilities and affiliates.

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Provided by the organization

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1 program · $1.1B · in their own filed words · FY2024
01

General services provided to gundersen clinic, LTD., gundersen lutheran medical foundation, inc., gundersen lutheran medical center, inc. And other affiliates: administrative, information systems, billing and coding, laundry, medical records, human resources, finance, facility operations, central services and other miscellaneous services.

$1.1Bprogram 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 · FY2025
Total grants receivedfrom 1 funder$61K
Grants paid · 163 grants · $16.6M · 2020–2024
Varc INCWI · FY2024$165,000
St Clare Health Mission INCWI · FY2024$75,000
Great Rivers United Way INCWI · FY2024$55,750
Karuna INCWI · FY2024$35,000
La Crosse County TreasurerFY2024$30,000
Family and Children's CenterWI · FY2024$30,000
Cia Siab INCWI · FY2024$20,000
Winona Family YMCA INCMN · FY2024$11,678
See all 163 grants →

By the numbers

The FY2024 990, line by line.

1The main four
Money inPt VIII
$1.3B
Ln 12
Fees for servicesLn 2g$1.2B
Investment incomeLn 3$64.2M
Gifts and grantsLn 1h$311K
Money outPt IX
$1.2B
Ln 25
Programscol B$1.1B
Managementcol C$93.0M
Owns and owesPt X
$88.7M
net assets · Ln 32
Cash and savingsLn 1–2$50.9M
Total assetsLn 16$1.1B
LiabilitiesLn 26$1.0B
PeoplePt VI, VII
43
listed · VII A
PaidVII A37
Voting boardVI 1a6
IndependentVI 1b0
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$311K
Government grantsLn 1e$192K
Fees for servicesLn 2g$1.2B
Investment incomeLn 3$64.2M
Gains on assetsLn 7$33.3M
Total revenueLn 12$1.3B
Assets in detailPt X, end of year
CashLn 1$25.5M
SavingsLn 2$25.5M
Cash and savings togetherLn 1–2$50.9M
InvestmentsLn 11–13$820.6M
Land, buildings, equipmentLn 10c$154.3M
Other assetsLn 15$18.0M
Total assetsLn 16$1.1B
LiabilitiesLn 26$1.0B
Net assetsLn 32$88.7M
OperationsPt I, VI
EmployeesI 59,950
VolunteersI 6385
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$103.1M$50.9M
InvestmentsLn 11–13$799.1M$820.6M
Land, buildings, equipmentLn 10c$132.3M$154.3M
Total assetsLn 16$1.12B$1.11B
LiabilitiesLn 26$1.08B$1.02B
Net assetsLn 32$35.7M$88.7M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$1.1M$1.1M
Pay of current officers, directors and key staffLn 5$14.0M$2.1M$11.9M
Other salaries and wagesLn 7$789.5M$747.6M$41.9M
Pension plan contributionsLn 8$70.1M$63.8M$6.2M
Other employee benefitsLn 9$118.0M$112.4M$5.6M
Payroll taxesLn 10$49.5M$46.3M$3.2M
Legal feesLn 11b$987K$5K$983K
Accounting feesLn 11c$496K$496K
Lobbying feesLn 11d$438K$438K
Investment management feesLn 11f$1.7M$5K$1.7M
Other fees for servicesLn 11g$34.8M$27.3M$7.5M$0
Advertising and promotionLn 12$2.2M$38K$2.2M
Office expensesLn 13$10.7M$9.7M$963K
Information technologyLn 14$54.5M$52.2M$2.4M
OccupancyLn 16$12.7M$10.5M$2.1M
TravelLn 17$717K$493K$224K
Conferences, conventions and meetingsLn 19$1.5M$1.4M$136K
InterestLn 20$9.6M$9.6M
Depreciation, depletion and amortizationLn 22$21.6M$20.7M$894K
InsuranceLn 23−$589K−$609K$20K
Other expenses (24a–d)Ln 24$8.4M$6.1M$2.4M
All other expensesLn 24e$3.9M$1.8M$2.1M$0
Total functional expensesLn 25$1.21B$1.11B$93.0M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 $1.2B$1.2B$21.6M$35.7M 990 PDF
FY2023 Not on file
FY2022 $993.7M$1.0B−$7.6M−$87.7M 990 PDF
FY2021 $953.3M$912.4M$40.9M$42.8M 990 PDF
FY2020 $809.7M$859.0M−$49.3M−$14.2M 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 J · Pay O · Explanations
See the full FY2024 990 (6 parts)
Part I · Summary $1,251,736,689 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $1,638,313$310,968
I-9 Program service revenuePrior year $1,138,641,422$1,187,246,756
I-10 Investment incomePrior year $31,476,411$64,237,504
I-11 Other revenuePrior year $75,361−$58,539
I-12 Total revenuePrior year $1,171,831,507$1,251,736,689
I-13 Grants and similar amounts paidPrior year $1,058,753$1,119,146
I-14 Benefits paid to members$0
I-15 Salaries and benefitsPrior year $1,004,785,058$1,041,050,996
I-16a Professional fundraising fees$0
I-17 Other expensesPrior year $144,397,717$163,784,179
I-18 Total expensesPrior year $1,150,241,528$1,205,954,321
I-19 Revenue less expensesPrior year $21,589,979$45,782,368
Part VI · Governance 0 of 6 board members independent, no flags
VI-1a Voting members of the governing body6
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 $1,251,736,689 across 9 lines filed
VIII-1d Related organizations$119,448
VIII-1e Government grants$191,520
VIII-1h Total contributions, gifts and grants$310,968
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $1,186,041,728 · Unrelated business $1,205,028$1,187,246,756
VIII-3 Investment incomeExcluded from tax $30,888,968$30,888,968
VIII-6 Net rental income or lossExcluded from tax −$206,040−$206,040
VIII-7 Net gain or loss on sales of assetsExcluded from tax $33,348,536$33,348,536
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Unrelated business $147,501$147,501
VIII-12 Total revenueRelated to mission $1,186,041,728 · Unrelated business $1,352,529 · Excluded from tax $64,031,464$1,251,736,689
Part IX · Statement of functional expenses $1,205,954,321 across 22 lines filed
IX-1 Grants to domestic organizationsPrograms $1,119,146$1,119,146
IX-5 Pay of current officers, directors and key staffPrograms $2,078,386 · Management $11,882,672$13,961,058
IX-7 Other salaries and wagesPrograms $747,604,641 · Management $41,939,772$789,544,413
IX-8 Pension plan contributionsPrograms $63,842,812 · Management $6,241,249$70,084,061
IX-9 Other employee benefitsPrograms $112,399,863 · Management $5,603,714$118,003,577
IX-10 Payroll taxesPrograms $46,305,423 · Management $3,152,464$49,457,887
IX-11b Legal feesPrograms $4,851 · Management $982,546$987,397
IX-11c Accounting feesManagement $496,245$496,245
IX-11d Lobbying feesPrograms $437,650$437,650
IX-11f Investment management feesPrograms $5,280 · Management $1,743,105$1,748,385
IX-11g Other fees for servicesPrograms $27,268,670 · Management $7,524,468 · Fundraising $0$34,793,138
IX-12 Advertising and promotionPrograms $38,254 · Management $2,175,302$2,213,556
IX-13 Office expensesPrograms $9,718,035 · Management $963,049$10,681,084
IX-14 Information technologyPrograms $52,152,663 · Management $2,388,518$54,541,181
IX-16 OccupancyPrograms $10,539,465 · Management $2,118,465$12,657,930
IX-17 TravelPrograms $493,102 · Management $223,839$716,941
IX-19 Conferences, conventions and meetingsPrograms $1,413,953 · Management $135,715$1,549,668
IX-20 InterestPrograms $9,609,173$9,609,173
IX-22 Depreciation, depletion and amortizationPrograms $20,682,726 · Management $893,717$21,576,443
IX-23 InsurancePrograms −$608,619 · Management $19,766−$588,853
IX-24 Other expenses (24a–d)Programs $6,050,610 · Management $2,398,292$8,448,902
IX-24e All other expensesPrograms $1,835,699 · Management $2,079,640 · Fundraising $0$3,915,339
IX-25 Total functional expensesPrograms $1,112,991,783 · Management $92,962,538 · Fundraising $0$1,205,954,321
Part X · Balance sheet $1,113,322,472 assets, 15 lines filed
Asset lines not itemized here account for $21,131,395; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $17,396,934$25,458,663
X-2 Savings and temporary cash investmentsStart of year $85,664,430$25,466,580
X-8 Inventories for sale or useStart of year $14,762,676$14,887,258
X-9 Prepaid expenses and deferred chargesStart of year $29,749,867$33,430,942
X-10c Land, buildings and equipment, netStart of year $132,255,288$154,313,536
X-11 Publicly traded securitiesStart of year $799,095,251$820,585,808
X-15 Other assetsStart of year $14,854,078$18,048,290
X-16 Total assetsStart of year $1,116,323,421$1,113,322,472
X-17 Accounts payable and accrued expensesStart of year $181,395,852$173,692,495
X-20 Tax-exempt bond liabilitiesStart of year $325,960,000$315,865,000
X-25 Other liabilitiesStart of year $573,313,693$535,040,806
X-26 Total liabilitiesStart of year $1,080,669,545$1,024,598,301
X-27 Net assets without donor restrictionsStart of year $35,653,876$88,724,171
X-32 Total net assets or fund balancesStart of year $35,653,876$88,724,171
X-33 Total liabilities and net assetsStart of year $1,116,323,421$1,113,322,472
Part XI · Reconciliation of net assets $88,724,171 net assets at year end
XI-1 Total revenue$1,251,736,689
XI-2 Total expenses$1,205,954,321
XI-3 Revenue less expenses$45,782,368
XI-4 Net assets at start of year$35,653,876
XI-5 Net unrealized gains (losses) on investments$14,785,706
XI-9 Other changes in net assets−$7,497,779
XI-10 Net assets at end of year$88,724,171

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

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