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.
94¢ of each $1 spent went to programs.
$14.3M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2020 · 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
94%
of spending
Looks good: 94% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$14.3M
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
3 mo
of spending, in cash
Plus $781.5M in investments, Pt X · Ln 11–13
Looks good: 3.2 months of spending in cash; 3 or more.
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
$1.2B
101% of total assets
Concern: liabilities are 101% of assets; over 80%.
Pt X · Ln 26
Independent board members
7
of 13 voting members
Looks good: 7 of 13 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$809.7M
Spent
$859.0M
To programs
94%
Net assets
−$14.2M
By yearFY2020–FY2024
Revenue
$809.7M
FY2020
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
$859.0M
FY2020
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
−$14.2M
FY2020
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 FY2020 Form 990 · figures checked against the IRS filing · see the original

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You’re viewing the FY2020 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 Jun 1988.

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

Where the money goes

94 cents of each dollar spent went to programs.

Program services 94% · $807.2M Management & general 6% · $51.8M

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

41 people listed on the 990; $14.3M paid to officers and key staff.

Part VII, Section A · reportable compensation
Medical Doctor
$1,041,708Pt VII · Sec A
Medical Doctor
$882,683Pt VII · Sec A
Chief Executive Officer
$877,043Pt VII · Sec A
Medical Doctor
$856,788Pt VII · Sec A
Medical Doctor
$813,794Pt VII · Sec A
Medical Doctor
$787,787Pt VII · Sec A
EVP, Med. Chief Operating Ofcr
$621,044Pt VII · Sec A
Chief Population Health Ofcr
$574,361Pt 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 2Yes
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes
  • Loans to or from officersSch L · Pt II2 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 · $807.2M · in their own filed words · FY2020
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.

$807.2Mprogram 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 FY2020 990, line by line.

1The main four
Money inPt VIII
$809.7M
Ln 12
Fees for servicesLn 2g$780.8M
Investment incomeLn 3$27.3M
Gifts and grantsLn 1h$1.1M
Money outPt IX
$859.0M
Ln 25
Programscol B$807.2M
Managementcol C$51.8M
Owns and owesPt X
−$14.2M
net assets · Ln 32
Cash and savingsLn 1–2$228.2M
Total assetsLn 16$1.2B
LiabilitiesLn 26$1.2B
PeoplePt VI, VII
41
listed · VII A
PaidVII A33
Voting boardVI 1a13
IndependentVI 1b7
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$1.1M
Government grantsLn 1e$113K
Fees for servicesLn 2g$780.8M
Investment incomeLn 3$27.3M
Other incomeLn 4–11$540K
Gains on assetsLn 7−$38K
Total revenueLn 12$809.7M
Assets in detailPt X, end of year
CashLn 1$16.9M
SavingsLn 2$211.2M
Cash and savings togetherLn 1–2$228.2M
InvestmentsLn 11–13$781.5M
Land, buildings, equipmentLn 10c$109.3M
Other assetsLn 15$18.2M
Total assetsLn 16$1.2B
LiabilitiesLn 26$1.2B
Net assetsLn 32−$14.2M
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 FY20End FY20
Cash and savingsLn 1–2$136.1M$228.2M
InvestmentsLn 11–13$712.6M$781.5M
Land, buildings, equipmentLn 10c$102.1M$109.3M
Total assetsLn 16$1.01B$1.19B
LiabilitiesLn 26$1.03B$1.20B
Net assetsLn 32−$13.5M−$14.2M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$2.8M$2.8M
Grants to domestic individualsLn 2$0
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$6.4M$10K$6.4M$0
Pay of disqualified personsLn 6$3.7M$3.7M$0$0
Other salaries and wagesLn 7$556.5M$532.2M$24.3M$0
Pension plan contributionsLn 8$63.4M$59.6M$3.7M$0
Other employee benefitsLn 9$66.5M$64.3M$2.3M$0
Payroll taxesLn 10$37.7M$35.9M$1.8M$0
Management feesLn 11a$0
Legal feesLn 11b$1.2M$0$1.2M$0
Accounting feesLn 11c$341K$0$341K$0
Lobbying feesLn 11d$243K$243K$0$0
Professional fundraising feesLn 11e$0
Investment management feesLn 11f$1.8M$10K$1.8M$0
Other fees for servicesLn 11g$19.8M$15.4M$4.4M$0
Advertising and promotionLn 12$1.2M$49K$1.1M$0
Office expensesLn 13$8.0M$7.2M$879K$0
Information technologyLn 14$29.9M$29.0M$963K$0
RoyaltiesLn 15$0
OccupancyLn 16$7.9M$6.9M$1.0M$0
TravelLn 17$153K$119K$34K$0
Travel and entertainment for public officialsLn 18$0
Conferences, conventions and meetingsLn 19$170K$128K$42K$0
InterestLn 20$16.9M$16.9M$0$0
Payments to affiliatesLn 21$0
Depreciation, depletion and amortizationLn 22$21.6M$21.3M$260K$0
InsuranceLn 23$708K$697K$11K$0
Other expenses (24a–d)Ln 24$8.5M$7.6M$877K$0
All other expensesLn 24e$3.5M$3.2M$363K
Total functional expensesLn 25$859.0M$807.2M$51.8M$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 Viewing $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 FY2020 990 (6 parts)
Part I · Summary $809,694,082 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $118,406$1,068,557
I-9 Program service revenuePrior year $740,293,754$780,799,610
I-10 Investment incomePrior year $30,311,138$27,285,596
I-11 Other revenuePrior year $421,230$540,319
I-12 Total revenuePrior year $771,144,528$809,694,082
I-13 Grants and similar amounts paidPrior year $1,468,073$2,819,455
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $716,150,495$734,149,109
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $112,812,331$122,001,466
I-18 Total expensesPrior year $830,430,899$858,970,030
I-19 Revenue less expensesPrior year −$59,286,371−$49,275,948
Part VI · Governance 7 of 13 board members independent, 1 to look at
VI-1a Voting members of the governing body13
VI-1b Independent voting members7
VI-2 Family or business relationship among officers or directorsYes
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 $809,694,082 across 12 lines filed
VIII-1d Related organizations$455,374
VIII-1e Government grants$113,183
VIII-1f All other contributions, gifts and grants$500,000
VIII-1h Total contributions, gifts and grants$1,068,557
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $780,378,131 · Unrelated business $421,479 · Excluded from tax $0$780,799,610
VIII-3 Investment incomeRelated to mission $0 · Unrelated business $0 · Excluded from tax $27,323,402$27,323,402
VIII-5 Royalties$0
VIII-6 Net rental income or lossRelated to mission $0 · Unrelated business $0 · Excluded from tax $278,490$278,490
VIII-7 Net gain or loss on sales of assetsRelated to mission $0 · Unrelated business $0 · Excluded from tax −$37,806−$37,806
VIII-8 Net income from fundraising events$0
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $0 · Unrelated business $261,829 · Excluded from tax $0$261,829
VIII-12 Total revenueRelated to mission $780,378,131 · Unrelated business $683,308 · Excluded from tax $27,564,086$809,694,082
Part IX · Statement of functional expenses $858,970,030 across 31 lines filed
IX-1 Grants to domestic organizationsPrograms $2,819,455$2,819,455
IX-2 Grants to domestic individuals$0
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 staffPrograms $9,500 · Management $6,407,426 · Fundraising $0$6,416,926
IX-6 Pay of disqualified personsPrograms $3,675,831 · Management $0 · Fundraising $0$3,675,831
IX-7 Other salaries and wagesPrograms $532,171,684 · Management $24,280,992 · Fundraising $0$556,452,676
IX-8 Pension plan contributionsPrograms $59,642,694 · Management $3,734,084 · Fundraising $0$63,376,778
IX-9 Other employee benefitsPrograms $64,284,348 · Management $2,257,159 · Fundraising $0$66,541,507
IX-10 Payroll taxesPrograms $35,900,168 · Management $1,785,223 · Fundraising $0$37,685,391
IX-11a Management fees$0
IX-11b Legal feesPrograms $0 · Management $1,197,965 · Fundraising $0$1,197,965
IX-11c Accounting feesPrograms $0 · Management $341,238 · Fundraising $0$341,238
IX-11d Lobbying feesPrograms $243,000 · Management $0 · Fundraising $0$243,000
IX-11f Investment management feesPrograms $10,280 · Management $1,775,957 · Fundraising $0$1,786,237
IX-11g Other fees for servicesPrograms $15,444,720 · Management $4,404,493 · Fundraising $0$19,849,213
IX-12 Advertising and promotionPrograms $49,374 · Management $1,127,991 · Fundraising $0$1,177,365
IX-13 Office expensesPrograms $7,158,222 · Management $879,460 · Fundraising $0$8,037,682
IX-14 Information technologyPrograms $28,973,149 · Management $963,202 · Fundraising $0$29,936,351
IX-15 Royalties$0
IX-16 OccupancyPrograms $6,880,116 · Management $1,040,520 · Fundraising $0$7,920,636
IX-17 TravelPrograms $119,029 · Management $34,044 · Fundraising $0$153,073
IX-18 Travel and entertainment for public officials$0
IX-19 Conferences, conventions and meetingsPrograms $128,000 · Management $41,833 · Fundraising $0$169,833
IX-20 InterestPrograms $16,855,853 · Management $0 · Fundraising $0$16,855,853
IX-21 Payments to affiliates$0
IX-22 Depreciation, depletion and amortizationPrograms $21,319,073 · Management $260,016 · Fundraising $0$21,579,089
IX-23 InsurancePrograms $696,695 · Management $11,400 · Fundraising $0$708,095
IX-24 Other expenses (24a–d)Programs $7,629,369 · Management $877,013 · Fundraising $0$8,506,382
IX-24e All other expensesPrograms $3,176,905 · Management $362,549$3,539,454
IX-25 Total functional expensesPrograms $807,187,465 · Management $51,782,565 · Fundraising $0$858,970,030
Part X · Balance sheet $1,186,143,808 assets, 24 lines filed
Asset lines not itemized here account for $17,757,913; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $28,505,682$16,944,966
X-2 Savings and temporary cash investmentsStart of year $107,640,831$211,214,123
X-3 Pledges and grants receivableStart of year $0$0
X-4 Accounts receivableStart of year $0$0
X-8 Inventories for sale or useStart of year $7,412,628$11,801,810
X-9 Prepaid expenses and deferred chargesStart of year $21,592,860$19,536,505
X-10c Land, buildings and equipment, netStart of year $102,139,429$109,257,664
X-11 Publicly traded securitiesStart of year $712,632,725$781,456,188
X-12 Other securitiesStart of year $0$0
X-13 Program-related investmentsStart of year $0$0
X-14 Intangible assetsStart of year $0$0
X-15 Other assetsStart of year $17,516,829$18,174,639
X-16 Total assetsStart of year $1,013,495,709$1,186,143,808
X-17 Accounts payable and accrued expensesStart of year $138,890,687$179,161,329
X-18 Grants payableStart of year $0$0
X-19 Deferred revenueStart of year $0$0
X-20 Tax-exempt bond liabilitiesStart of year $363,925,000$376,925,000
X-24 Unsecured notes and loans payableStart of year $0$0
X-25 Other liabilitiesStart of year $524,163,093$644,243,271
X-26 Total liabilitiesStart of year $1,026,978,780$1,200,329,600
X-27 Net assets without donor restrictionsStart of year −$13,483,071−$14,185,792
X-28 Net assets with donor restrictionsStart of year $0$0
X-32 Total net assets or fund balancesStart of year −$13,483,071−$14,185,792
X-33 Total liabilities and net assetsStart of year $1,013,495,709$1,186,143,808
Part XI · Reconciliation of net assets −$14,185,792 net assets at year end
XI-1 Total revenue$809,694,082
XI-2 Total expenses$858,970,030
XI-3 Revenue less expenses−$49,275,948
XI-4 Net assets at start of year−$13,483,071
XI-5 Net unrealized gains (losses) on investments$48,573,227
XI-10 Net assets at end of year−$14,185,792

Form 990 e-file (XML) FY2020 from the IRS · Classification, formation year and address from the IRS Business Master File

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