Gundersen Lutheran Administrative Services INC FY2024 filing

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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.
93¢ of each $1 spent went to programs.
$21.7M 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

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
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
3 of 5
filings with a surplus
Average surplus $10.3M a year · under 1% of revenue · last 5 filings
Worth a look: a surplus in 3 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
93%
of spending
Looks good: 93% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$21.7M
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 $715.2M in investments, Pt X · Ln 11–13
Fine: 0.9 months of spending in cash, plus $715.2M 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
$1.1B
94% of total assets
Concern: liabilities are 94% 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
$1.2B
+18% vs prior year
Spent
$1.2B
To programs
93%
Net assets
$35.7M
By yearFY2020–FY2025
Revenue
$1.2B
FY2024▲ +18%
Tap a bar for its year
Revenue by fiscal year
FY2020$809.7M
FY2021$953.3M
FY2022$993.7M
FY2024$1.2B
FY2025$1.3B
Expenses
$1.2B
FY2024▲ +15%
Tap a bar for its year
Expenses by fiscal year
FY2020$859.0M
FY2021$912.4M
FY2022$1.0B
FY2024$1.2B
FY2025$1.2B
Net assets
$35.7M
FY2024▲ +141%
Tap a bar for its year
Net assets by fiscal year
FY2020−$14.2M
FY2021$42.8M
FY2022−$87.7M
FY2024$35.7M
FY2025$88.7M

From the FY2024 Form 990 (year ending September 2024) · figures checked against the IRS filing · see the original

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You’re viewing the FY2024 filing — not the latest on file. See the latest (FY2025) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Jun 1988.

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

Where the money goes

93 cents of each dollar spent went to programs.

Program services 93% · $1.1B Management & general 7% · $82.9M

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

64 people listed on the 990; $21.7M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2023); the FY2024 filing did not itemize Part VII
Board of Trustees, CEO, Chairman
$1,644,221Pt VII · Sec A
Medical Doctor
$1,324,346Pt VII · Sec A
Medical Doctor
$1,235,980Pt VII · Sec A
Medical Doctor
$1,155,808Pt VII · Sec A
Medical Doctor
$1,117,078Pt VII · Sec A
Medical Doctor
$1,056,501Pt VII · Sec A
Board of Trustees - President
$746,172Pt VII · Sec A
Chief Digital and Information Officer
$654,982Pt 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

NameFY2025FY2024FY2022FY2021FY2020
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.

See Gundersen Lutheran Administrative Services INC executive salaries →

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 II5 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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2 programs · $1.8B · in their own filed words · FY2023
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
02

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.

$771.5Mprogram 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
$1.2B
Ln 12
Fees for servicesLn 2g$840.3M
Other incomeLn 4–11$305.8M
Investment incomeLn 3$25.0M
Money outPt IX
$1.2B
Ln 25
Programscol B$1.1B
Managementcol C$82.9M
Owns and owesPt X
$35.7M
net assets · Ln 32
Cash and savingsLn 1–2$82.2M
Total assetsLn 16$1.1B
LiabilitiesLn 26$1.1B
PeoplePt VI, VII
64
listed · VII A
PaidVII A41
Voting boardVI 1a6
IndependentVI 1b0
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$672K
Government grantsLn 1e$492K
Fees for servicesLn 2g$840.3M
Investment incomeLn 3$25.0M
Other incomeLn 4–11$305.8M
Total revenueLn 12$1.2B
Assets in detailPt X, end of year
Cash and savings togetherLn 1–2$82.2M
Total assetsLn 16$1.1B
LiabilitiesLn 26$1.1B
Net assetsLn 32$35.7M
OperationsPt I, VI
EmployeesI 59,950
VolunteersI 6385
Fiscal year endsHeaderSeptember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 LatestFiled with the IRS Aug 14, 2026 $1.3B$1.2B$45.8M$88.7M 990 PDF
FY2024 ViewingFiled with the IRS Aug 14, 2025 $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
FY2021Filed with the IRS Nov 14, 2022 $953.3M$912.4M$40.9M$42.8M 990 PDF
FY2020Filed with the IRS Nov 12, 2021 $809.7M$859.0M−$49.3M−$14.2M 990 PDF

Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons A · Public support J · Pay O · Explanations
See the full FY2024 990 (1 part)
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

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

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