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Nonprofiteer
← GUNDERSEN LUTHERAN MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by GUNDERSEN LUTHERAN MEDICAL CENTER INC.

Totals

Total revenue
$1,368,537,872
Total expenses
$1,291,530,323
Contributions and grants received
$21,943,302
Grants paid
$23,822,814
Program service revenue
$1,344,662,213
Investment income
$324,889
Other revenue
$1,607,468
Total assets, end of year
$1,962,166,483
Total liabilities, end of year
$12,374,567
Net assets or fund balances, end of year
$1,949,791,916
Program services expenses (Part IX)
$1,250,298,469
Management and general expenses
$41,231,854
Fundraising expenses
$0
Program service expenses (Part III)
$1,250,298,469

Program services were 96.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $959,830

  • 1e · Government grants (contributions)

    $20,979,095

  • 1f · All other contributions, gifts and grants

    $4,377

  • 2a · Program service revenue: MEDICAL SERVICES PROVIDED

    total $1,344,662,213 · related or exempt $1,344,662,213

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $325,998 · excluded $325,998

  • 6a · Gross rents

    real property $25,000

  • 6c · Rental income or loss

    real property $25,000 · personal property $0

  • 6d · Net rental income or loss

    total $25,000 · excluded $25,000

  • 7a · Gross sales of assets other than inventory

    other assets $1,222

  • 7b · Less cost or other basis and sales expenses

    other assets $2,331

  • 7c · Gain or loss

    securities $0 · other assets -$1,109

  • 7d · Net gain or loss

    total -$1,109 · excluded -$1,109

  • 11a · Other revenue: LABORATORY SERVICES

    total $1,350,968 · unrelated business $1,350,968

  • 11b · Other revenue: HELICOPTER DISPATCH SERVICES

    total $231,500 · unrelated business $231,500

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $1,582,468

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $8,999,124 · program services $8,999,124

  • 2 · Grants to domestic individuals

    total $14,823,690 · program services $14,823,690

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 11a · Fees: management

    total $214,679,361 · program services $184,680,573 · management and general $29,998,788

  • 11b · Fees: legal

    total $22,491 · management and general $22,491

  • 11g · Fees: other

    total $182,421,129 · program services $181,939,735 · management and general $481,394 · fundraising $0

  • 12 · Advertising and promotion

    total $33,872 · program services $27,763 · management and general $6,109

  • 13 · Office expenses

    total $10,985,747 · program services $10,755,686 · management and general $230,061

  • 14 · Information technology

    total $1,774,451 · program services $1,750,451 · management and general $24,000

  • 16 · Occupancy

    total $4,628,373 · program services $3,932,507 · management and general $695,866

  • 17 · Travel

    total $573,740 · program services $532,325 · management and general $41,415

  • 19 · Conferences, conventions and meetings

    total $259,035 · program services $225,977 · management and general $33,058

  • 22 · Depreciation, depletion and amortization

    total $27,464,838 · program services $24,415,709 · management and general $3,049,129

  • 23 · Insurance

    total $1,416,691 · program services $648,636 · management and general $768,055

  • 24a · Other expenses: SUPPLIES

    total $222,244,120 · program services $222,244,120

  • 24b · Other expenses: BAD DEBTS

    total $28,263,531 · program services $28,263,531

  • 24c · Other expenses: LEASED EMPLOYEES

    total $555,855,604 · program services $550,052,330 · management and general $5,803,274

  • 24d · Other expenses: RECRUITING/EMPLOY. DEVEL/TAX

    total $16,310,976 · program services $16,261,029 · management and general $49,947

  • 24e · All other expenses

    total $773,550 · program services $745,283 · management and general $28,267 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,466,968 · end of year $1,531,628

  • 4 · Accounts receivable

    beginning of year $144,352,492 · end of year $156,454,238

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $6,787,866 · end of year $7,575,361

  • 10a · Land, buildings and equipment: cost or other basis

    $594,929,560

  • 10b · Land, buildings and equipment: accumulated depreciation

    $291,989,685

  • 10c · Land, buildings and equipment, net

    beginning of year $306,783,049 · end of year $302,939,875

  • 11 · Investments: publicly traded securities

    beginning of year $20,000,000 · end of year $20,000,000

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $1,421,321,207 · end of year $1,473,665,381

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,144,679 · end of year $3,599,318

  • 19 · Deferred revenue

    beginning of year $19,516,352 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $4,266,184 · end of year $8,775,249

  • 27 · Net assets without donor restrictions

    beginning of year $1,872,784,367 · end of year $1,949,791,916

Mission and programs · 2022

Mission

SEE SCHEDULE O

  • SEE SCHEDULE O

    Expenses $1,250,298,469 · Grants $23,822,814 · Revenue $1,344,662,213

As filed on the 2022 return.

Listed in Part VII

  • Andrea Hauser

    BOARD OF TRUSTEES-CNO, ADMIN VP NURSING & SYSTEM PRACTICES

    Total calculated
    $295,145
    From this org
    $0
    From related orgs
    $244,113
    Other
    $51,032
    Hours/week
    2 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $240,231 related
    Bonus
    $0
    Other
    $0 + $3,882 related
    Deferred
    $0 + $33,786 related
    Nontaxable benefits
    $0 + $17,246 related
    Filer's total
    $0 + $295,145 related
  • Bryan Erdmann

    BOARD OF TRUSTEES - CHIEF OPERATING OFFICER

    Total calculated
    $388,769
    From this org
    $0
    From related orgs
    $316,306
    Other
    $72,463
    Hours/week
    2 + 46.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,047 related
    Bonus
    $0
    Other
    $0 + $4,259 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $28,238 related
    Filer's total
    $0 + $388,769 related
  • Dan Florness

    BOARD OF TRUSTEES - TREASURER

    Total calculated
    $0
    Hours/week
    2 + 4 related
  • Gerald Arndt

    BOARD OF TRUSTEES - CHAIR

    Total calculated
    $0
    Hours/week
    2 + 6 related
  • Glena Temple PhD

    BOARD OF TRUSTEES - SECRETARY

    Total calculated
    $0
    Hours/week
    2 + 4 related
  • Heather Schimmers

    BOARD OF TRUSTEES - PRESIDENT

    Total calculated
    $573,074
    From this org
    $0
    From related orgs
    $514,939
    Other
    $58,135
    Hours/week
    2 + 47 related

    Schedule J breakdown matched by us

    Base
    $0 + $509,659 related
    Bonus
    $0
    Other
    $0 + $5,280 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $13,910 related
    Filer's total
    $0 + $573,074 related
  • John Lyche

    BOARD OF TRUSTEES - VICE CHAIR

    Total calculated
    $0
    Hours/week
    2 + 4 related
  • Robyn Borge MD

    BOARD OF TRUSTEES - MEMBER, CHIEF OF MED. STAFF

    Total calculated
    $352,653
    From this org
    $0
    From related orgs
    $306,023
    Other
    $46,630
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,500 related
    Bonus
    $0 + $100 related
    Other
    $0 + $4,423 related
    Deferred
    $0 + $44,080 related
    Nontaxable benefits
    $0 + $2,550 related
    Filer's total
    $0 + $352,653 related
  • Scott Rathgaber MD

    BOARD OF TRUSTEES - CEO, CHAIRMAN

    Total calculated
    $1,088,135
    From this org
    $0
    From related orgs
    $1,020,916
    Other
    $67,219
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,015,579 related
    Bonus
    $0 + $180 related
    Other
    $0 + $5,157 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $22,994 related
    Filer's total
    $0 + $1,088,135 related
  • Todd Kowalski MD

    BOARD OF TRUSTEES - MEDICAL CHIEF OPERATING OFFICER

    Total calculated
    $546,617
    From this org
    $0
    From related orgs
    $473,806
    Other
    $72,811
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $468,479 related
    Bonus
    $0 + $4,500 related
    Other
    $0 + $827 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $28,586 related
    Filer's total
    $0 + $546,617 related
  • Benjamin Jarman MD

    BOARD OF TRUSTEES - MEMBER

    Total calculated
    $560,090
    From this org
    $0
    From related orgs
    $501,955
    Other
    $58,135
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $495,141 related
    Bonus
    $0
    Other
    $0 + $6,814 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $13,910 related
    Filer's total
    $0 + $560,090 related
  • Chris Eberlein MD

    BOARD OF TRUSTEES - MEMBER

    Total calculated
    $455,677
    From this org
    $0
    From related orgs
    $387,958
    Other
    $67,719
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $379,772 related
    Bonus
    $0 + $3,000 related
    Other
    $0 + $5,186 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $23,494 related
    Filer's total
    $0 + $455,677 related
  • Jennifer Kleven MD

    BOARD OF TRUSTEES - MEMBER

    Total calculated
    $409,556
    From this org
    $0
    From related orgs
    $361,979
    Other
    $47,577
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $358,763 related
    Bonus
    $0 + $3,000 related
    Other
    $0 + $216 related
    Deferred
    $0 + $43,395 related
    Nontaxable benefits
    $0 + $4,182 related
    Filer's total
    $0 + $409,556 related
  • Mark Glendenning

    BOARD OF TRUSTEES - MEMBER

    Total calculated
    $0
    Hours/week
    2 + 4 related
  • Richard Radcliffe

    BOARD OF TRUSTEES - MEMBER

    Total calculated
    $0
    Hours/week
    2 + 4 related
  • Tita Yutuc

    BOARD OF TRUSTEES - MEMBER

    Total calculated
    $0
    Hours/week
    2 + 4 related
  • Christine Waller MD

    MED VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICES

    Total calculated
    $597,308
    From this org
    $0
    From related orgs
    $520,081
    Other
    $77,227
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $511,659 related
    Bonus
    $0 + $3,000 related
    Other
    $0 + $5,422 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $33,002 related
    Filer's total
    $0 + $597,308 related
  • Daniel Lilly

    SECRETARY

    Total calculated
    $559,580
    From this org
    $0
    From related orgs
    $491,361
    Other
    $68,219
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $485,361 related
    Bonus
    $0
    Other
    $0 + $6,000 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $23,994 related
    Filer's total
    $0 + $559,580 related
  • Gerald Oetzel

    CFO, TREASURER

    Total calculated
    $668,293
    From this org
    $0
    From related orgs
    $615,642
    Other
    $52,651
    Hours/week
    2 + 47 related

    Schedule J breakdown matched by us

    Base
    $0 + $609,991 related
    Bonus
    $0
    Other
    $0 + $5,651 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $8,426 related
    Filer's total
    $0 + $668,293 related
  • Jonathan Zlabek MD

    MEDICAL VP, CROSS-FUNCTIONAL CARE

    Total calculated
    $529,779
    From this org
    $0
    From related orgs
    $461,310
    Other
    $68,469
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $451,746 related
    Bonus
    $0 + $4,500 related
    Other
    $0 + $5,064 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $24,244 related
    Filer's total
    $0 + $529,779 related
  • Kelley Bahr MD

    MEDICAL VP, AMBULATORY SERVICES

    Total calculated
    $437,782
    From this org
    $0
    From related orgs
    $393,507
    Other
    $44,275
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $386,333 related
    Bonus
    $0 + $2,110 related
    Other
    $0 + $5,064 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $50 related
    Filer's total
    $0 + $437,782 related
  • Kraig Schuster

    ADMIN VP, COMMUNITY

    Total calculated
    $338,141
    From this org
    $0
    From related orgs
    $284,169
    Other
    $53,972
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $281,574 related
    Bonus
    $0 + $160 related
    Other
    $0 + $2,435 related
    Deferred
    $0 + $40,632 related
    Nontaxable benefits
    $0 + $13,340 related
    Filer's total
    $0 + $338,141 related
  • Marilu Bintz MD

    MED VP, COMM AND CMO-CRITICAL ACCESS HOSP

    Total calculated
    $673,396
    From this org
    $0
    From related orgs
    $620,762
    Other
    $52,634
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $614,741 related
    Bonus
    $0 + $210 related
    Other
    $0 + $5,811 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $8,409 related
    Filer's total
    $0 + $673,396 related
  • Mary Ellen McCartney

    CHIEF HUMAN RESOURCES OFFICER

    Total calculated
    $443,674
    From this org
    $0
    From related orgs
    $384,407
    Other
    $59,267
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $383,356 related
    Bonus
    $0
    Other
    $0 + $1,051 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $15,042 related
    Filer's total
    $0 + $443,674 related
  • Michael Dolan MD

    EXEC VP, MEDICAL COO

    Total calculated
    $708,192
    From this org
    $0
    From related orgs
    $636,281
    Other
    $71,911
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $631,023 related
    Bonus
    $0 + $4,500 related
    Other
    $0 + $758 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $27,686 related
    Filer's total
    $0 + $708,192 related
  • Michael McKee

    ADMIN VP, ACUTE CARE AND NURSING AND SYSTEMS

    Total calculated
    $338,716
    From this org
    $0
    From related orgs
    $270,756
    Other
    $67,960
    Hours/week
    2 + 46.3 related

    Schedule J breakdown matched by us

    Base
    $0 + $270,131 related
    Bonus
    $0
    Other
    $0 + $625 related
    Deferred
    $0 + $40,054 related
    Nontaxable benefits
    $0 + $27,906 related
    Filer's total
    $0 + $338,716 related
  • Praveen Chopra

    CHIEF INFORMATION OFFICER

    Total calculated
    $582,444
    From this org
    $0
    From related orgs
    $509,283
    Other
    $73,161
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $462,246 related
    Bonus
    $0
    Other
    $0 + $47,037 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $28,936 related
    Filer's total
    $0 + $582,444 related
  • Rachel Albrecht

    ADMIN VP, AMBULATORY SERVICES

    Total calculated
    $198,337
    From this org
    $0
    From related orgs
    $151,435
    Other
    $46,902
    Hours/week
    2 + 44.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $141,471 related
    Bonus
    $0 + $100 related
    Other
    $0 + $9,864 related
    Deferred
    $0 + $22,658 related
    Nontaxable benefits
    $0 + $24,244 related
    Filer's total
    $0 + $198,337 related
  • Stephanie Neuman MD

    MEDICAL VP, AMBULATORY SERVICES

    Total calculated
    $543,946
    From this org
    $0
    From related orgs
    $472,535
    Other
    $71,411
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $472,163 related
    Bonus
    $0
    Other
    $0 + $372 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $27,186 related
    Filer's total
    $0 + $543,946 related
  • Stephen Shapiro MD

    CHIEF MEDICAL FOUNDATION OFFICER

    Total calculated
    $570,212
    From this org
    $0
    From related orgs
    $498,943
    Other
    $71,269
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $493,829 related
    Bonus
    $0 + $4,650 related
    Other
    $0 + $464 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $27,044 related
    Filer's total
    $0 + $570,212 related
  • Tina Lechnir

    ADMIN VP, CROSS-FUNCTIONAL CARE

    Total calculated
    $69,371
    From this org
    $0
    From related orgs
    $58,446
    Other
    $10,925
    Hours/week
    2 + 44 related
  • William Farrell

    CHIEF BUSINESS AND STRATEGY OFFICER

    Total calculated
    $481,999
    From this org
    $0
    From related orgs
    $437,724
    Other
    $44,275
    Hours/week
    2 + 47.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $432,308 related
    Bonus
    $0
    Other
    $0 + $5,416 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $50 related
    Filer's total
    $0 + $481,999 related
  • Ellen Pedretti-Fendt

    VICE PRESIDENT APPLICATION SERVICES

    Total calculated
    $258,552
    From this org
    $0
    From related orgs
    $203,686
    Other
    $54,866
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $202,996 related
    Bonus
    $0 + $160 related
    Other
    $0 + $530 related
    Deferred
    $0 + $30,015 related
    Nontaxable benefits
    $0 + $24,851 related
    Filer's total
    $0 + $258,552 related
  • Eric Dehn

    VP ENTERPRISE ARCHITECTURE AND SOLUTION DESIGN

    Total calculated
    $297,459
    From this org
    $0
    From related orgs
    $260,080
    Other
    $37,379
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $239,619 related
    Bonus
    $0
    Other
    $0 + $20,461 related
    Deferred
    $0 + $25,231 related
    Nontaxable benefits
    $0 + $12,148 related
    Filer's total
    $0 + $297,459 related
  • Jack Schwartz

    VICE PRESIDENT FOUNDATION

    Total calculated
    $253,569
    From this org
    $0
    From related orgs
    $215,332
    Other
    $38,237
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $212,018 related
    Bonus
    $0
    Other
    $0 + $3,314 related
    Deferred
    $0 + $29,814 related
    Nontaxable benefits
    $0 + $8,423 related
    Filer's total
    $0 + $253,569 related
  • Janine Luz

    VICE PRESIDENT LEARNING

    Total calculated
    $280,799
    From this org
    $0
    From related orgs
    $229,446
    Other
    $51,353
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $225,078 related
    Bonus
    $0 + $110 related
    Other
    $0 + $4,258 related
    Deferred
    $0 + $33,108 related
    Nontaxable benefits
    $0 + $18,245 related
    Filer's total
    $0 + $280,799 related
  • Kari Adank

    VICE PRESIDENT COMPLIANCE

    Total calculated
    $296,457
    From this org
    $0
    From related orgs
    $236,819
    Other
    $59,638
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $236,696 related
    Bonus
    $0
    Other
    $0 + $123 related
    Deferred
    $0 + $34,829 related
    Nontaxable benefits
    $0 + $24,809 related
    Filer's total
    $0 + $296,457 related
  • Krister Mattson

    VICE PRESIDENT ENTERPRISE ANALYTICS

    Total calculated
    $349,751
    From this org
    $0
    From related orgs
    $298,053
    Other
    $51,698
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $277,987 related
    Bonus
    $0
    Other
    $0 + $20,066 related
    Deferred
    $0 + $36,521 related
    Nontaxable benefits
    $0 + $15,177 related
    Filer's total
    $0 + $349,751 related
  • Mary Kuffel MD

    MEDICAL VICE PRESIDENT

    Total calculated
    $583,854
    From this org
    $0
    From related orgs
    $538,187
    Other
    $45,667
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $529,412 related
    Bonus
    $0 + $2,000 related
    Other
    $0 + $6,775 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $1,442 related
    Filer's total
    $0 + $583,854 related
  • P Michael Jacobs Dpm

    MEDICAL VICE PRESIDENT

    Total calculated
    $528,912
    From this org
    $0
    From related orgs
    $461,210
    Other
    $67,702
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $456,496 related
    Bonus
    $0
    Other
    $0 + $4,714 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $23,477 related
    Filer's total
    $0 + $528,912 related
  • Pamela Maas

    VICE PRESIDENT BUSINESS SERVICES

    Total calculated
    $306,846
    From this org
    $0
    From related orgs
    $274,453
    Other
    $32,393
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $223,112 related
    Bonus
    $0 + $110 related
    Other
    $0 + $51,231 related
    Deferred
    $0 + $32,351 related
    Nontaxable benefits
    $0 + $42 related
    Filer's total
    $0 + $306,846 related
  • Shannon Mulligan

    VP HR & TOTAL REWARDS

    Total calculated
    $300,413
    From this org
    $0
    From related orgs
    $264,842
    Other
    $35,571
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $241,408 related
    Bonus
    $0 + $20,000 related
    Other
    $0 + $3,434 related
    Deferred
    $0 + $31,502 related
    Nontaxable benefits
    $0 + $4,069 related
    Filer's total
    $0 + $300,413 related
  • Ashley Tao

    SENIOR PHYSICIST

    Total calculated
    $233,854
    From this org
    $0
    From related orgs
    $196,021
    Other
    $37,833
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $195,398 related
    Bonus
    $0 + $160 related
    Other
    $0 + $463 related
    Deferred
    $0 + $28,607 related
    Nontaxable benefits
    $0 + $9,226 related
    Filer's total
    $0 + $233,854 related
  • Kate Sheehan

    RN, ACUTE HOSPITAL

    Total calculated
    $246,568
    From this org
    $0
    From related orgs
    $207,931
    Other
    $38,637
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $206,108 related
    Bonus
    $0 + $160 related
    Other
    $0 + $1,663 related
    Deferred
    $0 + $30,211 related
    Nontaxable benefits
    $0 + $8,426 related
    Filer's total
    $0 + $246,568 related
  • Kimberly Schmidt

    SENIOR PHYSICIST

    Total calculated
    $323,194
    From this org
    $0
    From related orgs
    $267,134
    Other
    $56,060
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $258,286 related
    Bonus
    $0 + $8,180 related
    Other
    $0 + $668 related
    Deferred
    $0 + $38,814 related
    Nontaxable benefits
    $0 + $17,246 related
    Filer's total
    $0 + $323,194 related
  • Paula Strand

    RN, ADMISSION REFERRAL COORDINATOR

    Total calculated
    $262,416
    From this org
    $0
    From related orgs
    $214,019
    Other
    $48,397
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $207,659 related
    Bonus
    $0 + $2,800 related
    Other
    $0 + $3,560 related
    Deferred
    $0 + $31,151 related
    Nontaxable benefits
    $0 + $17,246 related
    Filer's total
    $0 + $262,416 related
  • Tina Pike

    SENIOR PHYSICIST

    Total calculated
    $289,924
    From this org
    $0
    From related orgs
    $230,039
    Other
    $59,885
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $225,000 related
    Bonus
    $0 + $150 related
    Other
    $0 + $4,889 related
    Deferred
    $0 + $31,591 related
    Nontaxable benefits
    $0 + $28,294 related
    Filer's total
    $0 + $289,924 related
  • Gregory Thompson MD

    FORMER CHIEF MED OFF THRU 21

    Total calculated
    $375,824
    From this org
    $0
    From related orgs
    $322,668
    Other
    $53,156
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $303,070 related
    Bonus
    $0
    Other
    $0 + $19,598 related
    Deferred
    $0 + $40,620 related
    Nontaxable benefits
    $0 + $12,536 related
    Filer's total
    $0 + $375,824 related
  • Stephanie Carroll MD

    FORMER MEDICAL VP THRU 20

    Total calculated
    $360,909
    From this org
    $0
    From related orgs
    $297,599
    Other
    $63,310
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $297,576 related
    Bonus
    $0
    Other
    $0 + $23 related
    Deferred
    $0 + $37,717 related
    Nontaxable benefits
    $0 + $25,593 related
    Filer's total
    $0 + $360,909 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
ALL PERSONNEL SERVICES FOR GUNDERSEN LUTHERAN MEDICAL CENTER, INC. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICE, INC. AND ALL PAYMENTS TO VENDORS ARE MADE BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC.
Schedule J, Part II LEASED EMPLOYEES AND MANAGEMENT SERVICES
GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. PROVIDES LEASED EMPLOYEES AND MANAGEMENT SERVICES TO GUNDERSEN LUTHERAN MEDICAL CENTER. THEREFORE THE AMOUNTS REPORTED ON SCHEDULE J REPRESENT REIMBURSEMENTS TO GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • GUNDERSEN LUTHERAN ENVISION LLC

    C Corporation · RENEWABLE ENERGY · WI

    Directly controlled by GLHS

  • BEL-REGIONAL HOME MEDICAL INC

    C Corporation · DURABLE MEDICAL EQUIPMENT, RETAIL · WI

    Directly controlled by NA

  • BELLIN INVESTMENTS INC

    C Corporation · OTHER · WI

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313189349306161

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