Civic Intelligence

Gundersen Lutheran Medical Center Inc

EIN 39-0813416 • 501(c)3 • LA Crosse, WI

1910 South AveLA Crosse, WI 54601

www.gundersenhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

7th percentile

0.01x

Higher debt load relative to assets than 7% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

5th percentile

0.01x

Higher debt load relative to revenue than 5% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

44th percentile

5.0%

Higher net margin than 44% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

44th percentile

$1,712,949

Higher top officer pay than 44% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

29th percentile

4.0%

Faster asset growth than 29% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

88th percentile

44%

Faster revenue growth than 88% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$2,051,865,606

Up $78,759,307 (+4.0%) from 2023

Liabilities

Down

$12,724,717

Down $1,273,303 (-9.1%) from 2023

Net Assets

Up

$2,039,140,889

Up $80,032,610 (+4.1%) from 2023

Revenue

Up

$1,610,878,848

Up $495,950,438 (+44%) from 2023

Expenses

Up

$1,530,942,803

Up $425,330,756 (+38%) from 2023

Net Income

Up

$79,936,045

Up $70,619,682 (+758%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0B$2.0B$1.0B$0Assets 2010: $602,498,153Liabilities 2010: $126,455,262Net Assets 2010: $476,042,8912010Assets 2011: $670,853,388Liabilities 2011: $144,724,034Net Assets 2011: $526,129,3542011Assets 2012: $815,006,739Liabilities 2012: $172,740,473Net Assets 2012: $642,266,2662012Assets 2013: $958,864,616Liabilities 2013: $4,429,945Net Assets 2013: $954,434,6712013Assets 2014: $1,053,873,078Liabilities 2014: $4,682,515Net Assets 2014: $1,049,190,5632014Assets 2015: $1,129,322,051Liabilities 2015: $5,638,642Net Assets 2015: $1,123,683,4092015Assets 2016: $1,215,243,277Liabilities 2016: $4,119,092Net Assets 2016: $1,211,124,1852016Assets 2017: $1,311,838,623Liabilities 2017: $5,624,351Net Assets 2017: $1,306,214,2722017Assets 2018: $1,429,473,426Liabilities 2018: $6,224,827Net Assets 2018: $1,423,248,5992018Assets 2019: $1,650,386,121Liabilities 2019: $9,131,800Net Assets 2019: $1,641,254,3212019Assets 2020: $1,854,444,002Liabilities 2020: $57,560,947Net Assets 2020: $1,796,883,0552020Assets 2021: $1,900,711,582Liabilities 2021: $27,927,215Net Assets 2021: $1,872,784,3672021Assets 2022: $1,962,166,483Liabilities 2022: $12,374,567Net Assets 2022: $1,949,791,9162022Assets 2023: $1,973,106,299Liabilities 2023: $13,998,020Net Assets 2023: $1,959,108,2792023Assets 2024: $2,051,865,606Liabilities 2024: $12,724,717Net Assets 2024: $2,039,140,8892024

Highlighted filing

2024

Assets$2,051,865,606
Liabilities$12,724,717
Net Assets$2,039,140,889

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$2.0B$1.5B$1.0B$500M$0Expenses 2010: $451,948,4522010Expenses 2011: $382,321,8522011Expenses 2012: $407,164,4202012Revenue 2013: $873,903,890Expenses 2013: $561,735,485Net Income 2013: $312,168,4052013Revenue 2014: $894,128,776Expenses 2014: $799,372,884Net Income 2014: $94,755,8922014Revenue 2015: $933,394,511Expenses 2015: $858,901,665Net Income 2015: $74,492,8462015Revenue 2016: $996,329,808Expenses 2016: $908,889,032Net Income 2016: $87,440,7762016Revenue 2017: $1,050,265,053Expenses 2017: $955,174,966Net Income 2017: $95,090,0872017Revenue 2018: $1,114,353,809Expenses 2018: $997,319,482Net Income 2018: $117,034,3272018Revenue 2019: $1,275,939,208Expenses 2019: $1,059,029,736Net Income 2019: $216,909,4722019Revenue 2020: $1,286,184,440Expenses 2020: $1,130,555,706Net Income 2020: $155,628,7342020Revenue 2021: $1,289,394,000Expenses 2021: $1,213,492,688Net Income 2021: $75,901,3122021Revenue 2022: $1,368,537,872Expenses 2022: $1,291,530,323Net Income 2022: $77,007,5492022Revenue 2023: $1,114,928,410Expenses 2023: $1,105,612,047Net Income 2023: $9,316,3632023Revenue 2024: $1,610,878,848Expenses 2024: $1,530,942,803Net Income 2024: $79,936,0452024

Highlighted filing

2024

Revenue$1,610,878,848
Expenses$1,530,942,803
Net Income$79,936,045

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,052$12.7$2,039$1,611$1,531$79.9
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,973$14.0$1,959$1,115$1,106$9.32
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,962$12.4$1,950$1,369$1,292$77.0
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,901$27.9$1,873$1,289$1,213$75.9
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,854$57.6$1,797$1,286$1,131$156
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,650$9.13$1,641$1,276$1,059$217
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,429$6.22$1,423$1,114$997$117
2017Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$1,312$5.62$1,306$1,050$955$95.1
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,215$4.12$1,211$996$909$87.4
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,129$5.64$1,124$933$859$74.5
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,054$4.68$1,049$894$799$94.8
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$959$4.43$954$874$562$312
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$815$173$642$407
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$671$145$526$382
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$602$126$476$452
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$1,610,878,848
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$283,718,113$275,245,358▼ $8,472,755
Accounts Receivable$178,727,997$174,203,921▼ $4,524,076
Inventories for Sale or Use$7,349,412$8,298,262▲ $948,850
Investments in Publicly Traded Securities$2,000,000$2,000,000→ $0
Savings and Temporary Cash Investments$1,448,902$1,946,616▲ $497,714
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$1,973,106,299$2,051,865,606▲ $78,759,307
Other Assets Total$1,499,861,875$1,590,171,449▲ $90,309,574
Liabilities
Other Liabilities$7,777,780$9,687,950▲ $1,910,170
Accounts Payable and Accrued Expenses$6,220,240$3,036,767▼ $3,183,473
Deferred Revenue$0--
Total Liabilities$13,998,020$12,724,717▼ $1,273,303
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,959,108,279$2,039,140,889▲ $80,032,610
Total Net Assets Fund Balance$1,959,108,279$2,039,140,889▲ $80,032,610
Total Liabilities and Net Assets / Fund Balance$1,973,106,299$2,051,865,606▲ $78,759,307

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$235,661,681$201,202,139$436,863,820
Equipment$25,714,336$116,377,083$142,091,419
Other Land Buildings$9,630,298$12,580,890$22,211,188
Land$4,239,043-$4,239,043
Other Assets Org$3,377,955--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Scott Rathgaber MdBoard of Trustees, CEO, Chairman
Heather Schimmers RnBoard of Trustees - President
Kraig SchusterAdmin Vice President, Community
Pamela MaasFormer Vice President Business Services
P Michael Jacobs MdMedical Vice President
Stephanie Carroll MdMedical Vice President
Stephanie Neuman MdMedical Vice President, Ambulatory Services
Robyn Borge MdMedical Vice President, Cross-functional Care (begin 1/24)
Kari AdankVice President Compliance
Janine LuzVice President Learning
Andrea Hauser RnBoard of Trustees - Chief Nursing Officer and Admin VP
Jennifer Kleven MdBoard of Trustees - Chief of Medical/clinical Staff
Bryan ErdmannBoard of Trustees - Chief Operating Officer
Todd Kowalski MdBoard of Trustees -medical Chief Operating Officer
Michael MckeeAdmin VP, Acute Care and Nursing & Systems Practice
Rachel AlbrechtAdmin VP, Ambulatory Services
Tina LechnirAdmin VP, Cross-functional Care
Peter VandenhoutenAssistant Secretary (begin 3/24)
Michelle MickaAssistant Treasurer (begin 3/24)
Terry BarnesCharge Perfusionist
Praveen ChopraChief Digital and Information Officer
John CeelenChief Financial Officer, Treasurer (begin 2/24)
William FarrellChief Innovation & Strategy Officer
Stephen Shapiro MdChief Medical Foundation Officer
Leanne AndersenChief People Officer
Andrea WernerChief Population Officer
Lisa HartonChief Quality Officer
Gerald OetzelFormer Chief Financial Officer
Steve LittleInterim Chief Financial Officer, Treasurer (thru 2/24)
Mary Kuffel MdInterim Medical VP, Cross-functional Care (thru 12/23)
Ashley TaoLead Physicist
Tina L PikeLead Physicist
Christine Waller MdMedical VP, Acute Care and Nursing & Systems Practice
Kelley Bahr MdMedical VP, Ambulatory Services
Robert HolnessMedical VP, Community and CMO-critical Access Hospitals (begin 1/24)
Marilu Bintz MdMedical VP, Community and CMO-critical Access Hospitals (thru 12/23)
Jonathan Zlabek MdMedical VP, Cross-functional Care (thru 10/23)
Eric D RauchPerfusionist
Daniel LillySecretary
Kimberly a SchmidtSenior Physicist
Michael Dolan MdSouthern Chief Clinical Officer
Ellen Pedretti-fendtVP Application Services
Krister MattsonVP Enterprise Analytics
Eric DehnVP Enterprise Architecture and Solution Design
Shannon MulliganVP Hr & Total Rewards
Revenue and Support

Revenue Composition

Contributions and Grants
$6,552,264
Program Service Revenue
$1,603,269,061
Investment Income
$128,336
Other Revenue
$929,187
All Other Contributions
$10,947
Change in Net Assets
$79,936,045

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,485,588,763
Grants and Similar Amounts Paid$45,354,040
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$229,456,845$35,194,820-$264,651,665
Fees for Services Other$213,514,529$0$0$213,514,529
Grants to Domestic Individuals$35,846,753--$35,846,753
Depreciation Depletion$24,548,127$2,558,061-$27,106,188
Other Expenses$16,649,624$3,776,862-$16,649,624
Office Expenses$12,410,448$226-$12,410,674
Grants to Domestic Orgs$9,507,287--$9,507,287
Insurance$2,389,468$1,982,086-$4,371,554
Occupancy$3,867,886$268,643-$4,136,529
All Other Expenses$1,679,703$0$0$1,679,703
Information Technology$1,233,937$29,738-$1,263,675
Travel$492,514$5,794-$498,308
Conferences and Meetings$126,976--$126,976
Interest$53,777--$53,777
Advertising$38,437$359-$38,796
Total Functional Expenses$1,487,126,214$43,816,589$0$1,530,942,803

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Expenses per Audited Statements$0
Other Expense Adjustments$0
Total Expenses per Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Gundersen Lutheran Medical Foundation IncLac Crosse, WI501(c)(3)Operating Expense$9,502,819
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Contract Payable Current and Long-Term$5,455,095
Operating Lease Obligations$3,325,407
Long-term Malpractice Claims Reserve$584,815
Asset Retirement Obligation-Fin47$322,633
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Line 15 A AND B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL

All personnel services for gundersen lutheran medical center, inc. Are performed by employees of gundersen lutheran administrative services, inc. The compensation of the ceo is determined annually by a committee made up of the community members of the board of trustees. Their determination is made after a review of market data obtained from several organizations and ceo performance. Meeting minutes are taken and kept at the meetings where such discussions take place. Recommendations for compensation for the organizations' key management employees are developed annually by the ceo, after a review of performance and comparable market data. The proposed salaries are independently reviewed by an outside auditing firm. The compensation recommendations, audit reports, along with the market data, are presented to a committee made up of the community members of the board of trustees. The compensation amounts are not effective until the board committee approves them. Meeting minutes are taken and kept at the meetings where the board reviews and approves the compensation of the key employees.

Form 990, Part VI, Line 3 Delegation of management duties

All management and personnel services for gundersen lutheran medical center are performed by employees of gundersen lutheran administrative service, inc.

Form 990, Part VI, Line 6 Classes of members or stockholders

Gundersen lutheran health system, inc. Is the sole member of this organization.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The corporate member, gundersen lutheran health system, inc., has the power to appoint board members.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Gundersen lutheran health system, inc. The parent corporation and sole member of the corporation, shall have the power to recommend and review, as appropriate, and approve certain matters. The articles of incorporation may be amended by vote of the sole member of the corporation.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 will be available for all board members before filing and upon further review by the cfo, vice-president of finance or director of finance, the 990s are approved and filed.

Form 990, Part VI, Line 12C Conflict of interest policy

Gundersen lutheran medical center, inc. Monitors conflicts on an annual basis by reviewing disclosures on completed conflict of interest statements.

Form 990, Part VI, Line 19 Required documents available to the public

Requests for all documents are made through the legal department and the appropriate documents are made available for inspection in the legal department.

Form 990, Part VII, Section A, Line 1A, Column (C) FORMER REPORTING

The following individuals are no longer considered officers for purposes of form 990 reporting: stephen shapiro, md the following individuals are no longer considered key employees for purposes of form 990 reporting: eric dehn krister mattson shannon mulligan stephanie carroll, md kari adank janine luz ellen pedretti-fendt p. Michael jacobs, md

Filing and Contact Details

Filer

Filer Name
Gundersen Lutheran Medical Center Inc
EIN
39-0813416
Phone
6087827300
Address
1910 SOUTH AVE, LA CROSSE, WI 54601

Signing Officer

Name
Scott Rathgaber MD
Title
CEO
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Formed
1899
Legal Domicile
Wi
Voting Board Members
6
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
155 N WACKER DRIVE, CHICAGO, IL 60606
Preparer
Emily Beckerman
Phone
3128792000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITES

Gundersen lutheran medical center (glmc) established in 1899, provides acute and tertiary care for 21 counties located throughout western wisconsin, northeastern iowa and southeastern minnesota. Glmc is a teaching hospital with 325 licensed beds and a level ii trauma and emergency center. Our mission is to distinguish ourselves through excellence in patient care, education, research and improved health in the communities we serve. We will work as a team to demonstrate our values: integrity-perform with honesty, responsibility and transparency, excellence-achieve excellence in all aspects of delivering healthcare, respect-treat patients, families and coworkers with dignity, innovation-embrace change and new ideas, compassion-provide compassionate care to patients and families.

Form 990, Part III, Line 1 ORGANIZATIONS MISSION

Gundersen lutheran medical center (glmc) a physician-led, not-for-profit healthcare system, established in 1899, provides acute and tertiary care for 21 counties located throughout western wisconsin, northeastern iowa and southeastern minnesota. We serve as a regional referral center. Glmc is a teaching hospital with 325 licensed beds and a level ii trauma and emergency center. Our mission is to distinguish ourselves through excellence in patient care, education, research and improved health in the communities we serve. We will work as a team to demonstrate our values: integrity - perform with honesty, responsibility and transparency, excellence - achieve excellence in all aspects of delivering healthcare, respect - treat patients, families and coworkers with dignity, innovation - embrace change and new ideas, compassion - provide compassionate care to patients and families. Our current vision is to enhance the health and well-being of our communities while enriching every life we touch, including patients, families, and staff.

Form 990, Part III, Line 4A PROGRAM SERVICE ACCOMPLISHMENTS

GLMC PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, CLINICAL AND DIAGNOSTIC SERVICES IN NUMEROUS MEDICAL SPECIALTIES AND SUBSPECIALTIES. GLMC IS A TEACHING HOSPITAL WITH 325 LICENSED BEDS WITH SPECIALTY SERVICES INCLUDING RENAL DIALYSIS, CANCER CARE, REHABILITATION SERVICES, AND CARDIAC SERVICES. IN 2013, GLMC OPENED A NEW INPATIENT BEHAVIORAL HEALTH BUILDING, MEETING A TREMENDOUS NEED IN OUR REGION FOR ADDITIONAL BEDS AND SERVICES. WE ARE ABLE TO PROVIDE CARE LOCALLY FOR PATIENTS OF ALL AGES. THE FACILITY IS THE ONLY PLACE IN THE REGION OFFERING INPATIENT CARE FOR ADOLESCENTS AND TEENAGERS WITH BEHAVIORAL HEALTH NEEDS. GLMC HAS REPEATEDLY BEEN NAMED ONE OF THE TOP 50 HOSPITALS IN THE NATION, PLACING US IN THE TOP ONE PERCENT. GLMC VOLUNTARILY PROVIDES MEDICALLY NECESSARY PATIENT CARE SERVICE THAT IS DISCOUNTED OR FREE OF CHARGE TO PERSONS WHO HAVE INSUFFICIENT RESOURCES AND/OR WHO ARE UNINSURED. For the period of October 1, 2023 through September 30, 2024, GLMC provided assistance to approximately 12,927 patients that resulted in GLMC incurring roughly $23,338,133 in uncompensated cost associated with this program.

Form 990, Part IV, Line 24A

Gundersen lutheran administrative services, inc. Is a part of gundersen lutheran's obligated group (gundersen lutheran administrative services, inc.. Gundersen lutheran medical center, inc., gundersen clinic, ltd., and gundersen lutheran medical foundation, inc.) and tax-exempt debt resides on the balance sheet of gundersen lutheran administrative services. Fein 39-1606449

Form 990, Part V, Line 1A 1B, 1C, 2A, AND 2B

All personnel services for gundersen lutheran medical center, inc. Are performed by employees of gundersen lutheran administrative services, inc. And all payments to vendors are made by gundersen lutheran administrative services, inc. Hence lines 1 & 2 indicate zero (0) filings.

Form 990, Part IX, Line 11G Other Fees

Purchased Health Services - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Purchased Program Services - Total Expense: 23320578, Program Service Expense: 23320578, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 1015748, Program Service Expense: 1015748, Management and General Expenses: , Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Equity Transfer to Affiliates - 96565;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Income Tax Matters (Dollars in Thousands) THE SYSTEM QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), WITH THE EXCEPTION OF GUNDERSEN LUTHERAN ENVISION, LLC AND GUNDERSEN EDGE, LLC, WHICH ARE FOR-PROFIT ENTITIES. At September 30, 2024 and 2023, net deferred tax assets of $11,395 and $10,512, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $11,395 and $10,512, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At September 30, 2024, the System's federal net operating loss carryforwards were approximately $43,489, and the state net operating loss carryforwards were approximately $41,989, which will expire between 2032 and 2041. The System has reviewed its tax positions for all open years and has concluded that no liabilities exist for uncertain tax positions. The System's income tax returns are no longer subject to examination for 2018 and prior years.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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