Gundersen Clinic Ltd.

“All personnel services for gundersen clinic, ltd. 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.”

“All management and personnel services for gundersen clinic, ltd. Are performed by employees of gundersen lutheran administrative service, inc.”

“In july and september 2023, the bylaws and articles of incorporation, respectively of gundersen clinic, ltd. ("corporation") were amended to specify the powers retained by gundersen lutheran health system, inc. The chief executive officer of gundersen lutheran health system, inc. Retains authority to approve any significant changes to the corporation. Subject to the reserved powers specified in the bylaws, the affairs of the corporation shall be managed by its medical governors.”

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

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

“The corporation's sole shareholder is gundersen lutheran health system, inc. The bylaws may be amended by the board with approval of the parent corporation, or by the vote of the sole shareholder. Also, the affairs of the corporation shall be managed under the direction of the corporation's board of governors, subject to certain approval powers of the board of governors and board of trustees of the parent corporation.”

“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.”

“Gundersen clinic, ltd. Monitors conflicts on an annual basis by reviewing disclosures on completed conflict of interest statements.”

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

“Due to the short year return in which there was no calendar year that ends with or within the short year, no reportable compensation is shown for individuals listed on part vii of the 990 return. As such, no key employees, highest compensated employees, or independent contractors are listed per the reporting instructions.”

“The provision of medical services in a manner beneficial to the community furthers gundersen clinic, ltd.'s charitable purpose of promotion of health.”

“To provide medical and surgical services, engage in medical education and research, and promote community health to deliver the highest quality comprehensive health care to all patients without regard to their ability to pay.”

“Gundersen clinic, ltd. (the clinic) has 679 physicians representing nearly every specialty serving a 21 county region in western wisconsin, northeastern iowa and southeastern minnesota. The clinic provides medical care to all patients regardless of their ability to pay. Charity care and/or financial assistance is determined based on financial information provided by the patient and analysis of other relevant information. There were approximately 823,436 patient encounters for 2023 (jan-sep). The clinic provided uncompensated care related to charity at cost, $1,793,991; medicare, $29,169,515; and medicaid, $15,812,332 for the total amount of $46,775,838 at cost based on policies and contracts arranged to help support the community's needs. The $46,775,838 is the sum of unreimbursed medicare & medicaid cost plus charity at cost. All of these are calculated using the same method utilized for the hospital calculation of charity cost and unreimbursed medicare and medicaid costs. The cost of charity is calculated by allocating the cost to provide services to a patient between any payments, bad debt, and charity write-offs where total payments are less than the cost of services provided. The unreimbursed medicare and medicaid costs are calculated by comparing the cost of services to medicare and medicaid patients to the net revenue for those same patients. The unreimbursed cost is the amount the cost exceeds the net revenue for those same patients. Medicare and medicaid patients to the net revenue for those same patients. The unreimbursed cost is the amount the cost exceeds the net revenue for those same patients.”