Gundersen Lutheran Health Plan Inc

“Part iv, line 12a the organization received an independent audited financial statement prepared on a statutory basis and not on a generally accepted accounting principles basis. Business relationship part vi, section a, line 2 gerald arndt, dara bartels, michael dallman, michael dolan, robert flannery, and jonathan jaffery have a business relationship.”

“Part vi, section a, line 4 effective with change in bylaws on may 2, 2016: * article 2. Members - updated to add new member and member rights allocation * article 3. Board of directors - revised composition of board to reflect change in article 2. Also revised to add audit committee.”

“Part vi, section a, line 6 gundersen lutheran health system, inc. And university health care, inc. Are the corporate members.”

“Part vi, section a, lines 7a and 7b university health care, inc. And gundersen lutheran health system, inc. Shall each appoint three members of the board of directors. Collectively, those members appoint three individual, independent members of the board.”

“Part vi, section b, line 11b the form 990 is prepared by grant thornton llp and is reviewed for completeness and accuracy by management. For this purpose, management includes the president, cfo and legal counsel for gundersen lutheran health system, inc. The organization informs the board members that a copy of the form 990 is available for review prior to filing.”

“Part vi, section b, line 12c all health plan employees and committee members must review, complete, and sign a conflict of interest disclosure form on an annual basis as part of the mandatory education process. Board members are also sent a disclosure form to complete on an annual basis along with the employees and committee members. All disclosures are tracked and housed in the compliance department. Further, if at any time an individual becomes aware of an actual, potential, or perceived conflict of interest, the policy indicates that the individual shall immediately notify the compliance officer, who then reviews any disclosed conflicts to assess any risk and/or negative influence on the health plan and drafts proposed recommendations to any disclosed conflicts of interest. The compliance officer then provides the disclosed conflicts of interest(s) and proposed recommendation(s) to a conflict of interest review group for final review and determination regarding the recommendation. Once the conflict of interest review group makes its final determination with respect to the recommendation, the compliance officer shall communicate the recommendation to the employee and, when applicable, to the chairperson of any committee which may be referenced in the recommendation.”

“Part vi, section b, lines 15a and 15b all personnel services for gundersen health plan, inc. Were 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 for gundersen lutheran health system, inc., the controlling member. Their determination is made after a review of market data obtained from several organizations and ceo performance. Meeting minutes are taken and kept of 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 of the gundersen lutheran health system, inc., the controlling member. The compensation amounts are not effective until the gundersen lutheran health system board approves them. Meeting minutes are taken and kept of the meetings where the board approval takes place.”

“Part vi, secion c, line 19 requests for all documents are made through the legal department and then appropriate documents are made availale for inspection in the legal department.”

“Part x, line 33 the organization does not follow sfas 117. The financial statements are prepared on a statutory basis which does not follow generally accepted accounting principles.”

“Part xi, line 9 change in investment in subsidiary 187,125 partnership investment (39,272) ------- total 147,853”

“Part xii, line 2c as of may 2016, the filing organization has its own audit committee. Prior to may 2016, the audit committee of gundersen lutheran health system, inc. Was utilized.”