Gundersen Lutheran Health Plan Inc

“Gerald Arndt, Dara Bartels, Michael Dallman, Michael J. Dolan, Robert W. Flannery, and Jonathan B. Jaffery have a business relationship outside of the organization.”

“Gundersen Lutheran Health System, Inc. and University Health Care, Inc. are the corporate members.”

“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 independent individual members of the Board.”

“Some governance decisions are reserved to the corporate members and not the Board.”

“The Form 990 is prepared by RSM US LLP and is reviewed for completeness and accuracy by management. For this purpose, management includes the President, CFO and legal counsel for Quartz Health Solutions, Inc. The organization informs the Board members that a copy of Form 990 is available for review prior to filing with the IRS.”

“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.”

“All personnel services for Gundersen Health Plan, Inc. were performed by employees of Quartz Health Solutions, Inc. The compensation of the CEO is determined annually by a committee made up of the board of trustees for Quartz Health Solutions, Inc. 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 compensation recommendations, along with the market data, are presented to a board of trustees of the Quartz Health Solutions, Inc. The compensation amounts are not effective until the Gundersen Health Plan, Inc. board approves them. Meeting minutes are taken and kept of the meetings where the board approval takes place.”

“Requests for the organization's governing documents, conflict of interest policy and financial statements are made through the legal department who then reviews the requests and makes the appropriate documents available for inspection in the legal department itself for the same period of disclosure as set forth in IRC section 6104(d).”

“Loss in subsidiary equity -145,345.”

“As of May 2016, the filing organization has its own Audit Committee. Prior to May 2016, the Audit Committee of Gunderson Lutheran Health System, Inc. was utilized.”

“The organization received an independent audited financial statement prepared on a statutory basis and not on a generally accepted accounting principles basis.”

“The organization does not follow SFAS 117. The Financial Statements are prepared on a statutory basis which does not follow generally accepted accounting principles.”