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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>WINONA AREA AMBULANCE SERVICE, INC. RESPONDED TO 3,947 CALLS IN 2022, OF WHICH 3,080 WERE TRANSPORTED FOR MEDICAL SERVICES. IN 2022, WINONA AREA AMBULANCE SERVICE HAD 8 STANDBYS. WINONA AREA AMBULANCE SERVICE, INC. IS AN ADVANCED LIFE SUPPORT SERVICES THAT PROVIDES COVERAGE FOR APPROXIMATELY 100 SQUARE MILES, INCLUDING THE CITIES OF WINONA, GOODVIEW, AND OTHER SURROUNDING COMMUNITIES IN MINNESOTA AND WISCONSIN. WE PROVIDE 911 COVERAGE, NON-EMERGENCY CALLS, TRANSFERS, STANDBYS, AND INTERCEPTS FOR SURROUNDING BASIC LIFE SUPPORT SERVICES. WE ALSO PROVIDE TRAINING AND CONTINUING EDUCATION FOR AREA EMERGENCY RESPONDERS AND HEALTHCARE PROVIDERS. IN 2022, WINONA AREA AMBULANCE RECEIVED THE CERTIFICATE OF CLINICAL EXCELLENCE FROM THE MINNESOTA EMS REGULATORY BOARD FOR RATING 80% OR HIGHER ON CLINICAL ADVISORY PERFORMANCE MESASURES AND CREATED AN EMPLOYEE TRAINING PROGRAM IN CONJUNCTION WITH WINONA HEALTH AND WINONA FIRE DEPARTMENT UTILIZING THE WINONA HEALTH SIMULATION LAB QUARTERLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE CORPORATION ARE GUNDERSEN HEALTH SYSTEM, INC. AND WINONA HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THREE DIRECTORS SHALL BE ELECTED BY GHS AND THREE DIRECTORS SHALL BE ELECTED BY WINONA HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED FOR COMPLETENESS AND ACCURACY BY MANAGEMENT. FOR THIS PURPOSE, MANAGEMENT INCLUDES THE ACCOUNTING MANAGER FOR GUNDERSEN HEALTH SYSTEM, INC. THE CFO FOR GUNDERSEN HEALTH SYSTEM, INC. AND THE PRESIDENT OF WINONA AREA AMBULANCE SERVICE, INC. BOARD OF DIRECTORS. A COPY OF FORM 990 IS MADE AVAILABLE FOR ALL BOARD MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>PER THE BYLAWS OF WINONA AREA AMBLUANCE SERVICE, INC. ANY POSSIBLE CONFLICT OF INTEREST SHALL BE REVIEWED ON AN ANNUAL BASIS. MEMBERS OF THE GOVERNING BOARD ARE ASKED TO DISCLOSE CONFLICTS AS APPROPRIATE AND ABSTAIN FROM VOTING WHEN APPLICABLE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION PACKAGE OF THE OPERATIONS MANAGER IS REVIEWED ON AN ANNUAL BASIS BY THE PRESIDENT OF THE GOVERNING BOARD. A DETERMINATION IS MADE AFTER REVIEW ON AN ANNUAL BASIS BY THE PRESIDENT OF THE GOVERNING BOARD. A DETERMINATION IS MADE AFTER A REVIEW OF COMPARABLE DATA. FINAL APPROVAL IS MADE BY THE WINONA AREA AMBULANCE SERVICE, INC. GOVERNING BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>REQUESTS FOR FORM 990 AND CERTAIN OTHER TAX INFORMATION ARE AVAILABLE FOR PUBLIC INSPECTIONS AND COPYING THROUGH THE GUNDERSEN LUTEHRAN HEALTH SYSTEM, INC. LEGAL DEPARTMENT. A COPY OF THE FORM 990 CAN ALSO BE FOUND ELECTRONICALLY ON GUIDESTAR.ORG.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c OVERSIGHT COMMITTEE OF FINANCIAL STATMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE WINONA AREA AMBULANCE SERVICE, INC. RECEIVED INDEPENDENT ACCOUNTANT COMPILED FINANCIALS EACH MONTH TO REVIEW AND APPROVE.</ExplanationTxt>
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</Return>
