TY 2019 Form 990 Schedule O

efile Public Visual Render ObjectId: 202013169349301906 - Submission: 2020-11-11 TIN: 41-1845488

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

WINONA AREA AMBULANCE SERVICE INC

Employer identification number

41-1845488

Return Reference	Explanation
PART I, LINE 1	Winona Area Ambulance Service provides advanced emergency medical services and transportation to the community through excellent patient care, education, and collaborative partnerships. PART VI, LINE 6 THE MEMBERS OF THE CORPORATION ARE GUNDERSEN HEALTH SYSTEM AND WINONA HEALTH. PART VI, LINE 7 THREE DIRECTORS SHALL BE ELECTED BY GHS AND THREE DIRECTORS SHALL BE ELECTED BY WINONA HEALTH
PART VI, SECTION B, LINE 11B	The Form 990 is reviewed for completeness and accuracy by management. For this purpose, management includes the CFO and Accounting Manager of the Gundersen Health System, and the President of the Board of Directors. 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	Per the bylaws of Winona Area Ambulance 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.
PART VI, SECTION B, LINE 15	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 a 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. PART VI, LINE 19 REQUESTS FOR FORM 990 AND CERTAIN OTHER TAX INFORMATION ARE AVAILABLE FOR PUBLIC INSPECTIONS AND COPYING THROUGH THE GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. LEGAL DEPARTMENT. A COPY OF THE FORM 990 CAN ALSO BE FOUND ELECTRONICALLY ON GUIDESTAR.ORG.
PART XII, SECTION 2, LINE C	The Winona Area Ambulance received independent accountant compiled financials each month to review and approve.

Return Reference

Explanation

PART I, LINE 1

Winona Area Ambulance Service provides advanced emergency medical services and transportation to the community through excellent patient care, education, and collaborative partnerships. PART VI, LINE 6 THE MEMBERS OF THE CORPORATION ARE GUNDERSEN HEALTH SYSTEM AND WINONA HEALTH. PART VI, LINE 7 THREE DIRECTORS SHALL BE ELECTED BY GHS AND THREE DIRECTORS SHALL BE ELECTED BY WINONA HEALTH

PART VI, SECTION B, LINE 11B

The Form 990 is reviewed for completeness and accuracy by management. For this purpose, management includes the CFO and Accounting Manager of the Gundersen Health System, and the President of the Board of Directors. 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

Per the bylaws of Winona Area Ambulance 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.

PART VI, SECTION B, LINE 15

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 a 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. PART VI, LINE 19 REQUESTS FOR FORM 990 AND CERTAIN OTHER TAX INFORMATION ARE AVAILABLE FOR PUBLIC INSPECTIONS AND COPYING THROUGH THE GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. LEGAL DEPARTMENT. A COPY OF THE FORM 990 CAN ALSO BE FOUND ELECTRONICALLY ON GUIDESTAR.ORG.

PART XII, SECTION 2, LINE C

The Winona Area Ambulance received independent accountant compiled financials each month to review and approve.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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