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WINONA HEALTH SERVICES: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
WINONA HEALTH SERVICES (EIN 41-0713914)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-05
IRS object ID
202242179349300614
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-05T08:49:45-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410713914EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Winona Health Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWINOBusinessNameControlTxt
Phone5074543650PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1855 Mankato AvenueAddressLine1Txt
CityWinonaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55987ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJan BrosnahanPersonNm
Person TitleCFOPersonTitleTxt
Phone5074543650PhoneNum
Signature2022-08-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJanPersonFirstNm
Person LastBrosnahanPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2022-07-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRachelle Heising-SchultzPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1855 Mankato AvenueAddressLine1Txt
CityWinonaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55987ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$114,061,687GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.winonahealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1894FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionHospital ServicesActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1377TotalEmployeeCnt
Total Volunteers272TotalVolunteersCnt
Total Gross UBI$2,372,014TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,534,136PYContributionsGrantsAmt
CY Contributions Grants$6,057,227CYContributionsGrantsAmt
PY Program Service Revenue$97,411,793PYProgramServiceRevenueAmt
CY Program Service Revenue$106,029,234CYProgramServiceRevenueAmt
PY Investment Income$889,183PYInvestmentIncomeAmt
CY Investment Income$1,973,514CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$108,835,112PYTotalRevenueAmt
CY Total Revenue$114,059,975CYTotalRevenueAmt
PY Grants And Similar Paid$45,143PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$27,440CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$63,868,493PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$64,034,939CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$42,068,066PYOtherExpensesAmt
CY Other Expenses$48,048,465CYOtherExpensesAmt
PY Total Expenses$105,981,702PYTotalExpensesAmt
CY Total Expenses$112,110,844CYTotalExpensesAmt
PY Revenues Less Expenses$2,853,410PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,949,131CYRevenuesLessExpensesAmt
Total Assets BOY$125,104,382TotalAssetsBOYAmt
Total Assets EOY$149,374,764TotalAssetsEOYAmt
Total Liabilities BOY$56,342,676TotalLiabilitiesBOYAmt
Total Liabilities EOY$74,256,556TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$68,761,706NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$75,118,208NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionDevoted to improving the health and well-being of our family, friends and neighbors.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$94,808,954ExpenseAmt
Grant$27,440GrantAmt
Revenue$106,029,234RevenueAmt
DescWinona Health Services (WHS), a 49-bed hospital, has provided care to its community and services from birth to death for 125 plus years. It is the sole community provider in the Winona, Minnesota area. In fiscal year 2021, WHS had 1,510 admissions, 203 births, 2,744 inpatient and outpatient surgeries, and 11,141 visits to the emergency room. To fulfill its mission of community service, the Corporation provides care to patients and residents who meet certain criteria under its charity care and community benefit policy without charge or at amounts less than its established rates. Because the Corporation does not pursue collection of amounts determined to qualify as charity care, they are not reported as patient and resident service revenue.Charity Care: WHS provides medical care to the community regardless of an individual's ability to pay. The charity care cost based on charges foregone was approximately $601,383 for FY 2021. In furtherance of its charitable purpose, the Corporation provides a wide variety of benefits to the community. These services and donations account for a measurable portion of the Corporation's costs and serve to promote healthy life styles, community development, health education, and affordable access to care.The Corporation maintains records to identify and monitor the level of community benefit services it provides. Those records include management's estimate of the cost to provide charity care, the cost of services and supplies furnished for community benefit programs and costs in excess of program payments for treating Medical Assistance patients.In addition to community benefit costs, the Corporation provides additional community contributions such as services to Medicare and Medicaid patients below the costs for treatment, other uncompensated care, discounted pricing to the uninsured, and pays taxes and fees.During FY2021, many resources were dedicated to managing the covid 19 pandemic collaboratively within the community. Measures included expansion of virtual visit services, establishing a separate covid testing area, vaccine administration areas, working with local long-term care and congregate care communities to test residents and provide guidance on infection control practices. Numerous preparations and workflow changes were deployed to ensure patient access and safety. Physical facility modifications such as creating negative pressure rooms, monitoring entrances and traffic flows, repurposing of space, were made in response to the pandemic.Desc
Total Program Service Expenses$94,808,954TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document91IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1377EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jan BrosnahanBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5074543650PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1855 Mankato AvenueAddressLine1Txt
CityWinonaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55987ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
E Allen Beguin MD
Director40.002.00Yes (X)$238,101$0$54,684
Katrina Hammel MD
Director40.002.00Yes (X)$372,648$0$60,103
Matthew Broghammer MD
Director40.002.00Yes (X)$705,768$0$74,283
Nicholas Modjeski MD
Director40.002.00Yes (X)$254,006$0$51,607
Rachelle Heising-Schultz
President/CEO/Director46.004.00Yes (X)$481,738$0$92,384Yes (X)
Ken Mogren
Chair3.002.00Yes (X)$0$0$0Yes (X)
Steve Blue
Director3.002.00Yes (X)$0$0$0
Hugh Miller
Director3.002.00Yes (X)$0$0$0
Mark Wagner
Director3.002.00Yes (X)$0$0$0
Toni Highum
Director3.002.00Yes (X)$0$0$0
Sandra Burke
Director3.002.00Yes (X)$0$0$0
Greg Evans
Director3.002.00Yes (X)$0$0$0
Brian Semling
Director3.002.00Yes (X)$0$0$0
Robert Williams
Director3.002.00Yes (X)$0$0$0
David Vaselaar
Director3.002.00Yes (X)$0$0$0
Fatima Said
Director3.002.00Yes (X)$0$0$0
Todd Paulson
Director3.002.00Yes (X)$0$0$0
Dave Gilmer
Director3.002.00Yes (X)$0$0$0
Jan Brosnahan
CFO/Treasurer48.002.00$263,863$0$59,213Yes (X)
Michael Donnenwerth
Chief Medical Officer40.000.00$254,359$0$53,407Yes (X)
Rebecca Lamberty
Chief Administrative Officer40.000.00$172,768$0$27,384Yes (X)
Robin Hoeg
VP Inpatient & Senior Services40.000.00$198,686$0$43,003Yes (X)
Sara Gabrick
VP Surgical/Specialty Care42.000.00$209,569$0$44,815Yes (X)
Sarah Lallaman DO
Pediatrician40.000.00$262,642$0$60,757Yes (X)
Amarjit Virdi MD
Anesthesiologist40.000.00$636,161$0$80,025Yes (X)
Andrew Millis MD
Orthopedic Physician40.000.00$993,952$0$74,282Yes (X)
George Ripeckyj MD
Radiologist40.000.00$624,883$0$40,654Yes (X)
Hans Serleth MD
Surgeon40.000.00$529,420$0$69,532Yes (X)
Kevin Christiansen MD
Dermatologist40.000.00$733,791$0$43,820Yes (X)
Christopher Watras DO
Former Key Employee40.000.00$390,012$0$60,488Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,322,367TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$990,441TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K105IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Cerner Corp
PO Box 412702Kansas CityMO64141Services/Contracted$4,070,372
Mayo Collaborative Services Inc
PO Box 9146MinneapolisMN55480Contracted Laboratory$2,527,156
Rehab Care Group Inc
PO Box 503534St LouisMO63150Contracted Therapy Services$490,621
Weatherby Locums Inc
P O Box 972633DallasTX75397Contracted Labor$372,517
Tenfold Health
920 NW Bond street - Suite 212BendOR97703Services/Contracted$296,591
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Related Organizations$1,086,038RelatedOrganizationsAmt
Government Grants$4,888,689GovernmentGrantsAmt
All Other Contributions$82,500AllOtherContributionsAmt
Noncash Contributions$4,341NoncashContributionsAmt
Total Contributions$6,057,227TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Revenue622110$88,855,891$88,855,891
Pharmacy Revenue446110$9,757,455$7,699,627$2,057,828
Supporting Revenue900099$3,821,634$3,507,448$314,186
Purchased Service Revenue900099$3,594,254$3,594,254
FieldValueIRS element (for citing)
Total Program Service Revenue$106,029,234TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,975,226TotalRevenueColumnAmt
Exclusion$1,975,226ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,712OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,712OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,712TotalRevenueColumnAmt
Exclusion-$1,712ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$114,059,975TotalRevenueColumnAmt
Related Or Exempt Func Income$103,657,220RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,372,014UnrelatedBusinessRevenueAmt
Exclusion$1,973,514ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$27,440TotalAmt
Program Services$27,440ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,145,817TotalAmt
Program Services$2,795,578ProgramServicesAmt
Management And General$1,350,239ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$566,379TotalAmt
Program Services$566,379ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$46,968,627TotalAmt
Program Services$41,675,220ProgramServicesAmt
Management And General$5,293,407ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,384,614TotalAmt
Program Services$1,250,459ProgramServicesAmt
Management And General$134,155ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,716,679TotalAmt
Program Services$6,312,463ProgramServicesAmt
Management And General$1,404,216ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,252,823TotalAmt
Program Services$2,841,050ProgramServicesAmt
Management And General$411,773ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$265,755TotalAmt
Management And General$265,755ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$68,687TotalAmt
Management And General$68,687ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$30,736TotalAmt
Management And General$30,736ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,029,674TotalAmt
Program Services$10,133,077ProgramServicesAmt
Management And General$2,896,597ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$260,346TotalAmt
Program Services$65,575ProgramServicesAmt
Management And General$194,771ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,727,858TotalAmt
Program Services$9,246,904ProgramServicesAmt
Management And General$480,954ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,621,397TotalAmt
Program Services$324,434ProgramServicesAmt
Management And General$3,296,963ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,802,511TotalAmt
Program Services$2,792,570ProgramServicesAmt
Management And General$9,941ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$361,891TotalAmt
Program Services$318,968ProgramServicesAmt
Management And General$42,923ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$73,404TotalAmt
Program Services$73,404ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,028,585TotalAmt
Program Services$781,725ProgramServicesAmt
Management And General$246,860ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,072,707TotalAmt
Program Services$3,095,257ProgramServicesAmt
Management And General$977,450ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$818,597TotalAmt
Program Services$622,134ProgramServicesAmt
Management And General$196,463ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$6,222,790$6,222,790
Winona Clinic Pharmacy$4,464,150$4,464,150
MN Care Tax$1,082,459$1,082,459

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$116,918TotalAmt
Program Services$116,918ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$112,110,844TotalAmt
Program Services$94,808,954ProgramServicesAmt
Management And General$17,301,890ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$27,662,817BOYAmt
EOY$13,591,631EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,115,251BOYAmt
EOY$16,339,119EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$13,724BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,733,220BOYAmt
EOY$3,115,816EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$934,774BOYAmt
EOY$1,264,567EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$99,723,988LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$65,426,650LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,632,860BOYAmt
EOY$34,297,338EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$31,496,586BOYAmt
EOY$46,441,374EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$11,996,316BOYAmt
EOY$13,020,035EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,014,538BOYAmt
EOY$2,014,538EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,504,296BOYAmt
EOY$19,290,346EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$125,104,382BOYAmt
EOY$149,374,764EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,071,527BOYAmt
EOY$12,896,203EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,393,585BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,294,231BOYAmt
EOY$14,458,323EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,169,705BOYAmt
EOY$5,632,805EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,413,628BOYAmt
EOY$41,269,225EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,342,676BOYAmt
EOY$74,256,556EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$68,761,706BOYAmt
EOY$75,118,208EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,761,706BOYAmt
EOY$75,118,208EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$125,104,382BOYAmt
EOY$149,374,764EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,949,131ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,407,359NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$12OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,510,634BeginningYearBalanceAmt
Contributions$243,094ContributionsAmt
Investment Earnings Or Losses$4,075,919InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,350,710GrantsOrScholarshipsAmt
End Year Balance$28,478,937EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,524,012BeginningYearBalanceAmt
Contributions$180,653ContributionsAmt
Investment Earnings Or Losses$1,896,815InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,090,846GrantsOrScholarshipsAmt
End Year Balance$25,510,634EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,630,482BeginningYearBalanceAmt
Contributions$285,566ContributionsAmt
Investment Earnings Or Losses$766,745InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,158,781GrantsOrScholarshipsAmt
End Year Balance$24,524,012EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,041,725BeginningYearBalanceAmt
Contributions$275,026ContributionsAmt
Investment Earnings Or Losses$1,701,039InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,387,308GrantsOrScholarshipsAmt
End Year Balance$24,630,482EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,588,891BeginningYearBalanceAmt
Contributions$271,119ContributionsAmt
Investment Earnings Or Losses$2,754,232InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,572,517GrantsOrScholarshipsAmt
End Year Balance$24,041,725EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.07000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.75000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.18000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,149,492OtherCostOrOtherBasisAmt
Book Value$5,149,492BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,315,934OtherCostOrOtherBasisAmt
Depreciation$38,355,973DepreciationAmt
Book Value$16,959,961BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,429,129OtherCostOrOtherBasisAmt
Depreciation$25,469,627DepreciationAmt
Book Value$7,959,502BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,829,433OtherCostOrOtherBasisAmt
Depreciation$1,601,050DepreciationAmt
Book Value$4,228,383BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,297,338TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Defensive Equity Fund$9,320,861F
Global Equity Securities$3,699,174F
FieldValueIRS element (for citing)
Total Book Value Securities$13,020,035TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Investment in Winona Area Ambulance Service$910,259
Due from Affiliated Organizations$1,936,000
Operating Lease Right of Use Asset$16,444,087
FieldValueIRS element (for citing)
Total Book Value Other Assets$19,290,346TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Deferred Compensation Obligation$7,707,982
Payable to Affiliated Organizations$7,873,976
Deferred Revenue from Third Party Payor$7,129,630
Finance Lease Liability$2,113,550
Operating Lease Liability$16,444,087
FieldValueIRS element (for citing)
Total Liability$41,269,225TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Winona Health Foundation endowments have multiple purposes; all of which deliver on the mission to improve the health and well being of our family, friends and neighbors. The largest fund is the Ben & Adith Miller Patient Care Fund that pays the medical bills of Winona Health patients/residents who are under or uninsured. Other funds include the Senior Services Fund which is made up of the Glenn Fund for home care/hospice licensure and training, the Hospice Fund for general hospice services, the Alzheimer Fund for Alzheimer-related projects, and funds for unrestricted use by Winona Senior Services. There are also funds for general operating expenses.
Part X, Line 2:The Corporation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the financial statements. The Corporation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense, if such interest and penalties are incurred.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically Indigent0FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$367,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$367,000NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,467,092TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,300,607DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,166,485NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,834,092TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,300,607DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,533,485NetCommunityBenefitExpnsAmt
Total Expense0.01370TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1742PersonsServedCnt
Total Community Benefit Expns$22,737TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,737NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$329,887TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$329,887NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,735,675TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,295,859DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,439,816NetCommunityBenefitExpnsAmt
Total Expense0.04850TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$196,930TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$196,930NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1742PersonsServedCnt
Total Community Benefit Expns$37,285,229TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,295,859DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,989,370NetCommunityBenefitExpnsAmt
Total Expense0.05340TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1742PersonsServedCnt
Total Community Benefit Expns$59,119,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,596,466DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,522,855NetCommunityBenefitExpnsAmt
Total Expense0.06710TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served14PersonsServedCnt
Total Community Benefit Expns$317TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$317NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,827TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,827NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served14PersonsServedCnt
Total Community Benefit Expns$10,144TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,144NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,877,812BadDebtExpenseAmt
Bad Debt Expense Attributable$1,137,925BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,194,684ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,098,482CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,903,798MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 Winona Area Ambulance ServicesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAmbulance servicesPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.50000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Winona Health ServicesBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1855 Mankato AvenueAddressLine1Txt
CityWinonaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55987ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.winonahealth.orgWebsiteAddressTxt
State License00701StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherUrgent care & 2 provider based clinicsOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Winona Health ServicesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Winona Health ServicesPart V, Section B, Line 5: In fiscal year 2019 following the collection of the Community Health Needs Assessment survey data (both the standardized survey in English and the translated survey results), Winona Health in partnership with Live Well Winona and Winona County Human Services, facilitated several community listening sessions. These sessions were open to the public, and many diverse organizations were included to represent different stakeholder perspectives.
Winona Health ServicesPart V, Section B, Line 6b: The assessment was done collaboratively with Winona Health and Winona County Human Services.
Winona Health ServicesPart V, Section B, Line 11: Priority 1: Address and help reverse/prevent the unhealthy behaviors that contribute to obesity/overweight and subsequent chronic disease.Priority 2: Strive for health equity given the current inequitable distribution of social determinants of health.Priority 3: Improve mental health.The COVID-19 pandemic greatly impacted how Winona Health delivers care and engages with the community in different ways.Winona Health continues to be a key leader in the Winona Community HUB (HUB), a community-based care coordination program that leverages community health workers (CHWs) in the field to address the complex economic and social needs of families experiencing barriers to wellbeing. A collaborative of area non-profits and government agencies identified that service provider coordination and communication was a key barrier it could directly impact. After listening to stakeholders, collecting data from primary and secondary sources, and researching national best practices, the HUB emerged as an ideal solution for supporting those experiencing barriers. Core elements of the HUB model include: Find: Identify individuals at greatest risk and provide a comprehensive assessment of health, social, and behavioral health risk factors, Treat: Ensure each identified risk factor is assigned to a specific pathway ensuring that risk factors are addressed with an evidence-based or best practice intervention (e.g., parenting education, housing, food, clothing), and Measure: Completion of each pathway confirms that risk factors have been successfully addressed. Though the HUBs initial focus areas have been on families experiencing food insecurity or mental health challenges, the pandemic brought to light issues of homelessness in the community. Having the HUB in place allowed the CHWs to pivot and provide support to Winona's homeless population at the onset of the pandemic, when community gathering places were shut down and people were required to quarantine. The Winona Community HUB is on track to be the first certified HUB in the state of Minnesota, and a leader in this innovative space.Winona Health creatively looks to support patients in unique and holistic ways. Winona Health piloted, and continues to pilot, a "Food as Medicine" program. This program is being done in partnership with a large health plan and offers patients with diabetes with an A1C greater than or equal to 8 access to free meals, meal kits, and education to improve their outcomes (e.g., A1C, blood pressure, diabetes distress scores). Another pilot under development with a large health plan is the deploying of a program called "Healthy Weight for Life". This program is based on the Medicare Intensive Behavioral Therapy for Obesity (IBT for Obesity) benefit and offers patients who are obese up to 22 visits with a dietitian over the course of a year. This program has a target Spring 2022 start date and is being piloted with a large subset of the Medicaid population in Winona County.In FY 2021,Winona Health began work to develop a Partial Hospitalization Program (PHP). As evidenced in the CHNA, Winona County needs continued investment in mental health resources. Stable mental health results in stronger families, improved physical outcomes, increased economic productivity, and improved overall thriving and resiliency. A PHP is designed to provide stabilization services for individuals who would otherwise be served in an inpatient hospital or emergency room. Patients receive intensive therapy and psychiatry services while returning to their own home each evening. This program is a step down from 24-hour care in a psychiatric hospital setting (inpatient treatment), and can be used to prevent the need for an inpatient hospital stay. Treatment takes place in a small group setting allowing patients to share experiences and support each other. Patients typically participate in the PHP for two to three weeks, Monday-Friday, for approximately six hours each day. While in the program patients work with psychiatric providers to ensure medications are producing the intended therapeutic impact and receive intensive group and individual therapy from licensed mental health clinicians to address issues identified on the patient's individualized treatment plan. Additionally, participants develop an after-care plan designed to connect the patient with needed care and resources to maintain stability following from the program. Having a PHP in Winona ensures community members receive care close to home and provides law enforcement and other community agencies a concrete and comprehensive treatment option to refer those in need. PHPs have proven results in reducing psychiatric hospital readmissions by filling the gap between traditional outpatient mental health services and inpatient hospital care. Winona Health is targeting an opening date of Fall 2022.In addition to the above activities, Winona Health has also made a significant investment in understanding and positively impacting health equity. Winona Health has partnered with a regional leader in diversity, equity, and inclusion, to expand intercultural capacity of its employees. In addition to the comprehensive training, Winona Health has expanded the social determinant of health screening across the organization and incorporated this information into the electronic medical record. It is important to mention that once a social determinant of health is identified, and if the patient expresses a willingness to receive support, he/she/they are referred to a social worker, and then potentially connected into the Winona Community HUB if they have more intensive needs. This level of screening and systemization ensures the community's most complex needs are addressed in an equitable, unduplicated and meaningful way.Of the three priority areas identified in the CHNA, progress has been made on all areas to put programs and structures in place to shift towards improvements. These large areas of focus involve large community, state, and national systems level changes that will take years and a variety of tactics to improve. Similarly, the COVID-19 pandemic greatly impacted rates of mental health and preliminary data indicates this area of concern has worsened due to the volatility of the last year. Work will continue in 2022 towards the implementation of the PHP discussed above to provide a more acute, comprehensive and timely mental health resources to our community.Similarly, the other two areas of "impacting unhealthy behaviors that contribute to obesity/overweight and subsequent chronic disease and a movement towards health equity given the inequitable distribution of social determinants of health still have much needed work. Above programming identified surrounding the HUB and state level advocacy work to strengthen the role of Community Health Workers across the state will be instrumental, especially given other health care workforce shortages. Programming will continue on the above identified areas and as data is received for the 2022 CHNA, will be updated in partnership with our community to best collectively design ways to impact those greatest areas of concern.
Schedule H, Part V, Line 7 and 10:https://www.winonahealth.org/wp-content/uploads/2019/09/WH-Community-Health-Needs-Assessment-2019.pdf
Schedule H, Part V, Line 16a-c:https://www.winonahealth.org/wp-content/uploads/2021/02/WH-28-Financial-Assistance-and-Payment-Policy-Feb2021-signed.pdfhttps://www.winonahealth.org/wp-content/uploads/2018/10/2990a_financial_assistance_application__september_2018.pdfhttps://www.winonahealth.org/patient-information/billing/financial-assistance-care-program/https://www.winonahealth.org/wp-content/uploads/2018/10/2991a_winona_health_fap_brochure__september_2018.pdf
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Rushford Clinic
109 W Jessie StRushfordMN55971Primary Care Clinic
2 - Main Street Clinic
107 W 4th StreetWinonaMN55987Quick Care Clinic
3 - Winona Home Medical
930 Parks AvenueWinonaMN55987DME

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a:The community benefit report is included in the annual report and community benefit information is listed in quarterly newsletters, both of which are posted on the Winona Health website: https://www.winonahealth.org/. Information is also included in the patient waiting rooms.
Part I, Line 7:Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b and subsidized health services line 7g was calculated using the costing methods to prepare the cost reports. Line 7e Community health improvement services, line 7f health professions education, and line 7i cash and in-kind donations were actual expenses compiled using the CBISA software.
Part II, Community Building Activities:The Leadership/Development Training for Community Members community building represents when staff go into other businesses/organizations and donate their time/talent for training on things like hands-only CPR, non-violent crisis intervention, etc.
Part III, Line 2:The corporation determines its estimate of implicit price concessions based on its historical collection experience with each class of patients and residents.
Part III, Line 3:WHS estimates that 40% of implicit price concession accounts would likely qualify for the Organization's charity care guidelines if the patient would have been identified and followed through on the application process. This percentage is based on historical knowledge of those who were provided applications and those who completed and submitted application to qualify.
Part III, Line 4:The footnote to the organization's financial statements that describes implicit price concessions is located on page 17 of the attached financial statements.
Part III, Line 8:WHS provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit. The Organization reported only those allowable costs and Medicare reimbursements reported in the Medicare cost report for the year.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.
Part III, Line 9b:In keeping with the mission, vision and values of Winona Health Services, our Organization is committed to giving a patient every opportunity to pay their medical debt in full or to make arrangements based on organizational policy. When a patient is in the process of applying for financial assistance, whether charity care or an interest free payment plan, there will be no collection efforts. Collection efforts include phone contacts, letters, patient interviews and filing a judgement against the patient and potential garnishment of wages. After a determination of financial assistance, any personal portion due follows the same collection procedures as other accounts. Accounts will be recalled from collection if an application is completed within 240 days of the date of the first invoice.
Part VI, Line 2:Winona Health Services (WHS) uses a variety of methods to listen to its customers, and the methodologies vary by customer groups. The development of most major services includes the meeting of a community advisory group to assess operations and plans and provide recommendations to the leadership team. WHS also uses point of care feedback comment cards, focus groups, advisory committees comprised of community individuals, and web and consumer newsletter surveys to capture feedback from patients/residents and community. Immediate feedback is obtained from patients/residents and community through pre- and post-service calls, rounding, and informal surveys. WHS also works with local non-profit organizations gathering feedback from local agencies and their boards to ensure community needs are being met. The entire report is available on the Winona Health website.
Part VI, Line 3:WHS places pamphlets that contain information about our charity care programs and policies throughout the Organization, including all patient access areas. In addition, information can be found on our statement, website or by calling the WHS business office either locally or toll-free. WHS also has a plain language brochure which explains options for financial assistance, charity care, government program assistance, and our uninsured discount program. In addition, the WHS social services department and/or a contracted patient advocate may meet with in-house or recently discharged patients to go over all the payment options which include charity care, governmental programs, or other alternative payment options. WHS works with the county to help initiate a screening process for applying for governmental programs by offering the patients an opportunity to lock in an effective date for those programs if subsequently found eligible. WHS also is contracted with MNSure and has Certified Application Counselors onsite to assist patients in applying for insurance coverage through the State run exchange.
Part VI, Line 4:WHS defines its primary service area as the zip code of Winona and the immediate surrounding area with a population base of approximately 35,000 residents. Its secondary service area encompasses a 20-mile radius from Winona representing another 12,000 residents. WHS is located between two large, well-known tertiary health care centers, Mayo and Gundersen Lutheran. WHS has focused on fulfilling its community need: a full primary care facility. WHS defines itself as a primary care health system and provides its patients and residents connections to tertiary level services to meet their needs regionally or nationally, as the patient chooses. In 2020, Winona had a median household income of $60,020 and 11% of persons were below the poverty level. The majority of our patients live in Winona which has a population of over 26,772 people. Approximately 18.1% of our patients are uninsured and/or Medicaid recipients.
Part VI, Line 5:As a sole community provider, WHS offers emergency and urgent care, primary care for all ages, surgical and specialty care, inpatient care, and senior services. Our Board is comprised of physicians and primarily community members. The Board and medical staff are involved in our strategic planning which focuses on the health of our community members. To meet the needs of our community, the Hospital extends privileges to medical staff that are qualified through licensure in the state of Minnesota. In a normal year, staff actively participate in several on-site and off-site health fairs offering free blood pressure checks, glucose screenings and expertise on health questions, as well as offering free community health talks for community members on certain health topics. Due to the COVID pandemic in 2020 and 2021, much of this activity was curtailed or transitioned to virtual delivery. Winona Health actively participated with other community resources to develop and carry out plans in response to the pandemic, including establishing a separate COVID testing and vaccination site on our campus, and working with area long-term care and congregate care communities to test residents and provide guidance on infection control practices. Excess funds are reinvested and used for patient care and facility upgrades.Additional programs that benefit the community include:Health Professional Training: Winona Health Services works closely with nurse and health professional education programs at Winona State University, St. Mary's University, Viterbo College, and Minnesota State College Southeast. Along with training LPNs and RNs on site, other students going into fields of athletic training, social work, nutrition, lab, radiology, physical therapy, respiratory therapy and health administration are also educated and mentored on site. Students work with staff in the following departments: medical/surgical/pediatric unit, family birth center, intensive care unit, emergency department, lab, radiology, social workers, cardiac rehab, physical and occupational therapy. Preventive Care: WHS encourages preventive care through a number of resources. An online patient portal, MyWinona Health, is a free web-tool that allows patients to have access to their Winona Health Services records anytime, anywhere with an internet connection. Patients can document their health history, access diabetes and asthma management programs, schedule appointments, receive lab test results, and track wellness activities. Winona Health Services offers a number of educational opportunities for the community, from CPR classes to free or low-cost screenings including prostate cancer, cholesterol, depression, skin cancer and mammograms. Community Health Talks provide individuals with educational information on a variety of health topics and are free throughout the year. The Winona Health Services Occupational Health department presents various preventive programs geared toward business leaders and HR professionals. The staff also participates in many community collaborative healthcare events.Employee Health: The Healthy U Program is a health management incentive initiative designed to support and encourage healthy activities for our employees and families. The program reinforces the emphasis on prevention, aiming to improve their health and well-being. Emergency Care: WHS provides 24-hour-a-day, 365-days-per-year emergency care to the community. It employs six full-time physicians and several mid-level providers as the service continues to grow. Winona Health Services has excellent relations with neighboring tertiary facilities and transports patients as needed to La Crosse and Rochester.Community Relations: WHS works with area nonprofit organizations to support health and youth-related activities. Presentations included topics such as stress management, career planning, men and women's health issues, joint pain and surgery, gastroesophageal reflux disease, nutrition, and weight management. Staff members are also involved in several non-profit committees, donating their time to support our community. Community Education: WHS's community education programming includes free or reduced-fee classes on childbirth and parenting, support groups for breastfeeding, cardio-pulmonary resuscitation, diabetes prevention, first aid, and smoking cessation. Staff conduct health screenings at free screenings events at Winona Health and other community health fairs. Winona Health Volunteers offer free healthcare directives educational sessions throughout the year.The Winona Health Community Care Network is a service available to community members who would like help with managing a chronic health condition. Its goal is to support and improve the overall health of individuals who are at high risk for frequent emergency department visits and hospital admissions.
Part VI, Line 7, Reports Filed With StatesMN

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Winona Health FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1855 Mankato AvenueAddressLine1Txt
CityWinonaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55987ZIPCd
FieldValueIRS element (for citing)
Recipient EIN411879744RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$12,450CashGrantAmt
Purpose Of GrantRetirement RecognitionPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationWinona Health Services will review solicitations from other legally recognized, tax-exempt nonprofit organizations whose work benefits the community based on the following: A. The request addresses a community health or wellness issue. B. The request benefits area youth in the areas of health and wellness. C. The request supports a project directly benefiting the community and aligned with Winona Health Services' Missions/Vision/Values. D. The request supports key Winona Health Services business and marketing strategies. E. Priority will be given to local nonprofit organizations. F. Typically, only one request will be awarded to a nonprofit in a given year.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Andrew Millis MD
Orthopedic Physician$670,721$0$319,031$0$4,200$0$52,309$0$24,700$0$1,070,961$0$0$0
Matthew Broghammer MD
Director$498,340$0$187,241$0$20,187$0$39,827$0$37,182$0$782,777$0$0$0
Kevin Christiansen MD
Dermatologist$530,058$0$200,418$0$3,315$0$43,820$0$2,726$0$780,337$0$0$0
Amarjit Virdi MD
Anesthesiologist$615,467$0$0$0$20,694$0$46,956$0$35,794$0$718,911$0$0$0
George Ripeckyj MD
Radiologist$458,779$0$166,104$0$0$0$36,442$0$6,938$0$668,263$0$0$0
Hans Serleth MD
Surgeon$467,318$0$58,787$0$3,315$0$37,483$0$34,775$0$601,678$0$0$0
Rachelle Heising-Schultz
President/CEO/Director$458,738$0$0$0$23,000$0$35,100$0$57,284$0$574,122$0$0$0
Christopher Watras DO
Former Key Employee$378,724$0$8,687$0$2,601$0$25,650$0$37,564$0$453,226$0$0$0
Katrina Hammel MD
Director$363,667$0$8,981$0$0$0$25,650$0$37,074$0$435,372$0$0$0
Sarah Lallaman DO
Pediatrician$260,145$0$0$0$2,497$0$24,604$0$38,059$0$325,305$0$0$0
Jan Brosnahan
CFO/Treasurer$253,253$0$0$0$10,610$0$23,578$0$37,542$0$324,983$0$0$0
Michael Donnenwerth
Chief Medical Officer$254,359$0$0$0$0$0$23,520$0$31,695$0$309,574$0$0$0
Nicholas Modjeski MD
Director$252,041$0$0$0$1,965$0$23,520$0$29,895$0$307,421$0$0$0
E Allen Beguin MD
Director$238,101$0$0$0$0$0$22,125$0$34,271$0$294,497$0$0$0
Sara Gabrick
VP Surgical/Specialty Care$198,929$0$0$0$10,640$0$21,290$0$25,023$0$255,882$0$0$0
Robin Hoeg
VP Inpatient & Senior Services$188,953$0$0$0$9,733$0$19,311$0$25,120$0$243,117$0$0$0
Rebecca Lamberty
Chief Administrative Officer$155,596$0$0$0$17,172$0$25,345$0$3,269$0$201,382$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
ExplanationThe following individuals received employer contributions to a supplemental non-qualified 457(f) retirement plan, which is available to executive, physicians, and mid-level providers as determined by the Board of Directors. It is funded by employer contributions, and employees are vested within five years. An alternative plan is available which is funded by employee contributions and not subject to forfeiture. CY2020 FY2021 Andrew Millis, MD 26,659 26,681 Matthew Broghammer, MD 14,177 12,471 Kevin Christiansen, MD 18,170 18,292 George Ripeckyj, MD 10,792 10,814 Amarjit Virdi, MD 21,306 11,653 Hans Serleth, MD 11,833 10,675 Christopher Watras, DO 0 9,508 Katrina Hammel, MD 0 8,107ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of WinonaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416005651BondIssuerEIN
CUSIP975232CE7CUSIPNum
Bond Issued2012-05-04BondIssuedDt
Issue Price$19,887,849IssuePriceAmt
PurposeRefund revenue bonds issued 7/16/2004PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$5,232,849RetiredAmt
Total Proceeds$19,887,849TotalProceedsAmt
In Reserve Fund$1,555,683InReserveFundAmt
Issuance Costs From Proceeds$356,781IssuanceCostsFromProceedsAmt
Other Spent Proceeds$17,975,385OtherSpentProceedsAmt
Substantial Completion2012SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: City of Winona Date the Rebate Computation was Performed: 09/14/2021
Part I, Line B, Column (f):Refunding of prior revenue bonds originally issued 8/1/2000 and 7/1/2004 and renovation and acquisition of property on Sarnia Street and Parks Avenue.
Part II, Line 11(A):The amount reported on Line 11 represents the amount of proceeds used to refund prior bonds issued in 2004.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonAnn Marie Olsen WagnerPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSpouse of Board Member Mark WagnerRelationshipDescriptionTxt
Transaction$99,744TransactionAmt
TransactionEmployee compensation & benefitsTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1The Executive Committee has the authority to act on behalf of the governing board in between board meetings. The Executive Committee consists of the Board Chair, the chair of each Standing Committee, the President/CEO of the organization.
Form 990, Part VI, Section A, line 2The following individuals have business relationships: Hugh Miller and Todd Paulson Matt Broghammer, Nicholas Modjeski and E. Allen Beguin Steve Blue and David Vaselaar Fatima Said and David Vaselaar
Form 990, Part VI, Section B, line 11bThe return is reviewed initially by the CFO and CEO. It is then reviewed by the Executive Committee before it is filed. In addition, the Form 990 is available to the full governing board prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cThe conflict of interest policy covers Senior Leaders, Directors, Officers and Board Committee Members. The policy is signed annually and reviewed by the CEO for conflicts. Any conflicts are brought to the Board for discussion. If a Board Member has a potential conflict, they must abstain from voting.
Form 990, Part VI, Section B, line 15The Executive Committee has a process in place for determining annual compensation for the CEO based on results of a compensation study, which is completed by an independent consultant every 3 years. An annual review is conducted and documented, with final decisions made by the full board. The same consultant provides market reviews and recommendations for the senior leadership team. This is reviewed by the executive compensation committee; however, the CEO is responsible for adjustments made for this team.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, conflict of interest policy and financial statements available upon request. The financial statements are also attached to the Form 990.
Form 990, Part IX, line 11gCollection Agency Fees: Program service expenses 412,852. Management and general expenses 0. Fundraising expenses 0. Total expenses 412,852. Consulting Fees: Program service expenses 116,437. Management and general expenses 420,498. Fundraising expenses 0. Total expenses 536,935. Contracted Physician Fees: Program service expenses 1,601,657. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,601,657. Contracted Services: Program service expenses 6,207,298. Management and general expenses 2,476,051. Fundraising expenses 0. Total expenses 8,683,349. Provider Recruiting: Program service expenses 64,806. Management and general expenses 0. Fundraising expenses 0. Total expenses 64,806. Repair and Maintenance: Program service expenses 1,053,268. Management and general expenses 48. Fundraising expenses 0. Total expenses 1,053,316. Purchased Services: Program service expenses 676,759. Management and general expenses 0. Fundraising expenses 0. Total expenses 676,759.
Form 990, Part XI, line 9:Rounding 12.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Main Street Clinic LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1855 Mankato AveAddressLine1Txt
CityWinonaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55987ZIPCd
FieldValueIRS element (for citing)
EIN834680257EIN
Primary ActivitiesClinic ServicesPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Total Income$22,589TotalIncomeAmt
End Of Year Assets$1,329EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Winona Health Services IncBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Winona Senior Services Inc
855 Mankato AvenueWinonaMN55987411936536Long-term careMN501(c)(3)Line 3Winona Health ServicesYes (1)
Winona Health Foundation
855 Mankato AvenueWinonaMN55987411879744FundraisingMN501(c)(3)Line 7Winona Health ServicesYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Winona Senior Services Inc
O$138,810Due to/from net change in balance
Winona Senior Services Inc
S$19,023,975Due to/from net change in balance
Winona Senior Services Inc
R$15,474,294Due to/from net change in balance
Winona Health Foundation
O$203,715Due to/from net change in balance
Winona Health Foundation
C$1,086,038Due to/from net change in balance