2022-08-05T08:49:45-05:00 2021-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2020-10-01 410713914 Winona Health Services Inc WINO 5074543650 855 Mankato Avenue Winona MN 55987 Jan Brosnahan CFO 5074543650 2022-08-04 1 Jan Brosnahan 999009999 Kim Hunwardsen CPA P00484560 6122536500 2022-07-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Rachelle Heising-Schultz 855 Mankato Avenue Winona MN 55987 114061687 0 X www.winonahealth.org X 1894 MN Hospital Services 18 12 1377 272 2372014 0 10534136 6057227 97411793 106029234 889183 1973514 0 0 108835112 114059975 45143 27440 0 0 63868493 64034939 0 0 0 42068066 48048465 105981702 112110844 2853410 1949131 125104382 149374764 56342676 74256556 68761706 75118208 X Devoted to improving the health and well-being of our family, friends and neighbors. 0 0 94808954 27440 106029234 Winona 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. 94808954 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 91 0 1 1377 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X Jan Brosnahan 5074543650 855 Mankato Avenue Winona MN 55987 E Allen Beguin MD Director 40.00 2.00 X 238101 0 54684 Katrina Hammel MD Director 40.00 2.00 X 372648 0 60103 Matthew Broghammer MD Director 40.00 2.00 X 705768 0 74283 Nicholas Modjeski MD Director 40.00 2.00 X 254006 0 51607 Rachelle Heising-Schultz President/CEO/Director 46.00 4.00 X X 481738 0 92384 Ken Mogren Chair 3.00 2.00 X X 0 0 0 Steve Blue Director 3.00 2.00 X 0 0 0 Hugh Miller Director 3.00 2.00 X 0 0 0 Mark Wagner Director 3.00 2.00 X 0 0 0 Toni Highum Director 3.00 2.00 X 0 0 0 Sandra Burke Director 3.00 2.00 X 0 0 0 Greg Evans Director 3.00 2.00 X 0 0 0 Brian Semling Director 3.00 2.00 X 0 0 0 Robert Williams Director 3.00 2.00 X 0 0 0 David Vaselaar Director 3.00 2.00 X 0 0 0 Fatima Said Director 3.00 2.00 X 0 0 0 Todd Paulson Director 3.00 2.00 X 0 0 0 Dave Gilmer Director 3.00 2.00 X 0 0 0 Jan Brosnahan CFO/Treasurer 48.00 2.00 X 263863 0 59213 Michael Donnenwerth Chief Medical Officer 40.00 0.00 X 254359 0 53407 Rebecca Lamberty Chief Administrative Officer 40.00 0.00 X 172768 0 27384 Robin Hoeg VP Inpatient & Senior Services 40.00 0.00 X 198686 0 43003 Sara Gabrick VP Surgical/Specialty Care 42.00 0.00 X 209569 0 44815 Sarah Lallaman DO Pediatrician 40.00 0.00 X 262642 0 60757 Amarjit Virdi MD Anesthesiologist 40.00 0.00 X 636161 0 80025 Andrew Millis MD Orthopedic Physician 40.00 0.00 X 993952 0 74282 George Ripeckyj MD Radiologist 40.00 0.00 X 624883 0 40654 Hans Serleth MD Surgeon 40.00 0.00 X 529420 0 69532 Kevin Christiansen MD Dermatologist 40.00 0.00 X 733791 0 43820 Christopher Watras DO Former Key Employee 40.00 0.00 X 390012 0 60488 7322367 0 990441 105 1 1 0 Cerner Corp PO Box 412702 Kansas City MO 64141 Services/Contracted 4070372 Mayo Collaborative Services Inc PO Box 9146 Minneapolis MN 55480 Contracted Laboratory 2527156 Rehab Care Group Inc PO Box 503534 St Louis MO 63150 Contracted Therapy Services 490621 Weatherby Locums Inc P O Box 972633 Dallas TX 75397 Contracted Labor 372517 Tenfold Health 920 NW Bond street - Suite 212 Bend OR 97703 Services/Contracted 296591 15 1086038 4888689 82500 4341 6057227 Patient Service Revenue 622110 88855891 88855891 Pharmacy Revenue 446110 9757455 7699627 2057828 Supporting Revenue 900099 3821634 3507448 314186 Purchased Service Revenue 900099 3594254 3594254 106029234 1975226 1975226 1712 -1712 -1712 -1712 114059975 103657220 2372014 1973514 X 27440 27440 4145817 2795578 1350239 566379 566379 46968627 41675220 5293407 1384614 1250459 134155 7716679 6312463 1404216 3252823 2841050 411773 265755 265755 68687 68687 30736 30736 13029674 10133077 2896597 260346 65575 194771 9727858 9246904 480954 3621397 324434 3296963 2802511 2792570 9941 361891 318968 42923 73404 73404 1028585 781725 246860 4072707 3095257 977450 818597 622134 196463 Medical Supplies 6222790 6222790 Winona Clinic Pharmacy 4464150 4464150 MN Care Tax 1082459 1082459 116918 116918 112110844 94808954 17301890 0 27662817 13591631 15115251 16339119 13724 0 2733220 3115816 934774 1264567 99723988 65426650 30632860 34297338 31496586 46441374 11996316 13020035 2014538 2014538 2504296 19290346 125104382 149374764 11071527 12896203 4393585 0 15294231 14458323 6169705 5632805 19413628 41269225 56342676 74256556 X 68761706 75118208 68761706 75118208 125104382 149374764 X 1949131 4407359 12 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25510634 243094 4075919 1350710 28478937 24524012 180653 1896815 1090846 25510634 24630482 285566 766745 1158781 24524012 24041725 275026 1701039 1387308 24630482 22588891 271119 2754232 1572517 24041725 0.07000 0.75000 0.18000 0 1 1 5149492 5149492 55315934 38355973 16959961 33429129 25469627 7959502 5829433 1601050 4228383 34297338 Defensive Equity Fund 9320861 F Global Equity Securities 3699174 F 13020035 Investment in Winona Area Ambulance Service 910259 Due from Affiliated Organizations 1936000 Operating Lease Right of Use Asset 16444087 19290346 Deferred Compensation Obligation 7707982 Payable to Affiliated Organizations 7873976 Deferred Revenue from Third Party Payor 7129630 Finance Lease Liability 2113550 Operating Lease Liability 16444087 41269225 X 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. 1 1 X 1 X 1 X 0 1 0 1 1 367000 367000 0.00330 21467092 20300607 1166485 0.01040 21834092 20300607 1533485 0.01370 2 1742 22737 22737 0.00020 329887 329887 0.00290 36735675 31295859 5439816 0.04850 196930 196930 0.00180 2 1742 37285229 31295859 5989370 0.05340 2 1742 59119321 51596466 7522855 0.06710 14 317 317 0.00000 9827 9827 0.00010 14 10144 10144 0.00010 0 2877812 1137925 8194684 12098482 -3903798 X 1 1 1 Winona Area Ambulance Services Ambulance services 0.50000 0.00000 0.50000 1 1 Winona Health Services 855 Mankato Avenue Winona MN 55987 www.winonahealth.org 00701 X X X Urgent care & 2 provider based clinics Winona Health Services 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X See Part V, Section C X 1 18 1 See Part V, Section C 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X 1 X 0 X X X X 1 X 0 0 Winona Health Services Part 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 Services Part V, Section B, Line 6b: The assessment was done collaboratively with Winona Health and Winona County Human Services. Winona Health Services Part 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 3 1 - Rushford Clinic 109 W Jessie St Rushford MN 55971 Primary Care Clinic 2 - Main Street Clinic 107 W 4th Street Winona MN 55987 Quick Care Clinic 3 - Winona Home Medical 930 Parks Avenue Winona MN 55987 DME 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 States MN 1 Winona Health Foundation 855 Mankato Avenue Winona MN 55987 411879744 501(c)(3) 12450 Retirement Recognition 1 0 Part I, Line 2: Winona 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. X X X X X 0 1 0 0 0 0 0 0 0 Andrew Millis MD Orthopedic Physician 670721 0 319031 0 4200 0 52309 0 24700 0 1070961 0 0 0 Matthew Broghammer MD Director 498340 0 187241 0 20187 0 39827 0 37182 0 782777 0 0 0 Kevin Christiansen MD Dermatologist 530058 0 200418 0 3315 0 43820 0 2726 0 780337 0 0 0 Amarjit Virdi MD Anesthesiologist 615467 0 0 0 20694 0 46956 0 35794 0 718911 0 0 0 George Ripeckyj MD Radiologist 458779 0 166104 0 0 0 36442 0 6938 0 668263 0 0 0 Hans Serleth MD Surgeon 467318 0 58787 0 3315 0 37483 0 34775 0 601678 0 0 0 Rachelle Heising-Schultz President/CEO/Director 458738 0 0 0 23000 0 35100 0 57284 0 574122 0 0 0 Christopher Watras DO Former Key Employee 378724 0 8687 0 2601 0 25650 0 37564 0 453226 0 0 0 Katrina Hammel MD Director 363667 0 8981 0 0 0 25650 0 37074 0 435372 0 0 0 Sarah Lallaman DO Pediatrician 260145 0 0 0 2497 0 24604 0 38059 0 325305 0 0 0 Jan Brosnahan CFO/Treasurer 253253 0 0 0 10610 0 23578 0 37542 0 324983 0 0 0 Michael Donnenwerth Chief Medical Officer 254359 0 0 0 0 0 23520 0 31695 0 309574 0 0 0 Nicholas Modjeski MD Director 252041 0 0 0 1965 0 23520 0 29895 0 307421 0 0 0 E Allen Beguin MD Director 238101 0 0 0 0 0 22125 0 34271 0 294497 0 0 0 Sara Gabrick VP Surgical/Specialty Care 198929 0 0 0 10640 0 21290 0 25023 0 255882 0 0 0 Robin Hoeg VP Inpatient & Senior Services 188953 0 0 0 9733 0 19311 0 25120 0 243117 0 0 0 Rebecca Lamberty Chief Administrative Officer 155596 0 0 0 17172 0 25345 0 3269 0 201382 0 0 0 Part I, Line 4b The 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 8,107 A City of Winona 416005651 975232CE7 2012-05-04 19887849 Refund revenue bonds issued 7/16/2004 0 0 0 A 5232849 19887849 1555683 356781 17975385 2012 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 Date Rebate Computation Performed Issuer 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. Ann Marie Olsen Wagner Spouse of Board Member Mark Wagner 99744 Employee compensation & benefits 0 Form 990, Part VI, Section A, line 1 The 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 2 The 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 11b The 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 12c The 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 15 The 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 19 The 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 11g Collection 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. Main Street Clinic LLC 855 Mankato Ave Winona MN 55987 834680257 Clinic Services MN 22589 1329 Winona Health Services Inc Winona Senior Services Inc 855 Mankato Avenue Winona MN 55987 411936536 Long-term care MN 501(c)(3) Line 3 Winona Health Services 1 Winona Health Foundation 855 Mankato Avenue Winona MN 55987 411879744 Fundraising MN 501(c)(3) Line 7 Winona Health Services 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 Winona Senior Services Inc O 138810 Due to/from net change in balance Winona Senior Services Inc S 19023975 Due to/from net change in balance Winona Senior Services Inc R 15474294 Due to/from net change in balance Winona Health Foundation O 203715 Due to/from net change in balance Winona Health Foundation C 1086038 Due to/from net change in balance