Winona Health 2003 Annual Report

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Annual Report 2003

~ A friend for life ~

Table of Contents Letter from Winona Health President/CEO . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Winona Health is pleased to present our 2003 Annual Report to the community. It has been published to further communication between Winona Health and the Winona regional community and to thank our many supporters. This publication will be distributed to our many friends and colleagues and will be available for downloading from our Web site.

Letter from Winona Health Board President

If you have any questions about the articles contained in this report, please contact:

Letter from Winona Health Foundation Board Chair . . . . . . . . . . . . . . . . . . .12

~ Loretta Bronson Chief Communication Officer, 507-457-4116

. . . . . . . . . . . . . . . . . . . . . . . . .4

LWM Chapel: Listening to residents’ wishes . . . . . . . . . . . . . . . . . . . . . . . . .5 CMH’s Family Birth Center: Caring for growing families . . . . . . . . . . . . . .6 Winona Health’s Dialysis Center: In response to a family’s need . . . . . . . . .8 Ben Miller: A tribute to a generous man . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Winona Health Financials: A solid 2003 . . . . . . . . . . . . . . . . . . . . . . . . . .11

Thanks to our donors In Memory of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 In Honor of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Gifts in Kind . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 General Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

Other Marketing/PR staff who helped with this publication include: ~ Amanda Egholm PR Specialist, 507-494-7371 ~ Sarah Maschka Community Relations Specialist, 507-457-4161 Thanks also to intern Amanda Corcoran for her written contribution to this newsletter. More information about Winona Health may be found on our Web site:

~ www.winonahealth.org

“Winona Health is exceptionally well-organized, with a professional, motivated staff serving its constituencies in the hospital, the Lake Winona Manor, the Alzheimer's residences, and the Watkins Manor,” stated Richard Dunn, son of a Watkins Manor resident. He is pictured with his mother and wife at a summer family gathering held at Watkins Manor.

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~ Winona Health...A friend for life ~

From the President/CEO:

Thanks for Your Support! I joined Winona Health in July of 2002 -- just as the capital campaign was finishing up. And I was touched by the support of this community’s many benefactors. This community’s support for Winona Health is important in so many ways. Clearly, your financial support has made many things possible, including building projects to update and expand services, the purchase of medical equipment, financial support for those in need, and the list goes on.

Winona Health’s Senior Management Team:

Rachelle Schultz

Evidence of your support also shows up in your use of our services across the healthcare spectrum. I have always believed that a community's support of its local healthcare providers is critical to the overall health and vitality of the community. I have complete confidence in the competence and professionalism of the healthcare providers in Winona and stand steadfast in my position that Winona Health is a competitive force for those services we provide. Our goal has been to be an exceptional community healthcare system taking care of its community. I extend a sincere and heartfelt thank you for your support of our services! We at Winona Health take our mission seriously and seek to ensure outstanding, high tech, high touch care to patients and residents. And the Winona community deserves special commendation for identifying and supporting core healthcare services for this area. We all reap the benefits in the long run. Providing local health services is important to all of us at Winona Health. We all want the best physicians, nurses, and support staff working for our family members if and when they ever become ill. We also want the reassurance of knowing that state-of-the-art medical equipment is readily available. We're building that healthcare system here at Winona Health -- thanks to your support! It takes a community to create and sustain a local healthcare system in these challenging times. So this community’s generosity and support of Winona Health has been most gratifying. And we, Winona Health’s staff, promise to continue to work daily to provide the type of healthcare services that we all desire for ourselves, our families, and our friends.

~ Rachelle Schultz President/CEO ~ Rand Gettler Chief Operating Officer ~ Mike Allen Chief Financial Officer ~ Loretta Bronson Chief Communication Officer ~ Nancy Brown Executive Director of Development ~ Sara Gabrick Patient Care Administrator ~ William Gould Chief People Resource Officer ~ Kathleen Lanik Chief Health Information Management Officer ~ Mary Miller-Hyland Administrator, Lake Winona Manor ~ Dr. Charles Shepard Medical Director

Warmest regards,

President/CEO

~ Winona Health...A friend for life ~

2003 Annual Report -

3

From Our Board Chair:

A Year of Refinement In 2003, Winona Health’s Board of Directors studied, planned and implemented some key structural refinements to ensure that Winona Health is an exceptional, non-profit, community-focused, seamless healthcare system. We’ve moved from having multiple boards for multiple entities -- a hospital board, a Senior Services board, and others -- to having one board responsible for the governance, strategic planning, and fiscal oversight of all Winona Health affiliates.

Winona Health’s Board of Directors: ~ Scott Biesanz Director ~ David Binius Director ~ Susan Cornwell Vice-Chair ~ Vicki Decker Director ~ Cindy Donahue Director ~ Gary Evans Chair ~ Joseph Greshik Treasurer ~ Herb Highum Director ~Mary Hurmence Director ~ Mark Jacobs Director ~ Dr. Susan Jelense Director ~ Hugh Miller Director ~ Dr. Dan Parker Director ~ Rachelle Schultz President/CEO ~ Mark Wagner Director ~ Jack “Butch”Walz Secretary

With the numerous healthcare entitites comprising Winona Health, how do our board members stay on top of all the issues? Our new structure includes committees that review the organization’s finances, quality/safety initiatives, human resource issues, and marketing/public relations. Much of the detailed review of issues is done at the committee level, with the committees making recommendations to the board. Gary Evans

This refined structure is working well, as our financial numbers indicate. Even more importantly, it is allowing us to better serve the Winona community’s healthcare needs because all board members are involved in Winona Health’s total operations! The results have been gratifying: ~ Watkins Manor, an assisted living facility for independent seniors, reached capacity in 2003, serving as “home” to more than 60 area seniors! Adith Miller and Roger Metz Manors, our 10-bed memory care residences, care for 20 seniors living with Alzheimer’s and related illnesses. ~ Community Memorial Hospital responded to the community flu outbreak and other winter illnesses late in 2003, stepping up staffing to accommodate the influx of patients. In addition, CMH received the outstanding news that its Surgery Department’s safety procedures received the Minnesota Hospital Association’s Patient Safety Improvement Award. ~ Lake Winona Manor, our skilled long-term nursing facility, admitted 400 residents last year. Many of those were short-term rehabilitation patients, while others have made LWM their home. Plans also were adopted to develop more private rooms to better address the community’s senior housing needs. In addition, our hospice services reached more patients and their families than ever before... our home health nurses tended to the sick in their homes ... Rushford Clinic served the healthcare needs of Rushford area families… and Parkview Pharmacy’s convenient location made it the pharmacy of choice for many area residents! These successes are possible only because you -- the community served by Winona Health – have supported your local, nonprofit, healthcare provider. We thank you for putting your trust in Winona Health. And we, the members of the Winona Health board, promise to continue to ensure that our community’s healthcare system becomes even more exceptional and seamless over time! Sincerely,

Winona Health Board Chair

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~ Winona Health ...A friend for life ~

LWM Chapel: Listening to Residents’ Wishes Lake Winona Manor, a skilled long-term nursing facility, serves the health and housing needs of about 160 residents. An active Residents Council works with staff to plan and organize activities and to suggest ways to improve services. Early in 2003, the Council prioritized building a chapel to better serve residents' spiritual needs. In December of 2003, ground was broken for a chapel that will seat more than 50 residents. “The idea for this chapel came from the residents,” said Mary Miller-Hyland, LWM administrator. “They wanted a quiet place to pray or reflect individually, as well as a place where larger groups could worship together. We think our new chapel design addresses both these needs.”

The chapel planning process A chapel committee was formed that included LWM staff, residents, and local clergy. “I am very glad about the new chapel,” said LWM resident and chapel committee member, Marjorie Paskiewicz. “I look forward to using it for both the church services and for my own private prayer time.”

“The new chapel will be a great chance to meet new people and come together for fellowship,” added LWM resident and chapel committee member Les Borgwardt.

Making dreams a reality In order to make the chapel dream a reality, funds were needed for its construction and furnishings. The Winona Health Foundation has found a tremendous outpouring of resources for this project. “Lake Winona Manor and its staff have touched many lives,” noted Nancy Brown, foundation executive director. “So many donors have stepped forward to give back to this facility by donating to the chapel project.” Ruth and the late Douglas B. Robinson made a significant gift toward the project. Mr. Robinson was cared for by Lake Winona Manor staff at the time of his death. His family appreciated the help, consideration, and concern staff showed for their husband and father and felt a gift toward the chapel would be an appropriate tribute to their father. Fern and Joseph Greshik made the first gift toward the chapel's stained glass window to create a tranquil environment for quiet meditation and prayer. Mrs. Greshik stated, “We wanted to do something for Lake Winona Manor and… this just seemed like a nice idea.”

LWM Nursing Director Patti Volkman, LWM resident and Chapel Committee Member Marjorie Paskiewicz, and LWM Administrator Mary Miller-Hyland at the chapel groundbreaking ceremony.

~ Winona Health ...A friend for life ~

A drawing of the chapel.

“The idea for this chapel came from the residents.They wanted a quiet place to pray or reflect individually, as well as a place where larger groups could worship together. We think our new chapel design addresses both these needs.” ~Mary Miller-Hyland, LWM administrator.

Thanks to donors like the Greshiks, Robinsons, area churches and many others, LWM residents will be worshiping in their chapel as soon as Easter of 2004.

2003 Annual Report -

5

CMH’s Family Birth Center: Caring for growing families In February 2001, Winona Health opened the newly remodeled Family Birth Center (FBC) at Community Memorial Hospital (CMH) to fit the changing needs of its patients. On November 20, 2003, Julie and Jason Gruett gave birth to a beautiful baby girl, Carissa Ann, in the remodeled Family Birth Center.

“I hope other expectant mothers will come to CMH’s Family Birth Center to have their babies, so they can experience firsthand the positive environment and experienced staff.” ~Julie Gruett

Julie, already the mother of two, is not new to the birthing experience. A Winona resident, she knows that CMH offers exceptional healthcare. “There is no other place I would have considered having my baby,” Julie stated. “My experience at the Family Birth Center was great!”

FBC part of Caring Today … campaign The FBC upgrade was part of the Caring Today, Preparing for Tomorrow campaign, a five-year project that began in 2000. Its purpose was to modernize, enhance, expand, and improve the hospital, ensuring Winona Health's systems remain solid and progressive. The Arnold/Rukavina Partnership (Pat and Dan Rukavina and Muriel and David Arnold) made a significant gift to the new nursery and FBC nurses’ station. Others making key gifts to this project were: ~ Cornwell Families-Kendell CorporationKendell Doors and Hardware, Inc. - in memory of Mr. and Mrs. R.D. Cornwell and their great-grandson, Benjamin Jack Katter ~ Anonymous - in honor of Fastenal employees ~ Watkins Products, Inc. ~ WinCraft Incorporated ~ Winona National Bank. The Family Birth Center’s move and remodeling used $750,000 of the campaign funds raised. Located on the hospital’s second floor, the FBC includes a new nursery, family lounge, and five Labor/Delivery/ Recovery/Postpartum (LDRP) rooms.

All five LDRP suites are more spacious for family, friends, and siblings to share in the birthing experience; have state-of-the-art medical equipment available; offer private baths; and benefit from “room service” menus available around the New mom Julie Gruett (above) gave birth to daughter Carissa Ann in Community Memorial Hospital’s Family clock. One handicapped-accessible suite also Birth Center in November of 2003. is available.

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~ Winona Health ...A friend for life ~

Personalized nursing services offered

These spacious FBC suites are specifically designed so moms may remain in one place throughout the birth experience. A one-on-one labor nurse is assigned to each mother as she starts the birth process and remains by her side to assist her and her family in labor management techniques. Gruett praised the personalized nursing service: “The nurses were very helpful and friendly,” she said. “The staff eased any tensions I felt throughout my birthing experience and made me very comfortable throughout my stay.” Another new mom, Sara Blair, concurred. She attributed her “wonderful FBC experience” to the “nursing staff [who] were very experienced in the birthing process and were very helpful and supportive during my delivery. I received very personalized care” when daughter Georgia was born, she added.

New moms -- and sisters-in-law -- Sara Blair (above, l) with daughter Georgia and Stacie Blair-Nelson with son Carl Nelson both gave birth at CMH’s Family Birth Center.

An important aspect for new mom Stacie BlairNelson was that the staff was consistent. “On the morning I arrived, I met our nurse and she cared for us the three nights that we were there. She provided a level of comfort for me that was unbeatable,” said Blair-Nelson.

With the help of funds raised by the Winona Health Auxiliary, the FBC recently purchased another fetal monitor. And Foundation staff is working with FBC staff to raise funds to purchase equipment for testing newborns’ hearing.

Blair also enjoyed the look of “the beautiful birthing suites!” The rooms are decorated with warm colors, giving them an “at home” atmosphere. The intent is to have moms feel as comfortable as possible throughout their stay in the Family Birth Center.

For Sara Blair, Julie Gruett and others, Winona Health’s Family Birth Center is the healthcare center of choice for delivering their babies:

And they do: “I loved the fridge in the room, so my husband Tony and I could keep snacks and drinks in it,” Blair stated.

FBC enhancements continue

“I hope other expectant mothers will come to CMH's Family Birth Center to have their babies, so they can experience firsthand the positive environment and experienced staff,” Gruett concluded.

“During my stay, I felt the staff truly cared about me. I never felt like they were too busy for me, even though I knew the unit was full.” ~Sara Blair “My experience was first rate and I feel comfortable referring my friends and family to Community Memorial Hospital.” ~Stacie Blair-Nelson

Enhancements to Community Memorial Hospital’s Family Birth Center continue. Not long ago, a donor made it possible to play the Brahm's Lullabye throughout the hospital after a baby's birth. Gruett appreciated that all hospital staff could join in celebrating Carissa’s birth.

~ Winona Health ...A friend for life ~

2003 Annual Report -

7

Winona Health’s Dialysis Center: In response to a family’s needs

The Dialysis Department has convenient hours to accommodate the needs of all patients -Monday, Wednesday and Friday: 4:00 a.m. - 7:00 p.m. Tuesday, Thursday and Saturday: 4:00 a.m. - 3:30 p.m. For more information, call 507-457-4391.

Winona Health enjoys a 110-year tradition of serving the healthcare needs of the greater Winona community. And those needs have changed over the years.

receiving dialysis treatments in Rochester three times a week before that, but the drive was becoming inconvenient and impractical,” his brother David said.

In 1973, one family's need for local kidney dialysis services resulted in the creation of Winona Health's Dialysis Center, housed at Community Memorial Hospital (CMH). The Stewart family of rural Winona used the hospital's very first dialysis machine – and has witnessed the Center’s growth through the years.

So James spoke with Earl Hagberg, former CMH administrator, about the need for a dialysis center in Winona – and a local healthcare service was born! James’ treatments at CMH lasted eight hours a day, three times a week, Gilbert added. “He continued his local dialysis treatments for 22 years, until he passed away in October, 1995.”

Dialysis aids in kidney function Dialysis treatments aid the kidneys when they cannot function at their full potential. The kidneys are vital organs that remove waste products from blood; regulate the amount of body fluids; balance body chemicals; and release hormones that help control blood pressure and the formation of red blood cells.

The Stewart family story Joan Denzer, James’ sister, started her dialysis treatments at home. But the time-consuming treatments interfered with her husband’s farming business, so she, too, decided to come to CMH for treatments. She underwent dialysis for 18 years, then received a kidney transplant in 1990 at Mayo Clinic, Gilbert stated.

“When a person’s kidneys are not working properly, they may require dialysis, a process that cleans the patient’s blood by circulating it through a special filter called a dialyzer,” said Fran Gerlach, assistant head dialysis nurse. “The patient’s blood is pumped through the dialyzer, where it is cleaned then returned to the patient,” she added. “Treatment is usually given three times a week for 3-4.5 hours at a time.”

A suggestion from James Stewart The Stewart family has a genetic condition known as Polycystic kidney disease. “It is a hereditary disease where cysts replace normal kidney tissue,” explained Gilbert Stewart. James Stewart, the oldest of four siblings, began his dialysis treatment at CMH when the center opened in February, 1973. “He had been

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A newspapaper clipping from February, 1973, shows Mrs. Hilda Lagace, R.N., checking controls as CMH Administrator Earl Hagberg wishes Mr. James Stewart, Jr. well. Mr. Stewart was one of the first patients to use this dialysis equipment.

~ Winona Health ...A friend for life ~

Gilbert Stewart, brother to James, Joan and Dave, started his dialysis treatments in February, 1989. He continued for six months, three hours a day, twice a week. “On August 2, 1989, I received a phone call that I was eligible to receive a kidney transplant at Mayo Clinic. That was a lifechanging day for me,” he said. Dave Stewart started his dialysis treatments in November of 2000 and continued until October of 2003. “I went three times a week, three and quarter hours per day,” he remembered. He received a kidney transplant on October 10, 2003. Joan’s son, Wayne, also had Polycystic kidney disease, yet never had to undergo dialysis. He received a kidney transplant right away in 1992.

Winona Health’s current dialysis stations (above) include comfortable chairs, modern equipment, and television sets for viewing during treatment.

The Dialysis Department grows The Dialysis Unit has changed since 1973. “It now is equipped with eight stations that provide constant patient observation and timely intervention to prevent complications,” Gerlach explained. Each station also includes a television for patient viewing. A Caring Today, Preparing for Tomorrow contribution from Barb and Steve Slaggie went towards the new dialysis suite. The Slaggie children, Michael, Michelle, Sara and Matthew, were involved in the gift decision as well. Convenient parking right next to the dialysis doors makes the department accessible to those receiving treatment. And a lounge is located next to the dialysis center, for waiting families as well as for consultations with physicians. The staff includes registered nurses, dialysis technicians, licensed practical nurses, and support staff. A social worker, dietitian, and biomedical technician also are in-house to provide services to patients. Dr. Dennis Nolan, a local physician, serves as the unit's Medical Director. “In 2003, about 65 patients were served in the unit,” Gerlach added, “including some Winona area visitors. These patients have received about 5,044 dialysis treatments.”

~ Winona Health ...A friend for life ~

Top quality, award-winning services CMH's Dialysis Department compares well with other dialysis facilities in the state and nation. According to the 2003 Dialysis Facility Report from the Centers for Medicare and Medicaid services, “The percent of… patients who received adequate hemodialysis (i.e., enough wastes were removed from the blood, ed.) in 2002 at CMH were in the 97th percentile” – notably higher than state and national averages. The Dialysis unit also won the Amgen Best Outcomes Award. “The award benchmarks the facility versus other dialysis centers in the nation… and tracks improvements in anemia within the facility,” stated Gerlach. Amgen developed erythropoetin, a drug used to alleviate anemia in dialysis patients. The dialysis unit’s quality outcomes aren’t a surprise to one area family: “CMH and its staff are kind and gentle-hearted. We are truly grateful for all of the wonderful care and support that our entire family has received through the Dialysis Center over the past years. Thank you for decades of great care and hospitality!” David and Gilbert stated.

" CMH and its staff are kind and gentlehearted. We are truly grateful for all of the wonderful care and support that our entire family has received through the Dialysis Center over the past years. Thank you for decades of great care and hospitality!" ~David & Gilbert Stewart

2003 Annual Report -

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Ben Miller: A Tribute to a Generous Man On a sunny August day a golf pro drives the ball past the fence at the end of the driving range. The audience claps as the pro sets up for another shot. These golfers are gathered at the Cedar Valley Golf Course to raise money for the Ben & Adith Miller Patient Care Fund, a program that helps families pay for Winona Health medical expenses when they cannot afford them. ***

Benjamin A. Miller

A group of students cooks a spaghetti dinner and frosts cookies with the elderly living at Adith Miller Manor, a residence for people with Alzheimer’s disease. These are only two examples of how Winona Health has benefited from the generous spirit, smile and giving heart of Ben Miller. A lifelong Winona resident, Ben grew up working at the family junkyard before founding Fiberite and RTP.

“Ben Miller was a one-of-a-kind man who forever changed Winona.” ~Carol Hill Winona Health

“Ben earned a unique place in the hearts of Winona residents,” said Carol Hill, a longtime Winona Health staff member and Volunteer Services director. “He earned that place for the kind of man that he was: generous, caring and always finding a way to improve the lives of Winona residents.”

The Ben & Adith Miller Patient Care Fund In 1986, Ben struck a deal with Community Memorial Hospital officials concerning the Adith Miller Patient Care Fund. If CMH could raise $250,000, Ben would match that amount. On his wife, Adith’s, birthday, Ben raised his donation to $300,000. Once the fund’s endowment reached $1 million, Ben set up the Adith Miller Community Service Tribute to honor someone who has contributed time and leadership to community projects and services. In turn, Ben donated $25,000 in the recipient’s name to the endowment. Ben’s

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family, in particular Hugh, his son, and Vera Miller, have chosen to continue this tradition. After Ben’s death in 2002, the Patient Care Fund was renamed to include Ben's name.

Additional donations recognize family In 1993 Ben donated money to purchase new mammography equipment that produced a better quality image with a very low dosage of radiation. Because of Ben’s donation, the cost of a mammogram has been lower for patients here than elsewhere. The B.A. Miller Family Fund, established to honor Ben on his birthday, is used for purchasing imaging and mammography equipment. Ben and his brother Rudy donated the first van for the C&R Unit, now remodeled and called Lake Winona Manor. After Rudy’s death, Ben established the R. W. Miller Education Fund for the continuing and professional pursuits of Community Memorial Hospital staff members. In honor of Adith, who died in 1998, Ben donated funds to set up Adith Miller Manor. This assisted-living residence is home for 10 adults with Alzheimer’s and other memory diseases. And Ben and RTP contributed to the Caring Today, Preparing for Tomorrow campaign in honor of his parents, Joseph and Jenny Miller. The gift is slated for Lake Winona Manor. Ben also supported programs throughout Winona. He and Rudy helped establish Winona State University’s School of Engi-neering. Ben also supported the local school district’s Academic Mentoring Program. “Ben loved to help others in any way that he could,” said Hill. “He has created programs that are helping Winona residents currently and will continue to help them in the future. Ben Miller was a one-of-a-kind man who forever changed Winona,” concluded Hill.

~ Winona Health ...A friend for life ~

Winona Health 2003 Financials:

A Solid Fiscal Year

While most will associate financial results with “money,” the financial results are really outcomes measurements that help us look back on how we’ve performed and help us look forward by giving us insight into the strength and flexibility of our organization.

Winona Health had a solid financial year for the 12 months ended September 30, 2003. The good results were due to modest growth and good expense management. We saw growth in Surgery, Lab, Radiology, Assisted Living and Hospice services. The hospital continues to be our largest and strongest operating entity. Long-term care services struggled financially because of reimbursement freezes and reductions and a drop in census. Overall the organization is in a strong financial position. Maintaining that strong position in the future will depend on our ability to find profitable growth and manage our expenses prudently. While most will associate financial results with “money,” the financial results are really outcome measurements that help us look back on how we’ve performed and help us look forward by giving us insight into the strength and flexibility of our organization. ~ Mike Allen Chief Financial Officer

~Mike Allen, CFO

Winona Health Consolidated Balance Sheets (9/30/02 and 9/30/03) ASSETS

2003*

2002*

$3,477,569 1,708,038

$2.806,294 1,373,484

Current Assets Cash/cash equivalents Assets limited to use Other marketable nonequity securities Receivables - Net of estimated patient resident uncollectibles - Pledges Supplies Prepaid expenses Total current assets

3,508,357

3,222,622

8,232,156 600,000 1,243,054 508,807 $19,277,981

Assets Limited to Use Property/Equipment

LIABILITIES/NET ASSETS

2003*

2002*

6,446,622 960,000 1,101,115 403,244 $16,313,381

Current Liabilities Current maturities of longterm debt $ 579,342 Accounts payable - Trade 1,261,804 - Estimated third party payor settlements 173,856 Accrued expenses, primarily salaries, wages, benefits 4,380,593 Total current liabilities $6,395,595 Longterm Debt, less current maturities $4,034,755

$4,614,096

$ 2,190,502

$ 1,921,400

Total Liabilities

$10,430,350

$10,133,943

$29,665,876

$30,228,579 $3,670,391 43,301,958

$3,294,884 41,591,310

$46,972,349

$44,886,194

5,526,621 3,508,582

4,152,904 3,508,582

$56,007,552

$52,547,680

$66,437,902

$62,681,623

Other Assets Long-term investments Endowment fund investments Pledges receivable Other Total other assets

$13,565,934 1,194,994 542,615 $15,303,543

$12,084,949 1,284,862 494,828 $14,218,263

Total Assets

$66,437,902

$62,681,623

--

353,624

NET ASSETS Unrestricted - Board designated - Undesignated Total unrestricted net assets Temporarily restricted Permanently restricted Total Net Assets Total Liabilities/ Net Assets

$ 545,458 979,589 149,129 3,845,781 $5,519,847

* These figures come from Winona Health’s Independent Audited Report conducted by EideBailly.

~ Winona Health ...A friend for life ~

2003 Annual Report -

11

From the Foundation Chair:

Great Things Have Happened! Dear Friends, A lot of great things have happened at Winona Health since the last issue of our newsletter in the spring of 2002. A good majority of those “things” are projects, like the Lake Winona Manor Chapel and the acquisition of land adjacent to the hospital. These projects have been made possible by the fiscal strength of the Foundation and the benevolence of its members. Nancy Brown Nancy Brown, Winona Health’s Executive Director of Development, is responsible for the general operations of the Winona Health Foundation and provides direction to Volunteer Services. She came to Winona Health after working in postsecondary educational development and fundraising positions. Brown is active in the Association of Fundraising Professionals and recently attained the designation Certified Fund Raising Executive (CFRE). She received her Bachelor’s degree in Journalism/Public Relations from the University of Wisconsin and her Master’s degree in Administration from the University of Notre Dame.

Jack “Butch” Walz

Another great change has been on the people side. I can assure you the future of the Winona Health Foundation has never been in better hands. Nancy Brown, executive director, has the intelligence, energy, and the concern it takes to be a great steward of Foundation assets and grow them substantially in the years to come. Make it a point to stop and introduce yourself to her and Connie Duff, foundation and volunteer assistant. You will realize how blessed Winona Health is to have them both on board. Winona Health has moved forward on many of the strategic initiatives outlined in the Caring Today…Preparing for Tomorrow capital campaign. The successful merger of Winona Health and the Watkins Home has resulted in the complete renovation of Watkins Manor into an assisted living facility boasting 100% occupancy. The Dialysis Center and the Family Birth Center additions have enhanced the comfort and care we provide our patients. Advances in our clinical technology continue to improve patient care coordination while improving the financial outlook for Winona Health. Despite the many advances that were made possible through the capital campaign, Winona Health will need to continue to expand, renovate and explore new opportunities to meet the ever-changing healthcare needs of the community; the Winona Health Foundation plays a key role in supporting this distinct vision and mission of Winona Health. It is through the support and dedication of you, our generous benefactors, that the Foundation can support a community- centered healthcare system that takes care of our present needs while making investments to assure that our healthcare needs can be met in the future. On behalf of the Winona Health Foundation Board of Directors, thank you for all that you do to make your community-based healthcare organization strong! Sincerely,

Brown may be reached at: ~ 507.457.4342 ~ nbrown@ winonahealth.org

Winona Health Foundation Chair

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~ Winona Health ...A friend for life ~

Winona Health’s Mission: To serve the healthcare needs of the Winona Regional Community through: ~ Excellence and leadership in clinical care and service ~ Financial stewardship ~ Collaborative partnerships ~ Creation of a service environment where people can realize their full potential.

WINONA HEALTH AFFILIATES ~ COMMUNITY MEMORIAL HOSPITAL 855 MANKATO AVENUE ~ WINONA, MN 55987 507.454.3650

~ PARKVIEW PHARMACY 825 MANKATO AVENUE ~ WINONA, MN 55987 507.454.4925

~ LAKE WINONA MANOR NURSING HOME 865 MANKATO AVENUE ~ WINONA, MN 55987 507.457.4366

~ RUSHFORD CLINIC 212 S. MILL STREET ~ RUSHFORD, MN 55971 507.864.7726

~ WATKINS MANOR ASSISTED LIVING 175 E.WABASHA STREET ~ WINONA, MN 55987 507.494.7400 ~ ADITH MILLER MANOR MEMORY CARE RESIDENCE 885 MANKATO AVENUE ~ WINONA, MN 55987 507.454.0179

~ WINONA AREA HOSPICE SERVICES 175 E.WABASHA STREET ~ WINONA, MN 55987 507.457.4468 ~ WINONA HEALTH HOME CARE 175 E.WABASHA STREET ~ WINONA, MN 55987 507.457.4468 ~ WINONA HEALTH FOUNDATION 855 MANKATO AVENUE ~ WINONA, MN 55987 507.457.4342

~ ROGER METZ MANOR MEMORY CARE RESIDENCE 875 MANKATO AVENUE ~ WINONA, MN 55987 507.452.7636

2003 Annual Report

WINONA HEALTH FOUNDATION COMMUNITY MEMORIAL HOSPITAL 855 Mankato Avenue Winona, MN 55987

~ Winona Health… A friend for life ~

Non-Profit Organization U.S. Postage

PAID Bulk Permit No. 72 Community Memorial Hospital Winona, MN 55987

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