Winona Health 2005 Annual Report

Winona Health Annual Report 2005

Winona Health is pleased to present our 2005 Annual Report This annual report has been published to further communication between Winona Health and the Winona regional community and to thank our many supporters. This publication is distributed to our many friends and colleagues and is available on our website, www.winonahealth.org. If you have any questions about the information contained in this report, please contact:

 Loretta Bronson Contents Letter from the President/CEO..................3 Letter from the Winona Health Board Chair........................4 Winona Health Board of Directors...........5 2005 Accomplishments Cornerstone 1: People............................6 Cornerstone 2: Care & Service.............8 Cornerstone 3: Collaboration............ 10 Cornerstone 4: Stewardship.............. 12 Financial Report........................................... 13 Letter from the Winona Health Foundation Board Chair.................................................... 14 Winona Health Foundation Board........ 15 Thanks to our donors General Contributions......................... 16 In honor of............................................... 16 In memory of.......................................... 17 Gifts in Kind............................................. 20 Happy Occasion..................................... 21 Remembrance Fund............................. 22

More information about Winona Health may be found at winonahealth.org

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Chief Communication Officer 507.457.4116 Other Marketing/Public Relations staff who contributed to this publication include:

 Michelle Foerster Graphics/Web Content Specialist 507.457.4136  Jennifer Olson Community Relations Specialist 507.457.4161  Karen Sibenaller Marketing Communication Coordinator 507.457.4157

From the President/CEO:

It’s all about the community If I were to describe Winona Health during 2005 in a single word, it would be transformational. We couldn’t be more excited about the new building project and what that holds in store for transforming healthcare delivery for our community. Every day you can see how our campus is changing physically, and, if you have joined one of our tours, you even had a sneak peek at how our new facility will look. Each tour group has shown enthusiasm and delight in what the future holds for all of us. While we await with great anticipation the opening of the new building and services in the spring, I want to tell you about the transformation that is occurring inside the walls of Winona Health. It’s a story of commitment and accountability, but more importantly it is work from the heart. The board of directors, the medical staff, and all staff and volunteers have a common vision – and it is all about you, the community!

Rachelle Schultz

Throughout the pages of this annual report you will read about how we are working to make a difference in the lives of those we serve and for the community as a whole. Winona Health has a very important role in the community – one we take very seriously. We have worked hard to demonstrate to ourselves – and now to you – the value of our local healthcare system with tangible results.

Winona Health’s Senior management team

What will make a difference for Winona Health in the future? You. Our goal is to increase our market share. In other words, we want people in the community to seek healthcare services in Winona. We are unabashed about this goal. We are focused on listening to and learning from our patients, residents and their families about their experiences. We know we must address the issue of access to physicians, and we know you have high expectations. It is our intention to exceed them. I suspect that those of you who experienced healthcare services in the past at Winona Health may not even recognize us if you came in today. It is my sincere hope that through reading this annual report and in talking with staff, physicians, and volunteers today, you will see Winona Health in a whole new way and will share in the excitement and pride we have for the future of healthcare in our community. We invite you to give us a try!

President/CEO

Rachelle Schultz President/CEO

Mike Allen

Chief Financial Officer

Loretta Bronson

Chief Communication Officer

Nancy Brown

Executive Director of Development

Sara Gabrick

Chief Nursing Officer

Rand Gettler

Chief Operating Officer

~ Rachelle H. Schultz President/CEO

William Gould

Chief People Resources Officer

Kathleen Lanik

Chief Health Information Management Officer

Mary Miller-Hyland

Administrator, Lake Winona Manor

Charles Shepard, MD Medical Director

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From the Board Chair:

More people are using Winona Health services Winona Health had a banner year in 2005: The health system had an employee retention rate 10% higher than other facilities its size . . . four new physicians were recruited to the community . . . our building project remained on schedule and on budget . . . and our community nonprofit healthcare system realized gains from operations – despite an increasing need for charity care and growing expenses related to uncompensated care (care given to residents unable to pay their bills). All of us on the Winona Health Board take our stewardship of the community’s healthcare system seriously. So we are pleased to report to you that Winona Health had a fiscally strong year, because 2005 saw an ever-growing number of you using Winona Health services . . . Gary Evans Winona Health Board Chair

 Community Memorial Hospital’s Emergency Department cared for a record    

17,949 residents The Dialysis Unit provided more than 6,500 treatments, up 12.68% from 2004 The Family Birth Center had an 8.4% increase in nursery admissions Adith Miller and Roger Metz Manors, for those needing memory care, were filled to capacity throughout the year Hospice Services’ average daily census quintupled from 4 in 2002 to 20.5 in 2005

I could continue enumerating Winona Health’s 2005 accomplishments, many of which are shared in the pages that follow. But what’s important to remember about our local nonprofit healthcare system is that any “profits” made are returned to the organization to strengthen and enhance its services. One very visible reminder of this investment in local healthcare is our $32 million building project. Spending that kind of money presented a big decision . . . one that required a good deal of thought. But it was also a decision we readily made because we knew the project would improve and enhance the quality of services we, our friends at Winona Clinic and other physicians serving this community deliver, in addition to making healthcare more convenient for area residents. As we move toward the April 2006 completion of the building, we continue to collaborate with our local physician clinics to recruit primary care and specialty physicians to this area. The Winona Health Board is committed to making physician recruitment a top organizational priority, because it is a top community priority. Working together, we welcomed four new physicians to the community – an ophthalmologist, a pediatrician, an internist and a family practitioner. We know many of you will have the opportunity to meet them in the coming year as you address your family’s healthcare needs. Providing exceptional healthcare services close to home is the heart of all we do as Winona Health Board members. We are proud to serve you and grateful for your support of Winona Health. ~ Gary Evans Winona Health Board Chair

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Winona Health Board of Directors

Scott Biesanz Director

Dave Binius Vice-Chair

Susan E. Cornwell Vice-Chair

Vicki Decker Director

Cindy Donahue Director

Gary Evans Chair

Joseph J. Greshik Director

Herb Highum Director

Mark Jacobs Director

Suzanne Jelense, MD Director

Hugh Miller Director

Daniel Parker, MD Director

Rachelle Schultz President/CEO

Mark Wagner Director

Jack “Butch” Waltz Director

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Cornerstone 1: A service environment where people can realize their full potential Highlights from 2005 . . .  Winona Health’s employee retention rate was 93.7%, 

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compared to the national average of 83%. Targeted efforts to ensure staff understood their work expectations resulted in a 21% increase in this item over the 2003 Employee Pride Survey (64.6% to 85.6%). A new performance appraisal tool and process was implemented, increasing timely completion of appraisals from 85.12% to 95.12%. Computer-based mandatory education was implemented with 98% completion by the due date. WH staff completed an Institute for Clinical Systems Improvement Culture of Quality survey, which showed:  88% of employees have a clear understanding of Winona Health’s mission, vision and values.  81% feel encouraged to become involved in the improvement of patient care and service.  72% agreed our quality goals and strategic plan are clear and well-communicated.  71% agreed that quality improvement efforts are measured and communicated. Workers’ compensation expenses decreased from about $396,000 in 2002 to $45,000 in 2005. In the same timeframe, lost days ratio decreased from 67 to 10 days (good), and the medical indemnity ratio improved from 1.38 to 7.70 (good). A cross-disciplinary team worked to implement a tobacco-free campus initiative, effective January 1, 2006. Winona Health created an annual Service Excellence Award program, recognizing five staff members for their exemplary customer service. This year’s honorees were Lori Britton, Wendy Helmers, Barb Klink, Bev Speltz and Kris Troska.

Building a Culture of Quality “An excellent organization is all about its people,” stated Susan Cornwell, chair of the Winona Health Board’s Human Resources Committee. “And Winona Health is fortunate to have such great people.” Winona Health is committed to creating a culture of quality and a satisfying work environment. “To do so requires a shared vision for outstanding patient and resident care, allowing our people to do what they do best, and creating a culture of accountability where each employee takes responsibility for quality and excellence,” said Bill Gould, Chief People Resources Officer. Staff, physicians and the Board of Directors work together to create that culture of quality. “Winona Health staff and our physicians provide excellent healthcare,” stated Dave Binius, chair of the Board’s Quality and Safety Committee. “Having attended many quality conferences, I have found that Winona Health is ahead of many organizations in providing the tools necessary and establishing the measurements to monitor quality healthcare.” Those “tools” include membership in the Institute for Clinical Systems Improvement and adoption of the Malcolm Baldrige Quality Program. Both programs involve monitoring key performance indicators and sharing results throughout the organization. “Continually measuring our performance provides the mechanism we need to continually improve quality,” Binius said. “We have made, and continue to make, great progress on this front.”

Reflections from Winona Health’s Service Excellence Award winners Winona Health offers the highest level of patient care, using a very individualized and personal approach. As an employee at Winona Health, we all have the opportunity to play a significant role in optimizing patient and resident care. ~ Lori Britton, Rehab Services Every day I work with staff who truly want to give back to the patient, thus creating the best patient care experience. I like to be part of a team that is always striving to be on the cutting edge of medicine. ~Bev Speltz, Director of Emergency & Dialysis Services

Bonnie Mahtuga is one of the Environmental Services staff members responsible for high patient/resident satisfaction scores.

Winona Health’s Environmental Services (EVS) department has made great strides in measuring and improving its performance. It recently earned 100% satisfaction scores for cleanliness at Community Memorial Hospital and Lake Winona Manor. “This is truly a team effort,” said John Matis, Director of Hospitality Services. “Everyone works together in order for us to achieve these outstanding results.” Bonnie Mahutga, an EVS team member, said, “We have good employees who care about quality. I remind myself that, if my Mom or I were going to stay here, I’d like the rooms to be clean, so I clean accordingly. Our supervisors communicate regularly and check on us often. So we know our work is important.” Matis, who also manages the Food and Nutrition staff, began improving quality by “listening to my staff. For example, Food and Nutrition staff told me they had to learn five or six jobs, which was difficult. So we moved to a culture of job ownership, where people own the job they do most often. ‘Swing staff’ fill in when necessary. Making these and other process changes improved team unity, and staff started seeing positive quality and satisfaction results,” Matis noted. “Then they began to receive recognition for their work.” Most recently, the EVS staff earned the Environmental Services Account of the Year Award from Sodexho, the food and facilities management company that partners with Winona Health. “These rewards, along with being part of a successful team, go a long way toward building our culture of quality and excellence,” Gould concluded.

Winona Health is a great place to work, with a lot of caring and competent people working here. I’ve been here for 15 years and feel like I’ve grown up here; these people are like family to me. ~Wendy Helmers, Surgical Services At Winona Health, “service excellence” is a top priority. Our interdisciplinary team approach offers patients the very best in care. There is respect among the team, where each member is valued for the role they play in providing excellent patient care. ~Barb Klink, LSW, Social Services

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Cornerstone 2: Excellence and leadership in clinical care and service

Highlights from 2005 . . .  Community Memorial Hospital’s Emergency

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Department cared for 17,949 area residents, an increase of 4.3%, while its Department of Behavioral Health’s admissions increased by 19% to 416; nursery admissions by 8.4% to 412; and Dialysis treatments by 12.68% to 6507. Community Memorial Hospital’s mortality rate was at 1.55%, compared to a national benchmark of 2.23%. Winona Health continued to receive staff suggestions for innovations and improvements, with more than 500 opportunity statements submitted and more than 350 implemented. The hospitalist program was initiated, ensuring a board-certified Internal Medicine specialist is present in the hospital from 8 a.m. to 6 p.m. daily. Winona Health voluntarily participated in the Centers for Medicare and Medicaid Services project that defined effective care for three conditions. Compliance scores for all three conditions have improved since the project started:  Acute Myocardial Infarctions: 94.28 to 100%  Congestive Heart Failure: 51.85 to 88.57%  Pneumonia: 63.38 to 89.66%

 Lake Winona Manor reduced its bed numbers to 160, opening up more single rooms and adding a second hospice room which has had a 47% occupancy rate.  A feasibility study was completed for the October opening of weekend Urgent Care Clinic.  Information technology (especially the Electronic Medical Record) was used to improve patient safety and service quality by building in alerts and adding new features.  Winona Health’s focus on patient- and family-centered care resulted in patient and resident inclusion on various teams, including the Breast Health Team.

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Focusing on patients, residents and families “To provide excellent care and service, we have to maintain our focus on our patients, our residents and their family members,” said Sara Gabrick, Winona Health’s Chief Nursing Officer. “We’ve worked in 2005 to sharpen our focus, adding a former patient to our Breast Health Team and implementing many staff-suggested innovations to improve patient, resident and family care and service.” One hospital innovation implemented in 2005 was the start of a hospitalist program. “This program ensures that a board-certified Internal Medicine specialist is available at Community Memorial Hospital from 8 a.m. – 6 p.m. daily,” Gabrick explained. “Internal Medicine physicians are experts in the care of adults,” said Charles Shepard, MD, an Internal Medicine doctor at Winona Clinic and Winona Health’s Medical Director. “The hospitalbased internists, known as hospitalists, care for most medical patients, assist in the care of surgical patients before and after surgery, and are available to respond quickly to changing patient conditions and to meet with patients and families.” Robin Hoeg, RN, Winona Health’s Director of Inpatient Services, sees the benefits of having a Charles Shepard, MD, consults with William Davis, MD. hospitalist on a daily basis. “The most beneficial aspect of the hospitalist program is having the physician available to patients and staff throughout the day. Nurses, other providers and family members can share their concerns with the hospitalist, and the hospitalist can share new assessments with the patient, family and clinical staff throughout the day. “That’s a big plus for patients and their families,” Hoeg continued. “Hour-to-hour – and sometimes minute-to-minute – communication is occurring. Ultimately, that corresponds to improved patient care.” Added Gabrick, “While we focus on patient and resident care at all Winona Health affiliates, we recognize that our patients’ and residents’ families are important members of the care team and are a key part of recovery. So our care and service initiatives, such as our hospitalist program, also take into account the needs of family members.”

One family’s experience with Winona Health My mother-in-law, 79, was visiting us over Thanksgiving . . . She visited Community Memorial Hospital’s Emergency Department (CMH’s ED) twice in about a week – once with a gastro-intestinal problem that ended up being fairly minor (although not minor to her). The staff was very kind and professional. The second time she lost her balance and fell on the floor, suffering a concussion and moderate contusions to her face. Once again the staff was absolutely terrific. My mother-in-law, my family and I could not be more impressed and pleased. This was not our first experience with your ED. Years ago, my then 7-year-old daughter fell off a swingset and had a laceration on the back of her head. She was terrified to go the ED . . . terrified of doctors . . . just terrified in general. The ED doctor was able to glue the laceration. But what impressed me is the sensitive way in which he treated my daughter -- not like another statistic coming through the ED, but like a terrified little girl that needed TLC. Thanks again for all CMH does for our community! ~ Steve Blue

Hospitalist programs have become increasingly popular throughout the country. “They have been shown to improve the care of inpatients,” Dr. Shepard said. “Because hospitalists are on-site throughout the day, delays in diagnosis and treatment are reduced, which leads to shorter hospital stays.” CMH’s hospitalist program is staffed by internists from the Winona Clinic, with assistance from Mayo Clinic Internal Medicine fellows on the weekends.

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Cornerstone 3: Collaborative partnerships that serve and improve our community

Highlights from 2005 . . .  Winona Health’s building project remains on schedule

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and on budget. Completed in 2005 were the helipad and parking ramp, with the MRI and Surgery Suite set for occupancy in late fall 2005. Winona Health and Winona Clinic identified a strategic location for a Women’s Health Center on the third floor of the new Medical Office Building. Four new physicians were recruited to the community:  Laurel Quinn, MD, Ophthalmology (Winona Health)  Ehab Michael, MD, Internal Medicine (Winona Clinic)  Joan Krueger, MD, Pediatrics (Winona Clinic)  Edward Malone, MD, Family Practice (Family Medicine) Winona Health and Winona State University received a three-year $216,000 Minnesota Job Skills Partnership grant to train Lean in Healthcare and leadership classes to 50 Winona Health employees who in turn will train all staff. The Winona Health Auxiliary organized Follies, Holiday Happiness, Fantasy of Trees and other events to increase awareness of Winona Health and support its services, donating $59,100 and more than 25,000 volunteer hours to Winona Health.

Collaborating for women’s health “Winona Health is committed to meeting not only the current but also the emerging healthcare needs of the Winona regional community,” stated Loretta Bronson, Winona Health’s Chief Communication Officer. “To address these needs, we realize that we need to create collaborative partnerships with other community organizations.” To help identify these needs, Winona Health staff uses a variety of listening and learning tools – from patient and resident satisfaction results to community surveys, focus groups and informal networking opportunities. “Using these tools, we recognized that more women wanted hometown access to specialized, personalized health services, so we began working to make that happen,” said Bronson. Rachelle Schultz, President/CEO, was among the Winona Health staff who met with members of Winona Clinic’s Center for Women’s Health. She noted, “Research shows that women make 75% of all healthcare Ann Baker, Director of Radiology Services, and Amy Pronschinske, decisions, and they want a warmer, Ultrasound Technician, review a patient’s ultrasound. more user-friendly delivery system. Working jointly with the clinic, we identified space on the third floor of our new Medical Office Building for a women’s health center.” Winona Clinic will operate this center, which will include services for women of all ages. “We’ll offer the full spectrum of women’s healthcare services in the center,” noted Troy Shelton, MD. “It will include services to address eating disorders and nutritional issues facing women, obstetrics care for pregnant mothers, gynecological care for menopausal women, bone and urological services for seniors – our services will address all their needs.” In addition, Winona Health has created a Women’s Imaging Center within its Outpatient Diagnostic Center scheduled to open in April 2006. The center will feature digital mammography with computer-assisted detection (CAD) for breast masses, ultrasound for breast imaging and bone densitometry, according to Ann Baker, Director of Radiology Services. “It’s important that we have the best possible equipment for detecting breast cancer in the earliest stages,” Baker stated, “and our new imaging center will have just that.”

Winona Health received the following awards in 2005:

 Minnesota Hospital

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Association’s Innovation in Patient Care Award for the Integrated Electronic Medical Record Minnesota Health and Housing Alliance’s Excellence in Practice Award for Lake Winona Manor’s Make-a-Wish Program Hospitals & Health Networks’ Most Wired– Small and Rural Award Sodexho’s Environmental Services Account of the Year Award Minnesota Council for Quality’s Minnesota Quality Award – Advancement Level Malcolm Baldrige National Quality Award – Third Scoring Band Winona Area Chamber of Commerce’s Business Appreciation Award for Technology Care Providers of Minnesota’s Community Partnership Award for Winona’s Rural PACE Team

James Erwin, MD, the radiologist who examines mammograms done at Winona Health, explained, “Digital mammography is the wave of the future, and studies have shown that it results in improved detection of breast cancer in women with dense breasts. In addition, CAD studies show that it detects an additional 10-15% more cancers than without it. We’re committed to maintaining state-of-the-art technology and equipment to best serve women’s health needs,” he emphasized. The Women’s Imaging Center will be a private area just for women, with three separate dressing and interview rooms, a private bathroom and its own waiting area stocked with coffee and refreshments. “Community women asked for greater privacy and more personal space during their mammograms, and we’re going to deliver on that,” Baker stressed.

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Cornerstone 4: Financial stewardship that balances mission, margin and healthcare costs Highlights from 2005 . . .  Winona Health’s gain from operations was $2.54 million

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(4.1% operating margin) versus a budget of $1.69 million, the third consecutive year Winona Health outperformed budget despite:  Charity Care provided to patients increased by more than 300%, totaling $596,000  Expenses related to bad debt increased by 86% to $1,892,000  Employee health insurance costs increased by 24% Winona Health worked with Winona County on mental health issues and received a stipend to help with 24-hour psychiatric call coverage. Winona Choice entered into a contract with Medica, introducing a third major health insurance option in Winona and enhancing rate competitiveness for employers and providers. Cost Per Adjusted Discharge, one efficiency measure, decreased from $6,020 to $5,801 after two years of increases. The Winona Health Foundation developed its mission, vision and values and its strategic plan. The Winona Health Foundation supported Winona Health:  Received gifts from the community of almost $451,000  The Ben and Adith Miller Patient Care Fund assisted 81 Winona residents by paying medical bills of $263,000, a 60% increase over 2004  The Tree of Lights annual appeal raised almost $51,000, a 19% increase over 2004  The Ben and Adith Miller Classic raised $135,000 for the Ben and Adith Miller Patient Care Fund  The Ben and Adith Miller Tribute, awarded to Kent Gernander, received $25,000 for the Ben and Adith Miller Patient Care Fund from Hugh and Vera Miller and RTP Company Winona Health signed the Attorney General’s agreement to ensure uniform billing practices for patients not covered by Medicare, Medicaid or other insurance.

Winona Health 2005 Financials WINONA HEALTH CONSOLIDATED BALANCE SHEETS SEPTEMBER 30, 2005 AND 2004 ASSETS CURRENT ASSETS Cash and cash equivalents Assets limited as to use Other marketable nonequity securities Receivables Patient and resident, net of estimated uncollectibles of $6,763,000 in 2005 and $4,418,000 in 2004 Pledges Supplies Prepaid expenses

Total current assets

ASSETS LIMITED AS TO USE PROPERTY AND EQUIPMENT

2005

2004

$10,371,655 5,599,758 5,589,887

$6,773,197 1,572,826 4,813,235

8,974,192 167,322 1,246,245 656,131

8,929,005 522,718 1,316,033 430,584

32,605,190

24,357,598

7,858,633

24,397,356

52,467,377

31,259,364

15,212,714 364,407 535,520

14,448,533 381,956 505,454

16,112,641

15,335,943

$109,043,841

95,350,261

OTHER ASSETS Endowment fund investments Deferred financing costs, net Other

Total other assets



Total assets

LIABILITIES AND NET ASSETS CURRENT LIABILITIES Current maturities of long-term debt Accounts payable Trade Construction Estimated third-party payor settlements Accrued expenses, primarily salaries, wages, and benefits

Total current liabilities

LONG-TERM DEBT, less current maturities

Total liabilities

NET ASSETS Unrestricted Temporarily restricted Permanently restricted

Total net assets



Total liabilities and net assets

2005

2004

$4,723,344

914,267

2,192,774 4,842,718 989,870

1,401,257 717,827 258,496

5,182,291

5,094,061

17,930,997

8,385,908

26,507,608

27,068,584

44,438,605

35,454,492

57,800,003 1,332,531 5,472,702

48,617,030 6,046,104 5,232,635

64,605,236

59,895,769

$109,043,841

$95,350,261

Winona Health has experienced a very good year, and the financial results reflect that. Our balance sheet has over $100 million dollars of assets that are being deployed to provide excellent patient care in a fiscally responsible manner for the residents of the Winona area. That’s exciting! Mike Allen Chief Operating Officer

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From the Winona Health Foundation Chair:

Securing the future of community healthcare Last year I shared with you that we recruited and installed a new Board of Directors to provide leadership and direction to the Winona Health Foundation. Our board has had quite a year! I am excited by the mission and vision established by the Foundation board. The direction they establish will ensure that the highest quality healthcare will continue to be found right here in our backyard. It also assures Winona Health will continue to be community-owned, which is reflected in the Winona Health Foundation’s vision statement: To sustain Winona Health as an exceptional provider of locally owned, non-profit healthcare.

Jack “Butch” Walz Winona Health Foundation Chair

As we continue to strive toward that vision, the Foundation has adopted a mission: To gather, steward and distribute resources needed to support and advance the mission of Winona Health and its affiliates. The mission’s successful implementation rests on four cornerstones:

 A Culture of Generosity: Actively seeking to expand our base of family, friends and neighbors who support the vision of providing excellent healthcare in our community.  Community Engagement: Sponsoring special community projects and educating the community about the Foundation and Winona Health Services and programs.  Access: Providing access to quality healthcare based on need regardless of ability to pay.  A Passion for Excellence: Investing in equipment, facilities, technology and training essential to sustained innovation in the practice and delivery of health care in our community. Of course, I recognize the key to achieving the Foundation’s mission is you – our families, our friends, our neighbors. In the following pages you will see a listing of all those who have supported Winona Health through gifts to the Foundation. It’s a long list – one in which I hope you are proud to be included. I have had the pleasure of guiding the Winona Health Foundation for the past several years. While proud of our many accomplishments, I believe the best is yet to come. In 2006, the Foundation will kick off a planned giving initiative that will secure Winona Health’s future. While I will be active in this initiative, I will be turning over the Foundation Board Chair’s position to Ken Mogren. An enthusiastic leader, Ken will continue to build on this year’s momentum, joined by Steve Blue who replaces Ken as vice-chair. Thank you all for making my time as Chairman of the Winona Health Foundation so rewarding. ~ Jack “Butch” Walz Winona Health Foundation Board Chair

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Winona Health Foundation Board of Directors

Ellen Alexander Director

Mike Allen Treasurer

Andy Blomsness Director

Steve Blue Vice Chair

Judy Bodway Director

Nancy Brown Secretary

Bob Gilbertson Director

Jim Killian Director

Ken Mogren Chair

John Mulrooney, MD Director

Rachelle Schultz President/CEO

Jack “Butch” Walz Director Past Chair

Barb Winbush Director

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Following the sun . . . On Monday, May 30, Memorial Day, we had friends over for a barbecue. Our son Scott was not quite himself . . . We were not particularly concerned, but did think his behavior unusual . . . We both talked to Scott on Tuesday morning and he seemed fine. He left that morning to take a review course for a [university] final exam. Later that day, we received a phone call from Scott. He was afraid and very confused. He was in Red Wing, Minnesota . . . had left his university that morning and driven eight hours. [He said] he was following the sun . . . [Scott was] later transferred to Winona Community [Memorial] Hospital. He had a psychotic episode and was diagnosed with Bi-Polar I Disorder. Scott had been doing very well in college. He had taken out loans to finish his last two years of school . . . We did not see this coming . . . He had incredible care [at Community Memorial Hospital]. The doctors, nurses, social workers were amazing. They were professional, caring and supportive. Yesterday Scott received the award determination from the Ben & Adith Miller Patient Care Fund. Words cannot express how grateful we are for the most caring and generous award determination on behalf of our son. Scott does not have mental health coverage on his insurance policy . . . The fund determination will enable Scott to move forward in his life . . . We don’t know why Scott drove north to Minnesota. When he said he was following the sun, perhaps somehow he was guided to a very good place. Louise & Bill

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Thanks to our many benefactors! The names listed reflect gifts made to the Winona Health Foundation between October 1, 2004 and September 30, 2005. Every effort has been made to ensure accuracy. We apologize for any omissions or errors and encourage you to contact Nancy Brown, Executive Director of Development, at 507.457.4342 or [email protected] if you notice any inaccuracies. Gifts made toward the Hospice Tree of Lights are listed in the local paper throughout the holiday season.

Contributions

Dr. L.J. & Ramona English Lynn & Mark Englund Ellen Alexander Scott Fabian American Lung Assn. of Cathy Fangman Minnesota Karen & O.J. Fawcett American Postal Workers Union, Mrs. Mae Florin AFL-CIO Fraternal Order of Eagles 1243 Anonymous (2) Rebecca S. Fuhlbruegge Estate Isabelle Aurdal Ms. Marti Gabel June Ballard Mr. & Mrs. Mike Gabrick Kristine Barry Ms. Mary Gander Kristina Baumann Genentech Ken & Marlene Benck Rand Gettler Mr. & Mrs. Alan Beth Ms. Heidi Giese Mr. & Mrs. Scott Biesanz GlaxoSmithKline Shirley & David Binius Mr. & Mrs. Dan Goltz Tony & Sara Blair Goodview Activity Group Blandin Foundation Mrs. Elizabeth Grangaard Mr. & Mrs. Steven L. Blue Mr. & Mrs. David Gudmastad Mr. & Mrs. Greg Bowker Linda Gudmastad Mrs. Mary Ann Boyd Gundersen Lutheran Medical Mr. & Mrs. Marvin Brand Foundation Mr. & Mrs. Robert D. Brommerich Harvest House Mr. Allen Brugger Mr. & Mrs. Thomas R. Hennessy Mr. Alvin Burfeind Herff Jones Photography Mr. & Mrs. Richard Burmeister Deb & Steve Hiatt Ms. Jean Burrington Hiatt Manufacturing Mrs. Darlene Carlson Ms. Gloria Hohmann Cars-N-Credit, Inc. Holtan’s Jewelry & Gifts Mrs. Hazel Casey Ms. Mattie Howe James A. Casey Immanuel United Methodist Cedar Valley Lutheran Church, Women Women of ELCA Mr. & Mrs. Jim G. Killian Mr. George Christensen Kiwanis Sunrisers Karen & Dennis Cleveland Ms. Vickie Klinger Mrs. Sue Cornwell Mr. & Mrs. Dick Kowalewski Susan J. Day Mrs. Ruthe Kowalsky Mr. & Mrs. Henry Deblon Kraus-Anderson Construction Vicki & Dennis Decker Company Eastwood Bank Mr. & Mrs. Alex Kreidermacher Mary & Jim Eddy Mr. & Mrs. Conrad Kreidermacher Ms. Eleanor Eifealdt Mr. & Mrs. Wayne Kronebusch Mrs. Maebelle Ellies

Ms. Kathleen Kujak Virginia Laken Ms. Sharon Lange Ms. Catherine Lecheler Harold & Dorothy Lilla Alice Lynch Ms. Patricia Maringer Merchants Bank Judy Mertes Mr. & Mrs. Terry Meyer Miller Felpax Corporation Mr. & Mrs. Hugh Miller John Hyland & Mary Miller-Hyland Minnesota Society for Respiratory Care Dr. & Mrs. John G. Mulrooney Gerald & Patricia Neal Ms. Florence Nelson Mr. & Mrs. Joseph Nienow Ms. Kay O’Dea Dr. Paul N. Olson Order of Eastern Star #141 Mr. & Mrs. Richard H. Otto Mrs. Irene Pape Ms. Joan Papenfuss Barb & Sam Parent Marge Poblocki Miss Pearl Prudoehl Mrs. Kathy Redig Mrs. Grace Reed RTP Company Rushford Lutheran Church Women WELCA Saint Mary’s University Neva Schott Mrs. Cecilia Schuh Rachelle Schultz Mr. & Mrs. Charles Scovil Janet & Clifford Seabern Barb & Steve Slaggie Smith Research Inc.

Ms. Elizabeth Spalding St. John’s Dorcas Society St. Matthew’s Lutheran Church St. Rose of Lima Missionary Society William & Eunice Stevens Mr. & Mrs. Myrton Stoos Sugar Loaf Ford Surveillance Data Inc. T. R. Hennessy Family Charitable Trust Cynthia & Timothy Teske Yvonne M. Tindal Mr. & Mrs. David Trickett Mrs. Karen Trickett Mr. & Mrs. Byrle Tschumper Mr. & Mrs. Virgil Tweten United Methodist Women - Ellendale United Methodist Women - Lake City United Methodist Women - Winona United Way of Greater Winona Mr. Chad Vix Mr. & Mrs. Roy Wadewitz Mr. & Mrs. Mark S. Wagner Jack “Butch” Walz Mr. & Mrs. Clement Wiley Dr. & Mrs. Thomas M. Wilmot Mrs. Eunice Wilson Winona Clinic, Ltd. Winona Community Foundation Winona Elks Lodge No. 327 Winona Health Manors Staff Winona Health Auxiliary Winona Health Employees Winona Knights of Columbus Club Winona National Bank Diane & Frank E. Wohletz Wohletz Law Office

Pamela & Marvin Wolfmeyer Ms. Ila Zieman Ms. Carol L. Zimmerman

In honor of

Weston Smith Ms. Michele Ekern William Wieczorek Senator Robert A. Kierlin & Ms. Mary Burrichter

Gary Baab Mr. & Mrs. Richard Flatten Larry & Christine Stoltman Erwin F. Bachler Mr. Steven Bachler

Michael Allen Julie Kosidowski Linda Wencl

Winona Area Physicians Goltz Pharmacy

James “Ed” Bailey Mr. & Mrs. Victor E. Bertel

Dr. Horace J. Andersen – Happy Retirement Walt & Bunny Bennick Community Memorial Hospital Jim & Shannon Hanzel Dolores Hitt

In memory of

Laura A. Bambenek Mr. Stanley Bambenek Lois E. Czaplewski

Maurice Anderson Mr. & Mrs. Todd Brugger Dr. Bruce W. Davey – Happy Retirement Community Memorial Hospital Sara Gabrick Julie Kosidowski Linda Wencl

Peter Abramaitys Mr. & Mrs. Cletus Hanson Mr. & Mrs. Peter McCamley Gert Abts Ms. Gayle Goetzman Sylvia Adams Kent & Dawn Erdmann Mr. & Mrs. David Fort David & Kathy Palmquist Yvonne M. Tindal

Goldeane L. Andresen Jack Andresen Mr. & Mrs. Leonard L. Bernatz Ron & Elaine Galewski Dr. Robert & Susan Briggs Mr. & Mrs. Richard Cichosz Mr. & Mrs. A. F. Carlson Mr. & Mrs. Randal Drier Rand Gettler Jim & Shirley Engbrecht Julie Kosidowski Dr. L.J. & Ramona English Linda Wencl Fred Fletcher & Shelley Smith-Fletcher Bob & Erika Gilbertson – Mrs. Marilyn M. Gates 50th Wedding Anniversary Bert & Barbara Gile Family Mr. & Mrs. James Erickson Ms. Nancy R. Gringas Mrs. Mary K. Murphy Gene & Jane Gunderson Mark & Barb Pozanc Carol & Jim Hill Mr. Robert Hoodecheck & Wayne Holz Dr. Suzanne M. Jelense Mr. & Mrs. Robert E. Mueller Howard Post & Grayce Post Revocable Trust Lake Winona Manor Staff Mrs. Dona Immerfall Mr. Henry Benke Rick Krause Ms. Melanie Johnson Virgil & Joan Laak Virginia O’Brien – Happy Betty McNally 85th Birthday Mrs. R. E. Miesbauer Gene & Barbara Smith Mr. & Mrs. Curtis Neal Don & Donna Peterson Anita Peterson – 100th Mr. Lyle Peterson Birthday Richard & Sandra Pope Ms. Lou Anne Schwarz RTP Company SCORE Rachelle Schultz Bob & Rosemary Shoup Julie Kosidowski Mrs. Lillian Spencer Linda Wencl Mr. & Mrs. Byrle Tschumper Mr. & Mrs. Michael Voelker

Ron & Donna Grathen David Kulas Genevieve Kulas Mr. & Mrs. Robert E. Mueller Dorothy Borkowski Mr. & Mrs. Michael Voelker Dr. Douglas D. Boyer Dr. Paul N. Olson Gerald Brand Sharon Budnick

Margaret H. Bambenek Darrell & Sandy Warnke

Jo Dee Bruening Mr. Peter Bruening

Ronald B. Becker David Heyer Jerry & Barbara Kiral Ms. Gertrude Metzger

John Burns Dr. L.J. & Ramona English

Catherine “Katie” A. Bell Mrs. Harriet Turner James L. Bell Anonymous Pam & Al Mueller Emily Benke Mr. Henry Benke Ms. Bernadine Bleile Mr. & Mrs. Phil Goodyear Mr. & Mrs. Tom Kimber Mr. & Mrs. Anthony Kroska Della Bernhardt Glenn & Janice Bratberg Bert Beyerstedt Ms. Maxine Anderson Mr. & Mrs. Robert Edel Mr. & Mrs. James Hanzel Mr. & Mrs. Richard Kowles Genevieve Kulas Mrs. Mary Pagliarello Mark & Barb Pozanc Valley-Hi Rest Home Miss Elaine Wieczorek

Ann Harrington Christopher Mr. Richard Harrington Magaret Crary Mr. & Mrs. Gerry Cada Hugo Curran Mr. & Mrs. David Dornfeld Ramona & Bud English Mr. Eugene Kaehler Madonna Curtin Ralmond & Janice Bundy Mr. & Mrs. James Hanzel Ms. Dawn Kronebusch Ms. Dorothy Paskiewicz Mr. & Mrs. Scott Tolleson Ms. Midge Voelker Jeffrey W. Deblon Jim & Shannon Hanzel Mr. & Mrs. Edward Kohner Mr. & Ms. Dennis McGann Wayne & Kathleen Shustrom Kay & Peter Walsh Lee Draper Pam & Al Mueller

Anthony Bierly Mr. & Mrs. Ray Bierly

LaVern Drazkowski Bob & Duella Murphy

Herman H. Binius Community Memorial Hospital

Richard Drury Janeen Coyle James Drury Mary Drury Vicky Hiliard

Ralph G. Boaldt Mr. & Mrs. Phil Gernes Genevieve L. Boerst Christopher & Kim Grathen Matthew & Melissa Grathen

Donald Farnholtz Sharon Budnick

William Fenner Mrs. R. E. Miesbauer Nellie Foegen Sharon Budnick Mr. & Mrs. Jerome Haines Grace F. Fruetel Friends & Family Kendell Corporation & Kendell Doors & Hardware, Inc. Mrs. Irene Langowski Ms. Marian McMillan Dr. & Mrs. John D. Rowekamp Ms. Linda Steffes Mr. & Mrs. Chuck Williams Mr. & Mrs. F. Craig Zeches Rebecca S. Fuhlbruegge Mr. & Mrs. Vayden Anderson Susan J. Day O.J. & Karen Fawcett Mrs. Katherine S. Hardt Meadow Acres Townhouse Assn. Ms. Carol A. Orlowske Betty Gabrych Mr. William “Bill” Bergaus Joseph Gabrych Mr. & Mrs. Michael Voelker LaVerne Gaffron Ms. Meredith Clifford Mr. & Mrs. Richard Gaffron Mr. & Mrs. Robert Gaffron Eleanor C. Galewski Mr. & Mrs. Harley Antoff Mr. & Mrs. Ronald Buermann Mr. & Mrs. Berval K. Deutscher Ms. Diane Dunning Anonymous John & Chris Fitzgerald Ms. Cheryl Krage Mr. & Mrs. Wayne M. Kulas Mrs. Nick Perrella Alice Goede Sharon Budnick Mr. & Mrs. Bob Winestorfer Fern Greshik Jack Andresen Community Memorial Hospital Mrs. Beverly Engel Joseph S. Greshik Mr. & Mrs. Peter McCamley Mr. & Mrs. Michael Voelker

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Religious services for all the senses Recently the Winona Health Foundation used funds from the community to sponsor a new service for residents known as Godly Play. This method of Christian education was originally intended to teach children about their religion. Winona Health chaplains Bill Flesch and Kathy Redig use Godly Play in special services with Lake Winona Manor (LWM) residents.

Alfred Haake Dr. L.J. & Ramona English Mr. & Mrs. A. R. Keiper Mr. & Mrs. Scott Tolleson Mr. & Mrs. Jerry Whetstone

Bradley Jacobs Loving Family

Christine P. Hadley Ms. Eileen Abraham Ms. Susan Benke Mr. & Mrs. Dennis Cleveland Friends & Family Ms. Sharon Kelly Mr. & Mrs. George Krage, Jr. Mr. Michael Steber

Jeff Jasnoch Mr. & Mrs. Leroy Jasnoch

Eujenie Louise Hauck Ms. Teresa L. Hauck Thomas Henderson Mrs. Elayne Lilla Marge & Kenneth Poblocki Wilfred Henning Sharon Budnick Leo Hentges Bob & Duella Murphy Peter D. Hoialmen Mr. & Mrs. Scott Tolleson

“Godly Play involves religious story-telling using visuals and wooden figurines that participants can pick up and handle,” Flesch explained. “It is especially effective for residents who have memory loss. Involving all the senses in the religious discussion helps trigger memories.”

Bernice Holm Winona County Settlers Association

Flesch enacted Advent Godly Play services for LWM residents in December. Betty Schmidt, a resident who taught Sunday school for 21 years, said, “It’s wonderful. I enjoy thinking about Christmases past when my husband and I would stay up all night decorating the tree and having everything ready for our children on Christmas morning.”

Doris Horst Mr. & Mrs. Dan Bunke Mr. & Mrs. Tom Graham Mr. Robert Hoodecheck & Dr. Suzanne M. Jelense Mr. Richard Horst Robert C. & Mary K. McMahon Betty McNally Mrs. R. E. Miesbauer Mr. & Mrs. Fred W. Naas Mr. & Mrs. Bruce Ramsdell Ms. Betsy Sawyer Mrs. Frances Schuldt Bob & Rosemary Shoup Mr. & Mrs. Robert Stein Mr. & Mrs. Jack Taylor Winona Agency Winona Radio Mrs. Eleanor K. Woodworth

Pictured above: Two Lake Winona Manor residents participate in an Advent Godly Play service.

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Carroll Hopf Susan J. Day Mr. & Mrs. Henry H. Hansen Ms. Joyce O. Locks Mr. & Mrs. Scott Tolleson

Edward Janikowski Mrs. Marian Janikowski

Marcia Jennings Mr. & Mrs. Roger L. Metz Dorothy Kaliher Mr. & Mrs. Michael Voelker Nancy Kalmes Mr. Allan Aldinger Mr. & Mrs. Maurice Bleess Dr. & Mrs. David A. Christenson Ms. Linda Corey William & Marji Ford Mr. & Mrs. David Fratzke Dr. & Mrs. John Greden Kermit Hanson Ms. Ellen Overland Winona Agency

Charles R. Kollofski Jack Andresen Robert C. & Mary K. McMahon Yvonne M. Tindal

Mr. & Mrs. Matt Vetter Mr. & Mrs. Bertis Vleming Mr. & Mrs. David Wickstrom Mr. & Mrs. Jon Wisecup

Carol Korn Ms. Elda L. Luehmann

Terese Kujak Ms. Judith Horton-Holm

Leora Kowahl Ms. Joy M. Buehler

Richard E. Kulas Mrs. Eleanor K. Woodworth

Dorothy Krenz Mr. & Mrs. Leo Kryzer

Anna Mary Langowski Sharon Budnick Pam & Al Mueller

Pat Kronebusch Paula Trevor Mr. & Mrs. Paul Kronebusch Paula Trevor

Ken Kropidlowski Mr. & Mrs. Vincent Ashelin Mr. & Mrs. James Bartsch Walt & Bunny Bennick Bloedow Bake Shop Mr. & Mrs. Duane Brenno Mr. & Mrs. Robert Brewer Bob J. Kanz Mr. & Mrs. D.K. Bruhn Sharon Budnick Dr. & Mrs. David A. Christenson Mr. & Mrs. Karl Conrad, Jr. Donald Kanz Mr. & Mrs. Jack Cornwell Clifford Kanz & Family Mr. & Mrs. Ted Czaplewski Mr. & Mrs. Robert H. Doerer Reuben & Lily Kaste Mr. & Mrs. Al Greenwood Elsie Kaste Mr. & Mrs. Jeffrey Harrison Jane Haugan James Kauphusman Mr. & Mrs. Thomas Hemker Sharon Budnick Mr. & Mrs. Guy Jackson Mr. Eugene Kaehler Dr. & Mrs. Thomas E. Mauszycki Merchants Bank Wesley R. Kittle Mr. & Mrs. Curtis Mihm Mrs. Ada Kittle Jonelle Moore Eugene Klade Bill & Carol Murphy Anonymous Mr. & Mrs. George O’Reilly Pat & Jerry Haessig Mr. & Mrs. Kevin P. O’Reilly Laura Pearson & Patrick Minnick Mr. Thomas Overland Fyrn O’Dea Ron & Cindy Peplinski Jim & Beth O’Dea Mr. & Mrs. Dave Peplinski Kay O’Dea Pleasant Green Townhouse Ms. Marliese Schwinn Association Mr. Robert Tillman Mr. & Mrs. Don Salyards Willet Hauser Architectural Richard Sauer Glass, Inc. Mr. & Mrs. Tom Severson Mrs. Marvin Shaw Thelma Kloempken Mr. Albert W. Smith, Jr. Mr. & Mrs. Marvin Gunderson Mr. & Mrs. Matthew Smith Mr. & Mrs. Bruce Kohn SOFA Friends Mr. & Mrs. Kenneth Spittler Elmer Kohner Mr. & Mrs. Timothy Tibor Mrs. Arlene Kohner

Mildred “Millie” Linden Family & Friends Mr. & Mrs. Robert Griesel Rebecca Kulig Irene & Richard Renk Yvonne M. Tindal Herb & Shirley Lockwood Steve & Candi Kohner Gordon Lofquist Mr. & Mrs. Fred W. Naas Shirley Lovas Mr. John Speltz Mr. & Mrs. Bob Winestorfer Betty MacMillian Judge & Mrs. Duane Peterson John L. McGuire Mrs. Patricia A. McGuire Ruth Menard Shirley & David Binius John & Mary Anne Lochner Iona Michael Mrs. Eunice Wilson Vernell “Nellie” Mikrut Mr. & Mrs. Jim G. Killian Ben & Adith Miller Mr. & Mrs. John Onken Benjamin A. Miller Ms. Marilyn Ehlers Steven Maki Ivie & Michele Popplewell Dr. Charles & Judy Shepard Larry & Christine Stoltman James Mlsna Mrs. Carol Ann Mlsna

Connie Morello Mr. Frank Morello

JoAnne & Edward Borkowski Ms. Sandra K. Borkowski Dave & Nancy Brommerich Myron Mueller Max & Gladys Bunn Ms. Bev Mueller Ms. Carol Byrne Ms. Barbara Cain Robert E. Mueller Mr. & Mrs. Richard B. Chalecki Dan & Theresa Brendel Mr. Vince Cusinsky Friends & Family Family & Friends Candi & Steve Kohner Mr. & Mrs. Warren Galbus Tom & Joann Gilbertson James Murphy Mr. & Mrs. Tom Graham Mr. & Mrs. David Dornfeld Mr. & Mrs. Ed Helmueller Mr. & Mrs. Edward W. Philip Newman American Academy of Neurology Hemmelman Jr. Fran Hengel Joyce Ehlers Indian Point Association Mrs. Helen R. Hartwich Mr. Donald H. Johnson Evelyn Kasten Mr. Richard J. King Ms. Beverly Nathe Gary Kluzik Family Mr. Jay Newman Mr. & Mrs. David Kohner Ms. Lucile Schneider Mr. & Mrs. Robert Kohner Tom & Gloria Siewert Dick & LaVonne Kowalewski Our Parents Sam & Colleen Kowalewski John & Rita Kosidowski Mr. & Mrs. Frederick J. Krause Mr. & Mrs. George Kuklinski Joseph Pagliarello Joe Lilla & Family Mrs. Mary Pagliarello Sean & Deb Malay Mrs. Elaine Maloney Millie Pellowski Mrs. Alice Maxham Rick & Julie Galewski Mr. & Mrs. Mark Merchlewitz Mr. & Mrs. Keith Laken Mr. & Mrs. Curtis Mihm Mr. & Mrs. Kenneth Mogren Shirley Peoplis NASA Cape Canaveral Friends Ms. Patte Jacobson Elmer & Ruth Nelson Mrs. R. E. Miesbauer Judy & Greg Novotny Fyrn O’Dea Erwin G. Pflughoeft Mr. & Mrs. David Przybylski Sharon Budnick John Rogge & Family Scott & Barb Fabian Mr. Gary Rossin Mr. & Mrs. Jerry Kellum Pflughoeft, Pederson & Johnsrud Adrian Sabotta Jack & Kassey Sagan Mrs. Dolores Steber Mr. & Mrs. George E. Schneider Stanley Pruka Mr. & Mrs. Harold Schuh Thomas & Kathlen Fabian Mr. Charles Sipple Anonymous Mary Jane Sobeck Al & Joan Staige Jack Reichel Mr. & Mrs. John W. Sullivan Ms. Joy M. Buehler Mr. Peter J. Thein Dick & Kay Theurer Mr. & Mrs. William Steven & Julie Theurer Reinarts Sr. Mr. John J. Tlougan Mr. & Mrs. James L. Anderson Valley-Hi Rest Home Mr. & Mrs. David Arnold Mr. Tony Voelker Mr. & Mrs. L. David Belz Mr. Dave Weinmann Mrs. Mary Jo Beyerstedt Ron & Carol Wenzel Mr. Donald W. Blake, Sr. D. Williamson Mrs. Jeanne Boller

Mrs. Marge Wolfe Mr. & Mrs. Brian Woxland Wendy Retzinger Sharon Budnick Community Memorial Hospital Family & Friends Mr. & Mrs. Robert Gilbertson Friends in Med/Surg/Peds Rachelle & Robert Schultz Harvey Rislow Mrs. Renata Rislow Elizabeth “Betty” A. Ritter Lynn & Mark Englund Carl & Emily Rohrer Mr. & Mrs. John Rohrer Lillian Rohrer Family & Friends Everett Rose Friends & Family Yvonne M. Tindal Daniel G. Rukavina Winona National Bank Constance Rynkowski Mr. & Mrs. Steven Symitczek Dorothy Schmanski Mrs. R. E. Miesbauer Neva Schott Mr. Al Hajicek Charlotte Schroeder Ms. Gloria Siewert John J. Schuh – Happy Father’s Day Mrs. Cecilia Schuh Sophia Schuh – Happy Mother’s Day Mrs. Cecilia Schuh George Schultz Sharon Budnick Harold Schultz Ms. Shirley Mounce Joan M. Sieracki Mr. Anthony Hassinger

Rose Sikorski Mrs. Jeanne Boller Mary Breza Mr. & Mrs. Bob Olson Dorothy Skime Lynn & Mark Englund Kasorn Sornmoonpin Ms. Carol J. Blumberg Margaret Spencer Ms. Genevive Bartz Mr. & Mrs. David Dornfeld Mr. Douglas J. Emanuel Mr. & Mrs. David Fratzke Dr. & Mrs. Scott Hannon Dr. & Mrs. Gary W. Hayes Mr. Mike Herzberg Mr. & Mrs. James Jabrosky Ms. Phylliss Mae Johnson Mr. Eugene Kaehler Mr. & Mrs. James S. Theis

Making holidays bright Winona Health Foundation’s Tree of Lights campaign makes the holidays brighter for families caring for loved ones with terminal illness. Last year, the campaign’s 17th, $50,789 was raised from 1,628 generous families and individuals. Funds from the Tree of Lights allow families to receive Hospice services who may not otherwise be able to afford them. The donations also are used to purchase medical equipment needed by Hospice patients.

Winona National Bank Bill Wissman Richard Spielmann Pam & Al Mueller LeMar Steber Mr. & Mrs. Vayden Anderson Anonymous Mr. & Mrs. Robert Deter Downtown Dental Jim & Shirley Engbrecht Sandy & Don Evanson Mr. Edward J. Lelwica Mr. & Mrs. Dave Peplinski Pleasant Green Townhouse Association Mrs. Dolores Steber Mr. & Mrs. Robert Strauss Ruth Stettler Virginia Harris Leona Styba Ms. Doris Girtler

“The generosity from those who make donations to the Tree of Lights campaign have transformed the lives of Hospice patients and their families,” said Sheila Skeels, Hospice social worker. Hospice provides end-of-life care. Staff and volunteers help patients and their families cope and adapt with their situations by providing physical, emotional, social and spiritual support.

Joyce Tamlyn Community Memorial Hospital Janet Tepe Ms. Mary Amundson Mr. & Mrs. Jerry Bierstedt Mrs. Betty Breitenfeldt Marion Carroll Mr. & Mrs. Michael Casto

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Meeting diversity needs Support from the Winona Health Foundation allowed Community Memorial Hospital’s Family Birth Center (FBC) to offer its first Spanish Prenatal Class in 2005. With the collaboration of Project FINE, Hispanic families were invited to attend the birthing class offered by FBC nurses. Project FINE provided transportation and an interpreter to assist with communication. Twelve Hispanic families attended this two-day prenatal class and learned about pain control, prenatal care and the father’s role in delivery. Participants watched a Spanish birthing video and were given educational materials provided in Spanish.

“Having a baby can be an overwhelming experience for anyone,” said Tweety (Amparo) Oevering, RN and Staff Training Instructor for the FBC. “The goal of this class was to educate and inform our Hispanic community members that we are here, increase their awareness of the childbirth process and ensure they receive the best birthing experience.” Pictured above: Tweety (Amparo) Oevering, RN, Staff Training Instructor for the FBC.

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Mr. & Mrs. George Cipov Mrs. Jean Dettman Mr. & Mrs. Gerald Dolentz Joyce Ehlers Dr. Jim & Gretchen Erwin Mary E. Farrell Ms. Lorraine Flattum Ms. Deloris Franer Frank Family Trust Jim, Kristen, Alex & Aron Franzwa Dr. & Mrs. Calvin Fremling Mr. & Mrs. Ken Friday Mr. & Mrs. Tom Graham Mr. & Mrs. Gary Grob Mr. & Mrs. Marvin Gunderson Mr. & Mrs. Vernell Jackels Mr. & Mrs. Marc Jaworski Mr. & Mrs. Donald Kalmes Mr. & Mrs. A. R. Keiper Miss Maggie Lambert Ms. Susan Lenz Mr. & Mrs. Richard Lindner Jessie & Kathy Maynard Robert C. & Mary K. McMahon Mr. Lee P. Newman Mr. & Mrs. Gerald Olson Darrel & Lorraine Poffenberger Mr. & Mrs. Robert Roth Mr. & Mrs. Ronald Ruben Mr. & Mrs. Eugene Schmidt Bob & Rosemary Shoup Mrs. Lillian Spencer Mr. & Mrs. William Stevens Mr. & Mrs. Jack Taylor Mr. & Mrs. Eugene Tepe Mr. Kenneth Tepe Mr. & Mrs. Richard Twait Mrs. Connie Wood Thomas N. Thackeray Mr. & Mrs. Michael Allen Rachelle & Robert Schultz Rosella Theis Mr. & Mrs. Richard Barnholtz Mr. & Mrs. Nicholas Gulden Mrs. Jean Kinzie Mrs. Rosemary Winczewski Felicia Thilmany Sharon Budnick Lois E. Czaplewski Richard Vessey Dr. & Mrs. John D. Rowekamp Winona Health Surgery Staff

Edward Vetsch Rick & Julie Galewski Kermit Hanson Betty Waldo Sharon Budnick Betty Walsh Mr. & Mrs. Bob Winestorfer Myrtle Walsh Mr. & Mrs. Brad H. Benke Walt & Bunny Bennick Ms. Joy M. Buehler Dr. & Mrs. David A. Christenson Jim Danneker Friends & Family Mr. & Mrs. Warren Galbus Rick & Julie Galewski Mr. & Mrs. Bob Leaf Ms. Beth Nelson Mr. & Mrs. Reents Dr. & Mrs. John D. Rowekamp Dr. Charles & Judy Shepard Wayne & Kathleen Shustrom Mr. & Mrs. Frank Soltesz Mr. & Mrs. Eldon Thomas Stanley Wanek Connie R. Duff Family & Friends Carol Snidarsic Mrs. Eleanor K. Woodworth Benedict Wehlage Mrs. Joan Wehlage David F. Wicka Ms. Shirley Mounce Mary Ann Wilson Marian Vanderzee Randy Winestorfer Ms. Lois Erwin Ms. Dorothy Paskiewicz Mr. & Mrs. Scott Tolleson Irene Witt Larry & Christine Stoltman Alex Yard Mark G. & Joan M. Anderson Dr. & Ms. Danning W. Bloom Dr. & Mrs. Frank Bures Ms. Kathleen A. Carroll Dr. & Mrs. David A. Christenson Emilio Degrazia & Monica Drealan Degrazia

First Congressional District DFL Mr. & Mrs. David M. Griffin Mr. Kevin Ryan & Ms. Heidi Guenther Ryan Mr. & Mrs. Thomas Hogan Mr. Joseph M. Jackson Mr. & Mrs. Roger Kline Mr. & Mrs. Bob Leaf Ms. Lori A. Lisowski Ms. Shirley Mounce Mr. & Mrs. Will Oberton Mr. & Mrs. Richard Pflughoeft Dr. Ann Sawyer & Mr. Neil Sawyer Mr. Randolph J. Schenkat Kathy Seifert & Robert W. Pflughoeft Wayne & Kathleen Shustrom Ms. Beverly Spande Ed Yarolimek Myles Vaughn Jerry L. Young Sharon Budnick Mr. & Mrs. Gary Grob Dorothy Zabinski Nancy & Joseph Bill Ms. Linda Romme Mr. & Mrs. Robert Smoldt David Zeichert Mr. & Mrs. Bert A. Schaffner

Gifts in Kind Ms. L. Susan Anthoff Mr. Stanley Bambenek Ms. Darlene M. Beckers Ms. Jeanette Borger Michael Breza Ms. Ruth Chavez Mr. & Mrs. Rueben Ellinghuyson Ms. Vicki Englich David & Carole Forest Ms. Beth Forhan Mr. Steven Friese Ms. Anita Gady Judy Gerdes Frances Grover Mr. Robert A. Heftman Mr. Nelson Helland Hiawatha Valley Marines Rita Husman Ms. Helen Kanthack Brianna & Riley Koop

Ms. Amelia Nichols Mr. & Mrs. Dick Niemeyer Dr. Lyelle & Mary F. Palmer Ms. Dawn Papenfuss Mr. William Prill Mickey Spencer Mr. Milton Spencer, Jr. Ms. Ruth Steinfeldt Ms. Angie Stricklin Mr. Kenneth Tepe Ms. Eileen Todd Mr. Elmer Todd Ms. Darlene Troke VanGundy Elk Farm WSU College of Business Student Advisory Board WSU Student Athlete Advisory Committee

Contributions to the Winona Health Auxiliary Contributors Al Hajicek

Happy Occasion In honor of Rev. Willard & Beverly Allin Pauline & Harland Knight Dr. Horace J. Andersen Dr. Jim & Gretchen Erwin Carole & David Forest Jo & Jerry Stejskal Art & Marion Cunningham – Happy Anniversary Tom & Peg Graham Marion Cunningham – 90th Birthday Carol & Harold Schuh Bob & Rosemary Shoup Erika Gilbertson – Happy Birthday Peg & Tom Graham

Bryce & Debbie Maus – Wedding Genevieve Kulas Bettie Raciti – Happy Birthday Roy & Sally Nasstrom James V. Testor – Happy Birthday Dr. Jim & Gretchen Erwin William Wieczorek – Happy Birthday Peg & Tom Graham

Michael Gostomski Peg & Tom Graham Bob & Rosemary Shoup Marlene Halliday – 50th Wedding Anniversary Mr. & Mrs. John W. Sullivan Helen L. Haun Deb & Bob Leaf LaVern Hauschildt – Happy Birthday Dr. Jim & Gretchen Erwin Carol A. Hill Dr. Jim & Gretchen Erwin Ramona & Roger Metz

Thomas Henderson Mr. & Mrs. R. Peter Roehl Shane Hester Dr. Scott & Kathy Turner Carroll Hopf Mr. & Mrs. Norris Abts Mrs. Jean Kinzie

Loyel Hoseck Bill Wissman – 80th Birthday Mrs. Peggy Carroll Bob & Rosemary Shoup Donald Knapik Mrs. Ethel Knapik

Remembrance Fund Goldeane L. Andresen Mrs. Don Walz, Sr. Catherine “Katie” A. Bell Mr. & Mrs. Jeffrey Prenatt

James L. Bell Bob & Erika Gilbertson 50th Wedding Anniversary Dr. Scott & Kathy Turner Dr. Jim & Gretchen Erwin Vera A. Browne Julie Gardner Deb & Bob Leaf Peg & Tom Graham Dr. Jim & Jenny Kahl

Fern Greshik Tom & Peg Graham Dr. Jim & Jenny Kahl Mr. & Mrs. Don Thaldorf

Roger Connaughty Mr. & Mrs. Alan Nelson Dr. Scott & Kathy Turner Marion J. Deeren Mr. & Mrs. Vincent Ashelin Ethel Douglas Mr. & Mrs. Vincent Ashelin

Beatrice Knuesel Dr. Scott & Kathy Turner Elmer Kohner Bay State Milling Company Employees Sylvester Kraemer Dr. Scott & Kathy Turner Pat Kronebusch Mr. & Mrs. Alan Nelson Richard E. Kulas Mrs. Don Walz, Sr. Norman A. Kurtz Winona Health Auxiliary Margaret Ledebuhr Mr. & Mrs. Vincent Ashelin

Ruth Driemeyer Minton Mr. & Mrs. Jeffrey Prenatt

Millie Linden Mrs. Ethel Knapik Mrs. Eleanor K. Woodworth

Alan Eggen Dr. Scott & Kathy Turner

Ruth Losinski Mr. & Mrs. Stan Wachowiak

Therese Feiten Mr. & Mrs. Alan Nelson

Betty MacMillian Anne D. Ferguson Mrs. Mara Repinski Winona Health Auxiliary

Steven Finch Joe & Connie Duff

Willard Matzke Mrs. Lois Matzke

Vernell “Nellie” Mikrut Robert A. Kierlin & Mary Burrichter Emma Milbrandt Mr. & Mrs. Vincent Ashelin Erma Miller Gloria & Randy W. Miller Robert E. Mueller Carol & Jim Hill Von Mueller Mrs. Vera Mueller Craig A. Nelson Mr. & Mrs. Alan Nelson

Auxiliary volunteers support Winona Health The Winona Health Auxiliary works to support the good work of Winona Health through a variety of activities and events – including Holiday Happiness, Fantasy of Trees, the Glady Miller Gift Shop and more.

Pat O’Connor Mr. & Mrs. Alan Nelson Millie Pellowski Loretta & Mark Bronson Julie Kosidowski Kathleen Lanik William Reinarts Sr. Mr. & Mrs. R. Peter Roehl Wendy Retzinger Mr. & Mrs. Phillip L. Anderson Bob Bambenek Chuck & Barbara Bass Ms. Sally Beck Mr. & Mrs. Butch Beier Mr. Thomas Bell Mr. Henry Benke Walt & Bunny Bennick Mr. & Mrs. Darrell Berge Mr. & Mrs. Michael Bernatz Dr. & Mrs. Scott Birdsall Ms. Anne Borkowski Louie & Mary Born Bourne Medical Service, Inc. Mr. & Mrs. Darrin Brand Dan & Theresa Brendel Mitchell & Cristi Brink Mr. & Mrs. Conrad Brom Mrs. & Mr. James Brown Mr. & Ms. Marlin Bublitz Ms. Joy M. Buehler Ms. Roberta Bumann James & Ruth Carroll Mr. Ray Cenfield

In addition, the Auxiliary receives gifts to celebrate happy occasions and to memorialize loved ones. The names listed in this section reflect gifts made between October 1, 2004 and September 30, 2005 to the Winona Health Auxiliary’s Happy Occasion and Remembrance Funds.

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Patients benefit as Auxiliary puts the fun in fundraising Winona Health’s Cardiac rehabilitation patients are among the many who benefit from the Winona Health Auxiliary. This year, proceeds from their Birthday Ball helped purchase a wireless telemetry system to allow cardiac rehab specialists to monitor a patient’s vital signs during exercise. “It’s an extremely valuable assessment tool for patients who’ve recently had a heart attack or other surgery,” said Lynn Sprain, Winona Health’s cardiopulmonary rehabilitation coordinator.

In addition to the Birthday Ball, the Auxiliary presents the Follies, a variety show held every two to three years. Proceeds funded the new Patient Channel, a syndicated television service providing health-related programming to patients at Community Memorial Hospital and residents of Lake Winona, Adith Miller and Roger Metz manors. “The Auxiliary has provided so much over the years. We appreciate the dedication and hard work of all our volunteers,” said Autumn Herber, volunteer services coordinator. Pictured above: Donald Kalmes exercises while his heart rhythm is monitored using a wireless telemetry system.

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Mr. & Mrs. Mike Cichanowski Cathy Cieminski Ms. Lynne Clarke Ms. Faye Conners Tarah Corey Dr. & Mrs. Craig Crismon Robert J. Czaplewski Dr. & Mrs. William E. Davis Mr. & Mrs. Henry Deblon Dr. & Mrs. Daniel Degallier Ann & Jim Drier Mark & Brenda Edwards Mr. & Mrs. Roger Eichman Lynn & Mark Englund Mr. & Mrs. James M. Erickson K. & P. Erickson Dr. Jim & Gretchen Erwin Eye & Vision Clinic Family & Friends Mr. & Mrs. Glen Feine Dr. & Mrs. Arnold W. Fenske Mr. & Mrs. Marvin Fenske Mr. & Mrs. Earl Fort Holly Fratzke Judith Freeman Mrs. Evelyn Fuglestad Mr. Terence Full Rick & Julie Galewski Judy Gerdes Rand & Julie Gettler Ms. Doris Girtler Mr. & Mrs. Allen Glodowski Goltz Pharmacy Ms. Debra Gordon Cecilia & Randall Gotz Gail & David M. Griffin Gerald & Maria Grunz Patricia & Cletus Hanson Doug & Mary Harms Mr. & Mrs. Charles R. Haugh Daniel Hauser & Cindy Steinfeldt June & Ron Hawley Mr. & Mrs. Ron Helmers Mr. & Mrs. James Herbert Mr. & Mrs. Gordon Heydt-Nelson Carol & Jim Hill Mr. & Mrs. Jerry Hise Hoff-Burke Funeral Home Mr. Robert Hoodecheck & Dr. Suzanne Jelense Jim & Marylou Hurley Duane & Linda Hutton Irene Jenelle Jacobsen Dana & Phoebe Johnson Troy Jurgenson & the entire Pfizer Pharmaceuticals Team

Jeff & Brenda Kanz, Joel, Tiffany & Madison Kanz Chan-Wung Kim Mr. & Mrs. William Klinger, Jr. Mr. & Mrs. Raymond Knutsen Mr. & Mrs. Edward Kohner Ms. Marie Kowahl Mr. & Mrs. Keith Krings Mr. Thomas Krueger La Crosse Pharmaceutical Rep Assoc. John & Edythe Larimer Tom & Linda Lilla Mr. Greg & Dr. Rebecca Lossen Mr. & Mrs. Robert Lubinski Mrs. Evelyn Luinstra Mr. & Mrs. Eric Lundhagen Mr. & Mrs. Larry Luttmers Deb & Sean Malay Stacey & Jerome Marg Ms. Helen Marsolek Dr. & Mrs. Mark L. Martin Ms. Kelli May Donna McBride Dan McGill Ms. Liz McGrory Mr. & Mrs. William A. McNally Ramona & Roger Metz Greg, Kathi & Nicole Meyer Mr. & Ms. Terry Meyer Dr. Ruth & Mr. James Moes Paul Molling Mr. & Mrs. Bruce Morken Pam & Al Mueller Gerald & Patricia Neal Ms. Janice Neitzke Mr. & Mrs. James H. Nelson Kathleen & Ronald Northrup Mr. & Mrs. Kim O’Laughlin Ms. Ann Olson Mr. & Mrs. Timothy Palubicki Parkview Pharmacy Joyce Peckover Casey Peterson Ms. Cheryl Peterson Don & Donna Peterson Judge & Mrs. Duane Peterson Ms. Kathie Peterson Mr. & Mrs. Robert H. Peterson Pfizer, Inc. Mr. & Mrs. Lawrence Pflughoeft Ms. Carol Pickart Pickwick First Responders Mrs. Alison Plemmons Mr. Douglas Potter Mr. & Mrs. Jeffrey Prenatt Miss Pearl Prudoehl

Ms. Joan Przytarski Mr. & Mrs. Michael J. Pulk The Radiology Staff Bruce & Mary Reeck Ms. Pauline Retzinger Dr. Thomas Retzinger & Family Mrs. Alice Richer Mr. & Mrs. Dave Ritter River Hills Dental Mr. & Mrs. R. Peter Roehl Paul Roemer Mr. & Mrs. Denis Rollmann Dr. John D. & Mrs. Betsy Rowekamp Kim & Sandy Sackreiter Carol & Thomas Sauerer Leann & Ervin Schreiber Mr. & Mrs. Donald Schultz Kathleen Seery & Bart Butler Mr. & Mrs. Loyley Seifert Semcac Family Planning Clinic Staff & Friends Betty J. Senty Mary Ann & Tom Severson Dr. Charles & Judy Shepard Mr. & Mrs. Darin Shepardson Tom & Gloria Siewert Mr. Albert W. Smith, Jr. Mr. & Mrs. Eric Sorensen Mr. Ryan Sorensen Mr. & Mrs. Richard Speltz Mr. & Mrs. David Spies Cindy Steinfeldt Surgery & Anestheia Departments Tamke Mobile Home Park Mary & William Teska Bob & Pam Teskey Ms. Linda Theis Lynn & David Theurer Mr. & Mrs. Gerald M. Thomas Mr. & Mrs. Tom Thompson Yvonne M. Tindal Dr. & Mrs. Scott V. Turner Harriet & Margaret Tweedy Ms. Peggy Vanderwerf Cheryl Vaughn Mr. & Mrs. Matt Vetter Mike & Linda Wadewitz Family – Ryan, Leah & Bret Waumandee State Bank Mr. & Mrs. Warren Wenner Western Buffalo County Ambulance Squad Mr. & Mrs. David Wickstrom Mr. & Mrs. Stanley Wilma Dr. & Mrs. Thomas M. Wilmot

Winona Agency Winona Family Foot Care WINONAChoice Bill Wissman Mr. & Ms. Terry Witt Mr. & Mrs. Jim Wood Mr. & Mrs. David Ziegeweid Mary Schaefer Mrs. Don Walz, Sr. Martha Stewart Coleman Mr. & Mrs. Jeffrey Prenatt Scott Streater Carol & Jim Hill Janet Tepe Mr. & Mrs. Jeffrey Prenatt Rosella Theis Genevieve Kulas Tiki Walz Mark & Brenda Edwards Dr. Jim & Gretchen Erwin Stanley Wanek Carole & David Forest Deb & Bob Leaf Mrs. Dorothy Losinski Mr. & Mrs. Francis Losinski Don & Donna Peterson Dr. Scott & Kathy Turner Mr. & Mrs. Stan Wachowiak Winona Health Auxiliary Joan W. Wolfe Tom & Peg Graham

Our Vision

To create an exceptional healthcare organization designed to meet the current and emerging healthcare needs of our community. Our Mission

Winona Health is devoted to improving the health and well-being of our family, friends and neighbors.

Winona Health Affiliates Community Memorial Hospital 855 Mankato Avenue Winona, MN 55987 507.454.3650 Lake Winona Manor Nursing Home 865 Mankato Avenue 507.457.4366 Watkins Manor Assisted Living 174 East Wabasha Street 507.494.7400 Adith Miller Manor Memory Care Residence 885 Mankato Avenue 507.454.0719 Roger Metz Manor Memory Care Residence 875 Mankato Avenue 507.452.7636 Hospice & Home Care 175 East Wabasha Street 507.457.4468 Parkview Pharmacy 825 Mankato Avenue 507.454.4925 Winona Health Foundation 855 Mankato Avenue 507.457.4342 Physician Clinics: Rushford Clinic 212 South Mills Street Rushford, MN 55971 507.864.7726 Allergy & Asthma Occupational Health Urgent Care 285 Mankato Avenue, Suite 114 507.474.7830 Mental Health Services 825 Mankato Avenue, Suite 214 507.454.2606 Note: All affiliates are located in Winona, MN 55987 unless otherwise noted.

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Winona Health Values  Integrity: We accept personal accountability for all that we say and do.  Compassion: We serve our clients and each other with dignity and respect ensuring the overall well-being of each person.  Family: We recognize the integral role of family in our lives and strive to build relationships that meet our personal and professional needs.  Spirituality: We value the spiritual dimension of health and well-being and encourage balance of mind, body and spirit in our daily lives.  Excellence: We are a learning organization committed to the pursuit of excellence and innovation across our organization.  People: We are an organization of individuals who recognize and celebrate our diversity but we build on the strengths of each of us to create a stronger team.  Environment: We strive to create a safe, healing, mutually respectful and satisfying environment where each person can share their gifts and talents.  Communication: We endeavor to keep our communications open and honest in our dealings with patients, each other, physicians and the community.

Nonprofit Org U.S. Postage PAID Winona, MN Permit No. 72 855 Mankato Ave. Winona, MN 55987