Winona Health 2008 Annual Report

Our Vision

To be a recognized leader in the revolutionary transformation of community healthcare.

Our Mission Devoted to improving the health and well-being of our family, friends and neighbors.

Our Cornerstones These cornerstones are the key success factors that support our mission and define our strategic planning initiatives: • Customer Focus: To exceed customer expectations • People: An environment where people can realize their full potential • Care and Service: Excellence and leadership in clinical care and service • Stewardship of Resources: To balance mission and healthcare costs

Our Values

• Integrity: We do no harm • Service: We serve with compassion, dignity and respect • Loyalty: We build relationships that exceed expectations • Excellence: We improve performance through learning and innovation

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Table of Contents From the President/CEO | 4 From the Winona Health Board Chair | 5 Winona Health Board of Directors | 6 OUR CORNERSTONES Customer Focus: Urgent Care Helps Get You on Your Way | 8 People: Countless Opportunities Make a Difference in Lives | 9 Care and Service: Thank You, Lake Winona Manor | 10-11 Stewardship: Healthy Kids, Healthy Communities | 12 OUR 2008 ACCOMPLISHMENTS Customer Focus | 14-15 People | 16 Care and Service | 17-18 Stewardship | 18-19 FROM THE COMMUNITY, FOR THE COMMUNITY From the Winona Health Foundation Board Chair | 22 Donors | 23-37 Choose to Leave a Legacy | 24 Appreciating Guardian Angels | 27 Thank You, Winona Health | 28 A Legacy That’s Truly a Gift | 33 Financial Report | 38 Community Benefit Report | 39

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FROM THE PRESIDENT/CEO

Committed to serving the community’s healthcare needs The past year held many opportunities and many challenges for all of us at Winona Health, and I wouldn’t trade it for anything. The Winona Health and Winona Clinic merger secured the future of unified, progressive and strong community healthcare. The merger resulted in significant changes, which have led to positive, “patient-centered” outcomes. We continually evaluate how we provide services, striving to understand our services from your perspective so we can do the best for you! And doing the best for you also means recruiting and retaining stellar providers. We count our blessings for the high caliber of providers we have in Winona, including the 17 new providers who joined us in 2008 alone. They are committed to serving our community’s healthcare needs -- a commitment Winona Health has had for 114 years.

Rachelle H. Schultz President/CEO

Our future remains bright because of the dedication of the medical staff, the staff, volunteers and our board members to ensuring high standards of care and compassion in our daily work.

While our opportunities were plentiful this past year, we also had our share of challenges. It is in these challenging times, I believe, that we see what we are made of -- what values we hold dear. At Winona Health, we have held steadfastly to our values and mission of serving our community’s healthcare needs -- and they will guide us as we enter 2009. I look forward to 2009 with anticipation, knowing that it will be full of challenges and opportunities requiring even more innovation and collaboration. Our future remains bright because of the dedication of the medical staff, the staff, volunteers and our board members to ensuring high standards of care and compassion in our daily work. On behalf of all of us at Winona Health, I extend our deepest gratitude for your support and patronage. Winona Health remains committed to an exceptional level of performance in meeting your healthcare needs, assisting you to maintain your personal health and well-being, and stewarding our role in the community to sustain the health and well-being of us all. Warm regards, Rachelle H. Schultz President/CEO

WINONA HEALTH SENIOR LEADERSHIP TEAM Rachelle H. Schultz

Nancy Brown

Kathleen Lanik, RHIT, CPHQ

Charles Shepard, MD

President/CEO

Executive Director of Development

Chief Quality and Safety Officer

Medical Director, CMH

Mike Allen

Sara Gabrick, RN, MSN

Brad Lenertz

Chief Financial Officer

Chief Nursing Officer

Administrator, Winona Health Physician Clinics

Loretta Bronson

William Gould

Mary Miller-Hyland, RN

Chief Communications Officer

Chief People Resources Officer

Administrator, Winona Senior Services

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FROM THE BOARD CHAIR

Winona Health, Winona Clinic and the families we serve—Healthy Together No item discussed this year by the Winona Health Board of Directors was more important to the long-term sustainability of our community’s healthcare system than the Winona Health-Winona Clinic merger. The merger represented a huge task and a wonderful step forward. And, as I think about all the highlights of another exciting year, I realize (although I have said it before) that topping this one isn’t likely for a long time. Not all that long ago, the thought of the clinic and hospital merging was, in the minds of most--certainly mine--an insurmountable hurdle. But during the recent past, the two organizations found more to talk about and more to collaborate on. Gary W. Evans More and more the officials of each organization recognized that our worlds were inextricably linked. And more and more we realized, too, that as a united organization we could be far more effective in making certain that Winona--for generations to come--will be served by a strong and progressive healthcare system. While the merger, I believe, was a critical step in creating a brighter future for healthcare in Winona, the work is far from complete. In fact, there is much to be done, led by the issue (provider recruitment) that first brought us together. We definitely need more providers--more doctors--and I firmly believe that recruiting for them as a new, enlarged and enhanced organization makes our appeal stronger. Already that is being demonstrated by recruiting successes. The merger occurred on January 1, 2008. The fact that we made that deadline was a magnificent piece of work by the employee leaders of Winona Health and the Winona Clinic. And since then staff at our newly integrated health system continue to work at fully integrating services. As board members, we applaud the efforts being undertaken by staff, because we know they will result in greater focus on what is key to all of us--our patients and their healthcare needs.

Board Chair

...we realized, too, that as a united organization we could be far more effective making certain that Winona will be served by a strong progressive healthcare system.

The Winona Health-Winona Clinic merger embodies the theme of this year’s annual report: Healthy Together. Together, Winona Health--its physician clinics, hospital and senior services--are positioned to meet this community’s healthcare needs for years to come. Yes, it was a terrific year…a year that will benefit Winona area residents for decades to come. Sincerely, Gary W. Evans Board Chair

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WINONA HEALTH BOARD OF DIRECTORS

Winona Health’s Board of Directors has primary responsibility for developing and following the organization’s mission and vision.

Paul Ballweg

Scott Biesanz

Scott Birdsall, MD

Matt Broghammer, DO

Director

Director

Director

Director

Vicki Decker

Gary Evans

Richard Ferris, MD

Joseph J. Greshik

Director

Chair

Director

Director

Herb Highum

Mark Jacobs

Hugh Miller

Ken Mogren

Director

Director

Director

Director

Daniel Parker, MD

Rachelle H. Schultz

Kim Schwab

Mark Wagner

Jack “Butch” Walz

Director

President/CEO

Director

Director

Director

Their dedicated, compassionate leadership defines and supports Winona Health’s role in providing outstanding healthcare services to our community.

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Winona Health Community Report 2008 |

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WINONA HEALTH - CORNERSTONES CUSTOMER FOCUS

Urgent Care helps get you on your way Amy Christianson, NP, examines a patient at the Winona Health Urgent Care Clinic. Sonya Kratch, medical lab technician (above right) at the Winona Health Urgent Care Clinic, examines a lab test. The Urgent Care Clinic is open seven days a week.

At Urgent Care, you go in, see a provider and you’re on with life.

Kayaking, muskie fishing, traveling – the last thing this active 63-year-old has time for is not feeling well. That is why L.E.* is grateful for Winona Health’s seven-day-a-week Urgent Care Clinic. Since the Urgent Care Clinic opened its doors at Sarnia Square in the fall of 2007, L.E. has relied upon the staff at the Clinic twice, and this Fountain City resident said she has received excellent care. “They relate to you real well when you’re not feeling well,” L.E. said. “That’s a nice thing to have.” During its first year providing seven-day-a-week services, the Urgent Care Clinic provided care to a total of 18,167 patients. “Urgent Care has been a wonderful addition to our community. Being able to provide non-emergent healthcare seven days a week has allowed Winona Health to be able to serve the needs of our patients,” said Marie Luhmann, director of clinical operations for specialty care. “Seeing these kinds of numbers makes you realize there was a void that needed to be filled in our community.” Being a resident of the Winona area most of her life, L.E. sees great value in Urgent Care. “The Emergency Room is a necessity for those who need that level of care,” L.E. said. “But if your illness isn’t that serious, the last thing you want to be doing is sitting in the Emergency Room. At Urgent Care, you go in, see a provider and you’re on with life. ” Luhmann agrees. “If you or a loved one is not feeling well, it’s a great place to have your needs addressed quickly. We are very pleased to be able to offer this service in a community of this size.” As for L.E.’s future, she is on a quest to catch her first muskie – she has the spot on her wall all ready for the “big one.” “I want to be able to do everything while I can,” L.E. said. “I hope I don’t need Urgent Care again, but if I do, it’s reassuring to know that Winona Health is there when I need them.”

*Name is withheld upon request.

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WINONA HEALTH - CORNERSTONES PEOPLE

Countless opportunities make a difference in the lives of others For Helen Bagshaw, CCRN, moving to Winona from England was not a typical decision for a family of six with teenaged children. However, the opportunities it has provided are beyond what she imagined, especially her decision to work at Winona Health. “If you had told me five years ago that I’d have had all these opportunities, I would not have believed you,” Bagshaw said. “Winona Health is friendly, progressive and has fulfilled my personal needs as a working mother of four as well as my educational needs.” In addition to growing in her career, Bagshaw has made a difference in the lives of those around her. She earned her certification in critical care nursing, is a mentor for area nursing students from Minnesota State College-Southeast Technical and Winona State University, helps conduct new employee orientation and is a First Aid/CPR and non-violent crisis intervention instructor. Bagshaw was honored by her Winona Health peers with a Living Service Excellence award in 2007. “Those I work with inspire me to provide the best service I can,” Bagshaw said. “My message to those around me, and especially to nursing students, is that patients may not remember the technology or treatment regiments they received, but they remember if people were kind, if they listened and if they cared. The focus is always on the patient,” she added. Last spring, Bagshaw helped facilitate a new patient-centered initiative in the hospital’s Intensive Care Unit. Through extensive research she learned that patient recovery time improved by providing them with two uninterrupted hours of quiet time each day. The department designated 2 - 4 p.m. as quiet time, during which only necessary interruptions and activities occur. “We’ve received a multitude of compliments from patients and families on having the quiet time,” said Robin Hoeg, director of inpatient services. “Helen’s efforts on this initiative are truly appreciated by all of us.”

Helen Bagshaw, CCRN (standing, right), appreciates those she works with every day. “I care for our patients with an excellent team of professional co-workers who support and respect each other,” Bagshaw said.

My message to those around me, and especially to nursing students, is that patients may not remember the technology or treatment regiments they received, but they remember if people were kind, if they listened and if they cared. The focus is always on the patient.

Continued learning and giving back to others is truly what Bagshaw is all about. “Caring for others is so important,” Bagshaw said. “The most rewarding part of my job is having the chance to learn, improve and provide quality care to the people I live and work with every day.”

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Former Lake Winona Manor resident, Lorraine Untiet, celebrated her husband Merlin’s 90th birthday with their children Karen, Larry, Linda, and Janet.

As a family we have all been impressed with the level of compassion and commitment you have for both our mother and dad... we’ve experienced that compassion first hand...

Dear Staff (and now friends) of Lake Winona Manor, Merlin, Larry, Karen, Linda and I want to thank you for your love and care for our mother Lorraine all these years. As a family, we have all been impressed with the level of compassion and commitment you have for both our mother and dad. And we’ve experienced that compassion firsthand as we learned to let go of mom for her benefit. If we listed each kindness you have shown, this letter would get extremely lengthy. Suffice it to say… ~ We noticed the extra minutes someone took to fix mom’s hair just right, arrange her lap blanket, pin on a brooch, or choose socks to match her skirt. ~ We noticed when someone made sure that she had the food she liked, that her laundry was put carefully away and her plants were watered. ~ We noticed the time many of you took to be sure mom got to bingo or dad got a wheelchair ride to and from his car.

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WINONA HEALTH - CORNERSTONES CARE AND SERVICE It will always remain a very special memory to us girls the ways you cared for mom through the night hours those last few days. As we came in and out of sleepy consciousness, we learned about you and from you how to care for someone with dignity and tenderness even when she could no longer respond. Thank you for all of your time and energies devoted to our family -- for answering a myriad of questions, for getting us resources, for trying new things to provide for mom’s care. “Thank you” is not sufficient. No words in the English language are. Go home tonight and call your moms and tell them you love them. Take care of “old business” while you have them. And if your mom has already passed, then hug your kids! ~Janet E., Rochester, MN *From a letter received by Lake Winona Manor

Many hands and hearts care for patients, residents and their families at Winona Health.

Lorraine Untiet celebrated her 82nd birthday at Lake Winona Manor.

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WINONA HEALTH - CORNERSTONES STEWARDSHIP

Destiny, age 9 (above), pictured (right) with mom, Tammy, and brother, Andon, ran her first race, the Goodview Gallop, in July 2008.

Healthy Kids, Healthy Communities As part of our stewardship efforts, Winona Health works to improve the community’s health status. In 2008, we launched the Healthy Kids Club to encourage children age 6-11 to make healthy lifestyle choices. Meet Destiny….a happy and healthy nine-year-old who enjoys being active with her family and often helps her mom plan family meals.

I really like journaling and the games in the journal were fun.

Destiny is one of the many children involved with Healthy Kids Club, a collaborative effort organized by Winona Health in partnership with area schools and other community organizations. Destiny attended the Club’s kickoff event on October 13, 2007, after learning about it through her physical education teacher. “I really liked all the activities at the kick-off event--especially the Ironman inflatable. And I remember the tobacco booth because it made me realize how bad smoking is for you,” said Destiny. At the event, she received a free Wellness Journal, thanks to the Winona Health Foundation, to track her eating and exercise habits throughout the year. “I really like journaling and the games in the journal were fun,” Destiny noted. “I learned that it’s better to make healthy choices because it gives me more energy.” In July of 2008, Destiny ran her first race, a 2K in the Goodview Gallop. She said she’s also replaced some of her lunchtime snacks with healthier choices like Fiber One bars. Destiny said, “I’m excited to attend more Healthy Kids Club events and start my new Wellness Journal!” Destiny’s mom, Tammy, feels good about Destiny’s involvement in Healthy Kids Club as well. “The mission of Healthy Kids Club is a positive one for both kids and adults. As a parent, I can teach my children to be healthy, but Healthy Kids Club reinforces our message and engages kids and gets them involved and thinking about being active and healthy at a young age.”

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Winona Health Community Report 2008 |

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OUR ACCOMPLISHMENTS

Key2008 Initiatives

Cornerstone #1:

Customer Focus Strategic Objective #1: Anticipate and exceed patient and resident needs and expectations

WINONA HEALTH-WINONA CLINIC MERGER Goal: Integrate Winona Health and Winona Clinic processes to achieve the shared goals of improved community access to healthcare, successful physician recruitment and growth in healthcare services

• Based on customer feedback, Winona Health launched a new paper satisfaction survey in October 2008 for its clinics, hospital and senior services.

On January 1, 2008, Winona Health and Winona Clinic merged, creating a unified organizational structure. Since then, several support departments have integrated, including clinic billing, transcription, credentialing and switchboard services, and others are working on integration, including laboratory services. In addition, both organizations continue to focus on improving systems to benefit patients, as demonstrated by combining clinic patient registration and check-in processes. Most importantly, the merged health system has recruited a record number of providers in 2008, including physicians, nurse practitioners and physician assistants. Adding these new providers allowed for expansion of hours in the Urgent Care Clinic and additional appointment availability in Family Practice, Pediatrics, Internal Medicine and the Center for Women's Health.

• Assisted living residents and their families were 100% satisfied with overall services received at Watkins, Adith Miller and Roger Metz Manors.

COMPUTERIZED PROVIDER ORDER ENTRY (CPOE) Goal: Deploy fully Computerized Provider Order Entry (CPOE) in all Community Memorial Hospital (CMH) clinical departments

• Overall patient satisfaction in the hospital’s Behavioral Health unit was a 2.69 on a 3-point scale.

A team of physicians, nurses and other healthcare providers worked throughout the year to deploy CPOE in all CMH departments, after its successful pilot in the Emergency Department last year. Nationwide, only 5% of all hospitals have implemented CPOE, which creates a safer, more reliable healthcare system by standardizing orders around best practices and eliminating steps in the ordering process. It also eliminates potential errors that result from transcribing providers’ written orders. As part of its work, the CPOE Team created 192 standard order sets for patients with specific conditions and 14 alerts reminding providers of important steps within an order or warning them of potential complications. The team’s goal was to have 80% of all hospital provider orders submitted electronically; thanks to 100% participation by the medical staff, this goal was exceeded.

• Lake Winona Manor received its second consecutive 5-Star rating -- the highest given -- from the Minnesota Department of Health’s Nursing Home Report Card, which surveys long-term care residents about their satisfaction with services.

• Winona Health Home Care patients rated their overall satisfaction with services at 92.7%.; with nurses, 91%; home health aides, 96%; therapy, 97%; and comfort at home, 100%. • Community Memorial Hospital patients rated the respect and courtesy shown by their physicians at 96.37%, better than the peer group rating of 93.07%. Outpatient Surgery patients rated their doctors’ care at 86.34%, with the peer score at 81.64%; Emergency Department patients rated their physician care at 76.2%, compared to the peer score of 70.01%. • The Emergency Department received top performer scores in nine categories, including overall quality, sensitivity to patient needs, patient involvement in care and nurse communications. • The Outpatient Surgery Department was ranked a top performer in 16 of 23 patient satisfaction categories, including overall quality, wait times, pain management, patient-centeredness and nurse and provider overall ratings.

• Ninety percent of dialysis patients rated their care as very good or excellent, up from 85% in 2007. • Physical/Occupational Therapy patients rate their satisfaction with quality of care and obtaining results at the 90th percentile. Cardiac Rehab patients rate their satisfaction as “excellent.” • Community Memorial Hospital’s Room Service staff achieved a 96% satisfaction score for their food and service delivery. One patient commented, “I’d rate the food a 10. Better than a café or restaurant!” • A Valet and Guest Services program was launched in 2008 at the south clinic entrance. In its first year, staff greeted more than 335,000 patients and visitors, assisted 44,000 and transported 1,900 people, and parked more than 2,700 cars. • More Winona Health customers turned to its website, which had a 59.9% increase in unique visitors from 2007 to 2008 and a 46% increase in visits. • Winona Health chaplains initiated a No One Dies Alone program that provides a volunteer companion for patients and residents nearing the end of life. • Lake Winona Manor expanded, relocated and redecorated its Transitional Care Unit, which now accommodates 38 residents -- 17 more than previously. It also expanded its rehabilitation gym. • Lake Winona Manor decentralized its social workers and therapeutic recreation staff, moving them closer to the residents, and added weekend and evening programming. • Winona Health now offers a driver assessment service, thanks to a grant from the Winona Health Foundation’s Quality & Excellence Program.

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Pediatrician Craig Anderson, MD, interacts with Patrick, 15 months, during a well-baby exam in the Pediatric/Adolescent Medicine Department at Winona Clinic. Dr. Anderson joined Winona Health’s medical team in 2008.

• The Assisted Living staff adopted the Minnesota Health & Housing Association’s Code of Ethics and Guiding Principles for Dementia Care. • The Winona Clinic simplified its registration and check-in processes by relocating them to the departments where a patient is seen. This change benefitted more than 48,000 patient visits in the first six months. • With support from 17 community partners, Healthy Kids Club, designed for children ages 6-11, completed its first year with the following impact: - 693 Wellness Journals were given to area children thanks to funding from the Winona Health Foundation. - Three special events attended by about 625 individuals promoted children’s health and wellness, while providing resources for parents. - Chris Stoltman, registered dietitian, coordinated an “In the Kitchen with Healthy Kids Club” class with Winona Volunteer Services, showing children and their families healthy and easy tips to make more nutritious meals. • The second annual Winona Health Celebrates Women provided a fun-filled, educational morning for approximately 100 area women. Strategic Objective #2: Achieve strategic unity with community and tertiary providers • Winona Clinic and Winona Health fully integrated their Human Resources departments and their provider credentialing, transcription, switchboard and clinic billing systems. • Urgent Care services were expanded at the Sarnia Square location, providing care to more than 18,000 patients and exceeding previous year visits by 564%. • Winona Health Hospice Services’ average daily census increased from 21 patients in 2007 to more than 30 in 2008. • Community Memorial Hospital’s market share for primary cases grew to almost 70% -- an 11% increase in five years. In the 55987 zip code area, CMH has a 74% market share for primary cases, a 12% increase in five years.

• Winona State University Student Health Services implemented Winona Health’s electronic medical record, so students’ health records and tests are available online at the campus and in clinics and the hospital. • Staff completed the re-credentialing process for Winona Health physicians and other providers, verifying their educational, licensure and board certifications and reviewing their quality results. At the end of fiscal year 2008, Winona Health’s medical staff included: - 40 physicians on its “active” medical staff (current practicing). - 6 on its “honorary” staff (retired physicians). - 62 on its “clinical” staff (physician assistants, nurse practitioners, certified registered nurse anesthetists and surgical assistants). - 179 on the “courtesy” staff (physicians, podiatrists, dentists and others who are qualified for membership but make only limited use of the hospital). • Winona Health recruited a record number of new providers in 2008, including: - Craig Anderson, MD, Pediatrics - Angela Fink, NP, Urgent Care Clinic - Holly Fratzke, NP, Center for Women’s Health - Mary Funk, NP, Long-term Care - Bob Giese, PA-C, Urgent Care Clinic - Howard Gorder, PA-C, Urgent Care Clinic - David Lofgren, MD, Family Practice - Nicholas Modjeski, MD, Family Practice - starting fall, 2009 - Douglas Orlich, OD, Eye Care Center - Scott Pastryk, OD, Eye Care Center - Sima Rad, MD, Emergency Medicine - Bryan Reed, DO, Internal Medicine - Elie Richa, MD, Hospitalist - Susan Smith, NP, Urgent Care Clinic - Tara Suffrins, NP, Center for Women’s Health - Kevin Vanderveen, MD, Emergency Medicine - Hans Zinnecker, MD, General Surgery - starting January, 2009

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OUR ACCOMPLISHMENTS

Cornerstone #2:

People

Strategic Objective #3: Become the employer of choice for top regional talent • Winona Health’s staff increased by 30% in 2008, both from the Winona Clinic merger and from other service growth. • Continued efforts to reduce musculoskeletal injuries led to a 15% decrease in injuries. • The health system decreased its staffing vacancy rate by 60% from 2007 to 2008 or from 5.7% to 2.57%. • More than 81% of staff participated in the 2008 Employee Pride Survey, with overall satisfaction increasing for the third consecutive survey. • Winona Health’s self-insurance program introduced an account-based plan, resulting in about 70% of all plan dollars being spent locally, a 10% increase. • The Winona Health University Leadership Academy was launched, providing management team educational programming on key organizational processes. • Integration of Employee Health with Occupational Health Services was begun. • Winona Health physicians now have a “one stop shop” for needed materials, thanks to a medical staff Intranet site deployed this year. • Winona Health continues its Malcolm Baldrige quality improvement journey: Brian Zmolek and Mary Miller-Hyland completed national examiner training, while Kathleen Lanik and Loretta Bronson completed Minnesota Council for Quality examiner training. Rachelle Schultz completed training and serves as a judge for the Minnesota Quality Award. • Five Winona Health employees were selected by their peers to receive Living Service Excellence Awards in 2008: - Barb Kujak, Environmental Services - Corrie Searles, Rehabilitation Services - Autumn Herber, Volunteer Services - Xaisoua Xiong, Environmental Services - Donna Hoffman, Lake Winona Manor

• Winona Health staff were recognized for their special skills and talents throughout 2008, including: - Autumn Herber, volunteer coordinator, received the Heart of Minnesota Award from the Healthcare Auxiliary of Minnesota. - Kathy Redig and Bill Flesch, chaplains, presented their work on Godly Play at the Minnesota Homes and Housing Alliance annual Institute. - Ryan Goergen, Materials Management, presented on Winona Health’s Lean supply efforts at the Cerner national conference. - Kathleen Lanik, chief quality and safety officer, spoke about Winona Health’s use of the Baldrige quality framework at a meeting of the Rochester Area Quality Council. She and Brian Zmolek, director of quality resources, presented Winona Health’s quality journey at the Minnesota Quality Award conference. - Frank A. Bures, MD, is a four-time recipient of the Minnesota Medical Association’s Physician Communicator Award for his weekly newspaper column, Healthful Hints. - Michal Roskos, Health Information Management Department, was recognized by the United States Consumer Product Safety Commission for outstanding work in providing vital product safety information extracted from our patient database. - Ruth Moes, MD, and Loretta Boyer, RN, worked with Institute for Clinical Systems Improvement teams on pre-operative evaluation protocols and skin safety, respectively. - Rachelle Schultz, president/CEO, was named to the Institute for Clinical Systems Improvement Board of Directors and was invited by Gov. Tim Pawlenty to participate in the AcademyHealth and Commonwealth Fund’s State Quality Improvement Institute. • Winona Health staff strengthened their work-related skills by receiving advanced degrees and certifications in 2008, including: - Satya Gorty, MD, anesthesiologist, passed his oral examinations and is now board-certified by the American Society of Anesthesiologists. - Shawn Delton and Jody Doebbert, RNs, Emergency Department, received Certification as Emergency Nurses (CEN). - Rita Nesler, Jane Dittrich and Cindy Byerly, RNs, Intensive Care Unit, received Critical Care certification, earning the credentials CCRN. - Heidi Ferris, RD, CDE, achieved re-certification by the National Certification Board for Diabetes Educators. - Julie Gregory, Rehab, obtained certification as a Pilates instructor. - Brianna Frisch, Rehab, completed certification as an Advanced Clinical Instructor. - Jennifer Carpenter, Marketing, completed her Master’s in Educational Leadership. - Cheryl Krage and Jennifer Ready, Assisted Living, became site surveyors for the Minnesota Health & Housing Alliance’s Confident Choices Program. - Lynn Sprain, Cardiac Rehab, received certification as an Exercise Physiologist.

Each year during National Hospital and Long-term Care Week, Winona Health recognizes some of its outstanding employees. These employees (pictured) were selected by their peers to receive Service Excellence Awards in 2008: Back row, L-R: Barb Kujak, Environmental Services; Corrie Searles, Rehabilitation Services; Autumn Herber, Volunteer Services. Front row, L-R: Xaisoua Xiong, Environmental Services; Donna Hoffman, Adith Miller Manor.

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Community Memorial Hospital received a Minnesota Hospital Association Patient Safety Excellence Award for prevention of patient falls. Winona Health’s Safe from Falls Team includes, from left to right: Joann Tingum, nursing assistant; Robin Hoeg, RN, MS, director of Inpatient Services; Jodi Haag, LPN; Judy Bunke, RN; Beth Krage, nursing assistant; Missy Barnholtz, administrative assistant of Inpatient Services; and Elizabeth Burns, physical therapist. Not pictured: Kathy Green-Kaminsky, RN.

Cornerstone #3:

Care and Service Strategic Objective #4: Use integrated systems, lean principles and technology to achieve optimum clinical outcomes and operational efficiencies • Computerized Provider Order Entry (CPOE) was deployed throughout Community Memorial Hospital, ensuring better patient outcomes by standardizing physician orders around best practices. More than 80% of all hospital orders were submitted electronically in the first weeks after its launch. • Winona Health is one of 3,700 hospitals nationwide participating in the Institute for Healthcare Improvement’s 5 Million Lives campaign, whose goal is to protect patients from incidents of medical harm. Winona Health participates in all six initiatives, with the following results: - Prevent Harm from High-Alert Medications - 0 incidents - Reduce Surgical Complications - 97% compliance rate; top 20% in nation - Prevent Pressure Ulcers - fewer than 1% of hospital patients develop ulcers, better than the best-in-class rate of 2.3% - Reduce Methicillin-Resistant Staphylococcus aureus (MRSA) Infections - met national goal to reduce transmission, lowering the rate from 0.65% to 0.32% in one year - Deliver Reliable, Evidence-based Care for Congestive Heart Failure - 89.5% compliance rate; top 20% in the nation - Get Boards on Board - Quality & Safety Committee of the Board actively engaged in monitoring clinical quality and safety metrics

• Winona Clinic was recognized by the MN Community Measurement (MNCM) as a “high performing clinic” for its care of cardiovascular patients. MNCM also recognized the clinic for showing “the greatest improvement over the last five years” in breast cancer screenings. • Winona Health Physician Clinics established best practice targets for treating patients with chronic diseases: In the first three quarters of 2008, asthma and hypertension targets were exceeded in every quarter, while diabetes was exceeded in two quarters. The clinics bi-annual audit for best practice preventive care showed all three screenings -- breast cancer, cervical cancer and colon cancer -exceeded targets. • Winona Health’s Home Care services ranked in the 89th percentile compared to others in the state on national quality measures. • A Palliative Care program was piloted in Lake Winona Manor, which also received one of ten grants from Stratis Health to bring palliative care programs to rural communities. Palliative Care offers patients living with chronic and incurable conditions better relief from their symptoms. • A new protocol was developed and deployed that standardizes the approach to Patient Controlled Analgesia. This new protocol enhances safety for patients receiving intravenous narcotics. • Ninety-six percent of Winona Health dialysis patients receive adequate dialysis treatments, 11% points better than the best practice benchmark of 85%.

• Lake Winona Manor exceeded all of its quality improvement goals reported on the National Nursing Home Star Network. LWM monitors its measures related to • Community Memorial Hospital was named a top performer in a Center for Medicare pressure ulcers, depression, chronic care pain and three other items. & Medicaid Services-Premier project that rewards hospitals for delivering high • Lake Winona Manor had an excellent Minnesota Department of Health survey, quality care. Based on third-year results, CMH ranked in the top 10% for overall receiving only five minor citations that were corrected immediately. quality for heart attack patients and in the top 20% in caring for Congestive Heart Failure patients. • Winona Clinic’s Internal Medicine Department is piloting a Pre-Visit Planning • The Minnesota Department of Health completed its survey of Community Memorial program for patients with diabetes, ensuring they leave each appointment with the tests needed and self-management recommendations to adopt before the next Hospital, noting only two minor deficiencies -- that were quickly corrected -- out of physician visit. 478 items.

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• The electronic STEP form was launched, offering a more efficient way to gather and access quality improvement ideas from staff. In the first month, 223 STEP Opportunity Statements were submitted, almost equivalent to all those submitted in the previous year. • Health Information Management staff have decreased turnaround time for emergency dictations from two hours to less than 15 minutes. For all services, they decreased turnaround from 24 hours to less than eight hours. • Winona Health garnered numerous awards and honors in 2008, including: - Most Wired-Small & Rural Hospitals Award from Hospitals & Health Networks. - Patient Safety Excellence Awards for prevention of falls and prevention of pressure ulcers from the Minnesota Hospital Association (MHA). - MHA’s Patient Safety Improvement Award for its efforts to prevent pressure ulcers. - Minnesota Quality Award - Achievement Level from the Minnesota Council for Quality. - The Minnesota Bridges to Excellence Award to Winona and Lewiston Clinics for optimal care of patients with diabetes and cardiovascular disease. - Top 25% Home Care Agency recognition from HomeCare Elite, which compiles a list of the most successful Medicare-certified home healthcare providers in the U.S. based on quality outcomes, quality improvement and financial performance. - Recognition from EnhanceMed as having a best practice for training new providers in the Emergency Department. - Best in Class designation from Dictaphone for Health Information Management’s use of speech recognition protocols. HIM reached 90% speech recognition proficiency, with a targeted goal of 60%. - The American Diabetes Association’s Education Recognition Certificate for Winona Health’s Diabetes Education Program geared to patient self-management. - Quality Respiratory Care Recognition for Community Memorial Hospital’s respiratory care services. - Blue Cross/Blue Shield of Minnesota’s Recognizing Excellence program praised Winona Clinic for its provision of quality care to its cardiovascular patients.

- The American Hospital Association published a feature article on Winona Health’s response to the 2007 flooding. - A special article on Winona Health’s Valet Services staff was published in HeartBeat magazine, Sodexo’s national staff publication. - A case study was published by Actuate Corporation about Winona Health’s use of technology to track performance excellence. - Rachelle Schultz, President/CEO, was interviewed for a story on how Winona Health uses technology to improve efficiency; this case study was published in Exec-Digital. - An American Hospital Association article was published on Winona Health’s collaborative agreement to provide around-the-clock psychiatric coverage.

Cornerstone #4:

Stewardship Strategic Objective #5: Maintain an independent, locally controlled, community healthcare system • The Winona Health-Winona Clinic merger was completed, with the clinic budget incorporated into the Winona Health operating budget in fiscal year 2008. • Operating expenses were within 2% of budget for the sixth consecutive year. • Winona Health opened its Urgent Care Clinic seven days a week based on customer feedback. This service level change saved community members about $500,000 in medical expenses by switching from emergency department care to clinic services. • Community Memorial Hospital’s Laboratory, Dialysis Department, Physical Therapy and CT Scans all showed volume growth in 2008.

• As part of its commitment to the community, Winona Health: - Provided free screening and medical information at eight community health fairs. - Conducted nine free depression screenings and 126 prostate cancer screenings. - Held an open house for community members to showcase services at Sarnia Square. Free blood pressure and glucose checks were available. • Winona Health staff and services received local, state and national media coverage - Shared information with 544 students through high school career fairs and in 2008, including: field trips. - A PBS NewsHour with Jim Lehrer feature segment broadcast on National Public Spoke to about 593 community members as part of our Speakers Bureau. Television for the health system’s unique advancements in its community-wide, Served on the committee to bring activities to the Winona Community Center integrated electronic medical record. for parents and their children living in low income neighborhoods. Monthly - Healthcare Financial Management magazine interviewed Mike Allen, CFO, for an programming started in September, with more than 35 children attending a article on financial management in healthcare systems in an ever-changing free “healthy snack” presentation. world.

PBS NewsHour health correspondent, Susan Dentzer (left), with her PBS news team and Winona resident Richard Etnier. The PBS NewsHour team was in Winona in March to tell the story of healthcare providers in Winona collaborating to use technology to streamline processes, improve healthcare quality and safety and help people manage their health. The story is available on the Winona Health website: winonahealth.org/pbs.

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The Winona Health Auxiliary’s Fabulous Fifties Follies helped raise $31,000 toward replacing dialysis machines in Community Memorial Hospital’s Dialysis Department. The performance featured a cast and crew of more than 90 volunteers, community members and Winona Health staff.

- Offered seven free Community Health Talks on topics such as eye health, dementia and breast cancer. With 154 people attending these educational sessions. - Exceeded its $22,500 fundraising goal for the Greater Winona Area United Way. - Supported Ten Days of Giving, Gifts for Winona and the American Cancer Society’s Daffodil Sales. - Served as a training site for Winona State University and Minnesota State College - Southeast Technical students as they learned about nursing, radiology, sports medicine and social work. • More than 24,000 individuals were served by Winona Health’s community benefit activities in 2008. Community Benefit activities improve the community’s health and well-being and included the launch of the Healthy Kids Club, job shadowing, donations to local non-profit organizations and free community health screenings. See page 39 for details. • The Winona Health Auxiliary gifted $52,834 to Winona Health for patient overhead lift systems, flood relief and items for Lake Winona, Adith Miller and Roger Metz Manors. In addition, $20,000 were awarded in scholarships to 21 healthcare students, totaling $72,834 in Auxiliary gifts.

• The Winona Health Foundation awarded $21,200 through its Community Engagement Grant program, including $12,000 to sustain the MediAppS program at Catholic Charities. • The Winona Health Foundation awarded $13,819 through its competitive Quality & Excellence Grant program, which awards grants to Winona Health staff projects: - Cardiac Rehabilitation received funding for an audio-headphone system to improve patient education. - Physical Therapy received funding for enhanced Pilates equipment and expanded patient education software. - The hospital’s Medical/Surgical patients’ laptop program was funded. - The Department of Behavioral Medicine received funding for a program that engages patients in work-related activities. - Watkins Manor received a Wii game console for resident use. • The Winona Health Foundation assisted 254 Rushford residents affected by the August 2007 flood with their medical bills via a grant from the Medtronic Foundation. The Ben & Adith Miller Patient Care Fund also assisted flood victims. • Individuals, families and businesses contributed more than $2.1 million to the Winona Health Foundation in 2008.

• The Winona Health Auxiliary’s 389 volunteers contributed a total of 30,419 hours -or $570,964 of service -- to Winona Health. Five volunteers contributed more than 500 hours in the last year: Dana Jonsgaard, Mary Brenno, Jan Wanek, Jenny Kahl and Marlene Mulrooney. Seven volunteers have contributed a cumulative total of 5,000 or more hours: Jenny Kahl (9600 hours), Haryette Newman (9500 hours), Jan Wanek (6400 hours), Diane Barge (6400 hours), Carole Forest (5800 hours), Mary Brenno (5400 hours) and Grace Miner (5300 hours).

• In 2008, 100% of the Winona Health Foundation Board, the Winona Health Board and the Winona Health Senior Leadership Team contributed to the Winona Health Foundation.

• The Auxiliary conducted several successful events in 2008: Its third annual Garage Sale raised more than $11,000; the Used Book Sale, Victorian Tea, $5 Jewelry Sale and Birthday Ball all raised record-breaking amounts.

• Sixty-three Winona Health employees were recognized by patients and families during the first year of the Foundation’s Guardian Angel program.

• The number of staff contributing to the Winona Health Foundation’s Family Giving Campaign tripled in 2008, with 184 -- 15.5% -- making a donation. Their collective gifts and pledges totaled more than $22,300.

• The Ben & Adith Miller Classic golf tournament raised $170,000 for the Ben & Adith Miller Patient Care Fund, a $5,000 increase over 2007. The fund covered $744,377 of medical expenses for 294 patients in 2008.

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2009 Key Initiatives PATIENT/RESIDENT SATISFACTION Goal: Strengthen satisfaction scores throughout Winona Health to ensure a positive patient/resident experience in all services -- clinics, hospital, ambulatory and senior services Target: Achieve 80th percentile ranking in an index created for all service lines by the end of 2009

DOCUMENTATION/CODING Goal: Strengthen the capture and communication of our patient/resident health issues by using technology and training to improve clinical documentation and coding processes that align with industry best practices. Target: Align 75% of identified measures with industry best practices

PROVIDER-BASED BILLING Goal: Reorganize Winona Health's legal entities, clinical and business processes, ultimately simplifying patient/resident bills and improving patient/resident-centered care Target: Achieve 100% reorganization by the end of 2009

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Winona Health Community Report 2008 |

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WINONA HEALTH FOUNDATION

Building a Healthy Foundation On behalf of the Winona Health Foundation, I want to thank all of the individuals and businesses listed in the next several pages. Their generous gifts to the Foundation during our past fiscal year are helping ensure that Winona Health maintains its own good financial health. Financial strength is more important today than ever. We’ve seen many healthcare organizations struggle in recent years from increasing numbers of uninsured patients and from inadequate reimbursement from government payers, and we here in Winona are affected by those realities, too. Many organizations that were once community-owned and locally managed have been absorbed by larger regional systems, sometimes to the detriment of those communities. Fortunately, that’s not the case here. Winona-area people have always come together to support good health in our community. We owe a debt of gratitude to early Winonans who pooled their resources in 1894 to found what we today call Winona Health, and we are blessed to have had a long line of community leaders who have voiced the message through the years that we dare not take our local healthcare for granted. This has resulted in an amazing tradition of generosity that has steadily helped build a financially strong, community-owned healthcare system that is truly one of our area’s greatest assets.

Ken Mogren Foundation Board Chair

Winona-area people have always come together to support good health in our community.

The Winona Health Foundation is dedicated to perpetuating this culture of generosity. Judging by the long list of supporters that follows, it’s clear the tradition is alive and well and, for that, we sincerely thank you. Sincerely, Ken Mogren Foundation Board Chair

WINONA HEALTH FOUNDATION BOARD MEMBERS

Ellen Smith Director

Mike Allen Treasurer

Andy Blomsness Director

Steve Blue Vice-Chair

Judy Bodway Director

Nancy Brown Secretary

Bob Gilbertson Director

Jerry Kellum Director

Jim Killian Director

Ken Mogren Chair

John Mulrooney, MD Director

Rachelle H. Schultz President/CEO

Jack “Butch” Walz Director

Barbara Winbush Director

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FROM THE COMMUNITY, FOR THE COMMUNITY

Thank you for your contributions The names listed on the following pages reflect gifts received by the Winona Health Foundation between October 1, 2007, and September 30, 2008. We are grateful for the thoughtful generosity of each of our donors. Therefore, every effort has been made to ensure accuracy. We apologize for any omission or error and encourage you to contact Nancy Brown, executive director of development, at 507.457.4342 or [email protected], if you notice any inaccuracies. Joyce E. Abeyta Norris & Rhoda Abts Kathy Accola Eloise Adank Cheryl Aeling Clare Aeling Dorothy Ahearn Lori, Jen & Bethany Ahrens Sonny & Joanne Ahrens, Tim & Mark Knutsen Dennis F. Albrecht John & Karen Albrecht Mary Albrecht Allaire Family Fund of the Winona Community Foundation David J. Allen Michael & Kimberly Allen Alliance Bank Alliance Card, INC. Beverly Allin Bob & Beth Allred Diane & Don Amann American Lung Association of the Upper Midwest Irma Amundson Mrs. Ray K. Amundson Rose & Horace Andersen Becky Anderson Carlis M. Anderson John E. Anderson Roger & Marie Anderson Jack Andresen Barbara A. Angst Anonymous (34) Carol & Steve Appelwick Yvonne E. Appelquist Allan & Jeanine Aspen Linda Atkinson Maxine & Larry Armitage Bill & Bonnie Armstrong David & Muriel Arnold Arnold Family Fund of the Winona Community Foundation Dean & Mary Auna Mary Meinert Austin Gary & Sue Babcock Roger & Judi Babcock Bob & Bev Babler Elizabeth K. Bach Dorothy Bachler Mercille Bagniewski Rod & Karen Bagniewski Helen & Peter Bagshaw Frances B. Bahl Ann E. Baker Violet Balk Paul & Pauline Ballweg Carl & Barbara Bambenek Eleanor Bambenek Gary & Claire Bambenek Joe Bambenek

Mary & Greg Bambenek Lori Bambenek Phoebe C. Bambenek Stanley E. Bambenek Ann Banicki Ed & Rachel Barak Diane Barge Steven Barge Doris J. Barkeim Betty Ann Barnewitz Mike & Kathy Barnholtz Dr. Daniel & Mickey Barr Marilee A. Barrientos LaVerne & Darlene Bartelson Betty Barth Bruce & Sandy Bauer Mabel C. Beach Sandie Beck Billy & Gladys Becker Susan M. Becker Betsy Beech John Beech James G. Beeman Dick & Sharon Behnke Shawn & Amy Beier Chris & Rich Beirne Richard Belisle Kristi & James Bell Michael & Cathy Bellesbach Christine Bellock Henry Benke Ken & Rose Benke Susan K. Benke Gladys F. Bennick Walt & Bunny Bennick Judy Benson McLean & Rebecca Benson Randy & Kim Benson Mrs. Roger Benson Charles & Barbara Bentley William “Bill” Bergaus Betty Beranek Marie Berg Alice & Carl A. Bergmann Leonard L. Bernatz Michael & Denise Bernatz Ellen E. Berry Megan Berry Vic & Bonnie Bertel Tanya Berzinski Rosanna M. Beseler Janice & Galen Betsinger Judith Betsinger Betty Betts Ray & June Beyers Mary Jo Beyerstedt Mr. & Mrs. William Beyerstedt Ted & Patti E. Biesanz Scott & Jane Biesanz Betty Bilder

Betty Biltgen Josephine Biltgen Lowell & Darlene Bjoraker Margaret Blake Arlene M. Blank Edward & Joyce Blank Judy Blank Anna Blaskowski Chuck & Karen Bleess Andy & Jan Blomsness Steve & Ann Blue Nebbs & Franky Bobo Carol A. Boden Judith R. Bodway Boeing Employee’s Credit Union Marcia & Arnie Boese Bonnie Boettcher Evelyn Bohri Estate Hermie Boland Rose Boland Ken & Irene Boldt S. Boll Jeanne E. Boller Laurel Bollin Marti Bollman Violet Boltz Lorraine F. Bonine Kathy Boone Heidi Borgwardt Angie Bork Dana (Huntley) Borkowski Mary Borkowski & Family Roxanne & Doug Borkowski George Parke & Sabina Bosshard-Parke Kurt & Tonya Bosteter Steve & Connie Bowen Stanley S. Bowman John & Jody Sue Boyle Avys Boynton Donna J. Boyum Sylvia L. Boyum Leona Braatz Ted Braatz Carl & Deloris Brackett Debbie Brady Diane L. Branch David & Andrea Brand Fumi Brand Myrtle Brand Terri L. Brand Barbara E. Brandon John & Pat Brandt Bob & Paula Brang Susan & Richard Brang Thomas Brang Glenn & Janice Bratberg Betty Breitenfeldt John & Penny Breitlow Sherri M. Brekke

Dan & Theresa Brendel Mary & Duane Brenno Bernice Breza Jim & Sonja Breza Mary Breza The Michael Breza Family Vanita V. Breza Gene, Amy, Ryan, Brady Brink Drs. Matt & Laurie Broghammer Roger & Carolee Bronk Julie, Joe, Chelsey & Marissa Brosig Paul & Jan Brosnahan Rosemary Broughton Bill Brown Danna & Brian Brown Dean Brown & Nancy Boym-Brown Nancy M. & James R. Brown Roger & Sharon Brown Doloris B. Brugger Judith A. Brugger Gerald Bruss Jerry & Carla Bruss Mr. & Mrs. Don Bublitz, Jr. Sally Bublitz Sharon Budnick Nancy & Ernie Buhler Evelyn Bunke Max & Gladys Bunn James Burke Kelley Burke & Scott Lande Eric Thomas Burmeister Richard Burmeister Anne E. Burmester Bruce Burnham Jean Burrington John & Irma Burros Lee & Margaret Burros Brenda M. Burt Lynda Burt Carol A. Byrne Jodie & Terry Byrne C.P.F. Gerry & Peggy Cada Jon, Vickie & Colin Cada Pat Cada John Caldwell Angus & Judy Callender Lynne A. Carlisle Darlene M. Carlson Jenny & Bruce Carpenter James & Ruth Carroll Peggy A. Carroll Cars-N-Credit, Inc. Mr. & Mrs. Brantly Chappell Danelle & Kevin Chiarini Children’s Miracle Network/Gundersen Lutheran Medical Foundation Jon Christensen Kathleen & David Christenson Lavonne J. Christie

Dorothy J. Chuchna Ronald L. Cichanowski Kris & Rick Cichon Family Dick & Pat Cichosz & Family Steve & Carol Cichosz Ardelle Cierzan & Family Dee & George Cipov Shirley A. Cirelli Francis & Arlene Cisewski Ron Cisewski Vincent D. Cisewski Carla Ciszak Karen & Frank Ciszak & Family Sheryl Clegg Gayla Clemons Meredith Clifford Larry & Jean Clingman Charlie, Laurie, Bryan, Daniel, & Michael Clobes Dr. & Mrs. James S. Cole Madeline T. Cole Jill Comara Jeanette Combs Arlene & Jeff Compton Jeremy Compton Sherry Connaughty Barbara & Lawrence Conway Dennis & Lisa Coon Susan E. Cooper Julie Corcoran Barbara A. Corey Helen Corey-Fort David & Ramona Coron Pat & Joan Costello Steve & Gina Craney Sandy Creeley Brenda M. Cross Kay Cumiskey Don & Catharien Cummings Marty Cummings Mary Cummings Marion Cunningham Kevin Cyert David C. Czapiewski Betty Czaplewski Catherine & Leroy Czaplewski Lois E. Czaplewski Joseph & Shayna Dais Dan & Shelly Daley Family Tim & Peggy Dalton William Daniel Jim Danneker Susan C. Daubner Helen E. Davies Judy & Bill Davis Loretta Davis Susan J. Day Maryellen E. Dean Henry & Audrey Deblon Julie & Darin Decker

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Joliene Olson makes a difference in the future of local healthcare as a member of the Winona Health Foundation’s Circle of Visionaries.

Choose to leave a legacy Joliene Olson believes whole-heartedly in planning for the future and leaving a legacy. So when she decided to become a member of the Winona Health Foundation’s Circle of Visionaries, she did so with the future of others in mind. “You don’t have to be a millionaire to leave a legacy,” Olson said. “I’m just an ordinary person who is trying to do my small part in leaving the world a better place.” The Circle of Visionaries supports the community’s ever-evolving healthcare needs. Members are individuals who believe in the mission of Winona Health and have chosen to designate a future gift to the Winona Health Foundation in their estate plans. Olson’s history with Winona Health’s Community Memorial Hospital extends over 30 years. She served as a staff nurse, nurse manager and retired in 1998 as a nurse administrator. When her busy retired life provided an opportunity, she began volunteering with the Winona Health Auxiliary to give back to the place she had worked most of her life. “Sometimes it’s hard to go back to where you’ve come from,” Olson said. “You get nostalgic though, and it has been great.” Olson believes in leading by example. She hopes her decision to become a Circle of Visionaries’ member shows others how easy it can be to make a difference in the future of community-based healthcare in Winona. “You really can make a difference just a few dollars at a time,” Olson said. “If everyone gave a little bit, it would equal a lot. You can leave a legacy and make a difference in the world.” For more information about becoming a Circle of Visionaries member, contact the Winona Health Foundation office at 507.474.3328.

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Vicki & Dennis Decker Jim & Anne Deedrick Leone H. Deedrick Velma Degallier Emilio & Monica Degrazia Carolyn C. Dematta Eric & Wendy Denzer Jacqueline Denzer Kristi Deppa Bob & Marg Deter Greg & Janice Dienger Diane Dingfelder Rita S. Dingfelder Doug & Nancy Dionysius Judith Joyce Dischler Don & Jan Dittrich Merlin & Irene Doblar Ralph & Thora Doblar Scott Doblar Lorraine A. Doehling Bill Doerer James Dombroski Joy A. Donnelly Nancy Dorn Rose Dorn James & Gloria Dotzler Norma & Paul Double Beverly A. Douglas Clarence & Luella Dow Darrell Downs & Natalie Siderius Loyola Draine Christine W. Draper Helen Drazkowski Janice M. Drazkowski Rosann Drazkowski, David Sobeck, Bonnie Sadowski Ron & Helene Dreas Charlie & Vicki Drenckhahn James & Ann Drier Robert & Paula Drumm Norma J. Duden David & Mary Ann Duellman Marilyn & Jerry Duellman Mary Jo, Sarah & Samantha Duellman Mike & Jolene Duellman Greg Duffy Harriette Duffy

Jim Duffy Robert & Barbara DuFresne Ed & Marianne Dulek Rosemary Duran Donald H. Duresky Judy Durfey Pat & Sue Durnen Karen L. Dworschack Ralph Dybing Diane M. Ebert Larry & Peggy Ebert Samuel Ebnet David Echelard & Suzanne Cooley Yvonne Echelard Margaret B. Eckblad Mary & Jim Eddy Lou & Geri Edelschein Nick & Lori Edstrom Don & Judy Eger John E. Ehlers Joyce O. Ehlers Paule & Antoinette Ehmcke Angie & Darrell Ehrlick June Eichhorst Jean M. Eide Michael & Shirley Eide Viola D. Eide Eli Lilly & Co. Marvin & Gladys Ellinghuysen Carol & Robert Ellings Conway & Beth Elton Douglas J. Emanuel Joseph* & Gladys Emanuel Bev Engel Tammi Engen Alvina Engler Harriet M. Engler Mary L. Engler Betty Englerth Dale & Lynn Engrav Dennis Engrav & Patricia Matzke-Engrav Henriette M. Engrav Brenda & Matt Entz Gladys I. Erdmann & Family John & Glenda Erdmann Kent & Dawn Erdmann

Circle of Visionaries The Circle of Visionaries comprises individuals who have designated a future gift to the Winona Health Foundation in their estate plans. Through such gifts, members of the Circle of Visionaries help ensure the future of community-based healthcare for the greater Winona area. Noris & Rhoda Abts Jack Andresen Henry E. Benke Scott & Jane Biesanz Dave & Shirley Binius Steve & Ann Blue Judith R. Bodway Susan J. Day Vicki L. Decker Gary & Ellen Evans Robert & Erika Gilbertson Joseph J. and Joan Greshik Roy H. Knoll Beverly A. Larson

Roger & Ramona Metz Ken & Sally Mogren Joliene W. Olson Jeffrey & Pam Prenatt Ruth & Douglas B. Robinson Susan & R. Peter Roehl Robert & Rachelle Schultz Charles & Judy Shepard Royal & Lucille Thern Mark S. Wagner Jack M.“Butch” & Barb Walz Jack N. Walz Barbara & Calvin Winbush Leslie R. Woodworth

Rita Erdmann & Family James & Ruth Erickson Judy Erickson Theresa Erickson Barbara A. Ernster Jim & Gretchen Erwin Mark, Jan, Kyle, & Kelsey Erwin Jeff & Bev Essig Gary & Ellen Evans Marian Evans Dorothy Evanson Br. Ed Everett Lyndie L. Fabian Scott & Barb Fabian Jan & Duane Fakler Cathy & Chris Fangman Marian L. Farner Betty L. Farrand Mary, Marty & Mike Farrell Dr. & Mrs. Oran G. Featherstone Phil Feiten Marguerite Feldmeier Dolores Felsheim Dr. Arnold & Alanna Fenske Ralph Fenske John & Pat Ferden Stan & Sue Ferguson Heidi & Richard Ferris Elaine Fetting Family Nell (Lejk) Ficken Fidelity Charitable Gift Fund Earl Finden Margaret Finkelnburg Boyd Richard Fischer Robert & Frances Fischer Judy Fitzgerald Linda & Steve Fix Chuck & Marlene Flanagan Sharon & Richard Flatten Phyllis Fletcher Mae Florin Carole & David Forest Dr. & Mrs. John Forrette Dave & Maryann Forsythe Dean & Robyn Fox Diane S. Fox Gene & Lois Frank Roger Frank Cody Frankard Robert & JoAnn Franzen Bob & Elizabeth Fratzke George & Mary Lu Frey Shirley M. Frickson Mark & Christina Friederichs Dolores Fritz Joanne Fritz Julie & Kevin Fritz Jeanne Fugina Terry & Tina Full Greg & Jackie Gabbert Sara & Mike Gabrick Gertrude Gabrych Rog & Ben Gabrych Julie & Rick Galewski Cassandra Gallati Debbie & Martin Gappa Carole Gardner Jean Gardner & Dorothy Brom Mr. & Mrs. Richard D. Garlick Pat Georgens Char Gepner Lois Gernes

Mark & Marie Gernes Kyle Gernes-Petry & John Petry Jack & Maureen Gerson Kathleen M. Gerth Henrietta Gerth Steve & Susie Gessner Mavis M. Gielow Stanley & Diane Gierhan Shirley Gierok Giers Family Robert & Erika Gilbertson Walter & Dorothy Gilbertson Greg, Tracy, Isabelle, Brady & Gregg Gile Susan R. Gilman Fern M. Girtler Katherine Girod Estate Bob & Joan Gleason Damian & Becky Glodowski Marilyn J. Glover Bill Glowczewski Steve & Shari Goergen Arlene Goetz Florence K. Goetzman Julia & Steven Goldberg Linda & Paul Goodfellow Greg & Amy Goodland Goodview Activity Group Dennis & Carolyn Goplen Marilyn & Richard Gora Carole & Bob Gorden Cass & Mary Gordon Mary Anne & Odean Goss Michael & Joette Gostomski Bill & Heather Gould Tom & Margaret Graham George & Betty Grangaard Kendra, Nick & Logan Granseth Lois Grant Lillian Gravos Beth Gray Al & Debbie Greenwood Julie Gregory Joan & Joseph Greshik Rainy Griesel Denise & Jeff Griffin Mr. & Mrs. Thomas Griffithe William M. Grochowski Donna Groth Alice Grover Joyce Gulbrandsen Gene & Jane Gunderson Joan M. Hackbarth Lois I. Hackbarth Pat Haddad Orma H. Hadley Clyde & Marlis Haedtke Elayne Haedtke Julie & Tod Haedtke Randy E. Haedtke Shirley F. Haesly Susan & Willie Hahn Larry Halik Leah A. Hall Marilyn Hall Marlene & Lyle Halliday Clifford & Dianne Hallum June Halverson Barbara R. Halvorson Gloria Hammond L. Hanks Roger & Barbara Hannon

Michael & Carol Hansen Cletus A. Hanson Doris E. Hanson Renee M. Hanson Jim & Shannon Hanzel S. Quinn Hanzel Rev. Thomas J. Hargesheimer Eleanor & Charles* Harkness Monica L. Harrell Bishop Bernard J. Harrington Georgina & Kenneth Harris Irene A. Harris Cheryl Hartert Harvest House Kathy Harvey Bob & Lois Hass

Bob & Mitzie Hennessy Brent & Autumn Herber Marlene A. Herber Ann Hermann Mike Herzberg Luann E. Heublein Mary & Ronald Hewett Ruby & Herb Highum Marcia Hilgendorf & Don E. Kiekbusch Carol & Jim Hill Susan C. Hill Walter & Dot Hinds Ruth Hinton Myrtle Hinz Dolores C. Hitt David Hittner

T

his summer, my husband and I had our first child at Winona Health, and we received the very best care one could ever imagine. A friend who recently moved to the area had her second child there and she said the same thing. We cannot believe the staff 's personalized attention, care and concern. You have a wonderful group of staff members at Winona Health. I truly appreciate the care I received. ~Maggie M.

Sue Hassinger Tony Hassinger Jo Hassinger Dick & Karen Hastings Edward & Teresa Hauck Mary Haugen Charles & Eileen Haugh Rita L. Haugh Nancy & LaVern Hauschildt Danny Hauser June & Ron Hawley Steve & Anne Hayes Healing with Harmony Jim, Kris & Nick Healy Bernice Heaser Beverly Heftman Thomas M. Heftman Hollis & Joanne Heiden Dureen J. Heim* Jodie Heim Anita Hein Robert & Carol Heineman Bill & Cindy Heitman Renee & Harold Heller Julianna Hemmelman Marlene M. Hemsey Dave & Jeanne Henderson Angeline A. Hengel Elizabeth Hengel Geraldine Hengel Family

Mr. & Mrs. Robert W. Hively-Johnson Janice Hock Robin Hoeg Leone Hoenk George Hoeppner Herman G. Hoesley Hoffe Family Carolyn Hogan Steve & Linda Hogden Gloria & Dennis Hohmann Linda M. Hoialmen Irene & Tom Holan Margaret T. Holland Florence L. Hollingsworth Kenneth O. Holm Keith & Marie Holmquist Robert Holz Tess & David Holzer Will & Sherry Holzer Walter & Maurine Holzworth Carol J. Honsey Don & Jeanette Hoppes Carol A. Horman Roger & Linda Horner Richard Horst Claire Horton, Pam Fennig, Sandee Jeresek, Nancy Newhall, & Tammy Rench Bruce & Diane Hoseck Dave Howlett

Joe & Doris Howlett Daniel & Dorothy Hoyt Wilfred & Nancy Huff Rod Hughbanks Dr. Sidney O. Hughes Bertha Hunt Barbara A. Hunter Carol M. Hurlburt Jim & Marylou Hurley David D. Husman Rita Husman Holly Hythecker Immanuel St. Joseph Hospital Immanuel United Methodist Women International Business Machines Corporation Delores M. Irmscher Jim & Mary Jean Ives Karen M. Jacobs Mark & Tricia Jacobs Marian Pletke Jacobson Michael Jacquart Diane Jameson Marlene & Bob Jandt Robin & Jeff Jandt Joyce & Al Jarvinen Elizabeth J. Jaszewski Frank & Betty Jaszewski Ramona Jezewski Marc & Deborah Jaworski Connie Jensen Joseph & Monnie Jereczek Ruth D. Jerowski Lillian A. Jeske James & Cheryl Jick John D. & Cathine T. MacArthur Foundation Charles & Marijean Johns Betty Johnson Dr. Curtis M. Johnson Douglas & Catherine Johnson Ken & Darlene Johnson Pamela J. Johnson Phylliss Mae Johnson Tianna Johnson Darla Jokela Annah Jonsgaard Lisa Jonsgaard Alan & Peggy Joswick Mary S. Joyce Dennis Julson Ann & Brian Junker Jan & Don Justin Leonard J. Kaczorowski Dan Kammerer Marlene & John G. Kane Dick & Nadine Kanz Elizabeth Kanz Jack & Deborah Kanz Toni M. Karasch Richard Karnath Kasson United Methodist Women Evelyn L. Kasten Donald & Anne Kaufman Jim & Linda Kauphusman Pat & Cathy Kauphusman Raymond L. Kauphusman Shirley Kauphusman Shirley R. Keil Kevin & Tina Keilholtz Ginger Keith Jerry & Patty Kellum

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Esther L. Kelm Jean R. Kendall Diane & Mike Kennedy Marie Kennedy Mike & Jean Kertzman Mary & David Kesler Frani J. Kieffer Keith Kieffer Virginia G. Kiekbusch Bob Kierlin & Mary Burrichter Paul & Peg Kilkus Jim & Doris Killian Richard King Mr. & Mrs. Lyle Kiral Raymond Kiral Donna Kirch Rosemary & James Kirchner Linda Kirkeby Ada C. Kittle Delaine E. Kjos Donald & Joan Klagge Mary Lou Klagge Rod & Jan Klagge Sharon Klein Jerome & Darlene Klein Eugene & Donna Kleinschmidt Jim & Paulette Klinger Elizabeth Klinski Sheryl & Tim Klug Lambert Kluzik Family Richard J. Kluzik Chris & Linda Knecht Dave & Cheryl Knight Pauline & Harland Knight Mike & Carol Knox Jerry & Betty Knuesel Dr. Gretchen Koehler Susie Koehler Bertha Kohner David & Ann Kohner Ed & Jane Kohner Jessica Kohner Martha Kohner Mary R. Kohner Nancy A. Kohner Roger & Renee Kohner Steve & Candi Kohner John & Robin Kolar Dolores Kolter Leona M. Konkel Marcella Konkel Lorraine M. Konter Mary L. Koontz Dave & Becky Korder Phyllis Korpal Helen Koscianski John E. & Rita Kosidowski George & Julie Kosidowski Tom & Eileen Kosidowski George & Ruth Kostner Pat Kotlarz Bernetta M. Kouba Dona & David Kouba John & Becky Kouba Barb & Don Kough Joseph & Ruthe Kowalsky Irene Krackow Paul & Cheryl Krage Ed Krall Lynda Krall Mike & Sandy Kramer Robert Kramer

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Lois & Wayne Kramer Gary & Sonya Kratch Bob Kratz Ken & Lois Krause Alex & Judy Kreidermacher Lorraine J. Krenz Gary & Linda Kreter Bill Kriesel Jean W. Kronebusch Joe & Katherine Kronebusch Frank & Karen Kropidlowski Mrs. Rose Krueger-Weber Ronald & LaDonna Kruse Laura Kruth Cornelia & Leo Kryzer Charles Kubicek Rosanne M. Kubicek Clinton & Barbara Kuhlmann Donald A. Kuhlmann Kathleen M. Kujak August & Orphie Kukowski David & Lynne Kulas Dorothy Kulas & Joan Malotke Katherine M. Kulas Mickey Kulas Wayne & June Kulas Ginny Kulig Bob & Ardell Kunst Joseph & Phyllis Kupietz Debbie Lafee Ray Lafky Lorraine Lager Lake Winona Manor Resident Council Rodger & Susan Langbehn James Lang Sherry Lange Mr. & Mrs. Jim Langowski Irene Langowski Marcella Langowski Charles E. Lanik Kathleen & Jim Lanik Phyllis E. Lanz Adam R. Larson & Family Blair W. Larson & Family Carolyn & Phillip Larson Cheryl L. Larson Donald E. Larson, Jr. Eric Larson Garrick Z. Larson & Family Linda & Allen Larson Martha E. Larson Roger Larson Shirleen & Bruce Larson Doris Laska Rich, Carol, Jenelle & Nathan Laska Earl L. Laufenburger Lois M. Laufenburger Barbara J. Laumb Judy Lawson Kris Lawson Tom & Amy Leach Barbara F. Leaf Bill & Shelly Leaf Debra & Bob Leaf Jemay & Kevin Leahy C.M. Lecheler Lois A. Ledebuhr Irene Lee Roger & Gracie Lee & Family Tricia Lee Greg & Gail Lemmer Michelle & Brad Lenertz

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Ardis Liebenstein Kae Lieberman Gabriel & Mary Liegey Harold & Dorothy Lilla Jerry Linander Irene Lindeman Jack & Debbie Lipinski Brenda L. Litscher Joyce O. Locks Ron & Mary Loftness Roy & Dixie Loken Darrell & Kathy Loos Dorothy & Francis Losinski Jerry & Mary Lowery Laurie R. Lucas Patricia N. Lucas Ann Ludovissie Mary & David Ludwigson David & Rita Lueck Bud & Marge Luedtke Audrey F. Luehmann Lucille Luehmann Marjorie Luehmann Dennis & Nancy Luhmann Elaine Luksa Michele Lund Nick & Maria Lundquist Frances Lux Rich & Ann MacDonald Mary D. Mack Randy Magno Jackie Malay Mark & Vickie Malay Pat Malay Patricia & Chris Malotka Family Cindy Marek Mildred L. Marg Thomas Markey Greg Markielewski Patricia Markwardt Gervae Marmsoler Ben & Jan Maroushek Kathy Mart Doloris L. Martin Lynn & Jim Martin Dr. & Mrs. Mark L. Martin Michael W. Martin Dave & Jeanine Maschka & Family Francis Maschka Harriet Masyga Shari Masyga Joe, Denise, Dylan, Ashley & Gavin Matejka Michael & Mariann Matejka Mark & Laurie Mathot Margaret Matson Janette Matthees Sharon Matthees Joy & Holly Mattison Bernice Matzke Merle W. Matzke Wally & LaVerne Luedtke\ Dave & Sandi Matzke Deborah Maus Judith & Edwin Maus Mary Jane May Bob & Joann Mayer Mr. & Mrs. Tim McBeth Dick & Beth McChesney Dean McClenathan Marlys McCluskey Janet L. McCoy

Ivan & Lois McElhiney Yvonne A. McElmury Joan Ella McGill Lila McGill Liz McGrory Carolyn & Kelly McGuire Patricia A. McGuire L. Donald McLeod Elaine McMartin Pete & Wendy McMartin & Family Dennis & Marian McMillan & Family Jenna & Fallon McMillan Betty M. McNally Jerry & Bev McNally Jim & Sheila McNally Norma McNally Bob & B. J. McQueen Donald & Gayle McRae Elaine Meier Ruth H. Meier Don & Patti Meierant Merchants Bank Don & Louise Merchlewitz Frank & Bonnie Merchlewitz Joanie Merchlewitz Lisa Merchlewitz Rebecca J. Merchlewitz Judy & Dave Mertes Charles & Anita Mettille Roger & Ramona Metz Mark & Marsha Metzler Beverly Meyer & Pauline Spalding Robert Meyer Terry, Mary, Luke & Laura Meyer Audrey Meyers Margaret E. Michaels Jeffrey & Paula Michalowski Mildred Micheel Drs. Mary & Christian Michener Curt & Barbara Mihm Clarise M. Miller Dawn Miller, & Jeffrey Miller Hugh & Vera Miller James & Marleen Miller Jerry & Susan Miller June S. & Glenn E. Miller Sheryl A. Miller Mary Miller-Hyland Dorothy Minnie Mrs. David Miranda Evelyn E. Modjeski Jeanette Modjeski-Welch Richard & Eugenia Moe Jerry & Jane Moen Steven M. Moen Dr. Ruth Moes & Mr. James Moes Ken & Sally Mogren Julie & Jim Moldenhauer Boyd Monroe Carolos & Jill Morales Phyllis I. Morcomb Bruce & Traci Morken Evelyn Motschke Estate Gladys Mrachek Steve & Judy Mrachek Barbara A. Mrozek Ms. Bev Mueller Bob & Laurel Mueller Elizabeth & Marvin Mueller Joy A. Mueller Pam Mueller Patti Mueller

Ronald & Wilma Mueller Mary Mugo Jon Mullen Marty & Lisa Mullen Michael & Elizabeth Mullen Sylvester C. Mullen John & Marlene Mulrooney Linda L. Murphy Rick Murtinger Dolores A. Myers Steve & Deb Myers Daryl & Joan Nagel Mabel D. Nagle Lynn Nankivil Jane & Steve Napieralski Mike & Janice Nascak Cheryle M. Nation Thelma “Dee” & Curtis* Neal Nona J. Nehring Barb Neilson Dan, Sharon, Shelby & Brianna Neitzke Harry & Lois Neitzke Marilyn N. Neitzke Mr. & Mrs. Roger A. Neitzke Beverly H. Neldner Mr. & Mrs. Ardell Nelsestuen Arnold & Mechelle Nelson Jim & Diane Nelson Mr. & Mrs. Ken Nelson Leslie H. Nelson Michelle Nelson Travis Nelson Neva Neumann Linda L. Neville Sandra M. Newhouse Frances M. Newell Helen & John Newell Stephen Newell David Niccum Amelia Nichols Sharon Nichols Dick & Barb Niemeyer Ione M. Nilsen Donnis N. Noer Ruth A. Nordby Robert M. Norton Kathleen Northrup Deb Novak Novo Nordisk Inc. Christi & Jon Nowland Bernard & Peggy Nownes Chuck & Patty Nuzum Pete & Jenny Nyseth Bud & Karen Nystrom John O’Connor Jim & Beth O’Dea Kay M. O’Dea Bruce & Karen Odell Amparo K. Oevering Hellen Oevering Elmer Ollhoff Estate The Olmsteads Doris H. Olness Bob & Sandra Olson Ellen & Jim Olson Jennifer Olson Keith & Mary Ann Olson Kelsey Olson Marilyn B. Olson Myrna Olson Dr. Paul N. Olson Phil & JoAnn Olson

Appreciating Guardian Angels Every time Ruth Streater begins her shift at Winona Health’s Lakeside Café, she puts on her employee badge and sees her Guardian Angel pin. That pin immediately reminds her of Ella Guyon. Ella was a frequent Lakeside Cafe guest while visiting her friend at Lake Winona Manor. Ruth and other Café staff developed a warm relationship with her. “We were all so moved by her. She made such an impact on all of us,” Ruth explained. “She was the kind of person you wanted to be yourself.” After Ella passed on, her daughter and son-in-law, Joan and Joe Greshik, wanted to honor the Winona Health Food and Nutrition Services staff for their kindness and care shown to Joan’s mother. The Guardian Angel program provided them the perfect way to honor both the staff and Ella’s memory.

Joseph S. Greshik Father of Joe Greshik

Ella Guyon Mother of Joan Greshik

The Winona Health Foundation’s Guardian Angel program allows people to recognize a physician, nurse or other staff member who made a difference in the life of a Winona Health patient or resident. When a gift is made to the Foundation in honor of a guardian angel, that staff member receives an acknowledgement letter and a special lapel pin to wear. The Greshiks appreciated the mission of the Guardian Angel program and made an additional donation in memory of Joe’s father, Joseph S. Greshik. In his later years, Joseph experienced an array of Winona Health hospital services and spent his final two years at Lake Winona Manor. Joe recalls his father’s care received at Lake Winona Manor: “Everyone touched my father’s life – the dietitians, housekeepers, LPNs and RNs,” Joe said. “I wanted a way to honor them for making a difference.” He added, “The Guardian Angel program is a way of showing one’s appreciation in a small way. It is an excellent, excellent idea,” he said. “Now I know that when all of these amazing staff members see their pins, they will think of my father, my mother-in-law, our family and the impact they had on all of us.”

Guardian Angels Cindy Ahrens Joe & Doris Howlett Suzanne Auger Mara Rukavina Kathy Benke Edward & Jane Kohner, Jr. Dr. Scott Birdsall Maryann & Dave Forsythe Kris & Scott Walters Dr. Matthew Broghammer Todd Graff & Laurie Ziliak Jennifer Burmeister Mara Rukavina Sheila Collom Anonymous Betty Crawford Sally & Ken Mogren Rachelle Schultz Marilou Dienger Rachelle Schultz Jody Doebbert Geraldine Kratz Rachelle Schultz Jean Dzwonkowski Ed & Rachel Barak Michele Ekern Barbara J. Laumb

Bev Engel Joan & Joseph Greshik Dr. Richard Ferris Sally & Ken Mogren Barbara T. Rivers Rachelle Schultz Christine & Larry Stoltman Pamela Flanagan Todd Graff & Laurie Ziliak Juan Flury Geraldine Kratz Marti Gabel Kris & Scott Walters Lois Gernes Rose Marie Seales Heather Gould Joan & Joseph Greshik John Gray Edward & Jane Kohner, Jr. Mary J. Miller Mr. and Mrs. Alton Semling Carole Gregory Joan & Joseph Greshik Dawn Gronner Joan & Joseph Greshik Mary Harms Carol A. Byrne Jake Ilika Joe & Doris Howlett

Sarah Jackson Family of Ella Guyon John Kouba Anonymous Mary Krage Joan & Joseph Greshik Laurel Kruse Mara Rukavina Erin Latten Joan & Joseph Greshik Darleen Loretz Joan & Joseph Greshik Dr. Rebecca Lossen Anonymous Joanne Lynch Ed & Rachel Barak Rebecca McDonald Joan & Joseph Greshik Family of Dureen Heim Sharon Meier Anonymous Sheila Meldahl Family of Ella Guyon Traci Morken Greg A. Tarras Dr. John Mulrooney Maryann & Dave Forsythe Dr. Dennis Nolan Diane J. Gottschalk

Ann Olson Sally & Ken Mogren Dr. Daniel Parker Barbara T. Rivers Rachelle H. Schultz Tom Pfeifer Winona Health Sarnia Square Group Erica L. Ping Rachelle H. Schultz Dr. Bryan Reed Christine & Larry Stoltman Dr. Thomas Retzinger Carol A. Byrne Dr. Richard Romeyn Karen and Gabe Pehler Dr. J. David Rowekamp Maryann & Dave Forsythe Sandra Ruben Irene M. Dittrich Phonesavanh Sacksith Edward & Jane Kohner, Jr. Dr. Cullen Schwemer Christine & Larry Stoltman Angie Seberg Ed & Rachel Barak Andrew Seltz Leola P. Kluender

Annette Soddy Greg A. Tarras Bridget Spencer Joan & Joseph Greshik Family of Dureen Heim Kathleen Squires Joan & Joseph Greshik Family of Dureen Heim Ruth Streater Family of Ella Guyon Tara Suffrins Kris & Scott Walters LeAnn Van Den Bosch Julie N. McCormick Craig Vessey Todd Graff & Laurie Ziliak Kelli Wheeler Anonymous Sheri White Diane J. Gottschalk Winona Health Family Birth Center Staff Mara Rukavina Penny Wunderlich Edward & Jane Kohner, Jr. Rosie Zeller Family of Ella Guyon

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Greg Schuh, woodworking artist, is one of the 294 individuals who received assistance through the Ben & Adith Miller Patient Care Fund in 2008.

Thank you,

Winona Health “Thank you, thank you, thank you, Winona Health” was the phrase Greg Schuh repeated while talking about the financial assistance he received from the Ben & Adith Miller Patient Care Fund. A 31-year resident of Fountain City, Wisconsin, Greg, a woodworking artist, found himself needing surgery. John Mulrooney, MD, a Winona Health Internal Medicine physician, referred Greg to David Rowekamp, MD, a general surgeon at Community Memorial Hospital. “Winona’s hospital system is world class,” Greg stated. “Dr. Mulrooney, Dr. Rowekamp, Dr. [Dennis] Nolan and Dr. [Charles] Shepard tackled my case with professionalism. We are so blessed to have a beautifully consolidated facility with a world-class team of doctors and nurses right here in our area.” Greg was no longer able to afford health insurance once he started his woodworking career 15 years ago. So he met with Jean Dzwonkowski in Winona Health’s Business Office to set up a payment plan for his surgery bill. Jean encouraged Greg to apply for the Ben & Adith Miller Patient Care Fund. “When I learned that my surgery bill was paid for by the Ben & Adith Miller Patient Care Fund, I felt a huge weight

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| Winona Health Community Report 2008

lifted off my shoulders,” said Greg. “I thought it was the nicest thing anyone could do for me.” Before woodworking, Greg was a construction contractor until his health started to decline. While in construction, Greg did some work on Ben Miller’s house. “I’ve always had great respect and good working relations with the Miller family,” added Greg. He felt even more grateful to learn that a family whose house he helped work on was now helping him through their special fund set up in 1986. As a way to give back, Greg has donated some of his art to the Winona Health Auxiliary Birthday Ball and to the Business Office as a reminder of his appreciation. “I’ve been a patient at Winona Health all my life. I remember my mother taking me to see Dr. Rogers, who was our family physician. My whole experience with Winona Health has always been wonderful,” said Greg. “I’ll always be appreciative of Winona Health for all they’ve done on my behalf.” In 2008, the Ben & Adith Miller Patient Care fund provided $744,377 in aid to 294 individuals. To learn more about the Ben & Adith Miller Patient Care Fund, call 507.457.4579.

Oppenheimer Funds Legacy Program Carol A. Orlowske Michael & Kathryn Orlowske Kevin & Susan O’Reilly Lorraine Orr Gordy & Kathy Overing John & Dorothy Overing Thomas Overland Dick & LaVonne Ozmun Carol & Dennis Pack Karen Packer Scott & Sandra Paetzel Jim & Doris Palbicki Sylvia Palbicki Jane Palmer Lyelle & Mary Palmer Timothy & Tammy Palubicki Mary Pampuch Carmene Pangrac Sandra Pankratz Brian, Bridget & Brie Papenfuss Joan (Merchlewitz) Papenfuss Marie Papenfuss Fred & Betty Parpart Carol & Larry Partington Dorothy M. Paskiewicz Ralph & Marjorie Passe Mary Ann & Bill Patterson Harold C. Paulson Robert G. Pavek Armella F. Pawlak Lois & Eric Pawlowski Kay Pedretti Family Gabe & Karen Pehler Family Anne R. Pellowski Barbara Pellowski Dave & Karen Pellowski Daniel W. Pelowski David G. Pendleton Donna M. Peplinski Ron & Cindy Peplinski Mary Kay & Kenneth Peshon Kenneth & Coleen Peterman Duane & Patte Peterson Eloise Peterson Gordon & Ann Peterson Grace L. Peterson June Peterson Kathy & Bill Peterson Ken Peterson Family Steve, Jeannie & Skyler Peterson Normagene Pettersen Diane Petz Jackie Petz Tom & Kathy Pfeifer Mr. & Mrs. Lawrence Pflughoeft Rich & Denise Pflughoeft Paula Philipps Joyce E. Phillips Mr. & Mrs. Rick Phillips Roger Phillips Fred & Liz Picha Cindy Pickering Randy & Judy Piel Steve & Linda Pierce Joe Plaisance Marge & Ken Poblocki Rhonda & Mac Pohn Sharon Pollard Nancy & Gerry Polson Jean Polus Leonard & Shirley Pomeroy

Marcie, Frank & Pat Pomeroy Walt & Phyllis Porter Bob & Janet Poss Daryl & Beverly Potter Darlene Pozanc Irene C. Pozanc Mark & Barb Pozanc Mike & Lisa Pozanc Jeffrey & Pam Prenatt Patricia Price John & Keri Prigge Ken & Joyce Prigge Mary Prochowitz Cathy & Mike Prondzinski Lewyelln G. Prondzinski Julie Anne Prondzinski Judith Pronk Stanley & Arlene Prosen Pearl Prudoehl Allan & Joan Pruka Irene Pruka Luena Pruter Allen E. Przybylski Mr. & Mrs. David Przybylski Mark & Peggy Przybylski John Przytarski Gary & Teresa Puetz Leo & Elaine Putzier Bettie A. Raciti Sandy & Eugene Rackow Jean M. Rader Kevin & Jennie Rafferty Ruth Rahn Arnett Rita Ramczyk Patty Ramer Bruce & Carol Ramsdell Doris Randall Lee Randall Russell R. Rattunde Tammy A. Rayfield Robert & Jean Raz Jennifer & Paul Ready Joan Redig Kathy & Robert Redig Wilfrid & Marguerite Redig Bruce & Mary Reeck Tom & Mary Reeck Bruce & Grace Reed Jacque H. Reidelberger Rebecca J. Reinarts Dale Reishus Polly & Martin Renk Don & Barbara Repinski Dorothy Reps Douglas F. Reps Lillian Reps Family Doreen & Clarence Ressie Betty Rholl Donna Rice Elizabeth Richter Family Delores E. Rieger Doreen Rieger Eunice Rihs Lavonne & Duane Ringler Dan & Diane Rinn John P. Rislove Susan M. Rislove Kayla Ritter Don & Lori Rivers Jodi Rivers Sue Rivers Helen Roberton

Margaret & Lee Roberts Jeanne H. Robinson John & Connie Roche Susan & R. Peter Roehl Chris & Ruth Roffler Charlene Rogers Rohn Family Dr. & Mrs. Curtis Rohrer Elaine M. Rohrer Bernard & Barb Rolfing Bev Romine Greg Rommes Anne & Mike Rompa Rita K. Rompa Marjorie J. Ronnenberg Bob & Darlene Roraff Linda A. Rose Michal A. Roskos Robert Rossin & Mona Stolpa Florence R. Rother Selma J. Rott Dr. David & Betsy Rowekamp John & Bonnie Ruben Betty Ruedy Amy & John Rukavina Dan & Pat Rukavina Andy & Renee Rumpca Jennifer Rupprecht Mr. & Mrs. William Saehler Bernice Safranek Estate Saint Mary’s University St. Matthew’s Ev. Lutheran Church Lloyd & Sharon Salisbury Lorraine & Ann Salisbury Mark & Bernita Salmon Don & Deb Salyards Donna Sammann Dorothy & Paul Sanders Betsy B. Sawyer Forrest Sawyer Gordon & Joan Schacht Bert & Ruth Schaffner Dale & Jenny Schaffner Rita M. Schallau Raymond J. Schammel Debi Lei Scharmer Millie Scharmer Craig & Paula Scheevel Edwin Schell Randolph J. Schenkat Mr. & Mrs. Jack Scherer Rick & Jennifer Schewe & Family Steve & Margaret Schild Darlene Schlesser Robert C. Schlink Albert J. Schloegel Dale, LuAnn, Amy & John Schmidtknecht Beth Schneider Jule & Marg Schneider Julie & Mark Schneider Sam & LaVonne Schneider Sue Schneider Dr. & Mrs. Eugene V. Schoener Greg & Linda Schoener Doris R. Schoenike Donald L. Schoening Theodore & Donna Schoewe Deanna Schotzko Earl & Phyllis Schreiber Susan M. Schreiner Donald Schroeder

Robert & Linda Schrupp John Schueler Cecilia (Sally) M. Schuh Harold & Carol Schuh Frances K. Schuldt Ann Schultz Bernard & Darlene Schultz Betty Schultz Joe Schultz, Jr. John C. Schultz Marcia Schultz Rachelle & Bob Schultz Sally Schultz Sharon Schultz Vivian Schultz Frank E. Schulz Florence Schumacher Kenneth F. Schumann Kim & Pete Schwab Marilyn Schwab Marian Schwantz Gayle Schwarz Lou Anne Schwarz Mr. & Mrs. Charles M. Scovil Corrie Searles Doug & Angie Seberg Linda & Jerrie Seibert Dorothy* & Loyley Seifert Patricia Kidd Selmanoff Roberta J. Semling Alan H. Senstad Betty J. Senty Delpha Serva Jim & Kathy Serva Jerry & Nita Serwa Pam Serwa Mr. & Mrs. Paul Serwa MaryAnn & Tom Severson Wayne H. Severson Helen Shaw Warren Shaw Judy & Bill Shay Lori Sheldon Dr. Charles & Judy Shepard Mike & Dee Sherman Pat Sherman Evelyn E. Shiel Wayne & Kathleen Shustrom Karen & Tom Sibenaller Julie A. Sichler Lillian T. Siebenaler Lynn C. Siebenaler Andy, Jim, Carol Siefert & Sharon Wicka Judy M. Sievers Gloria Siewert Barbara Simmons Lois Simons Barry & Earlene Simonson Barb Sims Caroline Sines Dawn Singer Max & Betty Singer Jim & Barb Skeels Jean Skime Michael J. Skroch Albin & Nancy Slaby Steve & Barb Slaggie Tom Slaggie Darryl & Sue Smelser Keith & Leah Marie Smelser Al Smith

Ellen & Brent Smith Mr. & Mrs. Gary Smith Gene & Barbara Smith Jerry A. Smith & Susan Clouse Smith Justin Smith Rose M. Smith The Smiths Carol Snidarsic Cathy M. Snyder Dawn Snyder Family Arlene L. Sobeck Gene Sobeck Marion G. Sobotta SOFA Committee Clarice B. Solberg Lilly G. Somers Sometimes 8 Phillip C. Sonnenberg Soporex, Inc. Bill & Becky Soranno Catherine B. Sorom Betty Spalding Beverly A. Spande Lynn Orphan Speed Art & Jeanette Speltz Bev Speltz Charlotte & John Speltz Don & Rosie Speltz Herbert Speltz Kelly & Carolyn Speltz Pete & Maureen Speltz Bridget Spencer Lillian E. Spencer Carol Spiten Rick & Jami Spitzer Tim & Carol Spring Kathleen & Bill Squires Ruth Squires Alan Stachowitz Keith Stachowitz Donna Stackhouse Eleanore Stahl Phyllis Staige Shirley M. Stanford James Stanislawski Raelene R. Stanislawski Dennis, Sue, Tim, & Olivia Stark Heidi Stark Sis Starzecki Barbara A. Steele Mary Steffenhagen Sondra & Wayne Steffenhagen Warren, Krist & Brecken Steinfeldt Jerry & Jo Stejskal Arlene Stender Getty M. Stephens Calvin Stettler Crystal Stevens & Family Joy & Joel Stevens Ron & Diane Stevens Jeff & Kathy Stier Shirley Stock Shelly Stockhausen Rita R. Stoll Terry Stolpa Larry & Christine Stoltman Leona Stoltman Carol Heyl & Don Stone Mary T. Stoos Laura Stover Ruth, Mark, & Will Streater Bruce E. Streng

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I

had been on my way to a Mayo rheumatology appointment when I faded a bit in Lewiston. I had my choice of being transported from there to either [another hospital] or Winona Health, but the decision was not a difficult one. This hometown care becomes a factor of increasing import to me in our modern-day health care delivery system. While I've always been grateful that we work well with the out-of-town specialists when necessary, I continue to value the personal touch we all receive from our friends and neighbors here who deliver high quality, compassionate health care to patients when we need it. From the nurse practitioner at Lewiston Clinic to the EMT in the ambulance to the care I received in the Emergency Department and ICU, I could not have been treated with more concern and respect. Having“A Friend for Life” close by becomes an even greater comfort to those of us closer to the end of the spectrum than the beginning. But as WH fulfills its“cradle to grave” mission, we celebrate our high quality health care with a hometown touch delivered to people of all ages. ~Sue C. Randy & Christine Streukens Rosemarie Strong Karen, Chris & Michael Stuart James & Ann Stueve Mary Lou Stutzka Judy Styba Ray & Marge Sultze Sugar Loaf Ford Lincoln Mercury Dick & Barb Sulack Maureen & Larry Sutton Mary E. Swart Aunt Sydney Carl & Katherine Szczesniak T. R. Hennessy Family Charitable Trust Takeda Pharmaceuticals North America, Inc. & Affiliates Jeanne & Steve Tanamachi Carol Tarras Clay & Cherisa Templeton David & Brenda Terpstra Mary Teska Bill Tews & Phyllis Brynestad Tom & Diane Thatcher Don & Vange Thaldorf Alice F. Theis Jean H. Theis John F. Theis Linda L. Theis Mary Ann Theis Shirley A. Theis Shelly L. Theisen Wally & Leona Thiele Marian Thiewes

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Bonnie Thill Rita E. Thill Susan Thilmany Kevin & Sharon Thode Harley & Edith Thompson Joel & Sue Thompson Lorraine Thompson Sharon Thompson Tim & Schelly Thompson David & Vicki Thrune Mr. & Mrs. Ray Thrune Al & Bonnie Thurley Lavonne M. Tibesar Yvonne M. Tindal Howard & Betsy Tobak Scott & Sharon Tolleson Dorothy Tomashek Howard & Patte Tomashek Frank Took Alice T. Torgerson Nancy Toulou Dave & Karen Trickett Fund of the Winona Community Foundation Hilda Trochta Bela Trubacek Brenda, Fred, Chelsea, & Nicole Tryan Delwin & Sherrie Tschumper Edith & Byrle Tschumper Bernice Tulius Marion Tulius Gloria K. Tullius Joan Tullius Brad Turner & Ellyn English

| Winona Health Community Report 2008

Harriet A. Turner Dr. Scott & Kathy Turner David Tveten Harriet Tweedy & Family UCare Minnesota United Methodist Women - Winona United Way of the Greater Winona Area Mary & Jim Uphoff Karen & Ed Urbick June Urness Frank Utecht Pauline R. Utzinger V.F.W. Ladies Auxiliary Elaine S. Valentine Peggy Vanderwerf Dolores Vaughn Jack & Bonnie Vaughn Penny & Kenneth Venus Teri Verbeet Judi Veronese & Lois Streich Matt & Lyla Vetter Gordon & Gloria Vick Lisa J. Vieth Stuart B. Virnig Greg & Mary Volkart Patti Volkman Robert Von Rohr Janis Vose Grace & Duane Waadevig Joe & Audrey Wachowiak Mildred Wachowiak Beth A. Wadewitz

Donald J. Wadewitz Linda & Mike Wadewitz David & Nancy Wagner Mark S. Wagner Mr. & Mrs. Charles Waldo Kay & Peter Walsh Jessica Walsky Paula J. Walter Kris & Scott Walters Marlene & Jake Walther Mrs. Don Walz, Sr. & Don Jr. Jack M.“Butch” & Barb Walz, Jr. Jack N. Walz, Sr. Patricia A. Wanek Ed & Dorothy Wantock Betsie Ward Joyce M. Warnken Dawn Warren David & Vicki (Harris) Wason Karen A. Waters Watkins Incorporated Bart & Emerine Weaver Norm Weaver Roger & Mary Weaver Ian & Dawn Webster Eileen Wedge Dale & Lise Weegman Louise Weese Joan B. Wehlage Richard R. Weilandt Sue Schain Weiner Dave & Bette Weinmann Jim & Pat Welch Joe & Kara Welch Wenzel Family Margaret A. Wera Gladys Wershofen, Sandra Koraff, & Jeffrey Wershofen Rita J. Wessel Loretta Westlund Jean A. Whalen Jeanne Whetstone Jerry & Judy Whetstone Mary Whillock Arlene White Sharon Wicka & Andrew Siefert Family Bob & Jan Wieczorek Mary & Bill Wieczorek Rosie & Jim Wieczorek Holli & Mark Wieser Stacy Wilhelm Bob & Janet Wilke Dick & Jaci Will Vivian Wille Chuck & Claire Williams Laurie Williams Ann Williamson Karen Williamson Nancy & Lloyd Williamson Mary L. Wilma Chris & Tom Wilmot Eunice B. Wilson Marvin & JoAnn Wilson Ruth E. Wilson Wiltgen Family Rosemary A. Winczewski Joe & Vicki Wineski Bob & Virginia Winestorfer Winmar Sleep Center Winona Agency Employees

Residents of Winona Arms Apartments Winona Community Foundation Winona Eagles, Aerie #1243 Winona Elks Lodge No. 327 Winona Fire Department Relief Association Winona Health Auxiliary Volunteers Winona Health ECG & Respiratory Care Depts. Winona Health Employees Winona Health Valet Services Winona Hims Winona Kiwanis Sunrisers Winona National Bank Winona Rivertown Lions Club Winona State University Think Pink Event Colette Wodarz Greg & Katie Wohletz Chris Wojciechowski Dolores Wojciechowski Fran Wojciechowski Mary E. Wojciechowski Duane & Edwina Wolfe Marge Wolfe Marvin & Pamela Wolfmeyer Mary & Jane Wolfram Alma M. Wollin Women of Purpose Fund of the Winona Community Foundation Women’s Fellowship of First Congregational Church Cecelia Wondrow Connie Wood Mr. & Mrs. Kenneth Wooden Pat & Ron Woychek Warren J. Wunderlich & Romadel Rian Xaisoua Xiong Jim Youngs Helen M. Zaborowski Jim & Toni Zaborowski Mary June Zbylicki Kim Dehlin Zeiher Ida M. Zeller Susan & Brian Zeller Jerry & Joan Zenke David & Theresa Ziegeweid Ila Zieman Becky & Brad Zittel Nancy & Terry Zittel Brian & Julie Zmolek Thomas Zolondek

In Memory Betty M. Acheff Becky Anderson Jan Wanek Dorothy H. Ahrens Gary & Renae Ahrens Helen M. Ahrens John & Cindy Ahrens Lori R. Ahrens Robert V. Ahrens Mr. & Mrs. Roger Ahrens Jill M. Barrientos James & Carolyn Bruha Community Memorial Hospital Patrick & Carol Cunningham Ron Fuglestad Patricia L. Harris Maurine & Walter Holzworth M. Jerome Nauman

Donna M. Peplinski Pleasant Green Townhouse Association Milton & Clinton Ronnenberg Donna Sammann & Family Jerry Schneider Schott Distributing Company Lillian E. Spencer F. Craig & Dianne Zeches Arvilla A. Albrecht Community Memorial Hospital Vayden S. Anderson Susan J. Day Joyce O. Locks

Philip & Janis Conway Pat & Joan Costello Charles & Anita Mettille Ann Tyler Jan Wanek Wanek Vogel Fnd Eq Agency Nancy A. Zittel Dr. Doug Boyer Dr. David & Betsy Rowekamp Verona C. Bradfield Pat & Jerry Haessig Beth & Jim O’Dea Fyrn O’Dea Kay O’Dea

June Bublitz Sharon Budnick Carol A. Byrne Hazel G. Buege The Family of Hazel Buege Rainy Griesel Phyllis M. Buege Community Memorial Hospital Steve & Candi Kohner Laurel & Robert Mueller Kay & Peter Walsh Leslie J. Burch, Jr. Robert & Barbara Allan Gayle & Maryanne Anderson

Doris M. Cerney Debbie & James Dilling Phylliss Mae Johnson Merchants Bank Ann Schultz Joanne & Don Thiesse & Lori Ruth Church Peter & Joanna Berhow & Family Andrea Church Roger Church Thomas & Laurel Church & Family Dennis & Sandra Kiehne & Family Clifford Clovning Mary & Larry Gutknecht

Winnie Armitage Mark & Barb Pozanc Marian I. Auer Joy & David Schmidtknecht Judy Bain Cletus A. Hanson James N. Banicki Dorothy Banicki Mark & Barb Pozanc Theodore M. Barr Donald & Ruth Marg Duane & Patte Peterson Jeffrey & Pam Prenatt Edmund V. Bartz Pearl Prudoehl

Ron H. Cutliff Doreen Bengtsen Jacquelyn A. Blahnik Ana Contraras Linbeck Group, LP Karine Pruka Kelly Rizzo

Walter Bauer Jerry & Corrine Grochowski John ‘Darby’ Beck Julie & Rick Galewski Joseph & Susie Nienow Sadie Beirne William & Sadie Beirne Family

Walter E. Davis Community Memorial Hospital

William Beirne William & Sadie Beirne Family Kenneth C. Benter June & Ron Hawley Dorothy A. Berger Fred & Carol Buse Charlotte & Ramon McElmury Jeff & Kitty Molitor Bert Beyerstedt Barbara Ramer Ted Biesanz, Sr. Les & Vi Boelter Alan & Carole Nelson Donna M. Peplinski Barb & Steve Slaggie Mary & Bill Wieczorek Leona Binius Shirley & Jim Engbrecht Evelyn Bohri Joan & Joseph Greshik Jim & Doris Killian Rainy Griesel Ruth & Pat Leahy Charles & Sandra Wunderlich Vincent J. Boland Ashley Furniture Industries, Inc Mary A. Boland Steven & Theresa Boland Sally Bublitz Sharon Budnick

John & Pat Ferden Gene & Lois Frank David & Jeanne Fugina Bernice Gates-Parkin Charlotte Gepner C. J. & Bleva Grajczyk Joan & Joseph Greshik Steve & Sandee Grulkowski Nancy & Patrick Hull Jim & Barb Jabrosky Artie & Tami Johns Phylliss Mae Johnson Cecilia B. Keeling Bob & Marlene Kohner Candi & Steve Kohner Holly Jo Lecheler Dorothy & Francis Losinski Betty M. McNally Nora Lee & Fred Naas Leon & Donna Nesbitt Duane & Patte Peterson Eunice Rihs Betsy B. Sawyer Jim & Sheri Schell Bonnie & Richard Scott Brenda & Bryan Scott Dawn E. Snyder Lillian E. Spencer Sharon M. Summers Jerry & Sandi Van Hoof Mildred Wachowiak

Neal Decker Al & Debbie Greenwood

I

didn't like having to have surgery, but the nurses took very good care of me and they were really friendly! ~Apryl B. (age 9)

Laura Brandt Sandra & Bruce Bauer

Georg Burch Candlewood Townhome Associate Cecilia & Randall Gotz Tom & Margaret Graham David C. Hohenstein Mary A. Kintzle Kenneth & Barbara Lundeen Dora Schwartz Mr. & Mrs. Les Schwartz Cynthia Timm Isabelle Timm

Elmer A. Brommerich Boomer’s Quality Plumbing

William Burk Bev Engel

Esther Brooks Anonymous

Irene Calek Alice Matts

Jo Dee Bruening Peter Bruening

Jerry Cerise Bernice Gates-Parkin

Josef Alois ‘Wisi’ Bragger Community Memorial Hospital John W. Brand Sharon Budnick Michael J. Brand Sharon Budnick Fern Brandt Sandra & Bruce Bauer

Mildred L. Clow Pam & Al Mueller Monica L. Conway Judy & Ron Benson Chuck & Karen Bleess Sandra & Craig Brooks Sharon Budnick Margaret & Gerald Cada Gloria & Karl Conrad Philip & Janis Conway Sue & Jack Cornwell Diana Cyert R.J. & Jane Dorn Jerry & Judy Dyba Carol & Le Roy Dybing Jim & Gretchen Erwin Peter & Mary Faber O.J. & Karen Fawcett

Dr. Daniel Degallier Dr. Scott & Debra Birdsall Betty J. Breitenfeldt Sharon E. Budnick Carole & David Forest Jim & Shannon Hanzel Janice & Robert Lee Dr. David & Betsy Rowekamp Dr. Charles & Judy Shepard Rick & Jami Spitzer Kay & Peter Walsh Rudolph “Rudy” Dietrich Lois M. Christensen Linda & Steve Fix Walter & Dorothy Gilbertson Carolyn & Dennis Goplen Paul & Eleanor Griesel Gary & Lois Halverson Harold & Carolene Jacobson Leroy & Lynn Jasnoch Mary & Jerry Lowery Nancy L. Schultz Kathryn & Paul Weiner Bernice Dingfelder Joan & Joseph Greshik Beth Nelson

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Willard “Bill” Dittrich Community Memorial Hospital Jane Dittrich DeWayne A. Doebbert Community Memorial Hospital Lowell Doenier Bev Engel Gertrude (Trudy) Donovan Conway & Beth Elton Tom & Chris Wilmot Lu Ann F. Duffy Fran & Jean Dzwonkowski William Duffy Sharon Budnick Chris Whetstone Marie E. Dunn Judy Alexander Katherine & Gerald Calengor Edward & Michelle Dau Dick & Suzanne Dunn Margaret Engel First Congregational Church Donald & Jean Florin Cheryl Krage Charles & Anita Mettille Natural Resource Group John & Norma Pierson Lillian Spencer Todd & Debbi Spencer Wayne & Sondra Steffenhagen Allan & M. Sue Stork William & Karen Warmack Leona M. Elliott Betty Breitenfeldt Joseph P. Emanuel John & Penny Breitlow Bob & Susan Briggs Margaret M. Claus Karen & Dennis Cleveland Jeanette Drake The Family of Joseph Emanuel Gene & Lois Frank Marian Hopkins Daniel & Dorothy Hoyt Kevin Mahoney Curtis & Barbara Mihm Richard & Eugenia Moe Alice Neitzke Arlene Neitzke Donna M. Peplinski Betsy B. Sawyer Stewart & Kay Shaw Lillian E. Spencer Barbara A. Steele John & Martha Walski Nicholas & Nancy Whaley Victor W. Erdmann Kent & Dawn Erdmann Maryann Erickson RTP Company Miriam Erwin Michael & Ann* Bruder Community Memorial Hospital June & Ron Hawley Wayne & Meri-Ruth Pflughoeft Bruce & Mary Reeck Dr. Thomas & Bonnie Retzinger

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Robert & Rachelle Schultz Dr. James & Mary Testor Judy & Ron Theis Chris & Tom Wilmot Dolores M. Ewing Michele & Ivie Popplewell Family Scott Farman Judy & Angus Callender Mark Full Community Memorial Hospital Parkview & CMH Pharmacy Staff Mary Ann Full Community Memorial Hospital Parkview & CMH Pharmacy Staff Allen P. Gappa Carol A. Byrne Community Memorial Hospital Marty & Debbie Gappa Dian F. Gappa Scott & Sharon Tolleson Geoff Gardner Joni & Ted Benson Sharon Budnick Community Memorial Hospital Robert & Erika Gilbertson Mark & Barb Pozanc Barb A. Gernes Beth M. Bergmans Elizabeth G. Boyer Daniel De Cook & Magdalana Donovan-De Cook Rebecca & Steve Demmer Roger H. Ganser Groffrey & Kristin Hjerleid Jolene Hjerleid & Peter Buchman Kristin & Groffrey Hjerleid Amy & Dennis Kunkel Manuel & Julie Pena John Petry & Kyle Gernes-Petry Steve & Darlene Richardson Sue E. Rothschild Shari A. Tjossem Alan & Susan Utesch Donald H. Geronime Evelyn Ecklund Carol D. Gerth Katherine Kulas Alice Neitzke Arlene Neitzke Esther Gierhan Community Memorial Hospital Pharmacy Staff Dave & Maryann Forsythe Arlen & Marla Gall & Family Diane & Stanley Gierhan Parkview Pharmacy Staff Tom & Vicki Witt Martha Witmer Giese Martha Witmer Giese Family Eugene W. Gile Chris Whetstone Grace Rote Gordon Anonymous Earl K. Graves Judy Benson Wayne Benson Jean & Fran Dzwonkowski Richard & Eugenia Moe

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Joseph S. Greshik Vicki & Dennis Decker Bev Engel Gary & Ellen Evans Lorraine Glanzer Joan & Joseph Greshik Kenneth & Lois Haeuser David & Janeen Melmer Roger & Ramona Metz Reinarts Stained Glass Studios Inc. Robert & Rachelle Schultz Michael & Jane Voelker Doris M. Grzybowski Duane & Patte Peterson Mark & Barb Pozanc Delores Guenther Bev Engel Ruth H. Gustavson Bob & Virginia Winestorfer Ella Guyon Roma Anderson Tom & Linda Anesi Ellen Appel Melvin & Donna Arcand Vi Balducci Irene Battye & Ramona Hegstrom Jim Battye Robert & Sandra Battye Angie Bork Sandra & Craig Brooks Shirley A. Brooks Cochrane-Fountain City Schools Community Memorial Hospital Michele J. Cummings Vicki & Dennis Decker Diane Dobrzenski Jerry & Connie Dobrzenski Family Muriel & Paul Douglas Mary Ann Duellman Julia Dwyer Tom & Beth Ede Stephen & Nancy Emmett Bev Engel Dave & Jean Evans Gary & Ellen Evans Marjorie H. Everson Marian Farner Laurette Florin Kyle Fons & Tracy Sue & Rick Fons Enda B. Fried Alethea H. Fugina Jeanne & David Fugina Lorraine Glanzer Lynn A. Green Jennifer Greshik Joan & Joseph Greshik Eleanor M. Griffin Katherine G. Griffin Robert & Lois Groop Ed & Mary Helmueller Don & Yvonne Herold George W. Jeffrey Joe Kaczorowski & Kalene Engel Marj & Bill Kammueller Charles & Mary Kirchner Shirley & Claude Klein Ruth & Pat Leahy Lillian & Emmett Long

Ria & Orin Midtlien Shirley A. Miller Heather R. Nelson J. Robert & Jeanne Nelson Onalaska Pupil Services Building Staff Ronald & Patricia Pavek Virginia & Charlie Prussing Christine & John Ramirez Polly & Merle Ratz Kenny & Mary Salwey Bert & Ruth Schaffner Sue & Dave Schaffner Judge Gary & Shelby Schlosstein Lucile B. Schneider Frank & Janet Servais Elizabeth & Kevin Smith Stephan M. Stacy Christine B. Stoa Gladys M. Story Kathy Sundquist Delores Sutter Jacqueline J. Swan Bela Trubacek Ray & Marilyn Viitala Peggy & Gerry Wojchik John & Judy Wolfe Carole & John Zierden Eleanor M. Haines Laurel & Robert Mueller Bob Haney Robert & Duella Murphy Linda W. Hass Hazel Casey Willfred C. Haug Family & Friends Ray G. Haun Joyce O. Ehlers David & Carole Fratzke Patricia J. Squires Elaine R. Hauser Community Memorial Hospital Merna B. Hazelton Karen & Dennis Cleveland Lois & Ted Czaplewski Fraternal Order of Eagles Ladies Auxiliary Victor & Linda Erdmann Robert & Kathleen Hazelton Roy & Mary Lou Hazelton Patricia J. Hein Jon & Carolyn Kosidowski Mary Ann & Keith Olson Tom Sawyer & Connie Mettille David & Janet Sebo Michael & Amanda Weilandt Kay B. Whetstone Steve Zolondek Marilyn Hein Fran & Jean Dzwonkowski Ethan E. Henderson Community Memorial Hospital Harold Herber Community Memorial Hospital Michael Heth Dennis & Lisa Coon Betty Hildebrand Patty Haack Richard Hildebrand

Mary & David Larson Jackie Overkamp Lillian Hilden Community Memorial Hospital Edna Hobbs Bev Engel Lois Laufenburger Beth Nelson Marcia & LeRoy Wantock Lyle Horton Community Memorial Hospital Rena Hotopp Sandra & Bruce Bauer John J. Howrigan Gabriel & Mary Liegey Arvilla M. Hund Fran & Jean Dzwonkowski Donna Huwald Mary & David Larson Lauretta Jahimiak Community Memorial Hospital Darrell D. Jenkinson Verne & Darlene Bartelson Robin & Jeff Jandt Irene Langowski James J. Jeresek Carol A. Byrne Gloria & Karl Conrad Helen E. Davies Tom & Margaret Graham Gloria Hassinger Mark & Barb Pozanc Bob & Rosemary Shoup Dr. George Joyce Mary S. Joyce Julius J. Justin Chris Whetstone Kenneth F. Kafer Thomas & Sheila Abts Ruth Bradford Jack & Maureen Dray Mary Ann Duellman Ethel M. Kelley & Paul Krumholz Joseph & Denise Kish Elaine M. Krumholz-Spika Linden & Carolyn Larson Dorothy McPherson Richard & La Vonne Mikrut Rose Obenchain Sigrid Perrin Ruth A. Schaffner James & Marilyn Scholmeier Connie & Gavin Strand Darlene Kaiser Michael & Ursula Barrie Christine & Lance Duellman Lori & Ahmed El-Afandi William & Sally Junge Patrick & Amy Kaiser Scott & Suzanne Roberts Dorothy Zeches Verne M. Kaliher ALM Holding Company/Mathy Construction Yvonne & John Foegen

Diane Barge, Mary Brenno, Carole Matejka and Jan Wanek carry on Glady D. Miller's legacy through their work in the Winona Health Auxiliary's Glady D. Miller Gift Shop.

A legacy that’s truly a gift Before there was a gift shop in Community Memorial Hospital’s main lobby, there was a tiny gift shop off a corridor founded by dedicated volunteer Glady D. Miller. Glady was a generous person who selflessly gave of her time. When she died in 1980, her husband Rudy knew she’d want to support the gift shop’s expansion. Thanks to the couple’s philanthropic spirit, the gift shop was named for Glady in January 1981, and in January 1983 the new shop opened in the hospital’s main lobby.

Carole agrees: “I love volunteering…it’s a lot of fun, with this group especially. And it feels good to know we’re accomplishing something to help others.” Diane added, “Volunteering here is a good use of time and effort. I love creating gift shop displays and planning Holiday Happiness,” which transforms the hospital’s third floor into a holiday wonderland for several days each November.

Between 1979 and 2008, the Glady D. Miller Gift Shop and Holiday Happiness have given more than $650,000 in proceeds to benefit community healthcare.

Today’s gift shop chairwomen follow in the footsteps of Glady and original gift shop organizers Irene Renk, the late Rita Sullivan, Faye Kiekbusch and Alice Sheridan. It takes countless volunteer hours to run the Glady D. Miller Gift Shop, which is organized today by Diane Barge, Mary Brenno, Carole Matejka and Jan Wanek. They handle gift shop purchasing, pricing, displaying and bookkeeping. Each of them says that gift shop volunteering is as much a gift to them as it is to others.

“As you grow older,” said Mary, “you need to stay active and in contact with people. The people I work with through volunteering have become such good friends. We all get along; we work well together; and we laugh a lot.”

All four women agree that carrying on Glady’s legacy of giving is as important as the personal reward they receive from volunteering. “When we donate the gift shop profits each year, we all know what we’ve been working for,” noted Mary. “It’s ultimately a gift to enhance healthcare for our community.”

“Volunteering gives me a purpose to get up in the morning,” said Jan, who added with a laugh, “And I’m a born saleslady, so I especially love volunteering in the gift shop.”

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Mildred Loretz Bev Engel

Partners: Big Brothers Big Sisters of Greater Winona

Winona Area Public Schools

Family Medicine of Winona

Winona Family YMCA

Habitat for Humanity

Winona Park and Recreation Department

Lewiston-Altura Community Education

Winona Post

Minnesota Marine Art Museum

Winona Radio

Project FINE

Winona Volunteer Services

Winona Daily News

United Way of the Greater Winona Area Winona Area Ambulance Service, Inc.

Dick Kaminer Sharon & Brian Budnick Reuben & Lily Kaste Elsie L. W. Kaste Sandee Katula Community Memorial Hospital Scott & Barb Fabian Parkview Pharmacy Staff Winona Health Materials Management Co-workers Jacqualine Joyce Keenan Emily B. Campbell Judith C. Bautch Douglas J. Keller Parkview Pharmacy Gang Joseph J. Keller Community Memorial Hospital Maxine Kiefer Judith M. Plock Albert E. King Don Alman Chris Antoff Jean & Mark Bambenek Roxann Gilson Isabelle T. King Gerry Preckowski Mary Jane Reed Fran Schmidt Shirley A. Theis Donald & Joanne Thiesse Nancy & Terry Zittel David Kissinger Cletus A. Hanson Kenneth R. Kleist Family & Friends Kathleen M. Gerth Susan Landowski

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Thank You!

Teresa A. Knutson June & Ron Hawley Arlene J. Kohner Judy Benson Jenny Bushman Faye Flynn Terri Hesson Florence M. Kohner Tom Kohner Donald & Jean Nadeau Albert W. Smith, Jr. Katy & Matthew Smith

Ruth Kukowski Nick & Kendra Granseth Randi & Bill Reinarts Max V. Kulas Lorraine E. Bauer Mickey Kulas Roger Kulas Michele & Ivie Popplewell Larry & Christine Stoltman Karen M. Kunce Community Memorial Hospital

Marie Kowahl Cathy Fangman

Marian Lambert Carolyn & Phillip Larson

George Krage, Jr. Jill M. Barrientos Community Memorial Hospital Tami & Kipp Eckert Robert & Erika Gilbertson Bruce & Janice Harem Brent & Autumn Herber Tess & David Holzer Shirley & Joseph Kamrowski Cheryl & Paul Krage Geraldine F. Krage Jack & Dorothy Krage Beth Nelson Jeff & Robin Peterson Mark & Barb Pozanc Ellie Shannon Barb & Steve Slaggie Beverly & Robert Stein Robert Stephens Family Harvey & Sherri Stever Tammy & Bill Stiever Carole & Eldon Thomas James & Barbara Walters Judy & Jerry Whetstone Dick & Jaci Will

Gary LaPoint Jack Andresen

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Jay Martin Dr. L.J. & Ramona English Joan & Joseph Greshik Bud & Karen Nystrom Susan & R. Peter Roehl Phyllis McClenathan Charles & Barbara Bass Dean McClenathan Denise McClenathan & Rob Hard Donald W. McCormick Sharon Budnick Eric McElmury Scott & Suzanne Roberts John L. McGuire Patricia A. McGuire

Project Get Outdoors Rushford-Peterson Schools

David Mahlke, Sr. Dr. Daniel & Mickey Barr Jim & Gretchen Erwin Robert & Erika Gilbertson Chuck & Patty Nuzum Cherre & David Pye

Hazel Larson Lynn M. Sprain Margaret Lauer Bud & Becky Baechler Family Mary P. Mikrut Beth Nelson Richard Lawrence Community Memorial Hospital Harold J. Libera Les & Vi Boelter Community Memorial Hospital Conway & Beth Elton Dr. L.J. & Ramona English Norven H. Lockwood Community Memorial Hospital Julie & Rick Galewski Chris Whetstone Melvin Loerch Community Memorial Hospital Bev Engel Helen Lorenz Mary Freeman

Margeret McGuire Community Memorial Hospital Paula & Robert Drumm J. Ray McNally Verne & Darlene Bartelson Velma Melcher Brad & Kathy Benke Henry Benke Susan K. Benke Bob & Susan Briggs Dee & George Cipov Community Memorial Hospital Jon, Cathy & Andrea Hatleli Marlene & John Kane Margaret Lambert Carolyn & Phillip Larson Rich & Bev Lindseth Jackie J. Mahlke Bob & Laurel Mueller Beth Nelson Barbara Pellowski Lynn & John Stansfield Judy & David Stoltman Leona H. Stoltman Joseph P. Watkowski Karen Williamson Robert ‘Bobby’ Merchlewitz Cletus A. Hanson Delores Merchlewitz Marilyn B. Olson Joyce Alma Marie Miesbauer Jack Andresen Barb & Jeff Breza Jim & Gretchen Erwin Heather Everson Rainy Griesel Robert A. Hoodecheck & Suzanne Jelense Carrie Miesbauer Mark & Barb Pozanc Betsy B. Sawyer Beverly & Robert Stein Jerry & Sandi Van Hoof Winona National Bank Charles K. Millam Gloria M. Ames Russell T. Church Cheri & Patrick Dienger

Shirley & Jim Engbrecht Sharon J. Kaczorowski Merchants Bank Charles K. Millam Family Don & Lori Rivers John & Janet Ruggeberg Julie A. Schoener Brenda & Bryan Scott Dr. Charles & Judy Shepard Jerry & Sandi Van Hoof Ben & Adith Miller Larry & Christine Stoltman Benjamin A. Miller Steven & Laure Maki Stuart Miller Gayle B. Goetzman Cletus A. Hanson Alton F. Morken Mary Lou & Richard Baylon Ray & Colleen Cenfield Community Memorial Hospital Conway & Beth Elton Dale & Lynn Engrav Julie & Rick Galewski Roger & Ginger Glende Richard Iverson Betty L. Johnson Bob Kierlin & Mary Burrichter Leighton & Joan Kragness John & Ramona Litcher Marlys M. Morken Marlin & Linda Petersen Jean Rose Diane & Frank Wohletz Evelyn R. Motschke Friends & Family Mary M. Mullen Community Memorial Hospital Scott & Barb Fabian Katherine Kulas Materials Management Staff My Children, Karla, Kalene & Kevin Bev Engel Curtis D. Neal Betty Bergler Linda O. Nelsestuen Donna J. Ernst Donald B. Nelson Dawn & Kent Erdmann Robert Nelson Community Memorial Hospital Thomas Nelson Helen E. Davies Jim Nervig Gloria & Karl Conrad Char Nesler Community Memorial Hospital Honora M. Nesler Community Memorial Hospital Jean M. Nett Marna L. & William H. Stevens Karen Newman-Price Community Memorial Hospital John N. Noeska Mark & Barb Pozanc

Wayne R. Noeske Helen E. Davies LeRoy Nordeng Fran & Jean Dzwonkowski Clara P. O’Brien Scherrie Foster & Peter Van Dyken Merchants Bank Bonnie J. Sadowski Elmer Ollhoff Winona County Old Settlers Association Norene Oppriecht John & Penny Breitlow Anita R. Orzechowski Boomer’s Quality Plumbing

Joan Puetz Dorothy Banicki Mary Jo Duellman Chuck & Patty Nuzum Shirley Ramer Winona Postal Employees Margaret E. Redig Community Memorial Hospital Ardell Doering Kathy Foley & Sam Shea Gundersen Lutheran Medical Center Jim & Shannon Hanzel Charles & Anita Mettille William & Rebecca Mitchener James & Lois Morcomb Donald & Delores Rakstad Jane M. Redig Kathy & Robert Redig Tina Shea

I

would like to convey my gratitude and that of my family for the care shown to me on admittance to the CMH emergency room. On admission by a very caring, professional nurse, she noted a change in my condition and quickly transferred me to a treatment room. I immediately realized that I was in the hands of an efficient and professional medical team. You saved my life!

Ruth Oslund Community Memorial Hospital

William H. Rickoff, Sr Conway & Beth Elton

As I progressed to ICU, I encountered a great group of nurses who watched me like a hawk on the monitor but were always ready to explain tests and procedures. Thanks to a very busy doctor who treated me with care and concern.

Scott A. Parker Community Memorial Hospital

Barbara T. Rivers Ann E. Baker, Chanda & Erica Koby, & Danny Rivers Isabelle Baker & Norman Von Haden Norman Baker Gary & Marilyn Grob

I am proud to support our Winona Health facility and its dedicated staff. You are a great team. Thanks and God bless you all! ~Enda F.

Joseph Orzechowski Boomer’s Quality Plumbing Carol & Thomas Sauerer

Josephine ‘Josie’ Pehler Community Memorial Hospital Mark & Marie Gernes Marilla Pehler Community Memorial Hospital Avonelle Pelofske Sherrie & Charles Knopp Charles & Anita Mettille Jaci & Dick Will Loren Pelofske Doris A. Anderson Louis Czarnowski Audrey & Henry Deblon Marlene & Charles Flanagan Heidi Joyce Charles & Anita Mettille Marjorie & Ralph Perry Donna & Donald Peterson Martin & Polly Renk Beverly & Robert Stein Judy & Jerry Whetstone Jaci & Dick Will Bernard C. Plachecki Donna M. Peplinski Robert J. Plinski Sharon E. Budnick John F. Pozanc Duane & Diane Bohn Traci & Lee Jensen Barbara Pozanc Irene C. Pozanc Isabelle J. Prochowitz Margie Krause Clarence Prudoehl Pearl Prudoehl May Prudoehl Pearl Prudoehl William Prudoehl Pearl Prudoehl Marlon ‘Johnny P.’ Przybilla Community Memorial Hospital

John A. Reszka, Jr. Lillian E. Spencer

Jason Roffler Jennifer & Jamie Nogosek John A. Rohrer Elaine M. Rohrer Elmer Rote Anonymous Victor Schewe Merlin & Pat Ellinghuysen Mickey Kulas Bob & Virginia Winestorfer George E. Schneider Kathleen & Dan Blasko Marcia & Arnold Boese Duane & Diane Bohn Sheri Brandvold Cynthia S. Burt Lawrence & Cynthia Burt Community Memorial Hospital Maryann R. Frietsche Joanne L. Gilbertson Richard & Leslie Gordon Tom & Margaret Graham Gerry & Kathleen Gunderson Keith & Marie Holmquist Philip & Julie Kish Lori A. Lisowski Mike & Lynda Martin Mike & Janice Nascak Peter & Mary Nelson Rick & Michele Nester Joseph & Susie Nienow Bob & Geri Quinlan Leslie Randall, III & Barbara Hight-Randall Sue Rivers Craig & Paula Scheevel Elaine & Henry Scherdin Jerry Schneider Robert & Cheryl Schroeder Don Snider

State Farm Insurance – Jack Warnemunde Mary Ann Theis Ron & Judy Theis Kay & Peter Walsh James E. Youngs

Shirley M. Sobeck Community Memorial Hospital Carole & David Forest Audrey J. Smith Carol Snidarsic Randy & Deb Sobeck Eileen Wedge

John R. Torgerson Community Memorial Hospital

Charlene Speed Scott & Suzanne Roberts

Earl Tumlinson Al & Debbie Greenwood

Phyllis M. Stever Helen E. Davies Fran & Jean Dzwonkowski Norm Weaver

Sanford S. Tyler Bev Engel Sharon J. Kaczorowski Melrose-Mindoro Area Schools

Roy E. Schultz Jean Schultz

Mary ‘Connie’ Stiever Community Memorial Hospital Tammy & Bill Stiever

Hilda C. Selmer Dick & Jaci Will

Dragcia Stjepanovic Lou Anne Schwarz

Leroy M. Senn Roxanne & Doug Borkowski Community Memorial Hospital Mary Jo Duellman Bev Engel Mary Ann Senn

Merle Stoa Community Memorial Hospital Robert & Erika Gilbertson Duane & Patte Peterson Gerri & John Taylor

Rory N. Vose Rose & Horace Andersen Maxine E. Anderson Diane Barge Joyce B. Beard Walter & Bunny Bennick Angie Bork Gail Bradbury & Bernie Frisch Carol A. Byrne Marcia & Bill Chaffee Dee & George Cipov Betty J. Dolentz Paula & Robert Drumm Fran & John Edstrom Jean S. Engler Vicki Englich Ruth & James Erickson Carole & David Forest Cal & Arlayne Fremling Bernie Frisch & Gail Bradbury Carol & Warren Galbus Susan Gannaway Carolyn & Dennis Goplen Norma J. Grausnick

John Schuh Cecilia (Sally) M. Schuh Sophia Schuh Cecilia (Sally) M. Schuh Robert Schuler Rainy Griesel Loretta W. Schultz Don & Karen Schultz

Roma Lee Sing Roger & Carol Buege Craig & Anita Mueller Bob & Laurel Mueller Robert L. Skappel Community Memorial Hospital Bev Engel Eugene Slaby Joy Buehler Community Memorial Hospital

Roland Stover Laura Stover Bernie Sula Bob & Virginia Winestorfer Dorothy Swenson Wayne & Meri-Ruth Pflughoeft Gertrude Teskey Fran & Jean Dzwonkowski George J. Thilmany Beth Nelson

Dan Trainor, Jr. Susan & R. Peter Roehl Dorothy Tumlinson Al & Debbie Greenwood

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Joan & Joseph Greshik Marilyn & Henry Hansen Jim & Shannon Hanzel Monica L. Harrell Carol J. Heyl & Donald Stone Tom & Bea Hoffmann Marian & Richard Hopkins Daniel & Dorothy Hoyt Helen & August Keiper Donald & Joan Klagge Rose & Richard Kowles LaDonna Kruse Geraldine Landers Edna & Nelson Loughlin Polly & John Lyons Donald & Ruth Marg Meadow Acres Townhouse Association Brenda & Luke Merchlewitz Curtis & Barbara Mihm Dick & Eileen Moos Friends of Tahra Vose Jane Ochrymowycz Barbara B. Owecke Donna & Donald Peterson Bruce & Carol Ramsdell Dr. Charles & Judy Shepard Barb & Steve Slaggie Maxine & Jack Speltz Dr. Scott & Kathy Turner John & Carolyn Vitek Janis C. Vose Washington-Kusciusko School Judy & Jerry Whetstone Dick & Jaci Will Darold & Diane Wolff

Warren J. Wenner Kathleen A. Carroll Jean Knutzen Gary & Judy Wenner Robert J. Wernecke Haryette Newman Family Allen Whetstone Audrey J. Smith Lyle Whetstone Sharon Budnick Community Memorial Hospital Virginia Ekern Julie & Rick Galewski Bill & Carol Geiger Richard & Diane Murray Bob & Sandy Olson Mark & Barb Pozanc Chris Whetstone Gordon Will Mike & Jane Trok Dick & Jaci Will Beatrice A. Wistrcill Ann & Donald Wistrcill James T. Wood Joan E. Hinds John Woodworth Les & Vi Boelter Susan & R. Peter Roehl

Albert Wacholz Helen Olsen

Arlene Young Beverly A. Manske Jaci & Dick Will Richard Young Steve Young

Hubert Wacholz Helen Olsen

Robert Young Sharon Budnick

Betty L. Wadewitz Cletus A. Hanson

Bruce Zeller Rhonda & Mac Pohn

John & Penny Breitlow — 50th Anniversary Bernie & Janet Wagnild Nancy Dorn — Birthday Pearl Prudoehl Rose Dorn Pearl Prudoehl Bev Engel — Retirement Karla M. Miller Dave & Jean Evans — 60th Anniversary Joan & Joseph Greshik Phil Feiten & Barb Owecke’s Marriage Dr. L.J. & Ramona English Dr. Arnold W. Fenske Mary S. Joyce Ralph Fenske Pearl Prudoehl Sharon Flatten — Birthday Carl & Bonnie Troke Al & Debbie Greenwood Linda & Duane Franzwa – 30th Anniversary Fran & Jean Dzwonkowski Jeanne & John Freund — 50th Anniversary Bob & Rosemary Shoup Alethea H. Fugina — 95th Birthday Joan & Joseph J. Greshik Joseph S. Greshik* Ron Galewski Genevieve Kulas Judy K. Gerdes Nancy & LaVern Hauschildt Connie Wood Fran Gerlach Anonymous

Margaret T. Holland Catherine E. Slaby

Verlie Sather* Lou Anne Schwarz

Home & Community Options Family RTP Company

James & Bernice Semling — 50th Anniversary Roxanne & Doug Borkowski

Cindy Howlett Karen S. Clausen

Arnie Severtson Jim & Judy Severtson

Suzanne M. Jelense, M.D. — Retirement Eileen E. Amundson Hermie Boland Jeanne E. Boller Barbara A. Bollinger Betty Breitenfeldt Carol A. Byrne Community Memorial Hospital Diana L. Cyert Dr. L.J. & Ramona (Jezewski) English O.J. & Karen Fawcett Judy K. Gerdes Mary S. Joyce Roger & Ramona Metz James S. Pelowski Dorothy Sanders Richard & Mary Schneider Gertrude Votruba Connie Wood Drs. Matt & Laurie Broghammer Bev Keiper Al & Debbie Greenwood Mr. & Mrs. Carl W. Kiehnbaum Robert & Erika Gilbertson Lake Winona Manor Nurses & CNAs Dale Van Brunt Doris Van Brunt

Bev Speltz Robin Hoeg Telecare Volunteers Catherine Slaby Laura Stover Dr. & Mrs. James V. Testor Robert & Erika Gilbertson Dennis Theede RTP Company Thomas Thomsen Winona Health Surgery & Anesthesia Departments Robert & Donna Verdick Pearl Prudoehl Harry & Maureen Voss Marriage Stephen & Constance Rader JoAnn Weisbrod Susan & Ronald Buermann Winona Health Auxiliary Volunteers Carol A. Byrne Autumn Herber Winona Health Communications/ Marketing Staff Mark & Loretta Bronson Winona Health Emergency Room Staff Scott & Rebecca Lamberty

Robert Michael – 89th Birthday Joan & Joseph Greshik

Winona Health ICU Staff Family of Barbara T. Rivers

Dr. Mary S. Michener Donna J. Ernst

Winona Health Physicians Goltz Pharmacy – Neil, Daniel & Paul Goltz

Jerome D. Wantoch Joe & LaVae Wantoch

In Honor of

Bob Gilbertson — Birthday Jerry & Corrine Grochowski

James Ward Genevieve Kulas Jim Welle Karen & Dennis Cleveland

Selma M. Arsnow — Birthday Pearl Prudoehl David Binius Community Memorial Hospital

Peggy Graham Betty Breitenfeldt

The Michelle Miller Wedding Cletus A. Hanson

Winona Health Switchboard Staff Tony & Sue Hassinger

Dr. Larry Green Carol A. Byrne

Mary K. Murphy Portia Club

Winona Health Valet Services Laura Stover

D

uring the past year, we have had a few visits to the Emergency Room at Community Memorial Hospital to receive care for our children. Each time, our children received excellent care from the doctors, nurses and staff of the Emergency room. As parents, we felt well supported and that our children were receiving high-quality care from professionals who truly cared about them and about us. … Please know that I am deeply grateful to Winona Health for its great care of me [for surgical care] and of my family over the past year. ~ From a letter accompanying a Guardian Angel donation

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My Family Arlene L. Sobeck Amy Nankivil & Peter Shortridge Marriage Jean Lauer Dr. Dennis Nolan Anonymous Evelyn M. Odegaard – 90th Birthday Cletus A. Hanson Dick & Jaci Will Rodney H. Oppriecht John & Penny Breitlow Our Children & Grandchildren Larry & Marlene Tipton Sandy & Dick Pope — 50th Anniversary Paula & Robert Drumm Doris & James Killian

Winona Health Service Gifts The following Winona Health employees chose to direct a gift to the Winona Health Foundation as a way to celebrate their service anniversaries. Cindy Ahrens, 15 years Virginia Bunny Bennick, 35 years Sara Blair, 10 years Loretta Bronson, 5 years Faye Conners, 30 years Kimberly Devine, 5 years Robert Elam, 5 years Karen Engel, 10 years Andrea Erickson, 5 years Stanley Gierhan, 5 years Maria Goodroad, 5 years Bill Gould, 5 years Julie Gregory, 10 years

Dr. Sheila Hadaway, 10 years Joan Hinds, 10 years Connie Hodge, 5 years Diane Jereczek, 20 years Susan Jertson, 5 years Christianne Keiper, 5 years Peggy Krage-Koenig, 30 years Brenda Kuehn, 5 years Rebecca Lamberty, 10 years Carolyn Larson, 30 years Joanne Lynch, 5 years Tamara Matthees, 5 years Amanda McCasland, 5 years Laurie McLevis, 5 years Jill Morales, 5 years Dr. Dennis Nolan, 30 years Arlyn Picken, 5 years Danielle Quist, 5 years Jennifer Ready, 10 years Katie Rothering, 5 years Dr. Christopher J. Schubert, 5 years Rachelle Schultz, 5 years Jean Skime, 35 years Tom Smart, 10 years Lacy Squires, 10 years Donna Stackhouse, 5 years Ruth Streater, 10 years Mary Styba, 20 years Dr. Robert Wilfahrt, 5 years

Ben & Adith Miller Classic Sponsors and Contributors All Trades Service, LLC Arnold-Rukavina Partnership Arthur J. Gallagher & Co. of Minnesota, Inc. ATR Bayer MaterialScience Cerner Corporation Channel Prime Alliance Corporate Express Digicom, Inc. Donlen Corporation Fastenal Founders: Mike Gostomski, Bob Kierlin, Steve Slaggie Remembering Geoff Gardner Mary & Joseph Goldberg Julia & Steven Goldberg Goodson Shop Supplies Grant Thornton, LLP Gundersen Lutheran Medical Center Cletus A. Hanson HBC, Inc. HDR Architecture, Inc. HealthPartners JPMorgan Chase Bank, N.A. Kaplan, Strangis & Kaplan, P.A. Kraus-Anderson Construction Company Lindquist & Vennum Laurel & Mike Littrell – Radiology Consultants of Winona

Theresa & Peter McCamley Merchants Bank Roger & Ramona Metz Mikrut Properties LLLP Miller Felpax Wm. Miller Scrap Iron & Metal Co NXC Imaging/Toshiba PPG Industries, Inc. Rachelle & Bob Schultz RTP Company Schwab LLC SGL Carbon Group Sodexo Health Care Services Solvay Advanced Polymers Sport & Spine Physical Therapy of Winona, Inc. Travelers Victrex USA, Inc. Vision Design Group W&C Printing Wells Fargo Bank WHV, Inc. Wiman Corporation WinCraft, Incorporated Winona Agency Winona Excavating Co. Winona Lighting Winona National Bank Winona State University Foundation Ziebell’s Hiawatha Foods, Inc.

Gifts-In-Kind Babies R US Rochester Lori Bambenek Dr. Daniel & Mickey Barr Douglas & Suzanne Benter Community Bible Church – Awana Kids Kerri Ferstl Terry Gray Healing with Harmony Darrell Jenkinson Family Heidi Joyce Kitchen Solvers of La Crosse, Inc. Beverly & Jim Kohner Jenene Lobner Margaret Michaels Modern Woodmen of America Sandra Pankratz Kami Putz Michal A. Roskos Greg Schuh Fran Stark Lynda Tillman Winona Area Quilters Guild Winona Daily News Winona National Bank Winona Post Ye Old School House Shoppe *Deceased

Contributions to the Winona Health Auxiliary The Winona Health Auxiliary supports the mission of Winona Health through direct service to our patients and residents as well as through sponsoring a variety of activities and special events including the Birthday Ball, the Follies, the Glady D. Miller Gift Shop, used book and jewelry sales and much more. In addition, the Winona Health Auxiliary receives gifts to celebrate happy occasions and to memorialize loved ones. The names listed in this section reflect gifts made between October 1, 2007 and September 30, 2008, to the Winona Health Auxiliary and its Happy Occasion and Remembrance Funds. Contributors Cletus A. Hanson International Business Machines

In Memory Honora M. Nesler Candi Kohner Kermit Verthein David & Carole Forest

Auxiliary Happy Occasion Fund Hal Datta Robert Datta Autumn Herber Carole & David Forest Suzanne M. Jelense, M.D. — Retirement Rose & Horace Andersen Peter & Gisele Johnson — Marriage Pauline & Harland Knight Mary C. Krage — Retirement Rose & Horace Andersen Amy Nankivil & Peter Shortridge — Marriage Mary Lou Klagge Jon Nienow — Birthday Marion Whetstone Don & Donna Peterson — 50th Anniversary Carole & David Forest Mary Jo Wiltgen — 80th Birthday Gloria & Karl Conrad

Auxiliary Remembrance Fund Betty M. Acheff Diane Barge Mary & Duane Brenno Glady D. Miller Gift Shop Carol & Jim Hill Winona Health Auxiliary Volunteers Theodore M. Barr Dr. Scott & Kathy Turner Vincent J. Boland Steve & Candi Kohner

Phyllis M. Buege Sharon & Richard Flatten Carol & Jim Hill Monica L. Conway Jeffrey & Pam Prenatt Dr. Daniel Degallier Betty & Jerry Knuesel Joseph P. Emanuel Peggy A. Carroll Miriam Erwin Dr. Scott & Kathy Turner Geoff Gardner Dr. Scott & Debra Birdsall Carol A. Byrne Carole & David Forest Autumn & Brent Herber Carol & Jim Hill Pauline & Harland Knight Jeffrey & Pam Prenatt Kim & Pete Schwab Gloria Siewert Winona Health Auxiliary Volunteers Joseph S. Greshik Rose & Horace Andersen Dr. Jim & Jenny Kahl Dr. Scott & Kathy Turner Eleanor M. Haines Tony & Sue Hassinger Carol & Jim Hill Harold Herber Carol A. Byrne Kim & Pete Schwab Kris & Scott Walters Donald Lueck Helen E. Davies Fraternal Order of Eagles 1243 David Mahlke, Sr. Kathy & Brad Benke David & Carole Forest Beverly Olson Jeffrey & Pam Prenatt Jay Martin Gloria Siewert Joyce Alma Marie Miesbauer Sue & Jack Cornwell Carol & Jim Hill T. & K. Wirkus

Stuart Miller Carole & David Forest Pauline & Harland Knight Jeffrey & Pam Prenatt Curtis D. Neal Yvonne (Hagberg) Appelquist Skip & Suzy Comeau Dwight Hagberg Scott Hagberg Carol & Jim Hill Alan & Suzanne Klochany Geo & Joie Klochany Dave & Judy Mertes Dee (Hagberg) Neal Duane & Norma Plank Jeffrey & Linda Sass Jane (Hagberg) Shinners Bob & Elin Tillman Carol & Brian Walters Shirley Sobeck Eileen Wedge Merle Stoa Richard & Mary Lou Baylon Vic & Bonnie Bertel Christine & Thomas Brandt Sandra & Craig Brooks Marilyn & David Burger Peggy A. Carroll Gail Christiaansen O.J. & Karen Fawcett Calvin R. Fremling Joan & Joseph Greshik John & Barbara Heddle Marlene & John Kane Marilou & Carl Kiehnbaum Cheryl Krage David & Therese McNally Mary K. Murphy Mary E. Pendleton Betsy B. Sawyer Jim L. Stoa Dr. & Mrs. Thomas A. Stoa Marilyn I. Swart Dr. James & Mary Testor Phyllis W. Thysell Stephen & Rita Thysell Dr. Scott & Kathy Turner Sanford S. Tyler Carol & Jim Hill Kermit Verthein Autumn & Brent Herber Donna & Donald Peterson Kim & Pete Schwab Winona Health Auxiliary Volunteers Rory N. Vose Autumn & Brent Herber Winona Health Auxiliary Volunteers Don Walz, Sr. Mrs. Don Walz, Sr.

Winona Health thanks the individuals and families who shared their stories with us in 2008. If you have a story to share, contact us at: [email protected] or call 507.457.4157. Winona Health Community Report 2008 |

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2008 Financial Report WINONA HEALTH CONSOLIDATED BALANCE SHEETS: SEPTEMBER 30, 2008 AND 2007 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 $12,440,000 in 2008 and $9,050,000 in 2007 ° Insurance proceeds ° Pledges Supplies Prepaid expenses Total current assets ASSETS LIMITED AS TO USE PROPERTY AND EQUIPMENT OTHER ASSETS Long-term investments Deferred financing costs, net Goodwill, 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

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| Winona Health Community Report 2008

2008

2007

$8,353,261 2,416,207 4,616,910

$13,280,191 784,837 6,265,103

13,998,051 120,417 164,018 1,684,836 651,729 32,005,429

11,315,842 899,341 22,267 1,336,279 534,214 34,438,074

6,336,989 60,197,143

10,566,762 57,390,225

16,593,915 447,265 2,300,108 402,616 19,743,904 $118,283,465

17,054,943 464,135 -377,918 17,896,996 $120,292,057

2008

2007

$344,000

$400,000

2,349,459 720,000 136,977 9,820,807 13,371,243

2,785,655 1,166,742 269,584 6,398,699 11,020,680

32,651,000 46,022,243

32,995,000 44,015,680

63,564,720 831,964 7,864,538 72,261,222 $118,283,465

69,108,546 1,186,851 5,980,980 76,276,377 $120,292,057

Community Benefit Report We demonstrate our commitment to community service through community benefit programs, such as community health screenings, community education classes, charity care, student interns and donations to nonprofit organizations. These activities are designed to better the health and well-being of our community. Below is a detailed list of Winona Health’s community benefit activities for Fiscal Year 2008, along with the number of people served by these activities.

Category Description COMMUNITY BENEFIT Community Health Improvement Education classes, support groups, Community Health Talks and health screenings Health Professional Education

Clinical training site for nursing and other students

Financial Donations

Contributions to local non-profit organizations for Healthcare, youth and other community needs

People Served

Charity Care Minnesota Care Tax Medicaid Surcharge Medicaid Under-Funding

Community benefit operations

18,901

$75,010

1,425

$229,554 $26,180

In-Kind Donations & Fundraising Staff expertise, meeting rooms, donated items and time spent for Community Programs working on fundraising programs for the United Way and other local non-profit organizations Community Building Activities

Partnering with local organizations on Healthy Kids Club and other projects to enhance the quality of life in the community Cost of free or discounted services provided to individuals who qualify

1,533

$72,822

1,914

$64,018

333

$411,438

Tax paid by Winona Health to fund the Minnesota Care Health Insurance program

$1,072,079

Assessment paid by Winona Health to help fund the Medical Assistance/Medicaid program

$847,648

The difference (shortfall) between the cost of providing Care and payments received for providing care to Medical Assistance/Medicaid patients

$1,063,390

Costs of management and recordkeeping for community benefit

TOTAL COMMUNITY BENEFITS

$7,183 24,106

OTHER COMMUNITY CONTRIBUTIONS Medicare Under-Funding The difference (shortfall) between the cost of providing care and payments received for providing care to Medicare patients Taxes and Fees (Real Estate Tax)

Tax assessed on property

Bad Debt

Amounts for services provided, in which payment is expected but not received

$3,869,322

$4,571,622 $110,513 $1,848,655

Discounts offered to uninsured

$101,904

TOTAL OTHER COMMUNITY CONTRIBUTIONS

TOTAL COMMUNITY BENEFITS AND OTHER COMMUNITY CONTRIBUTIONS

Value of Benefit

$6,632,694

24,106

$10,502,016

Winona Health Community Report 2008 |

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Nonprofit Org U.S. Postage PAID Winona, MN Permit No. 72