winona health 2003 annual report

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~ A friend for life ~  Annual Report 2003

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Page 1: Winona Health 2003 Annual Report

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Annual Report 2003

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Winona Health is pleased to present our 2003

Annual Report to thecommunity. It has been

published to further communication betweenWinona Health and theWinona regional community and to thankour many supporters.This publication will bedistributed to our many

friends and colleaguesand will be available for downloading from our Web site.

If you have any questionsabout the articlescontained in this report,

please contact:

~ Loretta BronsonChief CommunicationOfficer, 507-457-4116

Other Marketing/PR staff who helped with this

publication include:

~ Amanda Egholm

PR Specialist, 507-494-7371

~ Sarah MaschkaCommunity RelationsSpecialist, 507-457-4161

Thanks also to intern Amanda Corcoran for her written contribution tothis newsletter.

More information about Winona Health may be

found on our Web site:

~ www.winonahealth.org

Letter from Winona Health President/CEO . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Letter from Winona Health Board President . . . . . . . . . . . . . . . . . . . . . . . . .4

LWM Chapel : Listening to residents’ wishes . . . . . . . . . . . . . . . . . . . . . . . . .5

CMH’s Family Birth Center : Caring for growing families . . . . . . . . . . . . . .6

Winona Health’s Dialysis Center : In response to a family’s need . . . . . . . . .8

Ben Miller : A tribute to a generous man . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Winona Health Financials : A solid 2003 . . . . . . . . . . . . . . . . . . . . . . . . . .11

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

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

“Winona Health is exceptionally well-organized, with a professional,motivated staff serving its constituencies in the hospital, the Lake Winona

Manor, the Alzheimer's residences, and the Watkins Manor,” stated Richard Dunn, son of a Watkins Manor resident. He is pictured with his mother and wife at a summer family gathering held at Watkins Manor.

~ Winona Health...A friend for life ~ 2 - 2003 Annual Report

Tabl e of Contents

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2003 Annual Report - 3~ Winona Health...A friend for life ~

Thanks for Your Support!I joined Winona Health in July of 2002 -- just as the capital campaignwas finishing up. And I was touched by the support of this community’smany benefactors.

This community’s support for Winona Health is important in so manyways. Clearly, your financial support has made many things possible,including building projects to update and expand services, the purchaseof medical equipment, financial support for those in need, and the listgoes on.

Evidence of your support also shows up in your use of our services across the healthcarespectrum. I have always believed that a community's support of its local healthcare providersis critical to the overall health and vitality of the community. I have complete confidence in the

competence and professionalism of the healthcare providers in Winona and stand steadfast inmy position that Winona Health is a competitive force for those services we provide. Our goalhas been to be an exceptional community healthcare system taking care of its community.I extend a sincere and heartfelt thank you for your support of our services!

We at Winona Health take our mission seriously and seek to ensure outstanding, high tech,high touch care to patients and residents. And the Winona community deserves specialcommendation for identifying and supporting core healthcare services for this area. We allreap the benefits in the long run.

Providing local health services is important to all of us at Winona Health. We all want the best physicians, nurses, and support staff working for our family members if and when they ever

become ill. We also want the reassurance of knowing that state-of-the-art medical equipment isreadily available.

We're building that healthcare system here at Winona Health -- thanks to your support! It takesa community to create and sustain a local healthcare system in these challenging times. So thiscommunity’s generosity and support of Winona Health has been most gratifying.

And we, Winona Health’s staff, promise to continue to work daily to provide the type of healthcare services that we all desire for ourselves, our families, and our friends.

Warmest regards,

President/CEO

Rachelle Schultz

From th e Presi dent/CEO:

Winona Health’sSenior Management

Team:

~ Rachelle Schultz President/CEO

~ Rand Gettler Chief Operating Officer

~ Mike AllenChief Financial Officer

~ Loretta BronsonChief Communication

Officer

~ Nancy Brown Executive Director of

Development

~ Sara Gabrick Patient Care

Administrator

~ William GouldChief People Resource

Officer

~ Kathleen Lanik Chief Health Information

Management Officer

~ Mary Miller-Hyland Administrator,

Lake Winona Manor

~ Dr.Charles Shepard Medical Director

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4 - 2003 Annual Report ~ Winona Health ...A friend for life ~

Winona Health’sBoard of Directors:

~ Scott Biesanz Director

~ David Binius Director

~ Susan Cornwell Vice-Chair

~ Vicki Decker Director

~ Cindy Donahue Director

~ Gary EvansChair

~ Joseph GreshikTreasurer

~ Herb Highum Director

~Mary Hurmence Director

~ Mark Jacobs Director

~ Dr. Susan Jelense Director

~ Hugh Miller Director

~ Dr. Dan Parker Director

~ Rachelle Schultz President/CEO

~ Mark Wagner Director

~ Jack “Butch”Walz Secretary

A Year of Refinement In 2003, Winona Health’s Board of Directors studied, planned andimplemented some key structural refinements to ensure that WinonaHealth is an exceptional, non-profit, community-focused, seamlesshealthcare system. We’ve moved from having multiple boards for multiple entities -- a hospital board, a Senior Services board, andothers -- to having one board responsible for the governance, strategic

planning, and fiscal oversight of all Winona Health affiliates.

With the numerous healthcare entitites comprising Winona Health, howdo our board members stay on top of all the issues? Our new structureincludes committees that review the organization’s finances, quality/safety

initiatives, human resource issues, and marketing/public relations. Much of the detailed review of issues is done at the committee level, with the committees making recommendations to the board.

This refined structure is working well, as our financial numbers indicate. Even more importantly, it isallowing us to better serve the Winona community’s healthcare needs because all boardmembers are involved in Winona Health’s total operations! The results have been gratifying:

~ Watkins Manor, an assisted living facility for independent seniors, reached capacity in 2003,serving as “home” to more than 60 area seniors! Adith Miller and Roger Metz Manors, our 10-bedmemory care residences, care for 20 seniors living with Alzheimer’s and related illnesses.

~ Community Memorial Hospital responded to the community flu outbreak and other winter illnesses late in 2003, stepping up staffing to accommodate the influx of patients. In addition,CMH received the outstanding news that its Surgery Department’s safety procedures received theMinnesota Hospital Association’s Patient Safety Improvement Award.

~ Lake Winona Manor, our skilled long-term nursing facility, admitted 400 residents last year.Many of those were short-term rehabilitation patients, while others have made LWM their home.Plans also were adopted to develop more private rooms to better address the community’s senior housing needs.

In addition, our hospice services reached more patients and their families than ever before... our home health nurses tended to the sick in their homes ... Rushford Clinic served the healthcare needsof Rushford area families… and Parkview Pharmacy’s convenient location made it the pharmacy of choice for many area residents!

These successes are possible only because you -- the community served by Winona Health – havesupported your local, nonprofit, healthcare provider. We thank you for putting your trust in WinonaHealth. And we, the members of the Winona Health board, promise to continue to ensure that our

community’s healthcare system becomes even more exceptional and seamless over time!

Sincerely,

Gary Evans

From O ur Board Ch air:

Winona Health Board Chair

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Lake Winona Manor, a skilled long-termnursing facility, serves the health and housingneeds of about 160 residents. An activeResidents Council works with staff to planand organize activities and to suggest ways toimprove services. Early in 2003, the Council

prioritized building a chapel to better serveresidents' spiritual needs. In December of 2003, ground was broken for a chapel thatwill seat more than 50 residents.

“The idea for this chapel came from theresidents,” said Mary Miller-Hyland, LWMadministrator. “They wanted a quiet place to

pray or reflect individually, as well as a placewhere larger groups could worship together.We think our new chapel design addresses

both these needs.”

The chapel planning processA chapel committee was formed that includedLWM staff, residents, and local clergy. “I amvery glad about the new chapel,” said LWM

resident and chapel committee member,Marjorie Paskiewicz. “I look forward tousing it for both the church services andfor my own private prayer time.”

“The new chapel will be a greatchance to meet new people andcome together for fellowship,”added LWM resident and chapelcommittee member LesBorgwardt.

Making dreams a realityIn order to make the chapeldream a reality, funds wereneeded for its construction andfurnishings. The Winona HealthFoundation has found atremendous outpouring of resources for this project. “LakeWinona Manor and its staff have touchedmany lives,” noted Nancy Brown, foundationexecutive director. “So many donors havestepped forward to give back to this facility

by donating to the chapel project.”

Ruth and the late Douglas B. Robinson madea significant gift toward the project. Mr.

Robinson was cared for by Lake WinonaManor staff at the time of his death. Hisfamily appreciated the help, consideration,and concern staff showed for their husbandand father and felt a gift toward the chapelwould be an appropriate tribute to their father.

Fern and Joseph Greshik made the first gifttoward the chapel's stained glass window tocreate a tranquil environment for quietmeditation and prayer. Mrs. Greshik stated,“We wanted to do something for LakeWinona Manor and… this just seemed like anice idea.”

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

“The idea for thischapel came from theresidents.They wanted

a quiet place to pray or reflect individually,as well as a place

where larger groupscould worship together.

We think our newchapel design addresses

both these needs.”

~Mary Miller-Hyland,

LWM administrator.

2003 Annual Report - 5~ Winona Health ...A friend for life ~

LWM Chapel: Listening to Residents’ Wishes

A drawing of the chapel.

LWM Nursing Director Patti Volkman, LWM resident and Chapel Committee Member Marjorie Paskiewicz, and

LWM Administrator Mary Miller-Hyland at the chapel groundbreaking ceremony.

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In February 2001, Winona Health opened thenewly remodeled Family Birth Center (FBC) atCommunity Memorial Hospital (CMH) to fitthe changing needs of its patients.

On November 20, 2003, Julie and Jason Gruettgave birth to a beautiful baby girl, Carissa Ann,in the remodeled Family Birth Center.

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

FBC part of Caring Today … campaignThe FBC upgrade was part of the Caring Today,

Preparing for Tomorrow campaign, a five-year project that began in 2000. Its purpose was tomodernize, enhance, expand, and improve thehospital, ensuring Winona Health's systemsremain solid and progressive.

The Arnold/Rukavina Partnership (Pat and DanRukavina and Muriel and David Arnold) made asignificant gift to the new nursery and FBCnurses’ station. Others making key gifts to this

project were:

~ Cornwell Families-Kendell Corporation-Kendell Doors and Hardware, Inc. - inmemory of Mr. and Mrs. R.D.Cornwell and their great-grandson,Benjamin Jack Katter

~ Anonymous - in honor of Fastenal employees

~ Watkins Products, Inc.~ WinCraft Incorporated~ Winona National Bank.

The Family Birth Center’s move andremodeling used $750,000 of the campaignfunds raised. Located on the hospital’s secondfloor, the FBC includes a new nursery, familylounge, and five Labor/Delivery/Recovery/Postpartum (LDRP) rooms.

All five LDRP suites are morespacious for family, friends, andsiblings to share in the birthing experience;have state-of-the-art medical equipmentavailable; offer private baths; and benefit from“room service” menus available around theclock. One handicapped-accessible suite alsois available.

6 - 2003 Annual Report ~ Winona Health ...A friend for life ~

“I hope other expectant motherswill come to CMH’s

Family Birth Center to have their babies,

so they can experience firsthand the positiveenvironment and experienced staff.”

~Julie Gruett

CMH ’s Family Birth Center:

Caring for growin g famili es

New mom Julie Gruett (above) gave birth to daughter Carissa Ann in Community Memorial Hospital’s Family

Birth Center in November of 2003.

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Personalized nursing services offered These spacious FBC suites are specificallydesigned so moms may remain in one placethroughout the birth experience. A one-on-onelabor nurse is assigned to each mother as shestarts the birth process and remains by her sideto assist her and her family in labor management techniques.

Gruett praised the personalized nursingservice: “The nurses were very helpful andfriendly,” she said. “The staff eased anytensions I felt throughout my birthingexperience and made me very comfortablethroughout my stay.”

Another new mom, Sara Blair, concurred. Sheattributed her “wonderful FBC experience” tothe “nursing staff [who] were very experienced

in the birthing process and were very helpfuland supportive during my delivery. I receivedvery personalized care” when daughter Georgiawas born, she added.

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

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

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

FBC enhancements continueEnhancements to Community MemorialHospital’s Family Birth Center continue. Notlong ago, a donor made it possible to play the

Brahm's Lullabye throughout the hospital after a baby's birth. Gruett appreciated that allhospital staff could join in celebratingCarissa’s birth.

With the help of funds raised by the WinonaHealth Auxiliary, the FBC recently purchasedanother fetal monitor. And Foundation staff isworking with FBC staff to raise funds to

purchase equipment for testing newborns’hearing.

For Sara Blair, Julie Gruett and others,Winona Health’s Family Birth Center is thehealthcare center of choice for deliveringtheir babies:

“I hope other expectant mothers will come toCMH's Family Birth Center to have their

babies, so they can experience firsthand the positive environment and experienced staff,”Gruett concluded.

“During my stay, I felt the staff truly

cared about me. I never felt like theywere too busy for me,

even though I knewthe unit was full.”

~Sara Blair

“My experience was first rate and

I feel comfortablereferring my friends

and family toCommunity Memorial

Hospital.” ~Stacie Blair-Nelson

2003 Annual Report - 7~ Winona Health ...A friend for life ~

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

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8 - 2003 Annual Report ~ Winona Health ...A friend for life ~

The Dialysis Department has

convenient hours toaccommodate the

needs of all patients --

Monday, Wednesdayand Friday:

4:00 a.m. - 7:00 p.m.

Tuesday, Thursdayand Saturda y:

4:00 a.m. - 3:30 p.m.

For moreinformation, call 507-457-4391.

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

In 1973, one family's need for local kidneydialysis services resulted in the creation of Winona Health's Dialysis Center, housed atCommunity Memorial Hospital (CMH). TheStewart family of rural Winona used thehospital's very first dialysis machine – and haswitnessed the Center’s growth through the years.

Dialysis aids in kidney functionDialysis treatments aid the kidneys when theycannot function at their full potential. Thekidneys are vital organs that remove waste

products from blood; regulate the amount of body fluids; balance body chemicals; and releasehormones that help control blood pressure and

the formation of red blood cells.“When a person’s kidneys are not working

properly, they may require dialysis, a processthat cleans the patient’s blood by circulating itthrough a special filter called a dialyzer,” saidFran Gerlach, assistant head dialysis nurse.“The patient’s blood is pumped through thedialyzer, where it is cleaned then returned to the

patient,” she added. “Treatment is usually giventhree times a week for 3-4.5 hours at a time.”

A suggestion from James Stewart The Stewart family has a genetic conditionknown as Polycystic kidney disease. “It is ahereditary disease where cysts replace normalkidney tissue,” explained Gilbert Stewart.James Stewart, the oldest of four siblings,

began his dialysis treatment at CMH when thecenter opened in February, 1973. “He had been

receiving dialysis treatments in Rochester threetimes a week before that, but the drive was

becoming inconvenient and impractical,” his brother David said.

So James spoke with Earl Hagberg, former CMH administrator, about the need for adialysis center in Winona – and a localhealthcare service was born! James’ treatments

at CMH lasted eight hours a day, three times aweek, Gilbert added. “He continued his localdialysis treatments for 22 years, until he passedaway in October, 1995.”

The Stewart family storyJoan Denzer, James’ sister, started her dialysistreatments at home. But the time-consumingtreatments interfered with her husband’s farming

business, so she, too, decided to come to CMHfor treatments. She underwent dialysis for 18

years, then received a kidney transplant in 1990at Mayo Clinic, Gilbert stated.

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

Winon a Health’s Dialysis Center:

In response to a family’s needs

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Gilbert Stewart, brother to James, Joan and Dave,started his dialysis treatments in February, 1989.He continued for six months, three hours a day,twice a week. “On August 2, 1989, I received a

phone call that I was eligible to receive a kidneytransplant at Mayo Clinic. That was a life-changing day for me,” he said.

Dave Stewart started his dialysis treatmentsin November of 2000 and continued untilOctober of 2003. “I went three times aweek, three and quarter hours per day,” heremembered. He received a kidney transplanton October 10, 2003.

Joan’s son, Wayne, also had Polycystic kidneydisease, yet never had to undergo dialysis. Hereceived a kidney transplant right away in 1992.

The Dialysis Department growsThe Dialysis Unit has changed since 1973.“It now is equipped with eight stations that

provide constant patient observation and timelyintervention to prevent complications,” Gerlachexplained. Each station also includes atelevision for patient viewing.

A Caring Today, Preparing for Tomorrowcontribution from Barb and Steve Slaggie wenttowards the new dialysis suite. The Slaggiechildren, Michael, Michelle, Sara and Matthew,were involved in the gift decision as well.

Convenient parking right next to the dialysisdoors makes the department accessible to thosereceiving treatment. And a lounge is locatednext to the dialysis center, for waiting familiesas well as for consultations with physicians.

The staff includes registered nurses, dialysistechnicians, licensed practical nurses, andsupport staff. A social worker, dietitian, and

biomedical technician also are in-house to provide services to patients. Dr. Dennis Nolan,a local physician, serves as the unit's MedicalDirector.

“In 2003, about 65 patients were served in theunit,” Gerlach added, “including some Winonaarea visitors. These patients have receivedabout 5,044 dialysis treatments.”

Top quality, award-winning servicesCMH's Dialysis Department compares well withother dialysis facilities in the state and nation.According to the 2003 Dialysis Facility Report from the Centers for Medicare and Medicaidservices, “The percent of… patients whoreceived adequate hemodialysis (i.e., enough wasteswere removed from the blood, ed.) in 2002 at CMH

were in the 97th percentile” – notably higher than state and national averages.

The Dialysis unit also won the Amgen Best Outcomes Award. “The award benchmarks thefacility versus other dialysis centers in thenation… and tracks improvements in anemiawithin the facility,” stated Gerlach. Amgendeveloped erythropoetin, a drug used toalleviate anemia in dialysis patients.

The dialysis unit’s quality outcomes aren’t a

surprise to one area family: “CMH and its staff are kind and gentle-hearted. We are trulygrateful for all of the wonderful care andsupport that our entire family has receivedthrough the Dialysis Center over the past years.Thank you for decades of great care andhospitality!” David and Gilbert stated.

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

2003 Annual Report - 9~ Winona Health ...A friend for life ~

" CMH and its staff are kind

and gentle- hearted.

We are truly grateful for all of

the wonderful careand support that our entire family

has received through the

Dialysis Center over

the past years.Thank you for

decadesof great care and

hospitality!" ~David & Gilbert

Stewart

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On a sunny August day a golf pro drivesthe ball past the fence at the end of thedriving range. The audience claps as the pro sets up for another shot. These golfers are

gathered at the Cedar Valley Golf Course toraise money for the Ben & Adith Miller Patient

Care Fund, a program that helps families pay for Winona Health medical expenses when they cannot afford them.

* * *

A group of students cooks a spaghetti dinner and frosts cookies with the elderly living at Adith Miller Manor, a residence for people

with Alzheimer’s disease.

These are only two examples of how WinonaHealth has benefited from the generous spirit,smile and giving heart of Ben Miller. A lifelongWinona resident, Ben grew up working at thefamily junkyard before founding Fiberite and RTP.

“Ben earned a unique place in the hearts of

Winona residents,” said Carol Hill, a longtimeWinona Health staff member and Volunteer Services director. “He earned that place for thekind of man that he was: generous, caring andalways finding a way to improve the lives of Winona residents.”

The Ben & Adith Miller Patient Care Fund In 1986, Ben struck a deal with CommunityMemorial Hospital officials concerning theAdith Miller Patient Care Fund. If CMH couldraise $250,000, Ben would match that amount.On his wife, Adith’s, birthday, Ben raised hisdonation to $300,000.

Once the fund’s endowment reached $1 million,Ben set up the Adith Miller Community ServiceTribute to honor someone who has contributedtime and leadership to community projects andservices. In turn, Ben donated $25,000 in therecipient’s name to the endowment. Ben’s

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

Additional donations recognize familyIn 1993 Ben donated money to purchase newmammography equipment that produced a

better quality image with a very low dosage of radiation. Because of Ben’s donation, the costof a mammogram has been lower for patientshere than elsewhere. The B.A. Miller FamilyFund, established to honor Ben on his birthday,is used for purchasing imaging andmammography equipment.

Ben and his brother Rudy donated the first vanfor the C&R Unit, now remodeled and calledLake Winona Manor. After Rudy’s death, Benestablished the R. W. Miller Education Fund for the continuing and professional pursuits of Community Memorial Hospital staff members.

In honor of Adith, who died in 1998, Ben do-nated funds to set up Adith Miller Manor. Thisassisted-living residence is home for 10 adultswith Alzheimer’s and other memory diseases.And Ben and RTP contributed to the Caring Today, Preparing for Tomorrow campaign inhonor of his parents, Joseph and Jenny Miller.The gift is slated for Lake Winona Manor.

Ben also supported programs throughoutWinona. He and Rudy helped establish WinonaState University’s School of Engi-neering. Benalso supported the local school district’sAcademic Mentoring Program.

“Ben loved to help others in any way that hecould,” said Hill. “He has created programsthat are helping Winona residents currentlyand will continue to help them in the future.Ben Miller was a one-of-a-kind man whoforever changed Winona,” concluded Hill.

10 - 2003 Annual Report ~ Winona Health ...A friend for life ~

Ben Miller: A Tribute to a Generous Man

Benjamin A. Miller

“Ben Miller wasa one-of-a-kind manwho forever changed

Winona.”

~Carol Hill Winona Health

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While most will associate financial

results with “money,” the financial resultsare really outcomesmeasurements that

help us look back onhow we’ve performed

and help us look forward by giving us

insight into the strength and

flexibility of our organization.

~Mike Allen, CF

A Solid Fiscal YearWinona Health had a solid financial year for the 12 months ended September 30, 2003. Thegood results were due to modest growth and good expense management. We saw growth inSurgery, Lab, Radiology, Assisted Living and Hospice services. The hospital continues to beour largest and strongest operating entity. Long-term care services struggled financially becauseof reimbursement freezes and reductions and a drop in census.

Overall the organization is in a strong financial position. Maintaining that strong position in thefuture will depend on our ability to find profitable growth and manage our expenses prudently.While most will associate financial results with “money,” the financial results are really outcomemeasurements that help us look back on how we’ve performed and help us look forward by givingus insight into the strength and flexibility of our organization.

~ Mike AllenChief Financial Officer

ASSETS 2003* 2002*

Current AssetsCash/cash equivalents $3,477,569 $2.806,294Assets limited to use 1,708,038 1,373,484Other marketable nonequity

securities 3,508,357 3,222,622Receivables- Net of estimated patient

resident uncollectibles 8,232,156 6,446,622

- Pledges 600,000 960,000Supplies 1,243,054 1,101,115Prepaid expenses 508,807 403,244Total current assets $19,277,981 $16,313,381

Assets Limited to Use $ 2,190,502 $ 1,921,400

Property/Equipment $29,665,876 $30,228,579

Other AssetsLong-term investments - - 353,624Endowment fund

investments $13,565,934 $12,084,949Pledges receivable 1,194,994 1,284,862Other 542,615 494,828Total other assets $15,303,543 $14,218,263

Total Assets $66,437,902 $62,681,623

LIABILI TI E S/ NET ASSETS 2003* 2002*

Current LiabilitiesCurrent maturities of

longterm debt $ 579,342 $ 545,458Accounts payable

- Trade 1,261,804 979,589- Estimated third party payor settlements 173,856 149,129

Accrued expenses, primarily

salaries, wages, benefits 4,380,593 3,845,781Total current liabilities $6,395,595 $5,519,847Longterm Debt, less

current maturities $4,034,755 $4,614,096

Total Liabilities $10,430,350 $10,133,943

NET ASSETSUnrestricted

- Board designated $3,670,391 $3,294,884- Undesignated 43,301,958 41,591,310

Total unrestrictednet assets $46,972,349 $44,886,194

Temporarily restricted 5,526,621 4,152,904Permanently restricted 3,508,582 3,508,582

Total Net Assets $56,007,552 $52,547,680Total Liabilities/

Net Assets $66,437,902 $62,681,623

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

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

2003 Annual Report - 11~ Winona Health ...A friend for life ~

Winon a Health 2003 Fin ancial s:

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~ Winona Health ...A friend for life ~

Nancy Brown

From the Foundati on Chair:

Nancy Brown,Winona Health’s

Executive Director of Development,is responsible for

the general operationsof the Winona Health

Foundation and provides direction to

Volunteer Services.

She came toWinona Health after

working in post- secondary educational

development and fundraising

positions. Brown isactive in the Association

of Fundraising Professionals and recently attained thedesignation Certified

Fund Raising Executive(CFRE).

She received her Bachelor’s degree in Journalism/Public Relations from the

University of Wisconsinand her Master’s degreein Administration from

the University of Notre Dame.

Brown may bereached at:

~ 507.457.4342~ nbrown@

winonahealth.org

12 - 2003 Annual Report

Great Things Have Happened!Dear Friends,

A lot of great things have happened at Winona Health since the lastissue of our newsletter in the spring of 2002. A good majority of those “things” are projects, like the Lake Winona Manor Chapel andthe acquisition of land adjacent to the hospital. These projects have

been made possible by the fiscal strength of the Foundation and the benevolence of its members.

Another great change has been on the people side. I can assure you thefuture of the Winona Health Foundation has never been in better hands. Nancy Brown,executive director, has the intelligence, energy, and the concern it takes to be a great stewardof Foundation assets and grow them substantially in the years to come. Make it a point to stop

and introduce yourself to her and Connie Duff, foundation and volunteer assistant. You willrealize how blessed Winona Health is to have them both on board.

Winona Health has moved forward on many of the strategic initiatives outlined in the Caring Today…Preparing for Tomorrow capital campaign. The successful merger of Winona Healthand the Watkins Home has resulted in the complete renovation of Watkins Manor into anassisted living facility boasting 100% occupancy. The Dialysis Center and the Family BirthCenter additions have enhanced the comfort and care we provide our patients. Advances in our clinical technology continue to improve patient care coordination while improving thefinancial outlook for Winona Health.

Despite the many advances that were made possible through the capital campaign, WinonaHealth will need to continue to expand, renovate and explore new opportunities to meet theever-changing healthcare needs of the community; the Winona Health Foundation plays a keyrole in supporting this distinct vision and mission of Winona Health. It is through the supportand dedication of you, our generous benefactors, that the Foundation can support acommunity- centered healthcare system that takes care of our present needs while makinginvestments to assure that our healthcare needs can be met in the future.

On behalf of the Winona Health Foundation Board of Directors, thank you for all that you doto make your community-based healthcare organization strong!

Sincerely,

Winona Health Foundation Chair

Jack “Butch” Walz

Page 13: Winona Health 2003 Annual Report

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~ W INONA H EALTH F OUNDATION

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Win ona Health’s Missi on: To ser ve the healthcare needs of the Winon a R egion al Communit y through :

~ Excel l en ce and l eadership in clini cal care and ser vi ce~ Fin an cial stewardship

~ Collaborative partn erships ~ Creati on of a ser vice environment wh ere peopl e can real ize th eir f ul l potenti al .

2003 Annual Report ~ Winona Health… A friend for life ~

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