2020-08-10T10:32:15-05:00 2019-09-30 411765929 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2018-10-01 410713914 Winona Health Services Inc WINO 5074543650 855 Mankato Avenue Winona MN 55987 Jan Brosnahan CFO 5074543650 2020-08-05 1 Kim Hunwardsen CPA P00484560 6122536500 2020-08-05 216.147.181.49 2020-08-05 11:03:01 CD P 5755687E6BF8D8D10BDE3B83E6631EF3D64C584D F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96 2018 2020-09-23 17:36:50Z Rachelle Heising-Schultz 855 Mankato Avenue Winona MN 55987 108640133 0 X www.winonahealth.org X 1894 MN Hospital Services 18 11 1105 275 473351 0 1741886 1599654 110342728 106205668 497009 673841 1008090 0 113589713 108479163 36732 44353 0 0 67879092 66177394 0 0 0 45549436 45347873 113465260 111569620 124453 -3090457 112591687 104498222 45157877 39580356 67433810 64917866 X Devoted to improving the health and well-being of our family, friends and neighbors. 1 1 96060915 44353 105991806 Winona Health Services (WHS), a 49-bed hospital, has provided care to its community and services from birth to death for 125 years. It is the sole community provider in the Winona, Minnesota area. In fiscal year 2019, WHS had 1,948 admissions; 209 births; 3,193 inpatient and outpatient surgeries; and 13,741 visits to the emergency room.To fulfill its mission of community service, the Corporation provides care to patients and residents who meet certain criteria under its charity care and community benefit policy without charge or at amounts less than its established rates. Because the Corporation does not pursue collection of amounts determined to qualify as charity care, they are not reported as patient and resident service revenue.Charity Care: WHS provides medical care to the community regardless of an individual's ability to pay. The charity care cost based on charges foregone was approximately $1,101,496 for FY 2019. In furtherance of its charitable purpose, the Corporation provides a wide variety of benefits to the community. These services and donations account for a measurable portion of the Corporation's costs and serve to promote healthy life styles, community development, health education, and affordable access to care.The Corporation maintains records to identify and monitor the level of community benefit services it provides. Those records include management's estimate of the cost to provide charity care, the cost of services and supplies furnished for community benefit programs and costs in excess of program payments for treating Medical Assistance patients.In addition to community benefit costs, the Corporation provides additional community contributions such as services to Medicare and Medicaid patients below the costs for treatment, other uncompensated care, discounted pricing to the uninsured, and pays taxes and fees. 96060915 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 107 0 1 1105 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X Jan Brosnahan 5074543650 855 Mankato Avenue Winona MN 55987 Ken Mogren Chair 3.00 2.00 X X 0 0 0 Steve Blue Director 3.00 2.00 X 0 0 0 Matthew Broghammer MD Director 40.00 2.00 X 529872 0 73682 Vicki Decker Director 3.00 2.00 X 0 0 0 Hugh Miller Director 3.00 2.00 X 0 0 0 Mark Wagner Director 3.00 2.00 X 0 0 0 Toni Highum Director 3.00 2.00 X 0 0 0 Sandra Burke Director 3.00 2.00 X 0 0 0 Greg Evans Director 3.00 2.00 X 0 0 0 Nicholas Modjeski MD Director 40.00 2.00 X 221699 0 47618 Brian Semling Director 3.00 2.00 X 0 0 0 Robert Williams Director 3.00 2.00 X 0 0 0 Brett Whyte MD Director 40.00 2.00 X 462997 0 78348 Fatima Said Director 3.00 2.00 X 0 0 0 Todd Paulson Director 3.00 2.00 X 0 0 0 Dave Gilmer Director 3.00 2.00 X 0 0 0 Katrina Hammel MD Director 40.00 2.00 X 354085 0 63979 Rachelle Heising-Schultz President/CEO/Director 46.00 4.00 X X 422936 0 85336 Jan Brosnahan CFO/Treasurer 48.00 2.00 X 237154 0 59972 Sara Gabrick VP Surgical/Specialty Care 42.00 X 175622 0 44780 Christopher Watras MD ED Physician 40.00 X 448411 0 58601 Robin Hoeg VP Inpatient & Senior Serv 40.00 X 167518 0 33406 Sarah Lallaman DO Pediatrician 40.00 X 281284 0 60174 Kevin Christensen MD Dermatologist 40.00 X 699671 0 45338 Andrew Millis MD Orthopedic Physician 40.00 X 652543 0 74840 Wayne Kelly MD ED/Urgent Care Physician 40.00 X 548535 0 48004 Kenneth Johnson MD Orthopedic Physician 40.00 X 597341 0 70705 Amarjit Virdi MD Anesthesiologist 40.00 X 573069 0 63076 Everett Beguin MD Former Key Employee 40.00 X 232363 0 50428 6605100 0 958287 95 1 1 0 Cerner Corp P O Box 412702 Kansas City MO 64141 Services/Contracted 4218787 Sodexo Inc & Affiliates P O Box 360170 Pittsburgh PA 15251 Contracted EVS, Facilities, FNS 1594270 Locum Tenens Partners LLC 145 Technology Parkway NW Suite 20 Norcross GA 30092 Contracted Physicians 869281 Mayo Collaborative Services Inc P O Box 9146 Minneapolis MN 55480 Contracted Laboratory 851935 Concorde Staff Source Inc 735 N Water Street Milwaukee WI 53202 Contracted Physicians 486970 22 1252886 346768 1050 1599654 Patient Service Revenue 622110 99739559 99739559 Purchased Service Revenue 900099 3128292 3128292 Supporting Revenue 900099 2050624 1791089 259535 Pharmacy Revenue 446110 1287193 1073377 213816 106205668 832524 832524 2287 0 160970 2287 -160970 -158683 -158683 108479163 105732317 473351 673841 X 44353 44353 4035668 2740440 1295228 456976 456976 50072538 44814497 5258041 1773112 1669564 103548 6477078 5336993 1140085 3362022 2965055 396967 232969 232969 100554 100554 28183 28183 12006479 9487085 2519394 215168 39543 175625 9314465 8820395 494070 2512215 212857 2299358 3185038 3158830 26208 567555 508762 58793 45836 45836 1015979 772144 243835 3846198 2923110 923088 886495 673736 212759 Medical Supplies 5575860 5575860 Bad Debt 4421557 4421557 MN Care Tax 1258962 1258962 134360 134360 111569620 96060915 15508705 0 7226469 7779609 279200 507526 13927868 14261155 39830 51246 3028202 2765289 992790 1030445 92773572 61102517 32632075 31671055 31924970 31086382 10765506 12054727 2014538 2014538 9760239 1276250 112591687 104498222 15248799 10439584 16786433 16037062 7189818 6688511 5932827 6415199 45157877 39580356 X 67433810 64917866 67433810 64917866 112591687 104498222 -3090457 574513 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5149492 5149492 53746383 34551523 19194860 30465280 25147583 5317697 3412417 1403411 2009006 31671055 Defensive Equity Fund 6786741 F Global Equity Securities 5267986 F 12054727 Deferred Compensation Obligation 6130678 Payable to Affiliated Organizations 284521 6415199 X Part X, Line 2: The Corporation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the financial statements. The Corporation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense, if such interest and penalties are incurred. 1 1 X 1 X 1 X 0 1 0 1 1 646000 646000 0.00600 20554161 18116853 2437308 0.02270 21200161 18116853 3083308 0.02870 34588 34588 0.00030 36228120 30992991 5235129 0.04890 324194 324194 0.00300 36586902 30992991 5593911 0.05220 57787063 49109844 8677219 0.08090 0 4421557 1768623 12404139 16215266 -3811127 X 1 1 1 Winona Area Ambulance Services Ambulance services 0.50000 0.50000 1 1 Winona Health Services 855 Mankato Avenue Winona MN 55987 www.winonahealth.org 00701 X X X Urgent care & 2 provider based clinics Winona Health Services 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X See Part V, Section C X 1 18 1 See Part V, Section C 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X 1 X 0 X X X X 1 X 0 0 Winona Health Services Part V, Section B, Line 5: In fiscal year 2019 following the collection of the Community Health Needs Assessment survey data (both the standardized survey in English and the translated survey results), Winona Health in partnership with Live Well Winona and Winona County Human Services, facilitated several community listening sessions. These sessions were open to the public, and many diverse organizations were included to represent different stakeholder perspectives. Winona Health Services Part V, Section B, Line 6b: The assessment was done collaboratively with Winona Health and Winona County Human Services. Winona Health Services Part V, Section B, Line 11: When considering the preceding 2015 and 2012 CHNA, many of the same opportunities were identified in 2018 CHNA and will continue to be focused on.The Organization is addressing the needs listed below which were identified in the CHNA conducted in the 2018 tax year. Priority 1: Address and help reverse/prevent the unhealthy behaviors that contribute to obesity/overweight and subsequent chronic disease.Priority 2: Strive for health equity given the current inequitable distribution of social determinants of health.Priority 3: Improve mental health.Winona Health's Community Care Network (CCN) Care Coordination Program continued to empower patients to better self-manage their health and well-being, while decreasing utilization of emergency room and hospital services. This integrated clinical and social support care model is comprised of nurses and social workers who help patients reach their goals by providing a linkage between primary care, wellness, prevention, self-management and community services. In collaboration with Winona State University, student health coaches are trained each semester and provide weekly home visits and support to patients enabling them to remain independent in their homes and avoid unnecessary hospitalization.Gr8 Kids is an eight-week wellness program for 4th grade students led by Live Well Winona in partnership with Winona State University. Classes promote age-appropriate education in proper nutrition and active living in an effort to combat the rise in childhood obesity. In 2019, a sixth step of "kindness" was incorporated to begin impacting mental health. Cumulative program data from January 2016-May 2019 highlights two key improvements: an increase of 21.17% of student who exercise at least 60 minutes and an increase of 15.02% in students who get the recommended 5 servings of fruits and vegetables every day. After a year of research, the Pathways Community HUB (HUB) model emerged as the blueprint for Winona Wellbeing Collaborative's (WWC) systems change initiative to address social determinants of health (SDOH) risk factors in high-risk individuals. For implementation of the HUB, one full-time Community Health Worker was hired and a live evidence-based model was launched in June of 2019. Participating partners from Winona Health, Winona County Health & Human Services, Winona Volunteer Services, Project FINE, Winona Are Public Schools, Live Well Winona, and Bluff Country Co-op refer at-risk clients to the CHW for follow-up using a HIPAA-compliant care coordination platform. The CHW meets with the family and conducts a comprehensive SDOH screening and initiates pathways for each risk factor identified. Although utilization of alcohol and tobacco use is a pressing issue for the community, Winona Health has not prioritized this as an actionable item at this time. Providers will continue to provide counseling and guidance, and cessation resources are made available to any patients interested in quitting. Winona Health believes that by focusing on mental/behavioral health, oftentimes the core of substance abuse issues, will impact rates of alcohol and tobacco use. Winona Health continues to act as the fiduciary for the Winona County Alliance for Substance Abuse Prevention (ASAP), and will support efforts to educate and create awareness in the community. Schedule H, Part V, Line 7 and 10: https://www.winonahealth.org/publications/community-health-needs-assessment/ Schedule H, Part V, Line 16a-c: https://www.winonahealth.org/patient-information/billing/financial-assistance-care-program/ 3 5 - Rushford Clinic 109 W Jessie St Rushford MN 55971 Primary Care Clinic 10 - Winona Home Medical 930 Parks Avenue Winona MN 55987 DME 11 - Main Street Clinic LLC 855 Mankato Ave Winona MN 55987 Healthcare Services Part I, Line 6a: The community benefit report is included in the annual report and sent to 30,000 households. Community benefit information is listed in quarterly newsletters and on the website. Information is also included in the waiting rooms. Part I, Line 7: Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. Community health improvement services, line 7e, and cash and in-kind donations, line 7i were actual expenses compiled using the CBISA software. The cost for subsidized health services reported on line 7g was determined using the Medicare cost report. Part I, Ln 7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $4,421,557. Part III, Line 2: WHS determines bad debt expense by estimating what may not be collectible from patient balances after taking into account appropriate discounts and payments (uninsured discount, eligible charity care discounts/adjustments, and payments received and expected to be received.) Payments on accounts that were written off as bad debt reduces bad debt expense in the current year.Bad debt expense is reported at charges as recorded by the organization. Part III, Line 3: WHS is estimating that 40% of bad debt accounts would likely qualify for the Organization's charity care guidelines if the patient would have been identified and followed through on the application process. This percentage is based on historical knowledge on those being provided applications and those actually completing the applications to qualify. Part III, Line 4: The footnote to the organization's financial statements that describes bad debt expenses is located on page 9 of the attached financial statements. Part III, Line 8: WHS provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit. The Organization reported only those allowable costs and Medicare reimbursements reported in the Medicare cost report for the year.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. Part III, Line 9b: In keeping with the mission, vision and values of Winona Health Services, our Organization is committed to giving a patient every opportunity to pay their medical debt in full or to make arrangements based on organizational policy. When a patient is in the process of applying for financial assistance, whether charity care or an interest free payment plan, there will be no collection efforts. Collection efforts include phone contacts, letters, patient interviews and filing a judgement against the patient and potential garnishment of wages. After a determination of financial assistance, any personal portion due follows the same collection procedures as other accounts. Accounts will be recalled from collection if an application is completed within 240 days of the date of the first invoice. Part VI, Line 2: Winona Health Services (WHS) uses a variety of methods to listen to its customers, and the methodologies vary by customer groups. The development of most major services includes the meeting of a community advisory group to assess operations and plans and provide recommendations to the leadership team. WHS also uses point of care feedback comment cards, focus groups, advisory committees comprised of community individuals, and web and consumer newsletter surveys to capture feedback from patients/residents and community. Immediate feedback is obtained from patients/residents and community through pre- and post-service calls, rounding, and informal surveys. WHS also works with local non-profit organizations gathering feedback from local agencies and their boards to ensure community needs are being met. The entire report is available on the Winona Health website. Part VI, Line 3: WHS places pamphlets that contain information about our charity care programs and policies throughout the Organization, including all patient access areas. In addition, information can be found on our statement, website or by calling the WHS business office either locally or toll-free. WHS also has a plain language brochure which explains options for financial assistance, charity care, government program assistance, and our uninsured discount program. In addition, the WHS social services department and/or a contracted patient advocate may meet with in-house or recently discharged patients to go over all the payment options which include charity care, governmental programs, or other alternative payment options. WHS works with the county to help initiate a screening process for applying for governmental programs by offering the patients an opportunity to lock in an effective date for those programs if subsequently found eligible. WHS also is contracted with MNSure and has Certified Application Counselors onsite to assist patients in applying for insurance coverage through the State run exchange. Part VI, Line 4: WHS defines its primary service area as the zip code of Winona and the immediate surrounding area with a population base of approximately 35,000 residents. Its secondary service area encompasses a 20-mile radius from Winona representing another 12,000 residents. WHS is located between two large, well-known tertiary health care centers, Mayo and Gundersen Lutheran. WHS has focused on fulfilling its community need: a full primary care facility. WHS defines itself as a primary care health system and provides its patients and residents connections to tertiary level services to meet their needs regionally or nationally, as the patient chooses. In 2018, Winona had a median household income of $44,630 and 19.9% of persons were below the poverty level. The majority of our patients live in Winona which has a population of over 26,594 people. Approximately 17% of our patients are uninsured and/or Medicaid recipients. Part VI, Line 5: As a sole community provider, WHS offers emergency and urgent care, primary care for all ages, surgical and specialty care, inpatient care, and senior services. Our Board is comprised of physicians and primarily community members. The Board and medical staff are involved in our strategic planning which focuses on the health of our community members. To meet the needs of our community, the Hospital extends privileges to medical staff that are qualified through licensure in the state of Minnesota. We are involved in several on-site and off-site health fairs offering free blood pressure checks, glucose screenings and staff expertise on health questions. We also provide free community health talks for community members on certain health topics. Excess funds are reinvested and used for patient care and facility upgrades.Additional programs that benefit the community include:Health Professional Training: Winona Health Services works closely with nurse and health professional education programs at Winona State University, St. Mary's University, Viterbo College, and Southeast Technical College. Along with training LPNs and RNs on site, other students going into fields of athletic training, social work, nutrition, lab, radiology, physical therapy, respiratory therapy and health administration are also educated and mentored on site. Students work with staff in the following departments: medical/surgical/pediatric unit, family birth center, intensive care unit, emergency department, lab, radiology, social workers, physical and occupational therapy. Preventive Care: WHS encourages preventive care through a number of resources. Winona Health Online is a free web-tool that allows patients to have access to their Winona Health Services records anytime, anywhere with an internet connection. Patients can document their health history, access diabetes and asthma management programs, receive lab test results, and track wellness activities. Winona Health Services offers a number of educational opportunities for the community, from CPR classes to free or low-cost screenings including prostate cancer, cholesterol, depression, skin cancer and mammograms. WHS is the main sponsor for a community-wide health and wellness expo. Community Health Talks provide individuals with educational information on a variety of health topics and are free throughout the year. The Winona Health Services Occupational Health department presents various preventive programs geared toward business leaders and HR professionals. The staff also participates in many community collaborative healthcare events.Employee Health: The Healthy U Program is a health management incentive initiative designed to support and encourage healthy activities for our employees and families. The program reinforces the emphasis on prevention, aiming to improve their health and well-being. Emergency Care: WHS provides 24-hour-a-day, 365-days-per-year emergency care to the community. It employs six full-time physicians and several mid-level providers as the service continues to grow. Winona Health Services has excellent relations with neighboring tertiary facilities and transports patients as needed to La Crosse and Rochester.Community Relations: WHS works with area nonprofit organizations to support health and youth-related activities. Presentations included topics such as stress management, career planning, men and women's health issues, joint pain and surgery, gastroesophageal reflux disease, nutrition, and weight management. Staff members are also involved in several non-profit committees, donating their time to support our community. Community Education: WHS's community education programming includes free or reduced-fee classes on childbirth and parenting, support groups for breastfeeding, cardio-pulmonary resuscitation, diabetes prevention, first aid, and smoking cessation. Staff conduct health screenings at free screenings events at Winona Health and other community health fairs. Winona Health Volunteers offer free healthcare directives educational sessions throughout the year.The Winona Health Community Care Network is a service available to community members who would like help with managing a chronic health condition. Its goal is to support and improve the overall health of individuals who are at high risk for frequent emergency department visits and hospital admissions. Part VI, Line 7, Reports Filed With States MN 1 Catholic Charities Diocese of Winona 111 Market Street Winona MN 55987 410721636 501(c)(3) 18000 MediApps Program Winona Health Foundation 855 Mankato Avenue Winona MN 55987 411879744 5500 Memorials 2 0 Part I, Line 2: Winona Health Services will review solicitations from other legally recognized, tax-exempt nonprofit organizations whose work benefits the community based on the following: A. The request addresses a community health or wellness issue. B. The request benefits area youth in the areas of health and wellness. C. The request supports a project directly benefiting the community and aligned with Winona Health Services' Missions/Vision/Values. D. The request supports key Winona Health Services business and marketing strategies. E. Priority will be given to local nonprofit organizations. F. Typically, only one request will be awarded to a nonprofit in a given year. X X X X X 0 1 0 0 0 0 0 0 0 Matthew Broghammer MD Director 431738 0 80010 0 18124 0 39599 0 36628 0 606099 0 0 0 Nicholas Modjeski MD Director 220753 0 0 0 946 0 20598 0 28505 0 270802 0 0 0 Brett Whyte MD Director 440767 0 0 0 22230 0 46169 0 34725 0 543891 0 0 0 Katrina Hammel MD Director 351525 0 0 0 2560 0 30150 0 36162 0 420397 0 0 0 Rachelle Heising-Schultz President/CEO/Director 402545 0 0 0 20391 0 34500 0 50836 0 508272 0 0 0 Jan Brosnahan CFO/Treasurer 228780 0 0 0 8374 0 24750 0 37117 0 299021 0 0 0 Sara Gabrick VP Surgical/Specialty Care 169638 0 0 0 5984 0 16157 0 29821 0 221600 0 0 0 Christopher Watras MD ED Physician 433354 0 0 0 15057 0 24750 0 36397 0 509558 0 0 0 Robin Hoeg VP Inpatient & Senior Serv 161820 0 0 0 5698 0 15227 0 19313 0 202058 0 0 0 Sarah Lallaman DO Pediatrician 280199 0 0 0 1085 0 24750 0 37319 0 343353 0 0 0 Kevin Christensen MD Dermatologist 579862 0 107519 0 12290 0 45000 0 2884 0 747555 0 0 0 Andrew Millis MD Orthopedic Physician 604731 0 35241 0 12571 0 54083 0 23303 0 729929 0 0 0 Wayne Kelly MD ED/Urgent Care Physician 544618 0 0 0 3917 0 29765 0 18239 0 596539 0 0 0 Kenneth Johnson MD Orthopedic Physician 597341 0 0 0 0 0 54083 0 19168 0 670592 0 0 0 Amarjit Virdi MD Anesthesiologist 552273 0 0 0 20796 0 34200 0 31422 0 638691 0 0 0 Everett Beguin MD Former Key Employee 232363 0 0 0 0 0 21552 0 30427 0 284342 0 0 0 Part I, Line 4b The following individuals received employer contributions to a supplemental non-qualified retirement plan, which is available to executives, physicians, and mid-level providers as determined by the Board of Directors. It is funded by employer contributions, and employees are vested within five years. An alternative plan is available which is funded by employee contributions and not subject to forefeiture. Cal yr 2018 FY2019 Kevin Christensen, MD $20,250 $17,770 Andrew Millis, MD $29,333 $27,129 Kenneth Johnson, MD $29,333 $23,737 Amarjit Virdi, MD $ 9,450 $20,445 Wayne Kelly, MD $ 5,015 $19,509 Matthew Broghammer, MD $14,849 $ 8,307 Brett Whyte, MD $21,419 $ 8,286 Katrina Hammel, MD $ 5,400 $ 1,350 A City of Winona 416005651 975232CE7 2012-05-04 19887849 Refund revenue bonds issued 7/16/2004 0 0 0 A 3622849 19887849 1555683 356781 17975385 2012 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 Date Rebate Computation Performed Issuer Name: City of Winona Date the Rebate Computation was Performed: 09/27/2016 Part I, Line B, Column (f): Refunding of prior revenue bonds originally issued 8/1/2000 and 7/1/2004 and renovation and acquisition of property on Sarnia Street and Parks Avenue. Part II, Line 11(A): The amount reported on Line 11 represents the amount of proceeds used to refund prior bonds issued in 2004. Christopher Watras Employee Recruitment incentive X 75000 12161 0 0 1 Kevin Christensen Employee Recruitment incentive X 50000 19725 0 0 1 Andrew Millis Employee Recruitment incentive X 50000 19360 0 0 1 51246 Ann Marie Olsen Wagner Spouse of Board Member Mark Wagner 91863 Employee compensation & benefits 0 Kathleen Lanik Family of Board Member Sandra Burke 78883 Employee compensation & benefits 0 Form 990, Part III, line 2 SmartExam allows patients to connect online to a provider from their phone or computer to get a diagnosis and treatment plan in under an hour. Common conditions treated through this application include allergies, birth control, cold, cough or flu, erectile dysfunction, low back pain and urinary tract infection. In October 2018 Winona Home Medical opened providing durable medical equipment. A disregarded entity, Main Street Clinic, LLC, was formed to provide quick care cash-based healthcase services. All of these new programs are related to the exempt purpose of Winona Health Services. Form 990, Part III, line 3 Winona Health operated two retail pharmacies, Parkview Pharmacy and Winona Clinic Pharmacy. In 2019, these were combined into one location under the Winona Clinic Pharmacy license. Form 990, Part VI, Section A, line 1 The Executive Committee has the authority to act on behalf of the governing board in between board meetings. The Executive Committee consists of the Board Chair, the chair of each Standing Committee, the President/CEO of the organization. Form 990, Part VI, Section A, line 2 The following individuals have business relationships: Ken Mogren with Greg Evans Hugh Miller with Todd Paulson Matt Broghammer with Nicholas Modjeski Form 990, Part VI, Section B, line 11b The return is reviewed initially by the CFO and CEO. It is then reviewed by the Executive Committee before it is filed. In addition, the Form 990 is available to the full governing board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The conflict of interest policy covers Senior Leaders, Directors, Officers and Board Committee Members. The policy is signed annually and reviewed by the CEO for conflicts. Any conflicts are brought to the Board for discussion. If a Board Member has a potential conflict, they must abstain from voting. Form 990, Part VI, Section B, line 15 The Executive Committee has a process in place for determining annual compensation for the CEO based on results of a compensation study, which is completed by an independent consultant every 3 years. An annual review is conducted and documented, with final decisions made by the full board. The same consultant provides market reviews and recommendations for the senior leadership team. This is reviewed by the executive compensation committee; however, the CEO is responsible for adjustments made for this team. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy and financial statements available upon request. The financial statements are also attached to the Form 990. Form 990, Part IX, line 11g Collection Agency Fees: Program service expenses 513,716. Management and general expenses 0. Fundraising expenses 0. Total expenses 513,716. Consulting Fees: Program service expenses 243,003. Management and general expenses 0. Fundraising expenses 0. Total expenses 243,003. Contracted Physician Fees: Program service expenses 3,008,740. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,008,740. Contracted Services: Program service expenses 4,225,198. Management and general expenses 2,141,231. Fundraising expenses 0. Total expenses 6,366,429. Provider Recruiting: Program service expenses 92,442. Management and general expenses 0. Fundraising expenses 0. Total expenses 92,442. Repair and Maintenance: Program service expenses 1,033,203. Management and general expenses 470. Fundraising expenses 0. Total expenses 1,033,673. Purchased Services: Program service expenses 370,783. Management and general expenses 0. Fundraising expenses 0. Total expenses 370,783. Consulting Fees: Program service expenses 0. Management and general expenses 377,693. Fundraising expenses 0. Total expenses 377,693. Main Street Clinic LLC 855 Mankato Ave Winona MN 55987 834680257 Clinic Services MN 0 0 Winona Health Services Inc Winona Senior Services Inc 855 Mankato Avenue Winona MN 55987 411936536 Long-term care MN 501(c)(3) Line 3 Winona Health Services 1 Winona Health Foundation 855 Mankato Avenue Winona MN 55987 411879744 Fundraising MN 501(c)(3) Line 7 Winona Health Services 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 Winona Senior Services Inc O 156711 Due to/from net change in balance Winona Senior Services Inc S 12934713 Due to/from net change in balance Winona Senior Services Inc R 11622091 Due to/from net change in balance Winona Health Foundation O 59053 Due to/from net change in balance Winona Health Foundation S 4500000 Due to/from net change in balance Winona Health Foundation C 1252886 Due to/from net change in balance