2011-08-12T11:42:18-05:00 2010-09-30 Eide Bailly LLP 5601 Green Valley Drive Ste 700 Minneapolis MN 554371145 990 2009-10-01 411936536 Winona Senior Services Inc WINO 5074543650 855 Mankato Avenue Winona MN 55987 Michael Allen 5074543650 2011-08-05 1 Kim Hunwardsen CPA 9529446166 2011-08-08 2009 2016-02-24 21:20:13Z Rachelle Heising-Schultz 855 Mankato Avenue Winona MN 55987 14599847 0 X www.winonahealth.org X 1999 MN Extended care facility 15 7 305 166 0 0 41045 39044 14007509 14203751 -6323 -7525 0 14042231 14235270 0 0 8554739 8799342 0 0 5247841 5379300 13802580 14178642 239651 56628 10452534 10679261 2489692 2574156 7962842 8105105 Devoted to improving the health and well-being of our family, friends and neighbors. 0 0 13000417 0 14203751 Winona Senior Services, Inc. (WSS) supports and serves the healthcare needs of senior citizens living in the Winona, Minnesota, region. It includes the following services:Lake Winona Manor, a 140 bed skilled, long-term care nursing facilityWatkins Manor, an assisted living facility for up to 59 active, independent seniorsAdith Miller and Roger Metz Manors, memory care residences that provides a 'home' to 20 seniorsWinona Health Home Care, providing convalescent, rehabilitative, and supportive home health services, completing 5,967 visits in FY 2010Winona Area Hospice Services, caring for an average of 20.5 residents per day with terminal illnesses Additional programs that benefit the community include:Health Professional Training: Winona Health and Winona Senior Services works closely with nurse education programs training LPNs and RNs as well as programs for students going into the field of athletic training, social work, nutrition, lab, radiology and bio med. Approximately 536 students work with staff at Winona Health Services and Winona Senior Services in the following departments: Medical/Surgical/Pediatric Unit, Family Birth Center, Intensive Care Unit, Emergency Department, Lab, Radiology, Bio Med, Social Workers, Therapeutic Recreation, Physical Therapy and Occupational Therapy.Preventive Care: WSS encourages preventive care through a number of resources, including the organization's online personal health inventory known as Winona's Health On-line. This secured-messaging system allows members to document their health history, access a diabetes management program, receive lab test results, and communicate with their physicians. Community Relations: WSS works with area nonprofit organizations to support health-related activities. Its involvement includes sending professionals to speak to civic and school groups, participating in educational group tours, sponsoring informational programming, and funding specific activities or events. WSS staff also delivered meals to community members through a local meal delivery program. Community Education: WSS staff sponsors a support group for those dealing with Alzheimer's and other dementia-related illnesses; 89 individuals attended the Alzheimer's Support Group. In addition, it offers a support group for those suffering from grief and loss that served 20 individuals. WSS staff spoke on topics of interest to seniors at various locations in the area such as the Senior Friendship Center, the area Learning Club and Winona Volunteer Services. Staff are also active in area events such as the Wellness Works event and the Better Living Show where blood pressures and blood sugars are offered free and cholesterol checks are offered at low cost. Charity Care: WSS provides medical care to the community regardless of individual's ability to pay. Total charity care cost for FY 2010 was $11,019. 13000417 1 1 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 18 0 1 305 1 0 0 0 0 0 1 1 0 0 0 15 7 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 MN X Michael Allen 5074543650 855 Mankato Avenue Winona MN 55987 X Gary Evans 2.00 X X 0 0 0 Steve Blue 2.00 X 0 0 0 Scott Biesanz 2.00 X 0 0 0 Scott Birdsall MD 2.00 X 0 318374 40002 Matthew Broghammer DO 2.00 X 0 422308 46507 Vicki Decker 2.00 X 0 0 0 Richard Ferris MD 2.00 X 0 191564 32733 Herb Highum 2.00 X 0 0 0 Mark Jacobs 2.00 X 0 0 0 Ken Mogren 2.00 X 0 0 0 Hugh Miller 2.00 X 0 0 0 Kim Schwab 2.00 X 0 0 0 Daniel Parker MD 2.00 X 0 215522 36096 Mark Wagner 2.00 X 0 0 0 Paul Ballweg 2.00 X 0 0 0 Rachelle Heising-Schultz 4.00 X X 0 328145 54266 Michael Allen 4.00 X 0 210890 39526 Jodie Byrne 2.00 X 0 40683 20628 Mary Miller-Hyland 40.00 X 0 107147 15019 0 1834633 284777 0 0 1 0 Rehab Care Group Inc PO Box 503534 St Louis MO 631503534 Contracted therapies 442845 1 39044 219 39044 Net Patient Service Re 623990 14138969 14138969 Other Supporting Reven 900099 64782 64782 14203751 21389 21389 335663 363899 678 -28236 -678 -28914 -28914 14235270 14203751 0 -7525 6440638 5648515 792123 237458 169455 68003 1673006 1506213 166793 448240 387643 60597 4426 4426 3302808 3258941 43867 987 987 602306 565653 36653 160102 160102 78984 78984 33891 30796 3095 74729 74729 660709 659047 1662 70958 69952 1006 Medical Supplies 389400 389400 14178642 13000417 1178225 0 301193 344462 1475719 1593818 59947 77336 15987970 9133459 7505423 6854511 798084 873371 312168 935763 10452534 10679261 993955 1077696 1484750 1445150 10987 51310 2489692 2574156 X 7962842 8105105 7962842 8105105 10452534 10679261 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 104683 104683 12708505 6893939 5814566 2945520 2108834 836686 229262 130686 98576 6854511 Due from Affiliates 935763 935763 Part IV, Line 2b: The organization holds funds in trust on behalf of its residents. Part X: Description of Uncertain Tax Positions Under FIN 48: The Corporation undergoes an annual analysis of its various tax positions, assessing the likelihood of those positions being upheld upon examination with relevant tax authorities. No amounts were recorded as a result of this analysis during the years ended September 30, 2010 and 2009. The Corporation will recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense, if incurred. The Corporation believes it is no longer subject to Federal and state tax examinations by tax authorities for the years before 2007. X X X X 0 1 0 0 0 0 0 0 0 Scott Birdsall MD 0 316074 0 2300 0 0 0 22637 0 22069 0 363080 0 0 Matthew Broghammer DO 0 352884 0 69424 0 0 0 31015 0 16518 0 469841 0 0 Richard Ferris MD 0 181838 0 9726 0 0 0 17241 0 16518 0 225323 0 0 Daniel Parker MD 0 182698 0 32824 0 0 0 19397 0 17724 0 252643 0 0 Rachelle Heising-Schultz 0 315423 0 0 0 12722 0 34919 0 25060 0 388124 0 0 Michael Allen 0 207337 0 0 0 3553 0 20821 0 20541 0 252252 0 0 Part I, Line 4b: Part I, Line 4b: Matthew Broghammer $8,965 Scott Birdsall $ 587 The supplemental nonqualified 457(f) retirement plan 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 forfeiture. Supplemental Information Part III Part I, Line 3: The CEO is compensated by Winona Health through 12/31/09 and compensated by Winona Health Services as of 1/1/10. As the governing boards are the same for related organizations, the process for determining CEO compensation is noted in Schedule J, Part I, Line 3. City of Winona 416005651 975232BQ1 2007-07-31 1579539 City of Winona, MN health care facilities revenue bonds series 2007 0 0 1579539 114690 784194 20644 660000 2007 1 0 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 Form 990, Part VI, Section A, line 1 1. The Executive Committee shall be responsible for transacting the business of the board of directors in the interim between meetings of the full board subject to the control and direction of the board. 2. The Committee shall act on matters which cannot reasonably await action by the full board of directors. 3. Other matters may be delegated to the Executive Committee by the board of directors, for example: * Recruitment, selection and evaluation of the CEO; * Review and approval of a senior executive development plan and a CEO succession plan; * Review and approval of the incentive expectations for the executive staff; * Review and approval of the executive compensation committee's recommendations; 4. Conduct other activities within the scope of the Committee's purpose and authority as the Board may from time to time determine; 5. Periodically review the committee charter and make recommendations to the Board with regard to any changes to the charter that the Committee believes would be desirable. Form 990, Part VI, Section A, line 2 The following individuals have business relationships due to serving on the Board of Directors of another organization: Scott Biesanz with Ken Mogren Gary Evans with Hugh Miller Scott Birdsall with Rachelle Heising-Schultz Form 990, Part VI, Section A, line 6 The sole member of the organization is Winona Health. Form 990, Part VI, Section A, line 7a Winona Health, the sole member, has authority to elect all at-large directors to the Corporation's Board of Directors and removing them, with or without cause. The sole member also has the right to appoint the Chair and the President/CEO of the Corporation, and removing them, with or without cause, subject to any contract rights that may apply. Form 990, Part VI, Section A, line 7b The following decisions of the Board of Directors is subject to approval by Winona Health, the sole member: (c) Approving the amendment of the articles of incorporation of the Corporation and bylaws. (d) Approving all mission and/or vision statements and all strategic or long-term plans of the Corporation. (e) Approving the creation or acquisition of any and all subsidiaries or controlled affiliates; any mergers or consolidations; any permanent or long-term affiliations; and all joint ventures of the Corporation involving capital investments in excess of One Hundred Thousand Dollars ($100,000). (f) Approving the sale or encumbrance of all or substantially all the assets of the Corporation and all long-term debt in excess of One Hundred Thousand Dollars ($100,000). (g) Approving the Corporation's annual operating and capital budgets and any material amendments thereto or deviations there from. (h) Approving the dissolution of the Corporation or any partial or complete liquidation of its assets. Form 990, Part VI, Section B, line 11 The return is reviewed initially by the CFO and Director of Financial Operations. It is then reviewed by the Executive Committee before it is filed. Form 990, Part VI, Section B, line 12c The conflict of interest policy applies to all 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 CEO and CFO are compensated by a related organization. The executive committee has a process in place for determining compensation for the CEO and CFO based on results of a compensation study, approval and documentation by the board/committee members and the use of independent consultatn every 3 years. The board reviews compensation for these individuals annually. Form 990, Part VI, Section C, line 19 The organization make is governing documents, conflict of interest policy and financial statements available to the public upon request. Schedule K Schedule K includes the alloable share of the Series 2007 Tax-Exempt Bond. The remaining share is reported on related organization Schedule K, Winona Health Services, EIN - 41-0713914. Form 990, Schedule R, Part V, Line 2: The method used to determine the amounts on Part V are change in value of due to-from accounts and the actual amounts on the organization's books. Form 990, Part VII, Section A: The following individuals devoted time providing services to related organizations. Gary Evans 5 hours per week Jodie Byrne 42 hours per week Steve Blue 6 hours per week Scott Biesanz 5 hours per week Scott Birdsall, MD 45 hours per week Matthew Broghammer, DO 45 hours per week Vicki Decker 5 hours per week Richard Ferris, MD 45 hours per week Herb Highum 5 hours per week Mark Jacobs 5 hours per week Ken Mogren 6 hours per week Hugh Miller 5 hours per week Kim Schwab 5 hours per week Daniel Parker, MD 45 hours per week Mark Wagner 5 hours per week Paul Ballweg 5 hours per week Rachelle Heising-Schultz 42 hours per week Michael Allen 42 hours per week Winona Health 855 Mankato Avenue Winona MN 55987 411588205 Management and support MN 501(c)(3) N/A N/A Winona Health Services 855 Mankato Avenue Winona MN 55987 410713914 Health care services MN 501(c)(3) 3 N/A Winona Health Physician Clinics 855 Mankato Avenue Winona MN 55987 411767741 Health care services MN 501(c)(3) 9 N/A Winona Health Foundation 855 Mankato Avenue Winona MN 55987 411879744 Fundraising MN 501(c)(3) 7 N/A Parkview Pharmacy 825 Mankato Avenue Winona MN 55987 411552964 Pharmacy MN N/A C Winona Clinic Ltd 825 Mankato Avenue Winona MN 55987 411227030 Health care services MN N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 Winona Health Services R 5180468 Winona Health Services Q 5983064 Winona Health Services N 127242