Winona Health Community Report
Winona Health Community Report
In your words...
     Contents                                           This community report has been created to enhance communication between
                                                        Winona Health and the Winona regional community and to thank our many
      Letter from the President/CEO	               3    supporters. This report is also available on our website, winonahealth.org.
      Letter from the Board Chair	                  4
We recognize that an individual’s personal health and well-being is one of their    Matthew Broghammer, DO
most valued assets. It takes care, attention, support and occasionally an           Senior Leader Surgical and Specialty Services
intervention to diagnose, treat, heal, or cure to regain one’s healthy status.
We all have experiences personally and with family members, friends and             Nancy Brown
                                                                                    Executive Director of Development
colleagues that demonstrate the power of health and well-being. This common
thread is shared throughout this Community Report In Your Words and, we             Sara Gabrick, RN, MSN
hope, illustrates how important you are to us.                                      Senior Leader Surgical and Specialty Services
We evaluate and learn from the past but we can only move forward. And               William Gould
that is what we at Winona Health have been doing. We remain grounded                Chief People Resources Officer
by our mission which is focused on our community. Over time, we have
                                                                                    Robin Hoeg, RN
consistently been working and transforming our organization to be prepared
                                                                                    Senior Leader Inpatient Services
for whatever comes our way through our lean efforts, provider recruitment
success, and integration of Winona healthcare providers into one organization.      Rebecca Lamberty, RN
Our integrated community health system has positioned us very well for the          Senior Leader Emergency Dept/Urgent Care
healthcare rollercoaster ride we are on.
                                                                                    Kathleen Lanik, RHIT, CPHQ
I remain positive and optimistic about our future and the possibilities open to     Chief Quality & Safety Officer
us to continue to deliver healthcare services to our patients, residents and
                                                                                    Brad Lenertz
community. On behalf of the physicians, staff, volunteers and board of              Senior Leader Primary Care Services
Winona Health, I extend our sincere appreciation for your patronage and
support.                                                                            Mary Miller-Hyland, RN
                                                                                    Senior Leader Senior Services
                                                                                    Charles Shepard, MD
                                                                                    Senior Leader Inpatient Services
        organization’s mission and vision.   But while “what” and “how” are continually examined, the “why” is never in
                                             question. Winona Health’s mission is clear. Our larger and unified organization
        Their dedicated, compassionate
                                             is here to improve the health and well-being of our community members, one
        leadership defines and supports      person and one family at a time. A testament to our reason for being is shared
        Winona Health’s role in providing    In Your Words throughout this community report.
        outstanding healthcare services      So, although it’s been a challenging year, and we know with certainty that there
                                             are additional and complex challenges ahead, we approach an uncertain future
        to our community.
                                             with a clear understanding of why we are here: we are here for you.
                                             As I examine our organization and its efforts to cope with challenging financial
                                             times, I am buoyed by the fact that Winona Health is made up of individuals
                                             whose collective commitment to our greater community, both professionally and
                                             personally, is stronger than ever. That is a message I never tire of sharing.
Sincerely,
                                             Gary W. Evans
                                             Board Chair
                                          Customer Focus
                                          Winona Health staff strives to find new ways to improve the health and well-being of our
                                          community. Our goal is to anticipate and exceed patient and resident needs and expectations.
                                           •	 Winona Health’s continuous system improvement process, using Lean principles and
                                              techniques, was launched with a focus on eliminating waste while maximizing value to
                                              our customers. Our initial focus included the Emergency Department, Urgent Care and
                                              Inpatient Services. More than 20 key improvement events have been completed and have
                                              reduced waste and expense, as well as improved patient flow through the care system.
                                           •	 Winona Health was named a top performer in caring for hospital patients with heart failure
                                              and pneumonia by the Centers for Medicare & Medicaid Services (CMS). Several
       One stop and on your way-              Winona Health service areas met Blue Cross Blue Shield of Minnesota’s Recognizing
       Dawn Selleck, RN, takes a              Excellence targets, resulting in an award payment to the organization of $59,400.
       blood sample from Bob                  These areas include Family Practice, Internal Medicine, Pediatrics and Women’s Health.
       Gronewold, who says the             •	 Winona Health participated in the Minnesota Hospital Association’s Safe Account
       Anti-Coagulation Clinic’s new          program, complying with 100% of the Safe Site Surgery best practices.
       point-of-care service has           •	 Surgical/Specialty Services opened a Pain Management Center staffed by
       made his appointments faster           Amarjit Virdi, MD and Ruth Moes, MD to meet the community’s need for pain
       and easier.                            management services.
                                           •	 Emergency Department (ED) and hospital staff reduced the time and steps for an ED-to-
                                              hospital admission, trimming the process by 35%. Urgent Care developed three protocols
                                              for the most frequently seen illnesses, reducing visit times by 30% for these patients.
                                           •	 Primary Care Clinics implemented a diabetic pre-visit process to allow lab and other
                                              needed tests to be ordered by protocol before the patient meets with the provider. The
                                              provider and patient are then able to review these findings together during the patient’s
                                              visit. This process reduced wait times and increased patient time with the provider.
                                           •	 Winona Health’s Anticoagulation Clinic was relocated to Winona Clinic’s second floor and
                                              implemented “point-of-care” testing for patients. This change reduced wait times for test
                                              results and eliminated the need for post-visit medication phone calls.
      Scrubs Ca mp 2009-
                                           Stewardship -
                                           To continue meeting the needs of our community, our goal is to remain an independent,
      Winona Health Surgery                locally controlled, community healthcare system.
      Department staff shares
      information with students            •	 In the face of volume and revenue challenges, Winona Health staff identified cost-
                                              reduction actions that resulted in savings of $600,000. Overall cost-saving reductions
      about healthcare careers.
                                              resulted in a year-over-year decrease of $3,200,000 in expenses. Specific measures
                                              were taken to improve cash flow including a reduction of days in accounts receivable from
                                              57 to 49 days. The reduction in accounts receivable and other measures resulted in
                                              positive operating cash flow of $2.1 million. Winona Senior Services improved its
                                              operating margin by 3.2 percent.
                                           •	 More than 14,000 individuals were served by Winona Health’s community benefit
                                              activities in 2009, including 1,000 student interns from area universities and technical
                                              colleges and more than 9,000 individuals served through community health improvement
                                              services such as Community Health Talks, support groups, classes, website resources
                                              and free community health screenings. Winona Health also expanded its Healthy Kids
                                              Club, adding a summer day camp that served 25 low-income children teaching them
                                              about healthy lifestyle choices.
                                           •	 Contributions to the Winona Health Foundation’s Ben & Adith Miller Patient Care Fund
     Ca mp Healthy Kids Club-                 exceeded $633,000 in 2009, including the $175,000 raised in the Golf Classic. The fund
     Winona Health staff and camp             helped 262 families pay more than $667,000 in medical bills this past year.
     counselors help campers with          •	 Individuals, families and businesses contributed more than $1,023,654 to the
     a fishprinting activity overseen         Winona Health Foundation in 2009, with 100% of the Board of Directors and the
     by the U.S. Fish & Wildlife              Senior Leadership Team donating to the Foundation.
     Service.                              •	 The Winona Health Foundation awarded 107 Guardian Angel pins to staff who were
                                              recognized for exceptional service by patients, residents or their family members who
                                              made a gift to the Foundation in their honor.
10 | Winona Health 2009 Community Report
In Your Words...
On May 18, 2008, I awoke at 6:30 a.m., went for a three-mile walk, played 18 holes of golf then, later,
started taking my deck apart for repairs. I quit working at 7:30 p.m., had supper, watched TV and went to
bed fatigued.
The next morning, I awoke to my alarm clock at 6:30 and attempted to shut it off with my left hand. It would
not respond. I shut it off with my right hand and tried to get up, but it felt like my left leg also was asleep.
I rolled onto my back and tried to sit up. I slid off the bed to the floor, rolled to my stomach and tried to push
myself up. Realizing that I may have suffered a stroke, I asked my wife to help me up. She called 911, and
I was taken to Winona Health’s Emergency Department and then admitted to the Intensive Care Unit.
My first concern was how this would affect my family. I was very anxious and frightened until the nurses
and doctors spoke to me about strokes and convinced me that there was a possibility I could recover some
of my strength and motor skills with therapy and hard work.
I remember how caring everyone was and learning that as nice as it is to hear words of encouragement,
the caring touch of a hand was much more comforting to the body and soul. Those caring for me went out
of their way to make us feel special, and their good humor and personal compassion was very uplifting.
Before going home, I spent about four weeks at Lake Winona Manor learning to regain some measure of
mobility. The next phase was two weeks of in-home therapy and setting up what was needed for me to be
safe at home. Then it was on to Winona Health’s outpatient Physical and Occupational Therapy.
Failure does not deter me; failure just works in my favor as a teaching tool. Nothing that is feasible is
impossible if you believe in it and work towards it. I set goals for myself and stick to each one until I have
a feeling of accomplishment: a golf outing, our annual guys’ fishing trip, grouse hunting, deer hunting…
While I can’t do things the way I used to, my friends have helped me through each milestone. I owe them
“big time” and will be forever thankful for having them in my life. I’m grateful to the many visitors and well
wishers, including a group of former co-workers, who took the time to stop and see me. Most of all, I’m
grateful for all that my wife has done to make life comfortable for me once again.
I will be forever thankful to all the people who worked so hard to help get me to this point in my
recuperation. It would be very hard to fathom just how I would have been able to manage if not for the work
and compassion of the many people at Winona Health—from the Emergency Department and hospital,
to Lake Winona Manor and outpatient Rehabilitation Services. The stroke, while very trying, does have a
bright side. Look at all the new things I have learned, not to mention the many new friends that would have
remained unknown had it not happened.
I am still facing a difficult time with the loss of my grandfather. It seems to hit hardest at
night time when I am trying to sleep and then that is when memories come flooding back.
Isn’t it always the case?
I wanted to share with you and with the staff at Lake Winona Manor how impressed I
was with your services and loving care that was given to my grandfather and to all the
residents. As I spent three nights in the memory care unit - that last weekend of Grandpa
Norman’s life — I was able to observe the staff as they cared for the memory unit resi-
dents. I found that every single staff member was caring, attentive and patient. These are
people who truly love their jobs and love working with the memory unit residents.
I heard many comments from staff about little things they had learned about Grandpa
Norman and how much they enjoyed him the short time he stayed at Lake Winona
Manor. It was truly touching. The day he died, all the staff were so kind, and I had a sense
that my loss was their loss, too.
I want to thank each and every one of you. I was touched and I am still touched by the
great empathy and care that is shown to the residents of Lake Winona Manor. Thank you,
thank you, thank you.
Words cannot express the heartfelt gratitude we all have for the staff on the medical floor! Your
care for Mom and all of us was so attentive and thoughtful. It was a painful and stressful time for
us, yet filled with so many blessings.
The professional care was wonderful, and we especially appreciate those who guided us through
hospice and discharge arrangements so we could return mom, and all of us, to our family home.
We also acknowledge the little comforts of the nutrition cart and use of the family waiting room.
Everyone was always so considerate of us and our needs for the whole week our large family
spent with you.
I know that mom’s passing also was difficult for Dr. Nolan. He had cared for her for nearly
30 years. At the end, we all knew her wishes, and it was up to all of us to honor them.
The Hospice staff also helped us honor her wishes. Their care greatly eased mom’s transition
and was extremely helpful and supportive for all us. Mom passed after three days at home—
but her final days were peaceful and content with all of us in the home we shared growing up.
We wish to express our deep appreciation and sincere thanks for your kind expression of
sympathy and care.
                          I recently had a complete hip replacement and I thank you from the bottom of my heart
                          for an operation wonderfully accomplished. The final results were fantastic.
                          For over a year and a half, I had suffered intolerable pains in my legs, and pain
                          medication was virtually ineffective. I could not walk without pain. Every step, every
                          movement was painful 24/7. Life was not worth living because of the constant agony.
                          Even after the operation, I still experienced pain, but you said, “Be patient, be patient…”
                          You were so correct. The pain left! Now life has once more become worthwhile. In effect,
                          you and your team have given me a “new lease on life” for which I will be eternally
                          grateful.
                          Rehabilitation in Lake Winona Manor was very successful, and I thank the staff there
                          for being so nice and most helpful to me. Thanks to Winona Health for having you as a
                          surgeon [Tim Gabrielsen, MD, orthopedic surgeon]. I not only consider you a wonderful
                          surgeon, but also a great friend because you respected my personal preference in the
                          operation, which I appreciate.
                                           In my own words...
                                           Winona Health is so special because of what I call the “Marcus Welby M.D.”
                                           factor. This was a television series from the ‘70s. Marcus Welby, MD, and his
                                           trusted nurse, Consuela, did not treat patients – they treated people with
                                           kindness and consideration. The thing I love about Winona Health is we have
                                           the Marcus Welby and Consuela factor everywhere you look.
        that these people                  But the economic disruption caused by the recession threatens one of the
                                           things I value most about our local health system: the Marcus Welby factor.
        aren’t just faceless               Unemployment hasn’t been this bad since 1982. It has brought more people
                                           through our doors who have no job, no healthcare insurance and no way to
        na mes. They are                   pay for their medical care. We do not turn anyone away, regardless of their
                                           ability to pay. But I always remember that these people aren’t just faceless
        our neighbors and                  names. They are our neighbors and our friends. And they need our help.
        our friends. And                   Winona Health can’t afford to treat them without the Ben & Adith Miller Patient
                                           Care Fund. But the Fund has been hurt by the recession, too. It can’t keep up
        they need our help.”               with the increased need without your help. Your generosity created the Fund
                                           in 1982. And your friends and your neighbors need your generosity now, more
                                           than ever.
                                           I appeal to you to make a donation to the Ben & Adith Miller Patient Care Fund
                                           today. It doesn’t have to be a lot of money; a small amount would be terrific.
                                           Please help me keep the Marcus Welby factor alive and well at Winona Health.
Sincerely,
                                           Steve Blue
                                           Foundation Board Chair
    Al Abrams, Jr.             Joe Bambenek                  Ted & Patti Biesanz         Susan & Richard Brang           Gerald A. Butenhoff
    Norris & Rhoda Abts        Phoebe C. Bambenek            Betty Bilder                Tom Brang                       Carol Byrne
    Kathy Accola               Stanley Bambenek              Betty Biltgen               Glenn & Janice Bratberg         Jodie & Louie Byrne
    Eloise Adank               Ann Banicki                   Josephine A. Biltgen        Betty Breitenfeldt Estate       Gerry & Peg Cada
    Katherine A. Adank         William Barber                Dr. Scott & Deb Birdsall    John & Penny Breitlow           Vickie & Jon Cada
    Richard A. Adank           Diane L. Barge                Lowell & Darlene Bjoraker   Mary & Duane* Brenno            John B. Caldwell
    Cheryl Aeling              Steven Barge                  Jacquelyn A. Blahnik        Bernice J. Breza                Angus & Judy Callender
    Clare Aeling               Betty Ann Barnewitz           Arlene M. Blank             Jim & Sonja Breza               Lynne A. Carlisle
    Dorothy Ahearn             Mike, Kathy, Joe & Krista 	   Frank & Tessie Blecha       Vanita V. Breza                 La Vonne T. Carroll
    Joanne Ahrens                Barnholtz                   Chuck & Karen Bleess        Rodney J. Brion                 Cars-N-Credit, Inc.
    Lori R. Ahrens             Mickey & Dan Barr             Janet & Doug Block          Drs. Matt & Laurie              Jon W. Carson
    Dennis F. Albrecht         Verne & Darlene Bartelson     Gusta Blom                    Broghammer                    Ray & Colleen Cenfield
    Janice Albrecht            Betty J. Barth                Andy & Jan Blomsness        Erik & Jodi Brom                Children’s Miracle Network,
    Marcia M. Albrecht         Bruce & Sandy Bauer           Steve & Ann Blue            Carolee & Roger Bronk              Gundersen Lutheran
    Gaylord Aldinger           Arline B. Baumann             Carol A. Boden              Mark & Loretta Bronson             Medical Foundation
    Jenny Alfaro               Philip Becher                 Judy Bodway                 Joseph & Julie Brosig           Harold & Mable Christensen
    Chris Allen                Sally A. Beck                 Les & Vi Boelter            Paul & Jan Brosnahan            Jon E. Christensen
    David Allen                Susan M. Becker               Marcia & Arnold Boese       Marilyn A. Brower               Dr. David & Kathleen
    Mike & Kim Allen           Bill & Laurie Becker          Hermina H. Boland           Bill Brown                         Christenson
    Lynn Allen                 Betsy Beech                   Mary A. Boland              Danna L. Brown                  Debbie Christenson
    Alliance Card, INC.        John Beech                    Rose Boland                 Nancy M. & James R. Brown       Lavonne J. Christie
    Bob & Beth Allred          Doug Beeman                   Ken & Irene Boldt           Jeffrey & Paula Brown           Dorothy & Bill Chuchna
    Don & Diane Amann          Dick & Sharon Behnke          Laurel B. Bollin            Robert Brown                    Roger G. Church
    Gloria M. Ames             Chris & Rich Beirne           Barbara A. Bollinger        Rosetta & Richard Brown         Ronald L. Cichanowski
    Eileen E. Amundson         Richard H. Belisle            Marti Bollman               Allen Brugger & Lorna           Kris & Rick Cichon
    Irma Amundson              Beverly & Charles Bellman     Lorraine F. Bonine            Fratzke                       Steve & Carol Cichosz
    Becky Anderson             George A. Benedict            Kathleen L. Boone           Doloris B. Brugger              Shirley Cirelli
    Donna Anderson             Linda L. Benedict             Heidi Borgwardt             Jeri & Troy Brugger & Family    Frank* & Arlene* Cisewski
    Doris A. Anderson          Brad & Kathy Benke            Angie Bork                  Judith A. Brugger               Vincent Cisewski
    John E. Anderson           Henry Benke                   Ramona M. Bork              Phyllis Brynestad               Carla Ciszak
    Roger & Marie Anderson     Susan K. Benke                Mary & Dave Borkowski       Gerald Bruss                    Gayla R. Clemons
    Bev Andre                  Gladys F. Bennick             Roxanne & Doug Borkowski    Jerry & Carla Bruss             Laurence Clingman
    Jack Andresen              Ted & Joni Benson             George Parke & Sabina       Fred & Jean Brust               Charlie, Laurie, Bryan,
    Anonymous (5)              Judy Benson                     Bosshard-Parke            June I. Bublitz                    Daniel, & Michael Clobes
    Maxine & Larry Armitage    McLean & Rebecca Benson       Kurt R. Bosteter            Ruth Bublitz                    Jill Comara
    Ruth R. Arnett             Randy & Kim Benson            Mary Ann Boyd               Shirley Bublitz                 Jeremy Compton
    David & Muriel Arnold      Mrs. Roger Benson             John & Jody Sue Boyle       Carl Buck                       Karie Connaughty
    Allan & Jeanine Aspen      Charles & Barbara Bentley     Avys L. Boynton             Sharon Budnick                  Sherry Connaughty
    Linda Atkinson             Betty Beranek                 Sylvia L. Boyum             Clifford E. Buege               Sheila L. Conway
    Audrey Aufderhar           Marie O. Berg                 Ted Braatz                  Evelyn Bunke                    David Echelard & Suzanne
    Susan & Gary Babcock       Shelly & David Berhow         Carl & Deloris Brackett     Dr. Frank & Ruth Bures             Cooley
    Elizabeth K. Bach          Leonard L. Bernatz            Debbie Brady                James E. Burke                  Marypat Cooper
    Roger Baer                 Mike & Denise Bernatz         Ellen & James Brand         Richard Burmeister              Susan E. Cooper
    Marion Bagniewski          Ellen E. Berry                Fumi Brand                  Bruce Burnham                   Mike & Connie Corcoran
    Ann E. Baker               Vic & Bonnie Bertel           Marlene D. Brand            Bob Kierlin & Mary Burrichter   Julie A. Corcoran
    Paul & Pauline Ballweg     Janice & Galen Betsinger      Myrtle H. Brand             John & Irma Burros              Daniel & Shirley Cordes
    Bob Bambenek               Ray & June Beyers             John & Pat Brandt           Lee & Margaret Burros           Pat & Joan Costello
    Mary & Greg Bambenek       Mary Jo Beyerstedt            Paula & Robert Brang        Lynda Burt                      Stephen H. Craney
22 | Winona Health 2009 Community Report
Sandy Creeley               Mary Ann & David Duellman   Don & Judy Eger               Gary & Ellen Evans           Marion K. Fliehr
Brenda M. Cross             Jerry & Marilyn Duellman    Gary W. Egge                  Dorothy Evanson              Kathy Foley Shea & Sam
Kay & Sean Cumiskey         Mary Jo Duellman            John E. Ehlers                Br. Ed Everett                 Shea
Catharien & Donald          Mike & Jolene Duellman      Joyce O. Ehlers               Exchange Club of Winona      Lisa Ford
  Cummings                  Gregory Duffy               Paule H. Ehmcke               Scott & Barb Fabian          Deborah K. Forstrom
Mary Cummings-Hansen        Harriette M. Duffy          June Eichhorst                Lyndie L. Fabian             Dave & Maryann Forsythe
Marion P. Cunningham        Jim Duffy                   Jean M. Eide                  Janet & Duane Fakler         Helen P. Fort
Mary A. Cutliff             Maxine E. Duffy             Lila & Lawrence Eide          Cathy & Chris Fangman        Janice F. Fort
David C. Czapiewski         Mary K. Dulek               Michael & Shirley Eide        Marian L. Farner             Diane S. Fox
Betty J. Czaplewski         Lucy & Michael Dunn         Ed & Arlis Ellinghuysen       Betty L. Farrand             Dean & Robyn Fox
Lois E. Czaplewski          Phyllis M. Dunn             Marvin & Gladys               Mary E. Farrell              Gene & Lois Frank
Jake & Pam Dahl             Rosemary Duran                Ellinghuysen                Phil & Barbara Feiten        Fraternal Order of Eagles
Joseph & Shayna Dais        John & Lois Durfey          Skip & Carol Ellings          Marguerite Feldmeier           Ladies Auxiliary
Dan & Shelly Daley Family   Judith L. Durfey            Douglas J. Emanuel            Dr. Arnold & Mrs. Alanna     David & Carole Fratzke
Helen E. Davies             Sharon K. Durham            Bev Engel                       Fenske                     Bob & Elizabeth Fratzke
Billee J. Davis             Pat & Sue Durnen            Tammi Engen                   Ralph Fenske                 Lorna & Ernie Fratzke
Donna M. Davis                                                                                                     Jan & Don Freeman
Susan J. Day                                                                                                       George & Mary Lu Frey
Helen De Nomie                                                                                                     Ronald J. Frick
Maryellen E. Dean                                                                                                  Shirley M. Frickson
Max L. DeBolt Trust             Providing peace of                                                                 Christina & Mark Friederichs
Vicki & Dennis Decker                                                                                              Dolores S. Fritz
Julie & Darin Decker            mind to individuals                                                                Joanne E. Fritz
Norman & Janette Decker                                                                                            Julie & Kevin Fritz
Leone H. Deedrick               and fa milies                                                                      Alethea H. Fugina
Velma M. Degallier                                                                                                 Terry & Tina Full
Emilio & Monica Degrazia                                                                                           Michael & Mary Fuller
                                To all Telecare volunteers who
Annmarie & Tom DeMarais                                                                                            Sara & Mike Gabrick
Carolyn C. deMatta              made those 9 a.m. phone calls to                                                   Gertrude Gabrych
Katie Dempsey                   Mom every day since November—                                                      Cathy & Jeffrey Gahnz
Corinne C. Denzer                                                                                                  Jean M. Galewski
Jacqueline P. Denzer            It added such security and brightness to her days and gave her                     Julie & Rick Galewski
Lester & Joan Denzer            children peace of mind. She so looked forward to each call to get                  Dian F. Gappa
Melissa Denzer                  her day started right. Thanks for such a simple act that made our                  Julie Gardner
Dr. Brant & Mrs. Kristi         Mom’s last months a joy. Bless you all!                                            Patricia & Richard Garlick
  Deppa                                                                                                            Marilyn M. Gates
Bob & Marj Deter                As shared by a thankful family                                                     Patricia M. Georgens
Jean Dettman                                                                                                       Charlotte M. Gepner
Lawrence & Shirley                                                                                                 Lois J. Gernes
                                Telecare is a daily phone call service for people who are disabled,
  Dieterman                                                                                                        Garry & Judy Gerson
                                elderly or live alone and would feel reassured by a friendly phone
Eleanore M. Dietrich                                                                                               Jack & Maureen Gerson
Diane Dingfelder                call to check in. A Winona Health Auxiliary volunteer calls the                    Henrietta Gerth*
Rita S. Dingfelder              Telecare clients each scheduled day between 8 a.m. and 10 a.m.                     Kathleen M. Gerth
Jane Dittrich                   If a client cannot be reached, the volunteer will call their chosen                Mavis M. Gielow
Irene & Merlin Doblar           contact person to check on them. Telecare is a free service.                       Connie A. Giemza
Ralph & Thora Doblar            For more information or to sign up for the service, please contact                 Stanley & Diane Gierhan
Scott H. Doblar                 the Winona Health Volunteer Services office at 507.474.3328.                       Ted & Shirley Gierok
Diane & Harley Doebbert                                                                                            Walter & Dorothy Gilbertson
Lorraine A. Doehling                                                                                               Bob & Erika Gilbertson
William J. Doerer                                                                                                  Alice M. Gile
Margaret Dohn               Karen L. Dworschack         Alvina D. Engler              James & Dona Ferguson        Susan & Earl Gilman
Joy A. Donnelly             Ralph L. Dybing             Betty M. Englerth             Stan & Sue Ferguson          Nancy R. Gingras
Rose A. Dorn                Kent & Joyce Dzurick        Vicki Englich                 Dr. Richard & Heidi Ferris   Fern M. Girtler
James & Gloria Dotzler      Diane M. Ebert              Brad Turner & Ellyn English   Kerri Ferstl                 Dan & Morgan Gish
Norma & Paul Double         Larry & Peggy Ebert         Dr. L.J. & Ramona English     Elaine Fetting Family        Bob & Joan Gleason
Beverly A. Douglas          Samuel Ebnet                Lynn & Mark Englund           Nell L. Ficken, Jr.          Lisa Glenzinski
Clarence & Luella Dow       Yvonne Echelard             Dale & Lynn Engrav            Earl D. Finden               Damian & Becky Glodowski
Olga Draskoci-Johnson       Margaret B. Eckblad         Dennis & Patricia Engrav      Margaret Finkelnburg Boyd    Bill H. Glowczewski
Helen R. Drazkowski         Bonnie & Henry Eckert       Brenda & Matt Entz            Rev. & Mrs. David Fischer    Tim & Kathy Glowczewski
Janice M. Drazkowski        Mary & Jim Eddy             Kent & Dawn Erdmann           Robert L. & Frances D.       Theresa Godfrey
Peggy & Ralph Drazkowski    John & Fran Edstrom         Rita L. Erdmann                 Fischer                    Maurice D. Godsey
Helene B. Dreas             Nick & Lori Edstrom         Judy Erickson                 Richard A. Fischer           Karl & Rachel Goetting
Harlan & Kathleen Drube     Brenda & Mark Edwards       Barbara A. Ernster            Linda & Steven Fix           Arlene E. Goetz
Robert & Paula Drumm        Dorothy Edwards             Jeff & Bev Essig              Sharon & Dick Flatten        Florence K. Goetzman
                                                                                                       Winona Health 2009 Community Report |      23
          A Grateful Patient 
          As shared in a letter by Tim M.
    Gayle B. Goetzman             Jim & Joni Gromek          Marilyn Hall                 Mary K. Harris                   Ken & Pat Heaser
    Linda & Paul Goodfellow       Ruth & Dale Gronewold      Scott & Mary Hallman         Jeffrey & Cindy Harrison         Beverly M. Heftman
    Dennis & Carolyn Goplen       Marie Grossell             Clifford & Dianne Hallum     Cheryl Hartert                   Thomas M. Heftman
    Marilyn & Richard Gora        Donna Groth                Barb & Ray Halvorson         John & Kathleen Harvey           Anita R. Hein
    Carole A. Gorden              Alice K. Grover            Gloria S. Hammond            Gloria S. Hassinger              David & Mary Heise
    Mary Anne & Odean Goss        Peggy & Jeffrey            Scott, Carmen & Mac          Jo Hassinger                     Bill & Cindy Heitman
    Michael & Joette Gostomski      Gudmundson                 Hannon                     Scott, Sheri, Brittney, & Tara   Juliana M. Hemmelman
    Alyssa Gostomski-Carter       Gene & Jane Gunderson      Dolores T. Hansen              Hatter                         Marlene M. Hemsey
    William & Heather Gould       Mary & Larry Gutknecht     Henry H. Hansen              Teresa L. Hauck                  Charlotte & Lyle Henderson
    Madelyn Grabowenski           John & Marilyn Hackbarth   Marge Hansen                 Charles & Eileen Haugh           Gail & Craig Henderson
    Tom & Peg Graham              Lois I. Hackbarth          Michael & Carol Hansen       Rita L. Haugh                    Angeline A. Hengel
    George & Betty Grangaard      Patricia M. Haddad         Mildred G. Hansen            Helen L. Haun                    Elizabeth M. Hengel
    Kendra & Nick Granseth        Clyde & Marlis Haedtke     Doris Hanson                 Nancy & LaVern Hauschildt        Geraldine A. Hengel
    Lois A. Grant                 Elayne H. Haedtke          Renee M. Hanson              Daniel P. Hauser                 Scott P. Hengel
    Lillian R. Gravos             Tod & Julie Haedtke        Jim & Shannon Hanzel         Rick & Jill Hauser               Bob & Mitzie Hennessy
    Janet M. Greenslit            Karen Haedtke              S. Quinn Hanzel              Mike & Sue Hauser                Autumn & Brent Herber
    Joe* & Joan Greshik           Randy E. Haedtke           Rev. Thomas J.               Dr. & Mrs. Dale J. Hawk          David & Denise Herber
    Paul & Ellie Griesel          Shirley F. Haesly            Hargesheimer               Bernice E. Hayes                 Marlene A. Herber
    Rainy Griesel                 Pat & Jerry Haessig        Eleanor Harkness             Roy & Marylou Hazelton           Ann Hermann
    Tom & Rosemary Griffithe      Joann Hagedorn             Georgina & Kenneth Harris    Jim, Kris & Nick Healy           Michael R. Herzberg
    Corrine & Gerald Grochowski   Leah A. Hall               John L. Harris Estate        Bernice Heaser                   Mary & Ronald Hewett
          Working with the independent estate planning professionals through the Winona Health Foundation, we were guided
          through a helpful process that put all the important questions before us. It took some thought and discussion of things
          we’d never talked much about, but we ended up very clear about how we want our estate distributed. The estate
          planning experts presented options, explained tax ramifications and showed detailed financial illustrations of how things
          would work out. They also made themselves available to consult with our local attorney in drafting the final documents.
          We chose to include some non-profit organizations, including Winona Health, in our estate plan, but the Foundation
          made it very clear at the outset there was no obligation to be charitable. Nor was there ever any attempt to influence
          who would benefit from our estate. Our desire for confidentiality was respected, and our plan can be changed any time
          we choose.
          Our only cost was the fee from our attorney for preparing the documents. There was no charge for the hours of work
          and expert advice from the estate planners.
          Talking with an estate planner made it easy for us to begin the planning process. He gave us a questionnaire to do on
          our own. It was a great communication tool, and I enjoyed seeing what my husband and I agreed on when it came to
          estate planning and charitable giving. We also have three children with unique personalities and, as we looked to the
          future, we enjoyed discussing our expectations and dreams for each of our children.
          I know that every day is a gift. It was a comfort to be able to have an active part in planning the future, and it feels good
          to know that our plan is in place.
         The Winona Health Auxiliary’s 389 volunteers contributed a total of 36,245 hours. Using the current U.S. average hourly
         value for volunteer time, that amounts to a gift equivalent to $707,140 in service time to Winona Health.
    Anne & Mike Rompa            Donna Sammann                 Sue Schneider                Steve Schwartz & Emma            Gloria K. Siewert
    Christine Rompa              Terri L. Sammann              Greg & Linda Schoener          Roth-Schwartz                  Norma Simon
    Rita K. Rompa                Dorothy Sanders               Doris R. Schoenike           Gayle Schwarz                    Lois A. Simons
    Tony Rompa                   Marilyn K. Sanders            Earl Schreiber               Lou Anne Schwarz                 Barry & Earlene Simonson
    Marjorie J. Ronnenberg       sanofi aventis U.S.           Susan M. Schreiner           Dr. Cullen & Mrs. Julieanne E.   Barbara Sims
    Bob & Darlene Roraff         Dr. Ann & Mr. Neil Sawyer     Donald Schroeder               Schwemer                       Caroline Sines
    Linda & Scott Rose           Betsy Sawyer                  Harold & Carol Schuh         Nancy & Charles Scovil           Dawn Singer
    Michal A. Roskos             Bill Sawyer                   Cecilia (Sally) M. Schuh     Corrie Searles                   Bob Skeels
    Tom Ross Family              Edward & Phyllis Schabacker   Frances K. Schuldt           Laura Seaton                     Jean & David Skime
    Mary Ann Rossin Estate       Kay E. Schafer                Bernard & Darlene Schultz    Linda & Jerrie Seibert           Michael Skroch
    Robert F. Rossin             Dale & Jenny Schaffner        Betty J. Schultz             Mary Ann Senn                    Shirley M. Skroch
    Florence R. Rother           LeRoy Schaffner               Brian B. Schultz             Betty J. Senty                   Thomas J. Slaggie
    Selma J. Rott                Ruth & Bert Schaffner         Charles H. Schultz           Sequoia Society                  Pamela K. Slocum
    Dr. David & Betsy            Pauline M. Schain Estate      Don & Karen Schultz          Pam Serwa                        Darryl Smelser
      Rowekamp                   Rita M. Schallau              Jean Schultz                 Wayne Severson                   Albert W. Smith, Jr.
    Leo & Mary Rowekamp          Raymond J. Schammel           Joseph J. Schultz, Jr.       Helen Shaw                       Ellen & Brent Smith
    John & Bonnie Ruben          Mildred E. Scharmer           Rachelle & Bob Schultz       Warren Shaw                      Gary & Janine Smith
    Brian Ruhland                John Scherer                  Sally Schultz                Judy & Bill Shay                 Patrick & Jean Smith
    Cindy L. Ruppert             Carol Schewe                  Sharon F. Schultz            Dr. Charles & Judy Shepard       Leo & Marilyn Smith
    Thomas A. Ryan               Robert C. Schlink             Florence M. Schumacher       Darlene & Mike Sherman           Rose Smith
    Delight A. Sabotta           Wayne G. Schmidt              Glen & Diane Schumann        Evelyn E. Shiel                  Carol Snidarsic
    Mr. & Mrs. William Saehler   Dale & LuAnn Schmidtknecht    Kenneth F. Schumann          Ellen R. Shrake                  Dawn E. Snyder
    Valerie & Michael Saffel     Marilyn Schneider             Mr. & Mrs. Milton F.         Randy & Sharon Shugart           Arlene L. Sobeck
    Saint Mary’s University      Jeffery Schneider               Schumann                   Karen & Tom Sibenaller           Deb & Randy Sobeck
      of Minnesota               Jerry Schneider               Kim & Pete Schwab            Lillian T. Siebenaler            Susan & James Sobotta
    Lloyd & Sharon Salisbury     Julie & Mark Schneider        Marilyn C. Schwab            Lynn C. Siebenaler               Marion G. Sobotta
    Don & Deb Salyards           Sam & LaVonne Schneider       Schwab LLC                   Judy Sievers                     Clarice Solberg
Helen M. Bagshaw           Heidi Ferris               Dan Johnson                 Diane M. Nelson               Linda Shepardson
Andrew & Kim Herold        Christine Stoltman         Anonymous                   Carmen & Robert Keister       Barbara A. Weaver
                                                      Wayne Kelly
Jessica L. Bebout          Richard C. Ferris, M.D.    Jean L. Kalmes              Melinda Niemeyer              Crystal Sjolander
John & Jackie Frisch       Jeanette B. Combs                                      Andrew & Kim Herold           Steven M. Moen
                           Andrew & Kim Herold        Mary C. Krage
Peggy Blake                Laurie Lucas               Phyllis N. Fletcher         Dennis G. Nolan, M.D.         Bridget L. Spencer
Millie & Hal Risser        Dr. Charles Shepard                                    Andrew & Kim Herold           Velma M. Degallier
                                                      Laurel A. Laib              Dr. Charles Shepard
Loretta T. Boyer           Barbara L. Filas           Scott, Robin, Courtney &                                  Lynn M. Sprain
Bob & Hope Dennis          Rebecca & Scott Lamberty   Krista Hoeg                 Debra Norton                  Anonymous
Elaine & Henry Scherdin                                                           Scott, Robin, Krista &
Barbara A. Weaver          Jean A. Fossey             Lake Winona Manor            Courtney Hoeg                Sandra J. Stiever
                           Steven M. Moen               Bluffview Crew            Family of Virginia Eckern     Mary Jo & Valentine Stiever
Matthew J.                                            Phyllis Fletcher
  Broghammer, D.O.         Timothy A. Gabrielsen                                  Barbara A. Odegaard           Cindy Strobush
Sara B. Barbor             Steven M. Moen             Michael Larimer             Phyllis N. Fletcher           Autumn & Brent Herber
Marjorie J. Ronnenberg                                Millie & Hal Risser
                           Lois J. Gernes                                         Ann F. Olson                  Scott V. Turner, M.D.
Elizabeth F. Burns         Dan & Dorothy Hoyt         Carolyn A. Larson           Mary Speltz                   Family of Virginia Eckern
Sally & Ken Mogren                                    Joellen, Chloe & Rachel                                   Ellen Smith
                           Amy Gordon                   Barak                     Michelle R. Olson
Lynne Clarke               Millie & Hal Risser                                    Andrew & Kim Herold           Patti Volkman
                                                      Connie & Joe Duff                                         Anonymous
Anonymous
                           Satya Gorty, M.D.          Esther R. Lyon              Barbara A. Parent
Betty R. Crawford          Steven M. Moen                                         Barbara A. Weaver             Kari D. Weidemann
                                                      Scott, Robin, Krista &                                    Millie & Hal Risser
Jeanette B. Combs                                      Courtney Hoeg
Laurie Lucas               John Gray                                              Daniel Parker, M.D.
                           Yvonne, Kevin & Buffey                                 Monica Conway Family          Brett S. Whyte, M.D.
                                                      Rebecca J. McDonald                                       Rebecca & Scott Lamberty
William E. Davis, M.D.      Gensmer                   Velma M. Degallier          Ellen & Gary Evans
Anonymous                  Millie & Hal Risser                                    Carrie & Charles Grafstrom    Jane E. Mrozek
                                                      Liz McGrory                 Lyle Keller
Jody L. Doebbert           Kathy                                                  Gail & John Meier             Robert Wilfahrt, M.D.
                                                      Jo & Jerry Stejskal                                       Mary J. Miller
Connie & Duane Chadbourn     Green-Kaminsky                                       Steven Meier
                           Barbara A. Weaver          Ryan D. Meech               Fred & Sandra Olson           Elaine & Henry Scherdin
Nancy V. Dornfeld                                     Helen E. Davies             Marjorie J. Ronnenberg
Barbara A. Weaver          Carole Gregory                                                                       Winona Health
                                                                                  Dr. Charles Shepard              Emergency Room
                           Millie & Hal Risser        Jelaine Merchlewitz
Rosie Drazkowski                                      Millie & Hal Risser         Amy Petersen                     Staff
Anonymous                  Dawn Gronner                                           Scott, Robin, Krista &        Ellen & Brent Smith
                           Christine Stoltman         Cathy Meyer                  Courtney Hoeg
Lucy A. Dunn                                          Anonymous                                                 Winona Health
Scott, Robin, Krista &     Melissa A. Gruber                                      Jim Pomeroy                     Employees
 Courtney Hoeg             Millie & Hal Risser        Mary S. Michener            Anonymous                     Dr. L.J. & Ramona English
                                                      Family of Virginia Eckern
Brenda K. Edwards          Erin Hanson                                            Bryan W. Reed, D.O.           Winona Health
Anonymous                  Andrew & Kim Herold        Debra A. Mikelson           Dr. Charles Shepard             Home Care Staff
                           Bob & Sandra Olson         Barbara A. Weaver                                         Elaine & Henry Scherdin
Michele Ekern                                                                     Carol M. Rice
Barbara J. Laumb           Kathleen M. Harvey         Mary Miller-Hyland          Anonymous                     Winona Health
                           Millie & Hal Risser        Patti Volkman                                               Surgical Services
Lynn Englund                                                                      Jason Rosenbush, D.C.           Staff
Millie & Hal Risser        Trisha Holzworth           Angela Mlynczak             Anonymous                     Nancy & LaVern Hauschildt
                           Millie & Hal Risser        Millie & Hal Risser
Merry J. Enright                                                                                                Veronica S. Wry
Autumn & Brent Herber      Donna M. Hopp                                          Aaron C. Schilling, P.A.-C.
                                                      Bonnie Moen                 Steven M. Moen                Barbara A. Weaver
                           Dolores M. Vaughn          Steven M. Moen
Samantha L. Ewing
Anonymous                  Suzanne M. Jelense, M.D.                               Troy J. Shelton, M.D.
                                                      Carlos E. Morales, M.D.     Anonymous
                           Anonymous                  Cyril & Mary Speltz
Dr. Oran G.
  Featherstone*            Aaron S. Jensen                                        Charles A. Shepard, M.D.
Anonymous                  Scott, Robin, Krista &     Thomas Nachtigal, D.P.M.    Andrew & Kim Herold
                            Courtney Hoeg             Anonymous                   Carmen & Robert Keister
Frances H. Lettner
                              Harold S. Mogren
                              Nancy M. & James R. Brown        Circle of Visionaries
Audrey & Henry Deblon         Ellen & Gary Evans
Jean & Fran Dzwonkowski       Winona Health                    The Circle of Visionaries comprises individuals who have designated
Joan & Joseph* Greshik                                         a future gift to the Winona Health Foundation in their estate plans
Joy & David Schmidtknecht     Arloween Moore                   and have shared that intent with the Foundation. Through such gifts,
Connie & Gavin Strand         Yvonne & Bob Fix                 members of the Circle of Visionaries help ensure the future of our
                              Wendell Moore                    community healthcare system.
Lorraine C. Literski          Michael & Julie Smith
Elizabeth & John Waters
                                                               Noris & Rhoda Abts            Joseph J.* & Joan Greshik   Robert & Rachelle Schultz
                              Elmer W. Mueller
Leroy ‘Butch’ Luksa           Jim R. & Marge Miller            Jack Andresen                 Roy H. Knoll                Dr. Charles & Judy Shepard
Elaine F. Luksa                                                Henry E. Benke                Beverly A. Larson           Royal & Lucille Thern
                              Theresa ‘Tracy’                  Scott & Jane Biesanz          Royal & Lucille Thern       Mark S. Wagner
David Magnuson                  Mueller                        Dave & Shirley Binius         Roger & Ramona Metz         Jack M. “Butch” & Barb
Ruth & Frank Bures, M.D.      Bev Engel
                                                               Steve & Ann Blue              Ken & Sally Mogren            Walz
Phyllis McClenathan           Jordan S. Murphy                 Judith R. Bodway              Joliene W. Olson            Jack N. Walz
Dean & Kathy McClenathan      Carol Byrne                      Susan J. Day                  Jeffrey & Pam Prenatt       Barbara & Calvin Winbush
                              Jean & Fran Dzwonkowski          Vicki L. Decker               Ruth & Douglas B.           Leslie R. Woodworth
Eric McElmury                 Cletus Hanson                    Gary & Ellen Evans              Robinson
Suzanne & Scott Roberts       Rick Hanson
                              Renee Hanson                     Robert & Erika Gilbertson     Susan & R. Peter Roehl
                              Robin Hanson Erickson
 Contributors                Susan Cornwell                  Sandra & Don Curtin           Don & Donna Peterson          Arlyn J. Dittrich
 American Legion #9            – Birthday                    Ruth & Jerry Dalleska         Kim & Steve Renk              Winona Health Auxiliary
 Matt Broghammer, D.O.       Diane L. Barge                  Pat & Bob Doerer              Mara Repinski
 Carole & David Forest       Jackie J. Mahlke                Jerry & Marilyn Duellman      Elizabeth Ristow              Kelly Forest
 Catherine Slaby                                             Charlene & Arne Egge          Arlene & Adrian Roraff        Autumn & Brent Herber
                             Bob & Pat Doerer                Jean S. Engler                Brian Ruhland & Nicole        Steve & Candi Kohner
 In Honor of                   – 50th Anniversary            Michelle & Michael Fliehe       Zitzner                     Dr. Scott & Kathy Turner
 Telecare Volunteers         Rose & Horace Andersen          Gene & Lois Frank             Kim & Pete Schwab
 Laura Stover                                                Sue & Craig Frericks          Dr. Cullen & Mrs. Julieanne   Hazel Freiheit
                             Pauline & Harland               Shirley J. Frey                 Schwemer                    Autumn & Brent Herber
 Valet Services               Knight                         Dolores A. Gallagher          Sequoia Society               Mary S. Joyce
 Laura Stover                  – 60th Anniversary            Joyce & Jerry Golden          Gloria K. Siewert             Steve & Candi Kohner
                             Rose & Horace Andersen          Tom & Peg Graham              Beverly A. Spande
 In Memory                   Carole & David Forest           Beverly Hanson                Jane & Jeffrey Sterrett       Karen D. Holz
 Clara A. Andring                                            Jim & Shannon Hanzel          Tammy & Bill Stiever          Autumn & Brent Herber
 Candi & Steve Kohner        Don Peterson                    Sue & Tony Hassinger          John W. Sullivan
                               – Birthday                    Autumn & Brent Herber         Dana & Darryl Thoruilson      Dr. Sidney O. Hughes
 Phyllis Buege               Carole & David Forest           Bob & Sue Hoodecheck          Dr. Scott & Kathy Turner      Rose & Horace Andersen
 Sharon & Dick Flatten                                       Carolyn & Mark Johnson        Sandra & Wayne Valentine      Dr. Jim & Jenny Kahl
                             Duane Peterson*                 Phylliss Mae Johnson          Janis C. Vose
 Beatrice A.                   – Birthday                    Verdayne E. Jorde             Kris & Scott Walters          Barbara Meierbachtol
   Connaughty                William & Barb Colclough, Jr.   Dr. Jim & Jenny Kahl          Coleen & Mike Wanek           Judy & Greg Novotny
 Candi & Steve Kohner        Carole & David Forest           Marlene & John Kane           Janice Wanek
                                                             Jerry & Barbara Kiral         Jodi & Jack Warnemunde        Arloween Moore
 Mildred ‘Millie’ L.         Auxiliary                       Pauline & Harland Knight      Jaci & Dick Will              R. Peter & Susan Roehl
  Erdmann                    Remembrance Fund                Jane Kohner                   Chris & Tom Wilmot
 Candi & Steve Kohner        Betty Breitenfeldt              Bob & Marlene Kohner          Joann & Lyle Ziegeweid        Esther Rowekamp
                             Bob & Sue Hoodecheck            Steve & Candi Kohner                                        Dr. Scott & Kathy Turner
 Kelly Forest                Dorothy Sanders                 Dolores A. Kukowski           Dr. Robert Briggs
 David & Carole Forest       	                               Steven & Nancee Kukowski      Jeffrey & Pam Prenatt         Pauline M. Schain
 Jeanette R. Sorenson        Duane J. Brenno                 Virgil & Joan Laak                                          Cheryl & Paul Krage
                             JoAnne, Keith, Kevin,           William H. Laehn              Phyllis Buege
 Judson ‘Jud’ O.               & Jean Agrimson               Betty Lou & David Lovlien     Sheryl A. Miller              Judson ‘Jud’ O.
   Sorenson                  Judy & Lee Arity                Steven & Laure Maki                                           Sorenson
 Carole & David Forest       Diane L. Barge                  Carol Maschka                 Elmer C. Casperson            Jerry & Ruth Dalleska
 Candi & Steve Kohner        Mabel C. Beach                  Carole & Jerry Matejka        Jeffrey & Pam Prenatt         Joan Laak
                             Nancy & Keith Beach             Heather & Michael Mootz                                     Don & Donna Peterson
 Roland Stover               Butch & Lynne Beier             Shirley & Jim Mootz           Arlene M. Cisewski            Winona Health Auxiliary
 Laura Stover                Les & Vi Boelter                Anne & Tom Mootz              Jan F. Wanek
                             Mary Brenno                     Deb & Rod Morcomb                                           Florence J.
 Auxiliary Happy             Gloria & Joe Bronk              Janna & Scott Morcomb         Barbara J. Conway               Wieczorek
 Occasion Fund               Carol Byrne                     Sally Nasstrom                Harold S. Streater            Jan F. Wanek
 Darlene & Lowell            Sharon & Bud Clark              Donnis Noer
  Bjoraker                   Janis & Phil Conway             Dr. Daniel & Suzanne Parker   Dr. Dan Degallier             Mildred C. ‘Millie’
  – 50th Anniversary         Sue & Jack Cornwell             Kate & Fariborz Parsi         Dr. James & Mrs. Mary          Zolondek
 Marie & Jerry Lehmeier      Kay & Sean Cumiskey             Lori & Terry Pelzl             Testor                       Lois E. Czaplewski
   BALANCE
   BALANCE    SHEET
    BALANCESHEET
               SHEET
   As
   As ofofSeptember
    Asof  September 30,
           September30, 2009
                     30,2009
                         2009
   Assets
   Assets
    Assets
       Cash
       Cash and
        Cashand   Investments
              andInvestments
                   Investments                                                                                                        $$$ 34,248,000
                                                                                                                                           34,248,000
                                                                                                                                            34,248,000
       Amounts
       Amounts   Due
        AmountsDue     from
                   Duefrom   Gov't
                         fromGov't Programs,
                              Gov'tPrograms,  Insurance
                                    Programs,Insurance  Companies
                                               InsuranceCompanies and
                                                         Companiesand Patients
                                                                   andPatients
                                                                       Patients                                                            12,389,000
                                                                                                                                           12,389,000
                                                                                                                                            12,389,000
       Property
       Property and
        Propertyand  Equipment
                 andEquipment
                       Equipment                                                                                                           56,744,000
                                                                                                                                           56,744,000
                                                                                                                                            56,744,000
       Other
       Other Assets
        OtherAssets
              Assets                                                                                                                        8,809,000
                                                                                                                                            8,809,000
                                                                                                                                             8,809,000
                                                                                                                                          112,190,000
                                                                                                                                         112,190,000
                                                                                                                                           112,190,000
   Long-Term
   Long-Term Debt
    Long-TermDebt and
              Debtand Other
                   andOther Liabilities
                       OtherLiabilities
                             Liabilities                                                                                                    43,674,000
                                                                                                                                            43,674,000
                                                                                                                                             43,674,000
   Net
   Net Assets
    NetAssets
        Assets                                                                                                                        $$$ 68,516,000
                                                                                                                                          68,516,000
                                                                                                                                           68,516,000
   The
   The   Balance
    TheBalance     Sheet
          BalanceSheet       gives
                     Sheetgives      the
                              givesthe    financial
                                      thefinancial   position
                                           financialposition
                                                      positionof  of  the
                                                                    ofthe  organization
                                                                        theorganization
                                                                             organizationfor  for
                                                                                                foraaaspecific
                                                                                                      specific    point
                                                                                                       specificpoint
                                                                                                                   pointin inintime.
                                                                                                                                time.  The
                                                                                                                                 time.The      Assets
                                                                                                                                         TheAssets
                                                                                                                                                Assets
    The Balance Sheet gives the financial position of the organization at a specific point in time. The Assets of the organization are
   of
   of  the
    ofthe   organization
        theorganization
             organizationare are  primarily
                              areprimarily    cash/investments,
                                    primarilycash/investments,
                                                cash/investments,amounts amounts
                                                                          amountsdue due    from
                                                                                      duefrom        payers
                                                                                             frompayers
                                                                                                      payersandand   hard
                                                                                                                andhard        assets
                                                                                                                       hardassets        like
                                                                                                                                assetslike like
    primarily cash/investments, amounts due from payers and hard assets such as buildings and equipment. The organization is
   buildings
   buildings
    buildingsandand
    appropriatelyand  equipment.
                     equipment.
                        equipment.
                  leveraged           The
                               with aThe    organization
                                        Theorganization
                                             organization
                                       long-term             isisappropriately
                                                            is
                                                 debt-to-equity  appropriately
                                                                  appropriately     leveraged
                                                                                   leveraged
                                                                   ratio of 35% whichleveraged       with
                                                                                         is betterwithwitha
                                                                                                     than  aalong-term
                                                                                                              long-term
                                                                                                           median             debt
                                                                                                                    levels debt
                                                                                                               long-term        debt
                                                                                                                              for    to
                                                                                                                                    to    equity
                                                                                                                                      toequity
                                                                                                                                  similar   equity ratio
                                                                                                                                                  ratio
                                                                                                                                                    ratio
                                                                                                                                            organizations.
   of
   of  35%
    of35%    which
             which
        35%Net
    Having    which  isisbetter
                    is
                Assets   better
                           better
                          of     than
                             morethan
                                   than  median
                                   than median    levels
                                          medianlevels
                                                   levels
                                         $68,000,000      for
                                                         for
                                                      gives for
                                                              thesimilar
                                                                similar
                                                                  similar  organizations.
                                                                          organizations.
                                                                            organizations.
                                                                   organization                  Net
                                                                                                Net    Assets
                                                                                                  NetAssets
                                                                                 stability to weather     theseof
                                                                                                        Assets   of  more
                                                                                                                  ofmore
                                                                                                                      more
                                                                                                                 difficult     than
                                                                                                                              than    $68,000,000
                                                                                                                                than$68,000,000
                                                                                                                           financial   $68,000,000
                                                                                                                                       times.
   gives
   gives   the
    givesthe   organization
            theorganization       stability
                 organizationstability       to
                                   stabilityto  weather
                                              toweather    these
                                                 weatherthese        difficult
                                                             thesedifficult    financial
                                                                      difficultfinancial     times.
                                                                                 financialtimes.
                                                                                               times.
   REVENUE
   REVENUE AND
    REVENUEAND COSTS
            ANDCOSTS
                COSTS
   12
   12 Months
    12Months Ended
       MonthsEnded September
              EndedSeptember 30,
                    September30, 2009
                              30,2009
                                  2009
                                                            Government
                                                            Government
                                                             Government                Insurance
                                                                                      Insurance   and
                                                                                        Insuranceand
                                                                                                   and       Long-Term
                                                                                                             Long-Term  Care
                                                                                                              Long-TermCare
                                                                                                                         Care
                                                             Programs
                                                             Programs
                                                              Programs                    Self-Pay
                                                                                          Self-Pay
                                                                                           Self-Pay              and
                                                                                                                and  Other
                                                                                                                  andOther
                                                                                                                      Other                  Total
                                                                                                                                             Total
                                                                                                                                              Total
   Operating
   Operating  Revenue
    OperatingRevenue
               Revenue
      Net
     Net  Patient
       NetPatient Revenue
           PatientRevenue
                   Revenue                               $$$    24,808,000
                                                                 24,808,000 $$$
                                                                24,808,000                50,856,000
                                                                                           50,856,000 $$$
                                                                                          50,856,000                13,975,000
                                                                                                                    13,975,000
                                                                                                                     13,975,000 $$$          89,639,000
                                                                                                                                             89,639,000
                                                                                                                                              89,639,000
      Other
     Other  Revenue
       OtherRevenue
             Revenue                                                   -- -                      -- -                6,457,000
                                                                                                                     6,457,000
                                                                                                                      6,457,000               6,457,000
                                                                                                                                              6,457,000
                                                                                                                                               6,457,000
                                                                24,808,000
                                                                24,808,000
                                                                 24,808,000               50,856,000
                                                                                          50,856,000
                                                                                           50,856,000               20,432,000
                                                                                                                    20,432,000
                                                                                                                     20,432,000              96,096,000
                                                                                                                                             96,096,000
                                                                                                                                              96,096,000
   Operating
   Operating Costs
    OperatingCosts
              Costs
      Operating
     Operating  Costs
       OperatingCosts
                 Costs                                          36,330,000
                                                                36,330,000
                                                                 36,330,000               43,917,000
                                                                                          43,917,000
                                                                                           43,917,000               19,938,000
                                                                                                                    19,938,000
                                                                                                                     19,938,000             100,185,000
                                                                                                                                            100,185,000
                                                                                                                                             100,185,000
       Gain
       Gain (Loss)
        Gain(Loss) From
             (Loss)From Operations
                    FromOperations
                         Operations                      $$$   (11,522,000)
                                                                (11,522,000) $$$
                                                               (11,522,000)                6,939,000
                                                                                            6,939,000 $$$
                                                                                           6,939,000                    494,000
                                                                                                                        494,000
                                                                                                                         494,000 $$$          (4,089,000)
                                                                                                                                              (4,089,000)
                                                                                                                                                (4,089,000)
   Other
   Other Changes
    OtherChanges  ininNet
          Changesin   Net Assets
                       NetAssets
                           Assets                                                                                                                343,000
                                                                                                                                                 343,000
                                                                                                                                                  343,000
       Decrease
       Decrease  ininNet
        Decreasein   Net Assets
                      NetAssets
                          Assets                                                                                                      $$$     (3,746,000)
                                                                                                                                              (3,746,000)
                                                                                                                                                (3,746,000)
    The
   The    statement
     Thestatement
            statementof of  revenue
                          ofrevenue   and
                             revenueand    costs
                                       andcosts   shows
                                            costsshows
                                                   showsthethe financial
                                                            thefinancial   results
                                                                 financialresults     during
                                                                             resultsduring    the
                                                                                       duringthe   past
                                                                                               thepast   fiscal
                                                                                                    pastfiscal      year.
                                                                                                           fiscalyear.       The
                                                                                                                      year.The   organization
                                                                                                                              Theorganization
                                                                                                                                  organization
    is
   isisable
        able  to
              toto generate
                  generate
                    generate  positive
                              positive
                               positivereturns
                                       returns
                                        returns  from
                                                from
                                                  from services
                                                       services
                                                         services  that
                                                                   that
                                                                    thatare
                                                                        are
                                                                         are  paid
                                                                             paid
                                                                               paid for
                                                                                   for
                                                                                     forthrough
                                                                                        through
                                                                                         through   private
                                                                                                  private
                                                                                                    private   insurance,
     The statement of revenue and costs shows the financial results during the past fiscal year. The organization is able from
       able                                                                                                  insurance,
                                                                                                                insurance,    and
                                                                                                                              and
                                                                                                                               and from
                                                                                                                                  tofrom long-term
                                                                                                                                        long-term
                                                                                                                                          long-term
                                                                                                                                     generate
    care
   care
     care  and
          and
            and   other
                 other
                   other services.
                        services.
                          services.  Underpayments
                                    Underpayments
                                      Underpayments      by
                                                        bybygovernment
                                                            government
                                                             government      programs
                                                                             programs
                                                                              programs    such
                                                                                          such
                                                                                           such as
                                                                                                asas Medicare
                                                                                                    Medicare
                                                                                                      Medicare      and
                                                                                                                   andand Medicaid
                                                                                                                         Medicaid
                                                                                                                           Medicaid  create
                                                                                                                                     create
                                                                                                                                      create
     positive returns from services that are paid for through private insurance and from long-term care and other services. Underpayment
    financial
   financial
     financial
     by governmentlosses,
                 losses,
                   losses, highlighting
                           highlighting
                             highlighting
                       programs          the
                                 such as the  fact
                                           thefact
                                         Medicare   that
                                               factthat  those
                                                         those
                                                     thatMedicaid
                                                    and          payments
                                                          thosepayments
                                                                  payments     are
                                                                              are  significantly
                                                                                aresignificantly
                                                                   creates financial significantly  below
                                                                                                   below
                                                                                                     below
                                                                                     losses, highlighting    the
                                                                                                            the
                                                                                                          the  the cost
                                                                                                                   cost
                                                                                                                 fact     to
                                                                                                                      thatto
                                                                                                                     cost     provide
                                                                                                                            toprovide
                                                                                                                               provide
                                                                                                                           those       services
                                                                                                                                       services
                                                                                                                                        services
                                                                                                                                 payments  are
    under
   under
     under   those
             those
               those  programs.
                     programs.
                       programs.
     significantly below the cost of providing services under those programs.
COMMUNITY BENEFIT				
Community Health Improvement	  Education classes, support groups,
	                              Community Health Talks and health screenings 	         9,347 	                       $60,026
				
Health Professional Education	 Clinical training site for nursing and other students	 1,248 	                      $213,353		
				
Financial Donations	               Contributions to local nonprofit organizations for
	                                  healthcare, youth and other community needs		                                    $30,297		
		
In-kind Donations and Fundraising	 Staff expertise, meeting rooms, donated items and
for Community Programs	            time spent working on fundraising programs for the
	                                  United Way and other local nonprofit organizations	      1,209 	                 $83,949
				
Community Building Activities	     Partnering with local organizations on Healthy Kids Club
	                                  and other projects to enhance the quality of life in the
	                                  community	                                   	           1,960	                  $34,815	
PO Box 5600 | 85